HomeMy WebLinkAboutBuilding Permit #804-2017 - 240 CHARLES STREET 2/28/2017OWN� NORTH ANDOVER
APPLICATION FOR PLAN EXAMINATION
permit NO: Date Received
DESCRIPTION OF WORK TO BE PERFORMED:
Identification please Type or, Print riilt Clearly)
6U,1 Ll'oell—"4V Cavi dlf�V ,
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- '66
Phone: &`7- �5 -,(ed )
ARCHITECT/ENGINEER
Address: 1W Reg. No. Vol /-7
$9000,00 OF THETOTAL ESTIMATED COST BAF'DN $125.0,., PER
FEE SCHEDULE: BULDING PERMIT., $1Z00 PER
Total Project Cost: $ FEE:
Receipt No,
Check No.: ,3 3 -29 . I
NOTE' Persons contracting with do not have access �o- guar fund,
contractor
0 --
Signature:of A'
Fw
Stam
Ian laps 0
plans Submitted Plans Waived ❑Certified Plot P
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Location{
No. Date f G
e
Check #*7:` 1
TOWN OF NORTH ANDOVER
Certificate of Occupancy
$
Building/Frame Permit Fee
$
Foundation Permit Fee
Other Permit Fee,41'v
$
TOTAL.," �,
$
Building Inspector
f
Plans Submitted
Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑
TYPE_OF SEWERAGE DISPOSAL
Public Sewer ❑
Tang/Massage/Body Art ❑ ...
Swimming Pools ❑
Well ❑
Tobacco Sales F1
Food Packaging/Sales ❑
Private (septic tank, etc. ❑
Permanent Dumpster on Site ❑
THE FOLLOWING SECTIONS FOR OFFICE USE ONLY
INTERDEPARTMENTAL SIGN OFF - U FORM
PLANNING & DEVELOPMENT
COMMENTS
CONSERVATION
COMMENTS
HEALTH
COMMENTS
DATE REJECTED DATE APPROVED
Reviewed on Signature
Reviewed on Signature
Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receiptsubmitted yes _.
Planning Board Decision: Comm
Conservation Decision: Comments
Water & Sewer Connection/Signature & Dai~e Driveway Permit
DPW Towu ]Engineer: Signature:
Located 384 Osgood Street
FIRE bEPARTIti1ENT - Temp Dumpster on site yes no
Located -at ,124 Mair; Street
Fire Departinerit signatureldate
COMMENTS
Dimension
Number ,,,Stories:
Total square feet of floor area, based on Exterior dimensions _
Total land area, sq, ft.:
ELECTRIC
Electric �L' ®vernent ®f Deter lo
Electrical Inspecg®r cation, mast or service drop requires approval of
Yes No
DANGER
MGL Cha ®NE LITERATURE. Yes No
Ater 166 Section
21A -F and G min.$1o0-$1000 fine
N®TEq .,-
_b -e lydt Revised 2010
Building Department
Tine foHowing is a list of the required forms to be filled out for the appropriate permit to be obtained.
Roofing, Siding, Interior Rehabilitation Permits
❑ Building Permit Application
o Workers Comp Affidavit
❑ Photo Copy Of H.I.C. AndlOr C.S.L. Licenses
o Copy of Contract
a Floor Plan Or Proposed Interior Work
❑ Engineering Affidavits for Engineered products
NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit
Addition Or Decks
o Building Permit Application
a Certified Surveyed Plot Plan
❑ Workers Comp Affidavit
❑ Photo Copy of H.I.C. And C.S.L. Licenses
❑ Copy Of Contract
❑ Floor/Crossection/Elevation Plan Of Proposed Work With Sprinkler Plan And
Hydraulic Calculations (If Applicable)
❑ Mass check Energy Compliance Report (if Applicable)
❑ Engineering Affidavits for Engineered products
40TE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit
New Construction (Single and Two Family)
® Building Permit Application
o Certified Proposed Plot Plan
❑ Photo of H.I.C. And C.S.L. Licenses
o Workers Comp Affidavit
❑ Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And
Hydraulic Calculations (If Applicable)
o Copy of Contract
a Mass check Energy Compliance Report
o Engineering Affidavits for Engineered products
I0TE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit
In all cases if a variance or special permit was required the Town Clerks office must stamp the decision from the Board of Appeals
that the app- al period is over. The applicant must then get this recorded at the registry of Deeds. One copy and proof of recording
must b4F,! subm:tted with the building application
Doc: Doc.BuildiugPermitRevised 2012
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F21671 APPLICATION FOR PERMIT
City or Town North Andover DIG SAFE NUMBER
Date September 27, 2016
Start Date:
In accordance with provisions of M.G.L. Chapter 148, as provided in Section 27A application is hereby made
by Wayne J. Griffin Electric, Inc.
(Full name of person, Firm or Corporation)
Address 116 Hopping Brook Road, Holliston, Ma 01746
(Street orP_0. Box) ( City or Town)
For permission to (state clearly purpose for which permit is requested)
Fire Alarm permit for the GLSD Waste water treatment plant located in North Andover . This permit is for an extension
of the existing system to service the new cogen building.
Name of competent operator (If Applicable; Wayne J. Griffin Cert. No. A8999'
Date Issued -rejected By _ ��0 C i
(Signature ofAp t)
Date of expiration 7/31/2019 Fee $ 50.00 $ Paid Due
City or Town \�J'U' J "e�
Date 29L
Permit Number (if applicable EP 1332- 7_6
PERMIT
DIG SAFE NUMBER
Start Date:
In accordance with provisions of M.G.L. Chapter 148, as provided in Section this permit is granted
to
for
Restrictions:
at
(Full name otperson, Firm or Corporation)
(Give /Ocatbn by street and no., or describe in such manner as to provide adequate identification of location)
Fee Paid $ EDD—D This Permit will expire on
Signature of Official Granting Permit Title
This permit must be conspicuously posted upon the premises
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