HomeMy WebLinkAboutBuilding Permit #002-2017 - 240 CHARLES STREET 6/29/2016 6"l I A4D iNG PERMIT 3= e��1�ao^e�°��L
TOWN OF NORTH ANDOVER to A "
�l APPLICATION FOR PLAN EXAMINATION
Permit NO:-W l^ �ti Date Received (9 °
A coewuww.cw`'ti
Date k-PVCAV(v,
CA
�4Ss�CHUS��
IMPORTANT:Applicant must com Tete all items on this page
210 Charles Street N. Andover Ma 01845
LOCATION
Prin
PROPERTY OWNER
Greater Lawrence Sanitary DIS[MI
Print
MAP NO: PARCEL: ZONING DISTRICT: Historic District yes nd
Machine Shop Village yes no
TYPE OF IMPROVEMENT PROPOSED USE
Residential Non- Residential
❑ New Building ❑ One family
❑ Addition ❑ Two or more family ❑ Industrial
❑ Alteration No. of units: ❑ Commercial
0 Repair, replacement ❑Assessory Bldg ❑ Others:
❑ Demolition ❑ Other
❑ Septic ❑ Well ❑ Floodplain ❑Wetlands q Watershed District
❑ Water/Sewer
Rehabilitate 4ea exsiting pumps motrs and drives and install new eddy current couplings.Replace main utility transformers and switch gear
Identification Please Type or Print Clearly)
OWNER: Name: Mr.Richard Weare Phone: 978-685-1612
Address: 240 Charles Street N.Andover Ma 01845
CONTRACTOR Name: Methuen Construction Co.Inc Phone: 603-328-2234
Address: 40 Lowell Rd Salem Nh 03079
Supervisor's Construction License: CS-106567 Exp. Date: 03-11-2018
Home Improvement License: Exp. Date:
ARCHITECT/ENGINEER CDMSmith Phone: 1-617-452-6000
Address: 75 State Street Boston Ma 02109 Reg. No.
Off.coo
FEE SCHEDULE:BULD N PERMIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F.
Total Project Cost: $ — FEE:
Check No.: p 6 Receipt No.:
3o�Za
NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund
Signature of Agent/Owner Signature of contractor
Location
No. CX.) Z — 2 Date LO 12 1�
. • TOWN OF NORTH ANDOVER
Certificate of Occupancy. $
Building/Frame Permit Fee $`� '1 u7
Foundation Permit Fee $ E
Other Permit Fee $
TOTAL $
i
s^`
Check#
Building Irispector f
� L �3v�
< -V
Plans;Submitted ❑ Plans Waived ❑ -L-ertiried Plot Plan ❑ Stamped Plans ❑
TYPE OF SEWERAGE DISPOSAL
Public Sewer ❑ `Z'anuing/Massage/Body Art ❑ Sw mmingPools ❑
Well ❑ Tobacco Sales ❑ Food Packaging/Sales ❑
Private(septic tank, etc. ❑ Pennanent Dempster on Site ❑
THE FOLLOWING SECTIONS FOR OFFICE USE ONLY
INTERDEPARTMENTAL SIGN OFF e U FORM
PLANNING & DEVELOPMENT Reviewed On r � Signature' AL-1
COMMENTS IV
CONSERVATION Reviewed on Signature
COMMENTS Z)!�J-2 71
Z 2—
Reviewed on Siqnature
JCNTS
Zoning Board of Appeals:Variance, Petition No: Zoning Decision/receipt submitted yes
P//lanning Board Decision: Comments
Conservation Decision: Comments
Water&Sewer Connection/Signature&!late Driveway Permit
]DPW Town Engineer: Signature:
Located 384 Osgood Street
F.
IFZEDEPKR=T�iV1ERIT` l empDumpster onsite
Locafedaat�12'4afVlainl:Steet
FiTp De�OA,11 Pnernt»s gna� urelda$e
LCoMMElvTs
a-
Dimension
erasion
Number of Stories: Total square feet of floor area, based on Exterior dimensions.
Total land area, sq. ft.:
ELECTRICAL.- Movement of Meter location, mast®r service drop requires approval ®f
Electrical hspcctor Yes No
DANGER ZOME UTERATURE: 'des No
WIGL Chapter 166 Section 21A—F and G min.$10041000 fine
NOTES and DATA—(For department cruse)
CQ IBJaclenk
® Notified for pickup Call Email
Date Time Contact Name
Doe.Building Permit Revised 2014
f. Building Department
The following is a list of the required formas to be filled out for the appropriate permit to be obtained.
Roofing9,Siding9 Interior Rehabilitation Permits
Building Permit Application
Workers Comp Affidavit
Photo Copy Of H.I.C. And/Or C.S.L. Licenses
Copy of Contract
Floor Plan Or Proposed Interior Work
Engineering Affidavits for Engineered products
OTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit
Addition Or Decks
Building Permit Application
Certified Surveyed Plot Plan
Workers Comp Affidavit
Photo Copy of H.I.C. And C.S.L. Licenses
Copy Of Contract
Floor/Cross Section/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
OTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit
New Construction (Single and Two Family)
w Building Permit Application
Certified Proposed Plot Plan
Photo of H.I.C. And C.S.L. Licenses
Workers Comp Affidavit
Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And
Hydraulic Calculations (If Applicable)
Copy of Contract
2012 IECC Energy code
Engineering Affidavits for Engineered products
OTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg. Permit
Ira 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 appeal period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording
must be submitted with the building application
Permit Revised 2014
Enter construction cost for fee cal- North Andover Fee Calculation
Construction Cost
$ 51495,000.00 m
$ - $ 65,940.00
Plumbing Fee $ 8,242.50
Gas Fee 100 comm. $ 100.00
Electrical Fee $ 8,242.50
Total fees collected $ 82,525.00
240 Charles Street
Riverside Pump Station Permit
I
Enter construction cost for fee cal - North Andover Fee Calculation
Construction Cost
$ 55495,000.00 m
$ - $ 65,940.00
Plumbing Fee $ 8,242.50
Gas Fee 100 comm. $ 100.00
Electrical Fee $ 8,242.50
Total fees collected $ 82,525.00
240 Charles Street
Riverside Pump Station Permit
r 7 NORTH
-C ve' ",
69
0 ai., K t\
No. ��� — 2A -
�` s �h ver, Mass
oLAKE > > '
coc"Ic"twx
A0RA7E0
S U
BOARD OF HEALTH
Food/Kitchen
PE T Septic System
THIS CERTIFIES THAT ........... - ...Lqk,
e
............................ ...... ........................ BUILDING INSPECTOR
11 _ Foundation
has permission to erect .......................... buildings on ..0!' .. 1►:1'�:L .
..................... ......
Rough
to be occupied as . .. . .. ........1 .t ,1�1-ll.N.. ...rt#Vk. 4 ..Ulm..rPr... .. Chimney
provided that the person accepting this permit shall in every re4pect conform to the terms of the application Final
on file in this office, and to the provisions of the Codes and By-Laws relating to the Inspection,Alteration and
Construction of;�=he\T�own`ofANo h ndover. ^ PLUMBING INSPECTOR
�V��/ G A � ` I .�� 6� �*� Rough
VIOLATION fthe Zoning or Building RegulationsVo'ds this Permit
Final
PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR
UNLESS CONST CTION Rough
Service
' Final �
BUILDIN SPECT R
GAS INSPECTOR
Occupancy Permit Required to Occupy Building Rough
Display in a Conspicuous Place on the Premises — Do Not Remove Final
No Lathing or Dry Wall To Be Done FIRE DEPARTMENT
Until Inspected and Approved by the Building Inspector. Burner
Street No.
Smoke Det.