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Home My WebLink AboutBuilding Permit #674 - 247 CHICKERING ROAD 4/20/2007Permit NO: Date Issued: I 0 BUILDING PERMIT TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Date Received / 2 0 :f / IMPORTANT: Applicant must complete all items on this page L°OCATLN ..� -C.lrr�-140 r I IA11- li�ai4 f�R4PERTY £}WiER,. ohv t MAP NO ', ..PARCEL:_ ZONING O2 �` .;�t ,• a O� of HISTORIC DISTRICT= - yes no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building ❑ One family 0 Addition ❑ Two or more family 0 Industrial ih-Alteration No. of units: JP -Commercial ❑ Repair, replacement ❑ Assessory Bldg ❑ Others: ❑ Demolition ❑ Other I Septic d Well l )=loodplain D Wetlands 0 Watershed Pistric� �._0 �tVater/ewer �� DESCRIPTION OF WORK TO BE PREFORMED: 1 e 2cz cs w �P�e-� 57�✓,�� 4,p -j L0�e✓Afx7 J D (L Op A P&- A4-1 - / 1911-0,dk-4 FJ Identification lease Type or Print Clearly) OWNER: Name: 7ohw Ae" ass Phony Z7 Zs : - 4 /2 -40,// ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE: BOLDING PERMIT: $12.00 PER $1000.00 OF THE TOTAL ESTIMATED COST BASED ON $125.00 PER S.F. Total Project Cost: $�FEE: $ Check No.: 5 Receipt No.: % 3 NOTE: Persons contracting wit unregistered contractors do not have access to the guaranty fund ;Signature f Agen rte Signature of contractor Plans Submitted K Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ TYPE OF SEWERAGE DISPOSAL Public Sewer Tanning/Massage/Body Art ❑ Swimming Pools ❑ Well ❑ Tobacco Sales ❑ Food Packaging/Sales ❑ Private (septic tank, etc. ❑ Permanent Dumpster on Site ❑ THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF'- U FORM DATE REJECTED DATE APPROVED PLANNING & DEVELOPMENT ❑ ❑ COMMENTS CONSERVATION COMMENTS HEALTH IN DATE REJECTED DATE APPROVED - DATE REJECTED DATE APPROVED COMMENTS ❑ ❑ Zoning Board.of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Conservation Decision: Comments Comments Water & Sewer Connection/Skinature & Date Driveway Permit Located at 384 Osgood Street FIRE DF-'ARTMENT - Temp Dumpster on site yes no; Located at 124 Main Street &x Fire Department signatureldate51 M, Dimension 6 Dimension Number of Stories: Total square feet of floor area, based on Exterior dimensions. Total land area, sq. ft.: ELECTRICAL: Movement of Meter location, mast or service drop requires approval of Electrical Inspector Yes No DANGER ZONE LITERATURE: Yes No MGL Chapter 166 Section 21A —F and G min.$100-$1000 fine Doc.Building Permit Revised 2007 Building Department The following 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 ❑ Workers Comp Affidavit ❑ Photo Copy Of H.I.C. And/Or C.S.L. Licenses ❑ Copy of Contract o 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 ❑ 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/Crossection/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Mass check Energy Compliance Report (If Applicable) o Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit New Construction (Single and Two Family) ❑ 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 o Mass check Energy Compliance Report ❑ Engineering Affidavits for Engineered products NOTE: 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 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 Doe: INSPECTIONAL SERVICES DEPARTMENT:BPFORM07 Revised 2.2007 O z I@ ui am v H Z H = O m y 0 C H 0 CLO- h C.0 w c Q C H Ndt .� O LU r C � V2 C. O . O fl Z cv ��y0 C, C V� O A 0CL L 4 CIO CD w L � C w � CL C`- N E� a � cm N: WE CLmCD � O y al"3 y CM m VJ; ;_'o � y O -ow CLU �aUm y O � O a C o a acz 0 CO3' o v A 9 W Q�v R� o cn w � 2 o ui am CC/) i cc C H N LLI N 19 W W U) v H Z H = O m y 0 C H r0+ CLO- h C.0 w c Q C H Ndt .� O LU r C � V2 C. O . O fl Z cv ��y0 C, C V� O A 0CL L 4 CIO CD L � C CL C`- N E� cm N: WE CLmCD � O y al"3 y CM m VJ; ;_'o � y O -ow CLU �aUm y O � O C o a acz 0 CO3' o CC/) i cc C H N LLI N 19 W W U) v H Z H = O m y 0 C H r0+ CLO- h C.0 w c �0+ `c H Ndt .� C� o, LU U Us _ O O C V2 C. O . O fl Z cv ��y0 0CL CC/) i cc C H N LLI N 19 W W U) CONTRACT BETWEEN OWNER AND CONTRACTOR This Agreement is made as of the fifth of April 2007 Between the Owner: Intown Veterinary Group LLC 247 Chickering Road North Andover, MA 01845 And the General Contractor: Marceau Construction Corp. 28 Osgood Street Methuen, MA 01844 The Project is: Construction of a Dental Suite at Bulger Animal Hospital 247 Chickering Road North Andover, MA 01845 The Architect is: Landry Design Group 389 Main Street Salem, NH 03079 The Contract Sum is: $31,500.00 Intown Veterinary Group LLC Signature LI -to ,0.1 Date Marce Construction Corp. ign ture O O ft Date April 4, 2007 Bulger Animal Hospital 247 Chickering Road North Andover, MA 01845 Attn: Dr. John Prentiss D.V. M.. %<6Ck'j> 0 Marceau Construction Corp. PQOPOO MLS, Bulger Animal Hospital Surgical Suite This proposal is for all labor & materials supplied to the above mentioned facility for the following items as requested at OR, Surgery Prep and Dentil Suite. Sawcut and excavate slab for underground plumbing, haul concrete off site, backfill new plumbing (L) $ 1,800.00 • Re -pour concrete slab (L&M) $ 768.00 Frame wall section at isolation, chase at surgical prep sink, (L) $ 450.00 (M) $ 722.00 Change out metal exit door (L) $ 250.00 (M) $ 214.00 Supply frp at areas as discussed (M) $ 964.00 Supply two 6x6 steel columns (M) $ 242.00 Supply 1 laminated counter tops (M) $ 200.00 Supply and install exhaust fan for excess surgical gases (L&M) $ 824.00 Rework existing store front and supply new glass at OR and Isolation areas (L&M) $ 3,512.00 Plumbing, supply two stainless sinks, install drainage and venting as required (L&M) $ 8,122.00 Electrical ... 8 2x4 drop -ins, 5 GFI receptacles, 10 duplex receptacles, 1 2x2 drop in, Dentil lights, Plug mold, exhaust fan, emergency lights $ 7,922.00 Install sheet vinyl and extend quarry floor as required (L&M) $ 5,510.00 Total $ 31,500.00 Marceau Construction Corporation — Telephone 978-685-4706 — Fax 978-685-3852 28 Osgood Street — PO Box 66 — Methuen, MA 01844 roger@marceauconst.com ION SUPER 1 i t:%oen5e' coCON 021191 Numb OS 2265 glrthdate:. 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