HomeMy WebLinkAboutBuilding Permit #757 - 248 GREENE STREET 5/18/2007BUILDING PERMIT
TOWN OF NORTH ANDOVER
APPLICATION FOR PLAN EXAMINATION
Permit NO:Date eived
Date Issued: �' Q,�#
IMPORTANT: Applicant must complete all items on this page
TYPE OF IMPROVEMENT
PROPOSED USE
Residential
Non- Residential
❑ New Building
❑ One family
kAddition
❑ Two or more family
❑ Industrial
❑ Alteration
No. of units:
❑ Commercial
❑ Repair, replacement
❑ Assessory Bldg
❑ Others:
❑ Demolition
YOther
❑Septic 11 -;Well
�3 F6odpla n ;. Wetla6d
O' W tershed istrict
n,._;
El WaterlSewer '
en -
DESCRIPTION OF WORK TO 13E PKII-UKMtu:
44" heb iE G-- 0c57yfi Pbbc
h „ P&bL
ole'4s� / Identification Please Type or Print Clearly) -U
ARCHITECT/ENGINEER Phone:
Address: Reg. No.
FEE SCHEDULE: BULDING PERMIT: $12.000 PER $1000.00 OF THE TOTAL ESTIMATED COST BASED ON $125.00 PER S.F.
Total Project Cost: $ FEE: $ �'s ,.---
Check No.: 20 (e'? Receipt No.: L9-() f� a
NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund
Signature of AgentfOwnerC.' .igha' ture of contractor,
Plans Submitted ❑ 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
PLANNING & DEVELOPMENT
COMMENTS
DATE APPROVED
DA REJECTED DATE APPROVED
CONSERVATIO �ftW29�-
to
COMMENTS ���� I >,r�fil ,�G �� 011A I(V
DATE REJECTED
HEALTH
COMMENTS
DATE APPROVED
Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes
Planning Board Decision:
Conservation Decision:
Water & Sewer Connect
Located at 384 Osgood Street
Comments
Comments
FIDE DEPARfiMENT-Temp=Dur sjeron.-site Ky s
Located at 124 Main Street "
Fire Department signature/date F
��OOMMENT K
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.$10041000 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
u Building Permit Application
o Workers Comp Affidavit
o Photo Copy Of H.I.C. And/Or C.S.L. Licenses
o Copy of Contract
o Floor Plan Or Proposed Interior Work
u 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
u Certified Surveyed Plot Plan
o Workers Comp Affidavit
Li Photo Copy of H.I.C. And C.S.L. Licenses
o Copy Of Contract
o Floor/Crossection/Elevation Plan Of Proposed Work With Sprinkler Plan And
Hydraulic Calculations (If Applicable)
o 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)
L3 Building Permit Application
o Certified Proposed Plot Plan
u Photo of H.I.C. And C.S.L. Licenses
u Workers Comp Affidavit
u Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And
Hydraulic Calculations (If Applicable)
u Copy of Contract
o Mass check Energy Compliance Report
u 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
Doc: INSPECTIONAL SERVICES DEPARTMENT:BPFORM07
Revised 2.2007
Locationo7rS' 6,4erwe -y r-
-?S-4��� Date d I
NORTH
TOWN OF NORTH ANDOVER
• 0
AL9
Certificate of Occupancy
$
160
s'"'•• NUS •its
AC
Building/Frame Permit Fee
$
Foundation Permit Fee
$
Other Permit Fee
$
r
TOTAL
$
Check # 20
20215 -
Building Inspector
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Artesian Exclusive
Lifetime Guaranty
What makes the our exclusive
guaranty so special? It's very simple. f ~ LIFETIME
Your pool is 100% covered for as long
as you own it, with no decrease in the �.,.
manufacturer's protection and replacement
policy — ever. 100% now, 100% always. f _yam
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l
Artesian Exclusive
Lifetime Guaranty
What makes the our exclusive
guaranty so special? It's very simple. f ~ LIFETIME
Your pool is 100% covered for as long
as you own it, with no decrease in the �.,.
manufacturer's protection and replacement
policy — ever. 100% now, 100% always. f _yam
as�gasKets�ow�yywear�out, sua�ecz-
ing the wall„to con`starit con#act variM
rnpis#ure;. PRI
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YOUR SAFETY IS OUR GREATEST CONCERN
While owning a pool means years of family fun, it also involves responsible
use and water safety. Your must observe the following safety rules:
• NEVER jump or dive into an aboveground pool. Aboveground pools
contain shallow water.
• Provide constant adult supervision when children are in or near water.
You should build or install an appropriate barrier to prevent unsupervised
access, especially by young children. Consult your local dealer or local
government for regulations and codes that may apply in your area.
• Read and follow all safety information provided with your pool, including
the installation manual and water safety brochure.
• NEVER remove any applied or posted safety signs or labels
from your pool or pool area.
• Follow all detailed safety warnings and notices in your pool
installation manual and other literature.
.1111 11T1A 31111S
ArmorCoatTM
Ultimate Protection
Copper -Bearing
Steel Core
Alkaline Cleaned
Optimum Hot -Dipped
Galvanized
Alkaline Cleaned
Acid Etched
Pre -Bonding
Agents Applied
Chromate Sealed
Enamel Base Coat
Designer Pattern
Application
LiquiLokTm Epoxy
Wall Backer
ArmorCoatTM
Exterior Wall Sealer
We've got YOUR size!
With eight round and five oval pool
sizes from which to choose, there's
a Sunburst for every family.
ROUND NARROW YARD
POOLS OVALS
Pool U.S. Pool U.S.
Size Gallons Size Gallons
12' ......... 3,400 12'x 24' ....... 7,700
15' ......... 5,400 16'x 24' ....... 9,900
18' ......... 7,700 16'x 32' ..... 13,700
21' .......10,400 18'x 34' ..... 16,300
24' .......13,600 21'x 41' ..... 23,000
27' ....... 17,200 Water capacities shown are
30' ....... 21,300 with water to the middle of the
y- skimmer and a 2" protective
/J J& 33' ....... 25,700 layer of sand under the liner.
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_ SWIMMING POOL CENTER, INC.
670 South Union Street
Lawrence, MA 01843
978-682-6916
ABOVEGROUND POOL SALES CONTRACT
Date�J of #
Name ��= �`r 2 ►'�K�n"� N (tom rte: k t
Address ca} 'G C9, n.r'et.^ �'J ( City )') L- k'l,Y La ( State j_li- i Zip E EC/,
1
Home#())c6 Work#G%% } i —Cell#�
We propose to furnish one 4),
Aboveground swimming pool for the sum of $ L)
All abovegroundpool packages include:Deluxe filter pump/motor-deluxe thru-wall skimmer -ladder -printed
liner -manual vacuum kit -chemical starter kit -leaf skimmer -connecting hoses -hose clamps -filter system base
Motor: 1 HP�-4
Ladder: A frame
Light $
Deck Stair
Filter'DE Sand Cartridge
Lin Beaded Overlap
P�i_"1116 Fencing"e. �$
Automatic Vac
$ /Adaptor $�
Winter Pkg
$
Solar Cover
$
Beaded Liner
$
Pool Pkg
$
Extras
$
Subtotal
$ [ n
5% MA Tax
$�.
Total
$a`��
Deposit Rec'd
$ -��.-
Balance Due
Directions:
Salesperson
Date Bu
Heater $
Heater Install $
Step Unit $
,Date -�
a
u-1 /. UQ = IL'
GREEN
I CERTIFY THAT THIS PLAN WAS MADE FROM AN
INSTRUMENT SURVEY ON THE GROUND
AND THE STRUCTURES ARE LOCATED AS
SHOWN HEREON.
REFERENCES
DEED BOOK 4173 PAGE 343
PLAN # 507
PLAN # 5211
ESSEX CO. LAYOUT OF GREEN STREET
01N OF M4Ss4
oho GEORGE tiGNm
C
COLLINS
No. 41784
� 9�FFSSIONP
9�'0 SUR\0
0 --
STREET
CERTIFIED PLOT PLAN
LOCATED IN
NORTH ANDOVER, MA.
I OWNER: JEFFREY AND MARIE ZNAMIEROWSKI I
248 GREEN STREET
NORTH ANDOVER, MA.
SCALE: 1 INCH =20 FEET DATE: MAY 8, 2002
JOB # 02-0456
BOSTON
SURVEY, INC.
UNIT C-4 SHIPWAVS PLACE
CHARLESTOWN,MA 02128
(617)242.1313