The URL can be used to link to this page

Home My WebLink AboutBuilding Permit #1115-15 - 273 REA STREET 6/29/2015 t� NORTy BUILDING PERMIT OF tLED ,6g1.0 TOWN OF NORTH ANDOVER o� 6'6 TOWN APPLICATION FOR PLAN EXAMINATION '" 7D Permit No#/ Date Received A°RwrED f)_ gSSACHUS�t Date Issued: l.(J MPO�RTANT:: Applicant must complete all items on this page LOCATION :,-Ml ec,S J� Prir t PROPERTY OWNER Dei,\n\ �-tyi„-rd ------�� Print 100 Year Structure yes n MAP PARCEL:�T,ZONING DISTRICT: Historic District yes o 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 Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition El Other El Septic ❑Well ❑ Floodplain ❑Wetlands ❑ Watershed District � Water/Sewer DESCRIPTION OF WORK TO E PERFORMED: cee Jeckm elC 0 � Identification- Please TVDe or Print Clearly OWNER: Name: 12e^ L(? kS c�eO Phone: qC7$— ?"9cOO Address: ��3 Qe(1 �`�` NO �cVe Contractor Name: i vt5 kCPhone: F-rd D(�UD Email: Address: S--q5- �jn�KA--% 5>e,,& M� .�- Supervisor's Construction License: 9%qO Exp. Date: (alb - Home Improvement License: llcols;P Exp. Date:-/O//6 ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE:BULDING PERMIT.$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ S'ocz,00 FEE: $ j Check No.: Receipt No.: NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund .Si 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 PLANNING & DEVELOPMENT Reviewed On Signature_ COMMENTS CONSERVATION Reviewed on Signature COMMENTS HEALTH Reviewed on Signature COMMENTS Zoning Board of Appeals:Variance, Petition No: Zoning Decision/receipt submitted yes r Planning Board Decision: Comments c' Conservation Decision: Comments Water & Sewer Connection/Signature& Date Driveway Permit DPW Town Engineer: Signature: FIRE DEPARdTMENT - - . h r I Ternp, Dumpster, ontsite _ noo _ _ - - Located Osgood Street ia cated at r124(MaintStree {, - tFire4Department 4,ignature/date, ' COMMENTS.. �__ _ _ _ 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 NOTES and DATA— (For department use) LI Notified for pickup Call Email Date Time Contact Name Doc.Building Pennit Revised 2014 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 4. Building Permit Application -4. 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) • Building Permit Application • Certified Proposed Plot Plan ,.. Photo of H.I.C. And C.S.L. Licenses � Workers Comp Affidavit 4 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 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:Building Permit Revised 2014 Location Date / No. � i • - TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $ Foundation Permit Fee $ � Other Permit Fee $"6 TOTAL $_ i Check#-� 2 U7 Building Inspector NO RTI-/ own of �.. � E ndover �. - No. h. ," ver, Mass, COC NIC NE w�CN '7' A�RATEtj O S BOARD OF HEALTH �d* I Food/Kitchen P E R. T T L D M4___��A.A..! Septic System THIS CERTIFIES THAT ....... BUILDING INSPECTOR ....... .......................................................................... Foundation has permission to erect .... :: .................. buildings on .....:.................... .................... .. ...................... Rough I to be occupied as ...................... ....................� ...... ... .... .... :`..... �... ��.�...� Chimney provided that the person accepting this permit shall in every respect form to the terms of the application Final on file in this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES IN 6 ONTHS ELECTRICAL INSPECTOR ,t T S UNLESS CONSTRU Rough Service ............ '`E� ...... ...... .............................................. Final BUILDING INSPECTOR GAS INSPECTOR Occupancy Permit Required to Occupy Building Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. Smoke Det. t t i rnvvvi.i <iu ' Proposal Page No. of Pages 545 Sharpeners Poria; Rd. t 1 NO. ANDOVER, MA 01845 (97+8) 9755-373S LIC. #034 X90 HICK # 110256 PROPOSAL SUBMITTED TO PHONE DATE STREET JOB NAME i CITY,STATE and ZIP CODE JOB LOCATION r i ARCHITECT DATE OF PLANS JOB PHONE We Propm hereby to furnish material and labor—complete in accordance with specifications below,for the sum of: f ` 7 If('ii dollars($ Payment to be made as follows: i All material is guaranteed to be as specified. All work to be completed in a workmanlike / manner according to standard practices.Any alteration or deviation from specifications be- Authorized 77 t low involving extra costs will be executed only upon written orders, and will become an Signature extra charge over and above the estimate. All agreements contingent upon strikes, acci- dents or delays beyond our control. Owner to carry fire, tornado and other necessary Note:This proposal may be r+ insurance.Our workers are fully covered by Workman's Compensation Insurance. withdrawn by us if not accepted within days. We hereby submit specifications and estimates for: yvzoe �i� , 1 i it /rte 11 r /!17� C� < r1.� I I I h, Arreptaure of PrUPIDQ411 —The above prices,specifications and conditions are satisfactory and are hereby accepted. You are authorized Signature to do the work as specified. Payment will be made as outlined above. Date of Acceptance: `� Signature y:a o rn��i,i aio Proposal Page No. of Pages C11RISTOPBER 1. DAVEY 0026 545 Sharpeners Pond Rd. o NO. ANDOVER, MA 01.845 (978) 975-3736 LIC. #034690 HICR #110256 PROPOSAL SUBMITTED TO PHONE DATE STREET JOB NAME / r CITY,STATE and ZIP CODE JOB LOCATION r. trt Air ARCHITECT DATE OF PLANS JOB PHONE We pr0pl[l8P hereby to furnish material and labor—complete in accordance with specifications below,for the sum of: dollars($ Payment to be made as follows: r ` All material is guaranteed to be as specified. All work to be completed in a workmanlike manner according to standard practices.Any alteration or deviation from specifications be- Authorized ! j low involving extra costs will be executed only upon written orders, and will become an Signature f C 7 extra charge over and above the estimate. All agreements contingent upon strikes, acci- dents or delays beyond our control. Owner to carry fire, tornado and other necessary Note:This proposal may be insurance. Our workers are fully covered by Workman's Compensation Insurance, withdrawn by us if not accepted within days. We hereby submit specifications and estimates for: 1 0 a ^i ( f " �`� i�X t� t t4.� % ./l'� �/ri( � /t`•/Z"t r .� l C >! �/ 1 rL 1 ArrPptaure 0f Proposal —The above prices,specifications and conditions are satisfactory and are hereby accepted. You are authorized Signature to do the work as specified. Payment will be made as outlined above. Date of Acceptance: C Signature t � 7 0 01)0-�or rxb& rn NOTICE H NOTICE � W TO 0a TO EMPLOYEES EMPLOYEES The Commonwealth of Massachusetts DEPARTMENT OF INDUSTRIAL ACCIDENTS 600 Washington Street, Boston, Massachusetts 02111 617-727-4900 — http://www.mass.gov/dia As required by Massachusetts General Law, Chapter 152,Sections 21,22&30, this will give you notice that I(we) have provided for payment to our injured employees under the above mentioned chapter by insuring with: THE TRAVELERS INSURANCE COMPANIES NAME OF INSURANCE COMPANY P .O. BOX 1450 MIDDLEBORO, MA 02344-1450 ADDRESS OF INSURANCE COMPANY (7PJUB-9761 LGO-3-1 4) 10-02-14 TO 10-02-15 POLICY NUMBER EFFECTIVE DATES 0 CHARLES A SLEE AGCY INC 25 ATLANTIC AVENUE MARBLEHEAD MA 01945 NAME OF INSURANCE AGENT ADDRESS PHONE# a— 0 DAVEY, CHRISTOPHER J. 545 SHARPNERS POND ROAD 0 0 NORTH ANDOVER MA 01 845 a_ EMPLOYER ADDRESS a_ EMPLOYER'S WORKERS COMPENSATION OFFICER (IF ANY) DATE a MEDICAL TREATMENT The above named insurer is required in cases of personal injuries arising out of and in the course of employment to furnish adequate and reasonable hospital and medical services in accordance with the provisions of the Workers' Compensation Act. A copy of the First Report of Injury must be given to the injured employee. The employee may select his or her own physician. The reasonable cost of the services provided by the treating physician will be paid by the insurer, if the treatment is necessary and reasonably connected to the work related injury. In cases requiring hospital attention, employees are hereby notified that the insurer has arranged for such attention at the NAME OF HOSPITAL ADDRESS 004680 W20P1G02 TO BE POSTED BY EMPLOYER a> oaaachusetts _De Of Building Re artment Of PUbli Construction S 9ulations and c Safety. License: tions Standards ISTp CS 3-4.690 ' S4S S pRER A _ i NA'Do NEI?S1'p�'VE oia9 S \ Cp fimissioner Expiration 1210912016 I r I _ Rice of �Por�iytd„ta�cclC� MEI ConsutnerAfpairs ca��cur�ccc/zL _ e MPROVEMENT &Business Regulation�e"� gistration: CONTRACTOR Xpiration 110256 ` 10113/2016 Type: CHRISTOP ' HER J- DAVEY Individual CHRISTOPHER DAVEY 545 SHARPNERS NANDOVEPOND RD R, MA PON 1845 Undersecretary !I I i