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HomeMy WebLinkAboutBuilding Permit #357 - 30 MIFFLIN DRIVE 10/24/2011 TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit N0: S�- Date Received Date Issued: U �O 4 — ( ( IMPORTANT:Applicant must complete all items on this page LOCATION _3�0 I7 r EFI/,N Dr. Print PROPERTY OWNER Q'WAYI I t Unit# Print MAP NO: PARCELDC,,1�10NING DISTRICT: Historic District yCno Machine Shop Village y100 year-old structure y TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building ❑ One family ❑Addition ❑Two or more family ❑ Industrial ❑Alteration No. of units: ❑ Commercial TRepair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other Ij Septic 0 Well 11 Floodplain 0 Wetlands 0 Watershed District 0 Water/Sewer DESCRIPT ON OF WO TO BE PERFORMED: 9 ri 1t� �- Xew�otl�e Re I►4 ce R v d woo (Identification Please Type or Print Clearly) OWNER: Name: LLAA O cU'k N t u Phone: Address: ,30 rv)IFFliq br. CONTRACTOR Name: Ke=u lq Yom d,,,)L Phone: 4?$- 4/76--V(15O Address: '? pnyVv ih s l'L Me 4k.,,eh Ylgot Orb U(/ Supervisor's Construction License: Q V 7 Exp. Date: Home Improvement License: /60 a7 a Exp. Date: ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE.BULDING PERMIT.•$12.00 PER$9000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ �SU- ° C) FEE: $ 3--D Check No.: �)4 Receipt No.: aq�3— NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund Signature_of Agent/Owner _ Signature of contractor 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 ❑ 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) ❑ 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 ❑ 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 Doc: Doc.Building Permit Revised 2008mi Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ TYPE OF SEWERAGE DISPOSAL Public Sewer ❑ Tanning/Massage/Body Art ❑ Swimming Pools 0 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 Reviewed on Signature COMMENTS HEALTH Reviewed on Signature COMMENTS Zoning Board of Appeals:Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments Conservation Decision: Comments Water& Sewer Connection/Signature& Date Driveway Permit DPW Town Engineer: Signature: Located 384 Osgood Street FIRE DEPARTMENT -Temp Dumpster on site yes no Located at 124 Main Street Fire Department signature/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 de artment use ❑ Notified for pickup - Date Doc:.Building Permit Revised 2011 June/mi Location X36 No. Date O r ■ MORTM TOWN OF NORTH ANDOVER 10. � 9 i s Certificate of Occupancy $ Cw t� Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # 2 r Building Inspector PROPOSAL K & C Contracting DATE Proposal# 7 Marvin St. Methuen Ma 01844 10/24/2011 2405 978-476-4450 Dan O'Connell 9 -)'� -66-77d 7 30 Mifflin Dr No Andover Ma 01845 DESCRIPTION AMOUNT Remove rotted top plate and replace with new 2x4 Install new 2x12 header for fireplace and frame opening with 2x4 450.00 l Y Dan O'Connell Kevin Kondrat � 1c ' TOTAL $450.00 -- }Z,;• utatit»2s aaiiSt.tf��1.4r�1,, 4 Board of8i�il�ltn�i ., en . $upe�`►aQr. 1.1cs"e CC' �;Ct,on I ;.Icr.nt z: C S 99457 200 F- ._ f„ * KEVIN KONDRAT 19 RACHEL RD METHUEN, MA 01844 I expiration 412712012 -T 99457 ; • - -- ` f�!e �o�rri7ui�uunallli a��/�/L'aaaac�iva�tta Office of Consumer Affairs&B siness Regulation VHOME IMPROVEMENT CONTRACTOR Registration: 160272 Type: Expiration: 7/72012 Private Corporatior KS, acting Inc. Kevin Kondrat 64 Chadwick Street 4 � � Bradford, MA 01835 Undersecretary ' NORTIy ® of over .. ., O c��+ L A K E o , dower, Mass.,COCHI C HEWICK ADRgTED PPPER a,��C� `S U BOARD OF HEALTH Food/Kitchen T T Septic System BUILDING INSPECTOR Alod THIS CERTIFIES THAT40:�!M ............. <. .w� ................................... .................................. Foundation has permission to erect.............. ........................ buildings on ...#3�............ ..... . .................................... Rough to be occupied aS.................... ... ...�.... .. .�......!*........ � . ...... .............................................. Chimney provided that the person accepting this permit shall in every respect conform tot a terms of the application on file in Final 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 3� • PERMIT EXPIRES IN 6 MO ELECTRICAL INSPECTOR UNLESS C®NSTRUCTI® Rough ............................ ...... .................................................................. Service BUILDING INSPECTOR Final Occupancy Permit Required to Occupy .wilding GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove Rough Final No Lathing or Dry Wall To Be Done FIRE-DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. SEE REVERSE SIDE Smoke Det.