HomeMy WebLinkAboutBuilding Permit #607-11 - 315 TURNPIKE STREET 3/11/2011TOWN OF NORTH ANDOVER
APPLICATION FOR PLAN EXAMINATION
Permit NO: q 1' 1 Date Received
Date Issued: 22 - )
IMPORTANT: Applicant must complete all items on this page
LOCATION 0uti,MA&
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MAP NO: NY0 PARCEL: Ude ZONING DISTRICT: Historic District yes no
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
❑ Other
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p Septic Vije1T r
`91 Floodplain .Wetlands-
'®' Watershed►IDstnct,
Address:
DESCIUF 11UN UP w UK& t U Dr, rr to ulk-Lv -u.
Identification
S -AwAp i
CONTRACTOR Name
Address: k?)
,e�ase Type or Print Clearly)
CLaXJ
Lone: g • �3�' �S
AAA o L2)(41�
b'�rl ta �VA40t 1 Phone: (0b�, v2, 1ZSq
Supervisor's Construction License:
Home Improvement License:
ARCHITECT/ENGINEER
Exp. Date:
Exp. Date:
Phone:
Address: Reg. No.
FEE SCHEDULE: BULDING PERMIT: $92.00 PER $9000.00 OF THE TOTAL ESTIMATED COST BASED ON $125.00 PER S.F.
Total Project Coat: $ FEE: $
Check No.:/ 4.3 Receipt No.:
IWITF• PPrvnn.c cnntracting with unreeistered contractors do not have access to the guaranty fund
Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑
TYPE OF SEWERAGE DISPOSAL
Public Sewer ❑
Well ❑
Private (septic tank, etc. ❑
Tanning/MassageBody Art ❑ Swimming Pools ❑
Tobacco Sales ❑ Food Packaging/Sales ❑
Permanent Dumpster on Site ❑
THE FOLLOWING SECTIONS FOR OFFICE USE ONLY
INTERDEPARTMENTAL SIGN OFF - U FORM
PLANNING & DEVELOPMENT
COMMENTS
CONSERVATION
COMMENTS
HEALTH
COMMENTS
DATE REJECTED
DATE APPROVED
El
Reviewed on Siqnature
Reviewed on Signature
Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes
Planning Board Decision:
Conservation Decision:
Comments
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 department use
® Notified for pickup - Date
Doc:.Building Permit Revised 2008
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
MOTE: 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
Location,W:7-� 'Z,,, Aullw
No. Date
AL
TOWN OF NORTH ANDOVER
Certificate of Occupancy $
Building/Frame Permit Fee $ SO)
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Foundation Permit Fee $
Other Permit Fee
TOTAL
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Location
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Date
gORTM TOWN OF NORTH ANDOVER
" Certificate of Occupancy $
SSACHUSE` Building/Frame Permit Fee $
Foundation Permit Fee $ ---
Other Permit Fee $
TOTAL $
Check #
23950 unspec
Certif irat6,of-: lame Rot",stance
T
REGISTERED ISSUED' '*
APPLCATIONDate treated or
fig CAy manufactured
trt "=
�� oo AZTEC TENTS ^.,u.. <,:,
o CONCERN No. 490ALASKAAVENUE
TORRANCE, CA 90503 0212006
_
[CAL COMB F499.01 (310)328-5060
RE'C
This is to certify that the materials described below hereof have been flame retardant treated (or are inher-
ently nonflammable).
FOR CHRISTIAN PARTY RENTALS ADDRESS 18 CLINTON DRIVE
CITY HOLLIS STATE NH, 03049
Certification is hereby made that. (check "a" or "b")
(a) The articles described below this certificate have been treated with a flame retardant chemical approved
and registered by the State Fire Marshal and that the application of said chemical was done in confor-
mance with the laws of the State of California and the Rules and Regulations of the State Fire Marshal.
Name of chemical used ............................................ Chem. Reg. No.........................
Meathodof application................................................................................................
(b) The articles described below hereof are made from a flame -resistant fabric or material registered and
approved by the State Fire Marshal for such use; Fabric has been tested and passes NFPA701-96.
Trade name of flame -resistant fabric or material used La"'f"awFabric . Reg. No...... F?+943......
The Flame Retardant Process Used WILL NOT .... Be Removed by Washing
(will or wilt not)
David Bradley Chuck Miller - President
Name OtApplirator or Production Superhendent Title
CUSTOMER ORDER NO. R159657
ITEMS MANUFACTURED;
1-1007040' (2 PC.) SERIES 2000 TP- ULTRA WHITE
2- 20'x40' (1 PC.) QW1K TOP ONLY- ULTRA WHITE
2- 20'x30' (1 PC) QWIK TOP ONLY- ULTRA WHITE
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v9-FrY;
RR
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INVOICE #: 16257-5 Pg: 1
EVENT DESC: HOCKEY EAST PLAYOFFS
18 Clinton Drive, Hollis, NH 03049 EVENT DAY: SUNDAY
DATE: 03/13/2011
603-882-1234 or 603-881-8833 fax EVENT TSE: 8:00 AM
1-888-RENTENT DELIVERY: FRI03/11/2011INAMBYNOON
www.intents.com e-mail: sales@intents.com PICKUP. SUN 03/13/Z011 OUT BY 10 AM
SALES PERSON: MG PO P
PP17587
ORDER DATE; WIOV2011
TERMS: NET 10 DAYS
BILL TO: SHIP TO:
KATHY MAICTVER (978) 837-5203 KATHY MAKIVER
(978) 837.5203
IAERRIMACK COLLEGE VOL F— ICE RINK
315 TURNPIKE STREET 315 TURNPIKE STREET
NORTHANDOVER
MA 01845
NORTH ANDOVER MA 01845
TEL (978) 837-5506 FAX (978) 837-5004
QTY ITEM DESCRJFI1ON
PRICE
TOTAL
1 20' X40` WHITE FRAME TENTO.M
550.00
550.00
60 FEET OF SOLID SMEWALLS
1.25
75.00
6 WEIGHTED BARRELS TO SECURE TENT
1100
7200
4 WH[TE METAL STANCHIONS WICHAIN
800
32,00
STANCHIONS TO SURROUND A 6 STATUE
20 BARRICADESBff M RACK W LONG
24.00
480.00
1 WEEKEND PICKUP LABOR FEE
200.00
200.00
MC MUST SIGN & AGREE TO TERMS OF"WINTER, TENMNG CONTRACT
IN THE FUTURE THEY WML NEED A TENT PERMIT
SPECIAL INSTRUCTIONS:
LAUREN TRUDEAU 978.886-5363 CELL 578-837.5119 WORK
SUB TOTAL:
1,409.00
SALES TAX:
0.00
DELI'V'ERY:
98.00
1 1/2% INTEREST (18% PER ANNUM) CHARGED ON ACCOUNTS OVER 30 DAYS
000
www.intents.com the home of "Team In -tents"
TOTAL:
11507,00
Customer Acceptance Signature
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