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HomeMy WebLinkAboutBuilding Permit #268-11 - 33 GREEN HILL AVENUE 9/29/2010 NORTH BUILDING PERMIT oFst�eo TOWN OF NORTH ANDOVER fO O� APPLICATION FOR PLAN EXAMINATION a � Permit NO: (� '�� Date Received * .0 9,;,25,/0 SSACHUS�� Date Issued: IMPORTANT:Applicant must complete all items on this page Al 77 OP,ERTY�INNER Ii7 •-�.;,�e--c rhe..' ,;y+r ,� ,'P �.�{�.�=3,. r -�'i� - �`a.^�,..-- v ` � .r e r .s+ :5:.. i v ,,,,. �"'�'• . MAPN® PARCEL� _Z®NING_ ISTtR CTS �. Historrc ®istrct dyes �n - .. 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 Sep it c ®W Ids 'tet Flo do plain siWetl nds Wat shed ®istrict °�-'�i ^a. S 5.€s--_-,.a. rrr DESCRIPTION OF WORK TO BE PREFORMED: 1 ' 1- _—t-epl c - Identification Please Type or Print Clearly) OWNER: Name: Phone: a Address: CO.NTI `CtTOR fNa-e ` . Phonet ------------ SupervisorsConstructi®nLicense1 � Exp� Dates y Home II provement1&(se � . 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: $ .7q( Check No.: �. �. Receipt No.: ,;)3, aL NOTE: Persons con trac n`g with unregistered contractors do not have access to the guaranty fund Signature ofiAgent/,Owner�: -���� ,.�gnatur�e�oftra.ctor�_ _- .,. :�. I 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 o 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 o Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit Addition Or Decks I ❑ Building Permit Application o Certified Surveyed Plot Plan ❑ Workers Comp Affidavit o Photo Copy of H.I.C. And C.S.L. Licenses ❑ 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) ❑ Building Permit Application o Certified Proposed Plot Plan o Photo of H.I.C. And C.S.L. Licenses o Workers Comp Affidavit o Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (If Applicable) o Copy of Contract o Mass check Energy Compliance Report o 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 2.2008 I 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 DATE APPROVED PLANNING & DEVELOPMENT ❑ ❑ COMMENTS i I CONSERVATION Reviewed on Signature COMMENTS HEALTH Reviewed on Signature r COMMENTS Zoning Board of Appeals:Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments Conservation Decision: Comments i Water& Sewer Connection/Signature& Date Driveway Permit DPW Town Engineer: Signature: Located 384 Osgood Street FIRE DEPAR ENT Temp ®umpsterorirsite yeses �Smo Locatedtat 124,Miaain;Street k �� r y 4 Y ,� caw4�r 'k w..� `' Fire: Department=signature/date b> yx r t lw ja,t:,g t e — CWM`IVIENTS,. _.. — , .a _ A, I i 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 NOTES and DATA— For department use I II I ❑ Notified for pickup - Date i 3 Doc.Building Permit Revised 2008 Location No. Date NORTh TOWN OF NORTH ANDOVER 0 Certificate of Occupancy $ Building/Frame/Frame Permit Fee $ -� sKMusE 9 Foundation Permit Fee $ 4 Other Permit Fee $ TOTAL $ Check # 4 C 23505 Building Inspector Waypoint Surveying SERVICES September 27, 2010 • CONTRACT PROPOSAL,FOR PROPERTY SURVEY • Mary Chase 178 Andover Street North Andover, Massachusetts 01845 Dear Mary, This proposal is for a Certified Plot Plan. The location of the survey will be at 33 Green Hill Avenue,North Andover,Massachusetts. Certified Plot Plan: This plan will show all structures on the lot and their relationship to the property line. The plan will be prepared in accordance to the requirements of the Town of North Andover Building Department. A second plan was discussed with the client asking to not show the sheds on the plan. Please note that this plan will need a note stating the existing sheds are not shown at the request of the owner. The cost for the items noted above is $300.00 (plan showing sheds) PAYMENT TERMS: Total cost of services is due at the time of plan(s) delivery. Post Office Box 1051, Newburyport, MA 01950 wwwwaypointss.com (978) 505-5261 dalves@waypointss.com Thank you for the opportunity to present this proposal to you. If acceptable, please indicate by signing below and returning a signed copy along with your deposit at your earliest convenience. Very T4YYours, David Alves P.L.S. President MARY CHASE DATE: NORTH ToVM of C% _F LAK' O dover, Mass., ��1 • la COCMICMEWICK %d AEP �C� RATED S BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System BUILDING INSPECTOR THISCERTIFIES THAT........I..1'. 4r.`.'C......C-6.4--el.......................................................................................................... Foundation has permission to erect........................................ buildings on ....o!!5rL.c*&NA%AQ....A+4.. ..................... Rough L� Chimney to be occupied.as........ .........C- .. .. .m.........0.�......F;4z,.!e�,ft..................................................................... provided that the person accepting this permit shall in every respect conform to the 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 30 - PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUC TARTS Rough ......................:.......................... Service B L'DIlaIG INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR 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. SEE REVERSE SIDE Smoke Det.