HomeMy WebLinkAboutBuilding Permit #268-11 - 33 GREEN HILL AVENUE 9/29/2010 NORTH
BUILDING PERMIT oFst�eo
TOWN OF NORTH ANDOVER
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APPLICATION FOR PLAN EXAMINATION
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Permit NO: (� '�� Date Received * .0
9,;,25,/0 SSACHUS��
Date Issued:
IMPORTANT:Applicant must complete all items on this page
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OP,ERTY�INNER
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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
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DESCRIPTION OF WORK TO BE PREFORMED:
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1- _—t-epl c -
Identification Please Type or Print Clearly)
OWNER: Name: Phone:
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Address:
CO.NTI `CtTOR fNa-e ` . Phonet
------------
SupervisorsConstructi®nLicense1 � Exp� Dates
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Home II provement1&(se
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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�_ _- .,. :�.
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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
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❑ 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
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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
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CONSERVATION Reviewed on Signature
COMMENTS
HEALTH Reviewed on Signature
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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,
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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
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II
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❑ 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.