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Home My WebLink AboutBuilding Permit #765-2011 - 337 MARBLERIDGE ROAD 5/12/2011BUILDING PERMIT TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit NO: 7�6` Z,_2,/I Date Iss Date Received IMPORTANT: Applicant must complete all items on this page LOCATION n?A' gC�' /Z< IJLr _ /tl:14xjb 0 V60 In.4 Print 'PROPERTY,OWNER %%I KIC _- AZ016.5 {� Print `MAP NC03Y PARCEW ZONING DISTRICT: 'JHistoric District yes =Machine Shop Village yes Dtt LEC /6'6NO\ PROPOSED USE 9 1. TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building IgaOne family ❑ Addition ❑ Two or more family ❑ Industrial ❑ Alteration No. of units: ❑ Commercial ❑ Repair, replacement ❑ Assessory Bldg ❑ Others: ❑ Demolition ❑ Other O'Septic E] W01 ❑ Floodplain 0 Wetlands nWatershed District ❑ Water/Sewer DESCRIPTION OF WORK TO BE PREFORMED: �iV �AZL� � ch4-L (/N1 C a �f ✓ ,,4t � Grn e , n a.� .s� S �n t� C� PPt�Z �' ��„r � Identification Please Type or Print Clearly) OWNER: Name: Phone: ArirlrPcc- ARCHITECT/ENGINEER Address: Phone: M FEE SCHEDULE. BULDING PERMIT. $12.00 PER $1000.00 OF THE TOTAL ESTIMATED COST BASED ON $125.00 PER S.F. Total Project Cost: $ 'ZYoao FEE: $ /40 Check No.: 1;N0 Receipt No.: NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund 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 o 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 o 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 Doe: INSPECTIONAL SERVICES DEPARTMENTMITORM07 Revised 2.2008 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 COMMENT DATE REJECTED DATE APPROVED ❑ ❑ 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: Conservation Decision: Com Comments Water & Sewer Connection/Signature & Date Driveway Permit DPW Town Engineer: Signature: Located 384 Osgood Street FIRE DEPARTMENT-TempDumpster onsite yes no Located at 124 Main Street Fire'Department signature/da#e _ 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 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 No 14 Date. /�•? /i ......... TOWN OF NORTH ANDOVER PERMIT FOR MECHANICAL INSTALLATION P This certifies that v f"� // has permission for mechanical installation ... /`. w" ...,� . in the buildings of.' ../-/`�..F ../K .......... . at .................................... North Andover, Mass. Fee `s.. Lic. No........... .......................... GAS INSPECTOR WHITE: Applicant CANARY: Building Dept. PINK: Treasurer V) O z. 'm c O o � z C N iii O C CJ •�� R W :A O C :�;= O E a cn c Cly m .D E= Z c ® Q z p o Qv �. CD c E r ate. L H V C CA L y C ; 3 v) �fom � y C ® - — m U) M CA W .L'•y W E U y O m C: CS CrCf) r... C J S' Wll C O .I W dCt ^ � O O m 1� : coo o ..: cLo c F- a m � N m C C = m CID Lyt,,, p IV coo .y O.= A • C 2c •� V 'pCCD Vf O V m p0 C2 C y a m� p'p 2 eya .0 C42 CD f- s .o.. o_.=,. m gi 2 0 0 � v Z Q O CO) O3 pm i LA 'E m m L � � a� Ccca�Q c� oc Cc ca C Z Z LD y R C C cc CL' C h J 0 x .� CO G v U m w x 0 a4 w o W cn G t=. bjD o c� 0 u". m z cn E cn 'm c O o � z C N iii O C CJ •�� R W :A O C :�;= O E a cn c Cly m .D E= Z c ® Q z p o Qv �. CD c E r ate. L H V C CA L y C ; 3 v) �fom � y C ® - — m U) M CA W .L'•y W E U y O m C: CS CrCf) r... C J S' Wll C O .I W dCt ^ � O O m 1� : coo o ..: cLo c F- a m � N m C C = m CID Lyt,,, p IV coo .y O.= A • C 2c •� V 'pCCD Vf O V m p0 C2 C y a m� p'p 2 eya .0 C42 CD f- s .o.. o_.=,. m gi 2 0 0 � v Z Q O CO) O3 pm i LA 'E m m L � � a� Ccca�Q c� oc Cc ca C Z Z LD y R C C cc CL' C h J rMMONWLALTH OF-MA-SbACHUSETTS 01 r to 0 l.L. U 4i < 0 Co C PA 0 0 L.J ON U3 >ol C 0\ r r� Cj W Q We In d H 1 � 2 r �o Commonwealth of Massachusetts Sheet Metal Permit Date: Estimated Job Cost: $ jY000 Plans Submitted: YES _l NO Business License # r O Business Information: Name: A M 1 (am Gen i A!ft Street:_0 CASA 6L4 n1 C_4 e City/Town: l �AU6e# 11C Telephone: q7k= 7,(, Z L 3 Z Permit # Permit Fee: $ /jkD Plans Reviewed: YES NO Applicant License # (002 7 Property Owner / Job Location Information: Name: M"AC ko 06S Street: -537 fi74 . &6 e1 d (r6 )ZA City/Town: AJ. Ait)60V6rr_- Telephone: -Y(, 7k Photo I.D. required / Copy of Photo I.D. attached: YES NO Staff Initial J-1 19unrestricted license J-2 / M -2 -restricted to dwellings 3 -stories or less and commercial up to 10,000 sq. ft. / 2 -stories or less Residential: 1-2 family Multi -family Condo / Townhouses Other Commercial: Office Retail Industrial Educational Institutional Other Square Footage: under 10,000 sq. ft. 7�(- over 10,000 sq. ft. Number of Stories: Sheet metal work to be completed: New Work: Renovation: HVAC Metal Watershed Roofing Kitchen Exhaust System Metal Chimney / Vents Air .Balancing _ Provide detailed description of work to be done: lnl57,�CG LLtirCa /-#V 57S7 -69W I'V G( 6 -r "°o,? illlT WIC tri /N5,,*GC.G iAj INSURANCE COVERAGE: I have a current liability insurance policy or its equivalent which meets the requirements of M.G.L. Ch. 112 Yes $ No ❑ If you have checked Yes, indicate the type of coverage by checking the appropriate box below: A liability insurance policy Y Other type of indemnity ❑ Bond ❑ OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by Chapter 112 of the Massachusetts General Laws, and that my signature on this permit application waives this requirement. Check One Only Owner ❑ Agent ❑ Signature of Owner or Owner's Agent By checking this box❑, I hereby certify that all of the details and information I have submitted (or entered) regarding this application are true and accurate to the best of my knowledge and that all sheet metal work and installations performed under the permit issued for this application will be in compliance with all pertinent provision of the Massachusetts Building Code and Chapter 112 of the General Laws. Date Date By Title City/Town Permit # Fee $ Duct inspection required prior to insulation installation: YES NO Inspector Signature of Permit Approval Progress Inspections Comments Final Inspection Type of License: ❑ Master ❑ Master -Restricted ❑Journeyperson ❑J ou rneyperson-Restricted Comments Signature of Licensee License Number: Check at www.mass.gov/dpl