HomeMy WebLinkAboutBuilding Permit #528 - 34 CHURCH STREET 2/8/2006MOUTH
Ot �,.•c ,•1hO
3? •• ... ..... • OL
- , TOWN OF NORTH ANDOVER
APPLICATION FOR PLAN EXAMINATION
,SSACHUs�t
�r 4�
Permit NO: .S�'z� Date Received:
Date Issued:
IMPORTANT: Applicant must complete all items on this page
LOCATION r l Cfft,&f�V)
PROPERTY OWNER
�N IN� �Cck *1
00L
Print
MAP NO.: 00LILA PARCEL: /� ZONING DISTRICT:
TVPF ANn ITCF, OF RITILDING
HISTORIC DISTRICT YES ❑
TYPE OF IMPROVEMENT
PROPOSED USE
Residential
Non- Residential
New Building
r. One family
u Addition
XTwo or more family
G Industrial
E; Alteration
No. of units:
Ar .Repair, replacement
` Assessory Bldg
C Commercial
11 Demolition
C; Moving (relocation)Ul
Other
Others:
Foundation only
DESCRIPTION OF WORK TO BE PREFORMED
o die; n/9�,w W)s
31t,11ULLIC
r
• d d/�� Ab, • Q W Liu
CONTRACTOR Name: f R Phone:
Address: Yo ? f✓Wh% 5-J" f'i # bl pq q
Supervisor's Construction License:
Home Improvement License:
Exp. Date:
Exp. Date:
ARCHITECT/FNGINF.F..R Name: Phone:
Address: Reg. No.
FEE SCHEDULE: BUILDING PERMIT. 510.00 PER 51000.00 OF THE TOTAL ESTIMATED COST BASED ON
$125.00 PER S.F.
Total Project Cost :$ Dom x10.00=FEE:$
Check No.: -Z-;�A ? Receipt No.:4�
Location 1(-/ ��"` / Z/,
No. Sof �Date
Nu T" ,,,_ TOWN OF NORTH ANDOVER
Check # :L? y7
Certificate of Occupancy $
Building/Frame Permit Fee $
Foundation Permit Fee $
Other Permit Fee
TOTAL
i
Building Inspector
TYPE OF SEWARGE DISPOSAL
Tanning/Massage/Body Art J
Swimming Pools
Public Sewer
Well _,
_
Tobacco Sales —
Food Packaging/Sales `-
Permanent Dumpster on Site
Private (septic tank, etc. __.
NOTE: Persons contracting f h ui red coir ractor.v do not have access to the guarantyf :d
Signature of AgentiOwner--41 Signature of Contractor 1
Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑
THE FOLLOWING SECTIONS FOR OFFICE USE ONLY
INTERDEPARTMENTAL SIGN OFF - U FORM
PLANNING & DEVELOPMENT ❑
COMMENTS
CONSERVATION
COMMENTS
HEALTH
COMMENTS
Zoning Board of Appeals: Variance, Petition No:
Zoning Decision/receipt submitted yes
Planning Board Decision:
Conservation Decision:
DATE REJECTED
❑
❑Water Shed Special Permit
❑ Site Plan Special Permit
❑ Other
DATE REJECTED
11
DATE
DATE REJECTED
0
Comments
Comments.
Water & Sewer connection signature & date
Temp Dumpster on site yesf--no_ Fire Department signature,'date,��
Building Permit Approved and Issued by:
Fl-
x
DATE APPROVED
DATE APPROVED
DATE APPROVED
Building Setback (ft.)
Front Yard
Side Yard
Rear Yard
Re aired
Provided
Required
Provides
Required
Provided
Till R
u11v1C.1\31VPI
Number of Stories:
Total land area, sq. ft.:
Total square feet of floor area, based on Exterior dimensions.
(-waled ANC Lm.20m,
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
❑ Debris Removal Form
❑ Workers Comp Affidavit
❑ Photo Copy Of H.I.C. And/Or C.S.L. Licenses
❑ Copy of Contract
❑ Floor Plan Or Proposed Interior Work
Addition Or Decks
❑ Building Permit Application
❑ Form U
❑ Surveyed Plot Plan
o Debris Removal Form
❑ 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)
New Construction (Single and Two Family)
❑ Building Permit Application
❑ Form U
❑ 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
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 SER% ICES DEPARTMEN-rMFOR\IOS
0
a
0
G
moo
x
a
w
O
w
a
moo
or
pG
cd
x
a
w
W
o
c
a
�
moo
o
c
w
0
cn
o
C/)-
n
O `
O N
CO
w
44k%k
CLo, c
M
CD c
- 'c
o b-
Ea
gym.. C
O O
N
6 c
CL
4 m
NCM.
CL;
H aV
• O ca m3
m 1 : O
C C a
_ m
t
O
N
Ewo
*_ = o
C� o�
CO2 L O
�c ao
a o os 3
H �OpH
W
WCLLU
'E w
CA) d O� O32
_ A 0CZ�
H z .. a 0.. m
8
O
zip
a
n
a
f
M�
0
TX
v,
CO3 O
�—
N� CD
OCD CD
•O
�IS.
3�
� � L
a. CM<
ca
c
Cc
O C
a�
COD ZCD CL
�
C..3 NA
O C
—
C—
'� C
C.
ca
0
Ul
LU
N
W
W
W
U)
Oct 24 05 09:54a NORTH ANDOVER 9786889542 p.1
NORTH ANDOVER BUILDING DEPARTMENT
Tel: 978-688-9545
DEBRIS DISPOSAL FORM
In accordance with the provision of MGL c 40 S 54, a condition of Building Permit
at: 3q CNO S is that the debris resulting from this work shall be
disposed of in a properly licensed solid waste disposal facility as defined by NIGL
11,S 150 A.
Also, note Permits are required under Fire Prevention laws Chapter 148 Section
1 OA.
The debris will be disposed of in:
l��l �u+�c�an k�ffAk�o��
Fire Department Sign off:
Dempster Permit
(Location of Facility)
Signature of Permit Applicant
Date
I1 ✓// 1
1 I t ! 1
i r _.1' ✓lr�i C/)�Vj/(yFltJ �l(�!I1�FHJ ��4/��FY.�IJCLf1Gi. JE•. ��L'
P0 RD 0P`BUILDING REr, 'AT)ON�-„'
LiccnsQ,. CONSTRUCTIQN E�U�L)RVIppi�-
i
Nurpper• CS 03.77 1
L ' Birthd,at@; 03/24/1�A
I
Expires: 03/241200s Tr, riQ.;,` 19699 ;
Restricted; OQ
DANIEL REITANO
423 RELHAM ST #15
METHUEN, MA 01844 i --}� t
Actlrl� C iritis agar ;
(; : __ -
00 - 35 000 cf enclosed space
(MGL C.112 S.60L) ?
1A - Masonry only
IG 1 & 2 FarpUy.Home
Falluro 10possess a; current edition of the
Massachusetts State Building Code
is cause fgrrevocation of this license.
.DIG SAFE CALL CENTER; (888) 3144,7233
1). MICROLAM LVL'S ARE BASED ON FULL LENGTH "TRUSS JOIST MACMILLAN, 1.9E OR EQUAL.
2). THE CONTRACTOR MUST FIELD VERIFY ALL DIMENSIONS.
J
cnJ
Q
z�
w
w
J,
C-0 f
i
2 nd FLOOR BEDROOM
------- --
I _
i
I
NEW BUILT-UP TIMBER BEAM 3
1/2"X 91/4" MICROLAM LVL SPANS
131-611+/-
ASSEMBLE
3'-6"+/-
ASSEMBLE (2) PCS.) OF 13/4" X 9
1/4" MICROLAM LVL'S WITH (2)
ROWS OF 16D NAILS X 31/2" LONG
SPACED EACH PLACE AT 12" O.C.
DOUBLE 2X JACK STUDS FOR
BEARING BEYOND
--
EXIST.4"X8'' \\
SHED ROOF
ATTIC
31/211
91/411
F ; .!la. X1289 Lis
CID
z
Q
CL
2U)
Og
�w
C`3 m
Z�
J
JO
_U
2
w
z
rU7
H
w
LU=
Lu U
� Q
I— cf)
Cn
Sg
U
�w
UO
0
M Z
Q
O
z
DATEISSUED:
2005
SHEET No.
NEW LIVING ROOM CARRYING BEAM 1st FLOORi-
w...
�,�• S_1
1). MICROLAM LVL'S ARE BASED ON FULL LENGTH "TRUSS JOIST MACMILLAN, 1.9E OR EQUAL.
2). THE CONTRACTOR MUST FIELD VERIFY ALL DIMENSIONS.
co
'-
cn
z
a
cn
w
m
Q
O
SHED ROOF
v
w
•---------
z
ATTIC
cn
- EXIST. 411X8"
w Q
:
c m
:
_ .-------------
NEW BUILT-UP TIMBER BEAM 3
w
7 1/4
1/217 1/4" MICROLAM LVL SPANS
v O
13'-611+ /-
o
ASSEMBLE (2) PCS.) OF 13/411 X 7
co
1/4" MICROLAM LVL'S WITH (2)
ROWS OF 16D NAILS X 31/2" LONG
SPACED EACH PLACE AT 12" O.C.
z
31 Ir
/2"
DATE ISSUED:
DOUBLE 2X JACK STUDS FOR—,�.,-.-
BEARING BEYONDa
tdt, r1i�
NO 41'
DECEMBER 2005
SST N2
DINNING / KITCHEN CARRYING
BEAM 1 st FLOO 4`;'' `;
LO
0
N
o U
aXom to
Gj
00
o�
N
U
n yO p� J J ; r t+ tl iif •. 8 w
CD
I'- Z�
0 CD
j
W
a Z
z
Z U'a rn Q o }FM!Ii�(l�
Q W co J ca
�° titlI,ff�41 1 - ih I�t
Z ami W O „
�N co p UQ Z oo
O Q O F" d. — M
LL z 00�
Z co R w O OD N N F—
Z� c� UQ W
ED
JJ p W }� J o o H
p _
_U
so HN oo
m
L oo W
zN O O
4) p 2 Li L6its iI4 'I (Illi ��1
CLr)
C) v v
o",
p o cN
p m CO
Z tA� N0 U a
v a
0
n L
r 0 coo
N N r (14
ro
U) : r N L
Na f6 '•i"Oi�cO
Q ECS �-o-pap � Ln
v EmE zQ �,cn(no
¢mWm w2fn000O
z co coo n ca0
0 C4 co f °-'Im
F -
Q
`) i0 d LL
O cQ �Q m' o � �y N
z C li LL c ii ` m �p O V Q cI
V �CD
Z)< w>- 0CL.c
z
W rLnM
L6
(A X N LL
W vi U (n c) N
w E EYrN.wc �s m� avItCN
apo, p ro fOisOU' y C9 C7 @ ndo
dN
ammm crit E ECS �;,
0 0) 7 CO X ro :' X w N� Ow N
Hmw=wmYW comQ N ,
L
F-
a C40 m NU z
m F= o ai U =
2 mcm F- Co U
v CL -- H
.�` p 0� cc
N C 6 W
fn fn a W 2 Li 2 LL LZ U (IL W p_ 3: cn
0
N
rn
m
IL
O
1-ag
o
c
o
G
W
a
.\"i
W
~ O U`
m
�U °' 3
3
U)
ro ro
��E`-din
�
U
2
CO Le)
Lr) co
M
M
M
p
m
U)O
EEmW
o�1a1
of
dU
co D-
U
oc
80
Z
CD
ul
Q' J LLIO
N Y
0
( U
v N 0
O
o Q
V (D 9L
aCL
0m0.=.
_m
_o
C O
L
(L0F-> n
-0) 0
N (D 0) N
U) cn (n U)
p_
O
J
N Cl)
O N
O
O
Y
U
ro
)0
a
�Q
rop U)) d o
°�
CD
0 M a
UU._ ro
a
0
NF%Fo-1-o
W
v
0
a
Q
o
Z
0
0
O
O
oQ
LO
o
co
0
LL
z
W
N
G
N
W
W
~)0
a
N
Q'
W U
2a
C.
J�
YO
W
>-
„72
L)
>:
uNi2�
C p0
mN0
Q
�0'V�Mz
a.
0
Q
00
o�
N
U
n yO p� J J ; r t+ tl iif •. 8 w
CD
I'- Z�
0 CD
j
W
a Z
z
Z U'a rn Q o }FM!Ii�(l�
Q W co J ca
�° titlI,ff�41 1 - ih I�t
Z ami W O „
�N co p UQ Z oo
O Q O F" d. — M
LL z 00�
Z co R w O OD N N F—
Z� c� UQ W
ED
JJ p W }� J o o H
p _
_U
so HN oo
m
L oo W
zN O O
4) p 2 Li L6its iI4 'I (Illi ��1
CLr)
C) v v
o",
p o cN
p m CO
Z tA� N0 U a
v a
0
n L
r 0 coo
N N r (14
ro
U) : r N L
Na f6 '•i"Oi�cO
Q ECS �-o-pap � Ln
v EmE zQ �,cn(no
¢mWm w2fn000O
z co coo n ca0
0 C4 co f °-'Im
F -
Q
`) i0 d LL
O cQ �Q m' o � �y N
z C li LL c ii ` m �p O V Q cI
V �CD
Z)< w>- 0CL.c
z
W rLnM
L6
(A X N LL
W vi U (n c) N
w E EYrN.wc �s m� avItCN
apo, p ro fOisOU' y C9 C7 @ ndo
dN
ammm crit E ECS �;,
0 0) 7 CO X ro :' X w N� Ow N
Hmw=wmYW comQ N ,
L
F-
a C40 m NU z
m F= o ai U =
2 mcm F- Co U
v CL -- H
.�` p 0� cc
N C 6 W
fn fn a W 2 Li 2 LL LZ U (IL W p_ 3: cn
0
N
rn
m
IL