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HomeMy WebLinkAboutBuilding Permit #247 - 39 ALCOTT WAY 10/1/2007 NORTH BUILDING PERMIT TOWN OF NORTH ANDOVER o - : A APPLICATION FOR PLAN EXAMINATION .40* r sq «..M...`� i Permit.N0: �`� Date Received �� -y o ,,r„ �SSACHUS�� Date Issued: U !'—e IMPORTANT:Applicant must complete all items on this page >120CAT10'N ;PROPERTY OWNER a Pant UTAP,NO %.!:PARCEL ZONING`'1JSTRICT _ .; 41istonc l�istnct wyeso, Machin6-Shpp Mage yes no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential New Buildingne ami Addition Two or more family Industrial Alteration No. of units: Commercial epair re a�eaae ' Assessory Bldg Others: Demolition Other Septic Well Floodp)a n We lards Watersbe"I' istract f 11Vater.`/Saver DESCRIPTION OF WORK TO BE PREFORMED: ez de tiff tion Ple2.wlype or Print Clearly) OWNER: — Name: 111 !j t� e• , OIU�,F}ej Phone: Address: 3 IA 4W&Ve =CONTJ.:kACTOR Name .Phone :'.-Address. SufierASo-'s`Constfuo a L�cerase�' _ Exp Dake H©me.lnMovernent L�ceise .._ .Exp date ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE.BULDING PERMIT.$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ Zc2 . v FEE: $ h Check No.: Receipt No.: C )06 ell NOTE: Persons contracting w'h unregi d contractors do not have access to the guaranty fund Signature ontractorft Location �- No. cid - Date �a�7M TOWN OF NORTH ANDOVER 0 9 Oy i Certificate of Occupancy $ -is cNust 9" < Buildin /Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ �� Check # 20647 'Buiiding Inspec>r 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 DATE REJECTED DATE APPROVED CONSERVATION COMMENTS DATE REJECTED DATE APPROVED HEALTH COMMENTS Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes D Planning Board Decision: Comments Conservation Decision: Comments Water& Sewer Connection/Signature&Date Driveway Permit Located at 384 Osgood Street FIRE DEPARTME�IT � Temp Durr�psteT ort site Located at1A24 Main 5treef Y ,Ire bepartmerat i4nature�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 2007 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 j 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) Li 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 Doc:INSPECTIONAL SERVICES DEPARTMENT:BPFORM07 Revised 2.2007 N0� Town o : . o� = COC NI w A PERMIT T 'I- Ad �%+AT S THIS CERTIFIES THAT...... has permission to erect........... buildings to be occupied as....... provided that the person accepting this permit shall in every respect conform ti this office, and to the provisions of the Codes and By-Laws relating to the Insl Buildings in the Town of North Andover. VIOLATION of the Zoning or Building Regulations Voids this Permit. PERMIT EXPIRES IN 6 MON UNLESS CONSTRUCTION ....................................... Occupancy Permit Required to Occutc 3 Display in a Conspicuous Place on the Premise No Lathing or Dry Wall To Be I Until Inspected and Approved by the Buil SEE REVERSE SIDE tom'n lva:li'l, I I'f lr;it I r I I f. 0'.1", ACQ CERTIFICATE OF LIABILITY INSURANCE 6 8-4 B D 0 7hy,t (6'131668-240 F,� E, Tl !CA7'E IS JSSUL�D f4 A MATI'EF!OF INFOPMATIC/N Watson 'Ins:lrance Acjellc�, llrl�- ONLY AND 00kFENS NO RIGHTS UPON THE CERTIMA'fE HOLDER. T4iS CERWKATE DOES tin," AMEr,,D, OR 50 South Mala street ALTER THE CONE RAC..AFFORDED BvTrIl.' FOUCiES Manclies t ez K25 01102 INSURERS AFFORDING COVERAGE ad4a Imsaraace Co D&D Irw, 679 mast Road, 10 NK 0313." �LNI'UQR L: Ti; P -1 IE S F IN SIM AN j EE q8URrD NAIVEDABI.ALF POR IHE POLIC.r PER;00 :.)PC:ONDITICN-,)F,,IJY OR OTHER. WITH Ar-'SPECT 70 V-IICH?HIG C-EWflFCATS MY,'BE;!:,SUED GR PAY 11ORTAIN1,J IHE IN&11;rIVIGE AFFORDED --,Y 7mE FOLUF.", DE-KRlSE-L) H',-REI,6 iF!i TJPJEC-j TO AJ.L !'HE 7FRiVS, EXC-JJS!nNSAfqC �CNOM-') (FF!'H INSR ADD" ,,N L' UFAItcm OCL;::r NUMBER DATE GENERA L UABILI.TY 300 30:)� Aor,? OU 1-7 2 0 0 I Aj 1,IS IIP?_ I.0-1 fji 7,zi)/BoLl .......... ol-NFRA Al L I %PLIES ..R; xl j;c v AVJTOW,)WL.E LIAOIL"Y und TA11TW RLL O!"Ni, -3 C K6 GARAG".LI,Z10T1' ACC ii-Nl EXCEU,QIABRCLL.,;Li"VILITY I no 1)0 XCIlP, ,A-Vl,� i`,GGK A /2, 2 0 0 7 IF STAT -17 W C, AND EMPIL",YERS'Blek.l;`e Ah R-F,7,ET0R`Wl;lt' IIIF.i-UCH ACL-UDEN( TBD/WC I 8 f2 7 J'2 -Y 8 7 2 G 0 8 51,U :f r,rl F.-CS�AS P LC''Umr. b OTHEF llropArty Replacement Coa4t �YlsjVl:+7P /2?)2007 c/27?2008 cort:enit� Limit 0,01 In OF BY ,vvb Bring the perationv oe t (WNCELLALCIN fVXF0AllCJ#," QA?f, '"HEREOF, TK 15SJ1ht? INSURER WILL VNOEAVIR. TU VNIL lqaslv�ik, Wit 0 3 0 3 PAN ORE T1.1 CO ,0 ShALL IMF 0517 N.-,I,%1'44'rjaj(OR LIAVIL.rl '0 ANY KINQ UP r1h IWSIXER,try AGPi7`1(IN F!Ura- EN rArl AUT1,40FUEr KPIRP-SeWATIVE ACC410 26(20',,1 i0d) ACORD 0-li..PCARAT1)lq IA88 PROPOSAL ya rr p►�e CO dVEAU WARIIHELL ST. . ' 210 N. State St. Concord,, Nif 033ol [49"9 A.LCOTT NORTH A)VOOVER MA, [Daten Tl 16'T'MAST RU MANCHESTER dq 03 10;? fhwe, uzk2,240? /Y�Q'" ���lO ��EPt ° Z1c V % � ���ra�a�€+v gt �rlc� •�rr� t7ity� � ,�ara�tDrtt . i Lexingfors � p, �J�as per Suppycd plans �...�...� C�r�rlflt'.w: $6,374.00 labor to instar 1 ia(3.q delivery s��a.an Cu t�arl�er acr:���Id rit..P _�.�. _....__•. .. ___ — _.—..�.. Date---- Tris above Meed 3!Xxhp; It a ct nd+ticr*M.1 prices 50t NO in this proposal and agrt;es til ti*attarhed izy-cu".wd autrrorizea DWC4t:wotl>a:rrrt!wttanz.e:4 aW—contracicr5 to provide the p,•oducts as des-albed above A;ccownft are paytthle in Iiia Lerma$dnescrit:,ed in 6-e prowsal. D a D Cat,inets it,not r&sl3Msiwe for plvmh mg ar,d eres4ricw sevion that.may b4+1i.96-F,44rY 0 contpteta the tdtchen. IR rznlod>l si:ttalicri&Wi16rt~to�'�C:ahinetia wiR a rtbntoarr;y ola tOtchenw,EI!uir;<:or,r,ectiast[d elsttrica,sand plunttring tlAures,ie:sink,dirihweashet,.,ruu(be corve lotoo aetGrzhaaa. All past,&tjcrau are for t1pe t:turpo c of corriplbtog t7.e srbcvt«s igrtsd iYcPtaR tF are ArcC u fJ$p iaN'eta. Any&-wra n1 tteewass w be ratarnel to C&D Ga4hirtets.and them wilt ba aro retund on t,;.fe parts. All work will be peaiomiad r r� f)[Onsiorial sr.arrner,u,14.+f,il,%tigher than,indvwy standards.