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HomeMy WebLinkAboutBuilding Permit #043-14 - 39 HIGH STREET 7/11/2013 TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit NO: 4�J Date Received Date Issued: h I��.> IMPORTANT:Applicant must complete all items on this age Pn PROPERTY/OWNER Print? 100aYearfO_Id,Structure yes' no. MAF}N(D:- PARCEL::] ZONINOiQISTRI.0,11 IIIstOricJQistribV &R� noN Machine Shop,Village: e no; TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential 0 New Building ❑ One family 0 Addition 11 Two or more family 0 Industrial Alteration No. of units: El Commercial 5+Repair, replacement ❑Assessory Bldg ❑ Others: 0 Demolition 0 Other } .lood Iain E Wetlands 0 Watershed,District, 0 Septic; ;Well 1 I],Water/Sewer, DESCRIPTION OF WORK TO BE PERFORMED: Identification Please Type or Print Clearly) OWNER: NameLnA Phone: Address: rn Phone; , \,� .CQNTRACTOR } NEN ma . 3Lt— Ex Date: L t Supervisors Construction License: C� � .� P== Home.lmprovement License: Exp'. Date: ARCHITECT/ENGINEER _C ci^c— Phone: Address: 'Sa') Lr j Cr_15_d� . --�, � Reg. No.` Vk G'� " FEE SCHEDULE:BULDING PERMIT:$12.00 PER$000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ FEE: $ 0LCS Check No.: 0�6� Receipt No.: NOTE: Persons contra ting with upre contractors do not have access o the guaranty fund 'Signature of Agen�t//Owne ignature of contractor Plans SubmittedLy Plans Waived El Certified Plot Plan ❑ Stamped Plans Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ TYPE OF SEWERAGE DISPOSAL w Public Sewer ❑ Tanning/Massage/Body Art ❑ .. Swimming Pools ❑ Well ❑ Tobacco Sales ❑ Food Packaging/Sales ❑ Private(septic tank,etc. ❑ ElPermanent Dumpster on Site THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM DATE REJECTED DATE APPROVED PLANNING DEVELOPMENT ❑ ❑ COMMENTS CONSERVATION Reviewed on Signature I COMMENTS 1 HEALTH Reviewed on Signature COMMENTS Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments Cbn,servation Decision: Comments Wateir& Sewer Connection/ Driveway Permit DPW Tower Engineer: Signature: Located 384 Osgood Street F FIRE DEPARTM�-N! - Temp'Dumpste n site yes no Located at'124 MainStreet Fire Departmertsignature/dvit3 COMMENTS Dimension Number of Stories: Total square feet of floor area, based on Exterior dimensions. Total land area, sq. ft.: ELECTRICAL: Movement®f fleeter location, mast or seance drop requires approval ofElectrical 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 U Notified for pickup - Date Doc.Building Permit Revised 2010 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 u Workers Comp Affidavit o Photo Copy Of H.I.C. And/Or C.S.L. Licenses u Copy of Contract o Floor Plan Or Proposed Interior Work o Engineering Affidavits for Engineered products MOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit Addition Or Decks o Building Permit Application o Certified Surveyed Plot Plan o Workers Comp Affidavit o Photo Copy of H.I.C. And C.S.L. Licenses o 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 gOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit New Construction (Single and Two Family) o Building Permit Application u 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 40TE: 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: Doc.Building Permit Revised 2012 Location No. _ —7 Date j • - TOWN OF NORTH ANDOVER I Certificate of Occupancy $ � Building/Frame Permit Feed Foundation Permit Fee $ Other Permit Fee $ TOTAL Check#1 _21 41 26614 g6i`Iding Inspector OFFICE OF BUILDING INSPECTOR TOWN OF NORTH ANDOVER �'•' CONSTRUCTION CONTROL sa xrusa PROJECT NUMBER: 218410083 PROJECT TITLE: 32 HiHiQh Str .Pt - General Building PROJECT LOCATION: East Mills, 39 High Street, N.Andover, MA NAME OF BUILDINc3: 39 High Street NATURE OF PROJECT: General Building Egress & Demising IN ACCORDANCE WITH ARTICLE 116 OF THE MASSACHUSETTS STATE BUILDING CODE, I,_ Diana Nicklaus-Garton REGISTRATION NO. 311 Q3 BEING A REGISTERED PROFESSIONAL ENGINEER/ARCHITECH HEREBY CERTIFY THAT I HAVE PREPARED OR DIRECTLY SUPERVISED THE PREPARATION OF ALL DESIGN PLANS, COMPUTATIONS AND SPECIFICATIONS CONCERNING: ENTIRE PROJECT ❑ ARCHITECTURAL © STRUCTURAL ❑ MECHANICAL ❑ FIRE PROTECTION ❑ ELECTRICAL ❑ OTHER(SPECIFY) FOR THE ABOVE NAMED PROJECT AND THAT,TO THE BEST OF MY KNOWLEGE, SUCH PLANS, as COMPUTATIONS AND SPECIFICATIONS MEET THE APPLICABLE PROVISION OF THE MASSACHUSETTS STATE BUILDING CODE,ALL ACCEPTABLE ENGINEERING PRATICES. AND APPLICABLE LAWS AND ORDINANCES FOR THE PROPOSED USE AND OCCUPANCY. I FURTHER CERTIFY THAT I SHALL PERFORM THE NECESSARY PROFESSIONAL SERVICES AND B EPRESENT ON THE CONSTRUCTION SITE ON A REGULAR AND PERIODIC BASIS TO DETERMINE THAT THE WORK IS PROCEEEDING IN ACCORDANCE WITH THE DOCUMENTS APPROVED FOR THE BUILDING PERMIT AND SHALL BE RESPONSIBLE FOR THE FOLLOWING AS SPECIFIED IN SECTION 116.0 1. Review, for conformance to the design concept, shop drawings, samples and other submittals which are submitted by the contractor in accordance with the requirements of the construction documents. 2. Review and approval of the quality control procedures for all Code-required controlled materials. 3. Be present at intervals appropriate to the stage of construction to become,generally, r with6the progress and quality of the work and to determine, in general, if the work i ED 'Cy performed in a manner consistent with the Construction documents. KLA PURSUANT TO SECTION 118.2 .2 1 SHALL SUBMIT WEEKLY, A PROGRESS TRA31103 = H TOGETHER WITH PERTINENT COMMENTS TO THE NORTH ANDOVER BUIL, IMA 0000�oo���i� ,LETION OF THE WORK, I SHALL SUBMIT A FINAL REPORT AS ADINESTO � Y COMPLETION AND RES OF THE PROJECT FO CCU OF pSS� SIGNATURE DZAND SWORN TO BEFORE ME THIS_DAY OF fig X013 n Z/ • PUBLIC MY COMMISSION EXPIRES,&,____�.�