HomeMy WebLinkAboutBuilding Permit #622-14 - 466 SALEM STREET 3/7/2014Permit NO: Lz- .'
BUILDING PERMIT
TOWN OF NORTH ANDOVER
APPLICATION FOR PLAN EXAMINATION
Date Received
OWNER: Name:
Address
Identification Please Type or Print Clearly)
Mo, -)L Phone:
ARCHITECT/ENGINEER / Phone:
Address: Reg. No.
FEE SCHEDULE. BOLDING PERMIT. $12.00 PER $1000.00 OF THE TOTAL ESTIMATED CPSX BASED ON $125.00 PER S.F.
Total Project Cost: $—�, 7,50 •DD FEE: $ E& -
Check No.:— 1 Receipt No.:
NOTE: Persons contracting with unregistered contractors do not have access to
y
fund
TOWN OF NORTH ANDOVER
APPLICATION FOR PLAN EXAMINATION
Permit NO: Date Received
Date Issued:
IMPORTANT• Applicant must complete all items on this page
LOCATIQN
PROPER+TFY�+4 WNER
d• P:cint ^ 1:00 Year Old Structure yes, no
tMAP�NO', _ .A �PARCEL� ZONINGrD:ISaTtRLCT $toncrDistrtct yes" no '
j p 9 Y
Machine, Sho Villa a nog
- es
TYPE OF IMPROVEMENT,
PROPOSED USE
Residential
Non- Residential
❑ New Building
❑ One family
❑ Addition
El Two or more family
11 Industrial
El Alteration
No. of units:
❑Commercial
❑ Repair, replacement
❑ Assessory Bldg
❑ Others:
❑ Demolition
❑ Other
❑Septic" K❑�1Nell*' &'
_
- £®Floo:dplain ❑ 1Netlands
sd5stnc t
❑ Waterhe
p¢.1/,Vater/Sewer,;
DESCRIPTION OF WUKK I U Ut Vt:MrUM1V1tu:
Identification Please Type or Print Clearly)
OWNER: Name: Phone:
A
ARCHITECT/ENGINEER Phone:
3
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: $
Check No.: Receipt No.:
NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund
Sig a of Agent/Owner _ _ �`tiSlg�ature�of'cont'ractor.,.� -=�'� �...
Plans Submitted Li Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑
10
Plans Submitted F-1 Plans=Waived-❑ `..Certified Plot Plan ❑
Stamped Plans ❑
-TW—E-:OFSEWERAGEDiSPDEAL" `.'I
Public Sewer ❑
Tanning/Massage/BodyArt ❑ ...Swimming
Pools ❑
Well ElTobacco.Sales
El
Food Packaging/Sales El
Private:(septic tank, etc:_ .
Permanent Dempster on -Site ❑
THE. FOLLOWING SECTIONS FOR OFFICE USE ONLY
INTERDEPARTMENTAL SIGN OFF - U FORM
PLANNING & DEVELOPMENT-
COMMENT
EVELOPMENT
COMMENT
CONSERVATION
COMMENTS
HEALTH
COMMENTS
-:--,DATE REJECTED:
El
DATE :APPR.OVED
Reviewed on Signature
Reviewed on Signature
Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes
Planning Board Decision:
Comments
Conservation Decision: Comments
Wates & Sewer Connection lS gnature Date Driveway Permit
DPW Towxo Engineer: Signature:
Located 384 Osgood Street
FIRE DEPART�fI NT Temp Dump ter on site yes no
Located at;124aMair,`Street ` w`#� ' � �u -:
Flre De(partme'it
COIVM.ENTS
-Dimension -
Number of Stories: Total square feet of floor area, based on Exterior dimensions.
Total land -area; sq. ft.:
ELECTRICAL: Movement of. Meter.locatton, rust 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.fin.e
NOTES and DATA — For department use
get\" -
LJ
Notified for pickup - Date
s
i
Doc.Building Permit Revised 2010
Building Department
The following -W'=a fist of .-the required -forms to be -filled out for the. appropriate. permit to be obtained.
Roofing, Siding, Interior Rehabilitation Permits
- B,ailding Permit Application
o Workers Comp Affidavit
Li Photo Copy Of H.I.C. And1Or� C.S.L Licenses
❑ Copy of Contract
Li 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
L3 Photo Copy of H.I.C. And C.S.L. Licenses
L3 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
❑ Photo of H.I.C. And C.S.L. Licenses
❑ Workers Comp Affidavit
o 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 apn. al period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording
must be subm.tted with the building application
Doc: Doc.Buiffing Permit Revised 2012
Location
Date_SA/�//V/
Check#// 2
f
27334
TOWN OF NORTH ANDOVER
Certificate of Occupancy $
Building/Frame Permit Fee $
Foundation Permit Fee
Other Permit Fee
TOTAL $
Building Inspector
X04
uw�
OW4 °
2'13 3�
15
i
Enter construction cost for fee cal -
North Andover Fee Calculation
Construction Cost
$ 3,75'50.00
m
$ -
$
45.00
Plumbing Fee
$
5.63
Gas Fee 100 comm.
$
100.00
Electrical Fee
$
5.63
Total fees collected
$
156.25
466 Salem Street
622-14 on 3/7/2014
Replace tub and tub walls
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Tuesday, March 4,201410:51:25 AM Eastern Standard Time
Subject: Fwd: Permit McDevitt
Date: Tuesday, March 4, 2014 9:11:57 AM Eastern Standard Time
From: Jeff Lapham
To: Michele Trovato
This isnt Newburyport! I cant read my own writing....
466 Salem St
North Andover MA
Jeff Lapham
Home Depot Account Manager
603-895-0400
603-253-2600 eFax
Begin forwarded message:
From: Jeff Lapham <ieff@ktmproperties.com>
Subject: Permit McDevitt
Date: March 4, 2014 9:09:09 AM EST
To: Michele Trovato <michele@ktmproperties.cM>
Guess plumbing only - can we make this one a priority? Customer wants to start asap, although PO
was setup this AM. Also this is newburyport so.....
Labor 3750
PM tony Petino
466 Salem St
Newburyport MA
Jeff Lapham
Home Depot Account Manager
603-895-0400
603-253-2600 eFax
Page 1 oft
4Zt
33 -Y
67 -
WANTS -A NEW VANITY WI,(N TOP AND FAUCET
:MARK MCDEVITT
466 SALEM ST
NORTHANDOVER MASS
f:EB 24 2()14
7816894032
F.aW 80401529
41
,All dinicnsions.xjzc designations
g1ven are njta eCt to crification.on
job site :and -adjustment to fit
job
conditiotis.
is ao ori
.........................
— KTM Properties:
Fremont NM 08044
603-895-0400
c�cr�r�crz rl� c 60.3-253-2600 e'aX'
I,�/r
Preliminary'Installation Estimate
SroiD'tPO� ...Jervtct PrcYlCEr.
4 � �-+-7 KTM Properties
i;tiEiUlp4l,
Demo/Removal (} dd
Install new: cabinets' 7S• bD
Plumbing:
Electrical, > S'l
Flo ring:
Faint:
Drymlk
Atpiiances .
Backsplash
Grand TotaE, $0.00
Customer Signature: Date: 7'
GC Signature: I �t
The above si8hat
ure'doesnot commit either pArty-to the sate of the above listed items. The'sina#ure represents
a.full understanding of the_price andscope,of iahor forthe_categories listed. Customer initial;
Prices are sublect,W change based on the final design, layout of the kitchen
and: unforeseen conditions.,
This is onion estimate;;a final: price vviil be presented clurin the final Site Verification
4