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HomeMy WebLinkAboutBuilding Permit #098 - 467 SALEM STREET 8/8/2008 pORTF� BUILDING PERMIT j TOWN OF NORTH ANDOVER o� APPLICATION FOR PLAN EXAMINATION e.� Permit NO: r Date Received oRArgo - �SSACHUS�� Date Issued: aS15; /IMPORTANT:Applicant must complete all items on this page 011 j { u CAT X PRO PERT, OWNER 9r 'f00rt -, ` ` �5 ,moi SAP NO PARCEL:.- �� , {V _ ZOJVING bISTRJCfi. 'H�stor c'.D stnct we no Machi:ne,Shop.iAlJge yes TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential New Building One family Addition Two or more family Industrial Alteration No. of units: Commercial Repair, replacement Assessory Bldg Others: Demolition Other ;Septic' Weil m � FloodplainiGtlands WatrhedDtnct`_ ._ Water/Sewer - A , n r DESCRIPTION OF ORK TO BPREF RMED: , Identifi tion Please Ty or Print Clearly) OWNER: Name: L a e ,�� �.S' �JJ?� Phone: 22L7� Address: CONTRACTORName.. i1 C ._ Phone , C << W Address: ~ Q . 'Supervisor's Construction icense Exp Date: 0 Dome Iftorovement License: pExp *"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: $ c S� FEE: $ Check No.: S7 Receipt No.: a NOTE: Persons contracting with unregistered contractors do not have access to th g ara u ' n t rua e,o#-:Agent/O nw e N Si nature of contract ,. 9 9�x- Plans Submitted Plans Waived Certified Plot Plan Stamped Plans TYPE OF SEWERAGE DISPOSAL Public SewerSwimming Pools Tanning/MassageBody Art 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 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: Comments Conservation Decision: Comments Water & Sewer Connection/Signature& Date Driveway Permit DPW Town Engineer: Signature: Located 384 Osgood Street FIRE DEF�ART�VIfN Temp Dumstereai site yes nA . 47, Located:at 124Wbin-Street- :s F�reDepartfient signature%date .:: _: �. , e COMMENTS a . k Dimension Number of Stories: Total square feet of floor area, based on Exterior dimensions. Total land area, sq. ft.: ' i 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) i ❑ Notified for pickup - Date Doc.Building Permit Revised 2008 I I 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 9 9 9 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) h ❑ Mass check Energy Compliance Report (If Applicable) F ❑ 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) o Building Permit Application o Certified Proposed Plot Plan ❑ Photo of H.I.C. And C.S.L. Licenses I ❑ 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 Doc:INSPECTIONAL SERVICES DEPARTMENTMFORM07 Revised 2.2008 Location 4r. No. Date ®� �aRTM TOWN OF NORTH ANDOVER 9 tCertificate of Occupancy• � P Y $ �'�J'•n�'t<� Building/Frame Permit Fee $ a wt Nus Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # 0 f"building Inspector ® ® ® Page No. of Pages LEBLANC AND SON P.O. BOX 5389 BRADFORD, MA 01835 (978) 556-9440 (978) 869-6575 CELL 1351 Lfc. #CS090414 Reg. #1.35829 crrmmloblancendsan.com PROPOSAL SUBMITTED TO !pf DATE ..- ...+ STREET JOB NAME ^'3 CITY,STAT 41166 ZIP CO© N JOB LOCATION J ' ARCHITECT DATEbF PLANS JOB PHONE We hereby submit specification and estimates for: ef 23 /%7' c r f 14 �t. We Propose hereby to furnish rF�.aterial and labor—� complete in accordance with above specifications,for the sum of: dollars ./ Payment to be aide as follows: �' ya All material is guaranteed ee/as specified. All work to be completed a workmanlike manner according to standard rd`�ractices. Any alteration or devitio rorn'above specifications Authorized involving extra, costs will be executed only upon written ords, d will become an extra Signature charge over and above the estimate. All agreements contingent upon strikes, accidents or delays beyond our control. Owner to carry fire, tornado and other necessary insurance. Ourmay be workers are fully covered by Workman's Compensation Insurance. withdra4NOdThisf)roilposal y UIOt accepted within days. Acceptance Of Proposal —The above prices,specifications y and conditions are satisfactoryand are hereby accepted.You are authorized to do the Y P Signature � _� work as specified.Payment will be made as outlined above. - Date of Acceptance: Signature h i U�fie �omnrazo�zuseal/.� o���Aaoac�ivaelt6 li i ' Board of Building Regulations and Standards HOME IMAROOVEMENT CONTRACTOR i Rog-;OeJQ��35829 ExpF-T4/2'010 TW266809 �,��4;'t j LARRY LEBLAI AN ATN.d I� i� LLARRYLEBC 33 MEDITION LA f ATKINSON MAO 3811 Adm�mstrator Standard`s Board oq,Bu►ld�ng' erviSOT License Consttuctian Sup . Licee OS 90414 Tr# 1,3029 �4n��� 812010 I LARRY LEBLANX, BOX 5389 i' Comirisswner PQ M'A0183 ` _ BRADFORD. --- _ XAORTH TO" c of ? Andover 0 , ..+....er-.� No. �► '. ..... ..... _ O odover, Mass., o11A. CO CHICHEWICK V 7 ADRATED PPS\ �C:j '9S BOARD OF HEALTH Food/Kitchen P, ERM IT T D Septic System v BUILDING INSPECTOR THIS CERTIFIES THAT ............. ...�{.�..... ; ..��.�.�.�.!ld�... ....................................................................................... Foundation has permission to erect........................................ buildings on ..5°6.7.,....Sc%........................................Sd'..................................... Rough to be occupied as.................. / .l..!!J°� ..eilJl.'!LIIQ .r......... ......... Chimney provided that the person acceptin this permit shall in every respect conform to terms of the application on file'In Final this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Constructo'y�n of Buildings in the Town of North Andover. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTIO STARTS Rough ................................. ...................... .................. Service BUILDING INS CTOR - Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. SEE REVERSE SIDE Smoke Det.