HomeMy WebLinkAboutBuilding Permit #358-14 - 575 CHICKERING ROAD 10/16/2013 TOWN OF NORTH ANDOVER
APPLICATION FOR PLAN EXAMINATION
Permit NO: f f Date Received
Date Issued:
IMPORTANT:Applicant must complete all items on this page
�� � _ _..
LOCATION _ 515 er in
Print
PROPERTY OWNER
Print 100 Year Old Structure yesnno
MAP NO: _PARCEL ZONING DISTRICT: Historic District yes
Machine Shop Village 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
0 Septic ❑Well ❑ Floodplain ❑Wetlands ❑ Watershed District
❑Water/Sewer
DESCRIPTION OF WORK TO BE PERFORMED:
C)nrmeask Cvn�rn k;A&ws !S\< voorb\Q
Identification Please Type or Print Clearly)
OWNER: Name: Phone:
MakhI�-J 7erv^kn 5'a`? ;,h"e\cpA &vd, *# WO L,Gw,e1%, MVCk
Address:
CONTRACTOR Name: Phone:
Address:
I
Supervisor's Construction License: Exp. Date:
Home Improvement License: 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: $ '3500 FEE: $ / �D
Check No.: ! ®� Receipt No.:
vv
NOTE: Persons contracting with unregistered contractors do not have access to the guarantyfund
Sgnature�of AgentiOwnerf� Signature of contractor r {
Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑
T
I
A
' .;I tificate M ANOOVER ,
BuildingFrarn oRTccupancy 1
Foundation p permit Fee $
ermit Fee $�
Othgpermit Fee $
L
Check#�Q S $
2/'
/
Buiidin
` 9 inspector
,_ pians Subrnitte -
T E_O ks Pians Waived.
PublicSever W B AG-8DISP�S
Well 0
Certified Piot Plan
Private(septic tal*, etc,
t Tobacco� g/MassagelBod Stamped pians n
c• Q Sales Y Art V
0 Spy
' PernianeutDUMPS ter on Site root-pa
THE F "agiag�Sales
IIVTERp COWING
PCA EPgRTMEhT TiON3 FO
NNiNG ®EVE AC SiG1V O FO�IGE UsE O
i CONjME COPMENT- DATE REdEC FORM NlY
NTS � TED
DATEAPpRO E
VEDIFt
I
PAIVJ
-CONSERVATiO
N Revlewe
d on
CONjMENTs N®TES�
S' nature t
NEALTN
t
Reviewed on
f coNiMENTs �.
�� Si nature
Zoning Board of
Ap I
peals. V
Planniariance, Petition
ng Bo No: I
and pecision:
�t
Zoning Decision/receipt
Conservation pecisi Comms
°n. ents ubmitted
Water(Z Sewer CO, Yes_.
-bp Comments I
Toga;, ®h�eot�® nature
,��/RE I3 - 'Eng�tteer; '�ignatu
�obatea aEP,q'RTM�_�T xe. �
J Fire 24 Mair, Te Driv
�epartmei�t S�9n mp Dempster on sit
ewa Per,
COMMENTS attire/date. e Yes Located 384
no OS °pd Street Q
notified for pic�u
- ---- --- p - Date
-- - ------ _ DOc.Building Permit
Revised 2410
Ike
se tbe�$aQQ
\\ ff�e o�et•v>>a�
p��, P` v�ej oa��`treV e����L
5
bac
J
Plans Submitted-[] Plans Waived❑ Certified Plot Plan ❑ Stamped Plans ❑
TYPEOF-:SEWERAGEDiSP_OSAL
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
i
.CONSERVATION Reviewed on Signature
COMMENTS
HEALTH Reviewed on Signature
COMMENTS
i
Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes
Planning Board Decision: Comments
Conservation Decision: Comments
Water & Sewer Connection's
i nature Date Driveway Permit
.DPW To-vv;: Engineer: Signature:
Located 384 Osgood Street
' =(FIRE DEPAiRTMNT - Temp Dumpster on site yes no
�• Located-at 124 Mair Street
Fire Departinersignature/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
i
I
I
El Notified for pickup - Date
r
Doc.Building Permit Revised 2010
r
Building Department
The folswing is-a list of the required.forms to be filled out for the appropriate permit to be obtained.
I� 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
o 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
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
I
❑ 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
i
In all cascs if a variance or special permit was required the Town Clerks office must stamp the decision from the Board of Appeals
that the apw 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.Bui?ding Permit Revised 2012
OE NORTH 1
3r•fit°`• _'• ti0°t
� s
* 6 r
s
�SStic RllSEt
CERTIFICATE OF USE & OCCUPANCY
TOWN OF NORTH ANDOVER
Building Permit Number 358-14 on 10-16-2013 Date: October 16, 2013
THIS CERTIFIES THAT
THE BUILDING LOCATED ON 575 Chickering Road
MAY BE OCCUPIED AS North East Custom Kitchens_IN ACCORDANCE WITH THE
PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER
REGULATIONS AS MAY APPLY.
Certificate Issued to: Matthew Demko—Lessee
527 Pawtucket Blvd. #608
Lowell,MA 01852
Building Inspector
Fee: $100.00
Receipt: 27001
Check : 1057
NORTH
own of E : Andover
O - 0
z h ver, Mass 10 1
COC NIC Nl WICK
S U
BOARD OF HEALTH
Food/Kitchen
PERMIT T LD, +� �f,�� Septic System
THIS CERTIFIES THAT ........0.9—N-4 T........C vnp?� ..��. .... BUILDING INSPECTOR
....... ............. .... ....
�,! Foundation
has permission to erect ... ...................... buildings on ..5. r.....Vh&I*fW j....... ... .. .s....
Rough
to be occupied as ........ 416A..... S40%.0 w,t.A V4w..........oow ............................ Chimney
provided that the person accepting this permit shall in every respect conform to the terms of the application final
on file in this office, and to the provisions of the Codes and By-Laws relating to the Inspection,Alteration and
Construction 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 WONTHS ELECTRICAL INSPECTOR
UNLESS CONSTRUCTV.........
T TS Rough
Ja Service
............. .............................................. Final
BUILDING INSPECTOR
GAS INSPECTOR
Occupancy Permit Required to Occupy Building 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.
`Smoke Det.
SEE REVERSE SIDE
NORTOI
Town of E : �. Andover
No. -
3 _
- ti
C, h , ver, Mass, 11 (0113
cocN�cnewicw �1'
ADRATED
S V
BOARD OF HEALTH
PERMIT T LD Food/Kitchen
f,�� Septic System
THIS CERTIFIES THAT .QA-N-- ..C&%v........0 .......�4��&�.... BUILDING INSPECTOR
....... ....
has permission to erect ... *t(1!�, Foundation
...................... buildings on ..5.��..... � ......
Rough
to be occupied as ........ 4.0t4t..... ...........
........� ............................ Chimney
provided that the person accepting this permit shall in every respect conform to the terms of the application Final
on file in this office, and to the provisions of the Codes and By-Laws relating to the Inspection,Alteration and
Construction of Buildings in the Town of North Andover. PLUMBING INSPECTOR
Rough
VIOLATION of the Zoning or Building Regulations Voids this Permit.
Final
PERMIT EXPIRES IN WONTHS ELECTRICAL INSPECTOR
UNLESS CONSTRUCT T TS '" Rough
Service
(3b% ; . .
............. ............................................................ Final
BUILDING INSPECTOR
GAS INSPECTOR
Occupancy Permit Required to Occupy Building 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.
'Smoke Det.
SEE REVERSE SIDE
T pORTH
O�t 16 gti0
6 0
o L p TOWN OF NORTH ANDOVER
o�A`°`""'"""'y1 * SIGN PERMIT
�RRTApP �y
�SSACHUS��Eo
DATE: October 16, 2013
PERMIT: 016-14
THIS CERTIFIES THAT Matthew Demko has permission to erect a sign
on-575 Chickering Road — Northeast Custom Kitchens — 2ft H by 8ft L provide that the person
accepting this Permit shall in every respect conform to the terms of the application on file in this office, and to the
provisions of the Codes and By-Laws relating to the Sign Regulations in the Town of North Andover.
Violation of the Zoning of Sign Regulations, Section #6, Voids this Permit.
INTERNALLY ILLUMINATED SIGNS ARE PROHIBITED
Inspector of Buildings
Amount Paid:$30.00
Check 1057
Receipt 27001
SIGN ?ERMTT APPILff CAT IO N
1600(Osgood Street Buufldlmg 20,Sa to 2-36
T(bvJlN SIF NORTH T Hl AIl\\T1IDO�1(n Date: � 1 2pi3
Name of applicant who is purchasing the sign, . . �1
Site�w31er �O I V%5�+-� Phone#of applicant who is purchasing the sign
Site Address --J / C�\ �Q�(•�ri g R Name of sign company St 4Y1�
v
Z ai Phone#
Size of Proposed PareeIl � aP
Now attached: a)Against the wall &-j ck Illumination: otillummated.
b)]hoof Internally illuminated
c)Ground c)Externally illuminated
d)Other
Materials: N\-el
Proposed Colors: Background Wli\j�-e I
Lettering ?-_-e
]Forder Cost®f Si
Regu iced Afhachmme><nt's^ ;
Photographs of building MG tec No permanent/temporary sign shall be erected,or enlarged until an
Material sample
application on the Appropriate ro p mate form fiunished by the Sign Office has been filed
Color sample with the Sign Officer containing such information including photographs,plans
Site or Plot Plan(Required for.all free-standing signs)
and scale.drawings,as he may require,and a permit for such erection,alteration,
-Drawings of proposed sign or enlargement has been issued by him. Such permit shall be issued only of the
Other,sec' Sign Officer determines that the sign complies or
p applicable provisions of the By-Law. will comply with all
Will sign overhang any public road or walkway Yes N®(vj:'
If Yes,Name ofAgency who will provide:liability insurance:
AN gNCOl L1� A]PPL][O LTION VV3LL NOT BE ACCEPTED _
DATE F LIED:
Receipt# Check#
Revised I V I,2®®6Form sign Kermit Application SIGNATURE OF APPLICANT
• �� APPROVED BY
' I