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HomeMy WebLinkAboutBuilding Permit #833 - 61 WENTWORTH AVENUE 5/1/2018 i k Of NORTH 1� O? O0 . TOWN OF NORTH ANDOVER o APPLICATION FOR PLAN EXAMINATION �SSNCHUSE' Permit NO: � Date Received: ®� Date Issued: IMPORTANT: Applicant must complete all items on this page LOCATION -� ,7 Print PROPERTY OWNE1 7Gc�c-;16eti - �-IQ-�ad0'3 I"CwQO•v Print MAP NO.: PAKCEL: ZONING DISTRICT:�C i TYPE AND USE OF BUILDING HISTORIC DISTRICT YES ❑ TYPE OF IMPROVEMENT PROPOSED USE Residential Non-Residential ❑New Building ❑ One family ❑ Addition ❑ Two or more family ❑Industrial ❑ Alteration No. of units: ❑Roair,replacement ❑ Assessory Bldg ❑ Commercial Demolition ❑Moving(relocation) ❑ Other ❑ Others: i ❑Foundation only DESCRIPTION OF WORK TO BE PREFORMED Identification Please Type or Print Clearly) �-- -72 OWNER: Name: 1 s Phone.93W og3'«Q6 Address: CONTRACTOR Name: Phone: Address: Supervisor's Construction License: Exp. Date: a-1- Home Improvement License: Exp. Date: ARCHITECT/ENGINEER Name: Phone: Address: Reg. No. FEE SCHEDULE:BULDING PERMIT:$10.00 R$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost :$,4 a9 d x10.00=FEE:$ Check No.: 6;0 ? Receipt No.: 9" Page I of 4 TYPE OF SEWARGE DISPOSAL Swimming Pools ❑ Tanning/Massage/Body Art ❑ Public Sewer Tobacco Sales ❑ Well Food Packaging/Sales ❑ ❑ Permanent Dumpster on Site ❑ Private(septic tank,etc. ❑ Electric Meter location to project NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund Signature ofe t/Owner Signature of Contractor ,Ag Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan L'1 Stamped Plans THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF-U FORM DATE REJECTED DATE APPROVED PLANNING& DEVELOPMENT ❑ ❑ ❑Water Shed Special Permit ❑ Site Plan Special Permit � ❑ Other COMMENTS i DATE REJECTED DATE APPROVED CONSERVATION ❑ p p COMMENTS DATE REJECTED DATE APPROVED HEALTH ❑ ❑ COMMENTS Page 3 of 4 1 Doc:INSPECTIONAL SERVICES DEPARTMENT:BPFORM05 Created JMC.Jan.2006 Zoning Board of Appeals: Variance,Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments I Building Setback (ft.) C Front Yard Side Yard Rear Yard n Re uired Provided Re uired Provides Required Provided s e r vation Decision: Comments Water&Sewer connection signature&date Temp Dumpster on site yes—no— Fire Department signature/date Building Permit Approved and Issued by: Page 2 of 4 DIMENSION Number of Stories: Total square feet of floor area,based on Exterior dimensions. Total land area,sq. ft.: NOTES and DATA— For department use) I i Page 3 of 4 Doc:INSPECTIONAL SERVICES DEPARTMENT:BPFORM05 Created JMC.Jan.2006 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 i Addition Or Decks I ❑ Building pp Permit Application ❑ 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) i ❑ Mass check Energy Compliance Report (If Applicable) New Construction (Single and Two Family) ❑ Building Permit Application ❑ 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 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:BPFORM05 Page 4 of 4 Location No. 33 Date MORT� TOWN OF NORTH ANDOVER Of+"•O '•,�O + ; + Certificate of Occupancy $ �'�S• Eta' Building/Frame Permit Fee $ d swcHus l Foundation Permit Fee $ Other Permit Fee $ TOTAI -3 $ Check c) B'bilding Inspector J' )6'�``­r o of North Andover NORTH q Building Department °���`� 1600 Osgood Street � b,ti�r- ,- 6 North Andover MA 01845 0- t Tel: 978-688-9545 Fax: 978-688-9542 * 4 - y LAKG coctacwemca NPA` DEMOLITION OF BUILDING AFFIDAVIT q�A044TE o SSACHu DATE -- OWNER'S NAME &ADDRESS LOCATION OF PROPERTY TO DEMOLISH DESCRIPTION CONTRACTOR'S NAME &ADDRESS DEP E T SIGN-OFFS DEPT. OF PUBLIC WORKS - WA S WErc 06 DEPT OF CONSERVATION HEALTH DEPT: Septic❑ Well ❑ GAS. VL)e— 'ELECIC z� TELEPHONE rA ✓ P c CABLE 'l TAXESA ,1 POLICE ✓�'l a/ FIRE ' -' &vjJ h1ui.� Ja ►ll � /�z f lob EXTERMINATOR DUMPSTER–ON/OFF STREET /I DIG SAFE NUMBER BOO G j Sb 4,396 DATE REC'D L Lo�ob BLDG. INSPECTOR Doc.form demolition of building affidavit JUN 20 2006 11 :36 FR ENGINEERING 978 725 1036 TO 919786857362 P.03 • JuFi"2j0 nab b Wenay �t�-csaia- roc r• + Town of North Andover of t%.Eo ►a'1�1► Building Deparfimnt eK _ ' Q 1600 Osgood Street r~.° •'1 _ North Andover MA 01845 Tel: 978-688-9545 IraX: 978-668-9542 s : EMOLITION OF BUILDING AFFIO MIT �9s no SwcHus DATE OWNER'S NAME&ADDR90 L TION OF PR PERTY TO D MOLIS O SCRIPTION NTRACTOR'S 8 ADDRESS {- DEP SIGN- m -7 0 r� DEPT.OF PUBLIC WORKS -W414949k PT F C NSERV 71ON HEAL DEPT:Se is 0 We" O GAS ELECTRIC _ 6 d0- i TELEPH0NE CABLE ! ES � .��,�— �!�- 6 oy a LICE - - 4;�e FIRE EXTERMINATOR DUMPSTER ON/OFF STREET G SAFE NUMBER DATE RECD 01 Mr_ INS P-1=TOR Oac.fo►m dertplilfon of building NAdevh ** TOTAL PAGE.03 ** �i�. L J + �., .t u.. ,. � k ,f� � .. �1.�� ?006 11 :35 FR ENGINEERING 978 725 1036 TO 919786857362 P .01 national9 rid Faxo um o To: r�� FO I ia#)5 be-e, Fax: -79 - (,S 5-- r7 3&P—/ q-7 S - �,88— 9.5Lfx From: Colleen M Crosby,Engineering Clerk,National Grid/Mass Electric Date: ja4f, 2006 Subject: Demolition letter Pages: 3 dos This is a con0den6el business document,and the property of NeGonal Grid. If you do not reoeNe aB pages,Or N Mere are problems with Mis bansmisaion,please ced sender. 1101 Turnpike Street North Andover,MA 018458/96 T:978.725.1920 0 P 978-728-1098 0 colteen.croe"OuS.n8id.com 6 www.ns0on1119rid.com (}�fAi + "� ,�` -. J E & F BUILDERS, INC. P.O. BOX 398 37 WALKER ROAD NORTH ANDOVER, MA 01845 978 683-1490 FAX 978 685-7362 June 20, 2006 Town of North Andover Building Inspector Re: 61 Wentworth Ave., North Andover, MA 01845 Please be advised that I, V. Scott Follansbee, President of E & F Builders, Inc., have given a notice to all abutters within 250 feet from 61 Wentworth Ave , that the buildings located on 61 Wentworth Ave., will be razed in the very near future. Copy of Notice attached for your files V. Scott Follansbee President E & F Builders, Inc. r . NOTICE June 20, 2006 This is to inform you that the buildings located at 61 Wentworth Ave., North Andover, MA. Are going to be razed in the very near future. If you have any questions or concerns please call 978 683-1490 or the BUILDING INSPECTOR at 978 688-9545. V. Scott Follansbee President E & F Builders, Inc. �I i ✓.�'. r fop �n of North Andover ezk Bulldlag Dep MnOnt �� •-, ', o� IM Osgood Meet - - North Andover MA 01845 y W:970488-9545 Fax:978-688-9642 gg111jOLITION OF stoLDINOAFFID/[VIT �7 ran "* $sACHUS oklE 44 �Ih co r � A OWNERS NAME 8 A99890- r''t'� - -n `*ZA r^CATAN OF PROPEaTY'TO DEMOLiSEH_ „•(,�J_Lr1.r... � �C r ran COY- AMPRESS D SIG"FFS DEPT.OF PUB UCWORKS - 3:DEPT QF ti � T� g Wa a c. ro Alt- EL C�`- ' ti CABLEa TAXES VL 6AA1&-6 O . •. �7e. r{.t Ole 5 OWD r m - r r AKS p1t,i(�f N EXTERMINATOR m nese_nNfOFF STREET lfwx m j Q a SAFE r �t at• �oo.to.nMmoller.o'di9dfnp attiamr I � .. t i I .. � _ � �� OLD CENTER REALTY CORP. E & F BUILDERS, INC. P.O. BOX 398 37 WALKER ROAD NORTH ANDOVER, MA 01845 978 683-1490 FAX 978 685-7362 FAX To: Z�& From: Fax: 5�70f--- Date: Phone: Pages(including cover) .2 Re: Comments: >,own of North Andover 14oRTly Building Department o���`9 o �V�ao 1600 Osgood Street v North Andover MA 01845 �o Tel: 978-688-9545 Fax: 978-688 9542- - 0 LAKs 1 �A Cocwc ..`y DEMOLITION OF BUILDING AFFIDAVIT 'y�,4SS 4TED ACHU DATE A`' OWNER'S NAME&ADDRESS LOCATION OF PROPERTY TO DEMOLISH DESCRIPTION 2- CONTRACTOR'S NAME&ADDRESS t `� �-F DEPARTMENT SIGN-OFFS DEPT. OF PUBLIC WORKS -WAJE.Rc!�� ,Zo,� SEWE �)IllzlmriaAdduw ` DEPT OF CONSERVATION4k) V - HEALTH DEPT: Se tic a Wet! 0 GAS ELEC IC TELEPHONE CABLE TAXES POLICE ✓f"! _ O '� e / FIRE EXTERMINATOR , J DUMPSTFR-ON/OFF STREET i()69.0� DIG SAFE NUMBER X00 G Sty 43�� DATE REC'D Lo 166 BLDG INSPECTOR Doolonn dermt'tii on of building affidavit (262Z/ z � S � 2 �� i W'� 7