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 -
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MAP NO.: PAKCEL: ZONING DISTRICT:�C
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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
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Foundation Permit Fee $
Other Permit Fee $
TOTAI -3 $
Check c)
B'bilding Inspector
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Building Department °���`�
1600 Osgood Street � b,ti�r- ,- 6
North Andover MA 01845 0- t
Tel: 978-688-9545 Fax: 978-688-9542 *
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OWNER'S NAME &ADDRESS
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CONTRACTOR'S NAME &ADDRESS
DEP E T SIGN-OFFS
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DATE REC'D L Lo�ob BLDG. INSPECTOR
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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
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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.
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P.O. BOX 398
37 WALKER ROAD
NORTH ANDOVER, MA 01845
978 683-1490 FAX 978 685-7362
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To: Z�& From:
Fax:
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Phone: Pages(including cover) .2
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Comments:
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1600 Osgood Street v
North Andover MA 01845 �o
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