HomeMy WebLinkAboutBuilding Permit #116-13 - 63 HERRICK ROAD 3/10/2012 BUILDING PERMIT o* pORTH q
TOWN OF NORTH ANDOVER 3� �`r''- °
APPLICATION FOR PLAN EXAMINATION
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Permit NO: k Date Received
A�R�7E0
�SSACHUS��
Date Issued: C2—A0
IMPORTANT:Applicant must complete all items on this page
LOCATION 63 (-�en"(ct" �Og4 Nor1il Ardwer Mq.,
Print
PROPERTY OWNER Kevr'h ccnd LiSq ov-KneN
Print
'MAP NO: PARCEL: ZONING DISTRICT: Historic District yes, o
Machine Shop Village yes (no
TYPE OF IMPROVEMENT PROPOSED USE
Residential Non- Residential
New Building Onefamily
Ad 'tion wo or more family Industrial
Alteration No. of units: Commercial
Repair replacement Assessory Bldg Others:
Demolition Other
Septic - Well Floodplain Wetlands Watershed District
Water/Sewer
DESCRIPTION OF WORK TO BE PREFORMED:
v/ ZJ 19YIJ - ✓N oOM
02
Identification Please Type or Print Clearly)
OWNER: Name: Phone: 978 975791Y
J
Address: (,�3 N-=rtrtc t< P"MA01 (y, A to'e-r Mg, Q t 845
CONTRACTOR Name: 3'i'c-4t!11 C. MCGI& u) Phone: `n? 3`72 97W4
Address: f(b G3 Wes'i 'ni 4V 4eVgrh'1 (( Mg , CX832
Supervisor's Construction License: C3 010248 Exp. Date: =
Home Improvement License: IGS 62 5 Exp. Date: 3/10 P2614
ARCHITECUENGINEER_1��I&C� 7LEI aG6 Phone: 978 3B5? (SSj
Address: 2� Ce 0,r-3t-. tifj �mes6or4 Mg 109[3 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: $ 3'7�Soo op FEE: $_ ,�U
Check No.: Receipt No.:– ;;�S-L o 2—
NOTE:
NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund J,
Signature of Agent/Owner �gnature of contractor,
Plans Submitted Plans Waived Certified Plot Plan Stamped Plans
TYPE OF SEWERAGE DISPOSAL
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
CONSERVATION Reviewed on 40D Si naturAue (SL
COMMENTS MO a0
HEALTH Reviewed on Signature
COMMENTS
a
Zoning Board of Appeals:Variance, Petition No: Zoning Decision/receipt submitted yes
e
Planning Board iDecision: Comments
Conservation Decision: Comments
Water & Sewer Connection/Signature&Date Driveway Permit
DPW Town Engineer: Signature:
Located 384 Osgood Street
FIRE-DEPARTMENT Temp Dumpster on site yes no
Located-at124 Main Street
Fire Department signature/date
I
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)
❑ Notified for pickup - Date
Doc.Building Permit Revised 2008
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
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
❑ 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 DEPARTMENT:BPFORM07
Revised 2.2008
Location�� /i1�.,�r� ((•
No. Date
ff—IL*-lt�-
TOWN OF NORTH ANDOVER
Certificate of Occupancy $
kZi r
Building/Frame Permit Fee $
} Foundation Permit Fee $
a ' Other Permit Fee $ f
TOTAL $
Check# / Y3
25602 Building Inspector
Enter construction cost for fee cal- North Andover Fee Calculation
Construction Cost
$ 37,500.00 m
$ - $ 760.00
Plumbing Fee $ 56.25
Gas Fee 100 comm. $ 100.00
Electrical Fee $ 56.25
Total fees collected $ 972.50
63 Herrick Road
116-13 on 8/10/12
Sunroom Renovation
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own o 2 E :. ., Andover
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No.
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COc NICKl WICK y1.
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BOARD OF HEALTH
ERM T T LD Food/Kitchen
Septic System
THIS CERTIFIES THAT .�,,,,,,,� ........ BUILDING INSPECTOR
...........�!...... .... . C. .1.6 ..................
Foundation
has permission to erect .. ..................... buildings on ......!�.*a........�". � �l�. •
........
Rough
to be occupied as .................. :. �.� ......�� .... ..... ...... .. . W.I.W.... Chimney
provided that the person accepting this permit shall in every respect conform t the t rms 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 EXPIRECTRICAL INSPECTOR
qW6UNLESS CONST R SrC STA Rough
Service.
........ ......... ............ .......... Final
BUILDING INSPECTOR
GAS INSPECTOR
Occupancy Permit Required to Occupy Buildinm 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---Build-ing Inspector. - - -Burner - - - - -
Street No.
Smoke Det.
SEE REVERSE SIDE
North Andover MIMAP August 1,2012
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Major Roads Horizontal Datum:MA Stateplane Coordinate System,Datum NAD83,
Roads Meters Data Sources:The data for this map was produced by Merrimack
�°OR7M Valley Planning Commission(MVPC)using data provided by the Town of
Co Easements Of t`•e qNorth Andover.Additional data provided by the Executive Office of
MVPC Boundary ? °t r°•°DO Environmental Affairs/MassGIS.The information depicted on this map is
-]Parcels F 9 for planning purposes only.It may not be adequate for legal boundary
defnilion or regulatory Interpretation.THE TOWN OF NORTH ANDOVER
• MAKES NO WARRANTIES,EXPRESSED OR IMPLIED,CONCERNING
Y t{ THE ACCURACY,COMPLETENESS,RELIABILITY,OR SUITABILITY
�1111.i ,^, y OF THESE DATA.THE TOWN OF NORTH ANDOVER DOES NOT
•oma+ h. , ASSUME ANY LIABILITY ASSOCIATED WITH THE USE OR MISUSE OF
�, o+�r�o•f'�.(o� THIS INFORMATION
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AppGee
f, ark MeM meek Willey Planning Comnission does not snake any warranty expressed or Implied.not assume any legal liability or responsibility for the accuracy,completeness,
or assefutress of the Geographic tmormation Systern;GfS)Geta or any other data provide!herein_The data does not take the place of a professional survey and has no
legal bearing on the twee shape,size,location,or existence of a geographic feature,property etre,at political repteswtation.Merrimack-Valley PgnniN Cotrrnisoi n requests
�} thal any use pt rias information be accompanied try a reference to Its source and the hwrimack valley Pianning Commission's caveat that it makes no warrar riles or
represer aliens as to the accuracy of sari Information.Any use of this information Is at the mciplWs awn risk_
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Merrimack Miley planning Oomrission does not mane any viarranty,expressed or impced,nor as u ne any legal nablitty or responsbA4y for the accuracy,completeness
or rysefulnes d the Geographic Warmation%-ern;GIS)OM or any other data provide!hereln.?he data does not take the puce of a professional sttA'=y and hies no
legal wring on the tnae shape.,size,location,or existence of a geographic feature,property Este,or political represerrtation.Merrimack Vemy ftnnaq Gommimrm requests
c ,that any use of this Information be accompanied, a reference to its source and the Merrimack Vasey ftnnlog Ggr nmis$IDn"s caveal that It make
g no watrauaties or
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Massachusetts-Department of Public Safety
Board of Building Regulations and Standards
Construction Supen'isor -
- - - License.-CS-010248.- - - - -
♦vSv"TTS SLA
STEVEN C M456LE_W.;r- '
1063 WESTERN AVE In 'may u,
HAVERHU,�MA 01830
Expiration
Commissioner 03/19/2014 1
OfTiceof1ConsuinerAfFairs• $usin Regalation
,HOME IMPROVEMENT OPNTRA oR
J Red'is'tration•�165625 ;
E)(0.irat►on 310/k1:2 Tr# 281358
•-
4 STEVEN C,:MCGLEW'`
STEVEN MCGLEW ?
a 1063 WESTERN AVE
.� HAVERHILL,._MA 01832' Undersec etiry
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CHARLES A. McGLEW & SONS, INC.
Building • Remodeling • Custom Cabinets • Interior Finishing • Sunspace Designing
Telephone 372-9744 — 372-3104
1063 Western Avenue, Haverhill, Ma 01830 9/Z < j 2-
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