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HomeMy WebLinkAboutBuilding Permit #368-16 - 65 BRIGHTWOOD AVENUE 8/21/2016 BUILDING PERMIT oFtNOR%ORTIi H TOWN OF NORTH ANDOVER o APPLICATION FOR PLAN EXAMINATION * 70 Permit No#: Date ReceivedA�RATED c5 �gSSACHl1`'�,t Date Issued:k/it 1;7 IMPORTANT: Applicant must complete all items on this page LOCATION. 9/Lllr,47PVOOD, iF'✓G A1,0PL ff iV'P�Ot/ PROPERTY OWNER AA.17Y+C)1/ Print 100 Year,$tructure' yes. C j MAP– PARCEL: ZONING DISTRICT: Historic District yes Yom" _ � . 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: Z ❑ Commercial t 3 ❑ Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other ❑ Septic ❑Well ❑ Floodplain ❑Wetlands. [J'Watershed District Water/Sewer . _ DESCRIPTION OF WORK TO BE PERFORMED: S7- E-oo/7 ,4'17-4, > s /3A—t! lZc7r.Lob L, ���� �Lcho�z/itic�r fN fiv p o w S _r Identification- Please Type or Print Clearly OWNER: Name: Phone: Address: Contractor Name: _ Phone: q 7-8 6 8 S/o?o _. Email Address: Sir- S A—L. 7 _. Supervisor's Construction License: _ Exp. Date: v 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: $ FEE: $ �V Check No.:n' Receipt No.: NOTE: Persons contracting with unregistered contractors do not have a `ess to th uara fun Signature of Agent/Owner Signature of c Location �V�� t� No. .60K— Date 177 1�0 r • . TOWN OF NORTH ANDOVER Y "*' Certificate of Occupancy $ Building/Frame Permit Fee $ Foundation Permit Fee $ "� Other Permit Fee Yip TOTAL $ Check# I 2} Building Inspector ' 4 ll j� Location 1/t j" &+4—t'0eAW No. — Date 0)/ . - TOWN OF NORTH ANDOVER LED j a , • Certificate of Occupancy $ Building/Frame Permit Fee Foundation Permit Fee $ POther Permit Fee $ TOTAL $ Check# ' 3 i 4 Building Inspector Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ I TYPE OF SEWERAGE DISPOSAL Public Sewer Tanning/Massage/Body Art ❑ Sw"nuling 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 PLANNING & DEVELOPMENT Reviewed On Signature_ -' COMMENTS t: CONSERVATION Reviewed on Signature COMMENTS r' 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-DEPARTMENT - Tem FDum ster on-site p p yes . . . _- ._ noa Locatedlat 12&Win;8treet Fire-Department signature/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) +6 et- � b, el c Crti m N ❑ Notified for pickup Call Email jDate Time Contact Name --y__.......-............._...___._...------------- Doc.Building Pennit Revised 2014 Building Department artment The following is a list of the required forms to be filled out for the appropriate permit to be obtained. ' I Roofing, Siding, Interior Rehabilitation Permits o Building Permit Application o Workers Comp Affidavit a Photo Copy Of H.I.C. And/Or C.S.L. Licenses o Copy of Contract o 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 o Building Permit Application o Certified Surveyed Plot Plan o Workers Comp Affidavit a Photo Copy of H.I.C. And C.S.L. Licenses o Copy Of Contract o Floor/Cross Section/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (If Applicable) o Mass check Energy Compliance Report (If Applicable) o 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) o Building Permit Application o Certified Proposed Plot Plan a Photo of H.I.C. And C.S.L. Licenses o Workers Comp Affidavit o Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (If Applicable) o Copy of Contract a Mass check Energy Compliance Report o 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:Building Permit Revised 2014 Enter construction cost for fee cal - North Andover Fee Calculation Construction Cost $ 2 '55,000.00 m $ - $ 300.00 Plumbing Fee $ 37.50 Gas Fee 100 comm. $ 100.00 Electrical Fee $ 37.50 Total fees collected $ 475.00 65-67 Brightwood Ave 368-2016 on 8/21/2015 Kitchen and Bath Remodel NORTH own of ndover 0 r 1 LA 'KI� h , ver, Mass, .%,j u6j& 4Z2 _26110 � o COCNIC N&WICK ADRATIE . q`� Wig. 12' 1 s � BOARD OF HEALTH Food/Kitchen PERNT D Septic System �� ,,,,,,,,,,,,,, BUILDING INSPECTOR THIS CERTIFIES THAT ................. ........... .................�. ........ .......................................... has permission to erect ........... buildings on !W1 .�4� .... �..,,, Foundation ............... ............ . ..... .... n (� 11 Rough to be occupied as � a ............ . ..... 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 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONST TS Rough Service .... .. ......�.. .. ........ ......... Final BUIL SPECTO 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. F NORTH own of N. EAndover O '� 0 No. h ver, Mass,0 LAKE ACOCNIC"IWICK a• S U BOARD OF HEALTH Food/Kitchen PERMIT T Septic System 41 THIS CERTIFIES THALD T ............... 1!1 O BUILDING INSPECTOR ............ . ............ ......�.�r.k�... ................ . .. has permission to erect .......................... buildings on ....� � Foundation.........�. .. .. . �0,,,, ugh to be occupied as .. ". 'r...... l . 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 6 MONT S ELECTRICAL INSPECTOR UNLESS CONSTRUCTI S TS Rough I lop, L0000, POP 05w,"N Service ............... ................. Final BUILDING INSPECTOR GAS INSPECTOR Occupancy Permit Required to Occupy Buildinz 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.