HomeMy WebLinkAboutBuilding Permit #230-12 - 67 LONGWOOD AVENUE 9/16/2011 TOWN OF NORTH ANDOVER .
APPLICATION FOR PLAN EXAMINATION
Permit NO: � 2 Date Received
Date Issued: � •
ORTANT:A Ecant must complete all items on this page
LOCATION ( ~f L.0 k)C' U100 n A U E -10. Atim c1?MC
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PROPERTY OWNER TO W AT N A (2064 Ss i 7
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MAP NO:_ PARCEL:;-0 ZONING DISTRICT: Historic District yes no
Machine Shop Village yes no
TYPE OF IMPROVEMENT PROPOSED USE
Residential Non- Residentlal
--�A
❑ New Building ❑ One family
❑Addition ❑Two or more family ❑Industrial
❑Alteration No. of units: ❑Commercial
❑ Repair, replacement ❑Assessory Bldg ❑ Others:
❑ Demolition ❑Other
s e trc ®Well 'Y�{' `' ® loo plain OWetlancls x '� ,llDaWatershed aDistrict
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DES CR 1 j ON OF WORK TO 3E!
Building Department
The following is a list ofthe required forms to be filled out for the appropriate permit to be obtained.
Roofing, Siding, Inferior Rehabilitation Permits
® Building Permit Application
❑ !nlorkers 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
MOTE: 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 Cont- act
o Floor/Crossection/Elevation Plan Of Proposed Work With Sprinkler Plan And
Hydraulic Calculations (If Applicable)
❑ 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)
❑ Building Permit Application
❑ Certified Proposed Plot Plan ,
❑ Photo of H.I.C. And C.S.L. Licenses
.❑ 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
❑ 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
Doe: Doe.Building Permit Revised 2008mi
i
Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑
TYPE OF SEWERAGE DISPOSAL
Public Sewer TanningWassage/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
CONSERVAI ION Reviewed on / I1 Sic���ature
COMMENTS re Uri �1� i e�v�dl ��` ti•o 5 /��/� %`.
� _ t„Xe L/-/)f,^ (OtD'
HEALTH Reviewed on Signature
COMMENTS
Zoning Board of Appeals:Variance, Petition No: Zoning Decision/recelptsubmitfed yes
Planning Board'Decision: Comments
I
Conservation Decision: Comments
,Nater& Sewer Connection/Signafiure&Date Driveway Permit
DPW Town Engineer: Signature:
Located 384 Osgood Street
FIRE DEPARTMENT -Temp Dumpster on site yes no
Located at 124 Main Street
Fire Department signature/date
COMMENTS
I
Dimension
Number of Stories: Total square feet of floor area, based on Exterior dimensions._
Total land area, sq. ft.:
ELECTRICAL: Movement of MG ter location mast or service rvtce drop requites approval or
Electrical Inspector Yes No
DANGER ZONE LITERATURE: Yes No
MGL Chapter 966 Section 21A—F and G m1n.$100-$1000 fine
NOTES and DATA— For de artment use f
® Notified for pickup - Date
Doc:.Building Permit Revised 2008mi
Location
No. �"' /'L �- Date �✓0/
SORT►, TOWN OF NORTH ANDOVER
Certificate of Occupancy $
Building/Frame Permit Fee $
swCHus
Foundation Permit Fee $
Other Permit Fee $
TOTAL $
Check # 37116
24594 Building Inspector
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+� M-,tssachusctts- Department of Public SafctN
Board of Building Regulations and StandardS
Construction Supervisor License
License: CS 22988 t �
Restricted to:. 00,
JOHN GRASSO
865 TURNPIKE ST ?
NO ANDOVER, MA 01845 :
Expiration: 10/31/2011
(irtnmissiuncr Tr#: 7237
4
eFO& -�-,I„z�,al.- uo. ivarn License or registration valid for individul use only
Office o onsumer airs mess e u anon before the expiration date. If found return to:
HOME IMPROVEMENT CONTRACTOR Office of Consumer Affairs and Business Regulation
Registration: x113130 Type:
Private Cor oratio 10 Park Plaza-Suite 5170
Expiration: <5j? 013 p Boston,MA 02116
G O CONST
CTJQI �O W. - -
JOHN GRASSO
865 TURNPIKE Not id wit oh ut signature
N.ANDOVER,..MA 01845 > Undersecretary
NORTk
Town O ', Andover
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AKE_ o , dover, Mass. 141/1
�A COCHICHEWICK � '
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.S V BOARD OF HEALTH
D PER
Food/Kitchen
Septic System VT T
THIS CERTIFIES THAT.....�.�..".Y.'.�:.�.�..��..... .��.. .r'��'.5:�?................................ BUILDING INSPECTOR
.... ........:.
Foundation
has permission to erect........................... ......... buildings on . .7.�4 u�� � U
........... . Rough
to be Occupied as /.�.G.X,,o v� : .... ....................................... _
p ........................./. f.. .....- 1 .................... /, ............................................. Chimney
provided that the person accepting this permit shall in every re ect conforrfi to the terms of the application on file in
this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Final'
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
UNLESS CONSTRUCTI® STARTS ELECTRICAL INSPECTOR
Rough --
........... �1./. .................................. Service
..
BUILDING INSPECTOR
Final
i
OccuP ncy Fe7'mit Required to Occupy Building GAS INSPECTOR
Display in a Conspicuous Place on the Premises — Do Not Remove FinarRough
No Lathing or Dry Wall To Be Done
Until Inspected and Approved by the Building Inspector. FIRE.DEPARTMENT
Burner
Street No.
SEE REVERSE SIDE Smoke Det.
North Andover MIMAP
September 15, 2011
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Interstates
Interstate
Major Roads Horizontal Datum:MA Stateplane Coordinate System,Datum NAD83,
Roads Meters Data Sources:The data for this map was produced by Merrimack
Ci Easements f AORTN q Valley Planning Commission(MVPC)using data provided by the Town of
North Andover.Additional data provided by the Executive Office of
C3 MVPC Boundary j. g�< to�a OO Environmental Affairs/MassGIS.The information depicted on this map is
O Parcels f _ p for planning purposes only.It may not be adequate for legal boundary
definition or regulatory interpretation.THE TOWN OF NORTH ANDOVER
MAKES NO WARRANTIES,EXPRESSED OR IMPLIED,CONCERNING
♦ • THE ACCURACY,COMPLETENESS,RELIABILITY,OR SUITABILITY
« eo ,•' OF THESE DATA.THE TOWN OF NORTH ANDOVER DOES NOT
ASSUME ANY LIABILITY ASSOCIATED WITH THE USE OR MISUSE OF
THIS INFORMATION
SACHUSe
1"=225 ft