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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 Print PROPERTY OWNER TO W AT N A (2064 Ss i 7 Print 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 • �- '} 7 t 3� LL `3� 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 - I I 1 , I V, - ZkI 1 i 71 11-N IeX I I G ` , I t 47 AM 1 ttF� i 5 - HIM�''���'� - I - v I T P I ILL 1 I . \ \ % / ' , y ' i ;. j / r �= 1 \ Y IZA UO Irk" 3" '57 PP )NLo-5 it 13/9 �j�D M }v�/ � /z �K� LOP LA CCA P 5 GDA7 _ OAT -PLAS-FE ,, Zxl.b" 51 LL iLL \ ANCyb TID _ b �N ��� tq E u N \1Ah 9 . Kf- D PO x r / ' +� 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 0 AKE_ o , dover, Mass. 141/1 �A COCHICHEWICK � ' <B o/?ATEO p*`i\yC .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 � r h WMR , ., { v I� r� T�*c' Ilk t y I. > � r ` n r V ry , t � .s 1 • S � a r"y ��� ` k1 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