HomeMy WebLinkAboutBuilding Permit #385 - 701 SALEM STREET 11/8/2006 TOWN OF NORTH ANDOVER
APPLICATION FOR PLAN EXAMINATION tNORTFr
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I Permit NO: F Date Received +► 1 i
Date Issued. ./ f ® �9ss�c►+us�t
IMPORTANT: Applicant must complete all items on this page
LOCATION T 2/ C S "e -
t Print
PROPERTY OWNER
Print
MAP NO.: PARCEL: ZONING DISTRICT:
TYPE AND USE OF BUILDING HISTORIC DISTRICT YES ❑
TYPE OF IMPROVEMENT PROPOSED USE
Residential Non- Residential
4
❑New Building ❑One family
❑ �on ❑ Two or more family dustrial
Alteration No. of units:
❑ Repair, replacement ❑ Assessory Bldg ommercial 4
❑ Demolition
❑ Moving(relocation) ❑ Other ❑ Others:
❑ Foundation only
DESCRIPTION OF WORK TO BE PREFORMED
Identification Please Type or Print WClearly)
1� 1 `
OWNER: Name: Phone:
j Address: �� V ��%'1'l cS� /L��� eine
- --- CONTRACTOR Name:---�� , /� f�/ Phone:
Address: / �7 A'lely 6
Supervisor's Construction License: Exp. Date:
Home Improvement License: Exp. Date:
ARCHITECT/ENGINEER Name: Phone:
Address: Reg. No.
FEE SCHEDULE:BULDING PERMIT: 12. 0 PER$1000.00 OF THE TOTAL ESTIMATED CO BAF ON$125.00 PER S.F.
Total Project Cost :$ l�T �� FEE:$ ® LJ
Check No.: //Q Receipt No.: 172 00�
Page I of 4
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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
Addition Or Decks
❑ Building 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)
❑ 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
❑ Workers Comp Affidavit
-------❑--T-wo-Sets-o-f-Building-Plans-(One--TG 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
i
TYPE OF SEWERAGE DISPOSAL Swimming Pools ❑
❑ Tanning/Massage/Body Art ❑
Public Sewer ❑
Sales ❑
TobaccoFood Packaging/Sales
Well ❑ 11❑ 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 of Agent/Owner Signature of contractor
f Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑
k THE FOLLOWING SECTIONS FOR OFFICE USE ONLY
INTERDEPARTMENTAL SIGN OFF- U FORM
DATE REJECTED DATE APPROVED
PLANNING & DEVELOPMENT ❑ ❑
COMMENTS
{ DATE REJECTED DATE APPROVED
CONSERVATION ❑ ❑
COMMENTS
DATE REJECTED DATE APPROVED
HEALTH ❑ ❑
COMMENTS
a
FIRE DEPARTMENT - Temp Dumpster on site yes x no
a
s Fire Department signature/date 11 1714(
COMMENTS -7
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
Building Setback(ft.)
Front Yard Side Yard Rear Yard
Required Provided Required Provides Required Provided
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
T77
Doc:INSPECTIONAL SERVICES DEPARTMENT:BPFORM05
Created JMC.Jan2006
Location
No. Date
NaRTM TOWN OF NORTH ANDOVER
f 9
Certificate of Occupancy $
• 0 ,,•
CMusEt� Building/Frame Permit Fee $
Foundation Permit Fee $
Other Permit Fee $
TOTAL $
Check # /
19789 _
(Building Inspector
{
tk Til
ONM 0 4Andover
No. 3 .1
o dover, Mass., </ A010,4
LA
COCHICHEwICK V
A0R14TE
S BOARD OF HEALTH
PERMIT T D Food/Kitchen
Septic System
BUILDING INSPECTOR
THIS CERTIFIES THAT........... ��.. .. .�.... ..,... .............
�.... ...�..................... :................................... .. Foundation
has permission to erect........................................ buildings on........... ..0.. .. ........ .... ........ ...... ............. Rough
to be occupied as.......................... C�................/ 0 .. Chimney
provided that the person accepting this pirmit shall In every respect confor o the terms of the application on file in Final
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
UNLESS CONSTRUCTI TARTS ELECTRICAL INSPECTOR
Rough
Service
ING INSPEC
Final
Occupancy Permit Required to Occupy Building GAS INSPECTOR
Rough
Display in a Conspicuous Place on the Premises — Do Not Remove Final
No Lathing or Dry Wall To BeDone FIRE DEPARTMENT
Until Inspected and Approved by the Building Inspector. Burner
Street No.
IF'SE9 REVERSE SIDE Smoke Det.
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TABLE 1
SPECCIFICADONS• ND-PSP MQDEL ETLUSlINGDESCRIMON CAPTIVE-AIRE HOODS ARE
THE MODEL ND IS A WALL CANOPY EXHAUST HOOD. THB CAPTIVE AME MODEL BUILT IN COMPLIANCE WITH
VENTILATOR SHALL BE COMPENSATING WITH THE ADDITION OF A ND-2 HAS BEEN E T L
0
PERFORATED SUPPLY PLENUM oaSPx SUPPLY AIR SHALL DISCHARGEQ9
THROUGH PERFORATED PANELS AT THE BOTTOM OF PLENUM. TESTED,LISTED,AND ••
THE HOOD COMPONENTS SHALL BE FABRICATED OF TYPE 430 APPROVED TO EXHAUST NEPA #96
STAINLESS STEEL, #3 OR 14 POLISH, ON ALL EXPOSED SURFACES.
CONSTRUCTION SHALL BE IN ACCORDANCE WITH NFPA 96. A MINIMUM OF 200 CFM PER NSF
UL 710 8 ULC710
THE HOOD SHALL BE PROVIDED WITH HANGING ANGSTANDARDS
LES ON EACH LINEAR FOOT E.T.L. LISTED 305STAND R
END OF THE HOOD, AN ADDITIONAL SET OF HANGING ANGLES OVER 600 DEGREE COOKING
WILL BE PROVIDED FOR HOODS GREATER THAN I& IN LENGTH V/r ma rwn Mn m
Vi ea ra ulna sof aK Mme at mm
THE HOOD SHALL K FITTED WITH Ud.. CLASSIFIED ALUMINUM UIPMF�IT �p ac at�f wog
BAFFLE FILTERS WITH HANDLES. EACH FILTER SHALL BE EASILY eeu�
WHOVABo A SLUM GREASE MAIN SYSTEM WITH RS REMOVABLE 1/E HE �E °0a °t
CUP FOR EASY CLEANING. ��iY mammom
a wpm 0=0"w Imu"to
HOOD LIGHTS SHALL BE U.L. LISTED AND "Sr LISTED FAIR V on DOW IMM Mo mole!WOM
USE IN COMMERCIAL COOKING HOODS. EACH FIXTURE WILL at mm m OWN all nm
ACCOMODATE A 100 WATT INCANDESCENT BULB s M NMnoor ro
HOOD DIWoWOMS SMALL BE AS SHOWN ON DRAWINGS. A FM enol Mewun C� swim IImm � fa�""�
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NOTESWENERAL CALCULATIONS UTILIZED
JOB Taki's Pizza
LOCATION
DATE 9/26/2006 JOB 499381
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DWGf Taki'SPIZZQ DRAWN BY HFC
REI. 1.00 SCALE 8.5' x 11'
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LLL.Listed b cwdoxc@M LW4
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PLAN VIEW - WIN' LONG 4824ND-2-PSP-F
JOB Takl's Pizza
Aft au LOCAMN
/► ® �"" c= "'°' DATE 9/26/2006 JOB 499381
l' lf Vam_� ��
="= �'�' DiFTi Af Tnkl'sPizza DRAArIIF BY BFC
PsV LOD SCALA 8.s' x 11'
EXHAUST RISER
100W VAPORPROOF
INCANDESCENT LIGHT miciH FIELD WRAPPER -
Z73' FRUNT, LEFT, RIGHT SMES f
HANGING ANGLE SIIPPLY RISER WITH
VOLUME DAMPER
3' STANDMT
12
IT 1S THE RESPONSIBILITY �110
OF THE ARCMITECT/OWNER TO I r U.L. CLASSIFIEDENSURE THAT THE 4OOD CLEARANCE 04RI_TYPE easx OPEN
FROM LIMITED-COMBUSTI&I GREASE FILTERS TAINLESS STEEL
AND COMBUSTIBLE MATERIALS PERFORATED PANEL
IS IN COMPLIANCE WITH
LOCAL CODE REMOREMENTS
GREASE DRNN
WITH REMOVABLE CUP
39'KN
49•VAX
/S WALL PANELING 7" X
II'.0'L
MY
EQUIPMENT
BY OTHERS
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SECTION MODEL 4824-ND-2 3dib PSP &caam= i
JOB Takl's Pizza
Am a � s= ••�•.�- LOCA170N
® iOaM DATE 9/26/2006 JOB 14 499381
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—�� � DW j Takl'sPlzza D1tAA7V B1' BFC
R V 1.00 SCALP, B.5' x 11'
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