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HomeMy WebLinkAboutBuilding Permit #282-12 - 740 FOREST STREET 10/4/2011 k TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit NO: 0??�2 J2 Date Received Date Issued: /O ex ll IMPORTANT: Applicant must complete all items on this page LOCATION 7 c'� Print PROPERTY OWNER I '" t ATO v► Unit# Print MAP NO:/ U PARCEL: -'?54 ZONING DISTRICT: Historic District yes no Machine Shop Village yes no t 100 year-old structure yes no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building "ne family ❑Addition ❑Two or more family ❑ Industrial ❑Alteration No. of units: ❑ Commercial J;-Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other IOIrSeptic I�WelI ' [D{F odplain� O WetlandS f®' Watershed Distncf' DESCRIPTION OF WORK TO BE PERFORMED: (Identification Please Type or Print Clearly) OWNER: Name: soy Phone: 7 Address: 'A O CONTRACTOR Name:`C) NA �-®�� }-���� © Phone: R,7 (? Sq O Address: 'S H-, n( q (. r d Supervisor's Construction License: Exp. Date: Home Improvement License: Exp. Date: t t 1 ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE.BULDING PERMIT:$92.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Coat: $ "�O 0 FEE: $ Check No.: Receipt No.: NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund ,F- .'!'Signature of-.'con Y� Signatureof/Agenf/®wner .x . ..., Location 750i�-s� No. Date i NORTH TOWN OF NORTH ANDOVER s � R � y Certificate of Occupancy $ 9 Buildin /Frame Permit Fee $ /3 skNust Foundation Permit Fee $ Other Permit Fee $ TOTAL $ r: Check # 06 r, 1 . r /j L uilding Inspector 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 Signature COMMENTS HEALTH Reviewed on Siqnature COMMENTS I Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submittedY es Planning Board Decision: Comments Conservation Decision: Comments !i Water& Sewer Connection/Signature& 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 I Number of Stories: Total square feet of floor area, based on Exterior di mensions. Total land area, sq. ft.: ELECTRICAL: Movement of Meter location, mast or service drop Electrical Inspector Yes Nrequires approval of No DANGER ZONE LITERATURE: Yes No k MGL Chapter 166 Section 21A—F and G min.$10o-$1000 fine NOTES and DATA— For department use i' ® Notified for pickup - Date Doc:.Building Permit Revised 2011 June/mi J 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 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 ❑ 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 Permi 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 ❑ Copy Of Contract o Flo or/Crossection/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (If Applicable) o Mass check Energy Compliance Report (If Applicable) a 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 o Photo of H.I.C. And C.S.L. Licenses o Workers Comp Affidavit Li Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (If Applicable) o Copy of Contract o Mass check Energy Compliance Report ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Departmentprior 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: Doc.Building Permit Revised 2008mi %ORTH Town ofnd over o o , '� dover, MassLAKE ., COCMICKEWICK DRA7E D PC BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System BUILDING INSPECTOR r1/l7 THIS CERTIFIES THAT.......... ................. S UC ......... �..............c ~ Oi . ....................................................... Foundation has permission to erect...........:.:...................pp...... buildings on ..7l0... ............................................... Rough �Fi, oGl / to be occupied as......................... . . ............ 1...-....... 711................................................................................................. Chimney provided that the person accepting this permit shall in every respect conform to 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 ELECTRICAL INSPECTOR. UNLESS CONSTRUCTION STARS Rough ............................................................. ................................................ Service BUILDING INSPECTOR Final Occupancy Permit Required to Ocatpy Building GAS INSPECTOR 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. SEE REVERSE SIDE smoke Det. PROPOSAL DNA Construction Building Contractors P.O. Box 471 Ayer, MA 01432 Allan Ahola (978)425-9788—John Hudlin (978) 597-5002 Submitted to: Jane Thompson Phone: 978 682 7544 Date:9/30/2011 Address: 740 Forest St. North Andover, Ma. Date of Plans: Job Phone: We hereby submit specifications and estimates for: Replace bathtub and flooring in lower bathroom.Add soffit and lighting in kitchen. W.PROPOSE hereby to furnish material and labor-complete in accordance with above specification, for the sum of: $5000.00 P Payment to be made as follows: Upon completion. All material is guaranteed to be as specified.All work to be complete in a workman like manner according to standard practices. Any alteration of deviation from above specifications involving extra costs will be executed only upon written orders,and will become an extra charge over and above the estimate.All agreements contingent upon strikes,accidents or delays beyond our control. Owner to carry fire,tornado,and other necessary insurance.Our workers are fully covered by Workmen's Compensation Insurance. Authorized Signature: Note:This proposal may be withdrawn by us if not accepted within: 30 days. ACCEPTANCE OF PROPOSAL:The above prices, specification and condition are satisfactory and are hereby accepted.You are authorized to do the work as specified. Payment will be made as outlined above. Date of Acceptance: G 22-0 Signature: Signature: i I Massachusetts - Department of Public Safet.N Board of Building- Re-ulations and Standards Construction Supervisor License License: CS 59743 ALLAN A AHOLA 35 HOLDEN RD SHIRLEY, MA 01464 Expiration: 12/7/2012 ( unmi i rocr T-: 9039 Office ft con-me airs 6e. HOME IMPROVEMENT CONTRACTOR Registration: -110682 Type: Expiration: 11/3!2012 Partnership DI��CONSTRUCTION ALLAN AHOLA 35 HOLDEN RD SHIRLEY,MA 01464 Undersecretary i J