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Home My WebLink AboutBuilding Permit #413 - 78 UNION STREET 1/7/2009 tIORTH BUILDING PERMIT 3?0at��' 6�°'{�OOL TOWN OF NORTH ANDOVER F p APPLICATION FOR PLAN EXAMINATION * ,� Permit NO: 41J Date Received A�'A`°`" �SSACHUS�� Date Issued: l 7 � IMPORTANT: Applicant must complete all items on this page LOCATION �� g 4 L,��t a� 7 • ,'�d Aloor- Print PROPERTY OWNER Pau /Du b of S Print MAP NO: PARCEL: ZONING DISTRICT: —HISTORIC DISTRICT yes no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building ❑ One family ❑ Addition ❑ Two or more family ❑ Industrial iteration No. of units: 3 kn3 ❑ Commercial "epair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other Public ❑ Sewer El Water 0 Fiood lain [ "Wetlands ❑ Watershed District DESCRIPTION OF W RK TO BE PREFORMED: Zl uvt ��rd /c�c�✓� r�o ,die rad yn Bch 4¢6f0q r,o<-77 7'0 U✓1 e loea/roo�-t gjx�,q y' Identification Please Type or Print Clearly) OWNER: Name: 9-44 l b 4 4,-70� S Phone: Z72 426 Address: C7 Sec-a nd/- er- R CONTRACTOR Name:- fGi Y Phone: Address: Supervisor's Construction License/ Exp. Date: �� O Home Improvement License: 1 J 2 J Exp. Date: ARCHITECT/ENGINEER lS' S/Jl2/' !/��`J' Phone: Address: Reg. No.g'64W FEE SCHEDULE.BULDING PERMIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$1125`00 PER S.F. Total Project Cost: $ O . 000 . 1 FEE: $ Check No.: WReceipt No.. 1 NOTE: Persons contracting with unregistered contractors do not have cess to t g fu d Signature of Agent/Owner Signature of contractor Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ 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 TYPE OF SEWERAGE DISPOSAL Public Sewer ❑ Tanning/Massage/Body Art ❑ Swimming Pools 0 Well ❑ Tobacco Sales ❑ Food Packaging/Sales ❑ Private(septic tank, etc. ❑ Permanent Dumpster on Site ❑ Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments Conservation Decision: Comments Water & Sewer Connection/signature& Date Dri wav Permit Located at 384 Osgood Street FIRE DEPARTMENT Temp Dumpster on site yes no Located at 124 Main Street 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 .3 J rc/ C1 ❑ Notified for pickup - Date ................._._._.........................._....................................._...._............................._............................................................................................................................................................._.................................................................._...................................................................................................._......_.; 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 ,.d' Floor Plan Or Proposed Interior Work a Engineering Affidavits for Engineered products Addition Or Decks o Building Permit Application ❑ Certified Surveyed Plot Plan Li Workers Comp Affidavit o Photo Copy of H.I.C. And C.S.L. Licenses Li Copy Of Contract ❑ Floor/Crossection/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (If Applicable) o Mass check Energy Compliance Report (If Applicable) ❑ Engineering Affidavits for Engineered products New Construction (Single and Two Family) ❑ Building Permit Application ❑ Certified Proposed Plot Plan L, Photo of H.I.C. And C.S.L. Licenses ❑ Workers Comp Affidavit ❑ Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Copy of Contract ❑ Mass check Energy Compliance Report ❑ Engineering Affidavits for Engineered products 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:BPFORM07 Revised 2.2007 Location No. L Date NORTH TOWN OF NORTH ANDOVER Certificate of Occupancy $ dC� �aJA�N�sE<� Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ G A Check #1'1�f I 20 J 1r Building Inspector �'/Ze 7°omvnzay�, �✓Glaooaclzuae� Board ofBuil' dmg;Reguletions apd'Standards ConstrUOtion S.upervis.or License Li'censp: CS 86299 BirElidate'` 7!15/1961: ? Expitat 7/15 2009 Tr# 15508 TIMOTHY A GIARD5s r PO BOX 7;•82 NO ANDOVER,MA 01$45" Commissioner r - e- ✓!ie -�omvnwncvea/C! o�✓�ceaaac�u�aeba � Board of Building Regulations and Standards a HOME IMPROVEMENT CONTRACTOR Registration: 153255 Expiration;;,11/1'3/2008 Tr# 253301 Type:.::Individual TIMOTHY A GIARD TIMOTHY GIARD 60 SAUNDERS ST. N ANDOVER,MA 01845 Administrator i , ------------------- ----- FP6(rev.3/00) PERMIT City or Town DIG SAFE NUMBER Date / CStartate: Permit Number(if applicable) In accordance with the provisions of M.G.L..Chapter)48, as provided in this permit is granted to i (Full name of person,Firm or Corporation) for Restrictions. (Give Location by street and no.,or describe in such manner as to provide adequate identification of location) . $ , This Permit will expire on Fee Paid Signature of,official Granting Permit This permit must b•e conspicuously posted upon the premises 'r V2- p V ��I lt yy ~ �t°w -Z"5'fie Let. 4- �. IJ C. V TO North Andover Mechanical Construction 82 South Broadway Lawrence, MA 01843 ' �� U 1?Q 1 S P —978-687-3083 $ U F—978-687-9861 ,ry Email— namech(c�comcast net I IDDl HM CL. up 2 I3FWOOM Mm PrpplOOM �' FQO CH CL' I!¢ � ❑ CL. LIVING FOOM KIrCH�N ® PINING p00M alt DOWN TO GMT. CL. 9 Z ANIS POPICH North Andover Mechanical Construction 82 South Broadway �I�Sr ��00� PLAN ��fOR Lawrence, MA 01843 PAUL 23015 P —978-687-3083 <E�XI5TING FLOO2 PLAN WILL NOT CNANGr-� 78'80 UNION 511YI�f F —978-687-9861 NOM ANPOV�t;, MA Email— namech(a-)ComcaSt.net 5(AL:WT5. PATE,4„4,07 a S1'IWP 5 , n0 �FPFOOM MTH �FPp00M p 2 UP (Li Ste' A4 � a 1H ID CL. CL. WING room VCHFN ® PINING DOOM 12C WN CL. gZ `ANIS POPCN North Andover Mechanical Construction SFCONn F�00P, PLAN 82 South Broadway (EXIStING PLOD:PLAN WILL NOT CHANCE) Lawrence, MA 01843 PAI 2I3015 P —978-687-3083 -78-80 UNION 5M, �f F —978-687-9861 NOI':rl I ANPOVFp, MA Email— namech(kcomcast net XN E:Ni.S. A E:4/14/07 [3F np00M • [3A-M O K11"CNF N n R �e 19OWN NAI, L' o,z FAMILY DOOM np-y �J PPOP05Fn THIRD FL00P� PLAN North Ando viar Ajechani Cal Construction 82 South Broadway Lawrence, MA 01843 PLMG FM p — 978-687-3083 PAUL PU13015 F — 978-687-9861 -78-80 UNION 5T FFf Email— namechomcast net NORM MPOVFf?, MA 5G9 f:N.i.5. 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