The URL can be used to link to this page

Home My WebLink AboutBuilding Permit #303 - 90 SUTTON STREET 10/17/2006 d TOWN OF NORTH ANDOVER i NORTF� ,APPLICATION FOR PLAN EXAMINATION p4 t,�ao 06 1 � a pL O ° I Permit NO:�O Date Received roo Date Issued: �� SACHUs�t�� IMPORTANT: Applicant must complete all items on this page LOCATION 90 SEint ; PROPERTY OWNER Pr71 -3Dt\fC ) N 60 JQA Print MAP NO.: PARCEL: ZONING DISTRICT: f TYPE AND USE OF BUILDING HISTORIC DISTRICT YES ❑ TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential F- J New Building ❑ One family ❑ Addition ❑Two or more family ❑ Industrial Alteration No. of units: Repair, replacement ❑ Assessory Bldg Pr-Commercial 0 Demolition ❑ Moving(relocation) ❑ Other ❑ Others: ❑ Foundation only DES RIPTION OF WO I K TO BE PREFORMED ' New GLOO9 �z PP-I res) i c Identification Please Type or Print Clearly) t� OWNER: Name: �wPhone: - LAOff Address: CONTRACTOR Name: U LES (C)AZ l 4C- 1� 6 Phone: jai —3 Pic 40 10-7 � Address: a rlOhe a Supervisor's Construction License: 6-72 0 Exp. Date: �2a -,67 r r Home Improvement License: Exp. Date: ARCHITECT/ENGINEER �ejeiso,,l /�r . .n Name: Phone: 79 i q55 aM3 1,r ij q i Address: 2$0 moat/3`t• Vyg 1A pJ Reg. No. Q6 FEE SCHEDULE:BULDING PERMIT:$12.00 PER$1000.00 OF THE TOT,4L ESTIMATED fCOSST BASED ON$125.00 P R S Total Project Cost S 1�$�.5t q FEES Wf ,jL j2_bet ' �m q Check No.: / Receipt No.: oeG 11age W4 TYPE OF SEWERAGE DISPOSAL Tanning/Massage/Body Art ❑ Swimming Pools 11 I Public Sewer ❑ Tobacco Sales Food Packaging/Sales ❑ Well ❑ Permanent Dumpster on Site 71 Private(septic tank, etc. ❑ Electric Meter location to project NOTE: Persons contracting4w* unregistered contractors do not have access to the guar my fund Signature of Agent/Owner Signature of contractor III Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans IT 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 I HEALTH ❑ ❑ COMMENTS FIRE DEPARTMENT - Temp Dumpster on site yes no � a Fire Department signature/date COMMENTS Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments CF eja Dwision: Comments h li 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) I I I i I Page 3 ora I Doc:INSPECTIONAL SERVICES DEPARTMENT:BPFORM05 Created 1MC.bn.2006 II i I I, 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 ❑ 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 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 Dor:INSPECTIONAL SERVICES DEPARTNIENT:RNFORN105 Page 4 of 4 157 /\ L ca|o . \ Na,&� Date yy R � C _ ` TOWN OF NORTH ANDOVER Go ��. 10 Certificate of Occupancy $ ACI. > ��a�� BumagFamePrmRF e $ � » � ® Foundation PrmR Fee $ Other Permit Fee $ L« TOTAL $ \ [ Check * � \ / ] 9696 \ B : Ing inspector „N 67— BOARD BOARD OF BUILDING REGULATION, License: CONSTRUCTION SUPERVISOR Numberi.'CS, 072603 Birthdate_`11/22%1971 Expires 1::1/22/2607 Tr,no: 868 :( j Restricted:.-`00 THOMAS J MURRAY JR 29 WESTSHORE RD C WINDHAM, NH 03087 /y/J+ Commissioner 10-i1-08 12:21 pm From-AIG +973 331 8599 T-393 P.001/002 F-991 ,•r,- r•.r jai," ' :,.t.,�,, �,.r..• •< '• a..l i�', w,F• t-..,. �.:". ,�s: •.7�:,, ,ti;, ;r: ., .n,,. `.a.;.�".;�, •,F. �, r t�fir:J,�'•,: �• :r :(:' 1 :1, y4:..J,ar�,y ik� .� �, .. .. .,_• •7.�•'•�.�.:,.'��::,...a.Qi ..tln ilL,.�,;...;.r,,'i•;,'::'•,_ .. THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION PRODUCER ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Picken Insurance Agency Inc HOLDER,THIS CERTIFICATE DOES NOT AMEND, EXTEND OR Po Box 9011 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW 3 Kennedy Or COMPANIES AFFORDING INSURANCE North Chelmsford,MA 01863 COMPANY A GRANITE STATE INSURANCE COMPANY INSURED David Buote$Frank Valadao P 0 Box 612 Dracut,MA 01826-0000 Ce/► Com�++ � ,::i'.: .L'.':r•'�. :r�';'': :.t`��';�:';::"'' .�� :.A '�r",`It'.r.:'^..,• ;�,... �.-'.`.:.::..,•; GENERAc,7_�.! ' •',':'"..'`",�::.^l_`M p.i,.'�.]E ata:,~'•'• :.� :._C..',...'. ...�:. ,...�..7r, �.. � .. THIS IS TO CEGR.TIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED,NOTWITHSTANDING ANY REOUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. co LTR TYPE OF INSURANCE LICY NUMUR POLICY EFFECTIVE DATE POLICY EXP N DATE A RKERSCOMPENSATION LIMITS D EMPLOYERS'LIABILITY E PROPRIETOR! AR TNERSIEXECUTIVE j: ;,�:I'• ��..: :'r';, ...'` PPICERS ARE: TATyTORY 11MITS NCL O EXCL 0 6731335 11/23/2005 11/2312006 7HER $ 100,00 9var4pe APPdae to MA Opamoons Only. LACH ACCIDENT $ 500,000 ISEASE POLICY LIMB s 1 0 BE-EACH EMPLOYEE ESCRIPTION OF 0 ERATIONSNEH C ESISPECIAL ITEMS CERTIFICATE HOLDER ANCELLATION TOWN OF NORTH ANDOVER SHOULD ANY OF TME ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE BUILDING DEPT EXPIRATION DATE THEREOF,THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 117 1600 OSGOOD ST DAYS WRITTEN NOTICE TOTHE CERTIFICATE MOLDER NAMED TO 111E LEFT,BUT NORTH ANDOVER,MA 01845 ANV KIND PONURE TO LSUCH NOTICE SMALL TNE COMPANY,ITS GENTTS OR REPRE6POSE NO rEN AT"S.�alllTv OF AUTHORIZED REPRESENTATIVE OFFICE OF BUILDING INSPECTOR TOWN OF NORTH ANDOVER CONSTRUCTION CONTROL TROL a PROJECT NUMBER: PROJECT TITLE: O PROJECT LOCATION: NAME OF BUILDING:_ ele? NATURE OF PROJECT: ,f tg IN ACCORDANCE WITH ARTICLE 116 OF THE MASSACHUSETTS STATE BUILDING CODE I, REGISTRATION NO.�,� BEING A REGISTERED PROFESSIONAL ENGINEER/ARCHITECH HEREBY CERTIFY TH HAVE PREPARED OR DIRECTLY SUPERVISED THE PREPARATION OF ALL DESIG COMPUTATIONS AND SPECIFICATIONS CONCERNING: RICHAgO ft IN // No. 06988 H ENTIRE PROJEC • �• � •' •Ngo T ARCHITECTURAL STRUCTURAL MECHAN MA ^� �y FIRE PROTECTION • ELECTRICAL • OTHER (SPECIFY) FOR THE ABOVE NAMED PROJECT AND THAT TO THE BEST OF MY KNOWLE GE, SUCH PLANS, I, COMPUTATIONS AND SPECIFICATIONS MEET THE APPLICABLE PROVISION OF THE MASSACHUSETTS STATE BUILDING CODE,ALL ACCEPTABLE ENGINEERING PRATICES. AND APPLICABLE LAWS AND ORDINANCES FOR THE PROPOSED USE AND OCCUPANCY. IFURTHER CERTIFY THAT I SHALL PERFORM THE NECESSARY PROFESSIONAL SERVICES AND B EPRESENT ON THE CONSTRUCTION SITE ON A REGULAR AND PERIODIC BASIS TO DETERMINE THAT THE WORK IS PROCEEEDING IN ACCORDANCE WITH THE DOCUMENTS APPROVED FOR THE BUILDING PERMIT AND SHALL BE RESPONSIBLE FOR THE FOLLOWING AS SPECIFIED IN SECTION 116.0 1. Review, for conformance to the design concept, shop drawings, samples and other submittals which are submitted by the contractor in accordance with the requirements of the construction documents. 2. Review and approval of the quality control procedures for all code-required controlled materials. 3. Be present at intervals appropriate to the stage of construction to become, generally familiar with6the progress and quality of the work and to determine, in general, if the work is being performed in a manner consistent with the construction documents. PURSUANT TO SECTION 116.2 .2 1 SHALL SUBMIT WEEKLY , A PROGRESS REPORT TOGETHER WITH PERTINENT COMMENTS TO THE NORTH ANDOVER BUILDING INSPECTOR. UPON COMPLETION OF THE WORK, I SHALL SUBMIT A FINAL REPORT AS TO THE SATISFACTORY COMPLETION AND READINESS OF THE PROJECT FOR OCCUPANCY. SIGNATURE SUBSCRIBED AND SWORM TO BEFORE ME THIS DAY OF 20 NOTARY PUBLIC MY COMMISSION EXPIRES