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Home My WebLink AboutBuilding Permit #506 - Bldg 36 2/9/2010TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit N0: 0 Date Received Date Issued: 2 01 • �� IMPORTANT: Applicant must complete all items on this page LOCATION .1-4 tG IA="� Print PROPERTY OWNER �U�- P nt MAP NO: PARCEL: ZONING DISTRICT: Historic District Machine Shop Vi yes no ves no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential New Building Addition erati One family Two or more family No. of units: Assessory Bldg Other Industrial Commercial Repair, replacement Demolition Others: Septic Well Water/Sewer Floodplain Wetlands Watershed District uw%.rar i IUN Ut- VVUKK I U UL PERFORMED: IAOA Identification Please Type or Print Clearly) OWNER: Name: L'� t lVe'PGe Fa.irb"xy\ Phone: Address:Q,�/ AoV tA� Cs+e V -e -ce-vv-cv\S ) 4 . CONTRACTOR Namej 0a 11nLt m 4 Ar-. pG.} tn.C.0 Phone: &r7 201 0200 • • .. • ' !moi 6. - i • Supervisor's Construction License: 5Ga$:1 Exp. Date: 3/5 1.1 Home Improvement License: /'G--�o Date: ARCHITECT/ENGINEER r2r-va %uxyLvi AetAdtrie +Ayc,l^� phone: Ga 353Q 04 0 Address: 300 A.,; 2bre��. F22!�Ia l MA 02210 Reg. No. FEE SCHEDULE: BULDING PERMIT: $12.00 PER $1000.00 OF THE TOTAL ESTIMATED COST BASED ON $125.00 PER S.F. Total Project Cost: $ 4t 60D . Uv FEE: $ 900 • av Check No.: 2 '9 Receipt No.: Z NOTE Persons contractin ith unregistered co_ tractors do not have access t he t -a Ity nd Signature of Ag-entibW r Signature of contractor �5 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 { ,t 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 �r - Signature CG%i-1MENTS Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: IV Conservation Decision: Comments _Comments Water & Sewer Connection/Signature & Date Driveway Permit DPW Town Engineer: Signature: Located 384 FIRE DEPARTMENT - Temp Dumpster on site yes no Located at 124 Main Street Fire Department signature/date COMMENTS Street 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 ❑ Notified for pickup - Date Doc:.Building Permit Revised 2008 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 ❑ Engineering Affidavits for Engineered products NOTE: 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 Contract ❑ Floor/Crossection/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Mass check Energy Compliance Report (If Applicable) ❑ 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 . ❑ 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 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 Doc: Doc.Building Permit Revised 2008 Location 1- n,(A No. S-040 Date " "ORT" TOWN OF NORTH ANDOVER 9 Certificate of Occupancy $ + �asawustt� Building/Frame Permit Fee $ -cJU Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # y 22/b9 Building Inspector an. Rill&,* .secretes C'ONiSTRu0T10N MA NAA ERS Project: Converse - Building #36 - Added Stair CL #4 January 12, 2010 Address: One High Street N. Andover, MA CONCEPTUAL PRICING - OPTION #A SELECTION Division CurrentTrade - . 01000 Project Requirements w/GCs 02070 Demolition NIC 02071 Shoring NIC 05120 Structural Steel 16,700 06200 Finish Carpentry & Millwork NIC 08050 Doors, Frames and Hardware 3,500 I 08800 Glass & Glazing NIC 08870 Curtain Wall NIC 09250 Gypsum Drywall 4,100 09550 Wood Flooring NIC 09650 Resilient Flooring NIC 09680 Carpeting NIC 09900 Painting & Wall Covering 1,800 15300 Fire Protection ALLOWANCE 1,500 15400 Plumbing NIC 15500 HVAC ALLOWANCE 1,500 16000 Electrical ALLOWANCE i 12,500 16400 Tel/ Data NIC Subtotal.00 Building Permit w/GCs General Conditions 4,399 Pre -construction Services NIC Architectural / Engineering Fees NIC Design Reimbursable NIC Utility Fees NIC Testing NIC Construction Contingency REMOVED Bond NIC Insurance General Liability w/Fee Insurance Builders Risk NIC Construction Management Fee: 3,633 Total