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Home My WebLink AboutBuilding Permit #116-2011 - Heritage Green 8/6/2010 { BUILDING PERMIT of"°oT".1 TOWN OF NORTH ANDOVER �,2 yE.;,, �_'n,*6 0 o i � � APPLICATION FOR PLAN EXAMINATION Permit NO: D / Date Received ��SSACH�1`�� Date Issued: IMPORTANT:Applicant must complete all items on this page 6 - T P. -PROPERTY OWNER a Pnn# t MAP 21'0_ PARCEi, ZO:NJNG pISTRICT Hisfonc D'istnct:, yes no Machine ShopVillage yes no: TYPE OF IMPROVEMENT PROPOSED USE Resi tial Non- Residential New Building One famil Addition Two or more family Industrial tion No. of units: Commercial Reair, placement Assessory Bldg Others: Demolition Other Septic :Well Flood Piq Vlletlands Watershed Distr ct, - - Wtiter/Sewer _ - DESCRIPTION OF WORK TO BE PREFORMED: No KTtificatio lea e e or Print Clearly) OWNER: Name: Phone: Address: VTVAa I CONTRACm TOR Nae: _ 41:4, I-'h64tL�' s $uper>v,isor's=Construction License ' ' Exp:: Da#e r Morne Irnprovernent License >Exp Date ARCHITECT/ENGINEER Phone: i Address: Reg. No. FEE SCHEDULE:BOLDING PERMIT.$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. I Total Project Cost: $ �� FEE: $ Check No.: 3� O �/2 Receipt No.:.2.33 OS NOTE: Persons contracting with unregistered contractors do not have access to gu a fund Si. nature of A ent/Ownei- = S� nature of contracto Location "` !� No. %2 o DateOf �' o NORTh TOWN OF NORTH ANDOVER fR Certificate of Occupancy $ S Building/Frame Permit Fee $ � Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # ( Q 233t� ;, wilding Inspector Plans Submitted Plans Waived Certified Plot Plan Stamped Plans TYPE OF SEWERAGE DISPOSAL Public Sewer Tanning/MassageBody 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 i COMMENTS CONSERVATION Reviewed on Signature COMMENTS HEALTH Reviewed on Signature COMMENTS 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 DPW Town Engineer: Signature: Located 384 Osgood Street FIRE DEPARTMENT Temp:Dumpser on site yes no _ Located>at`124FMam Sheet; - Fire Department signature/date -COMMENT ._ 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) I ❑ Notified for pickup - Date E E Doc.Building Permit Revised 2010 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 PP 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) o Mass check Energy Compliance Report (if Applicable) o 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:Building Permit Revised 2008 JUL-01-2010 02:OOAM FROM-HONEDEPOT PLAISTOW t T-667 P.001 F-473 HUNK 1AWKtrvrmn,n,r vn,....... PLEASE READ TMS Sold,litaaishW and Imialled by: Branch Name• Bantam te� n)�- THD A A Ai-Home oma Sc+,Inc. ' t)fh►a The flume Dcput At-FiOme StYvices .U$A Clscenwaud Sb=k Unit 2.Wei,MA 01607 Biemeh Number.31 Tall Free(Slit))657-51 i12; Fax(5011)756-8873 Nederal IU ir751B1e46o:Mi'.11e a C 024W, ,R1 Cont.Lipa MAV � CT Fie M 56552 F( � MA H�a�VIn %M-aw won--cW�R^c5 B!26893 yWell2afts AddnM'. 1: :s`+�=13�Gtity Slate 71p Pardme Aa)r warltPbv>: _ 1ime phew Ctm ebeoe: a [ 1 [ l f 1 HmaC Address: p(�l (If di$rMs}$am lnpudlation AddekX4) City Sate 'Lip v 8rmail Address(to teedvo project con nanicnnirm>'mrd Hauge F)epot tnpdatas): I DO NOT wish u,receive any alukCting entail[[Eton Tht Hume Dopar " niaraead Unm.Y!dgncd("CMMM er�-),lba aw va of the beefed at tha above invallatiOn adduces,,Agtoert to buy, and .Wices,tree-C"1 he Hama 1)gmdr)agmex to fu 'h.deliver an<)arratt(pe for the kttstetietion("IMlatio6")of ala m=1als desedbed On the below and on the referenced Spec Shee1(e),aU of which are 12COM mmd into this Contract byy this ral'crerreo,Rout with nay applicable Stare Supplcm:nt and Potytnmtt Summary attached hereto awA Any Change Oide5(coilecdvely, "Connate[")- Jabot ir„1.aaopimw Probict AMU" Roofing Sielayf radewa r^-waau, Oates cam pH++ay a G3 1 �e $ ttnefNtg ins WuWowe ]manlotim $ Ocuim r c&,=DE=y tions O �— Roo0m Ligi&W 0 WuWada lmatlation $ r3atmers 1 Covers ORntry t)uvts fl Rooflng OSUROk,0wedDwo Q IroaluNins $ 130-um/Gruver-UP—rA-K" t-1 Mtolnwtn25%Depu&ggCnobaaAno msdoetpanattmdaadeft, 1691 Total Contract Amount MNnet?frr>+a>beattmf tmt alt a*toomtlrttne&tbW or"ConowrxAr MUL C%Wontru agrees[fiat.immediately upon,_vrepicion of the wmir for cacb Product.CWTOMer WIU etxeeote a CompledOtt Ca7M"te (ane fixe each Product as defined by an itrlividtad Sprx;Sheet)and pay any balm—duL As applleable,each Custolaar under this (:lmtrat-t n8tt:as to be jointly and severally oblipwd turd linhlc hereander. The Home DaNt reterm the tight t4 issue a Cbanpr:O rdar err tcrmitww thio Contract or any individual Prodacgr.)included herein,at its discretiva,iCT6 Honm Depot ar ata AOthorizcd woke provider der wd=that it cannot perfarm ith obligationti duu h)it xW aa8l pttobiem with the hums,envimnmental hn nrds SUCK as mold,asbesWs or lead paint,Olhrr-reAy CO Mainz,pricing uarur>,err t=a AWL work required m compicu tiro job woe not included in lbs Contract. PBXMcnt niBr . line ftymcr.t 3ummarY fF =14 _-.. ,iriduded as part Of(bis Contract,gets forth the(Ota! rAiarract amount aad peyinew requirwl fur tho ddTxv iR and final pAymonts by Product(AS Applicable), NOTICE TO CUS'1'OMXR You are entified to a compktdy ffied is espy of the Cantrnct at the tin=e you vIlln. Do not sight a Cumplatim Ccredeate 001r. there is one Compkdan Cats ieate for end►,acted Pradttct ar defined by iadividoW She Sheets)befOM work on tbat Product is a,mplete. In the event of termloation at this Caattaer,Customer agree to pay The Hama Depth the cubo of materiuIr,labor,-PWWkb aohtl st:t'vioer pravWed Icy The Mould Depot or Author�Service Provider&M911 the date Of termination,plusOther amounts act forth in this Agreeroedt Or all-wild uadar appl),*bha law. TIM HOME DEPOT MAY WTC�dLD AMOUNTS OWED TO THE IIOME DTiPOY FROM 111HX WOW PAYMENT OR OTHER PAYIr MM MADE, WITHOUT LEWMG TIM HOME DEPOT'S OT09k KXrVINUIWS FOR RKCOYERY OP SUCH AMOUNTS. AMi a ee and Ant ation. CUstowa agMs and understands that ulis Agreempd is the uatirc agniautnl belwrarn Custumur and The HAnte Depot with regard to rho Prod=s nad ItWollatio0 services and supersedes&U prior discoWom and agreenj t M tidraC ural or writicn,relating to said Prodncls and Installation.This Apreement c=%be assip wa or amended except by a writing signed hY Qn,VA"t..T ytxl The Mims Dcpm.Castouwr acknowledges and Agrees that Cmamer has lead,understands,voluntarily accepts the mcoli of mw has rctmivcd x copy or thin Agmernent, ted by: Clsrgmcr'8 sigligium Dam Sales Consaltanrs Signature Date X Teloeow No., - Cumorner';Sigaattue Dmc $ems Consulmaf License No. - CANCBf.I.AMON: CUSTOMER MAY CAPK39L TOG toaptaurabkth AGRYMMENT WITHOUT PENALTY OR OMIGATION BY VIL VEBINC VVILVI N NOTICE TO THX HOME DEPOT BY AIMMIGHT ON THF. TIDRA BUSINESS DAY ArM 61GNM TE03 AGAV0 dENT. THE STATF. 3UPPLXbfl T ATrAC.lt 9D 702=0 WNTAiNS A FORM TO UER iP ONZ IN SPECIWICAL4Y 1'RIESCRIBED BY LAW 1N CUSTObot'S STATE. t4(MMt ADDrriOMALTBAMS AND C(NVPrtxM ARK srAM ON M RSPtt89&ti1MZ AMAIM PAW Oi'iMS COMRACr 11460 GSC% VAft-BmnrhF1W Yeltnw--cutwom PYur-uaiMCautmrm i N -- mAx%achUwccs- DVPArt,aent fir Pubic s2trell j • . � �* Board or Bandio;Retslacieum and Stu dard. ':4r!s:ruciion 5;3;,ervrsar License J ' l�cestoe' f,S ffi756 -' • 'r - ' SCOTT A IG CMUAN 10 P. RK AVE e �- SALEd,NH C43079 IC_ lM0 1`.` � -1S / Eryvatiorr. 3 2DM12 i'unaeisiontr ffA 19562 T _ TWO — J -9;L�eo..sowo,.� i e� Qas T rq� ` Z • wee of Comumer Airs dk smktm Regetaf oa HOME[MRQVEMENT CONTPACTOR ¢ P}`fir '•'• Pqe tr+UM-.- J58306 - F a ♦ `� `: Expirx(ipsy =TJIPTri 291290 Ur .S?I. U ca -t r�-:.f'; S4J1CtA3>lAN CONTRACTR%G SCOTT MACMIL{59N , �'�yF f• LT. 10 PARK AVE. 4. OA • _ SALEM,NH 03D79 � U (93 is Ulm&M dye, Ci] Q g. rl ;� _t�fsa.K?sv��L'$!Rr•>�`.A-� .'-�•,,, -ate.: �,,.,5a_ 3 .' •. � .�:, ':`+mss'.,-.:_`'•.e..;TI;:L.. ..s�;i�:�.i.}r�:.::i • .. ... �Z,� �..r.'f+'..1._ �•i�-_..':c2.'r"-3-'1�.`?:57v.i�i:;.='L.L..•...v1�-l�i'k: I NORTH 0VM of _ over W 11% No. 1` Q - LAKE O dower, Mass., C " 6 w COCMICKEWICK 7�S RATED BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System BUILDING INSPECTOR THIS CERTIFIES THAT........... \.&A . .....NemA/.Q.C.CA............... ... ......................................................................... Foundation has permission to erect........................................ buildings on ........ �F�J.... fir.............:......... g .......... Rough to be occupied as � .�fFPc. c!x.............................................................................................. 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-taws 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 STARTS Rough j �„'�� c� .. �......•1.�'--�.....:.......................... Service BUILDING INSPECTOR Final Occupancy Permit Required to Ocmpy 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 J1 smoke Det.