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Home My WebLink AboutBuilding Permit #298 - Lazer Craze 10/18/2007 TOWN OF NORTH ANDOVER t APPLICATION FOR PLAN EXAMINATION K 41 Permit N0: Date Received ' �SSACHUSE� Date Issued: IMPORTANT:Applicant must complete all items on this page _ n .G w . n. " TYPE OF IMPROVEMENT PROPOSED USE Residential- Non- Residential ❑ New Building ❑ One family ❑ Addition ❑Two or more family ❑ Industrial 2"Alteration No. of units: t Commercial ❑Repair, replacement ❑ Assessory Bldg ❑' Others: ❑ Demolition ❑ Other raw-] 111 .w s r DESCRIP,ON OF WORK TO BE PREFORMED: :iZnao� ' l Identificatidri' Please Type or Print Clearly) OWNER: Name: AL,,-akgs Phone:2L/-6oe-oyF Address: /19 sr ore -br, a-r L" d Q -- } - 6 4 M.. s4 " x m t ARCHITECT/EN.GINEER �,51� AsSSoes a Phone: Address: J�-1 �� , i�ida /V-AnJav / er 1Reg. No. Sllo 9�� t FEE SCHEDULE:BOLDING PERMIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ -FEE: $ Check No.: 29Z 4 Receipt No.:—::Z= =444 _ NOTE: Persons con •acting with unregistered contractors do not have access to.t1 e guaranty fund .�, [MI ....V Y ?:ii5�rvd� - v •. .. ....... � axx A I, FINAL CONSTRUCTION CONTROL COMPLETION PROJECT LOCATION: 1600 OSGOOD STREET,NO.ANDOVER,MA NAME OF PROJECT: LASER CRAZE- PROJECT NO: DEI-D1710 SCOPE OF PROJECT: ACCESS DECKS OVER MAIN ENTRANCE AND BATHROOM AREA. DESIGN BASED ON DRAWING AIA&A1.5 DATED 1/15/07 WITH SOME MI- NOR ADJUSTMENTS VERIFIED IN THE FIELD BY THE UNDERSIGNED. I Robert K.Daigle, of Daigle Engineers,Inc. submit that our office has performed the following professional ser- vices, as specified in Massachusetts State Building Code Section 116.2.2 and as related to the structural portions of the work: I 1. Reviewed 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. Reviewed and approved the quality control procedures for all code-required controlled materials. 3. Been present at intervals appropriate to the stage of construction,and complexity of the project,to become generally familiar with the progress and quality of the work,and determine to the extent practical and pos- sible the work was being performed in a manner consistent with the structural construction documents. To the best of our information,knowledge, and belief,the structural work has been satisfactorily completed in substan- tial compliance with the int t of the construction documents. �aa�+t RO BERT c KENNETH Signature: DAIGLE STRUCTURAL Massachusetts Registration No. 28583 No.28583 X09 '�FOr�1'E�o Our observations during site visits do not relieve the Contractor or its subcontractors of their responsibilities and obligations for qual- ity control of the work, for any design work which is included in their scope of services(i.e.design delegation),and for full compli- ance with the requirements of the Construction Documents and applicable building codes. Furthermore,the detection of,or the fail- ure to detect,deficiencies or defects in the work during our site visits does not relieve the Contractor or their subcontractors of their responsibility to correct all deficiencies or defects,whether detected or undetected,in all parts of the work,and to otherwise comply with all requirements of the Construction Documents. NOTARY STATEMENT: Subscribed and sworn to before me this Dw day of n orn �l,V NOTARY PUBLIC MY COMMISSIO EXPIRES ON 1 �, —' cccn 112107.doc f i N° FD 5603 Date f/...................... . NORTH q TOWN OF NORTH ANDOVER O p / RECEIPT -_ �SSACHUSE f '�`/ ............. ..�. This certifies that -04!..4•• • ••• '••�•••.. .. • • ...................................................................... has paid...... d f .. for ..'DDl11'1 6/` rG../.....iG. ? T................................. .-�1`.. ..:...:......:... Receive ! Department ........ .lr ............................................................ WHITE: Applicant CANARY:Department PINK:Treasurer _ � I TOWN OF NORTEK ANDOVER Q APPLICATION FOR PLAN EXAMINATION Permit N0: �7 / Date Received Og47E0 •P"`y�l� 9SSA C HU`�Ej Date Issued: d IMPORTANT Applicant must complete 'all items on this page RAM- pg axe rvzt''aY`aw + z �. �,' -45-1 ?,. � r TIMM HIM 1 � � uns TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building ❑ One family , ❑ Addition ❑ Two or more family C Industrial Iteration No. of units: %Commercial 0 Repair, replacement ❑ Assessory Bldg 0 Others: ❑ Demolition ❑ Other 7 eMaw DESCRIPTION OF WORK TO BE PREFORMED: 44 Identification Please Type or Print Clearly) ONER: Name: (�, � r� l � �Le� Phone: W Address: Lshog- r M4 Q/-7!5- v- Q �d�` pi� �VS��ie�`�i—iu' ._.• ,:.: �� .. �",�..,.,:�, M.-vs xz, � t. .tea,,,�... .•s;acx'z. ARCHITECT/ENGINEER I%tee '72-- ,1 e-to z? Phone: 11�'�- V5!6-- q` W Address: ,�/�"� ell%s�..�►u SE � , �� Reg. No. '� �' °7 FEE SCHEDULE:BULDING PERMIT:$12.00 P $1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ FEE: $ i Check No.: Receipt No.: 4z0 7ag" NOTE: Persons contracting with unregistered contractors do not have access to e guaranty fund �; Sret��0, uur e : : ;y s ; �` ' 'fi n ocIraly :' 4 NORT11 BUILDING PERMIT16 TOWN OF NORTH ANDOVER o p APPLICATION FOR PLAN EXAMINATION # o y Coc..Kr..ww Permit N0: Date Received �q ,r.°•� SSACHU`�� Date Issued: \� IMPORTANT:Applicant must complete all items on this page fff-10C A �t' ra ay h � 7�� z � Pnnt f` t� P13flPEFtTY �� .�";"� • �- }a�.,.��, .� _`��.ti. � .�.._`��;:� �� w�� =`� � � Ma�ci�ire�Sfio;P �/�ilage � .�eS no s l TYPE OF IMPROVEMENT PROPOSED USE '.-Residential Non- Residential New Building One family Addition Two or more family Industrial Alteration No. of units: Commercial Repair, replacement Assessory Bldg Others: Demolition Other 5e`tic Well' lod(�lain 2- DESCRIPTION OF WORK TO BE PREFORMED: ._� �� ,...�� _•��_n; Identification Please Type or Print Clearly) OWNER: Name: Phone: Address 4411 r g' t t "Srk "'Y .� "�" r h rp 't ,•f x CONS}RACTORNare i H iiF K u..v? ..k, 1 Y e h• .¢ Y i _yy l r t xr �' J 4 >r y 3q,�L51, Address ` ; S�perv�sor�s��Construction�.�cen�e � t� � � ��P rate # ' i {borne irnprorernerit Acese_ ARCHITECT/ENGINEER Phone: Address: 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: $ FEE: $ 1 Check No.: Receipt No.: NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund Signature ofgentlwner -Signature of contractor 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 DATE REJECTED DATE APPROVED CONSERVATION COMMENTS AT RECTED APPROVED HEALTH EJ COMMENTS f Zoning Board of ppeals: Vari nce, Pe ' on No: r,.Zoning D ision/receipt submitted yes Planning Bo rd Decision: I mments r= Cons rvati In D cis n: Comme Waler & Se a onnection/Si nature& D e Driveway Permit Loca ed at 384 good Street FIRE EPARTMENT Te U umpster on slte yes no Located a124 Main Stre C.• 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) ❑ Notified for pickup - Date _____.............. �.__..�__. Doc.Building Permit Revised 2007 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 o 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:INSPECTIONAL SERVICES DEPARTMENT:BPFORM07 Revised 2.2007