HomeMy WebLinkAboutBuilding Permit #380 - Millpond 11/14/2007 TOWN OF NORTH ANDOVER 0A .,s • . p
APPLICATION FOR PLAN EXAMINATION «
Permit NO: Vo Date Received s
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Date Issued:-14:r •
IMPORTANT:A plicant must complete all items on this page
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TYPE OF IMPROVEMENT PROPOSED USE
Residential Non- Residential
0 New Building ❑ One family
0 Addition 0 Two or more family ❑ Industrial
❑ Alte ion No. of units: 0 Commercial
repair, replacement ❑ Assessory Bldg 0 Others:
❑
El Demolition Other
DESCRIPTION OF WORK TO BE PREFORMED:
Identification Please Type or Print Clearly)
OWNER: Name: Phone:
Address:
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ARCHITECT/ENGINEER Phone:
Address: Reg. No.
FEE SCHEDULE:BOLDING PE//RMIT.$12.00PER$1000.00.0/OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F.
/-77 ,
Total Project Cost: $ ( �l / `7 ° ` FEE: $ O Z_
Check No.: Receipt No.:
NOTE: Persons contracting with u (stereV c nt ct s do not have access to the guaranty fund
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Building Department
I 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
o Workers Comp Affidavit
o . Photo Copy Of H.I.C. And/Or C.S.L. Licenses
❑ Copy of Contract
o Floor Plan Or Proposed Interior Work
o 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
o Certified Surveyed Plot Plan
o Workers Comp Affidavit
o 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)
4 o Building Permit Application
1 o Certified Proposed Plot Plan
o Photo of H.I.C. And C.S.L. Licenses
o Workers Comp Affidavit
o Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And.
Hydraulic Calculations (If Applicable)
a Copy of Contract
o Mass check Energy Compliance Report
o 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
I
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 0
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
DATE REJECTED DAT
E APPROVED
HEALTH ❑ ❑
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
Located at 384 Osgood Street-
3
gryryg F
1-a
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 .InspectorYes No
DANGER ZONE LITERATURE: Yes No
MGL Chapter 166 Section 21A—F and G min.$100-$1000 fine
NOTES and DATA— (For department use
O 46 rl d Or K
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❑ Notified for pickup - Date
Doc.Building Permit Revised 2007
Location1,9 Asm. • � % ' 7
No. Date 1ZL,
NaRTM TOWN OF NORTH ANDOVER
F R
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Certificate of Occupancy $
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Mus Eta Building/Frame Permit Fee $ �--
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Foundation Permit Fee $
Other Permit Fee $
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TOTAL $
Check #
20795
.
�B ,lding Inspector
NORTIy
�� 6over
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C% o:. dover, Mass., . o .�
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LA
COCHICHEWICK y
7�S RATED
BOARD OF HEALTH
Food/.Kitchen
PERMIT T D Septic System
/ P�� 2& d Jaa" 07 071 BUILDING INSPECTOR
THIS CERTIFIES THATY/ I'►jj Foundation
has permission to erect........................................ ugins on ...in......q��.(Cl ...w..�.....�10�....�...... Rough
t0 be OCCUpled as.... (� ...... 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-Laws 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_
Z PERMIT EXPIRES IN 6 MONTHS
IELECTRICAL INSPECTOR
UNLESS CONSTRU O Rough
................................................................................... Service
BUILDING INSPECTOR
Final
Occupancy Permit Required to Occupy 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 Smoke Det.
0• *
4,750.89+
855.96+
770-51 +
1 ,465.60+
1 ,937.16+
5,397.28+
0•*
0•*
4,750.89+
855-6+
770-51 +
1 ,465.60+
1 ,937.16+
5,397.28+
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HARVEY WINDOWS FOR MILLPOND HOA
Millpond 79
NAME: Barton
QTY SIZE PRICE TOTAL
25 x 40.75 $196.80 $0.00
50.5 x 66.5 $510.54 $0.00
31.5 x 48.75 $274.50 $0.00
72 x 66.5 $737.10 $0.00
71.625 x 40.25 $618.40 $0.00
22 x 63.75 $228.91 $0.00
63.5 x48.75 $521.30 $0.00
22 x'53.75 $256.22 $0.00
80.625 x 40.75 -$769.93 $0.00
47.5 x 40.75 $515.84 $0.00
47.75 x 64.75 $540.50 $0.00
50.5 x 54.75 $522.70 $0.00
40.5 x 43.5 $421.34 $0.00
44.5 x 53.75 $477.60 $0.00
60.75 x 47.5 $521.30 $0.00
75.75 x 43 $657.89 $0.00
63.5 x 48.75 $520.30 $0.00
..66.5 x 25 $252.54 $0.00
44.5 is 6375 $482.02 $0.00
45.75 x 31.5 $224.75 $0.00
2 29.75 x 71.35 $407.60 $815.20
Stationary window(rebuild) $235.00 $0.00
Doors to garage $275.00 $0.00
Slider $1,063.98 $0.00
Slider(2) $1,418.43 $0.00
$40.76 5% Mass Tax
$855.96 Sub Total
Town of North Andover permit fee@$12per1000 $10.27
Please mail payment payable to: $866.23 Total
Millpond Homeowners Association
c/o Great North Property Management
182 Newbury Street
Peabody MA 01960
HARVEY. WINDOWS FOR MILLPOND HOA
Millpond 78
NAME: Magnuson
QTY SIZE PRICE TOTAL
25 x 40.75 $196.80 $0.00
50.5 x 66.5 $510.54 $0.00
31.5 x 48.75 $274.50 $0.00
72 x 66.5 $737.10 $0.00
71.625 x 40.25 $618.40 $0.00
22 x 63.75 $228.91 $0.00
63.5 x48.75 $521.30 $0.00
1 22 x 53:75 $256.22 $256.22
80.625 x 40.75 $769.93 $0.00
47.5 x 40.75 $515.84 $0.00
47.75 x 64.75 $540.50 $0.00
50.5 x 54.75 $522.70 $0.00
40.5 x 43.5 $421.34 $0.00
1 44.5 x 53.75 $477.60 $477.60
60.75 x 47.5 $521.30 $0.00
75.75 x 43 $657.89 $0.00
63.5 x 48.75 $520.30 $0.00
66.5 x 25 $252.54 $0.00
44.5 x 63.75 $482.02 $0.00
45.75 x 31.5 $224.75 $0.00
Stationary window(rebuild) $235.00 $0.00
Doors to garage $275.00 $0.00
Slider $1,063.98 $0.00
Slider(2) $1,418.43 $0.00
$36.69 5% Mass Tax
$770.51 Sub Total
Town of North Andover permit fee@$12per1000 $9.25
Please mail payment payable to: $779.76 - Total
Millpond Homeowners Association
c/o Great North Property Management
182 Newbury Street
Peabody MA 01960
HARVEY WINDOWS FOR MILLPOND HOA
Millpond 77
NAME: Piantidosi
QTY SIZE PRICE TOTAL
1 25 x 40.75 $196.80 $196.80
50.5 x 66.5 $510.54 $0.00
1 31.5 x 48.75 $274.50 $274.50
1 72 x 66.5 $737.10 $737.10
71.625 x 40.25 $618.40 $0.00
1 22 x 63.75 $228.91 $228.91
63.5 x48.75 $521.30 $0.00
25.5 x 54.75 (L) $245.92 $0.00
1 80.625 x 40.75 $769.93 $769.93
47.5 x 40.75 $515.84 $0.00
2 47.75 x 64.75 $540.50 $1,081.00
50.5 x 54.75 $522.70 $0.00
40.5 x 43.5 $421.34 $0.00
1 44.5 x 53.75 $477.60 $477.60
60.75 x 47.5 $521.30 $0.00
75.75 x 43 $657.89 $0.00
63.5 x 48.75 $520.30 $0.00
66.5 x 25 $252.54 $0.00
1 44.5 x 63.75 $482.02 $482.02
45.75 x 31.5 $224.75 $0.00
Stationary window(rebuild) $235.00 $0.00
1 Doors to garage $275.00 $275.00
Slider $1,063.98 $0.00
Slider(2) $1,418.43 $0.00
$226.23 5% Mass Tax
$4,750.89 Sub Total
Town of North Andover permit fee@$12per1000 $57.01
Please mail payment payable to: $4,857.90 Total
Millpond Homeowners Association
c/o Great North Property Management
182 Newbury Street
Peabody MA 01960
HARVEY WINDOWS FOR MILLPOND HOA
Millpond 74
NAME: Sciolla
QTY SIZE PRICE TOTAL
1 25 x 40.75 $196.80 $196.80
50.5 x 66.5 $510.54 $0.00
31.5 x 48.75 $274.50 $0.00
72 x 66.5 $737.10 $0.00
71.625 x 40.25 $618.40 $0.00
1 22 x 63.75 $228.91 $228.91
63.5 x48.75 $521.30 $0.00
25.5 x 54.75 (L) $245.92 $0.00
80.625 x 40.75 $769.93 $0.00
47.5 x 40.75 $515.84 $0.00
47.75 x 64.75 $540.50 $0.00
50.5 x 54.75 $522.70 $0.00
40.5 x 43.5 $421.34 $0.00
1 44.5 x 53.75 $477.60 $477.60
60.75 x 47.5 $521.30 $0.00
75.75 x 43 $657.89 $0.00
63.5 x 48.75 $520.30 $0.00
66.5 x 25 $252.54 $0.00
1 44.5 x 63.75 $482.02 $482.02
45.75 x 31.5 $224.75 $0.00
2 Stationary window(rebuild) $235.00 $0.00
Doors to garage $275.00 $0.00
1 Slider $1,063.98 $0.00
2 Slider(2) $1,418.43 $0.00
$69.27 5% Mass Tax
$1,465.60 Sub Total
Town of North Andover permit fee@$12per1000 $17.59
Please mail payment payable to: $1,483.90 Total
Millpond Homeowners Association
c/o Great North Property Management
182 Newbury Street
Peabody MA 01960
HARVEY WINDOWS FOR MILLPOND HOA
Millpond 73
NAME: Camplese
QTY SIZE PRICE TOTAL.
1 25 x 40.75 $196.80 $196.80
50.5 x 66.5 $510.54 $0.00
31.5 x 48.75 $274.50 $0.00
72 x 66.5 $737.10 $0.00
71.625 x 40.25 $618.40 $0.00
1 22 x 63.75 $228.91 $228.91
63.5 x48.75 $521.3.0 $0.00
25.5 x 54.75 (L) $245.92 $0.00
80.625 x 40.75 $769.93 $0.00
1 47.5 x 40.75 $515.84 $515.84
47.75 x 64.75 $540.50 $0.00 ,
50.5 x 54.75 $522.70 $0.00
1 40.5 x 43.5 $421.34 $421.34
44.5 x 53.75 $477.60 $0.00
60.75 x 47.5 $521.30 $0.00
75.75 x 43 $657.89 $0.00
63.5 x 48.75 $520.30 $0.00
66.5 x 25 $252.54 $0.00
1 44.5 x 63.75 $482.02 $482.02
45.75 x 31.5 $224.75 $0.00
2 Stationary window(rebuild) $235.00 ' $0.00
Doors to garage $275.00 $0.00
1 Slider $1,063.98 $0.00
2 Slider(2) $1,418.43 $0.00
$92.25 5% Mass Tax
$11937.16 Sub Total
Town of North Andover permit fee@$12per1000 $23.25
Please mail payment payable to: $1,960.25 Total
Millpond Homeowners Association
c/o Great North Property Management
182 Newbury Street
Peabody MA 01960
HARVEY WINDOWS FOR MILLPOND HOA
Millpond 72
NAME: Easterbrook
QTY SIZE PRICE TOTAL
50.5 x 66.5 $510.54 $0.00
31.5 x.48.75 $274.50 $0.00
72 x 66.5 $737.10 $0.00
71.625 x 40.25 $618.40 $0.00
25.5 x 42 $212.60 $0.00
63.5 x48.75 $521.30 $0.00
25.5 x 54.75 (L) $245.92 $0.00
80.625 x 40.75 $769.93 $769.93
47.5 x 40.75 $515.84 $0.00
47.75 x 64.75 $540.50 $0.00
50.5 x 54.75 $522.70 $0.00
47.5 x 60.75 $520.30 $0.00
31 x 72.5 $317.94 $0.00
60.75 x 47:5 $521.30 $0.00
75.75 x 43 $657.89 $0.00
63.5 x 48.75 $520.30 $0.00
66.5 x 25 $252.54 $0.00
63.5 x 45.75 $482.02 $0.00
45.75 x 31.5 $224.75 $0.00
2 Stationary window(rebuild) $235.00 $470.00
Doors to garage $275.00 $0.00
1 Slider $1,063.98 $1,063.98
2 Slider(2) $1,418.43 $2,836.36
$257.01 5% Mass Tax
$5,397.28 Sub Total
Town of North Andover permit fee@$12per1000 .$64.77
Please mail payment payable to: $5,462.05 Total
Millpond Homeowners Association
c/o Great North Property Management
182 Newbury Street
Peabody MA 01960