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HomeMy WebLinkAboutBuilding Permit #093-2011 - 114-116 Union Street 5/1/2018 BUILDING PERMIT of "°RTy TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION y Permit NO: Date Received Z9 4 KArav .. , Date Issued: ACHU`��� IMPORTANT Applicant must complete all •e'�� ����'' ;, 1 Q .71e ' � itYe:m_y s on fuks.�pa.ig--e _ .. - ^� t"'.`tai,dkq xr`-t ks.r '�- z u3 •aw a er.r�$ h rPr Tgg��.1k a + - ` •r-J- .�'n'-a.u- ''�L-t-sT-E2 �, "kf }.:riffs�+ n - 4 �' ;x'-.•. r ..�_ ����mTi��dr� �A=a'h'�.a '�i��r�p,7"�...�"��r.�,�.'..""__'�1�'n*s ea: c�� y�-.�'t-' ...�,. Y�u��.�.,,�-, `�.� �_#,��ypr�y +.-�'t�- �„ '9 tix 2�a�.ya�'b ���` h� '' ,r���>r��-„`�$� -�•''��T"�' ��.'�sh�,x-�S�L ��-e�y��'� �- u _,� .�__.�_€�h'�'� rzux:,_ 'J'f..�i'a5.�Yr••�.,=`'s `'�'`-s J :-s7.�,.�,j?�,a�."y-�$��,' t'C s�K S - Yi �_'�- �s ��� ����jjJJ i1�*��+"','•' '�'�rEI 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 p -,a'.c-'su: ;a�,ds Me 01 ' +" '�y',aa�,,; DESCRIPTION OF WORK TO BE PREFORMED: -Demo Identification Please Type or Print Clearly) OWNER: Name: Phone: Address: �cr����-�z.�,�.� s•�' .� ark- � air t�,,k„��- �F'�91t � `�`.�,� 5 -.•-r• �WE4=�� � "�� �+s� �sR"�rT�`�r�"r` '��.'” -' _� mem- ��a•a-.qy.-.��[3�_�;����s�',� i�- .�..y,'�`a�-��- � f .x.�'�" a� � y,�x spm -� �.�;yQ,r {�` �y _� .,d Tv y`�"�r ate.y +•Tta�"��"s&�t"-'x �s .. ... -:. �� z Y.NP .- - w��-°ate. . a?d_ a' �c.�rs_ s. 2Y.�J"h� � �i ..�:�_ �r.=•.� r� f't�s4e�-' of am. �*y�y� ' �ryry..�� WOW of-ws-•� (�ma�y.'� .xr",. .7-•'.-`J ,fit' �, o is*:�c �,i,�", ka" dl/i..%Jil$15i121 5_.,na7�a.aiP.s�.. `S:F. Fjwrx '}e«pyr- 'w t ._ ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE:BULDING PE MIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ � FEE: $_ 0 Check No.: cr4 Receipt No.:_ '-S.o?75 NOTE: Persons contracting with nr gistered contractors do not have access to the guaranty,fund S� naar� erafO�Iuner. m -�. �S�enature��f-�co� -fit -- --- - - 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 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 :FE�P,ART.q 1�� psterr�s�te i�es � ` .0'a sL'{aQat&'daa A '�,1Yld�� tT�et 1t' MON 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 i 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 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 o Floor/Crossection/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (If Applicable) Li 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) a ❑ 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 j ❑ 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 Location 1111-116 No. Q ��/� Date MORT� TOWN OF NORTH ANDOVER SDO 9 # Certificate of Occupancy $ c sACNUSE<�' Building/Frame Permit Fee $ M v Foundation Permit Fee Other Permit Fee $ M " TOTAL $ Check # 2321 : it in Inspector ORTH T0VM of - ;l. . JK o - AK a dover, Mass., 7� I� COCHICHEWICK 7�ADRATED `�5 S BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System .7;v G BUILDING INSPECTOR THISCERTIFIES THAT............................................................................................................................................ �~ """""""""' Foundation has permission to erect.........:.............................. buildings on ... 1Y. C. ! ...... �Y!. '�t!...`-`?. ......................... Rough 2�_ e_.erlo ` CJ- r.�J FChimney to be occupied as....................... ..... r. ........... .......��...,<..b.. e provided that the person accepting this permit shall in every Ispect conform to the terms of the applica ion 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 PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTION STARTS Rough .`x/0000 Service BUIL'�ING 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. MYS�i Y„ Chief Meinikas t No.Andover Fire Dept. 124 Main St. Phone:978-688-9590 North Andover,MA 01845 Fax:978-688-9594 email:amelnikas@TownofNorthAndover.com R Town of North Andover Building Department ?o�.�s`-E° 1600 Osgood Street North Andover MA 01845 Tel: 978-688-9545 Fax: 978-688-9542 ILAKI � T �A COCKICKEWICK DEMOLITION OF BUILDING AFFIDAVIT f,, SACHUS DATE ll� OWNER'S NAME &ADDRESS LOCATION OF PROPERTY TO DEMOLISH I � ��-� �D l//1�iOA_) ,S' c DESCRIPTION1 1'1omc Ayk L!9!! e CO(V�5 C✓ CONTRACTOR'S NAME &ADDRESS 4V!fv� �Cl�/_�'1'�(vC.T`OA/ DEPARTMENT SIGN-OFFS Z-20—Ir a� DEPT. OF PUBLIC WORKS -WATER: ;�7 " SEWER: DEPT OF CONSERVATION e e HE PT: S tic Well �n HISTORIC COMMI ION GAS ELECTRIC TELEPHONE CABLE TAXES ®r POLICE AA M�(Vw FIRE sC' c4ek EXTERMINATOR ,- 1 DUMPSTER-ON/OFF STREET DIG SAFE NUMBER DATE REC'D BLDG. INSPECTOR Doc.form demolition of building affidavit 4640 j XJFP 4T_ 4 I-41_" P,4rZ:_ Town'of North Andover NORTFf Building Department 0.11''ED 16�tio 1600 Osgood Street �'? y;ti°�'- a North Andover MA 01845 J_ Tel: 978-688-9545 Fax: 978-688-9542 �c - AL °4 coc"IC 11. If y1 DEMOLITION OF BUILDING AFFIDAVITA°RATED '9SSAC HUS�'t DATE 1 OWNER'S NAME &ADDRESS 1 S hCsYN LOCATION OF PROPERTY TO DEMOLISH I �( ` I I 1p 1J Ali(J /V S�'Y P * DESCRIPTION. t 1, A ' Q_ VC ' _ CONTRACTOR'S NAME &ADDRESS }-}V JJh (Cl,l,Z U4.I pA L1 �nven� /V" q�6- DEPARTMENT SIGN-OFFS DEPT. OF PUBLIC WORKS -'WATER: <�ce 7 SEWER: �SewK e DEPT OF CONSERVATION\, ; -D- A Sl___ I_EALTH DEPT: S is Ta i HISTORIC COMMISSION L GAS ELECTRIC J Pe S TELEPHONE CABLE TAXES POLICE CV FIRE EXTERMINATOR DUMPSTER-ON/OFF-ON/OFF STREET��^t�S � d (� d < C DIG SAFE NUMBER DATE REC'D BLDG. INSPECTOR Doc.form demolition of building affidavit From:National Grid 17515221067 07/2812010 15 06 #854 P.00110G1 natty nal riot 40 Sylvan Rd Waltham MA 02451 July 23, 2010 Doug Ahem 114-116 Union St North Andover, MA RE: Service Removal for Building Demolition. Dear Mr. Ahern, This letter is to confirm that, per your request, National Grid has confirmed that there is no electrical service at 114-116 Union St, North Andover MA on 7120110. If you have any questions or need further assistance, please feel free to contact me at(781) 907-3519 Sincerely, Thanks - Angelic Butler Order Processing Representative Customer Order Fulfillment ph #781-907-3519 fax#315-460-9149 angelic.butler@us.ngrid.com LO{g- ���� Massachusetts- Department of Public Safeti Board of Building R.eplations and Standar(I Construction Supervisor License License: CS 31830 Restricted to: 00 DOUGLAS J AHERN + i PO BOX 802 ANDOVER, MA 01810 Expiration: 9/21/2011 Commissioner Tr#: 3328 0