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Home My WebLink AboutBuilding Permit #628 - 133 Summer Street 4/7/2006Of NORTH 1 «� ,10 9SSACHUSEt % / /i Permit NO:�[)J`�7 Date Issued: 6 TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Date Received: d IMPORTANT: Applicant must complete all items on this pane LOCATION 153 Sum mf. r' S -i e � PROPERTY OWNER �� kGs bit LL Print �I MAP NO.: PARCEL: `t 0 G ZONING DISTRICT: TVPF. AND IJSF, OF BUILDING HISTORIC DISTRICT YES ❑ TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building ❑ Addition ❑ Alteration ®-One family ❑ Two or more family No. of units: ❑ Industrial ❑ Repair, replacement Vf)emolition ❑ Assessory Bldg ❑ Commercial ❑ Moving (relocation) ❑ Other ❑ Others: ❑ Foundation only DESCRIPTION OF WORK TO BE PREFORMED CCkk->-,R- Identification Please Type or Print Clearly) V I k OWNER: Name: <-?- �'- �Cy LLC-- Phone: Signature � 0/ Address: CONTRACTOR Name - —J I `e:� Address: -Pb • S4 Supervisor's Construction License: Home Improvement License: ARCHITECT/ENGINEER Address: (4 o °o"f Phone: qry fo ) C65 iiJi' . % l � 0174 Exp. Date: Exp. Date: Name: Phone: Reg. No. FEE SCHEDULE: BULDIN PERMIT. $10.00 PER $1000.00 OF THE TOTAL ESTIMATED COST BASED ON $12.5.00 PER S.F. Total Project Cost :$q `� x10.00=FEE:$ Check No.: 33 `T o Receipt No.: 120 Page 1 of 4 A TYPE OF SEWARGE DISPOSAL Art F1g Swimming Pools El Public Sewer Well F1Tobacco Sales ❑ Food Packaging/Sales 11❑ ❑ Permanent Dumpster on Site Private (septic tank, etc. NOTE: Persons contra 'ng with unre ist red contrV d not have access to the guaranty n a Signature of Agent/Owner Signature of Contractor % Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM PLANNING & DEVELOPMENT ❑ COMMENTS CONSERVATION 'OMMENTS HEALTH COMMENTS a Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Conservation Decision: DATE REJECTED 0 ❑Water Shed Special Permit ❑ Site Plan Special Permit ❑ Other DATE APPROVED DATE REJECTED DATE APPROVED 0 DATE REJECTED Comments Comments Water & Sewer connection signature& ate Temp Dumpster on site yes no— Fire Department signature/date Building Permit Approved and Issued by: Page 2 of 4 0 FE DATE APPROVED Building Setback (ft.) Front Yard Side Yard Rear Yard Required Provided Required Provides Required Provided DIMENSION Number of Stories: Total land area, sq. ft.: IVV11JJano UAIA—Icor Page 3 of 4 Doc: INSPECTIONAL SERVICES Crcated JMC. Jan.2000 Total square feet of floor area, based on Exterior dimensions. 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 Addition Or Decks ❑ Building Permit Application ❑ 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) 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 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:BPFORM05 Page 4 of 4 Location 11�-g No. 67-0 Date TOWN OF NORTH ANDOVER Certificate of Occupancy $ Ii— Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit,,Fee .... ......... TOTAL $ Check# 33�0- 191193 Building Inspector .�'r�+a►�,.r-� i t sir-�t-� �--c� S 5 �� . V M Town of North Andover Building Department 400 Osgood Street North Andover MA 01845 Tel: 978-688-9545 Fax: 978-688-9542 DEMOLITION OF BUILDING AFFIDAVIT i'j y NORT- O �y n ea Tye T O'A coc"KnewKM V 'li.9ssq rE ou5 ,�(5 DATE a Gln ct q78 - Yd- -. V77 e LOCATION OF PROPERTY TO DEMOLISH U c(\!nL`(- t c, r( - CONTRACTOR'S NAME & ADDRESS 1AC,�\S�ree,� I��,c�e Cr 5S„,-� Uel 1`x(0 ;DEPART NTSIGN-OFFS 3 -7_ o6DEPT. OF PUBLIC WORKS t A' ' SEWER: % � n ft GAS ��t.t�'i , h �J � FIRE EXTERMINATOR DUMPSTER - ONfOF8 STREET Eric Z T)t , DIG SAFE NUMBER Abo (Q j (r)CQ (.`Acj G DATE REC'D Building of Building Affidavit revised 11.5.04 BLDG. INSPECTOR 0 m �F'-1=- -- -- LEL'-` Tei: 910-60-9545 =I. 976438-9542 DEMOUTION OF E..,UILDIN AF t Y- ,. J -_.I7 _ _ �..+,..."..___.3 y2 �.f Yi i +tpp*..._LJ ~ 3c 4m�. ,.£av a ..rwww _w....cs.�t�,�...�..... r. �..e•.... ..mss *•C,;�c`� 1 tE.��k �..-+')i"�1�� L�1�`t+��..,._,.�.,;. '.. .1`�=�.ir � ..... ,1..n..l-; ` `_.ns'- :�.�s'moi_._:-....$�:..ee3a.,—�-...a. ,.., � `.,,.... GAS QEP X -OFFS 3 �» , =} QP P° F g f v - WAT E a !.A ^h..._. . TOTHL .0i Al Al Exterminat+:}E s PeSt conte PI p10f@S5iOf16f5 DATE: _ 2-7--06 TO: BO/.l,F:G OF HEALTH N. AYDOVE K AT THE REC UEST OF: ��, lI. r• '7 'F �m T"�IT kfa r 15 A RODENT EONTROL DEMIOLI T ION SER VICE i, ;S R�R t:C'R�AEG A.T � — ' 3 STTMMF� CTbz''m THE i rROPERTY SERVICED WAS: IF YOU HAVE ANY QUEST ION!<', PLEASE DO NOT HESITftTE TO CALL. SINCERELY, Ai I EXTiERAl'/ vA TORS tp3 Shepara Streel Lynn, MA 01902-4597 781-592.2731 800.525.4825 781-592-7641 Fax ADDITIONAL SIGN OFF".-----.- � 166 ,or f, f/ Planning Departrnent44/11�-- Town of North Andover Building Department 1600 Osgood Street North Andover MA 01845 Tel: 978-688-9545 Fax: 978-688-9542 DEMOLITION OF BUILDING AFFIDAVIT DATE�b OWNER'S NAME & AD RES Q `F3 S-Poq ica U &ORTF# F q O b?" coce"c"I Ong 7rw ��AYss I►Pa _�� 01 9,3 DEPARTMENT SIGN -!'AFF 00 DEPT OF PUBLIC WORKS -WATER. S A (1__�, 11 mist Jo DEPT OF CONSERVATION HEALTH DEPT: Seatc �ell' C�oi.�� m.- Sr�.>+t✓ , L a.rK to fir- a/+b �"'� .gave. �Forw�Y-'or GAS ELECTRIC TELEPHONE DATE REC'D BLDG. INSPECTOR Doo.form demolition of building affidavit fk4 ✓/te U� 697L1YL0'lY.t(/L'ILLIiL Ala ,r, DEPARTMENT OF PUBLIC SAFETY License: HOISTING ENGINEER LICENSE -.� Number:. HE 0 Birthdate. 01 1171 1962 Expires: 01/17/2007 Restricted: 2A MARK K FINN PO BOX 84" PRIDES CROSSING; MA 01965. 58075 Tr. no: 14290 t Commissioner / i