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Home My WebLink AboutBuilding Permit #608 - 49 Hepatica Drive 4/16/2008Permit NO: BUILDING PERMIT TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Date Received //&/a/ _Date Issued: IMPORTANT: Applicant must complete all items on this nage G^ LOCATION L L 1 - G cis . Prin PROPERTY OWNER Print MAP NO: PARCEL: ZONING DISTRICT: Historic District yes no Machine Shop Village yes no 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 Septic Well Floodplain Wetlands Watershed District Water/Sewer DESC IPTION OF WORK TO BE OWNER: Name: Kms,/ ko". Address: %D Please Type or Print Clearly) . CONTRACTOR Name ,r lei G-- 6), eaac5 Phone: Address: .4 Supervisor's Construction License: ' o Exp- Date: Home Improvement License: Exp. Date: <// ARCH ITECT/ENGINEERVSv1Z,A +? kefitA--& Phone: Address:91 �W�2IP'e )'It-ld Reg. No. &�/� FEE SCHEDULE: BULDING PERMIT: $12.00 PER $1000.00 OF THE TOTAL ESTIMATED CO/ST BASED ON $125.00 PER S.F. Total Project Cost: $ .e '0 FEE: $-7 Check No.:' Receipt No.: a 1 of NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fu If A ent/Owner gnature o _--- nature of contractor Gti i me, __ _ Si g._ . __ _ __ . _ 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 Siqnature COMMENTS HEALTH. - COMMENTS .4 Reviewed on Siqnature 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: Locatea 664 us ooa Street FIRE DEPARTMENT - Temp Dumpster on site yes no Located at 124 Main Street Fire Department signature/date 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 A -A Add6nk, � � GV✓�^ ❑ Notified for pickup - Date Doc.Building Permit Revised 2008 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 ❑ 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 2.2008 Location No. Date Check # . TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ 2 1 0 8 7 Building Inspector LAWRENCE H. OGDEN, P.E. 198 EAST MAIN STREET GEORGETOWN, MA 01833 978-352-8318 fax 978 —352-2858 pager 978-502-5921 March 28, 2008 Mr. Benjamin Osgood fax to 978-685-1099 Key Lime Inc. 10 Hepatica Drive North Andover, MA. 01845 RE: Unit "E Modified", Lot 26 Old Salem Village, North Andover --j/�? Ile -to./¢ C Dear Mr. Osgood As you requested I visited the above project to review the Engineered Lumber used in the framing as shown on plans prepared by O'Sullivan Architects 1-31-08. and certified by me. The Engineered lumber is installed as shown on the drawings. I therefore certify that the use and installation is acceptable and will support the loads as required by the Massachusetts State Building Code 6 h Edition. Should you have any questions please call. Yours truly Lawrence H. Ogden P.E. / , n 340 �b S f.ern U —!{ N m m m m m v CA C � C7 0 c� Z v) CSD 0 -0. c"r-'c CL H .o o m 0 0 CDCL 0 Q I? W r1■ CD 0 C CDCD y� CO y UM CD I S v CO) O "0 Z CD � 0 C CD ED C O 0 Z 0 CD 0 _ to O C CL cc CD ccO _ N O O. N H m C _ _dy�m N N =tm 0 C9 m n O NmnC w -C CA Cn0-0 cL=0 � m CD SOON y ?m'o -. _ _� o : C a z WX O N n . O Er_ oiift N = O.to CLw CL O m m� Co d N icr • 11 m = O N nom.► N ..* O Ci: O moi O m a� N C= 0 0: =s: co :• �q CD C/) d CC/ o RI R :p O O b z W O nCD :v O to b m n id I o'5 r C) C CD �- to o 7d � Date. . ........ '40RT 0 TOWN OF NORTH ANDOVER PERMIT FOR GAS INSt;kLLATION This certifies that I -P !A /t CY4 ..................... has permission for gas installation Z./'�' — ............... in the buildings of. ......................... at .... '// .............. North Andover, Mass. Fee. Lic. Noj 71,. 7 ... .... ...... GAS INSPECTOR," Check 4 / F ( e�'- 6377 w G F1'1i,SSACHUS'_-rTS UNIFORM APPLICATION FOR PERMIT TO DO GASFITTING (Print or Type) Al�� f j � �� , Mass. Date — 20 OF Permit # ? 2 7 Building Location /fl.�rf}T,`G►4 fjiL Owner's Nam ek,,� Telephone �1 %� - A3 - 3/G3'f Type of Occupancy JZA,5,I New Renovation Replacement Plans Submitted: Yes No[:] Installing Company Name EnergyUSA Propane, Inc. Address 100 Myles Standish Blvd., Suite 101 Taunton, MA 02780 Business Telephone (800) 822-1300 X8055 Mike Smith Cell (508) 922-7891 Check one: Certificate X❑ Corporation 132 C riPartnership El Firm/Co. Name of Licensed Plumber or Gasfitter William Kent Corson (800) 822-1300 X8051 Cell (508) 294-6660 INSURANCE COVERAGE: EnergyUSA Propane, Inc. has a current liability insurance policy or its substantial equivalent, which meets the requirements of MGL Ch. 142. Yes X❑ No ❑ If you have checkedeyes, please indicate the type of coverage by checking the appropriate box. A liability insurance policy X❑ Other type of indemnity 1:1 Bond 0 OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the Mass. General Laws, and that my signature on this permit application waives this requirement. Check one: Owner Agent Signature of Owner or Owner's Agent k I hereby certify that all of the details and Information I have submitted (or entered) in above application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under the permit issued for this application will be in compliance with all pertinent provisions of the Massachusetts State Code and Chapter 142 of the General Laws. Signature of Licensed Plumber or Gasfitter By Title City/Town APPROVED (OFFICE USE ONLY) m Type of License: Plumber MGasfitter X❑ Master Journeyman License Number 3707 • 1/ • 11 • • • Y • • - ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ MUM 0=0 ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ Installing Company Name EnergyUSA Propane, Inc. Address 100 Myles Standish Blvd., Suite 101 Taunton, MA 02780 Business Telephone (800) 822-1300 X8055 Mike Smith Cell (508) 922-7891 Check one: Certificate X❑ Corporation 132 C riPartnership El Firm/Co. Name of Licensed Plumber or Gasfitter William Kent Corson (800) 822-1300 X8051 Cell (508) 294-6660 INSURANCE COVERAGE: EnergyUSA Propane, Inc. has a current liability insurance policy or its substantial equivalent, which meets the requirements of MGL Ch. 142. Yes X❑ No ❑ If you have checkedeyes, please indicate the type of coverage by checking the appropriate box. A liability insurance policy X❑ Other type of indemnity 1:1 Bond 0 OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the Mass. General Laws, and that my signature on this permit application waives this requirement. Check one: Owner Agent Signature of Owner or Owner's Agent k I hereby certify that all of the details and Information I have submitted (or entered) in above application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under the permit issued for this application will be in compliance with all pertinent provisions of the Massachusetts State Code and Chapter 142 of the General Laws. Signature of Licensed Plumber or Gasfitter By Title City/Town APPROVED (OFFICE USE ONLY) m Type of License: Plumber MGasfitter X❑ Master Journeyman License Number 3707 } J z O w U) w U LL w O LL O J w m z O H U w CL U) z_ m m w c� O CL m w U F - w Y N z O H U w a N Z J� Q. z. LL LU LU LL O z 0 z 0 m LL O LU a } 06 LU Z z 0 J_ m LL O z O F= Q U O w w U. N O w w m J a w a 0 w O U w a m z_ CO) Q t7 2 Date................ .... T 0* 4, TOWN OF NORTH DOVER PERMIT FOR GAS INSTALLATION This certifies that has permission for gas'installation---'� . .......... �0 ............... in the buildings of ..... ................ North Andover, Mass, at ...... A .. Fee�M- Vic. L ........... T Check# - 7111 6370 1� k ori 'MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFITTING (Print or Type) No KV, — 0-M—N Mass. Date 3 ?� �c�E 19 Permit Building Location WC pct e( C S Owner's Name Type of Occupancy :2� New 19' Renovation p Replacement Q Plans Submitted: Yesp No p Installing Company Name GCA -66V,4, ?1 �K Kl�, Check one: Certificate Address t� 1�1L �,'Zc� ( D Corporation (Lil(_ . M Y 31 ❑. Partnership x Business TeI.ephone—_q 43 p Firm/Co. Name of Licensed Plumber or. Gas Fitter INSURANCE COVERAGE: I have a curre�nt�1' ility insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142. Yes Ly No D If you have checked yes, please indicate the type coverage by checking the appropriate box. A liability insurance policy [B' Other type of indemnity 0 Bond D OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by Chapter 142 of .the Mass. General Laws, and that my signature on this permit application waives this requirement. Check one: OwnerO Agent 0 Signature of Owner or Owner's Agent 1 hereby certify that all of the details and information I have submitted for entered) in aboveapplication true and accurate to the best of my knowiedge and that all plumbing work and installations performed under the permit issued r th' . pl; tion will be in compliance with all pertinent provisions of the Massachusetts State Gas Code and Chapter 142 of the General $Y TFJo.rneymancense: ber Signature censed Plum r or Gas Fitter Title ter 10 3 `I r License Number Ciiryffawr� l i NL IV son Installing Company Name GCA -66V,4, ?1 �K Kl�, Check one: Certificate Address t� 1�1L �,'Zc� ( D Corporation (Lil(_ . M Y 31 ❑. Partnership x Business TeI.ephone—_q 43 p Firm/Co. Name of Licensed Plumber or. Gas Fitter INSURANCE COVERAGE: I have a curre�nt�1' ility insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142. Yes Ly No D If you have checked yes, please indicate the type coverage by checking the appropriate box. A liability insurance policy [B' Other type of indemnity 0 Bond D OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by Chapter 142 of .the Mass. General Laws, and that my signature on this permit application waives this requirement. Check one: OwnerO Agent 0 Signature of Owner or Owner's Agent 1 hereby certify that all of the details and information I have submitted for entered) in aboveapplication true and accurate to the best of my knowiedge and that all plumbing work and installations performed under the permit issued r th' . pl; tion will be in compliance with all pertinent provisions of the Massachusetts State Gas Code and Chapter 142 of the General $Y TFJo.rneymancense: ber Signature censed Plum r or Gas Fitter Title ter 10 3 `I r License Number Ciiryffawr� l i NL IV e? Date.', �:� .......... Tol TOWN OF NORTH ANDOVER r 0. .j'� am PERMIT FOR-ZMBING This certifies that .................. has permission to perform ........ ................... plumbing in the buildings of .............................. 'v �? '74-,e - ; - at. . North Andover, Mass. Fee-. . . . Eic. N o./0-3 I/P —IL�' �' 3x ............... "'�jMBING INSPECTOR Check 7683 L c�1 Z C r0m MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING type or print) ,duilding Date -3 _a -egg Permit # Amount Owner's Name - 010 C Sbq It-, LA New 1: Renovation ❑ Replacement FIXTURES Plans Submitted n (Print fie) Check one: Certificate nnt or ng Company Name Gia 1 i� Plumbing- u m b i n Q & H g_ t; ng_ D Corp. 1906 e ,,Address P . 0 •Box 1701 pie.. Navarhi11� MA niRi1 Business Telephone 978-374-1743 ❑ Firm/Co. �a Name of Licensed Plumber: Stephen C. G a l i n s k y Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate box: Liability insurance policy ® Other type of indemnity Bond Insurance Waiver: I, the undersigned, have been made aware that the licensee of this application does not have any one of the above three insurance I Igna re Owner Agent ❑ I hereby certify that all of the details and information I have submitted (or entered) in above application are true and accurate to the best of my knowledge and that all plumbing work and installations performed un r P rmit Issued for this application will be in compliance with all pertinent provisions of the Massachusetts Sta P bi d C er 142 of the General Laws. By: Signature o i e m ur Title Type of Plumbing License I City/Town LOW um er Master 13 Journeyman 0 APPROVED (OFFICE USE ONLY I ■:�: � �„ �., oano■■�■�■■■mai■■�i■r■r■■■■■■■�■o■�■■■��■■■i (Print fie) Check one: Certificate nnt or ng Company Name Gia 1 i� Plumbing- u m b i n Q & H g_ t; ng_ D Corp. 1906 e ,,Address P . 0 •Box 1701 pie.. Navarhi11� MA niRi1 Business Telephone 978-374-1743 ❑ Firm/Co. �a Name of Licensed Plumber: Stephen C. G a l i n s k y Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate box: Liability insurance policy ® Other type of indemnity Bond Insurance Waiver: I, the undersigned, have been made aware that the licensee of this application does not have any one of the above three insurance I Igna re Owner Agent ❑ I hereby certify that all of the details and information I have submitted (or entered) in above application are true and accurate to the best of my knowledge and that all plumbing work and installations performed un r P rmit Issued for this application will be in compliance with all pertinent provisions of the Massachusetts Sta P bi d C er 142 of the General Laws. By: Signature o i e m ur Title Type of Plumbing License I City/Town LOW um er Master 13 Journeyman 0 APPROVED (OFFICE USE ONLY I