HomeMy WebLinkAboutBuilding Permit #32 - Exception 1/28/2001 CONTROL
CNStRUCiU
TOWN OF NORTH ANDOVER BUILDING DEPARTMENT
T
APPLICATION TO CONSTRUCT REPAIR,RENOVATE,CHANGE THE USE OR OCCUPANCY OF, OR DEMOLISH ANY BUILDING
OTHER THAN A ONE OR TWO FAMILY DWELLING
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s Section for Official Use Onl 3n � �'� �t ,�� �, �; �
BUILDING PERNUT NUMBER: CONTROL DATE ISSUED:
CONSIRI ICTI 4
SIGNATURE:
Building Commissioner/Inspector of Buildings Date R(
1.1 Property Address: 1.2 Assessors Map and Parcel Number:
3S"/ Y/ol 7 kaiJ1, �/• hli�,t�dy �
/ 0 Oo 0
Map Number Parcel Number
1.3 Zoning Information: 1.4 Property Dimensions: n ? v
Z /2o9,3sy sf `f 89.20 _
Zoning District Proposed Use I Lot Areas Frontage ft --1
1
1.6 BUILDING SETBACKS(ft)
Front Yard Side Yard Rear Yard
Required Provide Required I Provided Required Provided
1.7 Water Supply M.G.L.C.40. 54) 1.5. Flood Zone Information: 1.8 Sewerage Disposal System:
Public ❑ Private ❑ Zone Outside Flood Zone ❑ Municipal On Site Disposal System ❑
2.1 Owner of Record
D 1 AVVO LLC
Name(Print) Address for Service
Jo 9/5' 767- 6s06 _
rn
Signature Telephone X
2.2 Autho' entZ/99 hV,&14X3&"l.' 8US/NlS C2ie- bile X
'
611EGG �G4? CZ co 4,,1.s7X0--77d,✓40, ST, love-, /70. 631/y
Name Print Address for Service: Z
f2 7 S14.0
Signature Telephone z
M
y x
1.1 Licensed Construction Supervisor eA�w Kcr 1%.g PHwr,% —, Not Applicable ❑
Tao rb oI �Z.L— C` S- d G'�j tS8
Address License Number 0
Licensed Construction Supervisor:
' 3/ Expiration Date
.Signature Telephone
3.2 Registered Home Improvement Contractor Not Applicable ❑ v
Company Name'. Registration Number
M
r
Address r
Expiration Date Z
Signature Telephone u,
I, as Owner/Authorized
Agent
Hereby declare that the statements and information on the foregoing application are true and accurate,to the best of my
knowledge and belief.
Signed under the pains and penalties of perjury
Print Name
Signature o ner/Agent at
Item Estimated Cost(Dollars)to be i,�
Completed by permit applicant x
1. Building �00� X06 (a) Building Permit Fee
Multiplier
2 Electrical ZQ�� Ols O (b) Estimated Total Cost of
Construction from(6)
3 Plumbing OO OGO Building Permit fee (a)X(b)
/6 o
4 Mechanical(HVAC) ZIP130 QOO - C o S�
5 Fire Protection
6 Total (1+2+3+4+5) lys6O� 000 Check Number SS o,14
f
-_t �.4' E.
i
*,ifni��e i+ �' { 4 •`' {t�.l't z tS �: M¢ rl((� �`' ��yMt��{�f r�a�. $e� t.::f � �:r t .i. 3 „15�� 7�7tawa«cux } � .a v d _
-
f..
NO.OF STORIES SIZE
BASEMENT OR SLAB
SIZE OF FLOOR THvIBERS 1 ST 2ND 3 PD
SPAN
DEMENSIONS OF SILLS +
DEMENSIONS OF POSTS
DIMENSIONS OF GIRDERS
HEIGHT OF FOUNDATION THICKNESS
SIZE OF FOOTING X
MATERIAL OF CBRvINEY
IS BUILDING ON SOLID OR FILLED LAND
IS BUILDING CONNECTED TO NATURAL GAS LINE
1
zM' t_sq,`5�
I
L
New Construction ❑ Existing Building Mr Repair(s) 0 PAlterations(s) Addition ❑
Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify
I
Brief Description of Proposed Work: pj�igS� l� GvoRk (tlN.u� 1ia�^'G, If
if zwo dig>!oN Or 15-aj 000 -S 0 fr 0f Aa c�X/.ST�NG ,80.&44..)6. woRX /A+494o'D4S 4
I
` I
I
USE GROUP Check as applicable) CONSTRUCTION TYPE
A Assembly 0 A-1 0 A-2 ❑ A-3 ❑ IA ❑
A4 ❑ A-5 ❑ IB ❑
B Business 0 2A 0
C Educational 0 2B ❑
F Factory 0 F-1 F-2 ❑ 2C
H High Hazard ❑ 3A ❑
IInstitutional ❑ I-1 0 I-2 ❑ 1-3 ❑ 3B ❑
M Mercantile ❑ 4 ❑
R residential ❑ R-1 0 R-2 ❑ R-3 ❑ 5A 0
S Storage ❑ S-1 ❑ S-2 ❑ 5B ❑
U Utility ❑ Specify:
M Mixed Use ❑ Specify:
S Special Use ❑ Specify:
COMPLETE THIS SECTION IF EXISTING BUILDING UNDERGOING RENOVATIONS,ADDITIONS AND OR CHANGE IN USE
Existing Use Group: Ai Proposed Use Group:
Existing Hazard Index 780 CMR 34: Proposed Hazard Index 780 CMR 34:
i
171
BUILDING AREA EXISTING if applicable) PROPOSED
-Number of Floors or Stories Include
Basement levels av/Tj1 71ko 573 el
Floor Area Floors Z yg 000
Total Areas -Z y?,000
'Total Height R Zy Plat JO&AVVoase jAv
Independent Structural Ering Structural Peer Review RequirW Yes ❑ No ❑
SECTION 10a Owner Authorization- TO BE COMPLETED WHEN
OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
I, ,as Owner of the subject property
Hereby authorize C6�YLd GO�tS7�UGT/O�/ G-0. to act on
My behalf all matters tiv two work authorized by this fiudding permit application
17 Z404
Si
Date
117
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sECTTox q- 0 cc�1 > s�TcKOL
Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the
issuance of the buildin permit.
Si ned affidavit Attached Yea.......0 No ..D O
SECTIOPI.S-PROFESSIONAL D'''CIA ANl!C NSTRUCTIDfit.51�R'VIiCES ?4R$ D� A1�tD tUf; TttES StTB t' 'T
35! GF.O� ) xCLD SI'ACI
CONSTRt7CTI0N COxTftOL PtTI b'i* TO 7"CA�IR.I I6
5.1 Registered Architect: 4 t:RzD
�0�
lG Lsf1,VWff L e� �
Name: /f /� , Iw (/ /,�� &I'M 3 No.10868 N to
,r �I OZ l �/ -/`��I �[ ✓7f G/� t(//tGi ST. LOUIS,
0
Address
Signature Telephone
5.2 Re�iistered.Professton��'Rt�t�eer(a� =:'
;07"
lity
Name: atton Number'
Address: �i�3o�Z�ti►'
3�f�•� ,•a`00 Expiration Date
8lgnature
� ekpAoNa
Not applicable ❑%
AdE
Name: A' AI�I��� `�-" `v � a
217�� � 1r r��-^ 1� i ion umber '.o�
s
Address45-4�rU/Ai4 VM
W
Telephone � °
G
Signator � ''eF • �
s.• o
Area of Responsibility
Name - `'
Registration Number
Address
Signature _
Telephone Expiration Date
Area of Responsibility
Name
Registration Number 9
Address
Signature
Telephone Expiration Date
CL�yGo Gc„d1T7NUan4-1 40^OOA-1,' Not Applicable D
Company Name:
Responsible in Charge of Construction
Location -' li ( , '(-r �`'� '2)
No. 2 G1 C LT-L Date
MORTh TOWN OF NORTH ANDOVER
� 9
Certificate of Occupancy $
E<�' Building/Frame Permit Fee $ �� ¢"
s�CMus
Foundation Permit Fee $
Other Permit Fee $
TOTAL $
Check # �LA+
Building Inspector
tkO R T►y
to
Town of ov
MOMp
3
No. Z. _
O {-- - L A o dover, Mass., J'A tz. as- o co 1
COCMICMEWICK
AD"`ATED P'P�,`��
S
BOARD OF HEALTH
PERMIT T D Food/Kitchen
Septic System
A BUILDING INSPECTOR
THIS CERTIFIES THAT... .-N &VAT'Lr NY. Foundation]die-
has permission to easel..t 50.o.tea.S�f'�....... buildings on ...........
........� .1.....14o.�. ".. o.!¢ ................................ Rough
Chimne L
to be occupied as.l!1 .42Cs-r..2e +n , eA1eRawn.,—'r��raTi�c�-, ..F.,�,�,, i .. ,��w! �.. F.....R, o s C W-Pea
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
PERMIT EXPIRES IN 6 MONTHS
ELECTRICAL INSPECTOR
UNLESS CONSTRUCT TS
Rough
...................................:............................................................................ Service
BUILDING INSPECTOR
Fina
Occupancy Permit Required to Occupy Building GAS INSPECTOR
Display in a Conspicuous Place on the Premises — Do Not Remove RoughFinal
No Lathing or Dry Wall To Be Done FIRE DEPARTMENT
Until Inspected and Approved by the Building Inspector. Burner
e s �*ob 3 i s8 Jf Ci
Street No.�` (j
Smoke Det.
SEE REVERSE SIDE l
1
F NORTH 10
Town of Andovi
0
Booz.
No. 32-
C, LA
o dover, Mass., Matz amo t
COCMICKEWICK V _
5 RATED
BOARD OF HEALTH
PERMIT T D Food/Kitchen
Septic System
BUILDING INSPECTOR
THIS CERTIFIES THAT ,,..I.�,C... ....�r+.�,.AYdo....��Ct!4? T.TL41��.r-r .oa...a0r. . .9. .Y. Foundation
ENo VATsr
has permission to emet..�so.v. a. ,�=�....... buildings on ..........Q.�.1.....Rp,.' .. o�D................................ Rough
to be occupied as.M74�r.4ego , '�amr#L.4-.�1..Fig,��a .. �aavw! �.. vF.,...f ao s 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
PERMIT EXPIRES IN 6 MONTHS Final
ELECTRICAL INSPECTOR
UNLESS CONSTRUTS 18TRUCROX
Rough
..................S% N.
. . .................................... +
... ... .... ....... ......... 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
e.S *063 I s8 street No.
SEE REVERSE SIDE Smoke Det.
NORTH 10
Town . of FEW
Andov.CRAB. 0 �o0 2
_
No. 3Z
Cl LA o dover, Mass., Mg". "
COCMICMEWICK V
A°RATED PPS`
,9IT
BOARD OF HEALTH
PERMIT T D Food/Kitchen
Septic System
BUILDING INSPECTOR
THIS CERTIFIES THAT.. .1�,.�. .....Aupr.�t, ,.. ... ...��r.�,.AYE....��,�tl�? YT�frt,�,�%D.l�...�r!R. 9i�tNY. Foundation
E�+t�V�1T'�
has permission to eeeet..t5o.o. a.St�=,....... buildings on .........!,357 1. gp. ,+.. o b................................ Rough
' Chimney
to be occupied as WOW.Q2�-r.2a r,.s, �7gK.Re .,—'�f��rat'i. -., .F.�rR!�a ..Rv�w! �..C. F,...R.s�v s
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
PERMIT EXPIRES IN 6 MONTHS Comm Final
ELECTRICAL INSPECTOR
UNLESS CONSTRUCTI
TS CONSTRUCru
Rough
9
................................................................................................................. 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 Budding Inspector. Burner
C.S *063 158 Street No.
SEE REVERSE SIDE smoke Det.