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HomeMy WebLinkAboutBuilding Permit # 9/6/2016 poRTH BUILDING PERMIT TOWN OF NORTH ANDOVER o= APPLICATION FOR PLAN EXAMINATION p Permit No#• 1 Date Received SSAH5 Date Issued ( � E ' I ORTAeeNT:Applicant must complete all items on this pace j LOCATION .'- Print . r o/ PROPERTY OWNER / f J�-,; Print 100 Year Structure yes no MAP=UL 7 PARCEL: t U/ ZONING DISTRICT: Historic District ye no Machine Shap Village y no i TYPE OF IMPROVEMENT PROPOSED USE Resi ntial Non-Residential D New Building ne family D Addition C Two or more family D Industrial D Alteration No.of units: ❑Commercial Repair,replacement D Assessory Bldg D Others: D Demolition D Other Se���We]i 13F[oodplaLTrJUVet1aY��s� � ❑�aters�led�jsfr[cY�� DESCRIPTION OF WORK TO BE PERFORMED: /,Idec/,- Identification ntification-Please Type or Print Clearly OWNER: Name: / n r r�`f4 Phone:s/f z 1 r - Address: ( i Contractor Name: Phone: j Email: i Address: Supervisor's Construction License: Exp. Date: i i Home Improvement License: Exp. Date: i ARCHITECT/ENGINEER Phone: E Address: Reg.No. FEE SCHEDULE:BULDING PERMIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BArD ON$125,00 PER S.F. Total Project Cost:$116, (--,o }, FEE:$ J/ Check No.: Receipt No.: ? VOTE: Persons contracting with onregistered contractors do not have access to the guarantyfund 6gnaturP of Aunt/()�nme t 1 Signatr ra of�antractor 1 �/ Town of "°R " � Andover 0 to No. ,,31— h ver, Mass, W 7,9 °q�reo�PP�,(Gl s � -- BOARD OF HEALTH Food/KRchen T ILD Septic System THIS CERTIFIES THAT....................... ,,f .........�l�olli el...,,,,, ,,,,, BUILDING INSPECTOR has permission to erect...... ..build' gs on. Foundation ........ ..... .... .... Rough to be occupied as....... .. ..... Chimney provided that the person accepting this permit shall in efery respect c nform to the terms of the application Final on file in 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 16 MONTHS ELECTRICAL INSPECTOR UNLESS CONS TI Rough Service "00 ... .. ... .. .... .. ........... ....... Final BUILW INSP TOR GAS INSPECTOR Occupancy Permit Required to Occupy Buildin 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. Smoke Det. Plans Submitted Plans Waived❑ Certified Plot Plan LI Stamped Plans ❑ TYPE OF SEVMRff GE DTSPOS_AL Public Sewer Tauninowassage./BodyAr=ED Well ❑ Tobacco Sales Private{septic tank,etc. L� permanent Dumpster on Sit THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF m U FORM /PLANNING&DEVELOPMENT Reviewed On Signature COMMENTS !` I ONSERVATION Reviewedon 1 to 1/ Signature COMMENTS ,Vee1 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 ConneetlonlSignature&Date Driveway Permit DPW Town Engineer:Signature: - Located 384 Osgood Street FIRE DEPARTMENT -Temp Dumpster on site ayes no , 11 Located at`1-241 MainStreet Fire'Department signature/elate TOWN OF NORTH AN-DOVER OFFICE OF a BUILDING DEPAII'I'MENI' 1600 Osgood Street,Building 20,Suite 2035 North Andover,Massachusetts 01845 Gerald A.Brown Telephone(978)688-9545 Inspector of Buildings Fax (978)688-9542 HOMEOWNIER LICENSE EXEMPTION BUIDING PEIRMIT APPLICATION Please print .p DATE: ll JOB LOCATION: Nm ber Street Address Map/Lot �` L HOMEOWNER Name HomePhone Work Phone PRESENT MAILING ADDRESS City Town State Zip Code The current exemption for"homeowners"was extended to include owner occupied dwellings of one or two family dwellings and to allow such homeowners to engage an individual for hire who does not possess a license, rop vided that the ownzr acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one-or two-family dwelling,attached or detached structures accessory to such use and/or farm structures.A person who constructs more than one home in a two-year period shall not be considered a homeowner.(780 CMR Section l I0.R5.1.2) The undersigned"homeowner"assumes responsibility for compliance with State Building Code and other applicable codes,by-laws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of North Andover Building Deparhnent minimum inspection procedures and to uiremerte-a that he/sh will comply with said procedures and requirements. j � f HOMEOWNERS SIGNATURE APPROVAL OF BUILDING OFFICIAL Revised 8.2015 Form Homeowners Exemption BOARD Or APPEALS 688-9531 CONSERVATION688-9530 HEALTH 688-9510 PLANN1NG688-9535 08 Cofnmoaawealth of 'ehtrsetts )l partmevzt®f ndUstrialAceidents 1 Congress Stj'eet,Smite 100 -- 8ostorz, A 02114 2017 2V r www.massgov1dia " Y 4$o�kars'CompensationTnsnranceAf�daait:Builders/ContraetoxslElectr4cianslPZambers. To BEE FZLID 4i' BI TR9 PER UMG' OR Rle---D-i it Lea7xl Applicant on Hama(snsiaess/oxgani'aflon/L_disid-a)):pt�e��I Address: l�t Ul�It..€�t� An--14 City/State/Zip: Phone#' ixeyou an emplopar7 Type of" r0 ect xc ed 2_nlmnazmnloyer»'sth empIoyeos(taand/orpa-thne).£ 7.[]:N'ew'cOriatIontlolt 2.p Reirioelj7ig Iaasolo propu.do=orpa:tnorsblp and have no employeesvvorki¢£erne in $" 4 n Cdr a, eaity.jNa Syo`uers'comp insiarseo repaired.] 9. Q Demolition 3 Iamahome-Imerddog91 v{oxkmyseL,BI-wskers'comp.-sys�ancexzqusedj' 10 E]$viding addition ¢.❑Tam afiameoWnezaudv+ll bahiring contrac.ors:a nQactall Fro onmypropeYY.IwiII II:Q iaecteical jgxdr5 oxaddi#t"ors ensmctbar altcoatracloiseitfierfia9ewe�cess'com�nsaiienins�u'aaco orsra sole k-a popiemnnempingaes. 12[Plumb ngxepaus oxadditions : S.�Tam agenerelca'r.�acc4orendThayelvredthn;suc-conteaehuslisizdunt�o eitacbedsbeei. j�:�Roofiepa?25 Those sub-coob'acbrsliave employers and}yavewo-.kers'coap.insvcance.? 14.El C)&--r- 152, thBr (Q Wa are acoxpsati,n mdifs kers hays eaerel�d3esrip�t r,£eazmnflonnerMGL c. .... 152,§3{4,>acdvrzfia,e=a-If:ploye�s,lNawoaRxs'oomp.ins�s'ecoeregn:redj 1 -1 -111h. cfieeksbac#1 mesC ase r'r-Iloutr'ne aiWnrkand#h hire o,ft_c_joeto..mv-sLsO_t>ino��a�d�`hih ting-6L+ - iEomeoWnersd✓ho s�iuii?�T3sa�davit�cticaLtnbt�3' ,. . Canfr3cto*.s go che?--'b must attz�becl m.additio*ishee2showinSthe-name ofthesub-eonsactors andstakeFn.e$a'ar otr�ase sniiies,�,ave empinyzes.I£`:ho sub-conhac�orsfor- pemplo3'�5>ceymvs"tpravidethes Woecers'comp.policynum7�er. ' I ain rs2 errZoyer tlz td i prey=dziagrrorkers'compensation insr�u•aneefor my employees.'BeZoYs is ihepoZiey andjab szte infot naiion. Ijxsurance Company Name. Policy#ox Sell-ins.Sic.#: F,xpirifion]Date: Job Site Address: �Li wP o Attach a copy oftheworkers'comnersatonpoheydeclaradonpage(sTiowiagtbepolzcynLmbex Ruaeapsratondate). as required tmderAIGL c. Failure to secure covenage 152,§2511 is a criminal violation punishable by a Rao up to$1,500-00 and/or one-year impr:homment as well as civilpenalties inthe fozm of a STOP WORK OS and a ane of-OP to rain$25 ,0 a _ day against the violator.&copy oftis statement may be forwarded to he Ofnee o£7nV nations ofth") for nsarancn coverage vexifioation" 7doherebye _ aznsandpeecNz;'.7Perj�z 'tTz¢itN.eirzfbr»uationgrovzdedaboveistrueandco:rt. p / col-.'et Si attire: ate: Phone#. Dffeial lase 0Ydy- Da tzot-wr&e in tWB area,to be eompleted by eity or tDvn affic"" City or Town' Perm ttLieense Sssning.AuthoxiCy{eircla one}: d,Li lectxical lnsp—tai-S.Phoea ingInspectaz• 1.Boaxdo£HealtE 2.73uiIding7�epartment 3.City/TownClexk 6.Other Person: Phone#: s� U 3 ISS l io p room 713 LEGEND: CONC. RET. WAL 1¢ S85'15'0D"W 150.00' EaP EDGE OF PAVEMENT X X X— C.L.F. I LOT AREA ! � A 1 ALa 11L WETLAND RESOURE AREA _ _ 15,dd d S.F,_ ! �' mss• .ei °ilA-5 WETLAND FLAG =i 37.4, PROJR STAKED SILT FERrCE 3L —=\ I 1 P� 24x9 EX. GARDEN vi 9 I I I AREA C.L.F. CHAIN LINK FENCE o Z TAX MAP 15.3' t x � � 13 LOT L d PROP. 2 DECK —} 52.3' i-2 O 99X55 EXtSP,NG SPOT GRADE Fy e 25x8 12.3 %25x0 24x(1 !23x4 sr I SET DECK m � m; p FEE FIRST FLOOR ELEVATION � I AT Et=33.50' OC3 I Remove ,E_ ry ! I � �n,' O t'U O I Ex.Steps ZBA VARIANCE GRANTED: #56 6.6 - 3t ODTHE TOWN OF NORTH ANDOVER ZBA GRANTED \ V' I EX. 2 STORY j r C 1 A VARIANCE PER DECISION 2007-015 FOR THE \ I WD. FR. STRUCTURE 2 xE I -�� BNLDlNG HEIGHT FOR THIS PROPERTY. SEE i ali, rR BOOK 10908 PAGE 232 AT THE ESSEX NORTH f FF' 7 2 CAR l I n '^3 REGISTRY OF DEEDS FOR THE RECORDED DECISION. #58 GARAGE 1 38�' �� / I / 5 21fx4 \ FLOODPLAIN NOTE: 2Sx2 PLATt'ORM U7FOP,M IPrap. SB`of 6'PYC�encc w/Gate Bit. Conc. THE ENTIRE PROPERTY FALLS WITHIN A DESIGNATED 1 it. Cooy \\ A— I ZONE AE FLOODPLAIN AS SHOWN ON THE LATEST F.I.R.M. 19. MAP (PANEL 25009CO209F DATED 7/312012) COMPOSITE— 1 \ � PLATFORN4 t \ 7 STEPS } ,�� �/ / 1 C ZONE AE FLOOD ELEVATION = 34' - —8N85`15'00"E 2, 150.00'; 110 1 ti � ff ` ��� A-5 I r JUL 05 201,80 24x5 EOP 23x2 GLENWOOD S7REE7 CDS T",��'VER BENCHMARK 68 GL, OOD MEET PK NAIL IN PAVEMENT ZONING INFORMATION: ELEVATION = 23.12' ZONING DISTRICT: R4 PLOT PLAN OF D LOCATED IN NORTH ANDOVER, MASSACHUSETTS (ESSEX COUNTY) � Cesx� ASSESSOR 1NFORMATION: tt s U' PREPARED FOR MAP 7 LOTS 10-12 MARINA SINACI DEED REFERENCE: ,tg, A=MB 1 SCALE: f"= 20DATE: JUNE 24, 2010 BOOK: 14421 PAGE: 40 � PREPARED BY OWNER INFORMATION: GRAPHIC SCALE MARINA s1NAC1 FEET SCALE:1"=20' x • ,M r >, i SULLIVAN ENGINEERING GROUP, LLC' P.O. BOX 2004 58 GLENWOOD STREET 20 0 10 20 40 1 WOBURN, MA 01888 NORTH ANDOVER, MA 01845 `y"Z, (781) 854-8644