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HomeMy WebLinkAboutBuilding Permit #Exception - 0 CHICKERING ROAD 5/1/2018 BUILDING PERMITo� NORTH q TOWN OF NORTH ANDOVER t,Leo;6 0� yee..A 76 O APPLICATION FOR PLAN EXAMINATION x Permit No#: Date Received 4 Date Issued: �SSACHU`-+ IMPORTANT: Applicant must complete all items on this page LOCATION o� Fresco Sfree+ Tint PROPERTY OWNER wn 9 AJ.0 `�� �,�move r� Print 100 Year Structure yes no MAP 10D PARCEL: S+ ZONING DISTRICT: /3' Historic District yes Machine Shop Village yes no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential XNew Building ❑ One family ❑Addition ❑ Two or more family ❑ Industrial ❑Alteration No. of units: ❑ Commercial ❑ Repair, replacement ❑Assessory Bldg X Others: ❑ Demolition ❑ Other /al`re 6y-Q :a n ❑ Septic ❑Well ❑ Floodplain ❑Wetlands ❑ Watershed District ❑Water/Sewer DESCRIPTION OF WORK TO BE PERFORMED: Cons r V c n ,c> 9-tory qpp 1J,, o0Q -�t `�e �S 7�Q-fi'o✓1. 1 / / �fC PCX(C 2 I A/4" 98 9 sg f we �i Q,yp�oTls�,�e �r^.o►-tige Identification- Please Type or Print Clearly OWNER: Name:_ `7 0,�„ o -,I)op4i, AfNrlov-er Phone Address. 190 Contractor Name: w f Phone: Address: Supervisor's Construction License: Exp. Date: Home Improvement License: Exp. Date: ARCHITECT/ENGINEER_ ���ia.Y. F ��ee.ie.., Phone: 617- 4/03 - 1410 0 Address: 660/-�cter,Son A1/ 130,don i Oalf) Reg. No. 0-03)90 1 1-241-97 FEE SCHEDULE:BULDING PERMIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $__ 5 . ? /y7 FEE: $- waive-d 641 e/ectmow) Check No.: Receipt No.: NOTE: Persons contracting unr istered co rag ctors do not have access to the guarantyfund Signature of Agent/Ownerr Signature of contractor 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 Call Email Date Time Contact Name Doc.Building Permit Revised 2014 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/Cross Section/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:Building Permit Revised 2014 -- - RM 3 a k Q _ El w i — co A---------------- 551 din MUM CA WWIm ,Q. N Tw Z7 00 b C�j7 ^-- °- - ' ami o e I I I ( I uNORTH ELcymlnt4 m a.m A3.2 I 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 PLANNING & DEVELOPMENT Reviewed On Signature_ 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 FIRE DEPARTMENT - Temp Dumpster on site yes no Located at 124 Main Street Fire Department signature/date COMMENTS -- 48 "$ inn PA �1 A tri �}YltlfflM 4ilI1H.1�tiY W c Q sw., -, D.by,TM A3.1 a m 4 0 0— O ` T go a I {/ F. ! J , —Q g r ✓�' s s � get Y 1 i } ha " s I I ! ! 1 t h Ih II ! V V V Q `F fi l` Central Fire Station Lonham&Sweene± North Andover,MA 01845IET SnT 265ROOFPLAN °"'20] 586 6000 Q `\ Al a ;D .1' YAC t 9 S _ > v ' f — t s � �D t 4 1I^ I Ih I 1 `. j 4 Central Fire Station Donham&Sween North Andover,MA 01845 .A R C H I T E CIS e V�nl�num6u:130°00 68 Hammon Avrnue °HW Tih ChRd NR .. MA 01111 Pon Ofm Ho 163 SECOND FLOOR PLAN 61 °" '°°° "� °°"' 6oMmuods�cory com 107 386 6000 s r , f � ` J \ —4� DD 8 s � i E • - I - i 1 I I t O I 1 Central Fire Station Donham&Sweeney N 3± North Andover,MA 01845 ARCHITECT S pmjxin�mbv.Il01W 66 14mwn Avenue {HpE TiEe CFueeh Rd ~� £ 111 43M3A 1100 AW ME 015)5 FIRST FLOOR PLAN ary�m �o, 586 {aoa CHICKERING ROAD (ROUTE 125) �, ,p r•'� ._r,my._ _ruw._._._...® e.._._•_ _....._._<w _._,w._�e�••w•~•ww• — — — —.A' .!, •A ���me WVK H <r 7. xi i+Fa+caawr��... ... w.lpi r''..n' U ^_ tw 'MP to w M � �Q� w' \ W Ym.+iM•oti o 4w !.5'p Rw aw !44 1r. 1 tW \.\ tM4-1 \\ \ a s LO,ASA f• •1 ,0309 SI.i -91rw!" / r 20 CM w fim \ y � 1 coo ,ar O N y w / ` \ D..by:TM /' � •\ dale /•''�. �' SP 1.1 ,ice•— —• CHICKERING ROAD (ROUTE 125) r.v .+,.t^"°P'• �'" i�r I o"NMI watt o..,.,. �� tr•a+. @l..�,—. .—.—._, •—,—,+�' V� wA��� LE6.tl� w�e. a w f! 4 w w -"►--wr owo. --isa,�si— w::wa a,a a.+, ww OIL me m,➢rx `� .+. we u�M.°"�C°w... .DRi'' w` �\� Q Q n�n d 1 ➢Vw si,RMa • :..� \ w 1i�.w e,. ,.� � r:.,lam,,, "" �, ,•e M. � 1 a \ M tb '�7 Itt " \ s— \ t0i tai," ➢y '\ O O vi \ C$a. \ \ D-,TM / due s tl A i i � r . ` \ a ON i it s I 4 t� `€;I R Central Fire Station Donham&Sweeney N F + North Andover,MA 01845 1ARCHITECTS ° Res, yy.IJ0400 68 A- 4Had r,IChinch Rd �» Bmron INA 03111 PoS Ofice Box 266 FIRST FLOOR PLAN °" °" 1°°° A� B4536 dmhvwwksuemry win 30] 586 6000 _. .� 0 RAWw U " OOD EE VV pill I'l El 7 T T I I � IP I I i Petr m T Z --"Nfw$ rWON.......... _ o Q z .6 as �/��) vA o �e 4 8 4 A3.2 y^r ,uur rv. v w a I I lb WAN CIO 1w ° $Q I I SWrIB'-1' 16 Onwn b!':TM R t*= dela Y 4 i A3.1 e • � T T T 6 W Central Fire Station Donham&Sweeney N f North Andover,MA 01845 ARCHITECTS pmlatnumMr.130400 6B Wrm— A—. iHud Tide Ch Rd N E Boren — .11I Post M.Boa l d s SECOND FLOOR PLAN °" "' q � O6000 doMunu�d3 1400 M- 586 6000 D �g \ D nI Ik6-f m0) ^\ O O ~ 9 a f , w'�r r � r t a _ .00't `e fr Central Fire Station ruonhnarn&SweeneNorth Andover,MA 01845 R C H I TECTS4H Tide/:. BE..' ,3 5ROOFPLAN _.m o; 596 01,35 6000