HomeMy WebLinkAboutBuilding Permit #Exception - 0 Ogunquit Road 6/23/2010 BUILDING PERMIT
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APPLICATION FOR PLAN EXAMINATION
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Permit NO: Date Received ��ss AreD
Date Issued:
IMPORTANT:Applicant must complete all items on this page
LOCATION �'r
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PROPERTY OWNER L YY1t�t iQ t�L.i G�
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MAP 2:10 q0A 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
DESCRIPTION OF WORK TO BE PREFORMED:
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Identification Please Type or Print Clearly)
OWNER: Name: L:P– M "cz Phone:CT)6 '?JN2 M-1
Address: M- 0 0y S-Al
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CONTRACTOR Name: %dt-SOJ41 lc1ALD
Address: TR i-j A0570 TUM Pl kr- e?,H S AQ!2y Mg- O t S\(
Supervisor's Construction License:_ �j 3�r� Exp. Date:. .
Home Improvement License: �-l0 Exp. Date: �L- 1,3-"qa0)
ARCHITECT/ENGINEER Phone:
Address: Reg. No.
FEE SCHEDULE,BULDING PERMIT.$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F.
Total Project Cost: $ ��( w •4-0 FEE: $
Check No.: Receipt No.:
NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund
;Signature of Agent/Owner 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
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❑ Notified for pickup - Date
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Doc.Building.Permit Revised 2010
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
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PUNNING & DEVELOPMENT
COMMENTS
CONSERVATION Reviewed on a Signature
COMMENTS Lo Ll
HEALTH Reviewed on Si nature
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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
L.POMMENTS
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 ConstructionSin le and Two Family)
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❑ 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 2008
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Proposed Stone
Retaining Walls
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DelleChiaie, Pamela
From: Sawyer, Susan
Sent: Tuesday, March 09, 2010 2:28 PM
To: DelleChiaie, Pamela
Subject: FW: lot 5 Ogunquit Road
From: Greg Hochmuth [mailto:Greg@NeveMorin.com]
Sent:Tuesday, March 09, 2010 2:29 PM
To: Sawyer, Susan
Subject: lot 5 Ogunquit Road
Hi Susan, I checked with John Morin and he confirmed that the Certified Foundation Plan that was done is on the same
datum as the septic design. He also thinks that we set a couple of benchmarks for Peter and is going to confirm with our
survey crew chief when he returns this evening. I will let you know the outcome of that conversation. Thanks Greg
Greg J. Hochmuth • RS, PWS
THE NEVE-MORIN GROUP, INC. 447 Boston Street, US Route I,Topsfield, MA 01983
p 1978.887-8586 f 1978.887-3480 w 1 www.nevemorin.com
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Neve -MorinT
Group, Inc.
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January 29, 2010 FEB - 8 2010
TOWN OF NORTH ANDOVER
HEALTH DEPARTMENT
Ms. Susan Sawyer
Public Health Director
1600 Osgood Street
North Andover, MA 01845
Re: Lot 5, 99 Ogunquit Road
Dear Susan:
On March 19, 2007 your Department issued an approval letter for the sanitary disposal system
located at the above referenced property; this is due to expire on March 19, 2010.
At this time we are asking that you extend the approval for one year, until March 19, 2011.
If you have any questions please do not hesitate to contact our office.
Sincerely,
THE NEVE-MORIN GROUP, INC.
M• r+-M
John M. Morin, PE
President, CEO
JMM/kmm
cc: Peter Breen
F:\KATHYM\Breen 684\Lot 5\NABH Septic Approval Ext Req.doc
ENGINEERS • SURVEYORS • ENVIRONMENTAL CONSULTANTS • LAND USE PLANNERS
447 Old Boston Road (U.S. Route 1), Topsfield, MA 01983 978-887-8586 FAX 978-887-3480
Providing Professional Services Since 1978
www.nevemorin.com