Loading...
HomeMy WebLinkAboutBuilding Permit #800-16 - 10 GREAT LAKE LANE 1/11/2016 A&W 4 LTJ BUILDING PERMIT of NoR, . l �t OR .l TOWN OF NORTH ANDOVER o2 h�'''' ., o APPLICATION FOR PLAN EXAMINATION ft-0Co 1y .p <ecc.a 1. Permit No#: Date Received A 4o wKa� 7 R P 5 F gSSACHUs�� Date Issued: IMPORTANT:Applicant must complete all items on this page LOCATION Y\ (L6-F l� Print PROPERTY OWNER -T- KZ L L M Print. 100 Year Structure ye'so MAP�PARGEL: ZONING DISTRICT: P-3 Historic District` yes o Machine Shop Village yes 0 TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ,kNew Building ane family ❑Addition ❑Two or more family ❑ Industrial ❑Alteration No. of units: ❑ Commercial ❑ Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition_ ❑ Other Septic} ®'1/yell ❑ Flootlplan` Wetlands '1Natered ® tact: r� fix .Water/Sew_ er DESCRIPTION OF WORK TO BE PERFORMED: Identification- Please Type or Print Clearly OWNER: Name: 7 K7- LLQ, Phone:`I7F�SZ�yaU Address: i Contractor Na e: T"k Z U-c Phone: 78 012 r-�o�Z Email: Ge Address: . 1 S ! U Supervisor's,Q0 struction,License: d S-5740 Exp. Date: . Home.Improvement.License: - — Exp. Date: 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: $ FEE: $ UCS •UZk Check No.: 2, Receipt No.: g �. NOTE: Persons contracting with unregistered co tractors do not have access to the guaranty f d Location X V~ No. d© �� Date /J—/J/—/f • - TOWN OF NORTH ANDOVER T'p 1 Certificate of.Occupancy $ Building/Frame Permit Fee $ Foundation Permit Fee Other Permit Fee $ TOTAL $_ Check# u`ilding Inspector Plans Submitted Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ TYPE OF SEWERAGE DISPOSAL s Public Sewer Tanning/Massage/Body Art ❑ Swimming Pools ❑ r Well ❑ Tobacco Sales ❑ Food Packaging/Sales ❑ Private(septic tank,etc. ❑ Pennanent Dumpster on Site ❑ THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM ` PLANNING & DEVELOPMENT Reviewed On c11111& Signature_ I 14 COMMENTS �uts�a�� �p2�1�- 1�? �C�}n1Ulnrt Acv</a✓�d� l��19�j i X0.51M CouT--oL tN P(&ee ; Lor I:E Sid CONSERVATION Reviewed on — Signature f COMMENTS K U AJ - 'f i HEALTH, Reviewed on / c tSi COMMENTS l'/;40 • i Zoning Board of Appeals:Variance, Petition No: Zoning Decision/receipt submitted yes e r'fanning Board Decision: slo (�La/Ly—Comments Conservation Decision: IV* Z1(2– f 67 !- Comments Neter& Sewer Con nection/si nature Date Driveway Permit DPW Town Engineer: Signature: Located 384 Osgood Street FIREDE�PA�RTLMEN�Tf Temp ®umpster �t.,�4 Mam Street« � - Fire De artm n�si ature/date._.�_ • --• -- MM T . Dimension Number of Stories: 2— Total square feet of floor area, based on Exterior dimensions. 283b Si7 Total land area, sq. ft.: 2 �, 063 S� ELECTRICAL: Movement of Meter location, mast or service drop requires approval of Electrical Inspector Yes No DANGER ZONE LITERATURE: lies 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 Pen-nit Revised 2014 Building Department The following is a list of the required forms to be filled out for the appropriate permit to be obtained. i 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 OTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit Addition Or Decks 4 Building Permit Application 4� Certified Surveyed Plot Plan 4 Workers Comp Affidavit Photo Copy of H.I.C. And C.S.L. Licenses Copy Of Contract 4. Floor/Cross Section/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (If Applicable) 4 Mass check Energy Compliance Report (If Applicable) Engineering Affidavits for Engineered products OTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit New Construction (Single and Two Family) 4� Building Permit Application aCertified 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 2012 I ECC Energy code Engineering Affidavits for Engineered products OTE: 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 39 7' 26.6' rl I l /40 SETBACK cfl 75.1' o gvW. `J N U co -� 32.1'- LOT 1 1 L 60 GR£kt I AK.£ LA-40 Q o co EXIST. FOD. TOF= � 196 C; .2' ujM ��I PROPAlrjlr,� TAWN YY 45.1' i \ I S MICHAEL O J. 28.9' SERGI m v No.33191 SSxO SURV � X30 1, \ SHOWNI CERTIFY THAT THE PRIMARY STRUCTURE TE HRIZONTALTS OF THE LOCAL F O U N DATION LOCATION APPLLIOABLEE ZON NGTBACK BY-L WS ION UIREMEEFFECT WHEN CONSTRUCTED. CLIENT. TKZ,LLC {THIS CERTIFICATION DOES NOT CONSIDER ANY OTHER RESTRICTIONS SUCH AS GOVENANTS.INETLANDS.EASEA-0ENTS. ORDERS OF CONDITIONS-ETC.)THIS DRAWING SHALL NOT BE USED THIS CERTIFICATION IS MADE AND LIMITED TO THE ABOVE CLIENT BY THE CLIENT FOR ANY PURPOSE OTHER THAN THAT OUTLINED LOCATION: NORTH ANDOVER MAS$. ASOVE,EXCEPT WITH THE WRITTEN PERMISSION OF CHRISTIANSEN r &SERGI INC.FURTHERMORE THIS DRAWING IS THE COPYRIGHTED DATE:7!21!16 SCALE: 1"-4O' PROPERTY OF CHRISTIANSEN&SERGI INC.AND ANY UNAUTHORIZED USE IS PROHIBITED.CHRISTIANSEN&SERGI TAKES NO RESPONSIBILITY FOR THE UNAUTHORIZED USE OF THIS ORAVVING OR ANY INFORMATION CONTAINED HEREON. PROFESSIONAL ENGINEERS & LAND SURVEYORS CHRISTIANSEN & SERGI, INC. �! I 1 160 SUMMER STREET, HAVERHILL, MASSACHUSETTS 01830 WWW_CSI-ENGR.COM TEL. 978-373-0310 FAX.978-372-3960 DWG.NO.:13114.001.014 r 39.7' 26.6, + 1 100' SETBACK 75.1' Ao evw. N co -� 32.1' LCAT 1 31.0 C o ()Psi t..AKe LANrI Q rN 1 EXIST. � + FOD. cfl TOFF 'O_ i� 196.2' co M is, FAoPc�D PROP'kUE.� TANK 45.1' d, zt + ��tHOFMgs +. o=ff MICHAEL J. 28.9' SERGI m v No.33191 ` A��FESSIO�P� (q�SSV S�OP- 130 1, I CERTIFY THAT THE PRIMARY STRUCTURE FOUNDATION LOCATION THE HORIZONTAL SETBACK REQUIREMENTS OF TrHE ONCAL ORMS TO APPLICABLE ZONING BY-LAWS IN EFFECT WHEN CONSTRUCTED. CLIENT: TKZ,LLC (THIS CERTIFICATION DOES NOT CONSIDER ANY OTHER RESTRICTIONS SUCH AS COVENANTS.WETLANDS.EASEMENTS, ORDERS OF CONDITIONS.ETC.)THIS DRAWING SHALL NOT BE USED THIS CERTIFICATION IS MADE AND LIMITED TO THE ABOVE CLIENT BY THE CLIENT FOR ANY PURPOSE OTHER THAN THAT OUTLINED LOCATION: NORTH ANDOVER,MASS. ABOVE,EXCEPT WITH THE WRITTEN PERMISSION OF CHRISTIANSEN &SERGI INC.FURTHERMORE THIS DRAWING IS THE COPYRIGHTED DATE: 7/21116 SCALE: 1"=4O' PROPERTY OF CHRISTIANSEN&SERGI INC.AND ANY UNAUTHORIZED USE IS PROHIBITED.CHRISTIANSEN&SERGI TAKES NO RESPONSIBILITY FOR THE UNAUTHORIZED USE OF THIS DRAWING OR ANY INFORMATION CONTAINED HEREON. PROFESSIONAL ENGINEERS & LAND SURVEYORS CHRISTIANSEN & .SERGI, INC. 160 SUMMER STREET, HAVERHILL, MASSACHUSETTS 01830 WWW.CSI-ENGR.COM TEL. 978-373-0310 FAX.978-372-3960 D W G.N 0.:13114.001.014 F NORTH own Of L ndover No. W17 _ h ver, Mass, Z A/ - cocmc»ewrcw �1 �as OATED U BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System THIS CERTIFIES THAT �j, BUILDING INSPECTOR . .. ..................... . .. . .... has permission to erect .. buildings on AQ � Y�..`....................................................�. F � Foundation � Rough t0 be OCCUpled as .��`°� 8.� G�l.It A Chimney ................... .................. ..... ................................................................ provided that the person accepting this permit shall in every r spect conform to the terms of the application Final on file in this office, and to the provisions of the Codes and y-Laws.relating to the Inspection,Alteration and Construction of Buildings in the Town of North Andover. PLUMBING INSPECTOR Rough VIOLATION of the Zoning or Building Regulations Voids this Permit. Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTIO T TS Rough ................ Service ....................... ... ........ Final BUILDING INSPECTOR GAS INSPECTOR Occupancy Permit Required to Occupy Building 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. :&1;§iiflflfff CERTIFICATE OF LLAB1LITY iNSURA"CE s.�ieaals ccs t:xnrriraGm■aasaaa a,�-to+s=lre�+crarx*aant ao rinst e:Ksrra i!x[.4.t►1P tseve�rc-u'sr�^rte ll Tlwr.A?12:"Xlf 3TalitaThWOR k4311p'Q.lJ1YK/MUM Co.iLLnA M Cl7N}I¢3'R.i+12+173 Ri'K PUd w[ ■moo. rlas-mpnr$CP_:%w or"Pmc*920 M=G Wlrl7/a a crtry+cs me-W R *uAwl..iii'mot ArAKFXRV. MP9W* UT%10 l4l2%=T„Ab&TI[R!'YCti3dAicM a7W1'.t8�snk7NuY17We•iwa2�I`Li1LiaMAiJM>iwir3AcM&e v�YwedY tl7Y.tlL^Y,.+Q'R.WR7 rNb lr lrss:ei*�fir�lAb R1Pae"'ri^1i6re�rnr.Zfiawegi�ay.+L.L�+adass.nr�a.#elsPs�aax W rltH.tele s+cHl:aexiuMiw*1si6sal wd':.eMsr�eN i$aftdl 3f4tifC64 x F K4BEifrs Ysts AGCY IkeF9781683-8073 lsY,tasl-]is7 1060 029"d at:"*t ��,< gas, aprt ei!tti nauYaflea.cpYt taeLh, And6VaLR, KA CHAS - ..w�cr dlolfws l.iYW .,ta It54X xis co - -- ' '= 2dl LU 11.10 23M f.ria A/0 w,n. AEdfst3Arf> ExPLOYITHS lat Cd lox lAsomuillo s�o t►�msa tr, 3ih 01845 '.YIr ti:AF:aP1r iw2r'?i'P3rS.4'.1 lD:75Ki d.i'�a...IGLYiis'at iAai.iNlG L`fi iW.T'."i tiR-RCs gatki+ter::[n1.0-•Wii• acr�uz2; w-utt.s-aawzw.•el7r�e+rt ramrsrsaznrscsr.+e.c�dFih:SGa'6Sf#:iG41Y•.Re*!tT�'^.,N[•3{�C :.i1S'iYA'1.,►ST •lifXS•'Yf!•iii'tilCAti£4i FL7eMtM1 I1F7a>•C Le ii!0.11:at1�'.if3�c+iNdi i Y.iLS':1' LK "Aa 6+l.:tJB49ki.i['G31tIFY6t34tlt.ti^JN[Y1iFIR,Is]wllitk M'A�I6Na'�}yS hT.titZNi lzn AAA 4 5,000 C(iHY711�iY6b.AC16t[fiiiil - K_. t r ! 3=4936 3tllrbs al ails a.., ti.., .� 1 �,a00,aUa E::.. E%CfJtitt D int s trr-. .Kpa9 4 �t.wf is v4lat5, aiwvlt.sx .rsa..xr ..rru i ✓:i.a.. d f ns .. 1,0,00,000 cl ...ew: MCCSfld4DCLSla-701 Lk 8tf}1Ffat Q76Ftli ...a..., ,.or�.•,a 1 1,000,000 . . :,L:V"4l.Y4+R'fi:ed u�!Juaf..ba'.il s..ri.f..4.ser flwrada.u.-a ssa-s tawyaa<s+e tM7i7x1AY.7 1*I!.'Li.'V$Ti IF'df.�i f�fZ'flil:tl►K routt or nomw kkbf*gn �* ;?Fiv3L1 iti asrtx:e nc.s :a. a c Ium H hlf7Gt siM504f� iih 01045 Ctti+ti:a rA�.AI:dA}��;}h4i:N Hi i{ti#.b+sl h:if=.tAf�l::it'C it I !1r N tlTt!1dtal In-tit K,+ilr.r�.[bbi Ylaxp.F eLl:i3; ' I C"55417 Thomas ID Zahoruiko' 78 Great Pond Road North Andover MA 016.4 5 04/05/2016 ,0 - - �Ap - �J 4 ff , a t .9 ,b O q $-•Q 12_a '0 d fit.-o �o� 0 2fl�0 No Fv�,N FouwD i \0� P�..�, �