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HomeMy WebLinkAboutBuilding Permit #Exception - 105 CARLTON LANE 5/1/2018 (13) TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Of NORTH 6 <TLtD I6, tiQ a OL N 9 _ o Permit NO: )DateRecved 1 * � <^ JP 7 pDA1TeD�FPy.�h Date Issued: 9SSACHU`��t INWORTAN Applicant mu com Tete all items on this page 4 LOC 10 i O Cgrk O(\ Lan e Print PROP TY WNER ,. Print MAP N .: ARCEL: ZONING DISTRICT: TYPE A U OF UILDING HISTORIC DIST CT YES PEO IMPR V ENT PROPOSED USE Residential No Re ential ,n ❑N ilding ;KOne family % WI { 1 )(Add) ❑Two orore ily ❑ Industrial ❑Alteration No.of ulis: E/L ❑ Repair,replacement ❑Assesso Bldg ❑C, is ElDemolition l ❑ Moving(relocation) er 1 ❑ hers: El Foundation only DESCRIPTION OF WORK TO BE PREFORMED 'Remove rboover IS'c Ploor CWmc, qin area V4MA 9x 14 fc'o rie seco"d levok alio o,%A reap sOs1rer�. Identification Please Type or Print Clearly) OWNER: Name: MiC\a <%rt\uM Phone: q-18 258 9548 Address: 10J Cor\\-bm L.cane O oA1 AmAo4er A10 0184-S CONTRACTOR Name: NexuS I Scrq:ceS Phone: -781 "160 2030 Address:. 0. 130�K U2-3. u--�0� r\ MA 0IS$0i Supervisor's Construction License: CS 0-72991 Exp. Date: d '107 12008 Home Improvement License: 12-91-7-7 Exp. Date: -7 I 1 q 1 20 01 ARCHITECT/ENGINEER P-1 I A Name: Phone: r-41 R Address: N 1h Reg.No. r4� A FEE SCHEDULE:BULDING PERMIT.•$10.00 PER$1200.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost :$ R X50-CEO x12.00=FEE:$ Check No.: Receipt No.: Page I of 4 Building Department a 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 V Building Permit Application Workers Comp Affidavit o/Photo Copy Of H.I.C. And/Or C.S.L. Licenses Copy of Contract a/Floor Plan Or Proposed Interior Work Addition Or Decks ❑ Building Permit Application ❑ Surveyed Plot Plan � ❑ Workers Comp Affidavit t` ❑ 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) New Construction (Single and Two Family) ❑ Building Permit Application o 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) tj Copy of Contract ❑ Mass check Energy Compliance Report 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 bf recording must be submitted with the building application Doc:INSPECTIONAL SERVICES DEPARTMENTMFORM05 pa?r 4 of 4 TYPE OF SEWERAGE DISPOSAL Swimming Pools ❑ ❑ Tanning/Massage/Body Art ❑ Public Seweril Well F1Tobacco Sales u Food Packaging/Sales F1 Permanent Dumpster on Site L1 Private(septic tank,etc. Electric Meter loc o 0 project NOTE: Persons contracting with unregistered contractors do not have access to a guar t nd SignattYe of Agent/Owne�(f � Signature c tracto Plans Submitted ❑ Plans Waived ❑ Certified Plot an S ped lans ❑ THE FOLLOWING SECTIONS FOR OFA C ONLY INTERDEPARTMENTAL SIGN OFF FO M N x DATE REJECTED DATE APPROVED 47 PLANNING & DEVELOPMENT ❑ ❑ ❑N'�ater Shed Special Permit ❑ Site Plan Special Permit j ❑ Other COMMENTS ' T ,REJECTED DATE APPROVED CONSERVATIO;R2� �° u l r� COMMENTS! D DATE REJECTED DA ROVED HEALTH ❑ ❑ ��ti�aL COMMENTS h-e �.���-z.�.s r_ T 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 Temp Dumpster on site yes_no—A Fire Department signature/date Building Setback(ft.) Front Yard Side Yard Rear Yard Required Provided Required Provides Required Provided Dimension Number of Stories: Total square feet of floor area,based on Exterior dimensions. Total land area,sq.ft.: NOTES and DATA—(For department use) Ne'-MS 4 �X 4� V� ILK ` r a � • t Page 3 of 4 Doc:INSPECTIONAL SERVICES DEPARTMENT:BPFORM05 Created JMC.Jan.2006 11 000, 1 I I I �. II /a � r_wrl �oh 1,,'� r � t .^'fit '�r�• ^ L�EFtWQ­ PLAN M_ Nliche Barnum File No An 1Man .: t?3061064 . ' & Case.No Address Z45 Carlton Lan . MA .01.845 'If:North Andover kende:Access National Mort a e. - :. lndir. ted Rooms Are„ Representative 6hiy And Are Not l o Scale Beth i3atl Close Bedroom y. M - . aster > Bedroom Bedroom Send Floor fledtoorn 40 0` f' 'Wood Dtick � J1 [Jirnng K. Breakfast Y - Area Fam�iy. i£itchen Room Fteereatlbn i�oorrf .r First_;Ftoort Study Foyer Living Ftvarri. c 24'0'v t - Sketch by Apex I Windows'”' S�' VA31A0 s.i $ pt"'^ ri` =74,7-"% ��y. '• Fsra Slcor'q $2.00„ 600.00 , G7+A120.80 00 +' "?24 4 Y, 25..0 Y, 1254.00G 7-0 S 0x 26.Q 26.00, h 14, 112.00 l`. 3ee0nd LP or gx.. 27.0 x 40::0 1090 00 , " .. MtY1t Fbgyjy� ��a -: r Iti41' .'7CIEV t 1nCJ � Wal Let • � _ Mme. fall 4A Q 01.4 17 Wrl �j 1's•�r• :.. t ' „ t • T, • _., r � u tt C we OWE dd t roti p vz<--, WEEKLY TIME SHEET (Exempt Employees) TOWN OF NORTH ANDOVER weeks off 1 . 4. f . • ; E K StJ RVt INC � Pham�76at141o65tFax476464•Tt�B MORTGAGORS(1�1(��5�S tAK;.'! 89Rt�C�r�l DEED REF. . ADDRE S ©F PRINCIPt.E lWiMO NG PLAm REP. (Q; Lrt1• DATE OF INSPECTION" / { i i crr �t 1 I Y3 .7o�/¢ I W N or r' i { j GA ;w 04A) RUDE! CEATIFICATION TO. �40� The lnc-at-ton�ttw prinetpb stru�tui�s this monke Piot P(JA ae.prepared A�ecill�ty 9 Pu►Paces any Bedsit gr oat Irttl h at teptaseidad. �J rrlSlfw � '. vvltl}dfe Iactd xorlhrp bylatrot►In eR t ranst!ucteet p�w>atot>ah or Sand ivrvoy.TfrSe qW+is r+d to be utii4 haw } arid!w s ,rnraS 1;cam vfok�ltoa on cnnet►1' " t fosSlfabl4R u�Y At ttie dines iar ti drRoo".No '� Uon urtdef,Ntass.ti:t. t'Itle VI1.01iOA,Set; 7. ►�M Any r rpt�lAllr b sxtAe�ded to the lard Ckrner at sxcvi►rsf• �!Suhjdr t'61 Ittff Is to,hr a Fb60 MtW" Th*Mrtrtic"to Dosed an to to AdQft:ti awvq mwlaer bU klWw kl"In'R F%, W Ni Wd ANK FIood tw rd dstsnttsrtad"ttcttt the FtttM rttNxF_Z 0 a1 dhen. _ .-m4�Ct AQAs p'f,G - k�3A unc 1t -tel' S.1-N CC^Ciz c0._T t."!n e•