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Home My WebLink AboutBuilding Permit #657 - 112 LISA LANE 5/29/2009 BUILDING PERMIT of"°oT b qti TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit NO: w s Date Received t �gSs CHUB Date Issued: ° IMPORTANT:Applicant must complete all items on this page LOCATIONLAN PROPERTY OWNER i (� Print MAP NO: 1 PARCEL: to I ZONING DISTRICT- Historic District yes no Machine Shop Village yes o 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 ESCRIPTION OF WORK TO BE PREFORMED: dentification Please Type or P�}'nt Clearly) ; ��-Z�( -��5 OWNER: Name: Phone: Ir7—-1 Address: I. � s �N s N 4 I-'i o�_ CONTRACTOR Name: Phone: I Address: Supervisor's Construction License: _ _ Exp: Date: Home Improvement License: Exp. ''Date: I ARCHITECT/ENGINEER Phone: I Address: Reg. No. FEE SCHEDULE.BOLDING PERMIT.$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. � / I Total Project Cost: $ o� C� �� FEE: $ Check No.: 1,2a Receipt No.: -a '3 NOTE: Persons contraAl,—. eg tered contractors do not have access to the guaranty fund 5 g ature of Agent/Own � - - ---mature of contractor �a 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 h o Workers Comp Affidavit ❑ Photo Copy Of H.I.C. And/Or C.S.L. Licenses o Copy of Contract o Floor Plan Or Proposed Interior Work o 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 L3 Workers Comp Affidavit o Photo Copy of H.I.C. And C.S.L. Licenses o Copy Of Contract o Floor/Crossection/Elevation Plan Of Proposed.Work With Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Mass check Energy Compliance Report (If Applicable) o 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 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) o Copy of Contract ❑ Mass check Energy Compliance Report o 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:INSPECTIONAL SERVICES DEPARTMENT:BPFORM07 Revised 2.2008 I 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 DATE REJECTED DATE APPROVED PLANNING & DEVELOPMENT o2 Q COMMENTS Z-o-�— >Y! �etrje. GfSe l� aflp( �/ CONSERVATION Reviewed on Si nature 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" i Dimension I �r 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 i DANGER ZONE LITERATURE: Yes No MGL Chapter 166 Section 21A—F and G min.$100-$1000 fine NOTES and DATA— For department use i I I ❑ Notified for pickup - Date ..........._..........................---..............-......---....-..-_.........-..........--- ---- Doc.Building Permit Revised 2008 Location f/,2 X jig No. 4:; f_ Date a` S �oRTM TOWN OF NORTH ANDOVER F p ♦ i Certificate of Occupancy $ r CMU9 <�' Buildin /Frame Permit Fee $ y ssASE Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # 220 '/ Building Inspector North Andover MIMAP 112 Lisa Lane May 28, 2009 4 �',►' 331' ,)x, 246' r �a tie �.. r i X125 41 —Rail Line WSP ZoneC Interstates —Interstate Horizontal Datum:MA Staleplane Coordinate System,Datum NAD03, —Major Roads Meters Data Sources:The data for this map was produced by Merrimack Roads f 40RTN q Valley Planning Commission(MVPC)using data provided by the Town of `ti0 North Andover.Additional data provided by the Executive Office of Streams ? do 6 O Environmental Affairs/MassGIS.The information depicted on this map is MVPC BoundaryC _ A for planning purposes only.It may not be adequate for legal boundary definition or regulatory interpretation.THE TOWN OF NORTH ANDOVER O Municipal Boundary # 9 MAKES NO WARRANTIES,EXPRESSED OR IMPLIED,CONCERNING Q Watershed 9 • THE ACCURACY,COMPLETENESS,RELIABILITY,OR SUITABILITY i ^ ♦ OF THESE DATA.THE TOWN OF NORTH ANDOVER DOES NOT .:;Watershed Sub-basin ♦ o 4 ASSUME ANY LIABILITY ASSOCIATED WITH THE USE OR MISUSE OF Hydrographic Features $.J."..�...<o�`� THIS INFORMATION Floodplain �4SSAC�{U9�S4y . f9 100 Q 500 O WSP_ZoneA 1"=1036 ft p WSP ZoneB 8k 11260 PS34 19415 07-23-20018 a 10233a Prepared Or. Fidelity national title 17592 E. 176 St Ste I00Tuatin,ca 92780 Fidelity National Title 4000 Industrial Blvd Aliquippa,PA 15001 .2 Assessors Paroel Number: 098.0-0067-0000.0 d C QUITCLAIM DEED RONDA J.JOHNS,WIPE OF THE GRANTEE in consideration of One Dollar(S 10,00)paid, N grants)with WrIV AIM COVENANTS to MARK T.MYLAN , P. MNIM NG l�►. whose address is 112 LISA LN,N.ANDOVER,MA 01845 the following described premises: SEE ATTACHED EXHIBIT A PROPERTY ADDRESS: 112 LISA LN,N.ANDOVER,MA 01845 R NDA J.JO _ COmmonweallh ofMassechusette County of . Date: Then Personally appeared ibe above-namod,0 -", and acknowledged the foregoing instrument to be Afroo and deed,betbne me jokon Expires: GREGO N CLEMENTS, ESQ. Notary Public COMMONWEALTH OF MASSACHUS&M MY CoMMNifoo UpIt"MoY 31.2013 I ' «1 t . Bk 11260 Pg35 #19415 Exhibit "A" Legal Description All that certain parcel of land situated in the Essex Northern District, City of North Andover, County of Essex, Commonwealth of Massachusetts, being known and designated as follows: Recorded as Desk Plan No. 6297, showing Lot No. 6 as revised. Being the same property as conveyed from Robert L. Hatch and Eugenia P. Hatch to Mark T. Mylan and Ronda J.Johns, husband and wife, as tenants by the entirety, as described in Deed Book 5663, Page 151, Dated 12127/1999, Recorded 0112612000, in ESSEX County Records. Tax ID: 98A-67 1r' d . I ��_ 1695976-1 v ,-y ESSEX NORTH REGISTRY OF DEEDS LAWRENCE, MASS. App � A TRUE COPY*.ATTEST: REGMI ER OF DI!EO*" r10RTH ToVVn of : t 4Andover . 0 No. dover, Mass., •? !• T Q -- LAKE ^. A- COC MICM:.CK V ' 7��oRATE D PQM\ -`C7 �7 BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System BUILDING INSPECTOR /� THIS CERTIFIES THAT I� Oft. ..� ►... d Foun ation has permission to erect...........................I............ buildings on ..1..�.d0..........�I�I i........... .. 1II ............... Rough to be occupied as........ .........x1ouIdI Chimney . ................................................................................... provided that the person accepting this permit shall in every respect conform to the terms of the application on file in Final 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 1S PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRU STARTS Rough .............................WWftft. Service BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Rough Display in a Conspicuous Place on the Premises- — Do Not Remove Final No Lathing or Dry Wall To BeDone FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. SEE REVERSE SIDE Smoke Det. f �oRTN TOWN OF NORTH ANDOVER a� •`,�_ * '•°� OFFICE OF BUILDING DEPARTMENT 1600 Osgood Street Building 20,Suite 2-36 �,+•+,C � � North And0vCr,Masuchusetts 01845 ss�cwustt ' Gerald A.Brown Telephone(978)688-9545 Inspector of Buildings Fax (978)688-9542 HOMEOWNER LICENSE EXEMPTION lease mint DATE: 2&q- JOB LOCATION: 1 Z LI S N]2� Qp rl �� Number Street Address Mapes xo1VlEowNERut ' Kj - � 7� �W 3 ' Name Phone Work Phone PRESENT MAILING ADDRESS City Town � zip Code =rent ment exemption for"homeowners"was extended to include owner-occupied dwellings to two units or less and to aglow such homeawaers to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor). State Building (Code Section 108.3.5.1) . , DEFINITION OF HOMEOWNER Person(s)who owns a panel'of land on which Wshe resides or intends to reside,on which there is,or is intended to be,a one or two fatuity structures. A person who constructs more that one home in a two-year period shall not be considered a homeowner. The undersigned"homeowner"assumes responsibility for compliances with the State Building Code and other Applicable codm,by-laws,rifles and regulations. The undersigned"homeowner"certifies that helshe understands the Town of North Andover Building Department muumum inspection pro=ki es and raprements and that he/she will comply with said procedures and requirements. HOMEOWNERS SIGNATURE APPROVAL OF BUILDING OFFICIAL Regia 10.2005 Form Homwwncn E=n*im BOARD OF 1PPE.U.S 6.38-9541 CU.`SERV.1'I'I4N.,688-9530 ]iE.11.FH 688-9510 . PLANNING 688-9535 - Town of North Andover Page 1 of 1 Base Map I F Zoning 2005 Aerials Watershed Zone Utilities 0 Sizep❑D Selection IFLegend Location Mrkp QI ❑+ Help Scale 1"= 223 ft � Select Ir Parcels 1- -1 } ?l Owner Address LotSize MYLAN,MARK T 112 LISA LANE 26136 i r UIVOL 1 selected To Mailing Labels To SpreadSheet Property 0.Q• ��V <� Print ko Ownerl MYLAN,MARK T z �J ~ Owner2 RONDA J JOHNS t Address 112 LISA LANE Map/Lot 098.A-0067-0000.0 �I Lot Size 26136 sq.ft. Fiscal Year 2007 [ 1 5 t Land Use 101 3 ;:. Code Last Sale 1/26/2000 12:00:00 AM Get Pictometry Image:- Go v2.5[beta 27 AppGeo Save Map as Image I- I http://maps.mvpc.org/NorthAndovermimapNiewer.aspx 5/19/2009 Town of North Andover Page 1 of 1 Q Base Map Zoning 2005 Aerials Watershed Zone Utilities Sizep�� Selection Legend Location Markup _ ❑+ Help Scale 1"v = 23 ft Select i(= Parcels 1(= 09f A404 I � (show all) Owner Address Lot Size 048 A-0061 L MYLAN,MARK Tj 112 LISA LANE 26136 �y �C• 09BA-0066 ti W. 1 selected To Mailing Labels To SpreadSheet 098A-0067 yD, t Property Print Ownerl MYLAN,MARK T 09&C4)002 09a�A Owner2 RONDA J JOHNS 098•C.0069 Address 112 LISA LANE Map/Lot 098.A-0067-0000.0 i1-0093 Lot Size 26136 sq.ft. Fiscal Year 2007 f Land Use 101 C-0 09BA-00192 1 Code Last Sale 1/26/2000 12:00:00 AM Get Pictometry Imager Go oz.s @eta 2[ APpGeo Save Map as Image http://maps.mvpc.org/NorthAndovennimapNiewer.aspx 5/19/2009