HomeMy WebLinkAboutBuilding Permit #Exception - 114 SPRING HILL ROAD 6/13/2007 Jlo�,4, BUILDING PERMIT NORT�y q
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TOWN OF NORTH ANDOVER 3? b"" °�
APPLICATION FOR PLAN EXAMINATION
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Permit NO: Date Received 7 �,'"
9SSACHUS����
Date Issued:
IMPORTANT: Applicant must complete all items on this page
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LOCATIONY
PROPbkTY Ot�11N15,Ft`
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TYPE OF IMPROVEMENT PROPOSED USE
Residential Non- Residential
❑ New Building is One family
❑ Addition ❑ Two or more family ❑ Industrial
❑ Alteration No. of units: ❑ Commercial
X,Repair, replacement ❑ Assessory Bldg ❑ Others:
❑ Demolition ❑ Other
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C�� tersed Cistrict
Waiel5ewer
DESCRIPTION OF WORK TO BE P EFORMED:
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Idenfification Please Type or Print Clearly)
OWNER: Name: SI s m i PhongeT�• 6�Z• /��6
Address:
CONI t-tA,CTOjA
; Rtare `L � +' � e "J mea r
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Addre t
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SupLlcese2,
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ti��rnproveme cense
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: $ (M3 , 1 g 1 FEE: $ 7SS5
Check No.: Receipt No.:
NOTE: Persons contracting with unregistered contractors do not have access to the guars fund
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5ig�ature ofg�nt/ wner _ ; r=Signaturecl conttactor ,��`"
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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 ❑ ❑
COMMENTS
D TE REJECTED DATE APPROVED
CONSERVATIO C
COMMENTSg Q(��il'� U��IV1 IOU
DAT JECTED DATE OVED
✓� HEALTH 7(//
-7
COMMENTS z-
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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
Located at 384 Osgood Street
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FIR ' DE�ARTIINT:: T�tttp Duilpst�r ori site �s ti � n�� � � ��r `
Located at124 MainStreet
Fire Departmeri< s�gnaturellate
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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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❑ Notifiedfor or pickup -
Date
_............._............................................................................._........_..__...........................................................................................
_........_.._.................................................................._.......__...._.............._._......._..............._.._........................_...__.........._............
Doc.Building Permit Revised 2007
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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 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
a 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 2.2007
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40 DECK-,
ECK AG
EXI5TINO 5UN ROOM 2
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4, NEW DEGK5 SHALL 161
BE FLU5H WITH
5UN ROOM FLOOR
N (1)5TEP UP
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5
NOTE:ALL NEN DECKINC77
DN CANBERRA MAHO(5NYL 5 4 X 6
RAIL 5Y5TEM 5HAL BE "TIMBERTEK RADIANCE"
ALL HARDWARE SHALL BE
"LEDGER LOCK" LEDGER BOLT5 z1 ' _ }{ (U Z S}eQ` bei M
FROPOSED DECX DES I O N
SUMI DOLBEN
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BUILDING PERMIT ° �" 6
TOWN OF NORTH ANDOVER o
APPLICATION FOR PLAN EXAMINATION
Date Received �/ -7o
�4.0"Art
Permit NO: ►°
�SSACHUS��
Date Issued:
IMPORTANT Applicant must complete all items on this page
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TYPE OF IMPROVEMENT PROPOSED USE
Residential Non- Residential
❑ New Building .S One family
11 Addition ❑ Two or more family ❑ Industrial
[I Alteration No. of units: [i Commercial
XRepair, replacement ❑ Assessory Bldg ❑ Others:
❑ Demolition ❑ Other
& aptic Wefl � ( Flooplair
= ¢ V1t
OMet(ands ter
a s4e {� trict
>1Nate��S�
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DESCRIPTION OF WORK TO BEP EFORMED:
Y- Zc S ?5ra_ itZAw in A � � /yX1� 1>24c
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F
Ide ification Please Type or Print Clearly)
OWNER: Name: c5'i i m ► 5.sJ Phonez7 -
Address //1q
NTRKC" C7 i N me i" J' ' r4 b hon
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�tipertn��r's
orne t�'r roves eiLlcetise � xp e �`
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: $ 3 1 g 1 FEE:
Check No.: Receipt No.:
NOTE: Persons contracting with unregistered contractors do not have access to the guara fund
Signature of Agent/(�wner . Ya. _ _
S�gnature-of contractor
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 ❑ ❑
COMMENTS
D TE REJECTED DATE APPROVED
CONSERVATI
0 C
COMMENTS VJ U.f49045 U0111A Inu
DAT JECTED DATE APPROVED
✓� HEALTH ❑
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
Located at 384 Osgood Street
FIRE DEPARTMENT Temp-
mpster on sit e no,
Located at 324 Main Strut
Fire 0606rtrhent signs urefd
ate -
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a
..?`OMMENTS _ �.:
Please feel free to call the Health Office at 978-688-9540 with any questions you may have.
Sincerely,
S'u Sawyer HSAS
Cc: Building Department
File
1600 Osgood Street, North Andover, Massachusetts 01845
Phone 978.688.9540 Fax 978.688.8476 Web www.townofnorthandover.com
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SAC HUSH
PUBLIC HEALTH DEPARTMENT
Community Development Division
Date: June 26,2007
Address: 114 Spring Hill Road,North Andover,AIA 01845
Re: Application for:remodel master bath and expand build porch
To: Sumi Dolben:
Your application for a master bathroom remodel and deck addition at 114 Spring Hill Road has
been reviewed by the Health Department. The application was denied on, June 26.2007 for the
following reasons. Please note that multiple attempts to contact you and your contractor were
made to discuss this issue, but were unsuccessful:
1. x Missing information
2. x Passing Title 5 inspection of septic system required
3. x Location of structure not acceptable(tank under the deck)
4. ❑ Undersized septic system
To address the problem . _ Cc
If#1 is checked, ___Please-supply:..--_..-.-._.----------------- . --- - _
a�T1oor plan of existing and proposed addition—all rooms
bCertified plot plan showing house, septic system and proposed project in scale
If#2 is
a. ave the septic system inspected by a certified Title 5 inspector to determine the!size
of e nd whether it is operating properly: OR
b. Tie-in to municipal sewer
If#3 is
a. Once a plot plan has been submitted, the location of the septic system in
conjunction with the deck will be established.
If#4 is checked:
a. Provide additional information proving that the existing septic system meets current capacity
requirements. Please consult an engineer to determine the flow capacity of the septic system.
1600 Osgood Street, North Andover, Massachusetts 01845
Phone 978.688.9540 Fax 978.688.8476 Web www.townofnorthandover.com
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