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HomeMy WebLinkAboutBuilding Permit #Exception - 114 SPRING HILL ROAD 6/13/2007 Jlo�,4, BUILDING PERMIT NORT�y q ✓ O`�, LED 16' �O TOWN OF NORTH ANDOVER 3? b"" °� APPLICATION FOR PLAN EXAMINATION h T f `e Permit NO: Date Received 7 �,'" 9SSACHUS���� Date Issued: IMPORTANT: Applicant must complete all items on this page tIfflft Id LOCATIONY PROPbkTY Ot�11N15,Ft` � Gr 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 l ;Septic ❑ e11' 1 �lel ds C�� tersed Cistrict Waiel5ewer DESCRIPTION OF WORK TO BE P EFORMED: 19-A c6 fZ 5. L ` S ��n- =u SIL A w r•1�. gs 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 _ - Addre t ,'fr , SupLlcese2, ,A 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 w 5ig�ature ofg�nt/ wner _ ; r=Signaturecl conttactor ,��`" 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 ❑ ❑ COMMENTS D TE REJECTED DATE APPROVED CONSERVATIO C COMMENTSg Q(��il'� U��IV1 IOU DAT JECTED DATE OVED ✓� HEALTH 7(// -7 COMMENTS z- c�� 5 oma,. 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 r FIR ' DE�ARTIINT:: T�tttp Duilpst�r ori site �s ti � n�� � � ��r ` Located at124 MainStreet Fire Departmeri< s�gnaturellate -?' a- - a 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 e� I ❑ Notifiedfor or pickup - Date _............._............................................................................._........_..__........................................................................................... _........_.._.................................................................._.......__...._.............._._......._..............._.._........................_...__.........._............ Doc.Building Permit Revised 2007 A s, ,4: 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 i 12' ////Z x 40 DECK-, ECK AG EXI5TINO 5UN ROOM 2 -NEW DECK--) 4, NEW DEGK5 SHALL 161 BE FLU5H WITH 5UN ROOM FLOOR N (1)5TEP UP i 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 `��Vn 'q 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 ;� _ 3�i Swr LOTIC [ {�J las 3 , PRC)PEIY �RAff IU1�fPoNC�1` �� �1�AI �1=�:��A!,�ZOi�ll" � D;1S�RfC�`..,�,,HI5TORC; I?tST�RICTyes £no �;� 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� ,. DESCRIPTION OF WORK TO BEP EFORMED: Y- Zc S ?5ra_ itZAw in A � � /yX1� 1>24c aL 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 pp z r 'i„ J n �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 - & g? 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 pORTiy -VOLD 61 6 OL O ti A 41 00 4 �f,9 q°R4rE0 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 c� �v �� � ► � 41-4, vd5 t� 1 ! b� sue -9sd � � V �� �� r -� ,� � , d �� � �� � � � � �� � � �� �� �,� 1 . Q - - �► `, � � �l`�� ��