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Home My WebLink AboutBuilding Permit #838-11 - 1312 SALEM STREET 6/9/2011 TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION �- �-�� , Permit NO: Date Received s _ Date Issued: 6e J IM PORTANT:A plicant must complete all items on this page LOCATION 12 Sr^Ienn� � n rint PROPERTY OWNER I" k JJ Ya?�,Ki,_ L Or Print MAP NO: A PARCEL: GA ZONING DISTRICT:_ Historic District yes no I Machine Shop Village yes no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ;rNew Building ❑ One family ❑Addition ❑Two or more family ❑ Industrial ❑Alteration No. of units: El Commercial ❑ Repair, replacement "Assessory Bldg- 5 _ kOthersi ❑ Demolition ❑ Other „ -� fro- - - ® Se tic 0 Welly ®Floodpl 0.Wye lands ® lRlatershe D frict DESCRIPTION OF WORK TO BE PERFORMED: Ide i n ease Type or Paint Clearly) ` 4 OWNER: Name:` �.1 : rdl`bl/1'� ` ' `' �q Phone: Address: �31a- Sal2/1M 51YQ; i-ZM1- I orYtir�. CONTRACTOR Name: Phone: r Address: Supervisor's Construction License: P Exp. Date: Home Improvement License: ll Exp. Date: ARCHITECT/ENGINEER _ a�1V�"12 Phone: Address: Reg. No. FEE SCHEDULE:BULDING PERMIT.,$92.00 PER$9000.00 OF THE TOTAL ESTIMATED COST BASED ON$925.00 PER S.F. Total Project Cost: $ O� FEE: $ ° ® Check No.: 33q Receipt No.: (� NOTE: Persons contrac 'ng '� e ' tered contractors do not have access to the guaranty fund Sgnature�of'Agent/Owner,W � 'TStgnatureofcontractor cx. 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 Permi 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 ❑ Mass check Energy Compliance Report ❑ 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 Doe: Doe.Building Permit Revised 2008mi I Plans Submitted ❑ Plans Waived ❑ Certified Plot PlanK 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 1 CONSERVATION Reviewed on g Signature _ "t sali { COMMENTS f HEALTH Reviewed on < < Signature �. CQMMENTS � 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 1 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 i Ll Notified for pickup - Date Doc:.Building Permit Revised 2008mi k -- f Location`3 No. Date No.TM TOWN OF NORTH ANDOVER job�,. • ;,?�a _ o s a � Certificate of Occupancy $ Building/Frame permit Fee $ Foundation Permit Fee $ Other Permit Fee , $ TOTAL $ Check # 33 242 6 Building Inspector AORTH TON- M Of6Andover' .. . , aoo� X 1=a dover, Mass., ' O LAKE COC HIC ME WICK RATED U BOARD OF HEALTH Food/Kitchen Septic System PERM.. IT T D BUILDING INSPECTOR THIS CERTIFIES THAT.....:...................` h """""""""" Foundation has permission to erect........................................ buildings on .1 ..........5............................. ....................... Rough Chimney tQ. X.I. to be occupied as....... .. . . . .. .............. ......... .. ........................................................ ......................................... 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 • PERMIT EXPIRES IN 6 MONTHS 3 ELECTRICAL INSPECTOR UNLESS CONSTR C ST MEMMRough ................ 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 Be Done FIRE"DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. SEE REVERSE SIDE Smoke Det. • F+ s BENCHMARK: TOP RIGHT CORNER OF CONCRETE PAD. FL S�Gp ELEV. '100.00 (ASSUMED DATUM) 99 1st c9 BLOWER / VENT I COVERED DECK ON SONO TUBES 9 �9G'� W PRESSURE p� X\ }: } };:.. WATER SERVICE ............... FCLEANOUT ....................... ......... FTP4 ::.. t` r / }} 1500 -BALLON MICRO FAST 99.45 SEPTIC C TAN K 1 A 000 GALLON � � PUMP HA y: C MBER i a 99 • 4 99-88 9 9 00 5 5 ................... ........ jj I !ti riDR V A ::..........:....'r: :}':ii::i:;5}:iii: :;:;:: i: 88 p 6 SDR 35 p bRA�N PIPE \ :•yy::•:::::::::::::. INSPECTION99.19 3" SCH. 40 PVC \ \ \ (TYP.) TP5 PORT FORCE MAIN [•`.�1?� :�:�::?:_i`.:::�isi:`7a.??:?{:i:•:.:'�}}.'•:{Y:{{�:i:. ..................... .......................................................... ................... ............................................ ............... ............... .............................................. .............. . .................... ................................... ............... LIMIT OF SAND ry \ .� \ ......................... ... ... ...................... ............... 99'05 \ ................... .............. ................................ --- �/ -. - ------ ............... ............... - E- — — — — — ---- -B '7----jTP2 / 8 --•X — — 99-\04 54� 56,-- - - -A -�! 98.86 / I 96.37E g -- ---- ---- ------ - 1 8.8 1' \ CLEANOUTS (TYP.) 98.76 TP3 PT1 - \ \ 98,70TP1 c 40 MIL/IMPERVIOUS i \ / BARRIER / \ \ \ \ PT 1 B 1-1 / sass i n 96.94 - - _ _ _ _ _ _ _ 98.35 / i \ \ \ — — — — — — — — — — — — — — — — — -- — \ ` _ —• - - - - - - - - - - -- - - - -- - - � CJi O' N/F CARR zl� 20' 0 20' 40' 60' • w Wb • a1 6' • w' +� • rye, •�'. � +Mr. �• 1-72V 7: • ;vµ l� kO .•��yam • Y. 1 b '•' r ;° �i"A t