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HomeMy WebLinkAboutBuilding Permit #Exception - 145 COLONIAL AVENUE 5/1/2018 BUILDING PERMIT pORTN p916'97.0 TOWN OF NORTH ANDOVER F?�4`.1 APPLICATION FOR PLAN EXAMINATION T 3 h T P O Date Received Permit NO: SAC HU`s Date Issued: IMPORTANT Applicant must complete all items on this page INS 4 gE LIONe�n4 pkp,> �4 s 3 C �.-,�. .. r r �� r # 'C� PR0FI `Y�bW � <, L - ,4'�fi'C � F0 111G�d1STIiIT���� HlC D1STR� esto A w TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building ❑ One family El Addition EJ Two or more family [I Industrial ❑ Alteration No. of units: ❑ Commercial ❑ Repair, replacement ❑ °`ssessory Bldg ❑ Others: ❑ Demolition Y Other /D 14 C,P1 RA3aterdt. rtt - ^.�.,.,,..i...r"" �- ..� .. ., .. ' 'DESCRIPTION OF WORK TO BE PREFORMED: // ` 43/ ` 11ZZA11) <LZAZI;,�Of�/iU /Al AFA Identification Please Type or Print Clearly) OWNER: Name:���s .s ��� C� Phone: 1 Address: A6 YA � ''��a MEL3c �:"��i!- a e -r.� z reams - 's•,g �zx�•' >' .', k¢ z . 154, 12 IN za � � �.) ➢ice -, �' r= F'„ �'-yasx sx..._ ri'� .,. �uerrsa ,sCx�astcA��a �m�Iiripr� rme�itl� nse �M x �, : s ARCH ITECT/ENGINEER-J!��vPhone: Address: ko X;L" V\ No. FEE SCHEDULE:BOLDING PERMIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ '�/J�. FEE: $ I Check No.: Receipt No.: NOTE: Persons contracting with nregistered contractors do not have a , to the guaranty fund Signature of Agent/Owner ' Signature of contractor Plans Submitted I`I Plans Waived ❑ Certified Plot Plan I Stamped Plans d THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF- U FORM DATE REJECTED DATE APPROVED PLANNING & DEVELOPMENT ❑ ❑ COMMENTS DATE REJECTED DATE APPRO D CONSERVATION ❑ , � COMMENTSL�jl-op, Z`2 axl —11z d DATE REJEC ED DATE )VED HEALTHJ COMMENTS " bl3/cam 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 ❑ ZoningBoard of A eal : pp s 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 :FIREDEPARTI1�IiT Tera Diem ster �a slte eA ;�-no. � s � ,� s ocatetl�at��4Main,'�treef � �;�� �ti �_, � s a aft $ rte { zNT s s;lY:l M �Ftf'� . a i 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 I DANGER ZONE LITERATURE: Yes No MGL Chapter 166 Section 21A—F and G min.$100-$1000 fine f NOTES and DATA— For department use ❑ Notified for pickup - Date ..... ._..__..................................._.........................._......................... ......................._........................ Doc.Building Permit Revised 2007 �Y F a� i 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 ❑ 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 Doc:INSPECTIONAL SERVICES DEPARTMENT:BPFORM07 Revised 2.2007 PROPOSED SWIMMING POOL o, PROPOSED CONCRETE DECK PROPOSED FENCE J VIM- 1' 1' OFF PROPERTY LINE � PROPOSED ARBOR 238.36' LEACH TRENCH (TYP. FOR 3) ��\ 10.22' 10.00' + ����0 RESERVE TRENCH �\ \\ \\ �\ �\ ppp 0' (TYP. FOR 3) cp- LOT 15 AREA=22,254 S.F. =0,51 AC. J SEPTIC TANK ti� ��� /n7 MO 00, AVE 1511 PROPOSED POOL EQUIPMENT ; A� -�� NORTI-I AND( r SHOWING PROPOSED POOL PREPARED FOR