The URL can be used to link to this page

Home My WebLink AboutBuilding Permit #588-2016 - 15 GREAT LAKE LANE 11/12/2015 AI NED /cP— /5' BUILDING PERMITOF NORTH q �t VEG 6 TOWN OF NORTH ANDOVER 02 APPLICATION FOR PLAN EXAMINATION Permit No#: �� Date Received Opp �R � wreo gSSACHUs�� Date Issued: l 2 l4 IMPORTANT:Applicant must complete all items on this page LOCATION (5 GXtAl V%W, LayLe. CL-OT Print PROPERTY OWNER TKz LLL Print 100 Year Structure yes MAP _PARCEL: 53 S ZONING DISTRICT:` Historic District yes Machine Shop Village yes no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential W New Building y One family ❑Addition ❑ Two or more family ❑ Industrial ❑Alteration No. of units: ❑ Commercial ❑ Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other 0 Septic ❑Well 0 Floodplain fl Wetlands ❑ Watershed ®istnct DESCRIPTION OF WORK TO BE PERFORMED: SFR ntyy—' 'i aA(AQ, —sou V,)D&1 a 1,3 0 M4 Identification- Please Type or Print Clearly OWNER: Name: T kZ, Lte Phone: g7F-9S7 -q&L Address: Sri� ZQ) ✓ MA 9 Contractor Name: D Phone: '1 9-8SZ-*)1- t. Email: Address: $ . 1 . A SY Supervisor's Construction License: CSS SII Exp. Date: Home Improvement License: Exp. Date: ARCHITECT/ENGINEER Phone: Address: Reg. No. r I /ke FEE SCHEDULE.BULDING PERMIT.•$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. � t Total Project Cost: $ <-hw Ng'&S FEE: $ 140.00 Check No.: ' Receipt No.: NOTE: Persons contractingwith unregistered c tractors do not have acees to the guaranty g g tY Location No-.)�—& Date . - TOWN OF NORTH ANDOVER .. Certificate of Occupancy �,� Building/Frame Permit Fee $ Foundation Permit Fee $7Z4a— Other Permit Fee $ TOTAL $ Check#/ T Building Inspector Plans Submitted ®' Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ TYPE OF SEWERAGE DISPOSAL Public Sewer Tanning/Massage/Body Art ❑ Swin inning Pools ❑ well ❑ Tobacco Sales ❑ Food Packaging/Sales ❑ I Private(septic tank,etc. ❑ Permanent Dumpster on Site ❑ THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM PLANNING & DEVELOPMENT Reviewed On 10'L61lS Signature_ A�k�_ COMMENTS. „cs� Pe=9 "JET-`SOV-<�kV USibr' ti-W-H CONSERVATION R .4TION Reviewed on !D /-57 Signature COMMENTS to .W 2q Z-16ZI' HEALTH - Reviewed on ` (� Signature COMMENTSis Zoning Board of Appeals:Variance, Petition No:, t%)I,A Zoning Decision/receipt submitted yes Planning Board Decision:zssuED 118_ —Comments Conservation Decision:Dep Zt(Z-1627 Comments Vr ater& Sewer Connection/Si nature& D e Driveway ermit l)RW Town Engineer: Signature: Located 384 Osgood Street AFIRE DEPAR�TMENTY T ttLocateci at`1=24 Main Street — e De` •:� p,artments gr_ature/elate, t ! �w Dimension Number of Stories: Z Total square feet of floor area, based on Exterior dimensions.2016 Total land area, sq. ft.: 31 S" 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) !re�vt. ❑ Notified for pickup Call Email Date Time Contact Name -----------F Doc.Buildiug Permit Revised 2014 J I L 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 4 Building Permit Application 4. 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 OTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit Addition Or Decks 4. Building Permit Application Certified Surveyed Plot Plan 4, Workers Comp Affidavit Photo Copy of H.I.C. And C.S.L. Licenses Copy Of Contract Floor/Cross Section/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 OTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit New Construction (Single and Two Family) i.I Building Permit Application Certified Proposed Plot Plan 4; 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 � 2012 IECC Energy code .,4 Engineering Affidavits for Engineered products OTE: 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 i Doe:Building Permit Revised 2014 r NORTH -T own of ; _ � _E 1, ndover O. No. - as - - -- h ver, Mass, ff r o COCHIC"IWICK y1. �a A0RATED r'P5 S V BOARD OF HEALTH PERMIT T LD Food/Kitchen Septic System —7'1� `� BUILDING INSPECTOR THIS CERTIFIES THAT .................................... ........................ ... .... .......:.............................: �c� Foundation has permission to erect .......................... buildings on A ..�..........�........�a'.Q�.......�Q:f� Rough — D;✓;'!� �Q/i0.. � .................................................... Chimney to be-occupied as ................. ....f�........ . ..... .. provided that the person accepting this permit shall in every respect cpfiform to the terms of the application Final on file in 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 Rough VIOLATION of the Zoning or Building Regulations Voids this Permit. Final PERMIT EXPIRES IN 6 MONTHS /` ELECTRICAL INSPECTOR UNLESS CONSTRUCTIO ARTS Rough Service . . Final BUILDING INSPECTOR GAS INSPECTOR Occupancy Permit Required to Occupy.Buildin 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. Smoke Det. 49 --: At le LU z I 1 _ ui LL CI co N41 . 1 co ca iiia \ �`� r• O \ y `� `I - } � � � '• W f N W t r t.. LL W �+� rel,, �r ,�,,I 1 \ ` `u•�,�• � fl. W �� ( I � Y' I LU A CL ` I Ir � f!["til,'Kt�''� ,}'! ' +:; � I Irn� I I ~' I� I �.:' I;,l 1�,� ►� `r �+ 2� - I y1't. � ' ; r,!' +i ,,. a P 1 �•"� ' I •' j ' I� � i�r I .11 �� 1��lr � is � I �, b ,+ ° + \,�� t� �1• I .•-'"y' � .1. �" •I 1 i �° I I ..��".". t ,i� 19c� 1�! in �` I f I', ! ,� /1 ,•� 1 �'(it� �` t , �;ty, � ' ti {t r \ \ �it9 �+ _ I r Tt � 4J t'. „�..�. tc•.+yl Fir��`' t"''\'�� \ �A t \ �� `��I �+ n° +ii ,' �• t Yi;�+ {fir..�1pli t r �_ -- `\\ \ c'� w, ,,. __ t �� '� -.--• y !f �li`.. _- --- �. �_.. -- -- — -- - .._.... _ u ¢~� lFllt�� ,-- ,°y��JM�'�•\rl� �� 111 ��°. t; a III � +� ��4 `` \\ \\J � \ N Lim- Z 1= �� W ��'l ' rt .'!,�� ,r •...-1�� q 1 I m � � • t��.y�r(if:4laj' .., f °" 1 µ�� }/ ;�I '�a.! I\� \ \ �`� r ��fA � , ��'R'y'��I,��i•J �/ \��r _ _ ��1 ,� � � ((C: ��g1 � [ � �1 1. '�•�a' .t '.� tl.�.-._�_- -- ... - LOT 4 a I5 GRePO �, is- Laos DaoP (w ALK-off[ F RAa►aE 1(0�1»b.� . � Q Ln N S M r- O N Z-o 10-0 FO V N-1),h-T I O M PLAN 1 JI o - , C4 0 r e , �•3 t Feo. olaeK 2q , 2,045 P. 1