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Home My WebLink AboutBuilding Permit #Exception - 150 CHRISTIAN WAY 5/1/2018 BUILDING PERMITo� NORTil q b�t�eo ,6T �•O TOWN OF NORTH ANDOVER o? _�' APPLICATION FOR PLAN EXAMINATION Permit NO: Date Received(_ ''lAf--Z o� �P Are T ��SSACHUs��y Date Issued: IMPORTANT:Applicant must complete all items on this page LOCATION pant PROPERTY OWNER t)��,2 Il C I Pnnt MAP NO; PARCEL: ZONING DISTRICT: Historic District Yes o Machine Shop Village yes n TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential New Buildinne famil Addition oocov e Q�dn Two or more family Industrial Alteratio 60 No. of units: Commercial Repair, rep Assessory Bldg Others: Demolition Other Septic Well Floodplain Wetlands Watershed District Water/Sewer DESCRIPTION OF WORK TO BE PREFORMED: 1 V1 5 tCL1QJ a b6 V e r6 cin 6 Q06(( r in r' Identificati n Pi ase Typejr Print Clearly) OWNER: Name: S i I ( Phone: Address: CONTRACTOR Name: Phone-- Address: Supervisor's Construction'License: _ Exp. Date: Home Improvement License: _ Exp.. -Date:. 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: $ ��a "^ FEE: $ Check No.: Receipt No.: NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund 7 signature of Agent/Oaa�ae , e 5i.gnature of contractor e, 90 'P .A 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 rivate(septic tank,etc Permanent Dumpster on Site THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM DATE REJECTED DATE APPROVED L PLANNING & DEVELOPMENT COMMENTS CONSERVATION Reviewed on Signature COMMENTS Z2 HEALTH Reviewed on �� r� DS Signature,,-'`_�� /_ ,F p COMMENTS A-) 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 FtRE DEPARTMENT Temp Dumpster on site yes no Located at 124 Main Street _ Fire Department aignatureldate COMMENTS 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.s100-s1000 fine NOTES and DATA— (For-department use) ❑ Notified for pickup - Date Doc.Building Permit Revised 2008 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 2.2008 i I � m v' �O � N 0 8�•9� Es �'�. G�O�Np�OR�\ 98-5-1 149.85' \ (1 / AS-BUILT FIELD \ 22' WIDE X 41' LONG. G SEPARATION BETWEEN �p LINES = 6' �c �� X / / / SEPARATION BETWEEN �pG LINES/EDGE FIELD = 2' \� AS-BUILT LEACHING , AREA = 902 S.F o / / 2 � 98-5-2 �� O SEPTIC DIST. TANK BOX LOT 5 s EXISTING WATER .O PER CONTRACTOR MAP 104-D '� Y PART PARCEL 1 , 0 /