The URL can be used to link to this page

Home My WebLink AboutBuilding Permit #Exception - 16 WOODBERRY LANE 5/1/2018 TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit NO: Date Received Date Issued: IMPORTANT:Applicant must complete all items on this page LOCATION AP OdC� U Print PROPERTY OWNER \sTc; ,Q ,9:r _ um �P/� Unit# Print MAP NO: PARCEL: ZONING DISTRICT: Historic District yes no ! Machine Shop Village yes no I j 100 year-old structure yes no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building 0 One family ?,Addition 0PC4 ❑Two or more family ❑ Industrial ❑Alteration No. of units: ❑ Commercial ❑ Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other v- .v. oo-pain t Se tic O�Well .� p pam ®tWetlauds f0. WatershedDistrict 10�Water/Sewer _� r SCRIPTION OF WORK TO AE PERFORMED: n ! P /P ire T c G/00nd J n r-�caf-► Identificati n Please Type or Print Clearly) OWNER: Name: Phone: Address: CONTRACTOR Name: ri 017 7!7r�R ri S Phone: �J�� (o Q 7,;1 # . � Address: er r Supervisor's Construction License: J`T� �� Exp. Date: c / 7— t3 Home Improvement License: Exp. Date: ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE:BULDING PERMIT.•$12.00 PER$9000.00 OF THE TOTAL ESTIMATED COST BASED ON$925.00 PER S.F. Total Project Cost: $ FEE: $ Check No.: Receipt No.: NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund Signature;ofrAgent/Qwner _�_ 'ti~{ =_ ''_S anat"d e df.contractor �� _.__ 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.$10o-$1000 fine NOTES and DATA— For department use I ® Notified for pickup - Date Doc:.Building Permit Revised 2011 June/mi - .r 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 ❑ ❑ f I COMMENTS f EI { CONSERVATION Reviewed on Signature COMMENTS � o �w 1 I► _ w�� . O S)ra_ HEALTH Reviewed on A0 ;�1'2 Si nature COMMENTS 744c,- Zoning Board of Appeals: Variance, Petition No: Zoning Wecision/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 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 Perm 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: Doc.Building Permit Revised 2008mi Set �-�eq j w 9° PARCEL ID 210/038.0-0135 DEED BOOK 6480 PAGE 43 �tJ AREA 1.71 AC. t� `� 'nV•�� h l�l r iv,Q s +� PLAN OF LAND AT 16 WOOUBERRY LANE NORTH ANDOVER, NIA. OWNER ► r p e) _� Icy JULIA E. STRUMMER 2010 REVOCABLE TRUST JULIA E. S'TUMPFLER, TRUSTEE 1 .. 16 WOODBERRY LANE NORTH ANDOVER, MA. 01845 JULY 29, 2011 t see WOOBRRY LANE �Jt`il �i SCALE "= 40' R"A.M. ElJOINEE RUM 40' 20' 0' 40" IL 46<3 :N,�.Ko��,� :(978y 37a-�449 'JKkX:(s7s)M-less