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HomeMy WebLinkAboutBuilding Permit #398-14 - 161 COACHMANS LANE 10/30/2013 TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit N0: 7H Date Received Date Issued: IM ORTANT:Applicant must complete all items on this page LOCATION Pr' PROPERTY OWNER Print IWYear Old Structure yes MAP NO:QPARCEL:.00 9, ZONING DISTRICT: Historic District yes iTo 'Machine Shop Village yes TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential jKNew Building Sk4& KOne family ❑Addition ❑Two or more family ❑ Industrial ❑Alteration No. of units: ❑ Commercial ❑ Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other Septic ❑Well p Floodplain 0 Wetlands A Watershed.District Water/Sewer DESCRIPTION OF WORK TO BE PERFORMED: , VV`.52�9 c,� C a-✓S7ic.�c // i `9�✓ /Ll C c p 01 Sj �t L.4 Identification Please Type or Print Clearly) OWNER: Name: DS �' �� J�.Q� � LZ-✓ Phone: O 4 Address: COCLc. � S ,� e`'.r� "bzz Z _ ___ , CONTRACTOR` Name:-- Phone:-�_ Address: Supervisor's Construction`License: Exp. :Qate:._r Home Improvement License: _ Exp Date: 6: Phone: Address: Reg. No. FEE SCHEDULE:BOLDING PERMIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. j Total Project Cost: $ 3. 5 CIS FEE: $ Check No.: 1 Z� Receipt No.: NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund �SignatureWAgent/Qwne .� E��G;) .QS Ig ature..of contract" _i Plans Submitted ❑ Plans Waived ❑ Certified Plot Pla Stamped Plans ❑ n � Location ` U Ck C� YVI C- LA No. �" Date a - TOWN OF NORTH ANDOVER o t, ti Certificate of Occupancy $`' Building/Frame Permit Fee C � Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check# 1 27056 Building Inspector Plans Submitted-[] Plans Waived ❑ -Certified Plot Plan ❑ Stamped Plans ❑ TYPE'O'F-:SEWERAGE DISPOSAL Public Sewer ❑ Tanning/MassageBodyArt ❑ .. 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 'j. _CONSERVATION Reviewed on_LO Si nature COMMENTS U HEALTH Reviewed on Signature COMMENTS a Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments Conservation Decision: Comments s } !!Vater & Sewer Connection/Signature& Date Driveway Permit DPW Tow;! Engineer: Signature: Located 384 Osgood Street FIRE DEPARTMENT --Temp Dumpster on site yes no Located7at�124{Mair, Street_--. Fire'Depaf .merit-signature/date COMMENTS , -®irnension - Number of Stories: Total square feet of floor area, based on Exterior dimensions._ ,Total land area,- . ft.:q 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 1 ox J,LI Notified for pickup - Date 4 Doc.Building Pennit Revised 2010 Building Department The fohBwing is a list of the required-forms to be filled out for the appropriate permit to be obtained. Roofivg, Siding, Interior Rehabilitation Permits ❑ Building Permit Application ❑ Workers Comp Affidavit ❑ Photo Copy Of H.I.C. And/Or C.S.L. Licenses Li Copy of Contract o 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 o Workers Comp Affidavit ❑ Photo Copy of H.I.C. And C.S.L. Licenses a Copy Of Contract ❑ Floor/Crossection/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (If Applicable) a 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) o Building Permit Application ❑ Certified Proposed Plot Plan o Photo of H.I.C. And C.S.L. Licenses o Workers Comp Affidavit o Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (If Applicable) o Copy of Contract ❑ Mass check Energy Compliance Report o 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 apn<al period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording must be subm.tted with the building application Doc: Doc.Bui?ding permit Revised 2012 NORTH own of 2 E : 1� Andover 0 No. � _ 41 I 4h ver Mass 30 ,2013 cocmlc Mlwmx y �d A0R�TE S U BOARD OF HEALTH PERMIT T . LD Food/Kitchen Septic System THIS CERTIFIES THAT nska. 145boActes4ft.4 BUILDING INSPECTOR ......... ....... ..... .................................... � ... has permission to erect : Aw......................... buildings on ...C.0 .... ...•........... Foundation Rough rr /� tobe occupied as ........JiV.. ..� .... ............................................................................. Chimney provided that the person accepting this permit shall in every respect conform 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 CONSTRUCTI STARTS Rough Service o�„�..�::r ...................... ....... ..... ..�'�'.�'�/LO.! . . ........ Final BUILDING INSPECTOR GAS INSPECTOR Occupancy Permit Required to Occupy Building 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. SEE REVERSE SIDE North Andover MIMAP September 23, 2013 :. ...• :'_• . .• :•. 06.4.0=0006 .... ...- ...'. 037:A'-0.02 '•.:' °'._ :.._ ....-• .: .:_'•_..._.;_ .•._. -.: - _. - •_:.__. •-.., • • it ••_:._•_ •- •�-,_. ':•.:200-COACHMANS'LN a - _- - - - _- 173'COACHMANS'LN _•'064:0=0065 / 064.0-0067 _.•. 1'58-COACHMA'NS'LN 06 �j�R1/ 1.61 COA 6 %ANQjN /� / 64.�-00.68 1.3�j ACHMANS LN / �'�',ater Protection I s r' 06_4,0-0009 14.9 COA'CHMANS LN/ 64/69 135 COACHM�ANno LAN — 064.0-007.0 f; 03 .A-00 8 Rail Line ':.Wetlands Zoning Interstates C Exempt Lands 't Busine s i Distdcl Interstate 0 Bu me!s 2 District Horizontal Datum:MA Stateplane Coordinate System,Datum NAD83, —Major Roads D Busine s 3 District Meters Data Sources:The data for this map was produced by Merrimack D Busine 5 4 District NORTH Valley Planning Commission(MVPC)using data provided by the Town of Roads ®Genera Business District Ot",so q� North Andover.Additional data provided by the Executive Office of r Easements G Planne Commercial Dev -r °���� '°�°DO Environmental Affairs/MassGIS.The information depicted on this map is C Corrido Development Dist 3 L for planning purposes only.It may not be adequate for legal boundary ❑MVPC Boundary p Corrido Development Dist 0 a A definition or regulatory interpretation.THE TOWN OF NORTH ANDOVER ❑Municipal Boundary O Comido Development Dist M -a MAKES NO WARRANTIES,EXPRESSED OR IMPLIED,CONCERNING Ind usld 1 District THE ACCURACY,COMPLETENESS,RELIABILITY,OR SUITABILITY llilpililpilw Zoning Overlay i t{ ❑Industri 12 District E3 Adult Entertainment F i n ; OF THESE DATA.THE TOWN OF NORTH ANDOVER DOES NOT ❑Downtown Overlay District D Industri 3 District o' �� • ASSUME ANY LIABILITY ASSOCIATED WITH THE USE OR MISUSE OF O Industri I S District ©Historic District p94,r ` THIS INFORMATION Reside ce 1 District �1 ®Water Protection ❑Reside ce 2 District '9S Qt ❑Parcels tea R=eside ce 3 District SACNUS Cd Hydrographic Features de ce 4 District -- Streams 1"=121 ftde ce 5 District Ede ce 6 District ���dge esid-tial District