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Home My WebLink AboutBuilding Permit #Exception - 161 RALEIGH TAVERN LANE 5/1/2018 TOWN OF NORTH ANDOVER NORTH APPLICATION FOR PLAN EXAMINATION 044,,..0 ,e1ti � _ •e a z Permit NO: Date Received Date Issued: 9ss 4rao c'�y CHU IMPORTANT: Applicant must complete all items on this page LOCATION / / AI&I,A TO y&w yl L M Print PROPERTY R Print MAP N _ 611AtPARCEL- 110 ZONING DISTRICT: TYPE AND USE OF BUILDING HISTORIC DISTRICT YES ❑ TYPE OF IMPROVEMENT PROPOSED USE Residential Non-Residential 0 New Building ❑ One family Addition ❑Two or more family ❑ Industrial Alteration No. of units: ❑ Repair, replacement ❑Assessory Bldg 11 Commercial ❑Demolition ❑ Moving(relocation) ❑Other ❑ Others: ❑ Foundation only DESCRIPTION OF WORK TO BE PREFORMED / C'J ti �? ✓Lu� T/v H J"1' a/`rr cc1 %3 y-.Q�,a_�,�t..c_3 7¢s� r4.cJ JJ � c1.e Identification Please Type or Print Clearly) OWNER: Name: I7,4 V,., Phone Address: / ti T l ti/ter� J9✓ CONTRACTOR Name: 44 c,,6 Cv AJ 5;v,u cam"% L L Phone: 7 S' 5 3v Address: -2 oy.,jJ u! 14 V-e- �r�3c �T" d U / S;.-z 4 Supervisor's Construction License: cy 44(zc) / Exp. Date: `-/zy� Home Improvement License: l .S-/ 7- Exp. Date: J �'-�16 ARCHITECT/ENGINEER Name: Phone: Address: Reg. No. FEE SCHEDULE:BULDING PERMIT.$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost :$ = FEE:$ Check No.: Receipt No.: Page W4 4 __ r TYPE OF SEWERAGE DISPOSAL Swimming Pools ❑ ❑ Tanning/Massage/Body Art ❑ Public Sewer Tobacco Sales ❑ Food Packaging/Sales ❑ Well ❑ F / Permanent Dumpster on Site ❑ Private(septic tank,etc. Electric Meter location to project NOTE: Persons cont r cting with unregistered contractors do not have access to the guaranty fund Signature of Agent/Own Signature of contract r Plans Submitted ❑ Plans Waiv ❑ Certified Plot Plan ❑ 4tamped Plans ❑ THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF-U FORM DATE REJECTED DATE APPROVED PLANNING&DEVELOPMENT ❑ ❑ COMMENTS DATE REJECTED DATE APPROVED CONSERVATION ❑ j COMMENT 115 CQ � DATE REJECTED DAT ROVED HEALTH ❑ i COMMENTS FIRE DEPARTMENT -Temp Dumpster on site yes 6no Fire Department signature/date COMMENTS j 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 Building Setback ( Front Yard Side Yard Rear Yard Required Provided Required Provides Required Provided Dimension Number of Stories: Total square feet of floor area,based on Exterior dimensions. w Total land area, sq. ft.: NOTES and DATA— For department use I J24 44 Page 3 of 4 Doc:INSPECTIONAL SERVICES DEPARTMENT:BPFORM05 Created 1MC.Jan'006 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 o 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 Addition Or Decks ❑ Building Permit Application ❑ 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) 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 ❑ Workers Comp Affidavit ❑ 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 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:BPFORM05 Page 4 of 4 CERTIFIED PLOT PLAN LOCATED IN NORTH ANDOVER, MASS. THE ZONING DIST. IS R2 SCALE. I"=40' DATE:6/2712006 43,560 S.F.AREA 10/11/2006,10/20/2006 150'FRONTAGE Scott L. Giles R.P.L.S. 30'SETBACKS ALL AROUND Frank. S. Giles R.P.L.S. 50 Deer Meadow Road North Andover, Mass. 190.0' LOT#23 PLAN#5913 N.E.R.D. 44,710 S.F.+/- U U � co POOH N U U wo UZIN m W oa o o z 0 2,47-y wFz DwE�L. 40'+l- m #16� 35' G 30'SETBACK LINE W W 150.0' C -(----:RALEI GH TA VERN LANE 1 CERTIFY THAT OFFSETS SHOWN ARE FOR THE USE 8 Of THE OFFSETS OF THE BUILDING INSPECTOR ONLY °�� S SHOWN COMPLY AND SUCH USE IS FOR THE WITH THE ZONING DETERMINATION OF ZONING 3872 BYLAWS OF CONFORMITY OR NON-CONFORMITY NORTH ANDOVER ��( LAND eve WHEN BUILT WHEN CONSTRUCTED. LO ZC �G