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Home My WebLink AboutBuilding Permit #165-2012 - 166 SALEM STREET 8/29/2011 I TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit NO: Date Received Date Issued: IMPORTANT:Applicant must complete all items on this page ' LOCATION 1 lob s AL .. 66. . . P int f PROPERTY OWNER 1106 Sof M S PeAc-xn `Tim s"7' Unit# �y Print MAP NO: 3 I PARCEL:ZONING DISTRICT: Historic District yes„ no i Machine Shop Village yes no 100 year-old structure yes no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building ❑ One family r ddition 11 Two or more family- 11 Industrial Iteration No. of units: ❑Commercial ` Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other �.,,_... .,�y ��,� -,-` � •�?,� "'4 kr�"`cY^a='s9b*�' ii"�-eax."1,� � 53-'•fir r �s...: Y�l �* D Se tic Yj®W�elDFloodpla�nOWetlands �;,a ® yWatershedDtrict ,, P� # C hil 11 DESCRIPTION OF WORK TO BE PERFORMED: _ 3 CAS' GAR _ I fo It A 0A i (Identification Please Type or Print Clearly) OWNER: Name: SONAJ P PAIPI£eA A . C'AWil-C, Phone: 29 78- 666•-®f Address: 14o( SAI rz M S}+�` �cyR � &NDOca—cl I CONTRACTOR Name: 4Jru Phone: Address: Supervisor's Construction License: Exp. Date: i Home Improvement License: Exp. Date: ARCHITECT/ENGINEER_ — Phone:—A-1.6) & fg3- j i _3 « , i Address: Reg. No. FEE SCHEDULE;BULDING PERMIT.•$12.00 PER$1000,00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER SF. Total Project Cost: $ FEE: $ Check No.: A Receipt No.: NOTE: Persons contracting i u r ' e ed e n ctors do not have access to the guaranty fund §ianature of AaentlOwne` Signature of contractor. __ j Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ [Public YPE OF SEWERAGE DISPOSAL Sewer ElTanning/Massage/Body Art ElSwimmingPools .❑ell ❑ Tobacco Sales El Food Packaging/Sales ❑ a � Private(septic tank,etc. El permanent Dumpster on Site ❑ THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM DATE REJECTED DATE APPROVED PLANNING & DEVELOPMENT ❑ ❑ Ag)/( , I COMMENTS 0r �!� -Fpunda4;v �yJ I CONSERVA T ION Reviewed on O k 1 Si nature` -)r�'-4-sl Ujc�� COMMENTS ►�J �,�.k�c�;,c� �..��i�` iO ` HEALTH Reviewed on - Signature r COMMENTS Zoning Board of Appeals:Variance, Petition No: Zoning Decision/receipt submitted yes - Planning Board and Decision: Comments r . 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 Dimension Number of Stories: Total square feet of floor area, based on Exterior dimensions. Total land area, sq. ft.: ELECTRICAL: Movement of Meter location, roast 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 i i U Notified for pickup - Date Doc:.Building Permit Revised 20117une/mi 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 1 New Construction (Single and Two Family) ❑ Building Permit Application ❑ Certified Proposed Plot Plan i 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) ❑ 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 1 Doc: DocHailding Permit Revised 2008mi Location A�6 /�4-, � No. ?d/2_ Date �t TOWN OF NORTH ANDOVER 41A Certificate of Occupancy $ cMust`� Building/Frame Permit Fee $ Foundation Permit Fee $ 1,04 — Other ,04 Other Permit Fee $ TOTAL $ Check # 5 t pt /B ilding inspector t J AORTH Tovm ® Andover ... / O ;vim= _tir 5. ._1 ;;.,.,y� OA No. 16 5xo tt- LAKE o dower, Mass., ' COCMIC EWICK A. S �� TED PP��"`� 7 BOARD OF HEALTH NOR Food/Kitchen s FLKMIT T ., Septic System BUILDING INSPECTOR THIS CERTIFIES THAT.........��L'/. 1'.... .. . 1.. ................................................................................................ Foundation has permission to erect........................................ buildings on ..161..... r�........................................ Rough /� .,L P ..... to be occupied as �C/. . G./..f -,YU�..�.i�.J ........, c'.F.... �'� Chimney p provided that the person accepting this permit shall in every res ct conform to the terms of the plican on file in Final 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 VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough / Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS V LESS CONS 1 R V CTI® STARTS ARTS Rough c<<'^-' .d�••r•••` --......... Service BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final No LathingD Wall To Be Done or � FIRE.DEPARTMEN'T Until Inspected and Approved by the Building Inspector. Burner Street No. SEE REVERSE SID E t Smoke Det. r ZONING DISTRICT: R3 MIN. LOT AREA=25,000 S.F. Ng804 , MIN. LOT FRONTAGE= 125 FT. �43"l�V MIN. FRONT SETBACK=30 FT. o MIN. SIDE SETBACK=20 FT. .<v MIN. REAR SETBACK= 30 FT. o o POOL ZN �M HOUSP 2 0 Z�6• � '� Z � i POOL LOT 2A AREA = 33,421 SF lU 95.1' 42.6' ,C Lu � 34.1' 2 0 0 � 3 PROPOSED )_ 14'X 6' SCREEN a� PORCH c oi co �` 33.7' >� 2 cJ EXISTING 33.6' 4 LO _\ ° HOUSE •� �3 1 Q z 3Q O O� R=30.00' ry 0 MASSq tis ) L=47.12' ap p°08¢ A8�2, 0=90°00'00" S25031'49"W g flANSEN � CIVIL MICR E �, �< �� '27� / 15.41 No.2889'' Q SER 1 .(� �� N '2 o. ,o SIO Q. 0 SUA� F L� PLOT PLAN FOR PROPOSED ADDITION AT 166 SALEM STREET, NORTH ANDOVER, MASS. DATE: August 26, 2011 Dwg. No.: UT039013 CHRISTIANSEN PROFESSIONAL ENGINEERS.#' 210 � 20 40 FT LAND SURVEYORS 160 SUMMER STREET �' .��► PH:978-373-0310 SCALE. 1 - 40 HAVERHILL,MASS.01830 FAX:978-372-3960 ZONING DISTRICT: R3 MIN. LOT AREA= 25,000 S.F. N68°4 MIN. LOT FRONTAGE= 125 FT. ��143"�V MIN. FRONT SETBACK= 30 FT. o A MIN. SIDE SETBACK=20 FT. u MIN. REAR SETBACK= 30 FT. 0"1 o o POOL HOUSE 2 ox CK 20 61 Z �", 2L i POOL LOT 2A AREA = 33,421 SF lij 95.1' 42.6' { %\ O � •� 34.1' 2 o ov 3 PROPOSED Oak ~ Q 14'X 6' SCREEN a a O A w l —1 PORCH rn co 33.7' o �� h � Z EXISTING 33.6' 4 �° ° HOUSE � I 4- _ co \ 1p O O O R=30.00' Ns ) L=47.12' �F 4°08. 8A=90000'00" S25031'49"W CMS' M1CN E �, �C \� 2�, 15.41' No.28895 SER 11 "''I ,(1 Nom°? , p�Fs IS o. s� . T PLOT PLAN FOR PROPOSED ADDITION AT 166 SALEM STREET, NORTH ANDOVER, MASS. DATE: August 26, 2011 Dwg. No.:ZF 039013 CHRISTIANSEN PROFESSIONAL ENGINEERS.:S E RG 210 �0 20 40 FT LAND SURVEYORS 160 SUMMER STREET : ��► PH:978-373-0310 SCALE: 1" = 40' HAVERHILL,MASS.01830 FAX:978372-3960