HomeMy WebLinkAboutBuilding Permit #Exception - 185 INGALLS STREET 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
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TYPE OF IMPROVEMENT PROPOSED USE
Residential Non- Residential
New Building One family
Addition Two or more family Industrial
Alteration No. of units: Commercial
Repair, replacement Assessory Bldg Others:
Demolition Other
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DESCRIPTION OF WORK TO BE PERFORMED:
Identification Please Type or Print Clearly)
OWNER: Name: Phone:
Address:
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ARCH ITECT/ENG I NEER— 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.:
NOTE: Persons contracting with unregistered contractors do not have access to the guarantyfund
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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
COMMENTS
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CONSERVATION Reviewed on Signature
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I COMMENTS
HEALTHReviewed on '� �%` Si nature
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COMMENTS
Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes
Planning Board Decision: Comments
Conservation Decision: Comments
Water & Sewer Con nection/Sianature& Date Driveway Permit
DPW Town Engineer: Signature:
Located 384 Osgood Street
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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.$100-$1000 fine
NOTES and DATA— (For department use
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❑ Notified for pickup - Date
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Doc:.Building Permit Revised 2008
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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
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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
L3 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 2008
1
MORTGAGE INSPECTION PLAN ti��&ass
185 INGALLS STREET
NO. ANDOVER , MASS . e
SCALE : 1 100' JUN.!G 2003
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-TROYM ASSOCIATES
REGIE
STERED
LAND SURVEYOR
1455 MAIN ST. TEWKSBURY, MASS.
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I HEREBY CERTIFY TO THE TITLE INSUROR . THE LENDING INSTITUTION / .-AND It or
OTHERS 2 THAT THE DWELLING IS LOCATED ON THE LOT AS SHOWN 3 ,AND THAT o�1�
IT DOES CONFORM WITH THE ToRIA/ OF A0.dAIRd✓a ZONING REGULATIONS 01CtlAKD
REGARDING FRONT, SIDE .AND REAR LOT LINE DWELLING
MEI E
! FURTHER CERTIFY THAT THIS OWELNG IS/WT LOCATED IN THE FEDERAL oH
FLOOD HAZARD AREA AS SHOWN COMMUNITY PANEL NUMBER : 25D09a �� �JP36864 4Q
DATED : Jam,/S/9�3 SIGNATURE NOT VALID UNLESS IN RED INK. ,rte FC/STE1
o�AL LANG
R Gi$ ED PROFESSIONAL LAND SURVEYOR
DATE: 6Cv !G
3 -THE BASIS FOR THIS LOCATION IS A TAPED FIELD SURVEY AND IS NOT TO BE USED FOR THE CONSTRUCTION OF
FENCES, SHRUBS . LANDSCAPING OF ANY KIND.ADDITIONS .PORCHES.DECKS.OR OTHER ACCESSORY
STRUCTURES . A PROPERTY SURVEY UwDER THE 'STA`NDARDS GOVERNING CADASTRAL , ORIGINAL OR RETRACE
MENT SURVEY IS STRONGLY RECOMMENDED BEFORE;ANY CONSTRUCTION OF THE AFOREMENTIONED.'
NOTE: BOUNDARY INFORMATION TAKEN FROM: u.& z.o. P&w.8654.