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HomeMy WebLinkAboutBuilding Permit #553-13 - 19 PLEASANT STREET 2/4/2013 TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit NO: Date Received Date Issued: IMPORTANT:Applicant must complete all items on this page ..7.r.�. .� 'ii �PRQPERTi�YOVI/NER __ Want: 00 Year OId�Struc ye 'r IP _ �1� s x a r (MAP NOF PARCEL`' ZONIN-Oi0 TRICT m - Historic District;t ure' _ _. _ e�S t ".achiri �hop`�Village?_�yes,� 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 <❑ SepticlDtWeli V,: E;Floodplaina '❑�1lVetlantls� �� trtWatersh`ed Districts ` .3 ❑Water/Sewer . ,� ., DESCRIPTION O ORK TO BE ERFORIYIED: l ��l��� & Identification PI ise Type or Print Clearly) OWNER: Name: E D �� �,��( e ,� Phone:!I'? Address: CONTRName IPnone ACTOR 1 x 77 Address � r_�.6�G!��_ _ _ •_ SuperviExp' ®'ate _ K n i _ Home Improvement Y6eFn§e ARCHITECT/ENGINEER 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: $_ � J FEE: V Check No.: S Receipt No.: NOTE: Persons contracting with unregistered contractors do not have access to the guaran fund Signature;'of A "' OOwner `_ Ssgnature of contracto . Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ ISta ped Plans ❑ 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 o Floor Plan Or Proposed Interior Work a Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit Addition Or Decks a o Building Permit Application . a Certified Surveyed Plot Plan o Workers Comp Affidavit o Photo Copy of H.I.C. And C.S.L. Licenses ❑ Copy Of Contract o 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 o Certified Proposed Plot Plan ❑ Photo of H.I.C. And C.S.L. Licenses o Workers Comp Affidavit ❑ Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (if Applicable) ❑ Copy of Contract Lt 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 appeal period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording must be submAted with the building application Doc: Doc.Building Permit Revised 2012 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 CONSERVATION Reviewed on Signature COMMENTS HEALTH Reviewed on Signature COMMENTS j I Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes i Planning Board Decision: Comments Conservation Decision: Comments Water & Sewer Connection/Signature&Date Driveway Permit DPW TowL Engineer: Signature: Located 384 Osgood Street FIRE DEPARTMENT - Temp Dumpster onsite yes , no Located at>124 MainStreet.. . Fire ®epa_men. 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, 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 ® Notified for pickup - Date I � Doc.Building Permit Revised 2010 Location / No. SS Date • ' TOWN OF NORTH ANDOVER ASU er Certificate of Occupancy $_ Building/Frame Permit Fee Foundation Permit Fee Other Permit Fee $ TOTAL $ Check#4Ar 26137 Building Inspector Town of North Andover Page 1 of 1 Q Base Map Zoning 2012 Aerials Watershed Zone Utilities ❑ Size O❑� Selection Legend Location Markup Hel Scale 1"= 49 $ p i Select Parcels ^.. (show all) Owner Prop__ID (Address EDWARD D 1055.0-0020-0000.0119 PLEASANT t do moi+ 1 selected To Mailing Labels To Spreadsheet [] Property Building PermitsIF Planning Septic Pub Print ads Ownerl SCHRUENDER,EDWARD D Owner2 f F� rfi [ Address 19 PLEASANT STREET �. , �• � � 5 ¢ � � PropertyID 055.0-0020-0000.0 Lot Size 8712S - 2 � era r Fiscal Year 2013 " •• � $ , �, �� Land Use 104 - Code Get Pictometry Imag�,Go v3.2.0 Appceo Save Mapas Image �•" lafrnlmeck UFJI FSanrn tbmtrission Does crrt mffiee v ara utY spaasb ty omp r � ey g arcs% mY•e�r�ssea o+naprtd.rwr e^.s=rreenY 1�1 YatJ are 3 fa C�aowrt�Y-C Icna�=. or usatutness d tA°GeayapNc Vdortnat±on Sy:tsn(OF4}�'a many oCrerdata{xavid>�herein.She aata�nm taxs the price d a protassiorwl e�raay ana hss na legs beanng m the tare snap-,stm f=ttan,aredVeme of a geag'amc faaum pmp"y aneorpouncgl mmeaenuum.Memsm=k MaWy Ranreng C mmissan requests �„ tlr&t aery+Use or[trs IMGnnS°Jml Oe ac[anPaniad br a nN�agtca to Itssou2e and tha AteMmaca uallej Plmd;g Ccmmissnns caveat stat n maKeS rto warraaaes d r rn�,entati.�s Wo tri a"$Cy a sei0 tnramaV�Any used ws Worm IW ISM me r9eip are'sann nst http://mimap.mvpc.org/NorthAndovermimapNiewer.aspx 2/4/2013 NORTH oven of � : _ ndover O '1 No. LAKE oh ver, Mass, A- QA COC HICKIWICK 7,e 01#4 TED S U BOARD OF HEALTH Food/Kitchen Septic System THIS CERTIFIES THAT BUILDING INSPECTOR ....PERL .. .........�. ........... .. .. ......... ................................... ......... has permission toe t ......................... buildings on ..�.q. ... ..� !* .,,,, „q.... Foundation Rough Aa to be occupied as . .. .......... .�. ........ ......... .................... 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 VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES IN .6 MON T ELECTRICAL INSPECTOR UNLESS CONSTR S S Rough Service ........... .. ........................................................... / BUILDING INSPECTOR Final 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