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HomeMy WebLinkAboutBuilding Permit #498 - 190 APPLETON STREET 12/21/2011BUILDING PERMIT TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION P Permit NO: qr- Date Issued: IMPORTANT: Date Received must complete all items on this —_ - P I t 3 - . _ - ,.a EM4P�Nr0 ,P,ARCEL -f Z� ZON.IN TYPE OF IMPROVEMENT ❑ New Building i "ddition ❑ Alteration ❑ Repair, replacement ❑ Demolition /Q`S,tLED ,6''ryO` O 31CT:_ 1'�' .� � ;Histo�ic�®istnct iyes nnar-hmeSh6b Village NO -O PROPOSED USE Residential One family ❑ Two or more family No. of units: ❑ Assessory Bldg _ ❑ Other Non- Residential ❑ Industrial ❑ Commercial ❑ Others: p `WatershedDistrict 01N 6 t6 f/, $J DESCRIPTION OF WORK TO BE PREFORMED: hJ OATTQQ &4A&6d r� Identification Please Type or Print Clearly) Phone: OWNER: Name: p4Qt-VyAc. 1 -,VL Address: Ph FF- ,A, NT -ACTOR Name -t- .� -one: u 6,179-71 resst�yo _Y a y - iceC�d SonstruetionrLZ, ir�s _.: - - �� lZo/3 'Hometlmprovemetit;License; _ -�� Exp Date S-/ - Phone: ARCHITECT/ENGINEER rmit Reg. No. I Address: peals FEE SCHEDULE., BULDING PERMIT. $92.00 PER $9000.00 OF THE TOTAL ESTIMATED COST BASED O�•00 PER S.F. ,Peals �� e-- FEE: $ Total Project Cost: $ u Receipt No.: t � M Check No.: "✓ NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund t Permit NO: Date Issued: BUILDING PERMIT TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Date Received v- �t LlD • tibt•NC I IMPORTANT: Applicant must complete all items on this page I LOCATION I9y1L.tryj .' Print PROPERTY OWNER Print MAP NO PARCELJ'A ZONING DISTRICT: 1 Historic District. yes . Machine Shop Village yes TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential New Building a famil dditid` Two or more family Industrial Alteration No. of units: Commercial Repair, replacement Assessory Bldg Others: Demolition Other Septic Well Floodplain CW etlands Watershed District Water/Seii►ie DESCRIPTION OF WORK TO BE PREFORMED: I}cxYlf .z Y✓1I J7 �--' 1i� VY/LA— /;L,50 Sb t3 ;WeLu0 t� u� A . WAX11.1y, r it id Identification Please Type or Print Clearly) OWNER: Name: RtxyL d. c0cj gA AhlLetCV Phone: &3 -5'&>7-3Y5Y Address: of y91YWcini1 40 l ONGAka-(Wy-w &,6-0 CONTRACTOR Name: UJ#91Y i-AWLL Phone: 178--Q70-196'25 Address: e.&, Supervisor's Construction License:... Vie/ Exp. Date: Home Improvement Licenser ARCHITECT/ENGINEER Date:, F- 1 // 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: $ o O FEE: $ r - Check No.: Receipt No.: NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund Signature of Agent/Owner G�_ ._.. Signature of contractor Location No. Date6:iaI � MORT#q TOWN OF NORTH ANDOVER f 1 a r Certificate of Occupancy $ '-777 Ar.tls Building/Frame Permit Fee $ , Foundation Permit Fee Other Permit Fee � TOTAL {J Check # `J_"'��( 24905 Building Inspector Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ TYPE OF SEWERAGE DISPOSAL Public Sewer ❑ Well ❑ Private (septic tank, etc. ❑ Tanning/Massage/Body Art ❑ Swimming Pools ❑ Tobacco Sales ❑ Food Packaging/Sales ❑ Permanent Dumpster on Site ❑ f THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM PLANNING & DEVELOPMENT COMMENTS CONSERVATION COMMENTS HEALTH 11 COMMENTS DATE REJECTED El Reviewed on " 10 DATE APPROVED Reviewed on S_onature Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comme Conservation Decision: Comme Water & Sewer Connection/Signature & Date Driveway Permit DPW Town Engineer: Signature: /l..-r.r.r7 C#root Located 384 Dimension Number of Stories: I 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 Doc.Building Permit Revised 2008 DePa�,rnent Building erm►t to be obtained• e following is a list of the required forms to be filled out for the appropriate p Th permits Roofing Siding, Interior Rehabilitation lication ❑ Building Permit Affidavit LiCenSes ❑ Workers Comp Of", AndlOr C.S L ❑ photo o Contract permit ❑ Copy oSed Interior Work roducts Prior to issuance of Bldg Or Prop . eered products artment ❑ Floor Plan A{{idavits for n o{g{ from Fire D p ❑ Engineering require sig NO All dumpster permits Addition Or Decks Building Permit Application ❑ e ed Plot Plan ❑ Certified Suri y Comp Affidavit S LiCenSes ❑ Workers { H.I.C. And C.S.L. ' With Sprinkler Plan And ❑ photo Copy ° plan Of Prop°Sed Work ❑ Copy of Contract loorlCrosSect Ol ions (If Applicable) if Applicable) ❑ F Report Hydraulic Calculate° Compliance R p products of Bldg Per Klass check Energy for Engineered Department prior to issuance ❑ Aff lda ❑ Engineering require sign off from Fire OTE: All Engine, permits N nd -two Farnft) I �1 ew Construction (Single a Permit Application ❑ Building oSed plot Plan ❑ Certified Prop" :)sed C.S.L. Licenses S rinkler Plan A ❑ photo of H.1. Affidavit Be Returned) to Include p ❑ Workers Comp To ❑ Two Sets of Building plat Applicable) Hydraulic Calculations (I p y of Contract ❑ Copy Compliance Rep°r>:Oducts Energy eared PI t Prior to issuance of Bldg P Mass check vits for Engine amen P81 ° Engineering Affida o{{ from Fire D p oard of r the decision from the B ° permits require sign and proof of re stet p must stamofDeeds. One copy NOTE: All dump required the Town Clerks office nl a istry special permit vas t then get this recorded at the R g eriod is over. The applicant o in all cases iea Variance rianCe ors lication that the app a building app must be submitted with th ECTiONAL SERVICES DEYAR'rMENT.BPFORM07 Doc. INS? Revised 2.2008 O a • 1 VA m c C N R O �}O v Ca "r �•�C . O. O A C �+ yr CD :oma CD N � Ov w Cf)wU U O wO .0 wG a W ow a w av w w O, C W cn E v) 1 VA m c C N R O �}O v Ca "r �•�C . O. O A C �+ yr CD :oma CD N � a =m ; H C O N mo CLC. L _ y m m Q O C :O.Ct O O O t C-3 iA O . V'� Z Q m L m C = O m_, p d LLJW �="'Cy=OO. " Y •H C.L O C r o �y = . .E o=v COD mC43 Go cc '� o !�-• F- z $ a * m E L CD MA s s y C O C7 m 12 C! C _ m O cm C .0 N CD .05t o. Z Cl 8 CD F. � 40 A 0 U O W as 0 0 Z co C. O y � C as cm IpCD� CO) '0 m m 03 Q CD C_ ~L CD M o a w cma c c c ea M vCD J •p C Z C3 CL. �..± CO) C — C d COD D LLI LLI CA W W W E Q 0 CD CF � m w ts av w O C. N o Q� C 1 Q (7 j'%N O C C, o��Q' O ca ,r a =m ; H C O N mo CLC. L _ y m m Q O C :O.Ct O O O t C-3 iA O . V'� Z Q m L m C = O m_, p d LLJW �="'Cy=OO. " Y •H C.L O C r o �y = . .E o=v COD mC43 Go cc '� o !�-• F- z $ a * m E L CD MA s s y C O C7 m 12 C! C _ m O cm C .0 N CD .05t o. Z Cl 8 CD F. � 40 A 0 U O W as 0 0 Z co C. O y � C as cm IpCD� CO) '0 m m 03 Q CD C_ ~L CD M o a w cma c c c ea M vCD J •p C Z C3 CL. �..± CO) C — C d COD D LLI LLI CA W W W 9 CERTIFIED PLOT PLAN CV4L PREPARED FOR. PAUL & CECELIA WALKER -off A 7. v2 0 190 APPLETON STREET �s NORTH ANDOVER. MA. NORTH ESSEX REGISTRY OF DEEDS.- BK. 7574 PG. 74 ASSESSOR'S MAP. 64, LOT 129 ZONING. R-1 SCALE. 1"-50' DA TE.- JULY 14, 2010 NOTE: EXISTING DIMENSIONS TAKEN TO CORNERBOARD. NOTE.• w =WETLAND FLAG AS PER NORSE ENVIRONMENTAL ON 07-12-10. 540'55'49"E 222.99 30' � r- _ _ _ _ SETBACK _ LINE � I I \ I I •- I I � I � I I �I w I_ _ DRAINAGE Lo 0 0 1 EASEMENT 0 o d o DO 1 z I I I I I FLAGGED 3A �,yE I OF _.-�•-- �- --� - �LAAID 12A I EDGE._ 6 5A 4A 10A 7A 2A 1 1A 9A BA 47.9' I 67.7' 71.8' 62�. 166.37_ • . I — 7.6 ,64.3 5��.5 --+44.2' PROPOSED • I ADDMON _I 00i c6' I .-}- .........165.40' :ROAD 0' 1 ,3a EDGE ---- ---- 115.63! N43'00 53"W N42°33'C APPLETON V j//j/DINELLIIVG/� I X22.0' j 42.3'/ z PROPOSED ' FARMERS- "' m --PORCH �44 49,6' g7 , EASEME — • J_ - • -Y, S TWEET PREPARED BY- - JOHN ABAGL9 & ASSOCIATES; PROFESSIONAL LAND SURVEYORS 9 BARTLETT STREET, NO. 252, ANDOVER, MA. (978)-688-4899 JOB NO. 5742