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