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Home My WebLink AboutBuilding Permit #217 - 194 BOSTON STREET 5/12/2000 {, J TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR,RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING ';Ttis Sectito>a#O�OE"'dd Use Oily BUILDING PERMIT NUMBER: a2 DATE ISSUED: V_o/a X SIGNATURE: r � Building Commissioner/I or of Buildings Date z SECTION 1-SITE INFORMATION O 1.1 Property.address: 1.2 Assessors Map and Parcel Number: Map Number Parcel Number 1.3 Zoning Information: pp 1.4 Property Dimensions: Zoning District Pr osed Use Lot Area sf) Frontage R) 1.6 BUILDING SETBACKS(ft) Front Yard Side Yard Rear Yard Re red Provide Required Provided Required Provided C) 1.7 Water Suppty.t.G.L.C.40.§54) 1.5. Flood Zone Information: 1.8 Sewerage Disposal System: D Public 7 Private ] Zone Outside Flood Zone 0 Municipal 3 On Site Disposal System SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT M 2.1 Owner of Record ame(Print)-- Address for Service W S rune i Telephone AAA 2.2 Owner of Record: V O Name Print Address for Service: z M Signature Telephone M SECTION 3-CONSTRUCTION SERVICES 7� 3.1 Licensed Construction Supervisor: Not Applicable ❑ Licensed Construction Supervisor: O License Number Address Expiration Date Signature Telephone r' 3.2 Registered Home Improvement Contractor Not Applicable ❑ SQ Company Name M Registration Number r r Address z Expiration Date Sienature Telephone ps�p Location / 7 �....J a� No. r Date NaRTM TOWN OF NORTH ANDOVER O�i•. o ,•1q.0 16. 9 # Certificate of Occupancy $ sACN�s<� Building/Frame Permit Fee $ ` Foundation Permit Fee $ Other Permit Fee $ `3 TOTAL $ 3� Check 13 ' 34 Building Inspector i SECTION 4-WORKERS COMPENSATION(NLG.L C 152 § 25c(6) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the building permit. Signed affidavit Attached Yes.......❑ No.......❑ SECTION 5 Description of Proposed Work check all applicable) New Construction ❑ Existing Building ❑ Repair(s) ❑ Alterations(s) 0 Addition ❑ Accessory Bldg. Demolition ❑ Other ❑ Specify O Brief Description of Proposed Work: /'kg cc) Rx i V r r..\r SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)to be OFFICIAL USE`ONLY Completed by permit applicant o (a) Building Permit Fee 501. BtHUT ?o bnJl Multiplier 2 Electrical (b) Estimated Total Cost of Construction 3 Plumbing Building Permit fee(a) X (b) 4 Mechanical HVAC 3 5 Fire Protection 6 Total (1+2+3+4+5) Check Number SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I, L60— 1'W. At / VaQ as Owner/Authorized Agent of subject property Herebv authoriz �� n I�7 / to act on My be h 1;-in latter r alive to k authorized by this building permit application. -71 Sl nature"6f O w5r Date SEC-`TfON 7b OWNER/AUTHORIZED AGENT DECLARATION I, as ONvner/Authorized Agent of subject property Hereby declare that the statements and information on the foregoing application are true and accurate,to the best of my knowledge and belief Print Name Si ature of Owner/Agent Date NO. OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR T12VMERS 1 ST 2 3 SPAN DINIENSIONS OF SILLS DQv1ENSIONS OF POSTS DIMENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CHDV NEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE t FORM - U - LOT RELEASE FORM INSTRUCTIONS: This form is used to verify that all-necessary approval/permits from Boards and Departments having jurisdiction have been obtained. This does not relieve the applicant and or landowner from compliance with any applicable requirements. APPLICANT ` �i �arl'uQ1 �PHONE ASSESSORS MAP NUMBER 1078 OT NUMBER �3 SUBDIVISION ✓LOT NUMBER ��i�� l`S STREET �C TREET NUMBER OFFICIAL USE ONLY RECOMMENDATIONS OF TOWN AGENTS Li" DATE APPROVED CONSERVATION ADMINISTRATOR 'DATE REJECTED COMMEN'T'S DATE APPROVED TOWN PLANNER DATE REJECTED COMMENTS DATE APPROVED FOOD INSP R-HEALIH DATE REJECTED DATE APPROVED CTOR-HEALTH DATE REJECTED CONMEENTS PUBLIC WORKS-SEWER/WATER CONNECTIONS DRIVEWAY PERMIT DATE APPROVED FIRE DEPARTMENT DATE REJECTED COMMENTS RECEIVED BY BUILDING INSPECTOR DATE April 19, 2000 Dear Sir or Madam: I am planning to put an in ground pool in my yard this summer. Per my phone conversation with the building inspector yesterday, enclosed please find a plot plan of my property. I have shown the designated area(see triangle area next to barn), which is 20 feet from my leaching bed to the left and ten feet from the property line to the right. I have sketched in the approximate location of the kidney shaped pool,but it will fall within this triangle. I am asking for your approval on the location and installation of this pool so that I may request a permit for its construction. Please call me at 508-628-9700 if you have any questions or need additional information. Thank you for your time and attention to this matter. Sin&erely, ,' isa M. Durivage 194 Boston Street North Andover, MA 01845 I 5 t� 11JL ice,,.:...--��...--- Town NORTFI of 4Andover _ No. 0 LA o dower, Mass., COCHICMEWICK _ RATED P9�L Cl S BOARD OF HEALTH Food/Kitchen Septic System PERMIT T D . } BUILDING INSPECTOR /� ... .......... ,� v THIS CERTIFIES THAT........... .. .... d ........... /..1�. .. . ...................................................................... Foundation / I N16 has permission to erect..... .. . .......... buildings on ......... .... ......... .............................................. Rough r n v N 000f j�......r*0 P' .................................... Chimney to be occupied as..... .........6......................0.........�.................... ... ................Y provided that the person accepting this permit shall in every respect conform to the terms of the application 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. m t o #7 8 p 43 PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. $ now Rough Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTION STT Rough ............. .. . ... ...................... ..............................................'00 Service BUILDING INSPECTOR Final Occupancy Permit Required t0 Occupy Building GAS INSPECTOR 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. SEE REVERSE SIDE smoke Det. N Area = 44,050 S.F. 1 r m a, .z: �1 J 0 r oa. Q 6" Tree Q� 1 .0 v IN w 1 Q W QQ P1 ' 11 16" App✓e ,'' �� 1 I ►1 Er Tj o-BoX H C B C I rw;7 4 o Existing rree Barn + r113 + A a Pct io o � v v 4 SEPTIC N - rA N I( tD 1500 CGAu-) �-�CA+I� qo Existing Dwell. o f Top of Fnd. = 212.0' #194 1 Water Service • 1 (Approx. Location) _ I 150.00' a Plan 0f Land /n North Andover, Mass. showing "As—Built Sanitary Disposal System " 194 Boston Street Assessors Map 107E — Parcel 63 Prepared For : 3 Rick Beers Scale: 1" = 20' Date. May 11, 1998 Schedule of Inverts Invert ® Foundation = 210.00' ' Septic Tank In = 208.48', Out = 208.28' D—Box In = 207.73', Out = 20756' Trench 1 In = 70.27', Out = 69.98' Bed In = 207.50', Bed Out = 207.28' Schedule of Tie Distances AD = 27.6' AF = 63.9' AH = 43.0' BD =. 24.3' CF = 67.4' CH = 44. 1' AE = 53.0' BG = 62.8' BI = 48.9' CE = 55.2' CG = 71.8' Cl = 50.5' l hereby certify that l have inspected the construction of this disposal system and that the construction and final grading hos been in accordance with the designer's intent and that the materials used conform to the plan specifications and 310 CMR 15.0 This plan hos been prepared for the purpose of showing the "As—Built" conditions of the sanitary disposol system installed on the premises All work was done in substantial conformance with the design plans as prepared. All work was done within the construction limitations expected for a job of this type. JOHN M. Gr MORIN 4 CML « NO.MOW 98- 0 Design En o.AL E Date Th omas E. Ne ve Associa tes, In c. Engineers — Surveyors — Land Use Planners