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HomeMy WebLinkAboutBuilding Permit #Exception - 200 HAY MEADOW ROAD 5/1/2018 TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit NO: Date Received 017 1/ Date Issued: IMPORTANT:Applicant must complete all items on this page LOCATION Z00 ITar,,A - Print _ PROPERTY OWNER ?-.-J- Print MAP NO:/© PARCEL: 7(p ZONING DISTRICT: I?I Historic District yes no Machine Shop Village yes TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building A One family ❑Addition ❑Two or more family ❑ Industrial Iteration No. of units: ❑ Commercial 'Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other 4: eptic r ©AWella y Y `' Fl oZip al ff". ®` yV te'she�dDis ict �� ` °s3.�.t.'�. .f;.�} 't'' ^t . � 1.t, $l t'':'� 'rF.C a r,-_ 'Ys ,.«.-,.. r .,.._ 3' !tT#,:1: v�': `' _• �'�"f }.v 3 '; .->s.s-..�' ��s.os.a.. 14 •z..,>_. _.«'...�.' .�. ?.e s.sx. _..fix A'Sait�- '- �� --. K,' - - w DESCRIPTION OFWORKWORK TO BE PERFORMED: lJ� w�a 6-1)LkS+x�c _SGAAA"Aa� �Qtr�.z,� A ��el� e�� t..tw Stay Identification Please Type or Print CIearly) {cll OWNER: Name: Phone Address: 'LoA•� d� CONTRACTOR Name: �<g,�, ,,r, 1�,,,,, ;�, Phone: b -S 3 3 5- Address: �\.Ilk ����wdL S�-��.,--t' ivy 1a�..� 'o l Supervisor's Construction License: (25-3 0"k Exp. Date: Home Improvement License: Exp. Date: ARCHITECT/ENGINEER � .,-� syr ( �,,NysAL--Phone:_ c'1$ 6 - -5 .15 Address: NA) , 4,A-,,—Reg. No. FEE SCHEDULE:BULDING PERMIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$925.00 PER S.F. Total Project Cost: $ LL"1 0 L)U FEE: $_ -t Check No.: Receipt No.: P on c t>"actin :with un�egiste�ed conttactoYs do not have access to the gua>"anty fund Sign_._ture of�Ag�:nt/Owier ;, :: v,..�_ :°: ... ::• ..:::,. Signafure:of,contractor ., .� .,;._ t;;:;j Plans Submitted ] Plans Waived ❑ Certified Plot Plan Stamped Plan TYPE OF SEWERAGE DISPOSAL ❑ Swimming Pools ❑ Public Sewer Tanniug/MassageBody Art ❑ 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 ' l COMMENTS 'kzz HEALTH Reviewed on Si nature COMMENTS G / ® Zoning Board of Appeals:Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments Conservation Decision: Comments Water & Sewer Connection/Signature&Date Driveway Permit DPW Town Engineer: Signature: Located 384 Os ood Street FIRE DEPARTMENT -Temp Dumpster on site yes no Located at 124 Main Street Fire Department signature/date COMMENTS 5 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 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 ❑ 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 DOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit 1 all cases if a variance or special permit was required the Town clerks office must stamp the decision from the Board of Appeals tat the appeal period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording ast be submitted with the building application Doc: Doc.Building permit Revised 2008mi Town of North Andover HEALTH DEPARTMENT NORTH Community Development and Services Divi ° 1600 OSGOOD STREET c h Building 20; Suite 2-36 -= North Andover,Massachusetts 01845 "SSACHUSEt hW2://www.townofnorthandover.co (978)688-9540 Susan Y.Sawyer 978 688-8476 Public Health Director RECEIVED INFORMATION REQUESTLor =jjrovide Health Department MPPlease use this form if the Health Inspector or Health Direcde immediate assistance to you. All requests Please fill out this form in its entire to ensure an accurate and prompt response. e tY p pq for information will be handled as soon as possible. CONTACT INFORMATION Date: Name: Phone number: Fax number: Address: 20 -+A M-F—A 0 QW YZ INQUIRY-Property in question: (Please include as much information as possible) Subject: 7t)-TfLT )JL�W Pro t�Ciq Inquiry: J C,6 S �- S C7-F- �r�A 61- A _d NG^ S S aN N (J-A (vt You will receive a call back within 24 hours. Thank you. BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535 7 Iz,-z.-) A) -44-� Cv- IS `j� y EIQSTING SEPTIC TANK APPROXIMATE SIZE AND LOCATION SHOWN. V.I.F. r--------- 1 I I I I I .�IV4r , I I FIRST FLOOR PLAN (DMNG) I I STONE APRON —EXISTING PERIMETER DRNN I I I I I I PINSIOZ PARTRIDGE RESIDENCE APPROIOMATT?LOCATION 200 LKR MEADOW ROAD OF EXISTING FOLS DATION �NORTH ANDOVER, MA �' (bel°'"} 1S'-0' 11'-S' .rusue.,+a olaerano ' PORCH t DECK WOOD RETAINING WALL AVN4RYBATH L KITCHEN Paul Partridge From: Kristen Partridge[kristen.partridge@gmail.com] Sent: Thursday, July 08, 2010 8:29 PM To: Paul Partridge Subject: Fwd: proposed porch Attachments: Partridge_lstfloor plan-existing_ A10.pdf ---------- Forwarded message ---------- From: Stephen Foster<sefoster07@gmail.com> Date: Sun, Jul 4, 2010 at 11:16 AM Subject:proposed porch To: Kristen Partridge <kristen.partridgeggmail.com> Kristen&Paul: see attached plan showing existing porch/deck note location of septic tank with respect to existing porch structure and underground drainage pipe I there are two potential issues concerning the septic tank; (reference 380 CMR 15.211 - state of MA dept. of envir. protection) proximity of porch/deck foundation(concrete piers); the required setback from the septic tank to the foundation was 5' on my last(similar)project ! this setback is not shown on the state website...it may be a local ruling proximity of existing drain pipe title V lists this setback distance at either 5'or 25' the local board of health can clarify these setbacks I would recommend bringing a copy of the attached sketch to them for discussion they would be able to provide setback distances(noted above) so as to allow the design to proceed with full knowledge of all design parameters for your information,the boh will also most likely need to 'sign off on the permit "form U" for the porch renovation... so you might as well cross this bridge now vs. later alternatively: (but not recommended) the owner could provide drawings which totally ignore the existence of the septic system i you may receive a building permit if you get'signed off without any discovery/discussion concerning the septic system however you do not want to have the septic tank'issue'be discovered by the authorities during the construction as this may lead to costly modifications or delays of the remodeling project keep in mind that it is the responsibility of the permit applicant to provide the necessary design, engineering ,etc. to the authorities to prove that they are 'code' compliant and deserving of a permit I can share my knowledge of the above in greater detail please call me to discuss the above steve foster z