HomeMy WebLinkAboutBuilding Permit #409-13 - 200 VEST WAY 11/19/2012 TOWN OF NORTH ANDOVER
APPLICATION FOR PLAN EXAMINATION
Permit NO: 0 s Date Received
Date Issued: '
IMPORTANT:Applicant must complete all items on this page
LOCATION
Print
PROPERTY OWNER
f C� Print 100 Year Old Structure yes no
MAP NO: / � / . -PARCEL�ZONING DISTRICT: Historic District yes no
Machine Shop Village yes o
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
❑ Septic ❑Well ❑ Floodplain ❑Wetlands ❑ Watershed District
❑Water/Sewer
DES RIPTION�OF YVORK TO BE PERFORMED:
den, #��ca io Pl.e.�sa Type or Print Clearly)
OWNER: Name: � �/ L C' Phone:
Address:
CONTRACTOR Name: O hone:
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Address: /
Supervisor's Construction Licenser Exp. Date:
Home Improvement License: Exp. Date:
ARCHITECT/ENGINEER Phone:
Address: Reg. No.
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FEE SCHEDULE.BOLDING PERMIT.$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F.
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Total Project Cost: $ 6!d(0_0_ CoFEE: $
' �- �
� Check No.: ��� � Receipt No.: .7
NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund
Signature of Agent/Owner _ _ Signature of_contract_ _ r
li Plans Submitted ❑ Plans Waived El Certified Plot Plan ❑ St ped Plans ❑
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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. ❑ S
Permanent Dumpster on Site ❑
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THE FOLLOWING SECTIONS FOR OFFICE USE ONLY
INTERDEPARTMENTAL SIGN OFF - U FORM
DATE REJECTED DATE APPROVED
PLANNING & DEVELOPMENT ❑ ❑
COMMENTS I
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CONSERVATION Reviewed on c-:�L Signature Ll
COMMENTS____p
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HEALTH Reviewed on Signature
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COMMENTS
Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes
Planning Board Decision: Comments
Conservation Decision: Comments
M
Water & Sewer Connection/Signature& Date Driveway Permit
DPW'lbw,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
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
lJ Notified for pickup - Date
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Doc.Building Permit Revised 2010
Building Department
The foEowing 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
o 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
o 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 j
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
NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit
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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
II
Doc: Doc.Building Permit Revised 2012
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No. - -
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COC.IIC Kl WICK
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BOARD OF HEALTH
Food/Kitchen
PERM T LD Septic System
THIS CERTIFIES THAT ...�,. !�•� = BUILDING INSPECTOR
......................... ............ ..............................................................
Foundation
has permission to erect .......................... buildings onQm........V. �
s
p� �. lLt6.1.. �.IN% Rough y
to be occupied as .......... ... ........... ....0......... .................. Chimney
............
provided that the person accepting this permit shall in every respec 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
36 00 PERMIT EXPIRES Ih6MONTH ELECTRICAL INSPECTOR
UNLESS CONSTRUCS Rough
Service
........... .................................................... Final
BUILDING INSPECTOR
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
I Street No.
Smoke Det.
SEE REVERSE SIDE
4&2 1 �j 1A 117
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JOSEPH G. CONTRADA
COLLEEN S. CONTRADA
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S80'20'47"E--�-
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212.00'
74
N to . FVC 6A
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DECK EXPANSIOK
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2 STORY
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62.70'
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L=64.50' 90.00' N83'09'26"W''
R=1276.73'
VEST (5 0' WIDE) WA 1
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-NOTE PLAN OF LAND
SITE IS SHOWN ON TOWN OF NORTH ANDOVER ASSESSORS IN
o MAP #104D BLOCK #105 SUBDIVISION LOT #56.
SEE E.N.D.R.D. BOOK #2649 PAGE #236 FOR SITE DEED. NORTH ANDOVER, MASSACHUSETTS
CL
U DRAWN FOR
0 WETLAND FLAGGED BY NORSE ENVIRONMENTAL
u-)04TYNGSBORO, MA 9/26/12 DALE LEWIS
0) 200 VEST WAY
v NORTH ANDOVER, MASSACHUSETTS
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,. SCALE: 1"=40' DATE: OCTOBER 3, 2012
p ��H 4r hfq,�s
No��� �r 0 20 40 80 120
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SinP ,ISI
MERRIMACK ENGINEERING SERVICES
BB PAW STREET
10/3/12 ANDOVER MA9'SACHVSETTS 01810
STEPHEN E. STAPI t#I.L.S. DATE PROF' (978) 4775-3556 FAX: (878) 475-1448
RJIAM- dfRRENGBAOL COM
Locatiorna(-AJ VZ4 a
No.
! b Date / � ` , �
. • TOWN OF NORTH ANDOVER
- e
Certificate of Occupancy $
Building/Frame Permit Fee
Foundation Permit Fee $
Other Permit Fee $
TOTAL $
Check#-091
25965 uilding Inspector