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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: ti Address: / Supervisor's Construction Licenser Exp. Date: Home Improvement License: Exp. Date: ARCHITECT/ENGINEER Phone: Address: Reg. No. I FEE SCHEDULE.BOLDING PERMIT.$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. i 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 ❑ . i 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 ❑ i THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM DATE REJECTED DATE APPROVED PLANNING & DEVELOPMENT ❑ ❑ COMMENTS I �II I i I CONSERVATION Reviewed on c-:�L Signature Ll COMMENTS____p M HEALTH Reviewed on Signature r 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 f 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 I 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 L � NORTIy -T-own of s IFAndover 0 No. - - h ver, Mass, - COC.IIC Kl WICK A04ATEo S U 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 44 �} r �- - + - --i-t - - � 44 I I I it I 1 I I 1 ! -1- -4- - No I } , I I I r I +! f i r it I JOSEPH G. CONTRADA COLLEEN S. CONTRADA i S80'20'47"E--�- i 212.00' 74 N to . FVC 6A N2A 3A 4A 5A L 0 1 $ 5 6 O 46 w N , AREA-X3,794 S.F. Oho 03� -s;� -1.0054 AC. r o >g { N -P PROPOSED i A DECK EXPANSIOK D 7� 00 N , W i� xIVING z f POR 60.69' 69. EG 2 STORY W.F.D. x/200 62.70' 60�g0 i N /• CO. go — tO �o L=64.50' 90.00' N83'09'26"W'' R=1276.73' VEST (5 0' WIDE) WA 1 N_ M O r -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 i ,. SCALE: 1"=40' DATE: OCTOBER 3, 2012 p ��H 4r hfq,�s No��� �r 0 20 40 80 120 El' 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