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HomeMy WebLinkAboutBuilding Permit #126-2011 - 21 JOHNSON CIRCLE 8/11/2010 BUILDING PERMIT of OO pTh q TOWN OF NORTH ANDOVER 32 hEt' �_ a,atio APPLICATION FOR PLAN EXAMINATION b nO b~ Permit NO: � Date Received moi' a 4 • 1 ' Date Issued: /! /'O ��SSACHUs���y IMPORTANT:Applicant must complete all items on this page LOCATION {4 - rV4 Pn t PROPER_TY OWNER -- `� { �- PMt - Y MAP 210 = PARCEL ZONJNG DISTRICT A:Histoiic Disfnct . =s =f yeS no Machine,Shop Village w yes Ono TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential New Building One family Addition Two or more family In Alteration No. of units: Commercial Repair, replacement AssesBldg Others: Demolition Other Septic Well F = ': Flood lam{ -1Netlands p Watershed Distnct ' - 1Naterl.Sew,er� _ - v DES C- PTION OF WORK TO BE PREF RMED T.( v!l � �I�ntification P se Type or Print Clearly) OWNER: Name: �J t Phone: ^0�7 C Address: aCONTRACTOR' Name Pnone: Address _ Supervisor`s Construction L--icense: Exp Da#e Morrie Impfovement License: e . - -- 'Exp Date ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE:BOLDING PER/MIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $_ l �� �w FEE: $rte Check No.: �6�,� Receipt No.: 3 NOTE: Persons contractin with �I�r inter ontractors do not have access to the guaranty fund S�mature . en_ J nes T T g- - - - gq Signature of contractor t _ Plans Submitted Plans Waived Certified Plot Plan Stamped Plans TYPE OF SEWERAGE DISPOSAL Public Sewer Tanning/MassageBody Art Swimming Pools 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 00//o l_ COMMENTS ���o �`✓� I �OVt' 1 S CONSERVATION Reviewed ori �� 1 U Si nature :�LL COMMENTS ti HEALTH Reviewed on Signature 1 COMMENTS 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 Osgood Street FIRE DEPARTMENT :-Temp-'Dumpster on site. yes no Lvcated:at 124winm Streefi .Fide.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) ❑ Notified for pickup - Date Doc.Building Permit Revised 2010 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 NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit Li 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 submitted with the building application Doc:Building Permit Revised 2008 Location 07 No. drG "a G t/ Date NaRTM TOWN OF NORTH ANDOVER 0 4LA • ; : Certificate of Occupancy $ Building/Frame Permit Fee $ s�CHU { Foundation Permit Fee $ Air Other Permit Fee $ TOTAL $ Check # �©,� 2 3 g r/ � Building Inspector ORTH T0VVn of Andover moi^ - - =:- - dover, Mass., Q LAKE a/1 'COCMICKEWIC44 K 0RATED SS 7 S BOARD OF HEALTH PERM T T D Food/Kitchen Septic System BUILDING INSPECTOR THIS CERTIFIES THAT ��� l�S ....................................... ... ...................................... .....P.................................................................. Foundation has permission to erect........................................ buildings on ..�9/ Ns ..��:�'. ��... Rough ........................... ........ Chimney to be occupied as................ F1 .:........................��t.............. .. .. provided that the person accepting this permit shall in every respect conof m 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. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTION ST TS Rough /"C_.`.................:.......................... Service • BUILDING INSPECTOR Final Occupancy Permit Required to 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. ASSESSORS REFERENCE ZONING DISTRICT: R-3 MAP 97, LOT 63 MIN. LOT AREA=25,000 S.F. MIN. STREET FRONTAGE = 125 FT. MIN. FRONT SETBACK= 30' MIN. SIDE SETBACK=20' G`RG� MIN. REAR SETBACK= 30' SON 143 40.7' 34.8' 55.0' LIMIT OF 100' BUFFER ZONE FROM INTERMITTENT STREAM, LIMIT OF NON-DISTURBANCE o� BUFFER ZONE Qo 23.1' $ 156' 22.9' LOT 16 58.3' AREA=25,289±S.F. I \ 0 0 GF�,� 146' 9 � Is 11 - END OF INTERMITTENT STREAM C( t�SE \2% AS DELINEATED BY NORSE C 5 ENVIRONMENTAL SERVICES, INC. cs�GI-S tia ���`` ON AUGUST 10, 2010 L EN NOTE:THIS LOT WAS CREATED BY A SUBDIVISION PLAN ENDORSED BY THE NORTH ANDOVER PLANNING BOARD ON APRIL 25, 1973,AND RECORDED AT THE ESSEX NORTH REGISTRY OF DEEDS ON APRIL 27, 1973. PROPOSED PLOT PLAN FOR 21 JOHNSON CIRCLE IN NORTH ANDOVER, MASS. DATE: AUGUST 10, 2010 DWG. NO.: 10.014003 0 CHRISTIANSEN z PROFESSIONAL ENGINEERS SERGI LAND SURVEYORS •J�t� SCALE: �, 40' 160 SUMMER STREET PH:978-373-0310 HAVERHILL,MASS.01830 ��■•�� FAX:978-372-3960 ASSESSORS REFERENCE ZONING DISTRICT: R-3 MAP 97, LOT 63 MIN. LOT AREA=25,000 S.F. MIN. STREET FRONTAGE= 125 FT. MIN. FRONT SETBACK=30' MIN.SIDE SETBACK=20' G MIN. REAR SETBACK= 30' SONG ` �ONN�3 40.7' 34.8' 55.0' +� PROPOSED G N ,tea ADDITION 2, 0 C., 'Jill Il,i,i l' 136'± 23.1' i LOT 16 o i 22'9' AREA=25,289±S.F. I 58.3' o \ 146' 1 INTERMITTENT STREAM 2,� \^ AS SHOWN ON MASS GIS LIMIT OF 100'BUFFER DEP WETLANDS MAPS ZONE FROM INTERMITTENT STREAM PROPOSED PLOT PLAN FOR 21 JOHNSON CIRCLE IN NORTH ANDOVER, MASS. DATE: (REVISED)JULY 27, 2010 DWG. NO.: 10.014003 It 0 CHRISTIANSEN PROFESSIONAL ENGINEERS::S E RG 1 A LAND SURVEYORS SCALE. 1 „ O� 160 SUMMER STREET PH:978-373-0310 HAVERHILL,MASS.01830 ��•�� FAX:978-372-3960 r: -Y V J dNVO w hao 7 Yahoo!Mail Ocarrollconstruction) 8/3/10 6:29 AM http://us.mgl.mail.yahoo.com/dc/launch?.gx=1&.rand=lfgo5ih24jp]7 Page 1 of 2 Satellite View of My House Page 1 of 1 Home>>Satellite View of My House Satellite View of My House Note:This free street level"Find My House"service is available for addresses in the USA,Canada,France,Germany,Italy,Spain,Japan,Australia, and New Zealand.Additional countries will be added as Google Maps launches in other countries. N FWViewofHouse.com-Street View of Your House,House Example USA entry: 123-4 MyStreet,My-City,MyState Zipcode Value,Lot Size and more... 21 johnson circle,north andover, ma i Go! vPike.com-Drive by Your House on the Virtual Turnpike }Tick marks zoom in and out. 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