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HomeMy WebLinkAboutBuilding Permit #Exception - 24 PETERSON ROAD 5/1/2018 REJECTED , - TOWN OF NORTH ANDOVER APPLICATION FOR'PLAN EXAMINATION, I. t Permit NO: Date Received s I� Date Issued: qi IMPORTANT:Applicant must complete all items on this p4ge .�`�'�" - �.dry .�• �c�,� ��#� v 01112-1.r '�':t;;�•rnr v�k`,S .lfltr,.�• r ..:`-� r �_' _ �'r��T{''�'i�'�7�5�,�..�.Pnnt �`: 4 `'��`- by '� ih e�°�i+{�.'�b�''�r�er���''Rtr'YT��[h���r 'S-.Y'e-�.=+.4 �Y-.-:fir� - .._�c •��`" tVK'�rf"9-{'y a � yr �, •�,��t'.�?ti,�� ati>-''r�,�t fi�T�}i' "}5 �'•F'J ,✓,t�7 i i ria; r t.�.-,��F M.s n �;a ti+��-k�i " � 1+"{'� ,T•> Rid✓"�' �� a it fa�5�+�r 1 PROPERTY ©�WNE'R ,.t� �c�.a���.�•�.�:�`� ��'�' :� �- �. ��' � T.��"� .�:= 'i'��'� � a �.�'i ��''s ��'-•�;.. Pnnt s� 100 Year O d tructure Y' ' �..• �s � ,. � yes � ,no �� I �PARCEr Z© ING DISTRICTt "� "'Historic Dis rict y: _yes nor 'fi: f <:.• � ,, ,� y ,�, 4 a � � :r � Machine Shop Village yes TYPE OF IMPROVEMENT PROPOSED USE 1 Residential Non- Residential . ❑ New Building D,6ne family ❑Addition ❑Two or more family ❑ Industrial ❑Alteration No. of units: ❑ Commercial ❑Repair,.replacement ❑Assessory Bldg ❑ Others: ❑Demolition ❑Other Ne . iF•'•. a' .9:"s�T. - i .may t'. �l t n t� '•"Sa7'i5hk`i►+L'rFz 'kf�.>!1,r. - .10 S7epti10`6-ll z ® Floodplain VUetlantls m � Watershed ©istnct ®Wateer .I..._- DESCRIPTION OF WORK TO BE-PERFORMED: Jge-c le ou/ i Identification Please Type or Print Clearly) OWNER: Name: Phone: Address: e� er °tt"t 4 ��., •N,A+r...5. vh�t,.:�, ,��a .;.•r' r f SyX. Sin•' ' C©NTRAC O 1 / ff y r� r s t L R `N me ��,_ „ .� � Phones W- 1i F. ' M d ��- ..T`s� Y 'f•. �"71t' �+•s tI e.. -W..k t Y a��, r +9 a. Supervisors Constructiori�License: - ��'• ,� 7. � Exp Date: �� �'' '��-�" '"� �, Home ImprovementNEWa • I ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE:BULDING PERMIT.$92.00 PER.$9000.00 OF THE TOTAL ESTIMATED COST BASED ON$925.00 PER S.F. Total Project Cost: $ �(�� FEE: $ Check No.: Receipt No.: NOTE: .Persons contracting with unregistered contractors do not have access t the guarantyfund.. !sig atiafi=:of:Agent/Owner : .S' attire:of contractor.. :. . _ . . 41 > Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑_ i Building Department The foMawin' is a list of the required forms to be filled out for the appropriate.permit to be obtained. �I Rooting, Siding, Interior Rehabilitation Permits u - Building Permit Application A o Workers Comp Affidavit o Photo Copy Of H.I.C. And/Or C.S.L.- Licenses o Copy of Contract . o Floor Plan Or Proposed Interior Work ❑ Engineering Affidavits for Engineered products 10TE: 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 o 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) Li Engineering Afffidavits for Engineered products OTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit New Construction (Single and Two Family) a o Building Permit Application P 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 o Mass check Energy Compliance Report ❑ Engineering Affidavits for Engineered products , D,TE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit Kri 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 apo.al period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording roust be subnaated with the building application Doc: Doc.Building permit Revised 2012 Plans Submitted Plans Waived❑ Certified Plot Plan ❑ Stamp ed Plans ❑ FPE OF-SEWERA.GEDISPOSAL lic Sewer ❑ Tanning/MassageBodyArt D. 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 ❑ .❑ COMMENTS R, CONSERVATION Reviewed on_ �'b Signature COMMENTS o t d TH Reviewed on Signature COMMENT Zoning Board of Appeals:Variance, Petition No: Zoning Decisionfreceipt submitted yes i Planning Board Decision: Comments Conservation Decision:ision: Comments i Water& Sewer Connectionermit DPW To'vw� Engineer: Signature: Located 384 Osgood Street FIRE Temp Dumpster on site yes no 1 'Located at '924 Main Street Fire Depar'tihe' t,sigriature/date COMMENTS 3 I Dimension umber of Stories: Total square feet of floor area, based on Exterior dimensions. otal land area, sq. ft.: L,ECTRICAU Movement of Deter location, mast or service drop requires approval of lectrical Inspector Yes No ANGER ZONE LITERATURE: Yes No GL Chapter 166 Section 21A-F and G min.$10o-sl000 fine ®TES and DATA—(For department use --1 DU — N OA- 1131 A-1131 Notified for pickup - Date oc.Building Permit Revised 2010 * Heidi TOWN OF NORTH ANDOVER MASSACHUSETTS Gaffney Conservation Field Inspector Community Development Division 1600 Osgood St.I Bldg 20 1 Ste 2035 (978)685-9530 North Andover,MA 01845 Fax: (978)688-9542 E-mail: hgaffney@townofnorthandover.com BUYER: iu !�- See Special Perifit and Definitive Plan Yeadowood ITT North Andoverq tj i a S, Z � �foap So TO THE AND ITS TITLE INSURERS. MORTGAGE INSPECTION PLAN I CERTIFY THAT THE BUILDINGS SHOWN DO ( CONFORM TO SEI9ACK REQUIREMENTS /��J�(4 /—\tj � I.E. (FRONT, SIDE. At REAR SETBACK ONLY) OF �Io'��'Ft ,�Nt.��/Ej� (f Lam- 1 WHEN CONSTRUOTED, OR ARE EXEMPT UNFROMt VIOLATION ENFORCEMENT ACTION UNDER MASS. G.L:_- TITLE VII, CHARTER 40A. SEOTION 7. 'T_Q+ ERWIS oNOTED. MASSACHUS I FURTHER CERTIFY THAT THIS PROPERTY'IS HAZARD AREA. N� . LOCATED IN THE ESTABLISHED FLOOD - OOMMUNITY PANEL NO.:2)5099.000bC DATE: 6-2-g j DEED THIS COMPANY IS NOT.RESPONSIBLE FOR ANY INDENTURES MADESUBSEQUENT TO THE RECORDED BOOK DATE OF THE LATEST DEED OF RECORD. I PAGE WHENEVER BUILDINGS.ARE SHOWN LESS THAN ONE FOOT FROM THE PR VISED T14AT A MORE PRECISE SURVEY BE MADE TO VERIFY THESE MEASUREMEN 4. CERT. NO. TH�13 RTIFICATION IS BASED ON THE LOCATION OF SURVEY MARKERS PLAN BK. PAGE REPRESENT A PROPERTY SURVEY. VERIFICATION OF SURVEY MAR MAY.Be ACCOMPLISHED ONLY BY AN ACCURATE. INSTRUMENT SUR WA 10 PLAN ¢ 1=1=—�DATED oN T?�($,IgLAR-nmK ION TO BE USED FOR MORTGAGE , 4.SES OV4y. OSETS AS SHOW ARETO USED F R�THE ESTABLISHMENT OFO ROPE NE �+ SCALE. 1 .I to � BRADFORD GINEERING CO. L Y '�`-,r - ,;:,�.^.,... . .. ..,•i� P.O. BOX 1244 AMES W. BOUGIOUKASf R.L.S. #8529 HAVERHILL MA. 01831 TEL (%S) 373-2386.