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Home My WebLink AboutBuilding Permit #Exception - 25 FERNCROFT CIRCLE 5/1/2018 f HORrH 1 a' ° TOWN OF NORTH ANDOVER `.e? APPLICATION FOR PLAN EXAMINATION �Sg,,CNUSEI Permit NO: Date Received: Date Issued: IMPORTANT: Applicant must complete all items on this page LOCATION I Gk 20 1100 PROPERTY OWNER C� t1�✓t-�eS a Print MAP NO.: C- PARCEL: 1 ZONING DISTRICT: �p TYPE AND USE OF BUILDING HISTORIC DISTRICT YES ❑ TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑New Building $6One family .'Addition ❑ Two or more family 11 Industrial ❑ Alteration No. of units: ❑ Repair, replacement ❑ Assessory Bldg ❑ Commercial ❑ Demolition ❑ Moving(relocation) ❑Other ❑ Others: ❑ Foundation only DESCRIPTION OF WORK TO BE PREFORMED I 49 / bon STkuCT -rA 1 dw a ea�1t end` oof Leve I 02 // Identification Please Type or Print Clearly) OWNER: Name:J /Gl/I/e5 d tl��Z02 /I� /�t Phone7�'l7�"06�/�' Address:,--�?S n rn eq-JC--F OUA ' CONTRACTOR Name: M e-� — Ma n C/p� !,r� /(/i7' Phone• 60 � 6 70 Address: Supervisor's Construction License: Exp. Date. Home Improvement License: Exp. Date. ARCHITECT/ENGINEER Name: Phone: g 72-�J3-3V Address: /I�q /�1/7 �od Reg. No. 1 -3979- FEE 3979-FEE SCHEDULE:BULDING PERMIT.$10.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost :$ x10.00=FEE:$ Check No.: Receipt No.: Page 1 of 4 TYPE OF SEWARGE DISPOSAL Public Sewer Tanning/Massage/Body Art ❑ Swimming Pools ❑ Well ❑ Tobacco Sales ❑ Food Packaging/Sales ❑ ❑ Permanent Dumpster on Site ❑ Private(septic tank, etc. Electric Meter location to project NOTE: Persons contr n with unregistered ontractors do not have access to the guaranty fund Signature of Agent/Own G.L w Signature of Contractor Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF-U FORM DATE REJECTED DATE APPROVED PLANNING & DEVELOPMENT ❑ ❑ ❑Water Shed Special Permit ❑ Site Plan Special Permit ❑ Other COMMENTS DATE REJECTED DATE APPROVED CONSERVATION ❑ ❑ COMMENTS DATE REJECTED DATE APPROVED HEALTH ❑ ❑ 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 Temp Dumpster on site yes_no Fire Department signature/date Building Permit Approved and Issued by: Page 2 of 4 Building Setback (ft.) Front Yard Side Yard Rear Yard Required Provided Required Provides Required Provided DIMENSION Number of Stories: Total square feet of floor area,based on Exterior dimensions. Total land area, sq.ft.: NOTES and DATA—(For department use) Page 3 of 4 Doc:INSPECTIONAL SERVICES DEPARTMENT:BPFORM05 Geated 1MC.Jan2006 Building Department artment 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 Addition Or Decks ❑ Building Permit Application ❑ 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) New Construction (Single and Two Family) ❑ Building PP 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 j Hydraulic Calculations (If Applicable) ❑ Copy of Contract ❑ Mass check Energy Compliance Report 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:INSPECTIONAL SERVICES DEPARTMENT:BPFORM05 Page 4 of 4 LOCUS: NO SCALE PLAN OF LAND S� IN e° NORTH ANDOVER, MASS. ° OWNED BY W�NrFR��P FFRCRDFr CIRCLE CHARLES W. AND CAROL A. MC ALLI STER SrRFEr SCALE: 1"=40 DATE:4/17/2006 5/8/2006 01 40' 80' 120' Scott L. Giles R.P.L.S. Frank. S. Giles R.P.L.S. app 50 Deer Meadow Road 06 �pNorth Andover, Mass. .6,Q�OOOs/O� MAP 103 PARCEL 13 DA WSON ►•� Rc36.00, CIRCLE o!G h L=225 00' h PARCEL 103 MAP 103 LO7- CEL 106 PARCEL 105 23 PR LAN 5483 N E R D GANGI ti �oaRoA FARMERSpOR�H 44, 134 S.F. N y w 4�F° N � ° (3% � o I w_ 13�s6, I 4iV,004 I� MAP 104C i SRF PARCEL 7 _ FENCE �o 0 R/SACHER —— S� 0) AV/ 6J. NOTE: THE ZONING DISTRICT IS R-1. MAP 104C 87,120 S.F. AREA PARCEL 6 N88°4420 175'FONTAGE CURRO 105 00 30'FRONT SETBACK 30'SIDE SETBACK MAP 104C 30'REAR SETBACK PARCEL 5 CLAUSSEN THIS IS TO CERTIFY THAT 1 HAVE CONFORMED WITH THE RULES AND REGULATIONS OF THE REGISTERS OF DEEDS IN PREPARING THIS PLAN NORTH ANDOVER THE PROPERTY LINES SHOWN ARE THE BOARD OF APPEALS LINES DIVIDING EXISTING OWNERSHIPS,AND THE LINES OF STREETS AND WAYS SHOWN ARE THOSE OF PUBLIC OR PRIVATE STREETS OR WAYS ALREADY ESTABLISHED,AND NO NEW LINES FOR DIVISION OF EXISTING OWNERSHIP OR NEW WAYS ARE SHOWN. OF ,y oho S N . 1 0 '�FCISTER�� DATE OF FILING: DATE OF HEARING: ✓r�S Zoa� DATE OF APPROVAL: