HomeMy WebLinkAboutBuilding Permit #105 - 25 TURTLE LANE 8/6/2009 BUILDING PERMIT o` VIORoT" qti
TOWN OF NORTH ANDOVER 0
APPLICATI N FOR PLAN EXAMINATION #
Permit NO: C7
�� Date Received �°
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Date Issued.
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IMPORTANT(:Applicant must complete all items on this page
LOCATION 2 'T V, �'!�' Inc,n C--
Print•
PROPERTY OWNERs,&.
'-Print
MAP NO: lQ�PARCEL:�ZONING DISTRICT: 91\4- District yes
Machine Shop Village yes o
TYPE OF IMPROVEMENT PROPOSED USE
Residential Non- Residential
_New Building One family
Additi . 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
nn D SCRIPTION OF WORK TO BE PREFORMED:
Identification Please Te or Print Clearly)
OWNER: Name: ) er" Phone: —Z —Z
Address: ZS T.�r�'C2 U
CONTRACTOR Name: JF,x gy` �c c—, Phone:
Address:
Supervisor's Construction License: Exp. Date:
Home Improvement License: Exp. Date:
ARCHITECT/ENGINEER Phone:
Address: Reg. No.
FEE SCHEDULE.BULDING PERMIT.$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F.
Total Project Cost: $ /(��r�Q C3� FEE: $ A(2
Check No.: ( U t Receipt No.: 2-22-�r
NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund
signature of Agent/Owner `�r'''`' ature cf contractor ��
Plans Submitted Plans Waived Certified Plot Plan Stamped Plans
TYPE OF SEWERAGE DISPOSAL ,
Public Sewer Tanning/Massage/Body Art tSw.ilnming Pools
Well Tobacco Sales Eood Packaging/Sales
Private(septic tank,etc. Permanent Dumpster on Site
THE FOLLOWING SECTIONS FOR OFFICE USE ONLY
INTERDEPARTMENTAL SIGN OFF - U FORM
r DATE REJECTED DATE Af PROVED
�P TIL
COMMENTS J"I ?12 v G0
(�
r.
l
N Reviewed on Signature
COMMENTS
)�\HEALTH Reviewed on 1P Sin re
COMiAENTS
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
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
❑ Notified for pickup - Date
Doc.Building Permit Revised 2009
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
o Building Permit Application
o 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
o Workers Comp Affidavit
❑ Photo Copy-of H.I.C. And C.S.L. Licenses
a Copy Of Contract
❑ Floor/Crossection/Elevation Plan Of Proposed Work With Sprinkler Plan And
Hydraulic Calculations (If Applicable)
o 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
L3 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
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 ds
No. 7' Date
NORTH TOWN OF NORTH ANDOVER
• s
+ Certificate of Occupancy $
cMusEBuilding/Frame Permit Fee $
Foundation Permit Fee $
Other Permit Fee $ '
TOTAL $ .
Check #
19766
Building Inspector
�1��-.
Location ( �� \1C.
No. _ 16 Date G d
MORT1y TOWN OF NORTH ANDOVER
y Certificate of Occupancy $
�'�S'•^�'Etn Building/Frame Permit Fee $
S�CMUS
Foundation Permit Fee $
Other Permit Fee $
TOTAL $
Check # b
22 �
Building Inspector
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NORTH
® Of _ 4 over
No.
LAKE - r dover, Mass.,'
T COCMICHEWICK y
ADRATED PP��
�S BOARD OF HEALTH
PERMIT T D Food/Kitchen
Septic System
BUILDING INSPECTOR
THIS CERTIFIES THAT.....��G.. I I.
...�......... ......... ... ..a��~...................;��
....... ............................. Foundation
has permission to erect........................................ buildings on ...... .. v......T... .......CG,r�,�.,R Rough
�1 u r
to be occupied as........ T.. ... ..1 .......... I!!V!!!`�...fn�
.�ir...�...�....................................................... Chimney
provided that the person accepting this permit shall in every resnform 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
zo , PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR
UNLESS CONSTRU O STARTS Rough
.......... ....... ........... ... ............................................. Service
R
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.
_J1
SEE REVERSE SIDE Smoke Det.
i
ASSESSORS MAP 106B, PARCEL 103
APPROXIMATE LOCATION
OF EXISTING LEACH BED
EXISTING STONE
RETAINING WALL
TOP ELEV. 100.ft
PROPOSED 1500
GALLON MONOLITHIC
SEPTIC TANK
r'— — — — —•---._.
EXISTING FENCE
` � I
` EXISTING EXISTING I o
D-BOX �� i IN GROUND
20.5' POOL I CS
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Go-
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ISTING
S PTIC TANK
PROPOSED DECKIn
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N/F TRONIC EXISTING DWELLING o
SILL ELEV. 102.83 CO
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::::•:DRIVEWAY•::::•::•::•::
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L = 34.24'
R = 371.80'
115.'
N58°2r
TURTLE LAS
of po oTl� TOWN OF NORTH ANDOVER
�s,•�: °osOFFICE OF
BUILDING DEPARTMENT
_• r+ 1600 Osgood Street Building 20, Suite 2-36
rdD North Andover,Massachusetts 01845
C IN
Gerald A.Brown Telephone(978)688-9545
Inspector of Buildings Fax (978)688-9542
HOMEOWNER LICENSE EXEMPTION
Please print
DATE:
JOB LOCATION: IL/--& (a,4,2_
Number Street Address Map/Lot
HOMEOWNER
Name Home Ph a Work-Phone C2
PRESENT MAILING ADDRESS 7JS jr
City Town State Zip Code
The current exemption for"homeowners"was extended to include owner-occupied dwellings to two units or less
and to allow such homeowners to engage an individual for hire who does not possess a license,provided that the
owner acts as supervisor). State Building (Code Section 108.3.5.1)
DEFINITION OF HOMEOWNER
Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to
be,a one or two family structures. A person who constructs more that one home in a two-year period shall not be
considered a homeowner.
The undersigned"homeowner"assumes responsibility for compliances with the State Building Code and other
Applicable codes,by-laws,rules and regulations.
The undersigned"homeowner"certifies that he/she understands the Town of North Andover Building Department
minimum inspection procedures and requirements and that he/she will comply with said procedures and
requirements.
HOMEOWNERS SIGNATURE
APPROVAL OF BUILDING OFFICIAL
Revised 10.2005
Foran Homeowners Exemption
BOARD OF APPEALS 688-9541 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535
ASSESSORS MAP
PARCEL 104
� � 2
fU POOL
fU ON
4 N .� DECK ORCH CA
ON ON
33.5' /
�0.8
EXISTING z
2 STY W m
W.F.D. co o
CJ
2.3 #25 0
ru
ASSESSORS MAP 1066
rz
PARCEL 103 p�� G� tL�'«a
fTpr V'-,--t
AREA=43 1r
586 S.F. 1
t -ru
EXISTING 20 WIDE
DRAINAGE EASEMENT
AS SHOWN ON 143.8' 57c�.yrT 4.Gi�
REFERENCE #1.
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L
ANE
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Joists 2 x 8
(16"o.c.)
I
Posts 4 x 4 Beam(2)2 x 10
Sonar Tube =precast 5'tall with 2'x 2'bell base
(7'6"o.c.)
13'-0" 8'-0" 13'-0"
I
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4 PORCH
DN
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34'-0"
July 31, 2009
To Whom It May Concern:
I, Kathleen Gallagher, property owner of 25 Turtle Lane,authorize Paul Boulanger to prepare and submit
any and all required paperwork for necessary permits for work required at 25 Turtle Lane.
Thank You,
Kathleen Gallagher
978-258-2889(home)
978-869-2445(cell)