HomeMy WebLinkAboutBuilding Permit #Exception - 26 DARTMOUTH STREET 5/1/2018 TOWN OF NORTH ANDOVER ,
APPLICATION FOR PLAN EXAMINATION
Permit NO: Date Received
Date Issued:
�DCPORTANT A licantmust com lete all items on this age
LOCATION ✓ J� G� 1(►U V�� ) S
Print
PROPERTY OWNER r o
00 Print
MAP NO: 0 PARCEL: ZONING DISTRICT: Historic District yes no
Machine Shop Village yes
Y
TYPE OF IMPROVEMENT PROPOSED USE
Residential Non- Residential
❑ New Building One family
❑Addition Two or more family ❑ Industrial
Iteration No. of units: ❑Commercial
Repair, replacement ❑Assessory Bldg 11 Others:
❑ Demolition _ _ ❑Other ;
D Septic, O.W ' , '' a®'T�loodplamff. ryIDWetlands�.'t r. ,_ ,tq tWatershed DYstrict ,
ell s 7 -
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DES C I T ION OF WORK TO EE PERFORMED:
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Identification Plea aqType or Print Clearly)
OWNER: Name: C-\-Fc o 11A11 C Phone:
Address: �r G + CIX GW'V
CONTRACTOR Name: C- Phone:
Address: �2, oY /)L� J vVt-
Supervisor's Construction License: ?Z1 1 '�3 Exp. Date: D G( Ir
Home Improvement License: — Exp. Date:
ARCH ITECT/ENGIN EER�IN)y4��C �1�< Phone: C ?Y-
Address: 6"CAJ4Y U U Reg. No.
FEESCHEDULE.BULDING PERMIT:$12.00 PFR$9000.00 OFTHE TOTAL ESTIMATED COSTBASED ON$123;00 PER SF,
Total Project Cost: $ FEE: $
Check No.: Receipt No.:
NOTE: Persons contracting with unregistered contractors do not have access to the guaranty,fund
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Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑
TYPE OF SEWERAGE DISPOSAL
Public Sewer Tanning/Massage/Body Art ❑ Sw'mmmg 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
CONSERVATION Reviewed on Signature
COMMENTS
HEALTH Reviewed on Signature
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
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. i.:
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
I
DomBuilding Permit Revised 2008mi
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 Permil
Addition Or Decks
❑ Building Permit Application
❑ Certified Surveyed Plot Pian
❑ Workers Comp Affidavit
® Photo Copy of H.I.C. And C.S.L. Licenses
M- Copy O'6 Contrary
❑ 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 ,
❑ Photo of H.I.C. And C.S.L. Licenses
Al 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
Tn 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: Dor-Building Permit Revised 2008mi
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GERARD E WELCH INC. P.O. BOX 248 NORTH ANDOVER MA.
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Printing Property Page 1 of 1
Print
Owners SULLIVAN, PHILIP S &JOYCE TRUSTEE
Owner2 P&J NOMINEE TRUST
Address 26 DARTMOUTH STREET
Map/Lot 023.0-0055-0000.0
Lot Size 14810.4 sq. ft.
Fiscal Year 2010
Land Use Code 101
Last Sale Date 09/16/2004
Book/Page 9056
Total Valuation $282900
Building Type CP
Year Built 1969
Finished Area 958 sq. ft.
Assessor Map NorthAndoverAssessorMap23_26x36.pdf
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North Andover MIMAP October 12, 2011
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Interstates
Interstate
—Major Roads Horizontal Datum:MA Stateplane Coordinate System,Datum NAD83,
Roads Meters Data Sources:The data for(his map was produced by Merrimack
t Easements t NORTH q Valley Planning Commission(MVPC)using data provided by the Town of
North Andover.Additional data provided by the Executive Office of
0 MVPC Boundary ? e•< a+•OO Environmental Affairs/MassGIS.The information depicted on this map is
Parcels f _ 9 for planning purposes only.It may not be adequate for legal boundary
definition or regulatory interpretation.THE TOWN OF NORTH ANDOVER
MAKES NO WARRANTIES,EXPRESSED OR IMPLIED,CONCERNING
t ♦ THE ACCURACY,COMPLETENESS,RELIABILITY,OR SUITABILITY
OF THESE DATA.THE TOWN OF NORTH ANDOVER DOES NOT
ASSUME ANY LIABILITY ASSOCIATED WITH THE USE OR MISUSE OF
o�.tr�c'�"�y THIS INFORMATION
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Rail Line Exempt Lands
Inlerstales Zoning
Interstate Business 1(R-1) Horizontal Datum:MA Stateplane Coordinate System,Datum NAD83,
—Major Roads ❑Business 2(R-2) Meters Data Sources:The data for this map was produced by Merrimack
Roads C Business 3(R-3) f NORT11 Valley Planning Commission(MVPC)using data provided by the Town of
®Business 4(R-4) Q ��a o ,1. North Andover.Additional data provided by the Executive Office of
Ci Easements to General Business(G-B) j `at rata QO Environmental Affairs/MassGIS.The information depicted on this map is
O MVPC Boundary Planned Commercial Dev 3' L for planning purposes only.It may not be adequate for legal boundary
Industrial 1(I-i) O <— definition or regulatory interpretation.THE TOWN OF NORTH ANDOVER
[3 Municipal Boundary 13 Industrial 2(1-2) F p MAKES NO WARRANTIES.EXPRESSED OR IMPLIED,CONCERNING
Zoning Overlay C2 Industrial 3(I-3) # >♦ THE ACCURACY,COMPLETENESS,RELIABILITY,OR SUITABILITY
0 Adult Entertainment D Industrial S(I-S) # s ';, # OF THESE DATA.
0 Water Protection Residence 2(R-2) THE TOWN OF NORTH ANDOVER DOES NOT
0 Historic District Residence 1(R-1) # � �� + ASSUME ANY LIABILITY ASSOCIATED WITH THE USE OR MISUSE OF
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❑Parcels 91 Residence 3(R-3) THIS INFORMATION
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[:Residence 4(R-5) S$ACMUSt
Hydrographic Features O Residence 5(R-5) 1
Streams ResiJJ��epp fi(R-6)
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Wetlands 13 Village Commercial(VC) ,