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Home My WebLink AboutBuilding Permit #737-2011 - 261 CARLTON LANE 5/3/2011TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit NO: �� j - ,2Q/l Date I �71//i Date Received I PORTANT: Applicant must complete all items on this nage —I LOCATION 2— ( Cay' i-a'n L' e Print PROPERTY OWNER R, o% C.o 5A-0-^ Z''0 Print MAP NOeO7` 4 PARCEL:.9/4 ZONING DISTRICT: Historic District yes no Machine Shop Village yes no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential QAew Building ❑ One family ❑ Addition ❑ Two or more family ❑ Industrial ❑ Alteration No. of units: ❑ Commercial ❑ Repair, replacement ❑ Assessory Bldg ❑ Others: ❑ Demolition ❑ Other y p � 1YT�'s�L'it y�y - +�Y" 3 .. _ # ._ (_ 0 Setic ®Well J' �f' . P ..i r,-- s � _ _ t -. - c0 Floodplain q Wetlands1 rY s+r•}..ZT _ r - � � ,_r-. ❑ WatershedDistrict s �hWater(Sewer _ � ,,� �` - :: �• *� � = F �� .,�; � .� .� '`��'^r;', .. +r _ ,,�f,�ri��';��c:,�.�t�;,:i� t T)RSC:RIPTION OF WORK TO BE PERFORMED_ identification Please Type or Print Clearly) OWNER: Name:�� Address: -20 Cas 010" (-"Ie CONTRACTOR Name: Address: Supervisor's Construction License: Home Improvement License: Exp. Date: Exp. Date: ARCHITECT/ENGINEER Phone: Address: Reg. No Phone: ,3 jo? FEE SCHEDULE. BULDING PERMIT: $12.00 PER $9000.00 OF THE TOTAL ESTIMATED COST BASED ON $925.00 PER S.F. Total Project Cost: FEE: Check No.:� Receipt No.: ;Q1 -71114P - NOTE: 1-71I/4P-NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund Plans Submitted ❑ • Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ TYPE OF SEWERAGE DISPOSAL Public Sewer ❑ Well ❑ Private (septic tank, etc. ❑ Tanning/Massage/BodyArt ❑ Tobacco Sales ❑ Permanent Dumpster on Site ❑ Swimming Pools ❑ Food Packaging/Sales ❑ THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM DATE REJECTED DATE APPROVED PLANNING & DEVELOPMENT ❑ ❑ COMMENTS CONSERVATION Reviewed on ) COMMENTS r «,� ACU' s e'•^" - J� ,k a �-CL — HEALTH Reviewed on Siqnature 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 a 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 COA4MENTS 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 2008 Building Department The following is a fist 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 a 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 OTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Perrnit all cases if a variance or special permit was required the Town Clerks office must stamp the decision from the Board of Appeals AL the appeal period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording xst be submitted with the building application Doc: Doc.Building Permit Revised 2008mi � ra 1 PCN t< E Iri Ni CD O U c y O cju C7 0 \: =CD p o v M d o co GQ taQ o y E a (n D `mom CD cm C oa rCD E c T y o ._ c o CD � p p CL =0 S E `D o Co �• Hgo C3 ti v cm CD c3 o �' CD o L °o_cc O d ® 7 C. ti 'r w p y C 'O E C ot+ ev r a�, � CCDM py ev .k LO) z c °c V -J 'p cm o r' rya c Z CD 0 Cc a o CL C CM p ea = m :ymc 'c C *, m o o N C 0 s 0 CD co 4- r .y 'a ev c Z y CCD Q .E C=.i .0 i h O C3 O p P 2 _C y c" mo10 _ W .O V N = O = Sc. -m LU 0 U) 19 W LU 19 W V o w m a cn O-4 U a b � w x w :� U � x OAG W a �' x w c tI. W WVVVW a W :3 a' cn co V4 O U x cb 1i� z W w v m z cn v Ca v cn CD O U c y O cju C7 0 \: =CD p o v M d o co GQ taQ o y E a (n D `mom CD cm C oa rCD E c T y o ._ c o CD � p p CL =0 S E `D o Co �• Hgo C3 ti v cm CD c3 o �' CD o L °o_cc O d ® 7 C. ti 'r w p y C 'O E C ot+ ev r a�, � CCDM py ev .k LO) z c °c V -J 'p cm o r' rya c Z CD 0 Cc a o CL C CM p ea = m :ymc 'c C *, m o o N C 0 s 0 CD co 4- r .y 'a ev c Z y CCD Q .E C=.i .0 i h O C3 O p P 2 _C y c" mo10 _ W .O V N = O = Sc. -m LU 0 U) 19 W LU 19 W FOR MORTGAGE PURPOSES ONL Y THIS PLAN SHALL NOT BE USED FOR BUILDING PERMITS, ZONING VARIANCES AND SPECIAL PERMITS OR RELIED UPON FOR THE INSTALLATION OF FENCES, SHEDS OR IMPROVEMENTS. BASED ON MY KNOWLEDGE, INFORMATION AND BELIEF, IT IS MY PROFESSIONAL OPINION THAT THE MAIN BUILDING SHOWN ON THIS PLAN IS NOT LOCATED WITHIN A SPECIAL FLOOD HAZARD AREA AS DEPICTED ON FEDERAL EMERGENCY MANAGEMENT AGENCY/FEDERAL INSURANCE RATEMAPS, UTILIZING SCALING METH s. 250098 Communit tuber ID B. DESMAR IS ' PLS NO. 47139 ini►-gum = 30Ft 44 Ft 00 Place «wnT«o i ir ve yo e rt ory��..�ov1c1 heck TO be >34%ab6o(vtf Fo!` F«, I,)re BASED ON MY KNOWLEDGE, INFORMATION AND BELIEF, /CERTIFY THAT IN MY PROFESSIONAL OPINION, THE MAIN BUILDING IS LOCATED ON THE GROUND APPROXIMA TEL YAS SHOWN AND CONFORMS TO THE DIMENSIONAL SETBACK REQUIREMENTS OF THE LOCAL ZONING ORDINANCE IN EFFECT AT THE TIME OF CONSTRUCTION (OR) IS EXEMPT FROM VIOLATION ENFORCEMENT ACTION UNDER M.G.L. TITLE VII, CHAPTER 40A, SECTION 7, OR APPLICABLE LAWS. THIS SKETCH IS THE RESULT OF AN INSPECTION ONLYAND SHALL NOT BE CONSIDERED A CERTIFIED PLOT PLAN OR BE USED FOR BOUNDARY DETERMINATION. POSSIBLE ENCROACHMENTS ARE SHOWh'ARPROXIMATE. NORTH ANDOVER City -Town RANM(MD F. ESSEX County 09-427 File Number Scale 1'=60' Date 1717-09 DEED REFERENCE Deed Book Page 2023 184 PLAN REFERENCE Plan Book Plan 8083 JOSEPH C. CLERMONT, ESQ, I COSTANZO 8 McCARTHY S NO. 29996 ,J, lam`RAYMOND D SMARAIS r, No. 2999, l 1 / a� 26f CARL MN LANE, NORMANDOVER Mortgage Inspection Plan L FOR NORMA GE PURPOSES ONL Y THIS PLAN SHALL NOT BE USED FOR BUILDING PERMITS, ZONING VARIANCES AND SPECIAL PERMITS OR RELIED UPON FOR THE INSTALLATION OFFENCES, SHEDS OR IMPROVEMENTS. `1 N O BASED ON MY KNOWLEDGE, INFORMATION AND BELIEF, I CERTIFY THAT IN MY RA tL+ /� �y��r ��Li INCOFESSIONAL OPINION, THE MAIN BUILDING IS LOCATED ON THE GROUND I`I"'1'v7 f"1 V�.++ vii �.n APPROXIMATELYAS.SHnWN Akin �:nAlFnannc rn ruc nInecnIcr�ninl cc-ron. v