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Home My WebLink AboutBuilding Permit #844-14 - 275 WAVERLY ROAD 5/1/2018 ,AORTH q O 5'1,10 t6 - BUILDING PERMIT o� TOWN OF NORTH ANDOVER ° o �/ APPLICATION FOR PLAN EXAMINATION / if o.^ � Permit NO: �✓ y Date Received /I 'rep NUs��h Date Issued: IMPORTANT: Applicant must complete all items on this page [�ry'" t - "'n n # # U116 it rte s PR ER ,Y �s �� i ✓ � t'� �f 'ilrl�� i � to�`�` lam{F r �r '� �' l`'y '� s a a s r - - yyA ��3 ✓+ :�. �" �� ,�✓/ v� �.� � �� '�� ,, M�adl�tt� ��'�1C33V��G��.,ye,;5 4 ��`- � , TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building Wone family )(Addition ❑ Two or more family ❑ Industrial ❑Alteration No. of units: ❑ Commercial ❑ Repair, replacement ❑Assessory Bldg ❑ Others: 0 Demolition ❑ Other ptlC WG I n r� O 3latil l Weil S a ff W, t S Stfl AA XI 6 P• c. PrlAmgf o? X'� O,/vi a Identification Please Type or Print Clearly) OWNER: Name: [ I ►S(LY1 km ao Phone: q1 b I� LA Gj Z y Ll Address: C�NTRA �(7 �Na, el �.. q � � "4f �, r a. l! su r r F J r a gt4 d� rte` s SUpe�isors a situ tlon IFF mp vl. t�L,oe e XR to _ F v. 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: $ �_24r6 p , a 0 FEE: $ /t22 6D Check No.: Zv',C? Receipt No.: Q 2 NOTE: Persons contractin with unregi tered contractors do not have access to the guaranty fund Signatu"re o Ac eia Own+ .,.,a , fgbaat'ur - 'Plans Submitted ❑ :Plans Waived ❑:_ ..Certified Plot Plan ❑ Stamped Plans F1 I ° � ;TY-P3✓_OF SEWERAGEDiSPO-SAL- Public Sewer , Swimmin Tanning/MassageBodyArt ❑. . g Pools ❑ Well ❑ Tobacco Sales ❑ Food Packaging/Sales ❑ Private,{septic tank,etc- ❑ =Permanent Dempster on Site ❑ =THE-_FO.LLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF-- U FORM DATE REJECTED DATE,APPROVED PLANNING &.DEVELOPMENT ❑ ❑ COMMENTS ,CONSERVATION Reviewed on �� Si nature COMMENTS J HEALTH Reviewed on Signature COMMENTS Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments Conservation Decision: Comments. E Waier & S1. ewer Connectionisi nature& Date Driveway Permit DPW TowA^ Engineer: Signature: Located 384 Osgood Street FIRE DEPAR Ol1I: em.p Dumpster on site yes no Located-6t;124 Mair, Street:_ `FireDepartme�ffsignature/date -- Dim-ension Number of Stories: Total square feet of floor area, based on Exterior dimensions. Total land area; sq. ft.: ELECTRICAL: -Movement of.Meter,locatibn; niast-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.fin.e NOTES and DATA— For department use i i ® Notified for pickup - Date F Doc.Building Permit Revised 2010 F Building Department The foh' ing is a-list of the.required.forms to be.-filled out for the appropriatepermit to be obtained. Roofivg, Siding, Interior Rehabilitation Permits u Building Permit Application o Workers Comp Affidavit ❑ Photo Copy Of H.I.C. And/Or G.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 Li Building Permit Application o Certified Surveyed Plot Plan o Workers Comp Affidavit o Photo Copy of H.I.C. And C.S.L. Licenses j ❑ Copy Of Contract Li Floor/Crossection/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Mass check Energy Compliance Report (If Applicable) o 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) o Building Application Permit A lication ❑ Certified Proposed Plot Plan o Photo of H.I.C. And C.S.L. Licenses ❑ Workers Comp Affidavit Li Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (If Applicable) o Copy of Contract o 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 apw?al period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording must be subm.+.ted with the building application Doc: Doc.13WHing Permit Revised 2012 Location L/ No. C� 7 V Date Z . - TOWN OF NORTH ANDOVER • , �` Certificate of Occupancy $ � Building/Frame Permit Fee $ 2� C ,> o Foundation Permit Fee $ ` = Other Permit Fee $ TOTAL $ 3 Check it 2 % 59 �7 `Building Inspector Details Page 1 of 1 Licensee Details Demographic Information Full Name: ROBERT A STEPHENSON Gender: Owner Name: License Address Information Address: Address 2: City: N ANDOVER State: MA ipcode: 01845 ,Country: United States License Information License No: CS-011353 License Type: Construction Supervisor Profession: Building Licenses Date of Last Renewal: 5/6/2014 Issue Date: Expiration Date: 5/22/2016 License Status: Active Today's Date: 5/22/2014 Secondary License: Doing Business As: Status Change: License Renewal Prerequisite Information No Prerequisite Information Discipline No Discipline Information Documentum http://elicense.chs.state.ma.us/Verification/Details.aspx?agency_id=1&license_id=208686& 5/22/2014 I r , NORT#1 W" 2 1, : :. .c . : ve' 'o O - ti 1 oir-Iq Ah ver, MaC' itss, ) ' COCHICHRWICK ��• 0,44TED fJ BOARD OF HEALTH Food/Kitchen PERMIT T LD AZI, . Septic System THIS CERTIFIES THAT ..... a.V....�6� .G:`. .................................................. ....................... BUILDING INSPECTOR .. .. .. .... has permission to erect .......................... buildings on ...p�. ..��....��R.vr�;� ...!�41........................ Foundation � to be occupied as ................ ..�.... k ... .....� .....� Rough ................................................1,1 �.t� ............... Chimney . provided that the person accepting this permit shall in every respect conform to the terms of the application Final on file in 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 PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTIO TARTS Rough 0047.......... ....... ... . .. ......... .. . . ............................. Service ' Final BUILDING INSPECTOR GAS INSPECTOR Occupancy Permit Required to Occupy Building 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. Smoke Det. N/F REFERENCE IS MADE TO THE FOLLOWING DEEDS AND PLANS ALL STEWART RECORDED AT THE ESSEX NORTH DISTRICT REGISTRY OF DEEDS: MAP 10 LOT 44 DEED BOOK 13778 PAGE 81 DEED BOOK 10050 PAGE 326 z PLAN #1247 N/P PLAN JOHNSON PLAN #2259 MAP 10 LOT 4G .LO SMITH MAP 10 LOT 41 N/F LA / N60 MAP ID LOT 47 LOT 42 AREA = 12,86850 FT N/F KASPRZAK MAP 10 LOT 40 z N 00 O Ue N/P 95.9' o o i ~3ENNETT / &ROSE � � o MAP 10 LOT- 415 000 rn m � 0 o o PROPOSED O - DECK 16'x21' 19.9' F-9 GP�PG 30.5' 21 N/F 16' C-)AL.LA(�IHER 1 HEREBY CERTIFY THAT THE DWELLING AND _ �j......,.. MAP 10 L.OT GARAGE ON LOT 42 ARE LOCATED AS - SHOWN HEREON. EXISTING DWELLING #275 `tH aF MEGQR'L c� RLORAN y Na 380. I 71.40' 1 q ` FOUND SO4`50'00"E FOUND IRON P/PE IRON P/PE WAVERL Y ROAD ASSESSOR'S MAP 10 LOT 42 ZONING DISTRICT - RESIDENCE 4 PROPOSEDDANA F. PERKINS, inc. Consulting Engineers & Lend Surveyors PLOT PLAN 1049 EAST STREET TEWKSBURY, MASSACHUSETTS 01676 275 WAVERLY ROAD PREPARED FOR: MICHAEL & ALLISON MORGAN NORTH ANDO VE'R, HA 275 WAVERLY ROAD NORTH ANDOVER, MA 01845 .................. SCALE: 1"=30' DATE: MAY 19, 2014 ,108 No.51767 TSHEET 1 OF 1 COPYRIGHT 0 2014 BY DANA F. PERKINS, Inc.