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HomeMy WebLinkAboutBuilding Permit #620-2016 - 30 MATHEWS WAY 11/19/2015,AIFT) 11 -2.? --13 BUILDING PERMIT o��tLeo ,b;�tia TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION �; " Permit No#: `� �} M �" Date Received �y p�RArEa SPP f SSACHUS� Date Issued: � V� � "J IMPORTANT: Applicant must complete all items on this page LOCATIONN v �0 �r%%!� 4 r 2 Print/ PROPERTY OWNER � � �< 1 a/ Print 100 Year Structure yes Mn MAP PARCEL: ZONING DISTRICT:- _Historic District yes o Machine Shop Village yes no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential &.Kew Building ❑ One family ❑ Addition two or more family ❑ Industrial ❑ Alteration No. of units: '� ❑ Commercial ❑ Repair, replacement ❑ Assessory Bldg ❑ Others: ❑ Demolition ❑ Other 0 Septic 0 Well ❑ Floodplain 0 Wetlands ❑ Watershed District El Water/Sewer OWNER: Name: Address: DESCRIPTION OF WORK TO BE PERFORMED: ification - Please Type or Print Clearly suvll mi L/ C Phone: 0/7? Contractor Name, 0,0 �P-M �'�?M40/Q 4 Email:9 Jl/* &�A'/ Goy Address: 7/ 2 10164a . SfieO Phone: 9 7 F 16 0 d 2/ Supervisor's Construction License:(, OZI 0 G Exp. Date: 2 Home Improvement License: Date: ARCHITECT/ENGINEER" F514c,"'o Phone:}517r,I 7.2 12Vge' Address: 16d,4A11111 �Li� (� . Reg. No. 7 FEE SCHEDULE: BULDING PERMIT: $12.00 PER $1000.00 OF THE TOTAL ESTIMATED COST BASED ON $125.00 PER S.F. Total Project Cost: $. F FEE: '"_ Az Check No.: Receipt No.: 29 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 DISPOS—,A/L Public Sewertl� Tanniug/1VlassageBody Art ❑ S�' g 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 PLANNING & DEVELOPMENT Reviewed On ����� Signature_ COMMENTS -hT `� A)5T b po:5nFa- eo s(R;' �'IZ!)3�c)Yt »�1'p /in i�l . - r V CONSERVATION COMMENTS_ HEALTH COMMENTS Reviewed \1-ka IAC) II g 16 Signature Reviewed on Signature Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Conservation Decision: Water & Sewer Connecti )DPW Town Engineer: Sign M! Comments , gnat rd/date w�.a�c uu-t v�yuuu vticc� Number of Stories:Total square feet of floor area, based on Exterior dimensions. J � Total land area, sq. ft.: (r ELECTRICAL: Movement of Meter location, mast or service drop requires approval of Electrical Inspector Yes No DANGER ZONE LITERATURE: Yes MGL Chapter 166 Section 21A —F and G min.$100-$1000 fine NOTES and DATA — (For department use ® Notified for pickup Call Email Date Time Contact Name Doc.Building Pennit Revised 2014 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 it Engineering Affidavits for Engineered products TOTE: 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/Cross Section/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 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 Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (If Applicable) Copy of Contract 2012 IECC Energy code 4, Engineering Affidavits for Engineered products TOTE: 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 2014 joloodsul Buipl!nq. -ivioi 16, -s 9E)J I!WJE)d JENIO $ 98-� IP'Od, uoil?epuno=l $ OGJ I!wJOd 9wujj/6uipj!ng Aouedn000 jo apeoilpeo .. E13AoaNV H18ONAO NMOI -UN C,TOY� ellecl UOIJED01 J Q W L Q mC v \ OQ O LL N u N (n 0 a ? Z 0 J_ m C .; '6 7 O LL t 3 O cr C s U C LL 0 C vi Z Z m J Q. t O d' C LL 0 Q. 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BRADFORD, MA, 01835 (W.W374-8719 0 FOR REGISTRY OF DEEDS USE ONLY N N N 0 (ni NORTH .ROAJ APPROVED Z,QNING I6QLE: ZONING DISTRICT. R4 REQUIRED PROVIDED MAX. HEIGHT 35 FEET 30.17 FT LOT AREA 12,500 S. F. 28,338 S. F. LOT FRONTAGE 100 FT 196.91 FT MIN. FRONT SETBACK 30 FT 30.1 FT MIN. SIDE SETBACK (L) 15 FT 22.1 FT MIN. SIDE SETBACK (R) 15 FT 26.6 FT MIN. REAR SETBACK 30 FT 114.6 FT RIDGE HEIGHT TO FIRST FLOOR = 27.67' FIRST FLOOR TO AVERAGE FINISHED GRADE = 2.50' TOTAL BUILDING HEIGHT = 30.17' lLOT 3 28,778 S.F.* C N76.2 �4 �Q ,1 •4,31 N }.� DRAINAGE w RAINAGE t' , to , �* w � EASEMENT 0 10 ANDOVER ZONING 9,-�OP APPEALS , 20— "I 0— i "I HEREBY CER77FY THAT THE PROPERTY LINES SHOWN ON THIS PLAN ARE THE LINES DIVIDING EXISTING OWNERSHIPS, AND THE LINES OF THE STREETS AND WAYS SHOWN ARE THOSE OF PUBLIC OR PRIVATE STREETS OR WAYS ALREADY ESTABLISHED, AND THAT NO NEW LINES FOR DIVISION OF €XIS77NG OWNERSHIP OR FOR NEW (WAYS ARE SHOWN AND THIS PLAN. CONFORMS TO THE RULES AND REGULATIONS OF THE REGISTRY OF DEEDS " I DECLARE, TO THE BEST OF MY PROFESSIONAL KNOWLEDGE, INFORMATION, AND BELIEF, THAT THIS PLAN WAS PREPARED IN ACCORDANCE WITH THE RULES AND REGULATIONS OF THE REGISTERS S. SCOTT L. GILES, PLS lot M 0 tai r qt0 � r 0 -40.1 L=17.28 Y flPa� R=9� �R1VEYdA O. �� clq L=14.14' i 5-1bf 0* i 1'J L=17. 0. i L=14.1 41. -DRAINAGE �EASEMENT 5 LOT glll•\ L. p- S -F.+ ` N87'48 337"W 112.18' t 1p- ILO � �.4 150' L=28.65' LOT I BLOM OWNER: ASSESSOR MAP 52, LOT 65 STEPHFN MA THEWS 288 SUTTON STREET NORTH ANDOVER, MA 01845 GRAPHIC SCALE SCALE: 1"--40' FEET 40 0 20 40 1 1.1 mow lownsal PREPARED FOR STEPHEN SMOLAK SCALE., 1 "= 40' DATE, JULY 13, 2013 '., SULLIVAN ENGINEERING GROUP, LLC 22 MOUNT VERNON LOAD BO.XF`ORD. MA 01921 (978) 852--7871 SHEET No. 1 OF 1 i �Ot3p� 884"1 `A �- ~ � o:� i "I HEREBY CER77FY THAT THE PROPERTY LINES SHOWN ON THIS PLAN ARE THE LINES DIVIDING EXISTING OWNERSHIPS, AND THE LINES OF THE STREETS AND WAYS SHOWN ARE THOSE OF PUBLIC OR PRIVATE STREETS OR WAYS ALREADY ESTABLISHED, AND THAT NO NEW LINES FOR DIVISION OF €XIS77NG OWNERSHIP OR FOR NEW (WAYS ARE SHOWN AND THIS PLAN. CONFORMS TO THE RULES AND REGULATIONS OF THE REGISTRY OF DEEDS " I DECLARE, TO THE BEST OF MY PROFESSIONAL KNOWLEDGE, INFORMATION, AND BELIEF, THAT THIS PLAN WAS PREPARED IN ACCORDANCE WITH THE RULES AND REGULATIONS OF THE REGISTERS S. SCOTT L. GILES, PLS lot M 0 tai r qt0 � r 0 -40.1 L=17.28 Y flPa� R=9� �R1VEYdA O. �� clq L=14.14' i 5-1bf 0* i 1'J L=17. 0. i L=14.1 41. -DRAINAGE �EASEMENT 5 LOT glll•\ L. p- S -F.+ ` N87'48 337"W 112.18' t 1p- ILO � �.4 150' L=28.65' LOT I BLOM OWNER: ASSESSOR MAP 52, LOT 65 STEPHFN MA THEWS 288 SUTTON STREET NORTH ANDOVER, MA 01845 GRAPHIC SCALE SCALE: 1"--40' FEET 40 0 20 40 1 1.1 mow lownsal PREPARED FOR STEPHEN SMOLAK SCALE., 1 "= 40' DATE, JULY 13, 2013 '., SULLIVAN ENGINEERING GROUP, LLC 22 MOUNT VERNON LOAD BO.XF`ORD. MA 01921 (978) 852--7871 SHEET No. 1 OF 1