HomeMy WebLinkAboutBuilding Permit #176-2017 - 29 NORTH MAIN STREET 8/19/2016 OF NORTH. q
BUILDING PERMIT F�{LED '67 6o
T TOWN OF NORTH ANDOVER
APPLICATION FOR PLAN EXAMINATION
1 Date Received
Permit No#: �SSgCHUS��
Date Issued:
Applicant must com lete all items on this pageUORTANT: e
LOCATION
ill d L7(`Q'n Pr,�t 6
PROPERTY OWNER d Print 100 Year structure yes no
MAP PARCEL:000-5- ZONING DISTRICT:-Historic District yes no
Machine Shop Village yes no
TYPE OF IMPROVEMENT PROPOSED USE
Residential Non- Residential
❑ New Building ❑ One family
❑Addition ❑Two or more family [I Industrial
P-Alteration No. of units: ❑commercial
4;1-Repair,-Repair, replacement ❑Assessory Bldg [I Others:
❑ Demolition ❑ Other
Se tir= O1Nell; )]`Floodplain Wetlands, 1Natershed,Distnct
D p-i� t
DE$ RIPTION OF WORK TO BE PERFORM t_5
_. f 0 6 St v% I 019
Ic�entifica ' n-
OWNER: Name: 'b QPlease Type or Print Clearlyq(1( �� e'-d V1 Phone: U 'f
Address: �Q
P
rLAdmdress:
r.Name: I )G�U�� �� �°Z(a1V1 Phone:
`
r's Construction License: Exp. Daterovement License: Exp. Date:
ARCHITECT/ENGINEER Phone:
Reg. No.
Address:
FEE
SCHEDULE:BOLDING PERMIT:$92.00 PER$9000.00 OF THE TOTAL ESTIMATED COST BASED ON$925.00 PER S.F.
f
� f
Total Project Cost: $ � 0� ' 0� FEE: $ �
Check No.: ILP93 Receipt No.:-
NOTE:'
1 �
an and
e access to the uar ty f
NOTE: Persons contracting with unreg red con
tractors do not hav g
°. , E ----
Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑
FPubhesewer
WERAGE DISPOSAL
t
❑ Swimmin Pools ❑Tanuing/Massage/Body Art ❑ g❑ Tobacco Sales ❑ Food Packaging/Sales tank, etc. ❑ Permanent Dumpster on Site ❑
THE FOLLOWING SECTIONS FOR OFFICE USE ONLY
INTERDEPARTMENTAL SIGN OFF - U FORM
/PLANNING a DEVELOPMENT Reviewed On ( 6ll
CSi nature_
COMMENTS
ONSERVATION nature Reviewed on pSi
COMMENTS�O S (G
HEALTH
Reviewed on Signature
COMMENTS j
I
Zoning Board of Appeals:Variance, Petition No: f
Zoning Decision/receipt submitted yes
.,Planning Board Decision: Comments
A
Conservation Decision: Comments
Wafter a Sewer Connection/signature ®ate
Driveway Permit _
DPW Town Engineer: Signature:
FIRE DEPART Located 384 Osgood Street
, y� ,�� ,MEIJT _
L�0__2ted 124 Ma�n�St ee emp umpster ti:on:site�,yes �tiii8 n , I
•Fre s Y /d #5' ,F --,�.
art 1ta t i ,t�~ v� t �tY`. rit ;� t I
QeP Ment sign a "�`
atur rate �.� . .,, �_;�r :�f � 11*., a ���� s �f ,f, ,;,
i#, t r`.;- -���'-• � azo-,. :��'�`
�e r�
COMMENTS
• 1: .^,.,. t..M .ter• w .. L';+ i � "�j yij'y7d' S a2 ..
Dimension
Number of Stories: Total square feet of floor area, based on Exterior dimensions.
Total land area, sq. ft.:
ELECTR.IGAL: 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)
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❑ Notified for pickup Call Email
Date Time Contact Name
i Doc.Building Permit Revised 2014
I
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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
off from Fire Department prior to issuance of Bldg Permit
permits require sin p
er q 9
OTE: All dumpstet P
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
OTE: All durnpster permits require sign off from Fire Department prior to issuance of Bldg Permit
New Construction (Single and Two Family)
4- Building Permit Application
4� 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
Engineering Affidavits for Engineered products
OTE: 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
Doe:Building Permit Revised 2014
i
Location
No. (o - 2 c) Date
• - TOWN OF NORTH ANDOVER
Certificate of Occupancy $
Building/Frame Permit Fee $30
Foundation Permit Fee $
Other Permit Fee $
TOTAL $
Check 4t
Building Inspector
_ Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped flans ❑
FPublhic
OF SEWERAGE DISPOSAL
Sewer ❑ Tanning/Massage/Sody Art ❑ Sy is ning Pools ❑❑ Tobacco Sales ❑
Food Packaging/Sales ❑
Private(septic tank, etc. ❑ Pennanent Dmnpster on Site ❑
THE FOLLOWING SECTIONS FOR OFFICE USE ONLY
INTERDEPARTMENTAL SIGN OFF - U FORM
PLANNING M DEVELOPMENT Reviewed Onf� � Signature—
COMMENTS
i natureCOMMENTS "( 0-60v� a[QL- O ..Qlt-
®NSERVA.TION Reviewed on—8 ( – / (O Si nature
COMMENTS
WEALTH Reviewed ori Signature
COMMENTS
Zoning Board of Appeals:Variance, Petition No: Zoning Decision/receipt submitted yes
Planning Board Decision: Comments
ti
,Conservation Decision: Comments
Water& Sewer Connection/Signature 8< !late Driveway Permit
DPW Town Engineer: Signature:
Located 384 Osgood Street
FIRE DEPARTMENT Tem Dumpster onsite.; es �' {
.sem ..
Located at',1 ainStreet
Fireipepartment signature/date, �� � �?'z `,Y `' a ;-
i fti'3t+r ' t te37.4ts t. —
NT
NORTh/
Town of sAndover
O - �" to
No. *
_W _,T
Z
h ver Mass
cocNic«ewic.c %l1-
A0RATEO
s V
BOARD OF HEALTH
Food/Kitchen
PERMiT r LD Septic System
% 1 , BUILDING INSPECTOR
THIS CERTIFIES THAT .... .................l. r� .......... .................... ........................
� & , .......... Foundation
has permission to erect ......................... buildings on .. ..... ... .............. �. ..�!,r...... ..fit
Rough
to be occupied as ........ .... .. .. ....00A.....4...CY►1 .•...dAWS........... Chimney
provided that the person accepting this permit sh'�II in eve respect conform to the is of the application
p g p every p pp 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 CONST CTIO T T Rough
Service
.... .... . . .. ....... ............
Fina
BUILDI IN ECTOR
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.
t,bQ0 S.F - -
,C)
OA
2.3'
BROOK
50 \ \
PROPOSED to(C (a95 o 50' BUILDING e(x9l:�,
40 I S T I,NI B U f I* !ISG
w ,
AREA 241-1
EXISTING HQJSE �
J/
'ITO BE REMOVED � ZONING IND(
30
r
XL
� RADJuS FOR RAO WIDENIIVG �
S.s- EASEMENT TO Toy+N OF NORTH I ?� 9 (fly
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Thursday,August 18,2016 AOL: DGBuilding
North Andover MIMAP August 9, 2016
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038.0-0003 '
1`0 RI1/ER�/IE•W ST
e
028.0-0004
200 SUTTON S
�� � 028.0-0002
40 NOR+TH MAIN ST �c,
i
1�RhYERVIEW ST
028 0 0022
..: _ � k�� 1-1'RrIUERVIEW ST 200 SUTTON S
�' 29 R+TH MAINST �. 200 SUTTONS'
� _ � � T •� - �. °: �; Or75.0-0002 ��=
5 _
�� 200 SUTTON S
028.0-0001
2• +TH MAIN ST `l `� I ",~ 200 SUTTON ST
0 NORITHMAI•N ST _ �;= _ .°�=200 SUTTON ST
� 200 SUTTON ST
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•tit.':
A
�, Ferry Safi z .:
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16 FERRY ST 12 FERRY ST
017.0-0001
60 ASHLAND ST `' '• 028.0-0023•;:172 SUTTON ST
60 ASHLAND ST;,'%
028.o-000r7 � .r s 028.o-oo2i
017.0-0004 lt�. 028.0-0018
40 ASHLAND ST x/t � �1-r
❑MVPC So
Interstates Horizontal Datum:MA Stateplane Coordinate System,Datum NAD83,
—I Meters Data Sources:The data for this map was produced by Merrimack
SR—
%401111 Valley Planning Commission(MVPC)using data provided by the Town of
RoadsOt t"te ,qh, North Andover.Additional data provided by the Executive Office of
t,Easements •41 CD Environmental Afiairs/MassGIS.The information depicted on this map is
a.;Parcels3' L for planning purposes only.It may not be adequate for legal boundary
0 ---• 9 definition or regulatory interpretation.THE TOWN OF NORTH ANDOVER
MAKES NO WARRANTIES,EXPRESSED OR IMPLIED,CONCERNING
✓Il ,(. _ THE ACCURACY,COMPLETENESS,RELIABILITY,OR SUITABILITY
• i ^ * OF THESE DATA.THE TOWN OF NORTH ANDOVER DOES NOT
r, _Vy ,� ♦ ASSUME ANY LIABILITY ASSOCIATED WITH THE USE OR MISUSE OF
THIS INFORMATION
�,$SACMUSFt
1"=90ft ��•
ry�
"•J Of Buisdrna Reg—abons and Standards
'-jcense:.C5-001821.
GQnStruction Supervisor
DAVID P GULEZM
428 PLEASANT ST
NORTH ANDOVER MA 01$45 j
Expiration; -
ti
CommiSst,oner 1Q/02/2U#7
1