HomeMy WebLinkAboutBuilding Permit #Exception - 338 BERRY STREET 5/1/2018 BUILDING PERMIT t4oftrh
TOWN OF NORTH ANDOVER
c
APPLICATION FOR PLAN+EXAMINATION
w
Permit NO: Cute received It AJ c2s
Clete issued; ACHU
IMPORTANT: atr Itall items c tars
r t,?.„,„a.���;tts a{`' �n `a 3 axi 4t�x n.t'£'�i"t' ��e y} ~•r a h.:t z t}e{'t ��„� 4.£T 4 � `� s
S.t � ,{{ilj�{t t t �,ii} `:,�3 � xv,� ��� `x`,z r'tdx .,,�"i ,.�'•.�.�'�'t.?�,.,rd,t"oti, �.tK�: t x „�,� v d n'0�'�,1.�:„£ 1� 7 � t,:
:.t� c,,4 t ta� xi ;yv; ';, a?.,..y z, •� .�:`. � � �.,�.,t£`:t,�a: ,Ht�3:.�tt ��,t �, 4 x..,fi
..,, s'� .,,. ,.? ;kv,�"x��+..�`t: :itt�� ”raft fir.,.: „,.s,,,t ,i �?'cif,�;t�.za.��ts'£ .,,t,fia. a t�......�:,,,.t..a�� � �:�`3"'.�'`n•,�tStt.nttt� t`ts t`m' tt... d rt `'"
3t
� trft
� 3s�.'^e t„'cs't �i�t lot\4`•tsi {;.41zs�"`-•i�"��., a'1,�arz�5t t, ��ss,�� N � t za 'n''1}��ir t .x',rKi � .l�»�y.:. ?. Wntxr *,�.t fi.r.
TYPE OF IMPRO EMER _ PROPOSED USE
Residential
Nd Residential
New ild n One family
Addition Two or more family Industrial
Alteration No. of units.- Commercial
Repair, replacement Assessory Bldg thers:
emgolition Other
V bet tlldtC `,„. ellY..t�1 1 } tt,Fl? dIIr1 `� `}tfij t tid' s is t Y� a.. 3 1 Y
DESCRIPTION OFWORK TO BE PREFORMED:
,,,{ ':+"3.>`z'&�.�t tz-t.t>U Fye #s �r t. Y`azt z tqh t :;,: "� :z }:'t1,'•Yad,s u.,�..{ 4 ,.� .,, 1tt1t� .. ,:,
w
f Identification Please, Print Clearril
Name: Phone. ��� OZS'
Address; , .
:4 � '� x �•.n5 t .a 3 r y tt�,, at ���.} `tt a:,t## t£'� ;� n �
r. . v ~•3 �,1,,�t 4, ,�:tt,a��,....m�4„t x z 2 :a t ,,,`Y,
tq '�t44tt t, s,twt~r.y
n.
„,,..., 5f t �. x t�. a ti,a },: t�..,4�,���}}t• ,.4� ,..., -z ;<y�,`t�`}W ei�,.,. a .`'� �' �,.;\ t z .`'
t 3t atu ,
Z? viizt 4 7 tit `••s r y 'yi t r {i}p� ySK sn 3n t4.''t`'{ iy rtttt y ,.
t £ t t } a a :
re eme t° er ne y
z. ., w3 .�rdig. } ..t:t`*t tf .,>:*. a'
ARCHITECT/ENGI NEER Phone:
Address- Reg, Ike.
FEE SCHEDULE.-BULDING PERMIT.'$IZOOP $1000. T"OT"AL ESTIMATED COST BASED ON$125:00 pER S.F.
Total FF :
Check No.: Receipt No.:
NOTE: Persons contractingwith unregistered contractors rho txot haveaccosts to the guarantyfund
m e oa J w , i t 'd ur r
N/ F ZULU MA IV VU5Y
S00020'W 148.23
338 BERRY STREET
ASSESSORS MAP 108C, PARCEL 15.
1 .00 ACRES
BENCHMARK: SPIKE IN TREE
EL EV 100.00 (assumed) U!
Z
1
00 0
�P p
C17
. 1o�zL
p✓v r 5-c
U.
i
z '
3 3'-
LIMIT
'LIMIT OF SAND �j Z
I
{ TP 2 -�
co CC)
, .
Tf- �
I EXISTING ��
PT 1 ��` RETAINING WALL
3c�
DISTRIBUTION BOX .
O o�
O � f
o`er EXISTING
WELL
f � FXISTIN
1500 GALLON �� ' GARAGE
SEPTIC TANK / o
® 0, —�7 G�
O W
�11 _
NEW 3 EXISTING 3
ADDITION �� BDRM NOOSE PRESSURE
SILL 112 00 WATER SERVICE
81 .50' 13 L U
Ry STIZEET
I
1
Plans Submitted Plans Waived Certified Plot Plan Stamped Plans
TYPE OF SEWERAGE DISPOSAL
i
Public Sewer Tanning/Massage/Body Art Swimming Pools
Well Tobacco Sales Food Packaging/Sales
Private(septic tank,etc. Permanent Dumpster on Site
i
THE FOLLOWING SECTIONS FOR OFFICE USE ONLY
INTERDEPARTMENTAL SIGN OFF - U FORM
DATE REJECTED DATE APPROVED
PLANNING & DEVELOPMENT
COMMENTS
CONSERVATION Reviewed on Si nature 0
Vr
COMMENTS Nl�' c�.`� � ,� ICat
HEALTH Reviewed on Signature
i s
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 Dumpsfer on situ. ,yes no Y e
'Located�at`1=24 Main Street
Fire.Department signatur-eldate
COMMENTS __
I
Plans Submitted Plans Waived Certified Plot Plan Stamped Plans
TYPE OF SEWERAGE DISPOSAL
Public Sewer Tanning/Massage/Body Art Swimming 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 7 10 Si nature I AlVr
�
COMMENTS C>SIQ y a��
HEALTH Reviewed on Si nature _
COMMENTS __s
t
I
f
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 Dump%-er on sit-'e. yes no-
Located at 1-24 Main Street
Fire De artment signature/date
COMMENTS
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 Permit
Addition Or Decks
❑ Building Pp 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
❑ 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
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 2008