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HomeMy WebLinkAboutBuilding Permit #Exception - 356 REA STREET 5/1/2018 BUILDING PERMIT t%ORT, TOWN OF NORTH ANDOVER 3 `'LED APPLICATION FOR PLAN EXAMINATION0 Permit NO: d Date Receive ° . Date Issued: SSgcHu IMPORTANT:Applicant must complete all items on this page T. ' sty7P Wr P F WNER� .1-FRQRff- i,Q h ___ ' — :7J-_-TrJ -4- -_27 V_ PARCEL C/ .......... TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential New Building One family Addition Two or more family Industrial Alteration No. of units: Commercial Repair, eplacement Assessory Bldg Others: Demolition Other iNvato rs e, 166d"Septic < Well I": "d Q­ It r i tl h: zj V�,- _0 DESCRJPTION OFWO PREFOR-___ L)RK TO BE J I A -'Y-zz L,117h n&A/ Identification Pleas Type or Print Clearly) 33 OWNER: Name: !---Phone: -3 Address: M_'__0TC R­N6 N.—M, y nse- �x ,COKS-tr -: t , -, - -- �,_ " _;� ? n 77. m�iqens A Exp> Dade ARCHITECT/ENGINEER __ y _ y/�t 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: $ 010 FEE: Check No.: Receipt No.: NOTE: Persons contracting with unre2 W* d contractors do not have access to th ar n und t U gn %,.con a 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 . j THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM I A) 5� DATE REJECTED DATE APPROVED PLANNING & DEVELOPMENT COMMENTS CONSERVATION Reviewed on4� ® Si nature OMM C ENTS OD HEALTH Reviewed on—:7 . Signature / 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 Os ood Street RE-DEPARTMENT ,""T-mp pumpster ori site .yes Located at'124"Main Street �. >`� '�;�;,��,. ���s � •} �. f � ��� Ay. �t x• r.,t ..R:; r i 1177 epa m6fitsignature/date = _ _ F x' s -� t+ r., #a ) xl c-;� e ss'• `y,� ; e � _ N t .. b: . . � -..s �w` � COIVIMENTS)= Dimension Number of Stories: Total square feet of floor area, based on Exterior dimensions. Total landarea, 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.$1o0-sl000 fine NOTES and DATA— (For departmentartment use) ❑ Notified for pickup - Date Doc.Building Permit Revised 2010 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 tatlon Permits ❑ Building Permit Application ❑ -Workers Comp Affidavit ❑ Photo Copy Of H.I.C. And/Or C.S.L. Licenses ❑ Copy of Contract i ❑ 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 ❑ 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 S f 1_b n� U do a :% 356 REA STREE T ASSESSOPS MAP #38 �O T # 1154 50,808 SF- o his BENCHMARK. TOi 1500 GALLON � �G � ORNER OF' FRC 20.88' SEPT 1C T.ANf:� fi �S/�� 1�� ELEV. = 100.00 DISTRIBUTION' BCX -T.P, 2 T.R. #1- `- EXISTING 00 POLY Y p Z MIL. OL WATER SERVICE G/ f i BARRIER P.T #1 c7 � or tK Q SAND J � \a jig. f .`Jg arc✓ oC' 17.42' S S2C;15� N24'14'53"W 0 0 `42 59 E a 17.44' NO3'17'41"E lb J Z r* 358 REA STREET .,_ ASSESSORS MAP #38 L07 #i54 w 500'808 SF 1" BENCHMARK: TO 1500 GALLON �G ORNER OF ERC 20.88' sEPTIc TANi`� , 9 `�f��AOR ELEV. ,aa.ao S73'1 8'03"E 9 } 04�1 DISTRIBUTION RIBUTION BOX T P. 2 T.P. WATER SERVI E �. - 20 Mft. POLY .- / BARRIER LAJ o h c t .T. o (D y rtrt V SAND lo .. i �e w 17.42' N24"14'53"Yd SZ 25 E 17.44' NO3"17'41"E