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Home My WebLink AboutBuilding Permit #045-2016 - 376 WOOD LANE 7/19/2016 TOWN OF NORTH ANDOVER q� APPLICATION FOR PLAN EXAMINATION e ,prm tl NO: Date Received Date Issued: SS'gCHUs� `'/� 9 ORTANT:Applicant must complete all items A this p e LOCATION PROPERTY OWNER? /(/ P aches, Print MAP NO: b,;, PARCEL: ZONING DISTRICT: J Historic District yesno Machine Shop Village yes no TYPE OF IMPROVEMENT PROPOSED USE Residential Non-Residential , ❑ New Building ❑ One family ❑Addition ❑Two or more family ❑ Industrial ❑Alteration No. of units: ❑ Commercial epair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑Other Septic ❑Well ❑Floodplain ❑Wetlands. ❑ WatershedDistrict ❑ Water/Sewer a Identification Please Type or Print Clearly) OWNER: Name: � �E/<< 6G1�� Phone: 972aO70 Address: 76 00,2 h,4A(E D LLL Jq- CONTRACTOR Name: Phone. r Address: ,, ^ Supervisor's Construction License: Exp. Date: e I Home Improvement License: Exp. Date: y t ARCHITECTIENGINEER Phone: Address: Reg. No. FEE SCHEDULE.BOLDING PERMIT.$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ 60 FEE: Check N6'-,r6 .(.0-a-- Receipt No.:.__ NOTE: Persons contracts with unregis d contractors do not have access to the guaranty fund ' �Slgnature of Agent/Owne ignature of contractor Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ TYPE OF SEWERAGE DISNSF Public Sewer SwimmingPools ❑ Tanning/Massage/Body Art S i ❑ Well ❑ Tobacco Sales ❑ Food Packaging/Sales ❑ Private(septic tank,etc. ❑ Pennanent Dumpster on Site ❑ THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF o U FORM PLANNING & DEVELOPMENT Reviewed On Signature_ COMMENTS CONSERVATION Reviewed on A5 Si nature COMMENTS HEALTH Reviewed on ° W ` « Signature do COMMENTS P-2{/ 1J Pco c5 — Q s t Zoning Board of Appeals:Variance, Petition No: Zoning Decision/receipt submitted yes I Planning Board Decision: Comments Conservation Decision: Comments Water& Sewer Connection/Signature& Date Driveway Permit I , DPW Town Engineer: Signature: Located 384 Osgood Street FIRE DEPAR�TME_NT� 31emppumpster on4siterayes �,Lrocated at{124 MainfStreet' rDe�artment�i ,�. � ,� �� -:,g.r'iatur�e/date{ �_ �_ .�,.. ,.��,.. •�.�. _" ��_�_,��_�_ f Dimension Number of Stories: Total square feet of floor area, based on Exterior dimensions. Total land area, sq. ft.: ELECTRICAL: Movement of Meter location, mast or service drop requires approval of Electrical Inspector Yes No ®ANGER ZONE LITERATURE: Yes No MGL Chapter 166 Section 21A—F and G min.$100-$1000 fine NOTES and DATA.—(For department use) ® Notified for pickup Call Email z Date Time Contact Name - Doc.Building Pennit Revised 2014 } V Building Department f The following is a list of the required forms to be filled out for the appropriate permit to be obtained. I Roofing, Siding, Interior Rehabilitation Permits 4. Building Permit Application I 4. Workers Comp Affidavit j Photo Copy Of H.I.C. And/Or C.S.L. Licenses Copy of Contract Floor Plan Or Proposed Interior Work j a. Engineering Affidavits for Engineered products OTE: 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 a. 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 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 Engineering Affidavits for Engineered products IN 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 Doc:Building Permit Revised 2014 Location �0 W" � No. --20 iDate T" L TOWN OF NORTH ANDOVER • 'h Certificate of Occupancy $ " Building/Frame Permit Fee Foundation Permit Fee $ Other Permit Fee $ t TOTAL $ } Check# C n 7 Building Inspector NORTH Town of 2 t E �} ndover No. �'j — 2b( � i h �• ver, Mass,o COCMICntWIC �V -- U BOARD OF HEALTH Food/Kitchen PERMIT T LD Septic System THIS CERTIFIES THAT ....... .0 ... BUILDING INSPECTOR Foundation has permission to erect .......................... buildings on .. .... oA. .......L'Mr."f%jjhkj0W0...... Rough to,be occupied as ...I.l..)e.�.z.........ti .. � rr .L....... .. .�.....�j1/ ./ ................. 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 I 1 PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTIO T Rough 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. O K7Lna r6+S;�, AND OVER , OFIRCE OP _X600 Dsgood StrcOEBuff ding 20,•S-aite 29-06 1: 7�"�A3 n F4�` �� •N•oithAnd vmb Massachusetts 01845 ��SRCHI35��` trezaId A.Brown - Telepbozne(978)6889145 7nspectorofBi l&,gs _Fax (978)689-954-2 - H(MAMUNMEREMENSE Myhmox BM)VG)?E�T ARPLIC.A.TION Pieasepunt , DATE: ' roe LOMtTr: MNpo C t�.. Number Sfreet.A dressap/T of 'xOIvTc)wMRMOW,ZZK 77S' �9 1+7ame. . Home,Phone WbrMIlane 'RESENT MA69GAADDRMSS Lie s . :p Code Tle currenf exemption for homeot zexs"•ryas extended to i„Inde owner-occtipzed di�elin�s to z�vo uniEs o�I�ss ono%o a71aw SUbh hDMCDIRM S to engage a�.?�tiVidual.for hire rho r7oes aotpassess a 1icGnse,provided that the ownez acts as supezyisoz)- ,S atewuildang (Code Section xD8,3.5,�) DBFRI 1T.I0N OP HOMEOWNE.P. Peison(s)who awns a parcel of lazd on- rbich Wshe resides or intends fo reside,nn Which there is,or is anfended to be,aoneor�twofars�ilystruetores, A.persorttultoconstructs;mozetYiatAnellomexn.aiyvayeazperiods�.alZzto-t'be considered a hDmaownez The undersigned".homeowner”assumeszesponszbiliEyfoz camp7iapces�vztTz the StafeBuilding CodanildotTier Apylicable codes,by laws,xules andxegalatiow. Thetrxtdersigned`homeownez"cert fees that he/'9houndazsfands t'hO Town ofNorffi A admrBuilding DepaxE ,,Lt rvTnuzzurn xnspectiozzprocedures andxecluireznenfs audthat lie/slxewiUr omply witbtsaidpzacedures1ncl requixemezzts, .. . ROAMOWN)3RS SIGNA7'I>l .APPROVAL OF Duff D)Wa OFFICIAL ' Reyised7.2DD9 _ xomt1lozneowners Ex6mption 3DARD OFAPPRA.7L-699-9541 CONISERVAUON 688-9530 RE.4L'£116$5-9540 P&�.1QNWG688--9335 • a ' �� e . .+ I• .+IN-1,ll..y.� � .. +� �N M•. � rwre:¢. � . Vt.qr of 4a rtYei..+)lp [k ♦ kap . � �Y rtJ",•� an/+��vt 6l+AwyVa..r.a� i ti4.r{'M.• Rk s+^ � �7'I` ^.� ��ter.+ 'bi3 � •:+e.,, M 4� 4W 9 A., t �' .► M .+ ., ►+ „ eta ot � +a F q0{�'t F �, x n '# e+a+�AE• � awi r t atl Ai 9 �. `�� t�� '� � { ,� "'y�, Isy J iJb rta h' 1 I�r: i r,Mwt , 60 44 Ap �c�i�.as rc�•R�#.,�, •. �/ .�• ~��.., .��,. :``�„� „ter# srr c, rta . x.„+,_.w+•+•rYrw+p4,", t.�r.w �Mwv. r. - - ,Z e+n ey.Y+.n..w�+.rw.r•...�Mn+rpw:Ywr+e.^""r"•..s,.+MMl.r+MF+rw^'n"y. yr. w Y e f North Andover MIMAP June 30,2015 0 e �i y ' i y rd �I z' } Interstates —I —SR Horizontal Datum:MA Stateplane Coordinate System,Datum NAD83, --Roads Meters Data Sources:The data for this map was produced by Merrimack i Easements f NORTN, Valley Planning Commission(MVPC)using data provided by the Town of E3 MVPC BoundaryO ,t t�D w...- North Andover.Additional data provided by the Executive Office of .r ee ! O Environmental Afars/MassGIS.The information depicted on this map is Parcels F _ 9 for planning purposes only.It may not be adequate for legal boundary definition or regulatory interpretation.THE TOWN OF NORTH ANDOVER MAKES NO WARRANTIES,EXPRESSED OR IMPLIED,CONCERNING # - ♦ THE ACCURACY,COMPLETENESS,RELIABILITY,OR SUITABILITY OF THESE DATA,THE TOWN OF NORTH ANDOVER DOES NOT + ASSUME ANY LIABILITY ASSOCIATED WITH THE USE OR MISUSE OF o�1zwo�A``ij THIS INFORMATION �SS�cuus�t 1"=64ft North Andover MIMAP June 30,2015 u r ssa _a Q , ch4 r I S 2 ,._.-..�. � aye t � I i � Marga#e O thorne Place � � �� - ( �� Adams.Aden ` o eet Str Mareng l ri .dos M .11 yw lir Interstates —1 —SR Horizontal Datum:MA Stateplano Coordinate System,Datum NAD83, Roads - Meters Data Sources:The data for this map was produced by Merrimack i Easements t NORTq q Valley Planning Commission(MVPC)using data provided by the Town of t 0 t`ip North Andover.Additional data provided by the Executive Office of Q MVPC Boundary Envimnmenlal Affairs/MassGIS.The information depicted on this map is 7 Parcels _ 9 for planning purposes only.It may not be adequate for legal boundary definition or regulatory interpretation.THE TOWN OF NORTH ANDOVER MAKES NO WARRANTIES,EXPRESSED OR IMPLIED,CONCERNING # ; THE ACCURACY,COMPLETENESS.RELIABILITY,OR SUITABILITY « OF THESE DATA.THE TOWN OF NORTH ANDOVER DOES NOT #ems+ `+ # ASSUME ANY LIABILITY ASSOCIATED WITH THE USE OR MISUSE OF 9jq e�„r�u ems``A THIS INFORMATION sSACMUSgt 1"=363ft �. I North Andover MIMAP June 30,2015 ss� P f^ V� •�..? :`far 9 i511, �afr awrence 00 Marg eve .� \ N►eaao Hawthorne,Alam o�5treet . —� ' o .: o R5 o —Rail Line Wetlands Zoning Interstates O Exempt Lands Sr Busine s/Di.tt —I Busine s 2 District Horizontal Datum:MA Stateplane Coordinate System,Datum NAD83, O Busine s 3 District —SR Meters Data Sources:The data forthis map was produced by Merrimack O Busine s 4 District ORT1r Valley Planning Commission(MVPC)using data provided by the Town of Roads Y Goner Business District E N q p t�ao r� North Andover.Additional data provided by the Executive Office of Easements Plenne Commercial Dev ?e<< +s 00 Environmental Affers/MassGIS.The information depicted on this map is t5 Comido Development Dist _ MVPC Boundary fl Corrido Development C for planning or purposes only, r may n. H adequate for legal boundary p—t Dist definition O regulatoryinterpretation.THE TOWN LE NORTH ANDOVER Q Municipal Boundary O Corrido Development Dist F ,-� � 9 MAKES NO WARRANTIES,EXPRESSED OR IMPLIED,CONCERNING Industri 1 District Zoning Overlay t - i THE ACCURACY,COMPLETENESS,RELIABILITY,OR SUITABILITY O Industri 12 Dismct w OF THESE DATA.THE TOWN OF NORTH ANDOVER DOES NOT 0 Adult town O nment •i Lf Industri 3 DlsMct �i Q Downtown Overlay DisMcl #o i ASSUME ANY LIABILITY ASSOCIATED WITH THE USE OR MISUSE Of Historic District O Industri15 District Water Protection Reside ce 1 District �/ ++��o'A .�°J THIS INFORMATION Reside ce 2 District S$tCHU52 ❑Parcels 6 R-tdei ce 3 District O Hydrographic Featuresdd de ce 4 District —streams 1"=363 ft .de ce5Di:ricl de ca 6 Distdct ,a a esidential District 1 C - r Sh aft