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Home My WebLink AboutBuilding Permit #407 - 410 GREAT POND ROAD 11/17/2006 TOWN OF NORTH ANDOVER p►ORTF/ APPLICATION FOR PLAN EXAMINATION 0 'TUSo #6q~o 0 t p Permit NO: qv Date Received ` f� +L e ' 7 �AA7�D Date Issued: -& ZZ- ,-Z;7-64 �ss•►cr+us�� IMPORTANT: Applicant must complete all items on this page LOCATION J/0 cr eco-{ f o,°t n rPri t PROPERTY OWNER 1' T-P� :5c. k IS 7 Print MAP NO.: 1E/� PARCEL: ZONING DISTRICT: TYPE AND USE OF BUILDING HISTORIC DISTRICT YES ❑ TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑New Building Die family e-A-ddition ❑ Two or more family 0 Industrial ❑ Alteration No. of units: ❑ Repair, replacement ❑ Assessory Bldg ❑ Commercial ❑ Demolition ❑ Moving(relocation) ❑ Other 0 Others: 0 Foundation only DESCRIPTION OF WORK TO BE PREFORMED � r l� rZ l -e- Sn # xLa Identification Please Type or Print Clea ) ff P%j �I I- �I&- OWNER: Name: �t�,.� � S, k ^ It's' Phone: 178-D 51 4� Address: 7 l 0 6r,-_J po K d R J . /44/4 CONTRACTOR Name: Phone: Address: Supervisor's Construction License: Exp. Date: Home Improvement License: Exp. Date: ARCHITECT/ENGINEER Name: Phone: Address: Reg. No. FEE SCHEDULE:BULDING PERMIT.$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost :$ FEE:$ y�— Check No.: Receipt No.: Page W4 4 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 Addition Or Decks ❑ Building Permit Application ❑ 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) 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 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:INSPECTIONAL SERVICES DEPARTMENT:BPFORM05 Page 4 of 4 Building Setback (ft.) Front Yard Side Yard Rear Yard Required Provided Required Provides Required Provided Dimension Number of Stories: Total square feet of floor area, based on Exterior dimensions. Total land area, sq. ft.: NOTES and DATA—(For department use) Page 3 of 4 Doc:INSPECTIONAL SERVICES DEPARTMENT:BPFORM05 Created JMC.lan.2006 ❑ � GE DISPOSAL Tanning/Massage/Body A" swimming Pools Food Packaging/ TYPE OF SEWED ❑ Sales ❑ Public Sewer Tobacco Sales ❑ ❑ Permanent Dumpster on Site Electric Meter location to Well ❑ project j Private(septic tank,etc. uaranty fund islered contractors do not have access to the g NOTE: Persons contracting with unreg Signature of contractor ' � Stamped Plans I Signature of Agent/Own` Certified Plot Plan Plans Waived Plans Submitted TV E FOLLOWING SECTIONS FON OFFICU Fo ONLY INTERDEPARTMENTAL S D TE APPROVED DATE REJECTED a u0 lot i J jax�v PLANNING &DEVEL� E VT u -R COM&ENTS '• � ' ' ATE REJECTED DATE APPROVED nn t CONSERVATIO COMMENTS S DATE APPROVED 5' DATE REJECTED S.✓ HEALTH e COMMENTS no In ------------------------- ster on site yes Bo Temp Dump On FIRE DEPARTMENT Fire Department signature/date Doc: COMMENTS Zoning Decision/receipt submitted yes Zoning Board of Appeals:Variance,Petition No: Comments planning Board Decision: Comments Page 4 c a Permit Conservation Decision: Drivew water&Sewer connection/SLnatu�r�e&Date i r Location No. Date MORT" TOWN OF NORTH ANDOVER F 9 Certificate of Occupancy $ sACMUS t� Building/Frame Permit Fee $ ` Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # 198` 2 - t Building Inspecvr` F NORTH TO" Of �_ 4Andover * -- ,�/ /7•o G LA = dover, Mass., COCHICKEWICK 7� 0 RATED BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System (�) - • BUILDING INSPECTOR THIS CERTIFIES THAT ........... ..................... .................... ..................... Foundation has permission to erect. .................................. buildings on....4.9 .....Q ....... Rough to be occupied as Chimney ....... ........ ................................................................................. provided that the person accepting this permit shall in every respect conform to the terms of the application on file in Final 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 ELECTRICAL INSPECTOR UNLESS CONSTR Sr S Rough . . . ............................................... Service BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final No Lathing or Dry Wall To Be Done Until Inspected and Approved by the Building Inspector. Burner DEPARTMENT Street No. SEE REVERSE SIDE Smoke Det. TOWN OF NORTH ANDOVER OFFICE OF BUILDING DEPARTMENT 1600 Osgood Street Building 20, Suite 2-64 North Andover, Massachusetts 01845 Gerald A. Brown 7,S)688-9545 Inspector of Buildings Telephone(9 Fax 0 8)688-9542 HOMFOWN:FP LICENSE EXEMPTION !'!rase print DATE: v JOB LOCATION: Number Street Address— Map;Lot 1401MEOWNERR7 F 7 Y�--7/ +W- 15_� Name Home Phone / Work Phone PRESENT MAILING ADDRESS �/(o Zw (Q 411 Axa, City Town State --Tip C—o—de The current exemption for"homeowners" was extended to include owner-occupied dwellings to two units or less and to allow such homeowners to engage an individual for hire who does no' acts as supervisor). State Building (Code Section 108.3.5.1) t possess a license,provided that the owner DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside, on which there is, or is intended to be,a one or two family structures. A person who constructs more that one home in a two-year Period shall n considered a homeowner. of be The undersigned"homeowner"assumes responsibility for compliances with the State Building Code and other Applicable codes, by-laws, rules and regulations. The Undersignedhomcoivner"certifies that he,she understands the Town of North Andover Building Department minimum inspection procedures and requirements and that he.'she will comply with said procedures and requirements. HOMEOWNERS 51GNATURE___(��_�_ - APPROV,\I.OF RUff,DING OFFICIAL :,Cd 11)-")1,5 'pi MEN 0 I ■■■ ■ ■�� - C, L _ aw now _ ■l a� ;._ .w Y u! r ,� +e. .g Tl iY. _ l ` I I ( II Current deck has 4 6x6 ' I I ' posts and 2x6 beams ❑ ❑ ❑ ❑ ❑' ❑ ElI 1 —15x26 15x14 i I I + � - 1 , y E , I I f f I I I �4"�T"Gr 14CT14^ 1 E K SURVEY INC •HAVERMIU,MA Phone 979469-IM#Fax 978.4&&7 16 MORTGAGOR S�WH k -r smzals DEED REF. _ (D 2 X PG. AD 8666 OF PRINCIPLEBUILDING PIAN REF. _�3 7I0 6,e44-' A9Nd 00. DATE OF INSPECTION 1uAokA—C3, rA*4 _ M. AA)goA& A►A SCALE:1'=.90 t 4.17QG� o v �- . � ��►po�a �irzi� . a 6A�1 Po�u� ROAD 0 T CERTIFICATION TO:NWS k�,A&o "'"S RVDE� Thirs Mortgage Plot Plan was prepared specifically for HO S < The IocatlOn Of the principle structure/a mortgage Purposes only and it Is not Intended or �A)hgg rM d 'PeJ ''�C131 t� a� with the local zoning bylaws In @&[scot when constructed to be a Prot,"lire or land t:uirvery.This pl---is not to t--szedslok u �x�3` and/or is exempt from viotstiion enforcemneM to establish any of the property lines for any purpose.No action under Mass B.L. Tede VII.Chap.40A,Sec.7. responsibility is eMended to the land owner or occupant. r Subject building Is not in a Flood Ha=M Area, This certification is based on the location of survey marker O Subject building is In a Flood Hazard Area. of others. Flood Hazard determined from the FIRM maps JOB# 2 ilrl1r8 Doled -A nn;7F l 'qr?I-qSH1 AH WHt,S =G t,002 91 inr 04/28/2004 11:57 9_786857090 GABRIEL LAW PAGE 13 ^,04/13f2004 13. 14 FAX 9767499075 CC 14dd cndun4 C LAKE CCCNICWEW/CK , 410 GREA T POND ROAD - ASSESSOR MAP 37A PARCEL 2 NORTH ANDOVER. MA 01845 DATE: 3/12/04 SCALE: 1"=80' NOTE: PARCEL A TO BE: CONVEYED TO L4 THE TOWN OF NORTH ANDOVER. N a o l PROPERTY LINE INFORMATION TAKEN FROM µ PLAN NO. 7804 AT THE NORTHERN ESSEX a REGISTRY OF DEEDS. ZONING DISTRICT: R--1 w MIN, LOT AREA . 2 ACRES w MIN. LOT FRONTAGE 175 FEET ¢/ Ac N.5 O'WE A O� 200.06 1 -+ v) '00'��G/ PARS A �� OD z N �� 0 94,125 J%F*/a.fs Ac 150' px yam. > (NOT A BOALDA04E LOT) m 00 7 r s- a . N WOO'OO"E x 7S8'f oRC U r w r- A N v g0 GOT t N "' ll�kx 87,520 S.Ff/2-Of AC Ncc o'{ #0410 CR£A 7- ,POND ROAD +* 0 t _ m ti 9 ° ssoZ6 Oo"w -s�OAO 23'' GREA T PoNp JM-T Q