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HomeMy WebLinkAboutBuilding Permit #Exception - 42 OLYMPIC LANE 2/1/2010 L TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit NO: Date Received x Date Issued: IMPORTANT:Applicant must complete all items on this page LOCATION PROPERTY OWNER Pt MAP NO: G L PAI:tCEL: I IN t)STRIC '.�` Hstbric=Distr bt fires Maclaine Shop_Village s TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential New Building One family Addition Two or more family Industrial Alteration No. of units: Commercial Repair, replacement Assessory Bldg Others: Demolition Other e #ic Weil :F1oo llplatn Wetlands Watershed.;Distrl+ct. Nater/Seie`r DESCRIPTION OF WORK TO BE PERFORMED: s�T�vyE-C-l2oca,v,►LNS Identification Please Type or Print Clearly) OWNER: Name: J19s©I-J PFS) Phone: 9'`1�-387 loLo4�� Address: q2 oLYr�Pj e Ct) 1T<RACTOR.Name-.,, Phone: . I Address: - S-upervisor's�Ctihstruct,G-n License Exp a#mow Home'Improvement oense Exp. 'Date, ARCHITECT/ENGINEER 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: $ /8� ®F-E sr9zE Fzri-,:�-FEE: $ Check No.: Receipt No.: NOTE: Persons contracting with u t raao ctors do not have access to the guaranty fund Signature'of Agent/Ovuner� Signature o. contractor a Plans Submitted Plans Waived Certified Plot Plan Stamped Plans TYPE OF SEWERAGE DISPOSAL Public Sewer Tanning/Massage/Body ArtSwim=P-ols Well Tobacco Sales Food Packaging/Sales Privat:e(s eptic 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 o Si nature` l Gam' ,," COMMENTS o� s L„J a G��. S C�.trx a2.^ `�4-G1,✓� l�C7 ��M 0 J � O�z c (c9C[,,t'tl`� HEALTH Reviewed on Z, Signature COMMENTS 15:1 3 i 1 1*7 S f 20 l a-c- 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 f1RE DfpARTN1E1�1T Tern:Dun-ipster-on site: yes no Loca#ed of''294 f aah..Streef. Fire Department S' COMME1VTS ..,. L 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 DANGER 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 - Date Doc:.Building Permit Revised 2008 _ r Build-ing 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 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: Doc.Building Permit Revised 2008 LIMIT OF SAND INSPECTION PORTS •(TYP.) 43.7` _ FN 0 a 24' 0 41' 0 DISTRIBUTION BOX TP2 N/F, WE 4 TPI PTI N/F KAVANAGH 15 0 GALLON S PTIC TANK fl 35' � 80 0 ?ENCHMARK: TOP OF SILL AT HOUSE CORNER. �+ ELEV. 100.00 (ASSUMED DATUM) 1j� w N rP- PORCH �? W aksT: EXISTING FIVE F�ygY y� LLI BEDROOM D��000 SILL ELEV. C31 � O r IP- cp C..7 42 OLYMPIC LANE ASSESSORS MAP 106B, PARCEL 110 47,957 ST. APPROXIMATE LOCATION OF EXISTING PRESSURE WATER SERVICE L=150.00' R=285.00' OLYMPtC. LANE