HomeMy WebLinkAboutBuilding Permit #743 - 45 BOSTON STREET 4/18/2012BUILDING PERMIT
TOWN OF NORTH ANDOVER
APPLICATION FOR PLAN EXAMINATION
Permit NO: Date Received
NORTH
Of�t�E° 16 14S
9 `1.
Date Issued:
IMPORTANT Applicant must complete all items on this page
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TYPE OF IMPROVEMENT
❑ New Building
❑ Addition
Q Alteration
❑ Repair, replacement
❑ Demolition
PROPOSED USE
Residential
❑ One family
❑ Two or more family
No. of units:
❑ Assessory Bldg
❑ Other
Non- Residential
❑ Industrial
❑ Commercial
❑ Others:
❑ Septie = W ®1i'Velt= ` P'
C] Floodplain: D wetlanas
vv.a�er5r�eu tet"Py,i
KxDESCRIPTION
OF WORK TO BE PREFORMED.
Identification Please Type or Print Clearly)
OWNER: Name: Phone:
ARCHITECT/ENGINEER Phone:
Address: Reg. No.
FEE SCHEDULE. BOLDING PER $f no PER $1000.00 OF THE TOTAL ESTIMATED COST BASED ON $125.00 PER S.F.
Total Project Cost: $ ���
Check No.: Receipt No.:
NOTE: Persons contractinun r istere co tractors do not have access to the guarantyfund
Si "nature of Agentl r'. ture of contractor
Permit NO:
BUILDING PERMIT
TOWN OF NORTH ANDOVER
APPLICATION FOR PLAN EXAMINATION
Date Received17,
,
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TYPE OF IMPROVEMENT
PROPOSED USE
Residential
Non- Residential
❑ New Building
❑ One family
❑ Addition
❑ Two or more family
El Industrial
Q Commercial
Q Alteration
No. of units:
❑ Repair, replacement
❑ Assessory Bldg
❑ Others:
❑ Demolition
❑ Other
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DESCRIPTION OF WORK TO tat FXtrUKivicu:
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Identification Please Type or Print Clearly)
OWNER: Name: Phone:
ARCHITECT/ENGINEER Phone:
Address:
Reg. No
FEE SCHEDULE: BULDING PER $1,2 no PER $1000.00 OF THE TOTAL ESTIMATED COST BASED ON $125.00 PER S.F.
Total Project Cost: $ oc�o
Check No.: Receipt No.:
NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fulad
Signature of Agent/t7wner Si nature of contractor
g
Location » ` —
No. Date VkhL
Check # /0 '
25195
TOWN OF NORTH ANDOVER
Certificate of Occupancy $
Building/Frame Permit Fee $�
Foundation Permit Fee F $
Other Permit Fee $
TOTAL $
Building Inspector
Plans Submitted D Plans Waived 11 Certified Plot Plan 11 Stamped Plans ❑
TYPE OF SEWERAGE DISPOSAL
Public
c Sewer ❑
Tanning/Massage/Body Art ❑
Swimming Pools ❑
Well El
Tobacco Sales ❑Food
Packaging/Sales El
Private (septic tank, etc. ❑
Permanent Dumpster on Site ❑
THE FOLLOWING SECTIONS FOR OFFICE USE ONLY
INTERDEPARTMENTAL SIGN OFF - U FORM
TE REJECTED
PLANNING & DEVELOPMENT,,-**'- El
COMMENTS
DATE APPROVED
El
DATE REJECTED DA�TEOAPROVED
Ic
CONSERVATION El El
COMMENTS loo` ( U -ACI -OL
I
HEALTH
COMMENTS
DATE REJECTED DATE
Zoning Board of Appeals: Variance, Petition No: -----.Zoning Decision/receipt submitted yes
Planning Board Decision:
Conservation Decision:
Comments
Comments
Water & Sewer Connection/signature & Date Driveway Permit
Located at 384 Osgood Street
FIRE DEPARTMENT TempDumpstet
site yes no
Located a# ?4iMain 's-te 4-64Etre Department ,
a
X
Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑
TYPE OF SEWERAGE DI7OSAL
Public Sewer ing/Massage/Body Art ❑ Swimming PoolsWell cco Sales ❑
Food Packaging/Sales ❑
Private (septic tank, etc. ❑ Permanent Dumpster on Site ❑
THE FOLLOWING SECTIONS FOR OFFICE USE ONLY
INTERDEPARTMENTAL SIGN OFF - U FORM
ATE REJECTED DATE APPROVED
PLANNING & DEVELOPMENT ❑ ❑
COMMENTS
DATE REJECTED DATE PPROVED
CONSERVATION; �, El El
�L
a
COMMENTS
HEALTH
COMMENTS
DATE REJECTED DATE AP
-7 2,C) yr s
791
Zoning Board of Appeals: Variance, Petition No:
Zoning Decision/receipt submitted yes
Planning Board Decision: Comments
Conservation Decision: Comments
Water & Sewer Connection/signature date
Located at 384 Osgood Street Driveway Permit
COMMENTS777777777777=
a
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
Doc.Building Permit Revised 2007
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 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: INSPECTIONAL SERVICES DEPARTMENT:BPFORM07
Revised 2.2007
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PERFORMANCE CURVE
+ 100.64 Series: SE ,0.4 HP,1750RF
Manual & Automatic
Map 1078 Lot 62 4 105.35 0 TMAL +mio
44,972 sq.ft. \ -I- 108.72
1.03 acres • '
,r
102.02 \ \ ' Tr
1 V 5' Overdi
10.15 fl ,•
751
,.;i:
+ 103.37 0' + 103.0 ' •
BENCHMARK:
To
Left Outer Corner of ��, • R� � �a s ••
Lowest Concrete Step Q 1 2,45
EI -102.97 (Assumed Datum)' \ r uaaa + + +
10 ''.al. 1 ranaaeo+o
1500 11. pump uh be
102.63 Septic ink
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-3 103.13 ill / C�.�3 aonneeo. r,m
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Gar�ge FI. Dwelling
� Or
REFERENCES:
�13� _ gyp✓ / / 1) Deed Book 4125 Page 12!
2) Plan #4830 of 1963
3 Plan #9742 of 1984
81t. Cone. 4 Plan #3465. of 1957
Drlve .
EXISTING SITE PLAN
IN
f . ' NORTH ANDOVER, MA
+` Prepared For
/ Mary Calder
¢�r 45 Boston Street '
150.00'
Pi
oItert treat.
1 k. F� . < f `� , /an�►era, M1C ` ' 01923
(978� '774-8012"
1 J * r g TJa>ae 4,* 2003 Scale: 1"=2
's w�=A 0C` Y HOR. SCALE IN FEET
26 50
4 yy
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