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Home My WebLink AboutBuilding Permit #1159-2016 - 5 APPLETON STREET 5/19/2016 I . � F BUILDING PERMIT Os 1400 Th L8D TOWN OF NORTH ANDOVER o APPLICATION FOR PLAN EXAMINATION * _ �I�O K q. Permit No#: ' J Date Received RAORArED Date Issued: 1 IMPORTANT: Applicant must complete all items on this page LOCATION Print PROPERTY OWNER /"` —�S Print 100.Year Structure yes MAPistrict yes 4ff-b ( PARCEL: (o O ZONING DISTRICT:__ MachinHistorice Shop Village yes. (E) TYPE OF IMPROVEMENT PROPOSED USE Non- Residential Residential ❑ Nadu Building 9 One family KAddition ❑Two or more family ❑ Industrial ❑Alteration No. of units: ❑ Commercial ❑ Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition _❑ Other \". �❑W: III ®IF t.6-A�"@Thi . e-tlan�s �. _ to C- ❑ S str ct:. mate ARewffri --� DESCRIPTION OF WORK TO BE PERFORMED: Identification'- Pleas ype or Print Clearly OWNER: Name: ��S} Phone: 91 �'-6��A7y 3 Address: 5 I-e, 0{`-� Contractor Name: Phone: Email: Address: Supervisor's Construction License: Exp. Date: Home Improvement License: Exp. Date: ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE.BULDING PERMIT-$12.00 PER$9000.00 OF THE TOTAL ESTIMATED COS ASED ON$125.00 PER S.F. Total Project Cost: $ -7500 FEE: $ Receipt No.: Check No.: ess to the g aranty fund NOTE: Persons contracting with unregistered contractors do not have acc � Location VOt. u P P S No. Date �4 • • TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $ zI ,. Foundation Permit Fee $ Other Permit Fee $ r TOTAL $�_ Check# 30399 BuildinV inspector Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ TYPE OF SEWERAGE DISPOSAL a Public Sewer ❑ Tanning/Massage/Body Art: ❑ Sv'm 'ng Pools ❑ well ❑ Tobacco Sales ❑ Food Packaging/Sales} ❑ Private(septic tank,etc. ❑ Permanent Dwnpster on Site ❑ THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM PLANNING DEVELOPMENT Reviewed On Signature COMMENTS? - II CONSERVATION Reviewed on Signa.ture IYO COMMENTS cg oSI � � j ,� . `d 6� ��ca-� l Old -fl rr\ y. HEALTH Reviewed ori Signature COMMENTS tE f Zoning Board of Appeals:Variance, Petition No: Zoning Decision/receipt submitted yes tjlanning Board Decision: Comments Conservation Decision: Comments !!Vater& Sewer Connection/Signafiure&®ate Driveway Permit DPW Town Engineer: Signature: Located 384 Osgood Street FIRE DEPARTMENT - Ternp.Dumpster Rw on Will'sit-cmyes no ,r v Located at 1P24 Main Street Fire ®epartmen sigIf nature/date •� � AOpp U �.. r `°L"r°._F., "COIVIMENITS �.: 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: lyres No MGL Chapter 166 Section 21A—F and G min.$1o0-$l000 fine NOTES and DATA-- (For department apse) Ll Notified for pickup Call Email Date Time Contact Name Doc.Building Permit Revised 2014 ■ 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 Department prior to issuance of Bldg Permit products OTE: All dumpster permits require sign off fromP .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/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 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 then get this recorded at the Registry of Deeds. one copy and proof of recording that the appeal period is over. The applicant must must be submitted with the building application Doc:Building Permit Revised 2014 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 OTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit .Addition Or Decks 4. 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/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 A6 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 �I Hydraulic Calculations (if Applicable) Copy of Contract 2012 IECC Energy code Engineering Affidavits for Engineered products OTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg. Permit In all cases if a variance ors special permit was required the Town Clerks office must stamp the decision from the Board of Appeals p 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 Doe:Building Permit Revised 2014 1 NORT11 it - own ofF Andover No. t _ hver, Mass 0 O 1• COC NIC Ic"I Kl wICu V �9S R�TEO APp,`�y U BOARD OF HEALTH DFood/Kitchen Septic System THIS CERTIFIES THAT ..... .. .. BUILDING INSPECTOR ........ ..... .... ......... ...... ............. ...................... Foundation has permission to erect .......................... buildings on .. ...... .. .... ..... ...... .. ............ .� Rough 5b to be occupied as .....lb..11... ..... .......... ...............................................................:.... 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 Rough VIOLATION of the Zoning or Building Regulations Voids this Permit. Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTPN STARTS Rough Service ........ ... ...�-:�' . .... ..�e.•�.,.................................... Final BUILDING INSPECTOR GAS INSPECTOR Occupancy Permit Required to Occupy Buildinz Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final Wall No Lathing or Dry all To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner I Street No. Smoke Det. .� r t � - _ _ 1 ' � i i + /r ` 1 ' ` ' _ �( f � _ / • � _ � � l North Ando/ver MIMAP April 21, 2016 037:6 0068 374- .6,— ,46 � 00 14 APPLETON ST +� �037.B�0044 31r8 SALEM S�T � �0�' 037.6-0045 tit (037 8=0047 PQ d� `e sS�APPLETON_� �. §376=0048 R3 n 037"B.Q060} a / i 338 SALEM STS r�37:D-0005 � N p3j�B0055A ��' 110 D 037'�0039 34]S—AM EM,r 1 '037.8 - - A North Andover MIMAP April 21, 2016 037.6-0068 037.B-0040 037.B-0046 14 APPLETON ST r 037.6-0044 CP 318 SALEM ST 2 037.8-0045 037.6.0047 P ,r. sq.7 N 5 APPLETON ST ? , �A o � - a 037.8-0060 i 0 7:6-0048 338 SALEM ST 37.D-0005 N 11 APPLETON ST rt `` -, 037.B-0055 M M 037.B-0039 346 SALEM ST 037.B-0035 p 037.D-0006 6 037.B-005 Anne-Road 037.B-0067 037.B-0049 p MVPC Bo ❑Municipal Boundary Horizontal Datum:MA Stateplane Coordinate System,Datum NAD83, Rail Line Meters Data Sources:The data for this map was produced by Merrimack Interstates pOR711 Valley Planning Commission(MVPC)using data provided by the Town of —I ,'Use.r q� North Andover.Additional data provided by the Executive Office of —SR_ 2 e� - ��e Environmental AHairs/MassGIS.The information depicted on this map is Roads 3 L for planning purposes only.It may not be adequate for legal boundary O ibL A definition or regulatory interpretation.THE TOWN OF NORTH ANDOVER %7,Easements1'• p MAKES NO WARRANTIES,EXPRESSED OR IMPLIED,CONCERNING ❑Parcels i ♦ THE ACCURACY,COMPLETENESS,RELIABILITY,OR SUITABILITY 1 s * OF THESE DATA.THE TOWN OF NORTH ANDOVER DOES NOT Trails tt ,o �� # ASSUME ANY LIABILITY ASSOCIATED WITH THE USE OR MISUSE OF a Hydrographic Features - q�9^o 'A:•`� THIS INFORMATION —Streams 1SSACHUS�� Wetlands 0 Exempt Lands 1"=79 ft "�` - Dimension Number of Stories: Totals square feet of floor area based don Exterior dimensions. Total land area, sq. ft.: ELECTRICALS 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.sloo-$1000 fine NOTES and DATA.-- (For department use) r/ I-- c- e, '+ r ® Notified for pickup Call Email Date Time Contact Name Doc.Building Permit Revised 2014 Plans Submitted ❑ Plans Waived ❑ Certified Plot Pian ❑ Stamped Plans ❑ TYPE OF SEWERAGE DISPOSAL Public Sewer ❑ Tanning/Massage/Sody Art ❑ FFood ming Pools 11Well ❑ Tobacco Sales ❑ Packaging/Sales ❑ Private(septic tank,etc. ❑ Pennanent Dmnpster on Site ❑ THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF m U FORM PLANNING & DEVELOPMENT Reviewed On Z Signature —d UzAkoll COMMENTS )lAf)CVAC W� i � lk,CONSERVATION Reviewed on Signature' � pp COMMENTS c� o ! 5��..d� 1 S � t 00` -3 C"r\ 'Y y - HEALTH Reviewed ori Signature COMMENTS a rE Zoning Board of Appeals:Variance, Petition No: Zoning Decision/receipt submitted yes t lanning Board Decision: Comments Conservation Decision: Comments Water& Semler Connection/Signature&!]ate Driveway Permit DPW Town Engineer: Signature: Located 384 Osgood Street FIRM1 DEPARTMENT e;Ternp Dumpster on s t yes Located at 1®24 Main Street Fire Departmen signature/date t+s •i „ Jay,_ 3f+v� l..t,