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Home My WebLink AboutBuilding Permit #503 - 520 FOSTER STREET 12/27/20115v Permit NO: Date Issued: BUILDING PERMIT TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Date Received l 2 IMPORTANT: Applicant must complete all items on this pane LOCATION .� Z� ir;.+-,Q�,1, Print PROPERTYOWNER a Print _ MAP NO: /O41 -B -PARCEL 41(x. ZONINGDISTRICT: ,Historic District yes Machine Shop Village yes v'tT`ED ,a'•N�O eR4DRA TED 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 u Septic, �❑ Well ❑ Floodplain ❑ Wetlands ❑ Watershed District Water/Sewer. (� Q DESCRIPTION OF WORK TO BEt PREFORMED: I c� o'er ✓� O L-� '�' w t� S�'�. l �'C. h Q. d Z. fin. �'� h rL..0 a %,--s Identification Please Type or Print Clearly) OWNER: Name: \a,a �\esvQ Phone: 5--03 M • CONTRACTOR Name: 3--e.n.- Phone, Address: X53 Supervisor's Construction License: _045-101141_ _ Exp: Date:.._.. Home Improvement License: ARCH ITECT/ENGINEER �j-��,.i -�� -� Phone: cN"1!E -,U 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: $ �7 3 , D 0 L) FEE: $ Check No.: 1 1) ftReceipt No.: 1 U NOTE: Persons contracting with unregistered contractors do not have accgs to the guaran fund ;Signature..of AgenUOwner Signature of contractor Location ,Tz No. '6-03 Date / �aRTh TOWN OF NORTH ANDOVER • L 9 Certificate of Occupancy $ CMUs <�' Building/Frame Permit Fee $ A"''� Foundation Permit Fee $ z Other Permit Fee $ TOTAL $ Check# 2 4 9 10 Building Inspector Plans Submitted -9. Plans Waived ❑ Certified Plot Pla-nl� Stamped Plans ❑ TYPE OF SEWERAGE DISPOSAL Public Sewer ❑ Tanning/Massage/Body Art ❑ Swimming Pools ❑ Well ❑ Tobacco Sales ❑ Food Packaging/Sales ❑ Private (septic tank, etc. ❑ Permanent Dumpster on Site ❑ THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM PLANNING & DEVELOPMENT COMMENTS CONSERVATION COMMENTS k Reviewed on / Wt� DATE REJECTED El HEALTH' Reviewed on l -2-Zz3 / A d Sic r OMMENTS L"�<-- l DATE APPROVED F] i2o� LtI a r "�-• 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 Osciood Street FIRE DEPARTMENT - Temp Dumpster on site yes _ no- Located- at oLocated-at 124 Main Street Fire`Department signature/date ENTS 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 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 DEPARTMENTMFORM07 Revised 2.2008 rw R. F�`1I as a�Cdv oa r ° cn C w° c�° U cl w a°' w O w I . w°' cn w �evo� c o. o c�° w W.m C rr� z cn Q o cn k LLJ z m c O. c h o qLcm, 8 SimC CD c vi C.- 1 EQ m c V m.52 y c .. y O w. rn .mom to cc mm N cm c C � T m O A 'O y W m 'O V c 0 �.1 2 Q O Om I Cco C 0 O) O �E m m CD co CD O � CD O C O O O C CL cma C CO2 = c ev C.3 -W CL. C3 C Z co CL V y O C CL CO2 E LLI V♦ LLI C4 W W W C4 r:COQ dct v; n o � Z .., �evo� c o. o } " m W.m C = O m w O H O H C W C .2 CD0 M Z •N O F. ds C cm Q ®.'� C CIO C' O � O a �O = F��a�m A a N 0 �.1 2 Q O Om I Cco C 0 O) O �E m m CD co CD O � CD O C O O O C CL cma C CO2 = c ev C.3 -W CL. C3 C Z co CL V y O C CL CO2 E LLI V♦ LLI C4 W W W C4 ZONING INFORMATION: ZONING DISTRICT : R1 MIN. BLDG. SETBACKS: FRONT 30 FEET SIDE 30 FEET REAR 30 FEET ASSESSOR INFORMATION: MAP 104B PARCEL 40 LOT AREA 47,683 S.F.f DEED REFERENCE: BOOK: 4312 PAGE: 347 1,000 GALLON CONC. PUMP CHAMBER 3 1,500 GALLON cv p CONC. SEPTIC } in co TANK N p Z N 593' HED EX. DECK 1 'EX. 1 STORY D—BOX WOOD FRAME 1 STRUCTURE 9 32.7' _ 25.5' S59 -58'18"W 234.83' FOS TER SEPTIC LEACHING FIELD N63 20'44"E 254.34' 126.5' 5' 0 30.6' OWNER INFORMATION: ALAN MATTHESON 520 FOSTER STREET NORTH ANDOVER, MASS 4-v% L15-- 03 L3 i PROP. 1 STORY ADDITION 100.5' 87.6' PROP. DECK S TREE I CERTIFY THAT THE STRUCTURES SHOWN WERE LOCATED BY AN INSTRUMENT SURVEY AND EXIST ON THE GROUND AS SHOWN. DH FND PLOT PLAN OF LAND 520 FOSTER STREET NORTH ANDOVER, MASS. PREPARED BY: JOHN D. SULLIVAN III, P.E. 22 MOUNT VERNON ROAD BOXFORD, MA 01921 (978) 352-7871 SCALE: 1"=40' DATE: 11/29/11 4 co 1 w�'r-� PROP. 1 STORY ADDITION 100.5' 87.6' PROP. DECK S TREE I CERTIFY THAT THE STRUCTURES SHOWN WERE LOCATED BY AN INSTRUMENT SURVEY AND EXIST ON THE GROUND AS SHOWN. DH FND PLOT PLAN OF LAND 520 FOSTER STREET NORTH ANDOVER, MASS. PREPARED BY: JOHN D. SULLIVAN III, P.E. 22 MOUNT VERNON ROAD BOXFORD, MA 01921 (978) 352-7871 SCALE: 1"=40' DATE: 11/29/11 0 0 i i1 Cy Cl) 0 Cb C.7 C") r,C (D MO 'x�t. IRRoWim 't 40 I WIN AWF=m�E Yufermati� T:e "b. -; V: &!Ct- .53 3 C- - Are you as aa'f - - _ - - n _pro- I�,Iamacaip ww_-� ::.—�_ es - .��aLscam�a�or�il - - _,6. •��tav-cru _ . . cuW&w { �e pmel. 2.0ramastiSeport•p- sbip and bavnem empleyOes 17mesab-ao MUM 8. ❑ De�oo i wa�1e®gmsiaaQycapasa�jr._ - 9aa . 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OtherComftd re;i 87/11/2811 87:45 9786833147 PAGE 01/81 41 0 CERTiFiCA'TE OF LiAB LiTY i INSURANCE 17/11/2011 Y' 7111s cariiPlCa►-M m ISOM AS A MTTBR OF MMF=WirM ONLY Am tDOMFERB NO aMM UPON TIE Cl:M16pICA7E ii LINK THIS CER7i M -M DOES NOT AjpW&U%jpA I.Y OR pEiiATNay A=Q. E]I M OR ALM 711E COVERAM AFFORM BY 10 POIXM SEL ML TEES CMUVW ITS Cr M StRm= GOES NOT' GOMTMM A CON1RACt BETEN THE MOURM 94URERM AVn*)RM ra Rim Awn OR PmmucM AND 711E 00nmA7E 1iDL17fM awaamr. Rt!R a P i 's i baa AD0f nmM BiSURED.IAP 0 } RantladaeRaa. R SUeROffA71ISf E MIAIVED. stl6jed tR go *M dna GMMWs dthe pdky, 4XMtM P MM +euro as eaaorsnu p I A on Ok ownha in does roc croft to the aertlEcsio tlRMiee in am of &MM saaRrsnft -- - K 8 ROSS 3ND ASGZ. INC A060 Osgood 9t Mt Nazth Andover, MR 01845 169 nomm'O w 8TR8gT NOaoffiB Am OVER, MR 01845 THIS Lip CEitflf -w-THE Poucros OP EMSURANCE L18 w MOW HAVE BEEN ISSUEA TO THE INSURED NAM ABOVE FOR THE PCUCY PERIOD INDICAiM NOrWtTiISTANDEMt3 ANY ItEauRWIENT. IM OR COMMON OF ANY CONTRACT OR OTHER DOCUMENT VMTH RESPECT TO WIECH TMS CERTIRCATE MAY E6 ISSUED OR NAY PERTAN. THE UVBURANCE APPORA® BY M POLCM DESCRIBED HEREIN Ei SUBJECT TO ALL THE TERMS. EImuanwe AND COIAMuS OF SUCH tPOUCIEB. UMITS SHOWN WAY HAVE BERM REDUCED BY PAD CLANS, ■ TIM OF'MUW 1NC6 :.ws _�J� -- � �S a OMM A CPPOO60869 Mn AGMMM a IMT APMJM FM AnOMOOMWARIff ARYAuro M=7013609 8 00" OEM HIMMM MOM UMRREU.A LVQ O cuAf&*%V% ono s me EMPLOYE!$ u0niff Tim C mimic= ED NIA � .V.s�c2i33i9 rrn r = TOM OF NM= AlMDOVSR I MINIM AIUXWiR, I% 0184B C71�C"�!e M. ANN, ml no - sahlaft 9 11 Ii tl00LY IK11NNf (Mw Oega�f i BOOILYRNIIRYp�aa� i i EL /01/11 7/Oi/712 ."L SHOULD ANY OF THE ABOVE OMSCRISM POLICIES BE CANCELLED BEFORE THE WMIRAIMN OATS 'THEREOF, NOICEQ WILL BE 08AMMED IN ACCORDAN E WRH THE POLICY PROVISIONS. ACOfiD26CZ OM - The AC0M name w d logo are noted ism OFACM