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HomeMy WebLinkAboutBuilding Permit #Exception - 575 WINTER STREET 5/1/2018 OORTF/ j BUILDING PERMIT a� q TOWN OF NORTH ANDOVER 0? L APPLICATION FOR PLAN EXAMINATION A Permit NO: Date Receiv�cY 1 40� °��•SACHUS ��SAr o t Date Issued: IMPORTANT:Applicant must complete all items on this page CAT]ON C1Vt vl-�-� P Pant i PROPERTY O11'1INER_ cs,n n rJ I 'Print MAP NO PARCEL ZONING:DISTRICT: Historic District yes no Machine Shop Village ,.,yes-,, no _ TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential New Buildingne#amity] o � Two or more family Industrial er on No. of units: Commercial Repair, replacement Assessory Bldg Others: Demolition Other Septic_: 111r 11 Flcodplairi Wetlands -Watershed District 17,ater/Sewer DESCRIPTION OF WORK TO BE PREFORMED: ul Cyei �e � �t cmc w Identification Please Type or Print Clearly) OWNER: Name:__ I v,,.1�1 , c�r1 Phone: Address: _ , vi CONT.RAGTOR -iNarne �dS k vq uP-t\ Phone.. "- Aftess. . e wl Uri 1Qye �`) YC fir , ►�V� 14 O f �C !. Supervisors CQnstrubtion l=icense: Exp- Date. Home ImprAvement License:: l �l R ('� Exp. Date. C.P ARCHITECT/ENGINEER S I ✓ey' W►4�,c rl Phone: p C Address: 4 7? Miolo 5S1 '51a Reg./'V l� Reg. No. 9 ' FEE SCHEDULE:BOLDING PERMIT.$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ qy O O FEE: $ Check No.: Receipt No.: NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund i nature of A erit/Own rere � �M -�" _ w m~ r Plans Submitted Plans Waived Certified Plot Plan Stamped Plans TYPE OF SEWERAGE DISPOSAL Public Sewer Tanning/Massage/Body Art Swimming Pools Well Tobacco Sales Food Packaging/Sales E Private(septic tank,etc. Permanent Dumpster on Site I THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM DATE REJECTED DATE APPROVED PLANNING & DEVELOPMENT a . COMMENTS CONSERVATION Reviewed on Signature COMMENTS ir �7 J HEALTH Reviewed on COMMENTS �`-- Zoning Board of Appeals:Variance, Petition No: Zoning Decision/receipt submitted yes—cm+u 'lw&j Planning Board Decision: Comments Conservation Decision: Comments Water & Sewer Connection/Signature &Date Driveway Permit DPW Town Engineer: Signature: Located 384 Osgood Street .FiR`E DEPAR 'ME'N'T l"emp D ampster on.site yes no �ncated of�2�'11t1a[nStreet - re�Depart�nent signatureldate 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 i NOTES and DATA— (For department use ` [07 ❑ Notified for pickup - Date Doc.Building Permit Revised 2008 — r J 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 j Addition Or Decks ❑ Building PP 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 i 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:Building Permit Application Revised 2.2008 139.93 rt � � \\ v��/ ' •�`.� 740` x X141.84 \\ ,SSSS \�• `. •�\� ,S `q'Q/ 1 i — 140.67 138.88 \ •\ Y\ �� 'SJ SEPTIC ', SYSTEM 42.07 /� � JAG � , \\ \�! \• B� � - /� \ �SGpJ•�D�" 1 �\ 138.58 X 14\1.19 x1.93 < / ,J� . 29� , 7.O \ \ �142� _ . 142.90 \ + co A '•i!– Or S.F. _ st °meg \ / \• \ -•ave- 1420kco- � 8 \ JO 06 1/A. DRYWFLL 1 •.rsS; •♦ \ ° ,y / `�8,� \��' \ X38 'OOF LEADERpt'�• — — �'i \ '? rop/ \ j •• .' O� ����� �"�'/ • +� / 138.45 �3) \`+�`���• F 138.72 �c'f' \ �p0' / 138.33 137.32 O �\ , —138— - >)j�38� \ \• \• 736 s30 ZONMG QP SETBACK 13 . 5 AREA _ OEOF -���3s ♦0 Sys, CK ��'� ZONE £NHANCEM 7' '��, S19 •0 PLAN17 GS --13 - (SEC OP770N. 8 ,�pp - 1v ` _ c°�' f AND 2) x 136.81 RS OE 7.57 � . . jT R ' ,� 4 '�5>5 37.09 x 6.7 ry WALKWAY 1BR • .;��;o - - - - - - - VFA4 E - AREA OF W WAND - _ 13 14 - - PLAN77NGS _ WFA2 6.23 WFA3 AL