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Home My WebLink AboutBuilding Permit #Exception - 66 COLONIAL AVENUE 5/1/2018 (2) BUILDING PERMIT Of NO oT 61� TOWN OF NORTH ANDOVER or 4 ,. ._.,.=6 0 APPLICATION FOR PLAN EXAMINATION Permit NO: Date Received ��SSACNUS Date Issued: IMPORTANT:Applicant must complete all items on this page LOCATION 1 v k1% �14 L Le tPn PROPERTY OWNER � ' �Nv✓--�1 t< _. Print MAP NO: PARCEL: (I ZONING DISTRICT: Historic District yes no 7 !Machine Shop Village yes no TYPE OF IMPROVEMENT PROPOSED USE Residentia Non- Residential New Building ne fana* Addition Two or more family Industrial Alteration No. of units: Commercial Repair, replacement Assessory Bldg Others: Demolition Other Sepfic Well Floodplain Wetlands Watershed District Water/Sewer DESCRIPTION OF WORK TO BE PREFORMED: Identification Please Type or Print Clearly) OWNER: Name: "�rt'��.•� 5-�. ` Phone: Address: C (� C O` , c-f'i o-� N\J-O-- CONTRACTOR Name: (ale- � )OC) Phone:! F) �► =� �S� Address.... / vim . Supervisor's Construction License: (9 Exp. Date: Home Improvement License: � J Exp. Date----S---, r q 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: $ /(b, Ua FEE: $ So Check No.: Receipt No.: NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fu Signature of_Agent/Owner Signature of contractor 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 Private(septic 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 � ` Signature COMMENTS ? � f` HEALTHReviewed on O Signature COMMENTS Se 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 FIRE DEPARTMENT -Temp Dumpster on Lite yes no Located at 124 Main Street Fire Department signature/date COMMENTS 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 � I 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 Applicatior� ❑ Workers Comp Affidavit ❑ Photo Copy Of H.I.C. And/Or C.S.L. License ❑ 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 2.2008 N STONE&CONCRETE RETAINING WALL :.......... . :::::.: .........:.:: .::::: :. :. LIMIT OF WORK ...... ....... R V - h E W �.. .................... ........... ................................................. AY: :.:..:.:.:`. :.: :": :: ::: .... :.:::::::::: ............. .................................................. ............. ........................................................... .............. .. :.: .. \ `` N/F A C BUILDERS '-� 66 COLONIAL AVE ASSESSORS MAP 107B, �. 152 LOT 149 FENCE \ 0.51 ACRES i �• �� \ \, �•. / EXISTING , SEPTIC SYSTEM ►n r �..• C n�� \ \ RIP RAP SLOPE g \ \ EXISTING 103.34' SEPTIC TANK \ A \ \. •\ � 122.46' .\. S86°51'23"E N85010'50"E N/F LAREAU / \• \ \ . 100'BUFF