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Home My WebLink AboutBuilding Permit #345-13 - 72 GREAT POND ROAD 10/25/2012 TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit NO: S Date Received Date Issued: 4d!,- IMPORTANT: Applicant must complete all items on this page n(� LOCATION " Z C7tf'e ' RQatd( - Print? PROPERTY OWNER TL-b LLC, Print- 100 Year Old Structure yes n MAP NO: 9(0 , PARCEL- ZONING DISTRICT:��Historic District yes Machine Shop Village yes TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building N One family ❑Addition ❑Two or more family ❑ Industrial ❑Alteration No. of units: ❑ Commercial PJ Repair, replacement ❑Assessory Bldg ❑ Others: Demolition ❑ Other ❑ Septic ❑Well ❑ Floodplain ❑Wetlands ❑ Watershed District XWater/Sewer + DESCRIPTION OF WORK TO BE PERFORMED: IJ exs� 'jc�y� )1!P,Lk bock; , re)p IQ&_nnl a-"), nD(CA Lei (-.±so l Identification Please Type or Print Clearly) OWNER: Name: T►.. > LLC Phone:q-P'6`4 X04-?63.5r Address: 115 Ca JR-r Fig,I& RoOA �4 c- AhJd)r*,r m A CONTRACTOR Name:"TQC 1e cAA , po- b_(_ Phone:0179--6107--U3V Address: ►1 Cn�'�e��i�� , N•�4 e r, , Supervisor's Construction License: . D SSy l Exp. Date: Home Improvement License: tiJA Exp. Date: ARCHITECT/ENGINEER (J Phone: Address: Reg. No. FEE SCHEDULE:BOLDING PERMIT.$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ 0 IT FEE: $ 3 an . Check No.: /1 Z r� Receipt No.: o�S NOTE: Persons contracting with unr istered c Tactors do not have access to the guaranty f ;Signature of Agent/Owner, Signature of contractor Plans Submitted-RI ns Waived ❑ Certified Plot Plan tamped Plans ❑ Plans Submitted)% Plans Waived ❑ Certified Plot Plan K 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 NIA ❑ ❑ COMMENTS iLxmeV njy CONSERVATION Reviewed on Sig_nature bj1A COMMENTS )^Ae bar w.,v--4 0`&W HEALTH N Reviewed on Signature COMMENTS-6 n wAR'rt'k-U_* Zoning Board of Appeals: Variance, Petition No: NIh Zoning Decision/receipt submitted yes Planning Board Decision: ►JIA. Comments 'Conservation Decision: N1A Comments Water & Sewer Connection/Signature& Date N 11A Driveway Permit tJ� DPW Town Engineer: Signature: NIA Located 384 Osgood Street FIRE DEPARTMENT - Temp Dumpster on site yes no Located at'124 Main Street Ex IS TING Fire Departrnent-signatureldate ` COMMENTS . S G CeR , 4 L& 2-ci 7- Dimension Number of Stories: Total square feet of floor area, based on Exterior dimensions. 2960 Total land area, sq. ft.: ELECTRICAL: movement of meter location, mast or service drop requires approval of Electrical Inspector N 1'A 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 El Notified for pickup - Date Doc.Building Permit Revised 2010 Building Department The fol€owing 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: Doc.Building Permit Revised 2012 Location No. � ' Date + • TOWN OF NORTH ANDOVER + 'VIX legs 1 O Certificate of Occupancy $ Building/Frame Permit Fee $ �•� Foundation Permit Fee $ •9 Other Permit Fee TOTAL $ Check#JL�d 25880 Building Inspector NORTH own of 2 �� ndover 0 �. _ No. lip h ver, Mass, coc MIC"1_'C1( 1_ �d A�RgTED P`PP��S S V BOARD OF HEALTH Food/Kitchen PERMIT T LD Septic System THIS CERTIFIES THAT / . h�...................................................... ..................... BUILDING INSPECTOR ....... h ..... ... . . .. . . Foundation has permission to erect .......................... buildings on .. .... �.�?3: ....�. ... . ......................... Rough to be occupied as .........., � ....`"........�..�...........�:. .�. . . ......./ .��.F: �-�•��sc— chimney provided that the person accepting this permit shall in every respec 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 CONSTRUCTIONTARTS Rough . Service ............ .............. ' :....................... Final BUILDING INSPECTOR GAS INSPECTOR Occupancy Permit Required to Occupy Building Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected,and Approved by the Building Inspector. Burner Street No. Smoke Det. SEE REVERSE SIDE , 5 _____._..,_, ,__ .31!!. .C•_ oo ZoR 7s T RPsSa ) u tJ toW-5, u P ! __ _ , ...... _ .... r Scler _ W l t A m A / / --------- ------ I, -------- 1 n j ` _► -- _ EST �� --__-- ,------ _ / 'Q - a .' 11 II r• � \ ' 1. I i '1 I; it � '�r` -1-�- `•___-°^_\.___ __ _ ___ �- I1 I I 7 I I IA• 1 1 1 i l k�I.II I � � �I�a�� I h 1 - I I •\\`i \\\\\lit 11 'li\\ 'I i 1 ill ill 1�1` �� \-\ ` - � 1 ' SA+ 1 f 1 \ y� B �€ R� GREAT POND ROAD : "A% 72 GREAT POND ROAD Mrc CV)TUM vs Pteiv or LOCATED Ri N. ANDOVER, MASSACHUSETTS (ESSZ1 COUNTY) PREPARED FOR TARA LEIGH DEVELOPMENT SCALE:I"=20' DATE:AUGUST 1,2012 PREPAREDR SULLIVAN ENGINEERING GROUP, LLC REWMAS E2 U W VE-M D BoX"PA 1L1 ores /saaJ ssa�an Ea DAs DEsrsvncw er sacro SMELT No. I OF I