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HomeMy WebLinkAboutBuilding Permit #Exception - 74 STONECLEAVE ROAD 5/1/2018 BUILDING PERMIT Of tS,ED 6 6 TOWN OF NORTH ANDOVERi = - 0 APPLICATION FOR PLAN EXAMINATION NO Date Received7 �Rw7ao Permit N0: �SSgcmus�� Date Issued: IMPORTANT Applicant must complete all items on this page � .� 7­77'_ sem' S-'a. .any... MIME IR ®� � Ali t111111y ,�. � a� nacement ROVEMENT PROPOSED USE Non- Residential - - Resi tial rl ng One family ❑ Two or more family ❑ Industrial � Commercial No. of units:❑ Assesso Bld Others: placement ry g ❑ Other En DESCRIPTION O WORK TO BE PREFORMED: t Cr>p.^floes identification Please Type or Print Clearly) 6&=a__?2y_6 Phone: OWNER: Name: lit Addressv dsy? -aa v� .......` '7 s, "fes' a. "x� .� ' atr t � xR " ��` ).11111 I ....s{ g •# -ix .'� a a �5 �` ,`p§-t 5. t x by es<. .D ?. '�,,. 7�, 3 �'•p1 va -"y� "EK {: � �;�riyq y��,` - x�.,�.�• --� a- �; > ` '�C. a� m ^""t ' ;y 1 L✓� d:fii7V� s� }'�i ,k� � - i`'" " ,r" a'„-.'`r �r,.% "�-1 .`. g a „"' a '��" st ?�ap"; : � Lo 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: $ FEE: $ Check No.: Receipt No.: NOTE: Persons contracting with unregistered contractors do not have access to the guarantyfund tn � $y S�grtatre of cor�ttaGt{� - S:iglaature �e /Oxer.. .. _� s . Building Department wired forms to be filled out for the appropriate permit to be obtained. The following Is a list of the required Roofing, Siding, Interior Rehabilitation Permits ❑ Building Permit Application ❑ Workers Comp Affidavit I ❑ 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: P All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit Addition Or Decks ❑ Building Permit Application 'r ❑ 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) Applicable) ❑ Mass check Energy Compliance Report (If App ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit 1 New Construction (Single and Two Family) i ❑ Building Permit Application i ❑ 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 f 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 4 Doc: INSPECTIONAL SERVICES DEPARTMENT:BPFORM07 Revised 2.2007 I 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 ElPrivate(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 DATE REJECTED DATE APPROVED CONSERVATION F1 . ❑ COMMENTS DATE REJECTED DAT PROVED HEALTH El ❑ i COMMENTS -f-a- K �� � � . Li[>✓✓Gv�`L -�C-dC�r 18 d ✓C7bY"�S _ 1 J 9 Zoning Board of Appeals: variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments Conservation Decision: Comments Water & Sewer Connection/Signature & Date Located at 384 Osgood Street Driveway Permit flRMsE1T = Temp ©U. rtp �°uui spa# :- ms's r` a - c' S«' ...`� , - a#ed at 1 4 lama�tseet s .:�' Fire De a r>aen sig 'td' 'date t l .,., a-i'� .'!:' � ,..;;'�"`""'�k�4" ,- �?' F _ 4*�s yam'�'�rt.sr -'r �a• *res"�,4 "`3. � _..'ti"x y 's�„�s . +� . a .e�: . 'd''Sty kG � 1 T'•-3 Z<�, " �7« � :. Y5 'C'k A:.y `' 2 II '. 'h KCS.. L f _ � Dimension n si 0 n Number of Stories:_Total square feet of floor area, based on Exterior dimensions Total land area, sq. ELECTRICAL: Movement of Meter location, mast or service droprequires Electrical Inspector Yes 9 es approval of No DANGER ZONE LITERATURE: Yes No MGL Chapter 166 Section 21A—F and G min.$100-$1000 fine NOTES and DATA— (For department use i i ❑ Notified for pickup - Date Doc.Building Permit Revised 2007 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 74 Stonecleave Road Property Address Clyde Hall Owner owner's Name information is North Andover MA 01845 6/27/2009 required m a9ger every P Cityrrown State Zap Code Date of Inspection D. System Information (cont.) Sketch Of Sewage Disposal System: Provide a view of the sewage disposal system, including ties to at least two permanent reference landmarks or benchmarks.Locate all wells within 100 feet Locate where public water supply enters the building.Check one of the boxes below: ® hand-sketch in the area below ❑ drawing attached separately F' g �k 3 t�e"t I�yv�►� �D 1 � tI, 10 t t .t. t5ins-09108 Title 5 Oftal Utspection Forth:Substdace Sewage Disposal System-Page 15 of 17 E � ! _ � 1 I ► � I i j i p ! I ' I fl 1 I I- !' y.��,� -;i - - I I ���•� I I I � .ice i f ii i V