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HomeMy WebLinkAboutBuilding Permit #Exception - 76 BOSTON HILL ROAD 5/1/2018 TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit NO: Date Received 6 Date Issued: IMPORTANT: Applicant must complete all items on this page LOCATaed ON s - Ia1 Pnt _ PROPERTY OWNER Print - MAP ND:L6 P,4ROEL, a 3 ZDla ING DJSTR1CT #iis#oric.Distr ct des Machine Shop Village yes n TYPE OF IMPROVEMENT PROPOSED USE ©ciacl.eE Residential Non- Residential ew Building ,1«1SC One family Addition Two or more family Industrial Alteration No. of units: Commercial Repair, replacement Assessory Bldg Others: Demolition Other Septic= e11 = l=loodplain, Wetlands Ir+Vatershedstrcf rater/Sewer DESCRIPTION OF WORK TO-BE PERFORM D: e,Q k4l e N J Identification Please Type or Print Clearly) _ OWNER: Name::Q� „ / ° /'J,/715' Phone: 9�?ee 7:7,,576 Address: 1301 CONTRACTOR Nar>ae� .Phone Address: Supervisor's Construction Uc6nse: Exp. Date:. Home:lmlprovement�License 'F_xp, :Date: � ARCHITECT/ENGINEER , � s ��•` ;° Phone: ?I?- �2Y -o5lo Address: /tt Sty ; Si �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: $ , pro FEE: $ %fad . 00 Check No.: 11918 Receipt No.: NOTE: Persons contracting 'h u s r contractors do not have accesst e an fund Si nature of A ent/Owner g g Signature of contractor BOSTON HILL RD. 153.6' - } 74' PROPOSED 24 X 36 GARAGE 33' r EXIST ( 72' ( i DWELL. f� 46 L - y 110' 190.D' PROPOSED GARAGE LOCA TION PLAN S��y�NOFiygSS9 PREPARED FOR = MICHAEL C/ 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) I ❑ 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: Doc.Building Permit Revised 2008 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 3 %U SignatureIV COMMENTS .Q. %1�;,, U 42 HEALTH Reviewed on Signature COMMENTS 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 site Vires no Located at 124Main Street Fire Departme:ntsignature/date COMMENTS Alan K. Venus & Company, Inc. Property & Casualty Adjusters Established 1982 (603) 883-1882 (617) 426-3036 Fax (603) 595-7728 Fax (617) 426-3039 New Hampshire Massachusetts FORM OF NOTICE OF CASUALTY LOSS TO BUILDING UNDER MASS. GEN. LAWS, CH. 139 ,, SEC. 3B TO: BUILDING COMMISSIONER or t'BOARD OF HEALTH or INSPECTOR OF BUILDINGS BOARD OF SELECTMEN Town Hall Town Hall No. Andover, Ma 01845 No. Andover, Ma RE: INSURED: Eugene & Catherine Willis PROPERTY ADDRESS: 76 Boston Hill Road No. Andover, Ma 01845 POLICY NO: HP0153447 LOSS OF: 12-30-92 FILE OR CLAIM NO. 93ABI13208 Claim has been made involving loss, damage or destruction of the above captioned property, which may either exceed $1,000 or cause MASS. GEN. LAWS, CHAPTER 143 , SECTION 6 to be applicable. If any notice under MASS. GEN. LAWS, CHAPTER 139 , SECTION 3B is appropriate please direct it to the attention of the writer and include a reference to the captioned insured, location, policy number, date of loss and claim or file number. President Title On this date, I caused copies of this notice to be sent to the persons named above at the addresses indicated above by first class mail. Signature and Date Suite 610 P.O. Box 458 31 Milk Street Windham, New Hampshire 03087 Boston, Massachusetts 02109 FORM U - IAT RELEASE FORM INSTRUCTIONS: This form is used to verify that all necessary approvals/permits from Boards and Departments having jurisdiction have been obtained. This does not relieve the applicant and/or landowner from compliance with any applicable local or state law, regulations or requirements. ****************Applicant fills out this section***************** APPLICANT: Phones 7576 LOCATION: Assessor' s Map Number Parcel Subdivision Lot(s) Street �� �oS�c.� ��� �� / St. Number ************************Official Use Only************************ RECOM!ENDATI OF TOWN AGENTS: ✓f�'�C. Date Approved ; i/2' Coservat ' on Administrator Date Rejected Comments Date Approved Town Planner Date Rejected Comments Date Approved Food ector-Health Date Rejected Date Approved optic Inspector-Health Date Rejected .Comments Public Works - sewer/water connections - driveway permit Fire Department Received by Building Inspector Date rleq•16-4CrE . ._. ... - 1 f i Pr°Pose. _ 7 11?0x 96 i � ,.• ,x wG(1 ! � I I I f XISTING v OWELUNG o°Q' c� I � I f t I ! - r S i � f ' I 1 f" i r181.55-a0w CO(1FY TIIE SEPTIC SYSFE.PJ VAS IN yTAI I EDA`. 1;r,>•` rINTFNDFPAS AW144WITY OF l-)if T:?F fr�O 2`;3,26 I Il��!-)�F nUl"l-ET 2a1"``)A ,PLAN 9-10WING SUPSURF/�:,�- ; -'�`.'F I 5 T Ir4l+T SYc7TE�� !�`-I-BUR.�- S Q+,'TLEI ()-F44X InIfT 2195:91 OWNER-V I l._LIS 0-E3(1,x OUTLET PI�EF�(,.It I z.r5•.�..�, LOCATION ,,-OLDBOVOv kl.L t 1 2,W•Ia DATE I- H S �1 �42 71 C-) 4 ?'i I PkEPAREU Bt _. ?: 7 ��M ♦j � j >wweo� �si►a�.��i t Subsurface Design Check List Page 2 - ' FAIL OK ' Leaching Pits - Leaching pits are preferred where the installation is possible Reg 11.2 a) calculations of leaching area-mfnimim 500 aq ft 1.1.4 b) spacing 11.10 c) surface drainage 2% 11.11 Id) cover material e) VxVx4m splash pad f) tee at elbow g) no bends in pipe from d-box to pipe Leaching-Fields Reg 15.1 a) no greater than 20 minutes/inch b) area-rd nimsm 900 sq ft 15.4 Z c) construction of field 15.8 '/ d) sarface drainage 2 % 3.7 e) 201 from cellar mll or inground swimsng pool Leachina Tr.orches leg 1.4.1 a) calculations of leaching area-min 500 aq ft 14.3 b) spacing-4 ft min 6 ft with reserve between 14.4 - c) dimensions 14.6 1d) construction 14.7 0) stone 24.10 f) surface drainage 2% ja) slope y� /x�--�(rto be showm) b) y/x x 150 = (to be shown)­_- - - Puma - te a) anpraval- _ 9.6 - 41 stand-by power TOWN OF NORTH ANDOVER. MASSACHUSE rTS OFFICE OR as CONSERVATION COMMISSION .10fi TN ? 044 �L TELEPHONE 683-7105 SSACMUSE' Pursuant to the authority of the Wetlands Protection Act, Massachusetts General Laws Chapter 131, Section 40, as amended, and the Town of North Andover's Wetland Protection By Law, the North Andover Conservation Commission will hold a Public Hearing on December 19, 1984 at '8:00 P.M. at :he Town Building Meeting Room, 120 Main Street, North -Andover, N ,. on the Notice of Intent of Coolidge Construction Co. , Inc _t alter land 'at Cobble Lane for purposes of constructing a new roadway and two house lots Plans are available at the Conservation Commission Office, Town Building, 120 Main Street North Andover, MA, on Tuesday from 12 :00 noon to 2 :00 p.m. and ,by appointment. By: A', Galvagna Chairman run once in the Lawrence Eagle Tribune . C1 Dec. 15, 1984 Copies sent to: Planning Board Board of Health / Public. Works Highway Dept Applicant Engineer DEQE