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Home My WebLink AboutBuilding Permit #586-13 - 78 GREAT POND ROAD 2/28/2013 TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit NO: Date Received Date Issued: Z-g I PORTANT:Applicant must complete all items on this page LOCATION 7P Gt- PbyA Ftoa LA Print PROPERTY OWNER L,: 1 l Print 100 Year Old Structure yes. o MAP NO: '16. PARCEL-: ZONING DISTRICT: RZ Historic:District yes, Machine Shop Village yes- no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential X New Building )6 One family ❑Addition ❑Two or more family ❑ Industrial ❑Alteration No. of units: ❑ Commercial ❑ Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other ❑ Septic ❑Well ❑ Floodplaini ❑Wetlands ❑ Watershed District- ater/Sewer DESCRIPTION OF WORK TO BE PERFORMED: S1N61.�'FAM�I�' FRRv><F' ,Dw��l� F'nv N.D.i�►�.,.� otyLY Identification Please Type or Print Clearly) OWNER: Name: TL ) LLC, Phone: Address: 1 l5 r f �1� AWAr LAA O 1S CONTRACTOR Name: al _ _Phone. ZF, -Z , Address: l S G,c4:tr Foo ply Supervisor's Construction License: Exp. Date- �[ I Home Improvement License: Exp. Date: 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: $ 166 .60 C-G&vOA � Check No.: Receipt No.: /&P NOTE: Persons contracti2ans 711Certified ntractors do not have access to the guaranty Signature of Agerit/OwnerSignature of contractor gPlans Submitted Plot Plan ❑ tamped Plans ❑ Plans Submitted Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ TYPE OF SEWERAGE DISPOSAL Public Sewer Tanning/MassageBody 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 PPR VED PLANNING & DEVELOPMENT ❑ 13 COMMENTS i 7 P CONSERVATION Reviewed on D-") 3 Si nature (--" COMMENTS Pi,«c, Pee ZqZ- ISS 4 61v-Q 4a IIT 44MTW a HEALTH ) Reviewed on Signature COMMENTS W :NT� Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes r" Planning Board Decision: iZ/I SI12 Comments -- Conservation.Decision: �I1 611 -2, Comments 242- ts�� Z�Zp� �� i Water & Sewer Connection/Signa & � Drivewa Permt DPW'lbw, Engineer: Signature: `^ ocated 384 Osgood Street FIRE DEPARTMENT - Temp Dumpster o site yes V no b Located at 124 Main Street Fire_Department signature/date 2- 1 COMMENTS Dimension Number of Stories: 2 Total square feet of floor area, based on Exterior dimensions. 29 S 0 Total land area, sq. ft.: ELECTRICAL: Movement of Deter location, mast or service drop requires approval of Electrical Inspector N lA Yes No DANGER ZONE LITERATURE: Yes No MGL Chapter 166 Section 21A—F and G min.$10041000 fine NOTES and DATA— (For department use 1 U Notified for pickup - Date Doe.Building Permit Revised 2010 Building Department The fohowing 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 most be submitted with the building application 1 Doc: Doc.Building Permit Revised 2012 Location 7O / D 6" No. �� _ / Date 7 + • - TOWN OF NORTH ANDOVER • ��•}LLl3 y�4�`. e e Certificate of Occupancy $ Building/Frame Permit Fee $ 1 Foundation Permit Fee $ /Do— ,� "`` Other Permit Fee $ TOTAL $ Check# Q h 26184 Building Inspector . - - - $¢ll1OBINPFGISiBYOF offfL9 - � i GQ DEFINPIIVE SUBDIVISION PLAN NORTH ANDOVER ��p�y PLANNING BOARD i e - I.Vl�l I'III L- APPROVED UNDER ME.SUBDIV151ON vt` " 5 tm . LOCATED IN Da+ a w u�[91 LORDITIO"S- 0 O O O O. +"�+Ram �� . N. ANDOVER, MASSACHUSETTS / _ �0°°°TL►MNaJ ! (Lssrx coDHTr) --------------- @r 0 ..O PREPARRID'FOR TARA LUGH DEVELOPI1TJT -___ SCALE:t" 20• DATE:OCTOBER 1, PREPARED BY -_ laud Na.Es+•m 1s TAPERED .I SULLIVAN ENGINEERING CROUP, LLC uA E o ro 1 1/] E � uII —vff N.Y Nae, - -mTroNarl marl - .. ,•• (016)x -]an SF T 2 OF 9 Icy�.».l 5 _TEo 11 RESERVED FOR REGISTRY USE ONLY -- S WMR 5 A2. LOT LAYOUT/STlE DEVELOPMENT ) = �aaN ' �,""" 1) SFCTION 5)1-PROECT IEV£R P03 ICY M J) ,ECTw+6.61,-rAaEu-MN.rs5N e10TN 5C ro Aa -PRECAST CON(XtE7E"DRYWELL�-500 GALLON(SHALLOII9 Rf15UliB � aE Q DRYNIL ELEVATIONS - - ,to (1fi>t.YLr6',RE'p 6'Mal .. I 12/2I/IT Aa0 NOT W A9 M L� 1 JJS '-TOP 0T RiYNETl"pNJtT EIEVAT9)N 60TT41 510NE'RrRRDNAIER _ J 11/7/11 NEW fBT UT11lT .65 '.QS 'I .;.TB 11.67. . 08.50• <685• . 2 11/21/I2PEN Rbl9ATWt .65' .DJ _ ®O - - GIRBA9r 1 1(1/11/11 -Afla,KAHN£ lA .OS �-LOT 2. ],17 fi9.50' 60.50' <G.5 • � . -..BI.'. ®10ELIrtYS I/, M1E' DE5!]bP1R.N BY IiMD \ . - RNC 4W 1E TA%MAv 86 VWfII T. �/p,p.. � lips RW _E00F lF PAM9ENT _ - .,..N/F FDYI t ANM$IEYFNS .\. J1 6Rmer,.e,v8IA1FD E,.uN - :. K - ' -„ate ,c-nAro,1.l,AunaExxpaa,rlw -:.- /.�, _ /Jsea'J75mr.ccs-Ztllt/T*- " I naE 1,eE ineiei,m / Tg9.e / RECORD ORIVER.. ` > 1s M a6 vAAm awry 11131 ' r (4 r2- F,*IU W c Ict IT.oN 1 (42.942 8FS tTplarM9 � � ly o � / ^�.. N� /� •�'�� 1 ,,,mho 1 .I � a'°" � I ��• N,I..=, I' '�r�` �: R",ate I i I' I 51295 B.x - 1 (l1PL.ADA 35A77 - r s A PRIVATE OPo�Y.MOf A fiHi RWa) ,SSM`. _ \ fWp�.fNa1t4AY(XY6IRUCIIRi� 511E t9+A9a1a — pN Val (Na 1ArOPO6m fsrAeCs RMNaJ)�y £ NM . � I•, Oma' I. `�� - ��.� �� ) _ � i I pr LOT I-M7W 8Ps y�► , I (&6,799 BFs UPWAO _,aa 11� - .✓� - I( 11 :` .1 l %iy1. 11 1 _-0 mor i �-- m Pit Iffi \ p KO "p I1 Hl I 1 \ \ 1 >r l $ sod gl \ 1 Boa loll f S` It N --- ISO.fIa, Rab•sre=E'•_ •''191.97 9 L.. . 00 GRAPHIC SCALE E I q i ; _ ._ . 1 _ I LdI 19 iL + , 1 � S i 3 �.. — � � � ILII Iidi � Io . iI iI1 f_ _ i i i I I I f I I � f � _. � _ .�.�- _ I._ . f _ � ? _ I_. .. I �— 1 ► _ I f . �. _. i _ d � . ' _ I _ d ! _.I d ! I _� _ � _ ! 1 F I ! � (01 I I ' e ill 1 ! I � NORTf� Town o S E ., Andover M1. •1 _n p A- y. No. �oh ver, Mass, �1a d COC 1,A11 0 HIC"a WICK y1. - S U BOARD OF HEALTH PER - Food/Kitchen Septic System THIS CERTIFIES THAT .. M 11T � ....................... BUILDING INSPECTOR .... .... ... �7(% �� Foundation haspermission to erect .......................... buildings on .. .. .................................. ....... ....................... Rough tobe occupied as ............ .... ........... .................................. ......... .........................,(.......................... Chimney provided that the person accepting this permit shall in every regpect conform to the terms of the application Final p 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 CONSTRUCTION TARTS Rough Service Z�zl .....:. .,4........................ Final BUILDING INSPECTOR GAS INSPECTOR Occupancy Permit Required to Occupy Building Rough Display in 'a"Con'spicuo-us 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