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HomeMy WebLinkAboutBuilding Permit #Exception - 795 JOHNSON STREET 5/1/2018 NORTH BUILDING PERMIT OFSt�aD bgti TOWN OF NORTH ANDOVER 3 - APPLICATION FOR PLAN EXAMINATION `' ~ .Permit NO: Date Received ��ssAc►+us Date Issued: IMPORTANT: Applicant must complete all items on this page LOCATION PRC3FER7 OWNER - , �IAP":NO: - A'RCEI_: ZONIN �aT.R`ICTa � orlc:Distf yyes. np,: , . Nla hive-Shap pillage`.= Vires: 'no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential New Building One family Addition Two or more family Industrial Alteration No. of units: Commercial Repair, replacement Assessory Bldg Others: Demolition Other Stic11111- ='£ londpiaEn_ llaa3 ershed-Oastrdt �Wt(ter/.Sew' DESCRIPTION OF WORK TO BE PREFORMED: f Identificatio Plea a Type or Print Clearly) OWNER: C_ um�� Phone: �' d Address: V-i6 a�iVlSU� � � CONTRACTOR Name:, Plane .Address.. : Sa�pera/isor's C©rtructlor�`License " ateH 'HoTne•lm rovement`License:° tJa e 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. 1 �cc i { Total Project Cost: $ �7 FEE: $ I Check No.: Receipt No.: NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund i �gnature of Aget/OweNi of cont..ractor. Plans Submitted Plans Waived Certified Plot Plan Stamped Plans TYPE OF SEWERAGE DISPOSAL Public Sewer Tanning/Massage/Body Art Swimming Pools 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 r PLANNING & DEVELOPMENT COMMENTS I CONSERVATION Reviewed on 0 g Signature COMMENTS k) d AS VD O� G HEALTH Reviewed on ® Si nature / z" COMMENTS Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments Conservation Decision: Comments i Water & Sewer Connection/signature & Date Driveway Permit DPW Town Engineer: Signature: Located 384 Osgood Street FFIRE fDEPARME1T "Temp D�rnter on' ite: fres no` Located at:, 24.11�ain S#ret sire Deperx�etat signatute 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 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 4 I o 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 Li Workers Comp Affidavit o 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) Y) ❑ Building Permit Application L3 Certified Proposed Plot Plan ❑ Photo of H.I.C. And C.S.L. Licenses ❑ Workers Comp Affidavit o 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/F APPLETON 127,83' 7c VENT INSPECTION ASSESSO PORTS (TYP.) TP4 PT3 �o T �h RFti Y ' 49' l� Cy � S62 Fticy S TP5 1 LIMIT OF SAND `�S• N/F UTLEY BENCHMARK: SPIKE IN 30" DIA. TREE. 1 0 29' 12" ABOVE EXISTING GRADE. ELEV. 100.00 (ASSUMED DATUM) 1 N/F KENNEDY 2" SCH, 40 PVC DISTRIBUTION BOX FORCE MAIN 40 IMPERVIOUS BARRIER TP3 PT2 / i000 GALLON PUMP CHAMBER 9' ® O 9' 1500 _GALLON :t PTIC TANK Z' BULKHEAD p IJiA i ? , Exl 3 ! c G STING FOUR UR ` ROOM DWELLING SILL ,P ) E lEl! 9D 70 GARAGE EXISTING PRESSEURE WATER SERVICE EXISTING GAS W 00 SERVICE W ►—' o d' O Ui 00 C :;EXISTING TP1 PT1 TP2 G 150.00' ....... w ` ,t :.:.. . JOHNSON � CXISi b'�G 4�v�t I QCHOe 1$10 GP'Lty�J `. E?r(G T PNK - Lo . GT - "" 4th, pAlU •-...~ STw}t,2S -t'r� Vic" f3�7`t�R tr ,�C=#� I I