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Home My WebLink AboutBuilding Permit #595-13 - 80 GREAT POND ROAD 3/6/2013 TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit NO:-Sr i L7 Date Received Date Issued: IMPORTANT: Applicant must complete all items on this page LOCATION dO GredL l,-"s (LOT Z� _ Print _ PROPERTY OWNER LD 1-L G Print 100 Year Old Structure yes *;np;�MAP'NO` _9 6 PARCEL: ZONING DISTRICT: HistoricUstrict yeso Machine Shop Village yes 00 TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential `ANew Building ❑ One family ❑Addition ❑Two or more family ❑ Industrial ❑Alteration No. of units: ❑ Commercial ❑ Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other ❑ Septic ❑Well ❑ Floodplain ❑Wetlands ❑ Watershed District- Water/Sewer DESCRIPTION OF WORK TO BE PERFORMED: SlN6LE lFA-Nn)LY FUyuf;LLINGS Fotot�zD�TIGN 6tJ1:X Identification Please Type or Print Clearly) OWNER: Name: T'Lr) LLC Phone:`t��-�k�-Z63S r Address: r Fi 4 M N �4 ove�,M v 18�1� CONTRACTOR Name: m QC Phone: 8-6&7-7.4 .�' Address: U 5 Cstr= c VI�t(j P4 ,1AJ)• ,4mtr AA d Supervisor's' Construction License: OSSL Exp. Date: ql � 1 Home Ex License:Improvement . Date: p N � p ARCHITECT/ENGINEER la, frTy►n Phone: Address: Reg. No. TOTAL ESTIMATED COST BASED ON 125.00 PER S.F. BOLDING PERMIT: 12.00 PER 1000.00 OF THE $ FEE SCHEDULE: $ $ Total Project Cost: $ FEE: $100 •oO C-QUYA-6"ohl 91 Check No.: /l Receipt No.: �I �4 NOTE: Persons contracting with unregistered c tractors do not have access to the guaranty n Si nature)of A ent/Owner Signature of contractor 9..� .... - -g -- - _ _ - Plans Submitted Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ Plans Submitted Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ TYPE OF SEWERAGE DISPOSAL Public Sewer �1 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 ❑ ❑ 7/13 I COMMENTSAW P . h re khrewd-t� 444e/ CONSERVATION Reviewed on Signature COMIMENTS NoN�s�R�s1��cT1oNAL - At t I�RKo�TS 111E I UDi gyw Qi,F f .5Ce -6N ck A 3 - X77 - wcDr C—)A [o0\ 61, HEALTH N Reviewed on Siqnature COMMENTS__ W-\-T&&jN6M Zoning Board of Appeals: Variance, Petition No: 414 Zoning Decision/receipt submitted yes Planning Board Decision: I Z 1 l2 Comments Conservation Decision: Comments '4 Water & Sewer Connection/Si nate - ate Driveway Per DPW Towp.Engineer: Signature: &JVI _ ocated 384 Osgood Street FIRE DEPARTMENT - Temp Dumpster on .. eyes no ` Located at 124 Main Street ,Z _z -Ze) 13 Fire Departmer tsignatureldate COMMENTS Dimension Number of Stories: Total square feet of floor area, based on Exterior dimensions. 32 6y Total land area, sq. ft.:=17Ty ZS S� (ELECTRICAL: Movement of Meter location, rust or service drop requires approval of Electrical Inspector N JA 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 IF � Doc.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. i Roofing, Siding, Interior Rehabilitation Permits o Building Permit Application ❑ Workers Comp Affidavit o 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 i a Building Permit Application o Certified Surveyed Plot Plan ❑ Workers Comp Affidavit ❑ Photo Copy of H.I.C. And C.S.L. Licenses o Copy Of Contract ❑ Floor/Crossection/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (If Applicable) a Mass check Energy Compliance Report (If Applicable) o 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) a Building Permit Application o Certified Proposed Plot Plan a Photo of H.I.C. And C.S.L. Licenses Li Workers Comp Affidavit ❑ Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (If Applicable) o 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 _('7'(�iWT - No. Dak3 R . • TOWN OF NORTH ANDt' VER o �. r 4 • Certificate of Occupancy $ Building/Frame Permit Fee Foundation Permit Fee $ 41 Other Permit FeeAtro $ TOTAL Check# 26194 Building Inspector NORTH Town ® s E ,� ove O wti No. 151 65 or JA h ver, Mass, COCNIC"t_.CK �1 �d A0RATEO .S V BOARD OF HEALTH PERMIT T LD Food/Kitchen Septic System :: ,., BUILDING INSPECTOR THIS CERTIFIES THAT ........�.. --.. ..........LL.G ................................................................ ' Foundation has permission to erect .......................... buildings on .....t_?Q...&�T..' ...........••1�. ....................• _ Rough to be occupied as ... :..�.. �.1/.v�,i!• .D Y►...... ...............`T ........................................................ Chimney provided that the person accepting this permit.shall in every respect 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 leo- UNLESS CONSTRUCTI SJMTS 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. I Smoke Det. SEE REVERSE SIDE I j Massachusetts-Department of Public Safety Board of Building Regulations and Standards Construction Supervisor License: CS-055417 THOMAS D ZAHOUJK0-..� } 115 CARTERFIELD RO € j N ANDOVER MA 018-1- 1 Expiration # 04/05/2014 Commissioner �INOIRNR✓3$IRTOP� i DEFIIVITLVE SUBDIVLSION PLAN NORTH ANDOVER - PLANNING BOARD ✓ncaf.ass 1 .JELL" - APPROVED UNDER THE 91BDM9Q! - LOCATED IN CDN a N. ANDOVER-MASSACHUSETTS_ �w r(_ [OP®11 0 (esrX COON") _ __ PRWAIDO0p TARA IMOH DEVSOPJflW ---------------- 2012 _ _ __ 20)2SCALE:-J"=20' DATE.OTBER 1. .rw'0•AAcr �AM�AaiY�O.Emr®r�' m ., --------------- . PREPARED BY - mAd TOSS.•m is rAPOSD SULLIVAN ENGINEERING GROUP, LLC MATE !P R9 UM VSRA9N)90AD .. 7 - MXMR x—m" S - iiflt N9. - - RESERVED FOR REGISTRY USE ONLY (n.)sse-fRn 57ZFET.2 OF tts7 Lls WA t4R5 REONT>ED soo w-sw sr s - I - LOT LAYOUT/$ITE DEVELAOPMENT E yn I mtRT T MS PUN x�))s�crwN sr.zPRaFT a - «a Ac— PRECAST m Ar¢n 3) sEcnw b.at.7AB1E+A- Row amTR 50'm 17 �PRECAST CONCRETE DRYWELL�-�500 GALLON(SHALLOVO - ac mnaR 21 SLNEDULE OF DRYBELL ELEVATIONS -- - i®`... OE®WIS LAE£(>6"YA1 -. ♦ 11/TI/12 A9D IV2 ON f1lt'AiE pt11f9AY-.D9 �5 RIP OF ORY ."dt£Rf.n svAiNk! 89Ti0Y SRME-OROIADIfAIER 3 112171f2l ARw Lar urour .os .os ".}Lore n5v n-br s9sa <bas' z n/zs/�z rER corwA-rANr .os' .os 090 GICTRA4:1 i 10/TY/t2 AOD ORARVAf£ '.D5 .p5 �:IDT z. R1Y 6959' 66.50' <61.5 ..AI.' BIIA6WAl9 alE' OESO'bi1R1 BY O6(D . � .. " V OOwH1E - TAX YAP T PAROFL z ® mrF a�PAmwr t A-N m. A6,ux9 Rwc Ab.exxdnur� ! «��i •� \ 7. 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