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Home My WebLink AboutBuilding Permit #1246-16 - 90 GRAY STREET 5/31/2016 1 T►yIOR BUILDING PERMIT O�ct%OR TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION SQA<e[wK[wKw V1' Permit No#: b -'� Date Received ��ssAcwus��5 Date Issued: IMPORTANT:Applicant must complete all items on this page LOCATION2o RLtm � PROPERTY OWNER �q-,� L ,Mv e ii Print 100 Year Structure yes no MAP ®_PARCEL: (zl ZONING DISTRICT: Historic District yes no Machine Shop Village yes 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 ssessory Bldg 5 ❑ Others: ❑ Demolition ❑ Other Septic ❑'Well ❑,Floodplain 0 Wetlands Watershed! District n Water/Sewer DESCRIPTION OF WORK TO BE PERFORMED: T" Identification- Please Type or Print Clearly OWNER: Name: Phone: Address: Contractor,Name: Phone: �g -s097Z Email: b r Address: Supervisor's Construction License: Exp. Date: + Home Improvement License: Exp. Date: ARCHITECT/ENGI NEER _S P 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: $ off FEE: $ Check No.: ceipt No.: NOTE: Persons contracting with unre re tra or of have access to the guaranty fund N an_� f _q yntlL Woe[_ Location No. / �� i' ` Date • - TOWN OF NORTH ANDOVER 15, Certificate of Occupancy $ Building/Frame Permit Fee $ i Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check# /P L. _► Building Inspector Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ TYPE OF SEWERAGE DISPOSAL Public Sewer ❑ Tannimg/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 m U FORM PLANNING & DEVELOPMENT Reviewed On Signature_ COMMENTS CONSERVATION Reviewed on '16�5fl Si nature c COMMENTS tAL� ' V EALTH Reviewed on Signature COMMENTS I Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments i Conservation Decision: Comments Water& Sewer Connection/signature& Date Driveway Permit DPW Town Engineer: Signature: Located 384 Osgood Street FIRE DEPARATMENIT ;Terrip10umpster on4site�r,yes�,�r1 nrs. �: mo o Loi""dated at`12 Main�Sfr.eet F 1 re `'.R-. •-;`�- ,.r r " ,+T o e -f .;� .z 4 1�;�•r� Y jy � - � �- F� � I parttmen�Yslgnatureldafe 1 Y'S'.R L 4} .Y 16 - I 1 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 i NOTES and DATA,— (For department use) "/S � 0 � I i ® Notified for pickup Call Email Fa Date Time Contact Name Doc.Building Permit Revised 2014 I� i II 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 aBuilding Permit Application Workers Comp Affidavit Photo Copy Of H.I.C. And/Or C.S.L. Licenses Copy of Contract 4. Floor Plan Or Proposed Interior Work 4. Engineering Affidavits for Engineered products OTE: 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/Cross Section/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 . OTE: 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 Se is of BuildingPlans One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (If Applicable) Copy of Contract 2012 IECC Energy code 4 Engineering Affidavits for Engineered products OTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg. Permit In all cases if a variance or s permit was required the Town Clerks office must stamp the decision from the Board of Appeals special 9 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 Doe:Building Permit Revised 2014 I µORTH Town : - ndover O „�... No. - �` i h ver' 'Mass . 1/6 [OG NIG NE WICK y1. 'jsi9s RATED fJ BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System �i THIS CERTIFIES THAT ...... .....�� U.`/.�...1�...��.�.. VS � BUILDING INSPECTOR .... ............................................................................. ....... buildings on ......f ✓�.:;, ,.�.. Foundation has permission to erect ................... g ......... ................................... Rough tobe occupied as .................. .... ...�-,........... . ... .. .................................................... 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 VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTION JSTARTS Rough Service ........... ..... .. . .. .... .................. Final BUILDING INSPECTOR GAS INSPECTOR Occupancy Permit Required to Occupy Buildinz Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final No Lathing or Dry Wall To B-e Done - - - FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. Smoke Det. North Andover MIMAP December 14, 2015 It t iF7 - a� w� t. , +e , "+• �$, �4 it pt i"�,x '� y +p.. :�... e .r � +� � �'f �¢y,��• F ,* ��1 S.h;• 'MM'S } t r L01 ; ter MVPC Bo �L Interstates 1V �/�/O f 11 —I (v�J �I�,llJ)[� �, Horizontal Datum:MA State lane Coordinate System,Datum NAD83, —SR Meters Data Sources:The data for this map was produced by Merrimack s KORTM Valley Planning Commission(MVPC)using data provided by the Town of - Roads p•+t.Ju�` North Andover.Additional data provided by the Executive Office of {t Easements 3?�s +��A Environmental Affairs/MassGIS.The information depicted on this map is Q Parcels _ for planning purposes only.It may not be adequate for legal boundary F i definition regulatory Interpretation.THE TOWN NORTH ANDOVER MAKES NOOWARRANTIES,EXPRESSED OR IMPLIED,CONCERNING i >F THE ACCURACY,COMPLETENESS,RELIABILITY,OR SUITABILITY OF THESE DATA.THE TOWN OF NORTH ANDOVER DOES NOT Y, ASSUME ANY LIABILITY ASSOCIATED WITH THE USE OR MISUSE OF s THIS INFORMATION a 1"=45ft I age 10 of 1 l . IAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS OFFICIAL TION FORM SUBSURFACE SEWAGE I)LS pOSR SYSTEM INSPECTION EC SYSTEM*INFORMATION(continued) Property Address: Owner: d U 2,-03 Date of Inspection: " SKETCH OF SEWAGE DISPOSAL SYSTEM reference lan Provide a sketch of the sewage disposal system sto atorate upplast two y erste stthe buildi g �azks or benchmarks.Locate all wells within 100 feet.Locate where Public i v v ^y A 03 �3 � p / 11t Fi S II I 10 i / OST0N 000 /SZ.0,0 ' i LOT 4- 5-/ 5/ 43-3 ,5. F r 00 2 i f � / m r F-I K1(5,L a 2A n E 10 BE , �YlsT /1k'EA �SxloO la' 5 t—o p s�fl W I TN NII tit r m(1,M (TANK. L T OF EXG 79 4.95 G RAY ST BEVXc A AM- sPtv-c- Iu TttEE kb"mNPLE 4 1i PLAY SUS w 4-a tom+ I � v i F-41 rAI�� osc a2Ao�� g In') n. CoVeI2,