HomeMy WebLinkAboutBuilding Permit #Exception - 91 MAIN STREET 5/1/2018 OO R TH
BUILDING PERMIT o` �t�T-° #6q�o
TOWN OF NORTH ANDOVER �� .a
10
APPLICATION FOR PLAN EXAMINATION 7D
• 1
Permit No#: Date Received qss ATED
Date Issued:
IMPORTANT: Applicant must complete all items on this page
LOCATION 1 Ya M Qa0 ST iZe-e t Noe-TN 4buec, MA
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PROPERTY OWNER An8oJey, �eCle_Q.AL l A&-AA � VNion
Print 100 Year Structure yes no
MAP PARCEL:dd( ZONING DISTRICT:9_Historic District yes no
Machine Shop Village yes no
TYPE OF IMPROVEMENT PROPOSED USE
Residential Non- Residential
❑ New Building ❑ One family
El Addition El Two or more family El 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:
S.I'qn and �,Iah 't)4 DnfRQoT Di' h ,lldi`na
Identification- Please Type or Print Clearly
OWNER: Name: iPhone:
Address: (: —M6N dC-J nd 6/f (d
Contractor Name: Phone:
Email:
Address:
Supervisor's Construction License: Exp. Date:
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: $
Check No.: Receipt No.:
NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund
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Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑
TYPEOF SEWERAGE DISPOSAL
Public Sewer ❑ Tanuing/Massage/Body Art ❑ Swimming Pools ❑
Well ❑ Tobacco Sales ❑
Food Packaging/Sales ❑
Private(septic tank, etc. ❑ Permanent Dempster on Site ❑
THE FOLLOWING SECTIONS FOR OFFICE USE ONLY
INTERDEPARTMENTAL SIGN OFF o U FORM
PLANNING & DEVELOPMENT Reviewed OnZG�Q Signature_
COMMENTS I �A—
CONSERVATION Reviewed on Signature
COMMENTS
HEALTH Reviewed on Signature
COMMENTS
Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes
Planning Board Decision: Comments
Conservation Decision: Comments
Waiter& Sewer Connection/Signature& Date Drivewav Permit
DPW Town Engineer: Signature:
FIRED Located 384 Osgood Street
x EPAR�TMENT' TempDumpster;gn�site ;ye5x '' no
Locatedaf 124iMainrSt�eet� " - . _��� 1 ��
"Fiiye Departmentsignature/date
COMMENTS.
Dimension
Number of Stories: Total square feet of floor area, based on Exterior dimensions.
Total land area, sq. ft.:
i
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)
❑ Notified for pickup Call Email
Date Time Contact Name
i
Doc.Building Permit Revised 2014
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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
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 Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And
Hydraulic Calculations (If Applicable)
Copy of Contract
2012 IECC Energy code
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 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:Building Permit Revised 2014
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7- <7
SIGN PERMIT APPLICATION
1600 Osgood Street--Building 20, Suite 2035
TOWN OF NORTH ANDOVER
Map 62_� Parcel '06(P d
ompw x-313 DATE SUBNIIT'TED (/40
Site Owner ! _ , ,' ,s -Q�tF k .� �,rT UnroN Applicant1454.
Tel �7,?_ '17S-10/33
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Site Address 9 164 Mai n c}Izea Size of Proposed Sign 3�X$ � 8U-T `Ro CrK Ly
INTERNALLY ILLUNMATED SIGN PROHIBITED oZ l s avh Y e F E�`r
Eo ad4l0r Q W NazA ust- w1B �How attached: _—b)Roof
Illumination: a)Not illuminated
c)Ground S• )Externallyilluminated
d) Other
Materials: V O fin A G W_L
Proposed Colors: Background_. 'DL AC is
Lettering
Border
GA" f c n(,- GAAFA t c-
Re uired Attachments:
✓Photographs of building Note: No Permanent/temporary sign shall be erected, or enlarged untilan
,Vaterial sample application on the appropriate fora furnished by the Sign Office has ben
Color sample filed with the Sign Officer containing such information including
• ) photographs,plans and scale drawings, as he may require, and a permit
✓`Drawings of proposed sig for such erection, alteration, or enlargement has been issued by bim.
Other, specify Such pex it shall be issued only of the Sign Officer determines that the
sign complies or will comply with all applicable provisions of the By-
Law.
Will sign overhang any public road or walkway Yes
3;-17a—me 01 Age-n-c--y w o
AN INCOMPLETE APPLICATION WILL NOT BE ACCEPTED
DATE FILED:
S NA OF APPLICANT
C-,.z 4)-7
CM CFO& Union
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3' tall x sign
Phone:(: 6)8 8-4609 1
FAX: 516 868-4609
407 South Main Street, Web Site: Primelite-mfg.com
Freeport, NY 11520
SIGN LIGHTS, GOOSENECKS & ANGLE SHADES
Cat#19/8-851 Cat# 19/8-853
Cat#19/8-850 Dia.B"Ext.33"Ht.21" Dia.B"Ext.26"Ht.20%z"
Dia.8"Ext 26".Ht.16" 1/100 1/100
1/100
Cat#19/853 (Adjustable swivel)
Cat#19/850 Dia 12"Ext 26"Ht 25 %z"
Dia 12"Ext 26"Ht 21" Cat#19/851 - Below box 19"
Below box 14%"
Dia 12" Ext 33"Ht 26"
Below box 9" Cat#19/16-853(Adjustable swivel)
Cat#19/16-850 Cat#19/16-851 Dia 16"Ext 28"Ht 29"
Dia 16"Ext 28"Ht 25 A Dia 16"Ext 35"Ht 30%z" Below box 22"
Below box 19" 1/300 or PLT Below box 12" 1/300 or PLT 1/300 or PLT
Cat#20/850
Dia 9%z"Ext 25"Ht 18"
Below box I I %z" Cat#20/853(Adjustabl)
Dia 9"Ext 25"Ht 22%
Cat#20/12-850 Cat#20/851 '•^.3� =, Below box 15"
Dia 12"Ext 26%z"Ht 21" 1/200 or PLT Dia 9%z" Ext 34"Ht 24" ,
r Below box 7" Cat#20/12-853(Adjusive
Dia 12"Ext 26%2"Ht 257
Cat#20/12-851 Below box 18"
Dia 12"Ext 35%z"Ht 27"
Below box 10" 1/200 or PLT /200 or PLT
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Cat#23/14-853
„:. ..,:.:. ..i.:
Ext 29" Ht 181/2" Dia 14"
Below box 13" 11150 or PLT
Cat#23/14-857 Ext 29"Ht 14" Cat#23/14-851 Ext 25" Ht 21 1/2" Cat#23/16-853(ILL)
Dia 14"Below box 8 1/2" 1/150 or PLT Dia 14" Below box 5 1/2" 1/150 or PLT Ext 30" Ht 21" Dia 16"
Cat#23/16-857 Ext 30"Ht 16 1/2" Cat 23/16-85 1(ILL) Ext 36" Ht 23" Below box 14 1/2" 1/200 or PLT
Dia 16"Below box 10" 1/200 or PLT Dia 16" Below box 7" 1/200 or PLT Cat#23/19-853 Ext 31 1/2"
Cat#23/19-857 Ext 31 1/2"Ht 17" Cat#23/19-851 Ext 37 1/2" Ht 23 1/2" Ht 21 1/2" Dia 19"
Dia 19"Below box 10 1/2" 1/300 or PLT Dia 19" Below box 7 1/2" 1/300 or PLT Below box IS" 1/300 or PLT
'.,)
Cat#30/16-850(ILL) Ext 30" Ht 14" Cat#30/16-851(ILL) Ext 36" Cat#30/16-853(ILL) Ext 30" Ht 18 1/2"
Dia 16" Below box 8 1/2" 1/200 or PLT Ht 20 1/2" Dia 16" 1/200 or PLT Dia 16" Below box 12" 1/200 or PLT
Cat#30/20-850 Ext 32" Ht 14 1/2" Cat#30/20-851 Ext 38" Ht 21" Cat#30/20-853 Ext 32" Ht 19"
Dia 20" Below box 9" 1/300 or PLT Dia 20" Below box 3" 1/300 or PLT Dia 20" Below box 13" 1/300 or PLT
All Aluminum construction for outdoor use. Consult color chart for available colors. Section A Page IB
"Below box"Is the total measurement the fixture will hang below the center of the box.Available in PL,High Pressure Sodium&Metal Halide.Consult factory.