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Home My WebLink AboutBuilding Permit #774-11 - 95 LYONS WAY 5/17/2011Location No. Date r �i 0 'a MTOWN OF NORTH ANDOVER .a ,° ANO f w 9 `; ; Certificate of Occupancy $ �� _ Building/Frame Permit Fee $ �� s�CMU Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # 24 i 59 �B `ilding inspector Permit N0: 7(-/-- , // Date Issued: TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Date Received / IMPORTANT: Applicant must complete all items on this baize I PROPERTY OWNER �� _I�a.�� ►y�d yo �' �� p , C Print MAP NO: ,4)6.PARCEL: /5 - ZONING DISTRICT: Historic District yes no Machine Shop Village yes no TYPE OF IMPROVEMENT PROPOSED USE Resid ntial Non- Residential ❑ New Building ane family ❑ A dition ❑ Two or more family ❑ Industrial Iteration No. of units: ❑ Commercial ❑ Repair, replacement ❑ Assessory Bldg ❑ Others: ❑ Demolition ❑ Other ®,S ptic 0;3�Wel — D ,® Floodplain` ❑� ' Wye ands Di Wat r hs ed Di t ct< f DSCRIPTION OF WORK TO BE PERFORMED: J J (identification Please Type or Print Clearly) OWNER: Name: bnr. C'� ` e`. I Phone: Ot` 8 989 Oci&b M CONTRACTOR Name: Address: Supervisor's Construction License: Exp. Date: Home Improvement License: Exp. Date: ARCHITECT/ENGINEER Phone: Address: Reg. No. Phone: FEE SCHEDULE. BULDING PERMIT. $92.00 PER $9000.00 OF THE TOTAL ESTIMATED COST BASED ON $125.00 PER S.F. Total Project Cost: $JT D�C� FEE: $ Check No.: �� Receipt No.: `7�/ NOTE: Persons contracting with egist�red�c tractors do not have access to the guaranty fund A 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 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 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 Doe: Doe.Building Permit Revised 2008mi Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ TYPE OF SEWERAGE DISPOS Public Sewer Tanning/Massage/Body Art ❑ Swimming Pools ❑ g .. Well ❑ Tobacco Sales *El Food Packaging/Sales 11Private (septic tank, etc. ElPermanent Dumpster on Site ❑ THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM DATE REJECTED PLANNING & DEVELOPMENT11 COMMENTS DATE APPROVED 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: Conservation Decision: Co Comments Water & Sewer Connection/Signature & Date Driveway Permit DPW Town Engineer: Signature: Located 384 Osgood Street FIRE DEPARTMENT - Temp Dumpster on site yes no Located at 124 Main Street Fire Department signature/date COMMENTS Dimension Number of Stories: Total square feet of floor area, based on Exterior dimensions. Total land area, sq. 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 - Date Doc:.Building Permit Revised 2008mi CO) m m m m CO) v m lA d C CO) Cl) n Z y r CZ = CO) aCO -V c v CD CD o CLr d cD CD O CD co w a. C� O H CD CZ O CO) CC CD F v CO)CD O CD Z o CD 0 CD C c?�c': _ O �• co O Q Cl dO -C m CO) o 0 1 C Hc2ao m Z CD �-5H z o ?dL. = y Ca O O CO) p CD = = m N : m OO �O 0 y n /V O O CD Is a goCL 0 ` �} (� -4CD CCD•�•o CD C R CD o mca rf H = d cr M lJ n _ C• ►Q�..aa \ N CD • V ! 'f••CD y �n CD a, CA CD O o n 0 CD O (nH "0 o CD NNr�+ o �•+cn_ cn y vc d �.� �' ac E, o= o ro CD C ° n- w. g T � C/) pi a ::rr n - oa r� rcp tz o x c CL G ^ n O. \ n rD O Gerald A. Brown Inspector of Buildings Please print TOWN OF NORTH ANDOVER OFFICE OF BUILDING DEPARTMENT 1600 Osgood Street Building 20, Suite 2=36 North Andover, Massachusetts 01845 HOMEOWNER LICENSE EXEMPTION BUIDING PERMIT APPLICATION DATE: / JOB LOCATION: S (iio,1s OCA Number treet Address U. OMEOWNEI:I Il:/tarj W.0 tV ,a 1I q78 Name Home Phone PRESENT MAILING ADDRESS City Topa, Stat'.. . Telephone (978) 688-9545 Fax (978)688-9542 /v(, •3 5 Map/Lot Work Phone I ,� t $Kms,. Zip Code The current exemption for "homeowners" was extended to include owner -occupied dwellings to two units or less and to allow such homeowners to engage an individual for hire who does not possess a license, provided that the owner acts as supervisor). State Building (Code Section 108.3.5.1) DEFINITION OF HOMEOWNER Person(s) who Qwns a parcel of land on which he/she resides or intends to reside, on which there is, or is intended to be, a one or two family structures. A person who constructs more that one home in a two-year period shall not be considered a homeowner. The undersigned "homeowner" assumes responsibility for compliances with the State Building Code and other Applicable codes, by-laws, rules and regulations. The undersigned "homeowner" certifies that he/she -understands the Town of North Andover Building Department minimum inspection procedures and requirement's and that he/she wi comply with said procedures and requirements. HOMEOWNERS SIGNATURE APPROVAL OF BUILDING OFFICIAL Revised 7.2009 Form Homeowners Exemption BOARD OF APPEALS 688-9541 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535 Td\Ar.)5 ' 4�N-ac� 4. -E) -o j 1 t3 a q S 318.22' 52.2' 13 S.F. /',g0� 54.5' Ac, �O L=84.43' ExrsnN� L_ OT 4� \80'37 40.12' '25" FOUNOAnON 52,772 S.F. /\) 1.21 Ac. 43.1' ., LYONS WAY 1=40.40' DRAINAGE EASEMENT T=23.93' R=30.00' L=7.42' V 6=07'05'15" L=269.301 t=26.45' 35.4' o�=25'15'16" N35'31'41"W . r, / _~50.69' 33.4' N35'31'41"W 98.76' r > oJ2'CO2 n�pJ2^' `v}AZ 4v PROP. DRAINAGE _ 42'8 EASEMENT S35'10'41 "E 107.86' SWOH kAL (f -ND.) N35_3 41^W 271.47' 254.5' C9 LOT 5 Q- 55,361 S.F. 1.27 Ac. a HAROLD PARKER STA 7 FOREST S35'33'33"E 249.06' S34'43'391 -E 9.69 z U 41 / ib IR rq WE HEREBY CERTIFY THAT WE HAVE EXAMINED 3i O i THE PREMISES AND THE STRUCTURE IS LOCATED f AS SHOWN. THE STRUCTURE SHOWN CONFORMS � I l r FROM EXISTING PLANS AND RECORDS WITH THE STRUCTURES SHOWN LOCATED FLOOD INSURANCE RATE MAP, AGE o COMMMUUNITNIT P COY PANEL N0. 250098 009C DATED 6/2/93 , THE STRUCTURE IS NOT LOCATED SHOULD NOT BE USED FOR PROPERTY IN AN ESTABLISHED 100 YR.FLOOD HAZARD ZONE. ' r 36.39 t 44' LOT 5 LYONS WAY AAA i P�ZH OF /iii,) PREPARED FOR 4 o STEPHEN M. MELESCIUC d No. 39049 NORTH ANDOVER, MASSACHUSETTS 01845 SCALE: 1 "=60' DATE: 5/31 /01 t=26.45' 35.4' o�=25'15'16" N35'31'41"W . r, / _~50.69' 33.4' N35'31'41"W 98.76' r > oJ2'CO2 n�pJ2^' `v}AZ 4v PROP. DRAINAGE _ 42'8 EASEMENT S35'10'41 "E 107.86' SWOH kAL (f -ND.) N35_3 41^W 271.47' 254.5' C9 LOT 5 Q- 55,361 S.F. 1.27 Ac. a HAROLD PARKER STA 7 FOREST S35'33'33"E 249.06' S34'43'391 -E 9.69 z U 41 / ib IR rq WE HEREBY CERTIFY THAT WE HAVE EXAMINED 3i O i THE PREMISES AND THE STRUCTURE IS LOCATED THIS PLAN IS INTENDED FOR ZONING AS SHOWN. THE STRUCTURE SHOWN CONFORMS PURPOSES ONLY. IT WAS PREPARED TO THE ZONING LAWS OF THE MUNICIPALITY WHEN CONSTRUCTED. ALSO, ACCORDING TO THE FROM EXISTING PLANS AND RECORDS WITH THE STRUCTURES SHOWN LOCATED FLOOD INSURANCE RATE MAP, BY AN INSTRUMENT SURVEY. THIS PLAN COMMMUUNITNIT P COY PANEL N0. 250098 009C DATED 6/2/93 , THE STRUCTURE IS NOT LOCATED SHOULD NOT BE USED FOR PROPERTY IN AN ESTABLISHED 100 YR.FLOOD HAZARD ZONE. LINE DETERMINATION. CERTIFIED FOUNDATION PLAN LOT 5 LYONS WAY MARCHIONDA & ASSOC.,L.P. NORTH ANDOVER, MA ENGINEERING AND PLANNING CONSULTANTS PREPARED FOR MESITI DEVELOPMENT GROUP 62 MONTVALE AVE. SUITE I STONEHAM, MA. 02180 231 SUTTON STREET, SUITE 2F (781) 438-6121 NORTH ANDOVER, MASSACHUSETTS 01845 SCALE: 1 "=60' DATE: 5/31 /01 INSTRUCTIONS FOR ADDITION The following is a list of mandatory information required to obtain a Building Permit for AN ADDITION/DECK 1. Fill out the Building Permit application completely, date and sign. 2. A copy of the plot plan showing the proposed addition. 3. Submit a copy of the contractors Home Improvement Contractors Registration J number (HIC). 4. A form U -Verification form must be signed by Conservation, and the Board of Health (if on septic system). 5. Assessors map and parcel must be on permit application and on U -Form. 6. Fill Workers' Compensation Insurance Affidavit. .J 7. Fill Debris Disposal Form. 8. Fill Homeowner License Exemption form of applicable.