HomeMy WebLinkAboutBuilding Permit #333-2016 - Berry Street 9/15/2015 ��G'IJN�EU yrlyr•s
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BUILDING PERMITof N°RT b�'y
TOWN OF NORTH ANDOVER o�
APPLICATION FOR PLAN EXAMINATION =- ~
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Permit No#•'
^o�� �� Date Received
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Date Issued: ` I`� `�
IMPORTANT:Applicant must complete all items on this page
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PROPERT4Y OWNER a _' � �
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TYPE OF IMPROVEMENT PROPOSED USE
Residential Non- Residential
ew Building ❑ One family
❑Addition LT*,No or more family ❑ Industrial
❑Alteration No. of units: ❑ Commercial
❑ Repair, replacement ❑Assessory Bldg ❑ Others:
❑ Demolition ❑ Other
❑ Septic ❑.1Nell ❑Floodplain D-Wetlantls ❑ Watershed District
A- titer/Sever
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DESCRIPTION OF WORK TO BE PERFORMED:
7i 444 r'?.S
Identification- Please Type or Print Clearly
OWNER: Name: vr* JaVy*- Phone: - d
Address: M P► s d�ri -2Z�G14
Contractor Name P _C��S Phone (t 3 if 3 i 2 s e�
Address �� t L� ����� `��t/`�'g�tlyV � � 'v ��' �V L+•� �� n, s� � �� � ` � � *.,
sUP,rvisor s Construction Licensed 7 _ _
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Exp Date
< - ^z ,s" m .: ,.�-- § fin.'-'.s. .€z .&.. ,r.'t i r "'r.a.c•t'- -�+
Home Im rovement License x TF
_ _ YE7p Date
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ARCHITECT/ENGINEER d'U/J M. JCA rk �v�e- e Phone: t903-9
Address: 'P. 0. &)c 'is17 Nov LW&*c , Q1 032,57 Reg. No. A3[4 32,8.3
FEE SCHEDULE.BULDING PERMIT.•$12.00 PER$9000,00 OF THE TOTAL ESTIMATED COST BASED ON$925.00 PER S.F.
Notal Project Cost: $ FEE: $
Check No.: 16� 4 �1 Receipt No.: � "7
NOTE: Persons contracting with unregistered contractors do not have access to the guaranty and
S gnat ru a of-AgentlOwil _.Signator of contractors 4
i
Location Z6— __ �{''�'n . 5�
No.
Date
TOWN OF NORTH ANDOVER
• S TtCGED
Certificate of Occupancy $
• . Building/Frame Permit Fee $ <1
Foundation Permit Fee $
.r= Other Permit Fee $
TOTAL $
Buildi4g(nspector
�4�,
Plans Submitted Plans Waived ❑ Certified Plot Plan [?" Stamped Plans
TYPE OF SEWERAGE DISPOSAL
Public Sewer Tanning/Massage/BodyArt ❑ Swimming Pools '
Well ❑ Tobacco Sales ❑
,�/ Food Packaging/Sales [IPrivate(septic tank,etc. ❑ Permanent Dumpster on Site LJ
THE FOLLOWING SECTIONS FOR OFFICE USE ONLY
INTERDEPARTMENTAL SIGN OFF - U FORM
PLANNING & DEVELOPMENT Reviewed On Signature_
COMMENTS
r
CONSERVATION Reviewed on Signature
COMMENTS •1
HEALTH Reviewed on Signature
COMMENTS
Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes
Planning Board Decision: Comments
Conservation Decision: Comments
Water& Sewer Connection/si 7" Dfivewa Permit
DPW Town Engineer: Signature:
Located 384 Os od treet
FIRE�DEPAR°TMENT =Tem05D psterif
Lo ed-a 14 MainStreet' A �
FirerrDepartmen�t signatureate � 211
0 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)
❑ Notified for pickup Call Email
Date Time Contact Name
s
Doc.Building Permit Revised 2014
III
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
o Photo Copy Of H.I.C. And/Or C.S.L. Licenses
❑ Copy of Contract
o 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
Li Building Permit Application
o Certified Surveyed Plot Plan
❑ Workers Comp Affidavit
o Photo Copy of H.I.C. And C.S.L. Licenses
o Copy Of Contract
o Floor/Cross Section/Elevation Plan Of Proposed Work With Sprinkler Plan And
Hydraulic Calculations (If Applicable) O
o 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)
L3 Building Permit Application
o Certified Proposed Plot Plan
o Photo of H.I.C. And C.S.L. Licenses
o Workers Comp Affidavit
o Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And
Hydraulic Calculations (If Applicable)
o Copy of Contract
Li Mass check Energy Compliance Report
a 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 Clerics 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 0
Doc:Building Permit Revised 2014
I
OFFSETS ARE NOT FOR THE REPRODUCTION OF PROPERTY LINES
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BUILDING 3
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I CERTIFY THAT THE EXISTING FEATURES ARE
o HIS LOT IS IN ZONE C WITH PORTIONS IN ZONE A, SOME OF LOCATED ON THE LOT AS SHOWN. THE CONSTRUCTION RECORD PLAN
} WHICH HAVE BEEN REMOVED VIA LOMA # LOCATION OF BUILDING #3 (FOUNDATION)IS
06-01—BO63A-250098 DATED FEB. 23, 2006. IN ACCORDANCE WITH THE FRONT, SIDE, AND
(AREAS OF
REAR YARD SETBACKS REQUIRED BY THE BLDG 3 at #16 BERRY STREET
NINIMAL S RANCEORATE OMAP OR NORTH ANDOVER, MASAS SHOWN ON THE F.E.M.A S DATED ZONING BY—LAWS MA. OF THE TOWN OF NORTH ANDOVER, MASS.
JULY 3, 2012, COMMUNITY—PANEL NO. 250-0900-239F. PREPARED FOR: N.ANDOVER HOLDINGS LLC
ASH OF DATE: JAN 18, 2016 SCALE: 1" = 200'
0 ASSESSOR'S MAP 106, PARCEL 0 J. Engineering Solutions
N DEEDS BOOK&PACE: 12923/103&14277/28
GPR PLAN #16683 for Land&Structures (�
% (I�(Ip O
y THIS LAND IS SUBJECT TO ANY EASEMENTS, RIGHTS—OF—WAY, RESTRICTIONS, �4! NOS GOLDSMITH,PREST 8c RINGWALL,INC. N
COVENANTS, OR OTHER LIMITATIONS WHICH MAY BE DISCLOSED BY A 39 MAIN ST.,SUITE 301,AYER,MA 01432
TITLE EXAMINATION. CIVIL ENGINEERING .LAND SURVEYING .LAND PLANNING
a DAVID J. DeBAY, PTLS. #33887 VOICE:978.772.1590 FAX:978.772.1591 WEB:www. rancmm
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1 CERTIFY THAT THE EXISTING FEATURES ARE
o THIS LOT IS IN ZONE C WITH PORTIONS IN ZONE A, SOME OF LOCATED ON THE LOT AS SHOWN. THE CONSTRUCTION RECORD PLAN
>_ WHICH HAVE BEEN REMOVED VIA LOMA # LOCATION OF BUILDING #3 (FOUNDATION) Is BLDG 3 at # 16 BERRY STREET
06-01-6063A-250098 DATED FEB. 23, 2006. AREAS OF IN ACCORDANCE WITH THE FRONT, SIDE, AND
> ( REAR YARD SETBACKS REQUIRED BY THE
Of
MINIMAL FLOODING) AS SHOWN ON THE F.E.M.A FLOOD ZONING BY–LAWS OF THE TOWN OF NORTH ANDOVER, MASS.
V) INSURANCE RATE MAP FOR NORTH ANDOVER, MASS., DATED N.ANDOVER, MA.
0 JULY 3, 2012, COMMUNITY-PANEL NO. 250-09CO-239F. PREPARED FOR: N.ANDOVER HOLDINGS LLC
SIA OF DATE: JAN 18, 2016 SCALE: 1 " = 200'
DAVID Engineering Solutions
C) ASSESSOR'S MAP 106, PARCEL D J.
y GP g g
CV DEEDS BOOK & PAGE: 12923/103 & 14277/28 ► for Land & Structures
j PLAN # 16683 �, I(o O
�ONgi Nos° GOLDSMITH, PREST & RINGWALL, INC. N
N THIS LAND IS SUBJECT TO ANY EASEMENTS, RIGHTS–OF–WAY, RESTRICTIONS, 39 MAIN ST.,SUITE 301,AYER, MA 01432
COVENANTS, OR OTHER LIMITATIONS WHICH MAY BE DISCLOSED BY A
/ TITLE EXAMINATION. � CIVIL ENGINEERING • LAND SURVEYING • LAND PLANNING
DAVID J. DeBAY, S. # 33887 VOICE:978.772.1590 FAX:978.772.1591 WEB:www. r-1nc.com
NORTH
Town oftE� .. : :...1,. , Andover
No.
h ver, Mass
COCKICKl WICK
S U
BOARD OF HEALTH
Food/Kitchen
P E R Septic System
x� LD
THIS CERTIFIES THAT ......................................... ...............................................................................
., BUILDING INSPECTOR
has permission to erect .... buildings on ...... Ej"l Foundation
�/� /� /T" Rough
tobe occupied as .........1........(............................. �Qc..�7Q..... ........................................................ 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 CONSTRUCTIO7STS Rough
. Service
......... ........................
..................... Final
BUILDING INSPECTOR
GAS INSPECTOR
Occupancy Permit Required to Occupy Buildinje 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.
Smoke Det.
NORTH
Town L' Andover
O -.
0
No. 7Y17
o
h ver, Mass /
1
'QA
COC
wICN`y
- S
V BOARD OF HEALTH
Food/Kitchen
PERMIT& T , LD Septic System
� l
THIS CERTIFIES THAT ................ a/ �"� „ BUILDING INSPECTOR
6 ................. . .' .0 ..........................................,................,..
Foundation
has permission to erect.......................... buildings on���.. F�!:�. ............. :�C
�//� i/" ��� /� p Rough
tobe occupied as ........r....................................y�l4tt..��t�t�...ti.�' ........................................................ 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 CONSTRUCTIO7STS Rough
.. Service
........... �j .............,......
BUILDING INSPECTOR Final
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.
Smoke Det.
OFFSETS ARE NOT FOR THE REPRODUCTION OF PROPERTY LINES
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o THIS LOT IS IN ZONE C WITH PORTIONS IN ZONE A, SOME OF I CERTIFY THAT THE EXISTING FEATURES BUILDING PERMIT PLAN
>- WHICH HAVE BEEN REMOVED VIA LOMA # ARE LOCATED ON THE LOT AS SHOWN. BLDG 3 at #16 BERRY STREET
Li THE LOCATION OF THE PROPOSED
> 06-01-B063A-250098 DATED FEB. 23, 2006. (AREAS OF BUILDING(S) IS IN ACCORDANCE WITH THE
w MINIMAL FLOODING) AS SHOWN ON THE F.E.M.A FLOOD FRONT, SIDE, AND REAR YARD SETBACKS NORTH ANDOVER, MASS.
U) INSURANCE RATE MAP FOR NORTH ANDOVER, MASS., DATED REQUIRED BY THE ZONING BY—LAWS OF
0 JULY 3, 2012, COMMUNITY—PANEL NO. 250-09CO-239F. THE TOWN OF N.ANDOVER, MA. PREPARED FOR: N.ANDOVER HOLDINGS LLC
3 DATE: JULY 14, 2015 SCALE: 1 " = 200'
OF
`° Engineering Solutions
0 ASSESSOR'S MAP 106, PARCEL D David J G 1
N DEEDS BOOK & PAGE: 12923/103 & 14277/28 [s�say ;I- �t5 for Land & Structures r"r)
j PLAN # 16683 Ko.38887 4 '4 0
j ���'�fCtSTER�.. a('•� �
RL t GOLDSMITH PREST & RINGWALL INC.�..� ' N
THIS LAND IS SUBJECT TO ANY EASEMENTS, RIGHTS—OF—WAY, RESTRICTIONS, �.-. 39 MAIN ST.,SUITE 301,AYER,MA 01432 �
/ COVENANTS, OR OTHER LIMITATIONS WHICH MAY BE DISCLOSED BY A CIVIL ENGINEERING • LAND SURVEYING • LAND PLANNING
TITLE EXAMINATION. DAVID J. DeBAY, P.L.S. # 33887
a VOICE:978.772.1590 FAX:978.772.1591 WEB:www. r-inc.com