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Home My WebLink AboutMiscellaneous - 67 HUCKLEBERRY LANE 4/30/2018 (2)I BUILDING PERMIT Olt"°DT bgti TOWN OF NORTH ANDOVER 02`4y,; op APPLIGATJOWFOR PLAN EXAMINATION Permit NO: Date Received / Y 7 p�R^TID 9SSACHU`+�� Date Issued: IMPORTANT:Applicant must complete all items on this page LOCATION 6 ? �c l��e,b er'/'y Z—al7 e.. Print PROPERTY OWNER Br da A2Aey le /Print MAP NO: PARCEL:-,I/,? ZONING DISTRICT: 12:2 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 Assessory Bldg Others: Demolition Other Septic Well Floodplain Wetlands Watershed District Water/Sewer DESCRIPTION OF WORK TO BE PREFORMED: Identification Please Type or Print Clearly) OWNER: Name: riQ 1 �x ev Phone: Address: 67 �V41eJoe----i' 44 CONTRACTOR Name: f--,2s n 5 e-d Phone: Address: , Supervisor's Construction License: Exp. Date: Home Improvement License: Exp. Date: ARCHITECT/ENGINEER ' Phone: Address: Reg. No. FEE SCHEDULE.BULDING PERMIT.MOO PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ �1 Q Q FEE: $ r Check No.: (67/ Receipt No.: NOTE: Persons contracting with unregistered contra ors do notWh zve access to a guaranty fund !% 4444 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 _ J ❑ Building Permit Ano i,,Ln�i`TfUr C.S.L. Licenses -, , .,ontract 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 ❑ 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 ❑ 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 Doc: Doc.Building Permit Revised 2008 COMMENTS 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 t /-112- �962 ❑ Notified for pickup - Date .._................_................................_.......-- ------..__................................................................._.........._.._.........__....__.._..._........................_.._.........................................._....---...._.............._..........__...._................................._._.........................._............._ _......_.......... Doc:.Building Permit Revised 2008 J Signature of Agent/Owner Signature of contractor Plans Submitted Plans Waived Certified Plot Plan Stamped Plans TYPE OF SEWERAGE DISPOSAL Public Sewer 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 COMMENTS CONSERVATION Reviewed on 111,5b Si nature COMMENTS — / 64, L� HAiH Reviewe on Signature elf f r COMMENTS 6 Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments Conservation Decision: Comments Water & Sewer Connection/Signature & Date Drivewav 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 Location U C l( /f L No. #�� , Date _TS NORTH TOWN OF NORTH ANDOVER Of• �•° ,•�q.0 3? • OL Certificate of Occupancy $ 9 Buildin /Frame Permit Fee $ s,K,wsa Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # 7 r s 22 � :. �' Building 8 Spector XAORTH 0 Of t 4Andover No. �i 4C____Ao dover, Mass., -71 Q LAKE -wyCOCHICHEWICK °R I y ,9SgrEo PPE �y BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System BUILDING INSPECTOR THIS CERTIFIES THAT .......... Cyd ................................................/................................................................................................. Foundation has permission to erect........................................ buildings on..b..7....,!< .... �.,�..f.....:... ....... c.'.Yl�... Rough to be occupied as �? ! .F'c .........1 ... .' ........................................ Chimney �� r h' ney . . . .. . . ........... ... ........................ ......... provided that the person accepting this permit shall in every respect conform to the terms of the application on file in Final 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 S TS Rough Service UILDINGINSPE TOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR 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. SEE REVERSE SIDE Smoke Det. North Andover MIMAP 67 Huckleberry Lane July 9, 2009 6.5. 0223 ` 065.0-0208 065.0-0222 065.0-0209 065.0-0221 �r 065.0-0210 065.0-0220 o. 06.5.0-0219 065.0-0211 t� 065.0-0218 c j 065.0-0212 0 065.0-021' 065.0-0216 065.0-0213 g3 ea `�berryL 065.0-0224 0°cam ane 065.0-0215 ss, 065.0-0214 106A-0049 Reil Line Wetlands InteInterst C Exempt neA Horizontal Datum:MA Stateplane Coordinate System,Datum NAD83, —Major Roateads O WSP_ZoneA Meters Data Sources:The data for this map was produced by Merrimack —Major Roads Roads WSP_ZoneB f NORTq q Nolley Planning rth Andover.Additionail data provided by on(MVPC)using the Exe Executive ate provided bOlAce of y the Town of r;Easements WSP_ZoneC ?O�<�� 00 Environmental Affalrs/ManGIS.The Information depicted on this map is Streams 3 L for planning purposes only.It may not be adequate for legal boundary O definition or regulatory Interpretation.THE TOWN OF NORTH ANDOVER Q MVPC Boundary ~ - 9 MAKES NO WARRANTIES,EXPRESSED OR IMPLIED,CONCERNING O Municipal Boundary • • THE ACCURACY,COMPLETENESS,RELIABILITY,OR SUITABILITY ♦ s ^ i OF THESE DATA.THE TOWN OF NORTH ANDOVER DOES NOT O Watershed tF o M ASSUME ANY LIABILITY ASSOCIATED WITH THE USE OR MISUSE OF C!Watershed Sub-basin .{ o �``�aj THIS INFORMATION ❑Parcels ,SSACNUs�t Hydrogrephic Features Floodplain D 100 1"=91 ft •�� i S00 4 �d V �4 of z� oo�b ti 6 �o ell %O�I f p 09 Nit a {rS0 N121.Sko /V /�o69/{/ v a n 9 M yS�, b �L •— ' o a I L . / tptc.>>.d `�•�:�'9 ;01 , 05 M