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HomeMy WebLinkAbout- Application - 1/24/2002 TOWN OF NORTH ANDOVER BUILDE'4C DEPARTMENT 'V AypLT(,..vFic)N,ri)cONSTRUCr RNFAIR,RENOVMB,['MANGF,THEUSE OR 0(Y.'UPANCv OF, OR DEMOUSH ANY 111111A1lM; OTHER THAN A ONE OR TWO FAMILY DWELLING -T—,lex 0A I I r-&r- as 0mier/Authomcd j,,Smalan for Official UasC On Agent RUILIANG PERMIT NIMMER! ATE ISSUED: -4 Ifereby declane that the statements and information on the foregoing application are I rue and acxmraw,to the[X--qL of my knowlalgc and W-icf Signed under 114 wins and Nnaltio ofMdury 1&2�.Z�-,Q/-11 Build" Q),nnusstoi /I ord8tdidinp Date ............ .......... Mat Mum, F, y : 1.2....A,-M.P and P�l Nuntbx SOS- ....... -a IS N&p Nim5ba Fa lNumhv .......... ............ ... ...........-3 g -amliated Cost(Dolfays)to 1� k lopnpletmt by P(--Inlil a1411 ical il 5- ----- - -------- -I. Building (a) Building NnMAF� W-i.Pid�id T Vmcd LJ-. ....... 1�A-W) .............. 9.w ........... m 01 006,oz Multiplier 1.6 nua DING SETBACKS(fl) ................. ...................... .. ... .. .................. ....... Side Yard Rear Yard 2 El,.&i-I (b) Efirn.ted Potal C.t of Front Yard .......... coo, CW,�ti,,rm.,�6 Rzqu::red �,-Ide Required Provided Provided .. ......... jp�TT--g-"l J 6f-.6. S ..: ............ .......... 1.7 1-1,M-11L.CAO-'A 54) 4 (1 IVAC) oU 7 kbti� Ll hw,m ri fh:sidn A.I JZMC U ................ -5 21 owmcr.F R-rd 6 Total(1+2+3+4+5) Check Number l ? . ,C�TR-r- .......... S AM- m NO.OF STORIES relophom ................. WOLM OR SLAB M .............. ...... 8i,()I-HJXW F-IMBITS 2'n ................. ...... ............. z SPAN Name Piint Address for MAENSIONSOFSILLS z DENILNSIONS OF POSTS Tcl.pf- m ........................ -DIMENSIONS OF GIRDIM �201� 01-FOUNDA11ON TkIlclaiMs 3.1 LicensedNut tt)jAi�bk 0 ......... . ....... .... I;ol;1,661 JNd x Addrevs I Lio;a Numh-r M I%LRLAL 61 CIILKMEY ?,rxit ,3.1...........�J, AJC,)�- ........ - N 13 UILLANG ON SOLID OR FILLED LAND Licensed.- C-I-qi-S-P-i- sga Sdj -( - .-,3" Fpi.fion late — is lwiuxl�co --f --rO-N--A:-FURAL(;ASLINE ........... .............. r TeEephnnc ............... ..................... 3.2 Regismcd Home A- AS'a Ns. ril,r Cf f ................. 6knpmy Name Regitrt-Slumberm r- Slumber'71 1 A 6.,� r, M- ............................ 13 i tion Dle .................... z 5-3 5- ................... Telephone ................... .............. b�C7'l;�?N`4-ACORK$R&�tA��lvikA�;(3r(i1�G,E���Is��':?Si�IS arkcrs Cmm �satroa In.wrurr ffui.+j mast be w pld-tamd sutaai[ted wil .. W f10 �" h this s appEicalinn.Pxilnra!n pmridc this x$'idavii vn33 salt i13 the dCfffBE of the _ issuance of the h»ddin8 Permit,... .5111 Si•rru3 allidxe9t ABachcd Yea......,fl Nv.......1] ... .. ..... - ---._ ......... SEG'IF(3N:S,pR41?RS5i4d�AtiD$SpGIY tNi7G IV4T8iICf1Eb :SEi(VLGHS l {.�.'BiliLDlil A�r�Q{pU p (���/ nvComtrmtion ❑ xis! g ud g U Pe .1 is 1 11 t ❑ .. ..i -:.: ...... ... ..............�...... .....�.. !.::..._._.:....� :J!..Y^+w..-�'lvi���.�a�•i?�!F!ci:-�d'.-�:. ." _. 83O t l[11[ni C[1N�a'RiTf:€I¢N CY T!?OIL,3"1.1 1F+FT �S,�IC R.I1G(.C�tl�l,A1LIII'1 RiF I' ,4Nd►353 ❑ @3!i 9)'AG N, F m.H Rc'trC p ... E _. .... ..... dm s] Al �ns(sJ A � „T f1P►6F._. r �9{iSELt. �} Au ssory Bldg lkznuliliun f fRher lJ Spc[iiy.._- ----_._... .... 5.i Rcgrsicscd Amhitewi- . - f3iici�ih.scription ofPmpnced Wntk: (�I Name- Address ... ...... .._ tJ'•T'.k�c�fbo�3 .. l� �.art•n.�!- W�ri �C:g.:�cAc�.._. c c......... / .... q (� Signature Telephone ... .... 7 �7�'Vl-'1 ? I`Ci�J ]�"�� -,c. IZJ` .. .-.. ..... ..- -- ....._ -....... ... ..... ..._ ... .. ... ... - 58 GROUP[Ctoka ppSichleJ........ _ CONSTRUCTION TY, PE.... Au oRespnsihdtlY A hmbiy ❑ A I L AY2 ❑ AtG I r AA ❑ A-5 H IB N uuc. ll i3usincss ❑ ........ 2A ........ _. .... .. ......... .--...... ...........- -_. ! -..... .. C EklueAmlal ❑ 213 R —.... ......-_ .... ILCyistralion Nurgher l�Factory _......... Address: �" mY ........... ..❑ F-3 Li ---... F-2....... ❑ 2C fl HH%h Hazard I-� --- gA u --........ . _..... .. llnstitutional C� I-E ❑ ....... I2.._.. f [3 _...... ❑' 3R '--.. .... _. .... 3ixpuntiun Date ---... ..........--- ................ ....... .... ... ...... .. ...... _l.l..... �iignat3rcc -1-u 3v4 Merrairtile...- lJ =I ❑ .. . ........ rest—b. lJ R-1 C: 12-2 ❑ R-3 fl SA Not apEiiicdt:ic ❑ tiSiorngr. ----..... ❑ 5-1 ❑ 5-2 ❑ .... .... 513 Fl Uutilil fl Specify: ........... ...... ........ ....._...... Name' ..... ...._ m Mixed Use-........._._ i s Specify. p-ldl Use. ❑ SpecifyReg : .-- -' -- i• a ioir rvn CUl4tYI.t?1'F.THIS SECTION Ile L+7CES'I'lNG IIUIIdIIiVG DNt7RIt001NG RENOVATIONS,Ablll',TIUNS AND OR CkYANG$IN USE Existing Use Gmug: ................. ......._ I'ropuscd Usc Group: ignatnre Telephunc Expiration]hdc Existing Ha and Index 7x[1(,MR 34:......._. ...... ...._ t3tupasea3 llft n d Lw1cx M CMR 34[ BUILDING ARRA EXIS-JING ifa Iicable dnu: Areanfl3eslxnuibility .... ......_--- ........... ... ..._....... [ f+P ] f'IZUPUSF.D Number of]'loots or Stories Include .. Aaeanent levels Addrus ... ..... ..... ...._ ....-- Floor Ama r Flnnr s RegisiratienNumtxr ....._ per l ).......,,,,...._ 'rrlC�f ._Tow Height[a] �-... ..... ._.. ...- _.._..... r ah3re .. .... tm Te€epttunc }:x ssaiion Date .r.. Itidependeit Structural l llgineCring Structural Pecr ReviewRoquired Yes ❑ No .... ..... - Name Anx of Responsibility SECTION I0a Owner Authorization- TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING mmml f A[tliress 1 egistratinn Number as Owner of the subject property Signani[e �fcicphone ��� Expi[alion Datc Here authorize S.Wlft�:•:�,..:..�.,..,...„-. ............... ....... to act on My behalf,in all matters mialivo two work authorimd by this building permit application Cpcupaay Name; NutApplicahle ❑ espmesf.lc sn Clarge of C.nnSirucLion Signatn7e of Owner Date TOWN OF NORTH ANDOVER BUILDINIG DEPARTMENT APPLICATION TO CONSTRUCT REPAIR,RENOVATE,CHANGE THE USE OR OCCXIPA.NCV OF, OR DEMOLISHAINY BUILDING m OTHER THAN Non OR 1"0 FANULY DWELLUNG L C_r v t (Xvncr/Autliorized 1 7, i�se�tiori for ofriciat tjim!onit, 7­77, Agcrit BUILDMIG PERNIFF NUMBLI1 ISSUFD, Hereky declare that tire statements and information on the foregoing application are true and accurate,to the L-ast of my E , knoifledge and belief- Z: Signed under the pains and penalties ofpeijury SIGNAXURF, Building CiarnmissionerlInspector offluildiij Date Pinu M.Ric IDN_ grp�_- I PY-P-rty AM7- Asap-d S/oj C,3 Q, S_ Of tI r/ t Date 1U _A_CH4N t, 13 7-mgfns�numml L4 P�,_yl)i­j­ F,Aimawd Cc, 1; 1 ALUSF-On- v 0 r' to b,.PP .G.Omplt"A b, li—E P. BuilclixBuilding Pe F iit (-�O,000•0z Mtutiplie, (h) r,"I cos't 0., Front Yard Side Yard Rear Yard k-1900-0z) Cowsimcfim from f6) 1 t2 aired Provide Roqutred Provided PR�ii"----!I 3 Flurabing 000 0() Building Permit fee (b,, 5- 4_medvanical(I WAC) 1.7 W­S.PPjyNCGr_c,.,44,�) L3, Piv. U 0.Sik D4-1 5 Nixe Proteclion 7= 21 6 T.t.1(1+2+34-4-5) Ch-k IT..,b­ 1 0—­R-,d 00 j� 0 Z P, m NO OF STORMS T�I.phom I3,ASFMFNT OR SIAB S 272 A,uh,?,i­d Agent L7 TII�IBERZ j.,r ;s, 3"_E OF FLOOR S > SPAN J11 z 0 MIALN'SIOMS OF SILLS z DOMENSIONS OF FKYSWS Signature Tclephoin, m T)WNSIONS OF GIRDERS I 90 U�wd ConvracticuSupe.11- 1-IFIGHT OF POIJINDPATION NotAppli-bl. 0, THICK-NM SIZE OF FOOTING x Addm, x- MATERLAL OF CEMNEY Lk -Nunb,, -, :5 IS,BUILDING ON,SOLID OR FILLED LAND U..-d is-cm it l)_hN­GC'_01_NNE_C'1ED TO)N ATURAL GAS LINE I I.Phoac 12,Registered Home tml)taat a Cow-w NoCAW,,,ble L 0 I Rcgistuitin N..b" m Add- 3 r_<pkitina Dw z signatasa ra.ph-. sRcrlC}:V A-WOPACERS .ColtWENSATION(MG,L.C 15$, C(6} E workcr t �pc-ticIfion lu€arar:. .'dac t must€�a;rsne'.d ssnd,ubmi1kd xi€h this splut ti— Faidvic Ra pro ide this ai2id.,it iH reaxf1 m snc d.ni.l al the [ t�iis thi.:xvilding r,ra CTTON ii➢ I `I3N.0EPR0I'SSsgW0=(c1ux&all applicable)': ;fined it da d Atks h,-d Yes_. 7 W. = - _ -heir{ar,�rrtKSfeii -I tg l3aildu:g = RcPavR s} t t AItrations€s} Adcithou =_ - SECI'ION c-PROP IONA.L.DRSIM AbIi C01%MTRUCIION SERVICES FOR RU INGS AND STRUC111RES SUWECT TO ._ • _ CONSTRUCII'[ON CONTIR LP[JMANTT€_3790 CM 116(CONTALTil`IPTG MORE T$MD35% C.ROFENCLOSkoSPA ) - Aceca-,-e>yBldg- ..;I7�^di€awi._.._. " �Other sticxiit,._ 5ARogi,a�rSd A,,hitCt: F I3iief L}etxriptiraii orFru}ozW Work: Nam.c: _ OF 77W ra r c�e�?; _. ._ LcXlbca ^S Addre55 - - �P�ikY€Uri 3S;IC�.,�}i,a.olli= SEC ION7-USRGIMM-ANDCE?NSIItIt IR `TYJ'E 5.2 Registered USE CROI-IT(Cluxk as appt;cat•Iel i _.. CONSI'RUCrION TYPE _ AA�swui€ily' _I A-I €I A-2_ r; A 3 ;_ IA .... Area of lies xxisibili€y A4 ? A-5 0t13 - k I3 Buzijwss 1-; _ 11 2AE Clsducatiuual aLl - __. _...._. Registratitan N=L— f-Fmier±• l:_i G' F-2 � t L -- — C r'uldrea:: dA ._ 1 - IIniiti ionaE €`-[ _i 12 I3 L __-3 Zxpiaa€icu➢aIc ... - ' i _ "v€cit _ M+aer•trtite d Si�leiir- i — - _ i R le iciest al •i IL-i - R-2 R 3 _ 5A `= ! S Story€e S- 0 4 2_- _. 4& ; N.t aphcable 0 ( - -- 11 Iitilttt- Spedit: - — - I;taiuc: __ __. bi 49ixecl tgse I Specify: t € f SSpes:ts3 Ilse Specify: RegxSiraliilu Number COMPLETE THIS SECTION IF EXISFING RUILDING UNDERGOING RENOVATIONS,ADDITIONS AND OR CHANGE W USE Address Existing, Uw Gn:vp: Propnsed Ili Grmip;_ Stgitsture Telepk ae D2girdE:cn bate Existing HaFsird Ind—780 CMF 34: Pngxaced I Ise ad link,7$0 CMR:.is -- BUrILDING AREA � ZXIS'1'�GiiCa�rlic.^ilsEe i.' Y' - Area m Itespiiasibility _ _ ..—... .. _ .._ I>r 7 _ 1'Itf)'rCrSfvD € 'cumber of Floor,-} Stones indudo 1305muei t li<veis [ Address. - - - — Registration Nt mb T s Floor Area per Floor.rs r '- 1 Total Area(si) _ .. `Iwal llci left) Signauu. Telephone Lapinolun Date Independent Structural Enguieeri T,Structutal Per Review Refluired Yes G No (+. Name Area uLResponsibility SECTION Mil Owner Authorization- TO HE COMPLETED WHEN OWNERS AGENT OR CON'IRACTORAPPLIES FOR BUILDING PERMIT j Adsf€css Rcipstration Number I I, s Owner of the subject property I Si�taturc —._ Tclegzha..c - F.g-gua€inn>axEc Hereby authorize to act on ' My behalf,in all matters relative two -ork authorized by this building permit application 3 Not Applicable t i Company Name: Responsible in Charge of Co nuctifln -. ; Signature of Owner Date