HomeMy WebLinkAbout- Application - 1/24/2002 TOWN OF NORTH ANDOVER BUILDE'4C DEPARTMENT
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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