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HomeMy WebLinkAboutBuilding Permit # 5/4/2015 t%ORTH BUILDING IT O �.,4VD 16 sq�Q TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATIONATEP ® � _ Permit No#: Date Received Date Issued: 'IMPORTANT: Applicant must complete all items on this page LOCATION .k.: . ,� ..w ,. Print PROPERTY OWNER ! sprint 100 Year Structure yes no MAP PARCEL. ) I ZONING DISTRICT._ Historic District yes no Machine Sha es (,po Ma p Villa e g Y �I 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 n,, �nsw,t 'm e, mf ,,U.� .:.,, �. ,. ,,piJuu 1 "� � Hd, �'a'!l' � _,�rir +W r,��,aa..."��Yui ✓wm�YRr, : ,,�,a ,,a 7erai'rwN�wr r;rano Irr � J r N.;r;i qNr use � r - ,� Jul r r I DESCRIPTION OF WORK TO BE PERFORMED: C ( y.a=.0 OWNER: Name: w � Identification Pleas Please e or Print Clearly Phone: � I/C F " I '� '3 YP Y Address. i ,m �tlIiwC �msA , . c .t ContractorName: -S,44' i' Phone: Email: � -t 0 Address: 412. ¢. ? 'a wl !' �k„� �... C ""'-a I o i S tl w"., Supervisor's Construction License: Exp. Date: Home Improvement License: Exp. Date: ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE:BOLDING PERMIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$925.00 PER S.F. Total Project Cost: $ FEE: $_ (� Check No.: Receipt No.: " ~ NOTE: Persons contracting with unregistc contractors do not have access to the guaranty fund r C ° I �Iw;, /0%"j"Sign," „. i7 � rr /r ©//r.m,,.m...,r.v..., .i,,t>-, -, /v,7,,,/r,//�r/../.,.p/�. �97//rfr///�,. m..,✓r10,0%/%%lP/%/r/,.�o�//�i//,/l//.,„r/m.„romr//-J rrJ,9l%„r.r,,o r/l/// r /oy;/•,/In r,„./i,l;./r%���"ir; I /rr/%J%//�U•., /' 'r fn/r�/ �% �� ���/ i%��1 /%/ i 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 e U FORM PLANNING & DEVELOPMENT Reviewed On �'�' �� Signature_ COMMENTS /0 s[ (� ��Pw> LoC&TAO n Hr gd� CONSERVATION Reviewed on "S S- Si nature` COMMENTS �,j HEALTH Reviewed on Signature COMMENTS Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments Conservation Decision: Comments Wafter& Sewer Connection/Signature & Date Driveway Permit DPW Town Engineer: Signature: Located 384 Osgood Street FIRE DEPARtTMENT Temp Dumpster onsite: yes no �I Located at X124 Main Street � Fio'e Department signauoe/date COMMENTS i ORT town .Z ` '",ofAliduver ® ;-+ 0 ® ® _ •� R h Ver, ass, O� L K F I A COCNIC MF WICK V S U BOARD OF HEALTH Food/Kitchen rERMIT T LD Septic System THIS CERTIFIES THAT ...................... . ............... .. ...I.&L-O�. /1�..................................... BUILDING INSPECTOR . Foundation has permission to erect .......................... buildings on ....... .4....... .......6"IrEmEw..................... Rough toa occupied as ..... .......... ..... .......... . .. ..................................................................... Chimney provided that t ' person accepting this permit shall in every respect conform to the terms of the application Final on file in this o ice, 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 Rough VIOLATION of the Zoning or Building Regulations Voids this Permit. Final i PERMIT EXPIRES IN 6 MON HS ELECTRICAL INSPECTOR UNLESS CONSTRUCT ARTS Rough Service t ........... ............................................................ Final BUILDING INSPECTOR GAS INSPECTOR Occupancy Permit Required to Occupy Bu Rough I Displayin a Conspicuous Place on the Premises — Do Not Remove Final No Lathingor Dry Wall To Be Done FIRE DEPARTMENT Until inspected and Approvedthe Building Inspector. Burner Street No. Smoke Det, I 7 1 i 7 North Andover MIMAP May 4, 2015 tr _f { f P�" Weer Pr °�Ye�tion t+are 4-1p ,,. i I ty e S , r Rail Line ,p Wetlands Zoning Interslales '1 Exempt Lands Busine s 1 DisMct —I F B.me.s 2 District Horizontal Datum:MA Stateplane Coordinate System,Datum NAD83, —SR Nle Busine s 3 District Meters Data Sources:The data for this map was produced by Merrimack IN Bus!—s 4 District �ORT i� Valley Planning Commission(MVPC)using data provided by the Town of Roads Na Genera Business Disldct North Andover.Additional data provided by the Executive Office of IUl,4 Planne Commercial Dev 6+ �+6 O Environmental AHairs/MassG15.The information depicted on this map is 1'¢Easements Corcldo Development Dist 4 O MVPC Boundary Corcido p L for planning purposes only. may not H adequate for legal boundary I'1 Development Dist O . � '" T definition or regulatory Interpretation.THE TOWN OF NORTH ANDOVER Ll Municipal Boundary M Corrido Development Dist F A MAKES NO WARRANTIES,EXPRESSED OR IMPLIED,CONCERNING Zoning Orlay Indusld 1 District * THE ACCURACY,COMPLETENESS,RELIABILITY,OR SUITABILITY ve ®Adult Entertainment £'- IndusIn 12 District i n ,y OF THESE DATA.THE TOWN OF NORTH ANDOVER DOES NOT 44 indusld d3 District y,°o ♦ ASSUME ANY LIABILITY ASSOCIATED WITH THE USE OR MISUSE OF ❑Downtown Overlay DisMct M Indusia 1 S District 13 Historic District o��i�o n+ .q""� THIS INFORMATION Reside ce 1 District 0 Water Protection 1SgH '( Reside ce 2 DisldcUS t AC � El Parcels Ride ce 3 District ? Hydrographic Features de ce 4 Disinct �x— .x . de ce5 District --Streams 1 -351 ft Edece 6 District mage esidenlial District '.. North Andover MIMAP May 4, 2015 a ,• U�,Ca�'��em► I Icy la F rh '►e o ID 'd �I P, N Interstates I —SR Hodzonlal Datum:MA Stateplane Coordinate System,Datum NAD83, --Roads Meters Data Sources:The data for this map was produced by Merrimack %40RTM Valley Planning Commission(MVPC)using data provided by the Town of g`r Easements O� to r 'q� North Andover.Additional data provided by the Executive Office of 0 MVPC Boundary a �`�tt SSG 00 Environmental AffalrslMassGIS.The information depicted on this map Is for planning purposes only.It may not be adequate for legal boundary Parcels h •'" , definition or regulatory Interpretation.THE TOWN OF NORTH ANDOVER MAKES NO WARRANTIES,EXPRESSED OR IMPLIED,CONCERNING JA l► THE ACCURACY,COMPLETENESS,RELIABILITY,OR SUITABILITY OF THESE DATA.THE TOWN OF NORTH ANDOVER DOES NOT M ao4p �r ASSUME ANY LIABILITY ASSOCIATED WITH THE USE OR MISUSE OF THIS INFORMATION RSSACHUS�i 1"=351ft ° 1 � 3 1 L 1 f rte/ 18 LOT 1 24 A A F A go646 DRAIN . ROOF R f F 1 �R WELL ��v�jc rr�A a-.R 18" jA / Po-1 LN' -'- BUILDJ p p 5 6 -ful f Co ,70 + 1 � 1 I 1 !