HomeMy WebLinkAboutBuilding Permit # 7/9/2015 T T °
APPLICATION FOR PLAN EXAMINATION �
Permit NO: Date Received
IAC14U �a^6
Date Issued: / �✓
LWPORTANT:Applicant must complete all items A this Pdge
LOCATION GSC ,
PROPERTY OWNERr e ✓C "
Print
MAP NO: r PARCEL-.-//,-/ ZONING DISTRICT: Historic District yesno
Machine Shop Village yes 'no
TYPE OF IMPROVEMENT PROPOSED USE
Residential Non- Residential
0 New Building ❑ One family
❑Addition ❑ Two or more family ❑ Industrial
❑Alteration No. of units: ❑ Commercial
epair, replacement ❑Assessory Bldg ❑ Others:
❑ Demolition ❑ Other
❑ Septic 0 Well ❑ Floodplain ❑Wetlands 0 Watershed District
0 Water/Sewer
Identification Please Type or Print Clearly)
OWNER: Name: .i ' � 6 Phone: 222 ZZ 2 A,, .7C�
Address: �, 76 SCJ AAM 0 <._ ' e L14LL IU . .
CONTRACTOR Name: Phone:
Address:
<-- �l CNw,&'q,-tj e .
G
Supervisor's Construction License: Exp. Date:
Horne Improvement License: Exp. Date:
ARCHITECTIENGINEER phone:
Address: Reg. No.
FEE SCHEDULE:BOLDING PERMIT:$92.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$925.00 PER S.F.
Total
Check-l6."-."-_ Receipt No. 4" m" °w'
NOTE: Persons contractin with unregis d contractors do not have access to the guaranty fund
�ignature of Agent/Owne_ ' ignature of contractor
f
Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑
TYPE OF SEWERAGE DIxn
Public Sewer Tanning/Massage/Body Art ❑ Swimming Pools ❑
Well ❑
Tobacco Sales Food Packaging/Sales ❑
Private(septic tank,etc. ❑ Pei anent Dempster on Site ❑
THE FOLLOWING SECTIONS FOR OFFICE USE ONLY
INTERDEPARTMENTAL SIGN OFF - U FORM
PLANNING & DEVELOPMENT Reviewed On Signature_
3
COMMENTS
CONSERVATION Reviewed on Signature
COMMENTS
,. Si nature CC ,
HEALTH Reviewed on
COMMENTS �-W
I
,,a.
Zoning Board of Appeals:Variance, Petition No: Zoning Decision/receipt submitted yes
Planning Board Decision: Comments
Conservation Decision: Comments
Water& Sewer Connectionisignature & Date Driveway Permit
DPW'Town.Engineer: Signature:
Located 384 Osgood Street
FjRE DEPARTMFNr Tern p,:Dompster on site ;yes ;no /
Located at„124 Mam Street ;
t
a ,
Firs De ar�ment signature/clave
COMMENTS;
1
%A®RTH
Town of2 E ;. r' ndover
° �[
CO 1AK. h ver, Mass,
COC MICNl WICK
A0RATEO ►`4����
S tI
BOARD OF HEALTH
Food/Kitchen
i7ERMIT T LD Septic System
THIS CERTIFIES THAT ........ BUILDING INSPECTOR
Foundation
has permission to erect .......................... buildings on ..�„ ..... 0oot......L !1R.. ,�,r......
Rough
to•be occupied as ...I.t e..�IC... . ........... ....... 1.........4.Y.S..... .................. 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
e
PERMIT EXPIRES IN OTHS ELECTRICAL INSPECTOR
LESS CO STR CT10 T Rough
Service
................ ... ... ......... ..................................... Final
BUILDING INSPECTOR
GAS INSPECTOR
Occupancy Permit Reguired 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.
�4K mor �s� TOWN OF NO�'(.''(�?`.ff'y ANDOVER .
OFIFI
:600 Oskma StreofBuffdgg20,•S-nzt,2-36
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$b�R'+Yxn he •[5 WofthAr�.kvex,Massachusetts of s45
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GaralcIA•Brown Tele0one(97$)6889545
Y'nspoctorofBi1dings Fax (97-8)689-9542
TICBN,9EtY.EYkTf ON
BT")NG)?FIxT"PLICATION -
- please pr`v1 E •
Numb or SixeetAddress �lSap/�ot
• ]JONMOWNBI 70
Name. Iiozne ' one W rkl&one
TRE-SETT M6NCT ADDRESS \3 q1,q
)o � ���d 0 R— - m (4- 16 4
�t `Pmm �f�fM• - dip�`�r l
TAP-eurxent Meznption for"-iiomeoWrzers"Was eXtencled to iaplude ownex-occupied&offl-ngs to Uvo units•ox;Os5 and
to nl1mv subh homPo,mem to engage an?Jr'zVid�sal•foz hire V:ao does uotpossess a lieGnse,provided that the ovenez
acts as suporvasor). SfafoB�ti.�ding (Code Section l�5,3.5.� -
DEF. ITION OYHOMEOWER
PDrson(s)Wha c Wns apazcel o Xand On WhielIlielshexesides or intends to reside,on which there is,oris xnfenckd to
bb,a nne or twn arnily sizuetuzes- ApersoAWho aomtracfs moreffiat-one orce in a Ze earpezzoc�sha7�Rot be
cozisidered ahoMeowuer
The mderszgned" omeft-abz"assumes responsibifityfo_roompliaRces-with the StatoBuilding C06cand other
App7icabxe codes,ley law.,,toles and-xegaZations.
be�rvdersigned"bomeownex"cores that� Me Town ofNorth AndoverBuil ftDe�atf Ont
x i'17ii7771uzri iIIsj7e�tLOR procedures and rec`airezuents and that h.effie will comply wlth,said procedures and
xecluirenients,
.APPROVA710B BTTMD)NO Op'FZCIAL
Reyised
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North Andover MIMAP ,on
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Horizontal Datum:MA Stateplane Coordinate System,Dalum NADB3,
Interstates Meters Da la Sources:The data for this map Was produced by Merrimack
—I Valley Planning Commisslon(MVPC)using data provided by the Town of
—SR 40IR H,' North Andover.Additional data provided by the Execubve Office of
Roads "0 44" r6T Mq EnvironmentaUAff ses only Gtmay noS.The t be adequaformation te forllge]boundary is
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h i Easements definition or regulatory Inlerpretafion.TNETOWN OF NORTH ANDOVE
MVPC Boundary ; p MAKES NO WARRANTIES,EXPRESSED OR IMPLIED,CONCERNING
THE ACCURACY,COMPLETENESS,RELIABILITY,OR SUITABILITY
parcels x >F OF THESE DATA.THE TOWN OF NORTH AND DOES NOT
ASSUME ANY LIABILIN ASSOCIATED WITH THE USE OR MISUSE OF
THIS INFORMATION
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June 30, 2015
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Horizontal Datum:MA Slateplane Coordinate System,Datum NAD83,
Interstates Meters Data Sources:The data for this map was produced by Merrimack
t Valley Planning Commission(MVPC)using data provided by the Town of
SR f X"40RTH,a North Andover.Additional data provided by the Executive Once of
-- Roads 3}p`tt4ao raa tibO Environmental Affalrs)MassGIS.The informationdforled legal boundaryon this M-1)'s
s for planning purposes only.it may not be adequate
Easements L definition or regulatory interpretation.THE TOWN OF NORTH A�NG
(„" MVPG Boundary R
4 p MAKES NO WARRANTIES,EXPRESSED OR IMPLIED,
~ THE ACCURACY,COMPLETENESS,RELIABILITY,OR SUITABILITY
Parcels * tF OF THESE DATA.THE TOWN OF NORTH ANDOVER DOES NOT
ASSUME ANY LIABILITY ASSOCIATED WITH THE USE OR MISUSE OF
THIS INFORMATION
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1"=363 ft E
North Andover MIMAP June 30, 2015
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Busine s 1 District Horizontal Datum:MA Sleepers Coordinate System,Datum NAD63,
Interstates 'Exempt Lands Busine s 2 District
—1 M Busine s 3 District Meters Data Sources:The data for this map was produced by Merrimack
—SR M Busine s 4 District pORTH Valley Planning Commission(MVPC)using data provided by the Town of
Roads M Gene Business District Cf S4�p , 'q� North Andover.Additional data provided by the Executive Office of
N0 Planne Commercial Dev Z, 4 Environmental AffalrslMassGIS.The information depicted on this map is
C,Easements Conido Development Dist b L for planning purposes only.It may not be adequate for legal boundary
MVPC 8oundery ICY Conldo Development Dist 4 to definition or regulatory interpretation.THE TOWN OF NORTH ANDOVER
L`ffi Conido Development Dist E" 9 MAKES NO WARRANTIES,EXPRESSED OR IMPLIED,CONCERNING
Municipal Boundary Industd I 1 District M - y THE ACCURACY,COMPLETENESS,RELIABILITY,OR SUITABILITY
Zoning Overlay sl IndusIn i 2 District �.'y .y OF THESE DATA.THE TOWN OF NORTH ANDOVER DOES NOT
Adult Entertainment EJ:In Zn 13 District *co ,..� 1�' # ASSUME ANY LIABILITY ASSOCIATED WITH THE USE OR MISUSE OF
[j Dovmtown Overlay District ECO Industd it S Districf THIS INFORMATION
Historic District Reside ce 1 District
QQ Water Protection Reside ce 2 District M�ssACHUs�t
❑Parcels ice 3 District
de w4 District
Hydrographic Features .�o_363 ft de ce 5 District
- Streams °�ede ce6 District
--ge lesidential District