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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 _ 7 $b�R'+Yxn he •[5 WofthAr�.kvex,Massachusetts of s45 �sfiCHuS�� GaralcIA•Brown Tele0one(97$)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 �Fbxm It1e01yAEI5 SXe111zJ$1bII , - X r 30.AR''D OFAPPEAM 688-9547 Cbh7SF,R�rdT7nN fiRR Asan rrc c rmrr mon r., __ ___ _ p - - � y !14to IQ � ra - ,., - J,1r , 10 nkj pow 0 z _ TM allMW # r, wy - � = , le A yon- _ Yd4. June 30, 2015 North Andover MIMAP ,on HiQ 4 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 32, v qL for planning p qo 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 �SswC" 1"=64 ftE June 30, 2015 North Andover MIMAP h,;, ''' M`A`TS' ,�•� d o c 1 � 4 to 4e ° aw an Margate Street"t"D y 0 e. �i►drtin Avenue e p��ce Adams P��nUe 1jaWthorn Marerr9° Street f oy, pa rel Q jf „y 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 ISS C1413 1"=363 ft E North Andover MIMAP June 30, 2015 i` J-fid A9 TT � , 7 � rr� ..K P✓ G(p StKe d ti0 Lawrence � ) u.°'' Q 2► � a `* cid�. < M *4 Margate to ee .Street. 42 X ' I pd R4 { 9f ` rh 1vetlue`.,. Hairvthiirne:P.lac� �e pR,�en ' � Adams: MarengoaStreet 4 I I I Affi F F � 1 �s "r. Rail Llne -: Wetlands Zoning 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