HomeMy WebLinkAboutBuilding Permit # 8/19/2015 BUILDING PERMIT
TOWN OF NORTH ANDOVER
APPLICATION FOR PLAN EXAMINATION
Permit Nofl: d Date Received
9y'SgcwusE�
Date Issued:
i IMPORTANT:Applicant must complete all items on this page
NX
PROP RTY OWNER - t fir
" t PriOt - 4OD Year Str t r y s no
MAP. II :PARCEL �ZONINGbI$TRICT HISS ncDis}rich '_.yes.�'.no
`�Machuie Shoff Village ,'yes no
TYPE OF IMPROVEMENTPROPOSED USE
Residential Non-Residential
wilding ❑One family
❑Addition ZLT4 o or more family _Industrial
Alteration No.of units: ❑Commercial
❑Repair,replacement ❑Assessory Bldg ❑ Others:
C....Demolition 11 Other
Lr Septic ❑Well n Floodplain ❑Wetlands ❑Watershed District
[Mater/Sewer'
DESCRIPTION OF WORK TO BE PERFORMED:
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Idenrifecation-Please Type or Print Clearly
OWNER: Name:AJ(2r1in44 r. ie Phone:7gi-YGY-YLCa
Address (Yrs+� iz.zzG ,�iv d✓� d c�.;1
Contractor Name:,AJ J f fors Phone 4e 0 3-43 6 2 5710,
Address 2 �LaG' t `iv UNhk '€z3 t
Supervisor'sGoristructron(_icense €�I} p Ezp Date �rt>xffy „
fLHorne Improvemenf License; ': "r' Exp Date"
i
ARCHITECT/ENGINEER'? yi 1�1. r„�,'-�4e h;.-�rk Phone:l3G'3-]ff3- I-1-S
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Address:Q.C.Lc 'i�1 7,U?�a LiAclon/ha,-[6132-57 Reg.No. A)H 'i-2_S3
FEE SCHEDULE:BULDING PERMIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F.
Total Project Cost:$ FEE:$
Check No.: Receipt No.: l
NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund
Signature ofAgenfiOwner Sir Signature of contracto����
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Plans Submitted Plans Waived❑ Certified Plot Plan P/ Stamped Plans
TYPE OF SEWERAGE DIS PO�SA/L
Public Sewer J TanningMlessageBody Art ❑ Swimming Pools
Well ❑I Tobacco Sales El Food Packaging/Sales ❑
Private(septic tank,etc. ❑ Permanent Dompster on Site LI/
THE FOLLOWING SECTIONS FOR OFFICE USE ONLY
INTERDEPARTMENTAL SIGN OFF-U FORM
PLANNING&DEVELOPMENT Reviewed On Signature_
COMMENTS
CONSERVATION Reviewed on p /� Signature�/ G%!�-�J
COMMENTS ,,I,( DEP Vl/
HEALTH Reviewed on Signature
COMMENTS
Zoning Board of Appeals:Variance,Petition No: Zoning Decision/receipt submitted yes
P!anning Board Decision: Comments
Conservation Decision: Comments _
Water&Sewer Connection/Signature&Date Driveway Permit
DPW Town Engineer:Signature:
Located 384 Os cod Street
FIRE 6EP.AR?MENT ;Temp Dumpsteron site s yes no
LOCated at]24'tdam Street
Fite Deparfrrtentsignatt3re/date
COMMENTS';
Town of z �_'H Andover
No. 3 26I(p
ver,Mass,
S U
PERMIT T 0 ILD
BOARD OF HEALTH
Food/Kitchen
/ �® !! Septic System
THIS CERTIFIES THAT...T`�.. ... P./'!1...IA!�.5...^...` BUILDING INSPECTOR
//// Sf oundation
has permission toerect..........................buildings on.✓Kl.. .f../.:�{;,(/. .............././
ttobeoccupiedas ................P...9....'4Kl� .U.�Y...Q. /��......................... ....PP........ .. --y
rovlded that the person accepting this permit shall in eve respect c form to the terms of thea application al
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
PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR
UNLESS CONSTRUCTIO ARTSRough
/ I 5ervica
...................... ;. .M..,..n....................
II`clnal
BUILDING INSPECTOR
GASINSPECTOR
Occupancy Permit Required to Occupy Building Rough
Display in a Conspicuous Place on the Premises—Do Not Remove ,1
No Lathing or Dry Wall To Be Done FIRE DEPARTMENT
Until Inspected and Approved by the Building Inspector. Burner
Street No.
Smoke Det.
OFFSETS ARE NOT FOR THE REPRODUCTION OF PROPERTY LINES
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H US
N72'20'50"W
i 3�9Fi. m ''...-•56.09•....., � 11500., N64'S6'24• `..... /��''�•;+,'. ":.
N_' 1250 8' 6t z3-5
•� —� �' yu'9`.� A,46BERRY(11R.vIY107H�STREET R—76500'N724100"W
LOT
AREA .136,5511 S.F.
_26.093 ACRES
DETAIL
\I SCALE: 1"=80'
m
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o THIS LOT IS IN ZONE C WITH PORTIONS IN ZONE A, SOME OF CERTIFY THAT THE EXISTING FEATURES BUILDING PERMIT PLAN
>- WHICH HAVE BEEN REMOVED VIA LOMA # ARE LOCATED ON THE LOT AS SHOWN. BLDG 1 at #16 BERRY STREET
� 06-01-B063A-25D098 DATED FEB. 23, 2006. (AREAS OF THE LOCATION OF THE PROPOSED
MINIMAL FLOODING AS SHOWN ON THE F.E.M.A FLOOD BUILDINGS)IS IN ACCORDANCE WITH THE NORTH ANDOVER, MASS.
FRONT,SIDE,AND REAR YARD SETBACKS
N INSURANCE RATE MAP FOR NORTH ANDOVER, MASS., DATED REQUIRED BY THE ZONING BY-LAWS OF
JULY 3, 2012, COMMUNITY-PANEL No. 250-o9C0-239F. THE TOWN of N.ANDOVER,MA. PREPARED FOR: N.ANDOVER HOLDINGS LLC
3 mA,o m
DATE: JULY 14, 2015 SCALE: 1" = 200'
o ASSESSOR'S MAP 106,PARCEL D ,y`7� Dowd J. �u Engineering Solutions CD
N DEEDS BOOK&PAGE: 12923/103&14277/28 W o Ds Bay for Land&Structures
% PLAN#16683 P96.33887 a p I�
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TEPE
N °Hate �9 ' GOLDSMITH,PREST&RINGWALL,INC. N
THIS LAND IS SUBJECT TO ANY EASEMENTS,RIGHTS—OF—WAY,RESTRICTIONS,
COVENANTS,OR OTHER LIMITATIONS WHICH MAY BE DISCLOSED BY A -. 39 MAIN ST.,SUITE 301,AYER,MA 01432
TITLE EXAMINATION. DAVID J.D.BAY,P.L.S.N 33887 CIVIL ENGINEERING.LAND SURVEYING.LAND PLANNING
VOICE:978.772.1590 FAX:978.772.1591 WEB:www.g r-inc,com