Loading...
HomeMy WebLinkAboutFOUNDATION ONLY FOR 36 AND 38 HEPATICA DRIVE %AORYlf BUILDING PERMIT ��u�,�t�Eo TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit No#: "'� Date Received °a�rEo��'a`�g`P ssacwu -Date Issued: _...a - tlIMPf3RT e�la'�1T: A�plicaiit must c,ovraplete all items on this page r i / ;.i „/r r// rr,., ✓, /err r r, e c r//„ �,//�� /���%i�/�%/ ....,Ui „/ >i rr,. ^rer r..rr r / {. r / ✓ >i/>r ,,r r ,r, r / / / rr r � / .✓ r � // ✓,rr,,i / /// „ /.i .,roe. , ,i, r ,ter...- /// rr,,:r/, //,,//,rrr,,,,/,,, �. ,/% ,v,✓��.,,/„%„/,,.,, o ✓,. %i „re// r/ :r� /i�r�rr.:r�, .�� ,,../ ,/rr / /iii///, r,r//�:: //�!r�i❑/ir/�/, ��r/// / r „ D STRICT/rr,, ��/,;/f 1Ms or c��stnct //,, i//// �s //// r ,r I�ach�ne Shop VNIIag �e, TYPE OF IMPROVEMENT PROPOSED USE Resid ntial_ _ Non- Residential F ew Building One family ❑Addition ❑ Two or more family ❑ Industrial ❑Alteration No. of units: ❑ Commercial ❑ Repair, replacement ❑Assessory Bldg ❑ Others: [I Demolition ❑ Other / r 1e tNc% WI1 ❑I Flocadp9ann C�Wetlands V►Jatershed DAstrct { /"a/ / /ii% /%i ri P i% DESCRIPTION OF "WORK TO BE PERFORMED: __ (r..d'7 �[.� f f�°"'� 1F”' 6 e�CJH �a^�' ��f 6e✓4�4C__._J"'' _�f A Y`�,� _ Identification- Please Type or Print Clearly OWNER: Name: Phone: 01'2 -� '� C Address: l�-a d - Q ' ®ll� c� i - / / ; Contractor Efi 11 'i%/ir iii it r r Address r rr /a /a //�%r// ' ;,,, ,,,r, ,,,,,,r ,r,,,,., ,,.ri /; r r %// ;/%/i�///a '/ r ✓ rr /////, /r rr//� /i/Or., . / Farrle'lrpro�rrl?ent / A R C H I T E C TQgNGINES6U,OeOC, Ari Phone: Address: -V , VI Reg. No. FEE SCHEDULE:BULDING PERMIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $_ / ccr FEE: $ Check No.: Receipt No.: T NOTING: Person`• contracting with unregistered contractors do not have access to the guaranty fund ;Signature of Agent/Owher Signature of contractor Plans Submitted L!1 Plans Waive-d❑ Certified Piot Plan ❑ Stamped Plans ❑ TYPE OF SEWERAGE DISPCS�,LL Public Sewer ✓ Sw m n u Pools ❑ TanningWassage/BodyArt Q g Well ❑ Tobacco Sales Q Food Packaging/Sales ❑ Private{septic tank etc. Q Permanent Dumpster on Site Q THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF-U FORM PLANNING&DEVELOPMENT Reviewed On 1041� Signature_ 40 COMMENTS U01-f 37 ae� kin Ft t CONSERVATION Reviewed on (yi ! I Signature-1,- HEALTH ignaturesHEALTH Reviewed on Signature COMMENTS Zoning Board of Appeals:Variance,Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments Conservation Decision: Comments Water&Sewer Connection/Signature&Date v f �G�/ Driveway Permit t,? DPW Town Engineer:Signature:,- & Located 384 Osgood Street FIRE©EPARTMENT Temp Dumpster on site yes na; ate„q„daf,124 Mai,Steet _ Flre Departmentsgnatureldate �_e_ � �� COMMENTS. � ' Town of Andover No. *1D h ver, Mass, Ar L11 BOARD OF HEALTH Food/Kitchen mpERMIT T ILD septic System THIS CERTIFIES THAT......................go ................................................. BUILDING INSPECTOR has permission to erect.........................buildings on.....24/28...1/1064A.Tne*......3W Foundation to be occupied as ......*11nowo *W4/7111P Rough 7 .............*..................*.....*­*......... 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 PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR. UNLESS CONST ag5IONS Rough Service :77DF...r Final BTRIUDING INSPEMOR GAS INSPECTOR Occu,2ancy Permit REquired to OccuEy R3ZZlZZlZ11Q 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. oe Commonwealth ofMassachasefts U�krkersl Department ofindustrialAccfdents 1 Congress street,shite 100 Boston,111A 02114-2017 www.massgov/dia CompenTOBEFaEDWI HTffEp llfTLNOAVT)IORITZY. icians/Plumbers. ..Please Print Apialicant Information 7 Name{Bus nes lO ran zaf on lad vidual?: Address: 10 3 { City/State Phone 4: 778- Are you xn emplaYer7 eb�l{fie appropriate baz: r7. E project(required): Q]I am aomployor with empIoyeos(foU mal orp-d-time}. ew'conshe"2-�lamasolepraprietororpote.shipead'oavano employees wlorking foimein einadeliilgany capacity.lNow'orkers'comp.insuance required.] emolltlOn 3.Q I am ahomeovmer doing all""t"'Y'sit[No workcs'con'�p.insurz m-Psiuired.]t 10 E]Building addition $OIam ahomecwnes and will be hiring contracfors to cossductall work on my groFerty.Twill ILEIElectrloalrepalis or additions ensmethat all contractors eitherhavewerkers'cempansatiou i mme oe ar are sole 12_[]Plumbing repairs or additions p-opziet mwith-9eurpldyses. j�am agenorel contrnetor and Thave hiredthe sub-conhactor listed on the aHachod sheet. 13. Rcof repo rs These sub-contractors have e;nployeesand haveworkus'comp.ioselemoi 14.n ether 6.0 We azo acorporalloriand its,afficers have oaxroisedthoirright of'exemptionperMot e. 152,§1(4),sedvs,have no smPldyees.Po workers'comp.inguranca required.] . Any applicxntttrat ehecksbox#1 must als65ll out the section belowshowing theirwarkers'compwrwtionpolicy submit a now t Homeowners who submitthisfid:v t indicatingd yore domg.11w kandthenhim outside contractors must submitanaw affidavit tities•Lavoh #Conhactors that checkthi�tidX_must at#ached sn additional sheet shmiogtho name of the sub-consacfors and statgwheflrer ornotflrose„ employees.Zfthe sub-cantractars have employees,they most provide their workers'comp.policy number. d- I am an employer that is providingworlrers'compensation insurancefor nay employees. Below is t�hpe potacy orad job site information. n ( ( �;,t,P1.o sUQj�{(}t;tg ��0. ( •rc 1C� Insurance Company Name: # mas sac: se e e-;t C+p .,aafet ICS-075302 ri BENJAMIN C OS000# t j 69 Old Village Id. North Andover MA 0l 1210412016 21'-2" 75'-V 10'-4" 5"-0„ 5,_6 5_6 - - --- 5'-a" 10'-4" - ---- -- Precast _------- I Concrete t ----------------------------------------- U F Bulkhead -- t e a . r t ' _ __ ---------------' T-° a_Q.. ------------------------------ ----------------------------------- Instal!PossrRe t , --- - ° Radon Mitigation gg ° ' r z\i i lnsfali Passrve �; Radon Mitigation . S'hem a 3.", R� t3", q. g". 5. O" 5--o"i 5-0 °. d s e U(- o a to o t v ' " 3 712'di0. < <i- _ I 1 Lallyy Column �`• + / t� ,° gy LL? ( { - Q O 4-(min.)Concrete slay o f t whamebeneath rth rod wp or Z •. D� --------------- , 1 a, l i , t a ------------------------------ _ t . - Q E __----- —"---— ..®e®e_.=»_e di Column ------------------ 3 t/2" b. Lally Colu ' on g _ e P __— � i am acket 5 E GA f 4 E Vic. D art.L ,o c, ; wf2'—s'sq, x 1'-0"up, rf'q. s"w x 6, x s talc >H Ir= 2, 8„ ; •< (vo �q d) {4 req ------------------------------------- ,a --2 _--------- ——-- - < 9a 22,_0"" 12" 6" - ta"Cone. Fdn. ¢ev C O tJ C P-17-(a � ; `s° 2C x to"dp. Ff g. " •h[ -----frng(f1P-J--^ - --- is z° ___ ___ _ TOO.& � "w i v fh da , > e ` ------------------- j, AIP- EKrT .gt 'i k- rs 15"_6". � ys= V-0" 15,-6" °3 p���GrsT£¢�•4krQ- NAL f" 1 It F-pundc LI n Plan �a Drawing date; Colonial Drafting /March 25, 2016 978- 9©2-01,T i I