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HomeMy WebLinkAboutBuilding Permit #Exception - 0 Ogunquit Road 6/23/2010 BUILDING PERMIT O�"O pT 6 qti �-' TOWN OF NORTH ANDOVER 024�E" , . _ °o p APPLICATION FOR PLAN EXAMINATION * 0 1 Permit NO: Date Received ��ss AreD Date Issued: IMPORTANT:Applicant must complete all items on this page LOCATION �'r Print PROPERTY OWNER L YY1t�t iQ t�L.i G� Print MAP 2:10 q0A PARCEL:_ZONING DISTRICT:—Historic District yes no Machine Shop Village.: _ yes - no 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 Septic Well Floodplain Wetlands Watershed.District Water/Sewer DESCRIPTION OF WORK TO BE PREFORMED: GV 1,4 l VIL 5UA w!tM r4l t DOL—, Identification Please Type or Print Clearly) OWNER: Name: L:P– M "cz Phone:CT)6 '?JN2 M-1 Address: M- 0 0y S-Al -cA-n- POOL CONTRACTOR Name: %dt-SOJ41 lc1ALD Address: TR i-j A0570 TUM Pl kr- e?,H S AQ!2y Mg- O t S\( Supervisor's Construction License:_ �j 3�r� Exp. Date:. . Home Improvement License: �-l0 Exp. Date: �L- 1,3-"qa0) ARCHITECT/ENGINEER Phone: Address: 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: $ ��( w •4-0 FEE: $ Check No.: Receipt No.: NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund ;Signature of Agent/Owner Signature of contractor Dimension Number of Stories: Total square feet of floor area, based on Exterior dimensions. Total land area, sq. ft.: ELECTRICAL: Movement of Meter location, mast or service drop requires approval of Electrical Inspector Yes No DANGER ZONE LITERATURE: Yes No MGL Chapter 166 Section 21A—F and G min.$100-$1000 fine NOTES and DATA— (For department use t ❑ Notified for pickup - Date i Doc.Building.Permit Revised 2010 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 - U FORM DATE REJECTED - DATE APPROVED Le PUNNING & DEVELOPMENT COMMENTS CONSERVATION Reviewed on a Signature COMMENTS Lo Ll HEALTH Reviewed on Si nature /- 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 Driveway Permit DPW Town Engineer: Signature: Located 384 Osgood Street FIRE DEPARTMENT - Temp Dumpster on site yes no Located at 124 Main Street .Fire Department signature/date L.POMMENTS Building Department The following is a list of the required forms to be filled out for the appropriate permit to be obtained. Roofing, Siding, Interior Rehabilitation Permits ❑ Building Permit Application ❑ Workers Comp Affidavit ❑ Photo Copy Of H.I.C. And/Or C.S.L. Licenses ❑ Copy of Contract ❑ Floor Plan Or Proposed Interior Work ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit Addition Or Decks ❑ Building Permit Application ❑ Certified Surveyed Plot Plan ❑ Workers Comp Affidavit ❑ Photo Copy of H.I.C. And C.S.L. Licenses ❑ Copy Of Contract ❑ Floor/Crossection/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Mass check Energy Compliance Report (If Applicable) ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit New ConstructionSin le and Two Family) ( g Y) ❑ Building Permit Application ❑ Certified Proposed Plot Plan ❑ Photo of H.I.C. And C.S.L. Licenses ❑ Workers Comp Affidavit ❑ Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Copy of Contract ❑ Mass check Energy Compliance Report ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit In all cases if a variance or special permit was required the Town Clerks office must stamp the decision from the Board of Appeals that the appeal period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording must be submitted with the building application Doc:Building Permit Revised 2008 t - t Proposed With 100.111 Areas ,rry Breen Proposed Stone Retaining Walls I / (Des sped By ( i 5- I �\ 0.0*0 / \ \� 1.38 :• ,�/ 32 � x ,� 1 � 1 � `\ �\ CIO Of, ��o ^ i w AN, — Proposed Patio / / / k0 i 12 area DelleChiaie, Pamela From: Sawyer, Susan Sent: Tuesday, March 09, 2010 2:28 PM To: DelleChiaie, Pamela Subject: FW: lot 5 Ogunquit Road From: Greg Hochmuth [mailto:Greg@NeveMorin.com] Sent:Tuesday, March 09, 2010 2:29 PM To: Sawyer, Susan Subject: lot 5 Ogunquit Road Hi Susan, I checked with John Morin and he confirmed that the Certified Foundation Plan that was done is on the same datum as the septic design. He also thinks that we set a couple of benchmarks for Peter and is going to confirm with our survey crew chief when he returns this evening. I will let you know the outcome of that conversation. Thanks Greg Greg J. Hochmuth • RS, PWS THE NEVE-MORIN GROUP, INC. 447 Boston Street, US Route I,Topsfield, MA 01983 p 1978.887-8586 f 1978.887-3480 w 1 www.nevemorin.com 1 he Neve -MorinT Group, Inc. RECE VEb—: January 29, 2010 FEB - 8 2010 TOWN OF NORTH ANDOVER HEALTH DEPARTMENT Ms. Susan Sawyer Public Health Director 1600 Osgood Street North Andover, MA 01845 Re: Lot 5, 99 Ogunquit Road Dear Susan: On March 19, 2007 your Department issued an approval letter for the sanitary disposal system located at the above referenced property; this is due to expire on March 19, 2010. At this time we are asking that you extend the approval for one year, until March 19, 2011. If you have any questions please do not hesitate to contact our office. Sincerely, THE NEVE-MORIN GROUP, INC. M• r+-M John M. Morin, PE President, CEO JMM/kmm cc: Peter Breen F:\KATHYM\Breen 684\Lot 5\NABH Septic Approval Ext Req.doc ENGINEERS • SURVEYORS • ENVIRONMENTAL CONSULTANTS • LAND USE PLANNERS 447 Old Boston Road (U.S. Route 1), Topsfield, MA 01983 978-887-8586 FAX 978-887-3480 Providing Professional Services Since 1978 www.nevemorin.com