Loading...
HomeMy WebLinkAboutBuilding Permit #335 - Exception 11/14/2008 BUILDING PERMITo "ORT" q TOWN OF NORTH ANDOVER / APPLICATION FOR PLAN EXAMINATION Permit NO: Date Received . I/ Z&7L f SSACHUS� Date Issued: / O IMPORTANT: Applicant must complete all items on this page LOCATION 1915 �d JA i1 r 0-A* Lt L� T A16 r I` PROPERTY OWNER " X Prin D e r Print MAP NO: 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 P/RE/FORMEQ: C-rh (-A10 F-Aavd-&4 42n him I n a Iden ification Please Type or Print Clearly) ` i OWNER: Name f xion bab &a dr) /1-6 f Phone:9O6-afx3a30 Address: J6Y Li 11 A A04� (falk IAIIS401410,4 Oj CONTRACTOR Name: C h APhone: - 47 ZX13 vial Address: PO J G 4n _ / aX07Z,. ' 7/3 Supervisor's Construction License: Exp. 'Date: Home Improvement License: Exp. Date: ! ARCHITECT/ENGINEER Phone: i 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: $ �! 5 C2&- O 6 FEE: $ q5�. 5� Check No.: 0 Receipt No.: 2 l OIX NOTE: Persons contracting with unregistered contractors do not have access to the guarantyfund of Agent/Owner �~ Signa#ure of cora#racto J L 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 PLANNING & DEVELOPMENT COMMENTS CONSERVATION Reviewed on Si nature, 1944r ;,' COMMENTS f L �/ — HEALTH , • Reviewed on Signature i COMMENTS Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments i 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 924 Main,Street Fire Department signature/date COMMENTS 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) ❑ Notified for pickup - Date Doc.Building Permit Revised 2008 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 Construction (Single and Two Family) ❑ 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:INSPECTIONAL SERVICES DEPARTMENT:BPFORM07 Revised 2.2008 Location 3 SSD No. 3 Date MOR, TOWN OF NORTH ANDOVER F? oR a � Certificate of Occupancy $ Building/Frame Permit Fee $ ��e/ +cMus Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # 2 1 6 ,A fI`Iding Inspector FORTH ® oAndover No. 33 S- C A © dover, Mass., A- COCMICMEWICK V1. '7,9 AOOATED PPa,�'�� S BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System BUILDING.INSPECTOR THIS CERTIFIES THAT...................4�i>e....X. ..�y ....... l�. v..�f. ........roj. ............................................ Foundation has permission to erect........................................ buildings on .�To....... �..�.�..j!P, .................. Rough to be occupied as......................�:�!..�.......... C � � ��'..�.........�...�'.-. .... ...... .7.y':� i����.� Chimney provided that the person accepting this permit shall in every respect conform to the to s of the application on file in Final 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 i VIOLATION of the Zoning or Building Regulations Voids this hermit. Rough Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR. UNLESS CONSTRUCTION ST TS Rough -rlc� .......... .. Service BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final No Lathing or Dry Nall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. SEE REVERSE SIDE Smoke Det. I LEGEND r/J FORMER 550 GAL. FUEL OIL UST WSHEEN RIVER _ xswa 3.61 FORMER FORMER 550 GAL, WASTE OIL UST SHA `' FORMER DRY WELL / zs3AHw+ -�' '� �O/_j FORMER OIL/WATER SEPARATOR SAeM 2,4UST AND a2 A LWoI� FORMER ENT 1000 00GALL..AW. WASTEASTE WATER AL (HOLD NG TANK C'N OF v C \ / w/o CURRENT 500 GAL WASTE OIL AST �tk — TOWN 30 a 3fl C= DISPENSER ISLAND } ® CATCH BASIN i; 3� \ x oN� �Ei 32 � � — x — FENCE UTILITY MANHOLE °e, '34 \ ,`3 �} UTILITY POLE -� e® r \v/ AREA LIGHT Zz��r swt ,��$ sX B' - a / \\ +B S+ MONITORING WELL -/ ri2 ��' Ea I `\ STI/ CF ® TORING WELL (MW1 DESTROYED MW2, MW3' NOBIS ENGINEERING, 1991) s I \ rq�j `r\ DESTROYED MONITORING WELL o. v \ I o (GREEN ENVIRONMENTAL, 1990) X SURFACE WATER SAMPLE (APPROX. LOCATIONS) \ BMw2 \\�sr �� \ \ \ /�' —Sr— — UNDERGROUND STORM SEWER RIPARIAN [i�vF —w — UNDERGROUND WATER LINE UNDERGROUND GAS LINE IZIWwr t 1 1 My% n �` -� UE— — UNDERGROUND ELECTRIC LINE IS> /B c / o APPROXIMATE —T — TELEPHONE LINE MCI �/ SOIL STOCKPILE :L; ? LOCATION — oMu — OVERHEAD UTILITIES _ \ \ 134 — 'PROPOSED SILT FENCE J a qMRWWZ PROPOSED HAY BALES 3 / ��� / PLAZA j BMwt\- - / PARKING V�/ G // / AREA s� \ co B5 J/ OF°CAVATIO i 1 MW7 TD 13-1v v � dr' \ pUTE:R RIPARIAN UNE — - - — — — DRAFTED BY. — — — — —` W.G.S. PROPOSED EXCAVATION MAP i i '(N.J.) / CHECKED .Y: MOBIL SERVICE STATION #11689 (01—PTI) 350 WINTHROP AVENUE REVIEWED BY: NORTH ANDOVER, MASSACHUSETTS �s NOTE: a FORMER STATION BUILDING, DISPENSERS AND SELECT HISTORIC GCOL7ridW&te>r'&Envir1711111811W SeMces,inn. c BORING/WELL LOCATIONS UPDATED IN JANUARY 2006 FOLLOWING NORTH THE IDENTIFICATION OF A 1981 SURVEY PLAN (GALE ASSOCIATES, 364 LITTLETON ROAD, SUITE 4, WESTFORD, MA 01886 INC.) DEPICTING THE FORMER LOCATIONS. SCALE IN FEET DATE FIGURE SITE MAP UPDATED BASED UPON SITE SURVEY PERFORMED BY HANCOCK ASSOCIATES DATED SEPTEMBER 2, 2008. APPROXIMATE 30 9—� —O8 0