HomeMy WebLinkAboutBuilding Permit - 1060 OSGOOD STREET 12/7/2016 BUILDING PERMIT �easarr�
T( CSP NORTH LOVE >,=d
APPLICATION FOR PLAN EXAMINATION �
. p Date Received I-S- � � '19��a nreo�rer`�4
Permit No#: t �_. - �
Ya C HU���
Date Issued-. ..
I OWfAN ': Applicant must complete all items on this page
LOCATION
Print
PROPERTY OWNER' Priht
1r00 Year Structure. yes
MAP ,.. . PARCEL: �` " ZONING 01STRICT Historic District yes no
µ
Machine Shap 1/iIlag,e no
-------- _
TYPE OF IMPROVEMENT PROPOSED USE
Residential _ - Non- Residential
❑ New Building ❑ One family
❑Addition ❑ Two or more family 0 Industrial
_❑Alteration No. of units: _ --- lel Commercial
❑ Repair, replacement ❑Assessory Bldg D Others:
❑ Demolition Li Other
, . _ ..----- - - - -
0 Septic ❑ Well ❑ Floodpl8in n Wetiands Cl W tersheci District
Li Water/Sevtier _ ..
DESCRIPTION OF WORK TO BE PERFORMED:
__---------------_. - - __---------
Identification-- Please Type or Print Clearly
OWNER: Name:___77!,e__,, ' y/ .,,. -- Phone:
Address: - m
.hone
.!address: _ �.� _ ,
Supervisor's Construction License: Exp. Uate: w
Idome Improvement License, Date
ARCHITECTI NGINEER Phone- .v
Address: _ ---. Reg. No.
FEE SCHEDULE. BULDING PERMIT. $1200 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F.
,total Projeet COSI: $— FEE: $
"
� 2.`
Check No.: Receipt No�_._ P p ._----
NOTE: Persons contracting with unregistered contractors (to not have.access to the guaranty.fund
gat ?f kf
�tg_i yre ofAgen OWner Sigrabture of cohtractar
Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Pians ❑
I YP�'bE SEWERAGE DISPOSAL
Public Sewer LlTanning/Massage/BodyArt ❑ S inn�n ng Pools ❑
well ❑ Tobacco Sales ❑ Food Packagiag/Sales ❑
Private(septic tank, etc. ❑ Pennanent Durapster on Site ❑
THE FOLLOWING SECTIONS FOR OFFICE USE ONLY
INTERDEPARTMENTAL SIGN OFF - U FORM
PLANNING DEVELOPMENT Reviewed On Signature_
COMMENTS IBJ
CONSERVATION Reviewed on Signature
COMMENTS
HEALTH Reviewed on Signature
COMMENTS
i
Zoning Board of Appeals., Variance, Petition No: Zoning Decision/receipt submitted yes
Planning Board Decision: Comments
Conservation Decision: Comments
Weer & Sevier Connection/5igtaa�ure & 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 signatureldate
COMMENT
tAORTH
own of . :,-..
_ •. L Andover .
® ;� ry 0
No.
k N^K. h ver, Mass, / 7■ 0� b
coc.ecMew.cK v'
OATED
S U BOARD OF HEALTH
Food/Kitchen
PERMIT T LD Septic System
THIS CERTIFIES THAT ......�.t Sr. 0A)......... .....k....4*rf4.,..,,�,J.AAC I f
BUILDING INSPECTOR
has permission to erect .... buildings on r ,.�.,,,... .,� .�Q �.......... Foundation
Rough
to be occupied as ....,. .. ... ..........I.A.0...,....,..5,(*V............................ .... 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 CONSTRUC S ARTS Rough
Service
.. .
.. I... ....................................
Final
BUILDING INSPECTOR
GAS INSPECTOR
Occupancy Permit Rouired„to Occupy RuRough
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.
pORTII
x N�
a..sOL
' p TOWN OF NORTH ANDOVER
iL
ATED
�sSACH!!`��4
DATE: December 8, 20'16
PERMIT: 014-2017
THIS CERTIFIES THAT Dr. David Samuels has permission to erect a sign
on 1060 Osgood Street — 11x120 Wall Sign— "Passion Nails & Spa" _
provide that the person accepting this Permit shall in eve ryrespect conform
to the terms of the application on fife in
this office, and to the provisions of the Codes and By-Laws relating to the Sign Regulations in the Town of North Andover.
Violation of the Zoning of Sign Regulations, Section #6, Voids this Permit.
INTERNALLY ILLUMINATED SIGNS ARE PROHIBITED
Inspector of Buildings
Amount Paid130.00
Check 2525
Receipt 431306
Main Building Front Sign
OPTION 1
Qty: (1 ) Single-Sided 11 "x120" Carved & Painted 1 .5" Sign Foam
(Colors are Dark Green & Ivory - 1 Shat Paint)
..... . ........... - __.... ►�
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SIGN PERMIT APPLICATION
1600 Osgood Street—Building 20, Suite 2035
TOWN OF NORTH ANDOVER
DATE SUBARTM
David Samuels Charles Raz, Signs N w 603 635-2292
Site Owner Applicant Tel
1060 Osgood - 1111 by 1201,
Sitz:Address Size of Proposed Sign
INfiERNALLY ILLUTMI&TED SIGN PROSIBMD
How attached: a)Against the wall x
b)Roof - Illumination; a)Not ImEnated
c) Ground b)Ext��y illuminated
d) Other Mateidals: HDU -Sign Board and vinyl to match
'
Proposed Colors: Background Dark Green existing signs and colors .
Lettering Gold
Border Gold
Req_uk6d Attachments:
Photographs ofbuildiag Note.: No permanent/temporary sign shall be erected, or enlarged until.an
Material sample application on the appropriate form fbmshed by the Sign Office has been
Color sample filed with the Sign Of containing such information including
Site or Plot Plan(Required for all free-standing signs) photographs,plans and scale drawings,as he may require,and a permit
Drawings of proposed sign. _ for such exection,alteration, or enlargement has been issued by him.
Other, specify Such permit shall be issued only of the Sign Officer determines that the
sign complies or will comply with all applicable provisions of the By-
Law.
yLaw.
,Till.sign overhang any public road or walkway Yes ( ) No (x)
If Yes,Name of.Agency who will provide liabilityy insurance:
AN INCOMPLETE APPLICATION WML NOT BE ACCEPTED
i
DATE FILED:
SIGNATURE OF APPLI
2'lie Commonwealth of Massachusetts
_ .Department of lndustr7alAce-Idents
1 Congress Street,Suite 100
" == Roston,.NIA.02114-2 017
www.i'massgovIdia
Wo kers' Compensation bmuraned Afrixda'Vit:J3nil.ders/C a COTtY�X.�iic camsl itrYnbexs.
Ta]BEI�]LEDW.[7 THF,PERMI>T pleasePrhjt Le 'bl
A licantwormation
Name{Busjn ssf(5xgabizallonftdiv3.dual):
.Address:
P)Lone#:
City/statelzzp: -
Type of projeet(,recli&ed):
Axa You an employer?Deck#Iie apprapria#a box: 3
l.[]I aur aemployer with employees(:C-"andlor part time).
7. [❑NOW constria'ciaon
forma in
8. �Remodeling
2.Q I a3n a sole proprietor ar partnership and have no employees v�orlQng ❑Dexnolitiort
any capacity.[1Soworker6'comp.insurance required.]
9.3. I am a homeowner doing all work myself LNo workers'comp.immanco required.]f 10❑Building addition
4.❑I am ahameovrner andwiU be hiring
contra, property. Iwill tors to conduet all work oumy
I,.[]Electrical i'epa or. additions
Wsure•that all contracfbzs eitherhavawnrkers'oompensation insuzanne or are sole
12.M pl,YU-Mbing repairs or additions
proprietors with no employees.
�.❑I am a general cnnisacto�and�lsave hizedthe sob-contractors listed ontlre attached sheet.
13•.[]Rb6£14617s
These sub-contractors have employees and have workers'coney.insurance t 14.
]Qthex
(.❑We are a corpoOn
ration and its,office e see o wrorke st comp urance equired]prrM�c
152,§1(4),and eve have no empl y [IY
a hcantthatcbeckshb #1 must also finoutthaseetionbelowshowingtheirworkers'compansa7ionpoticy ozmaiion
Y pP
i homeowners who MW, affidavit indicatingthey are doing
shnwiurkthenarne of the sub-contra to�s and sfetav�hethrs must sabMit r ozfhose an ti ve ting b
Contractors that checkthis Boxmust attaclied an additional she g
employees. 7#the sub contractors have employees,they must pravido their workers'comp.policy number.
to e�that is providing rvo keys'compensation insarance for my employees Below is tXiepolicy aradja a'site
.t am an errz p y
information.
fxxs=ance Company Name:
Expiration Date:
Policy#ox Sem ins.
City/State%zip-
lob Site Address:
tach a COPY of the workers' coaaapexasatiam policy declaration.page(showing the polzey �e a=a date).
$V00-00�500.00).
A p
§25A is a cximznal violation pur�vslaa Y up
Fail=to seeuxe coverage as xequitad under 1V1GL U. 152,
o nae- eat ixn risonva ent,as-well as civil penalties in the form of a STOP O ORI3atians ti the D7A fox insYaran.ep a
and/or y p
day against the violator.A copy o£tbis statement may be Forwarded to the O
coverage verificatian.
da Iiereby cerg y undef thepains andpenalties ofper,�ury that tine information provided at one is true ar?d carred
Date:
Si afore:
phone#:
off tial zcse on
Do not write in Mi.s area,to 7�e completed by city or town official
Permit Licexase#
City or TOW'
SssrrintgAuthoriity(circle one):
l..Daaxd of Realth 2.BIdIdingDepaxtment 3.CztylTown Clexk 4.F leetxicallnspecto; .Pl nblzagZnspectox
j 6.Other
I Phone#`
Contact Person: