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Home My WebLink AboutBuilding Permit #394 - 1005 OSGOOD STREET 11/20/2007 BUILDING PERMIT o� NoRTN q TOWN OF NORTH ANDOVER c _ APPLICATION FOR PLAN EXAMINATION '- Permit NO. 391/ ^o" Date Received 44 .. id �9SSACHUS�fi Date Issued: 7 IMPORTANT Applicant must complete all items on this page ry � 'k'v� `42Z �„ � �. . � �s Q�'�'^c F:r e r i.,y y C, � '"R� in � /* -k� .+.•aeh",-'�,1��,,rr�� "�,��` �� tie f {�+' n�'±�.. r F� SOC 1?JONh1 Ws �hSS ysa s �rt es n x r �x �5�ax° K� a�s� J '", ..�'C3w sem.• S��.r,'.'+.r'''te+' .,�{, -,�„a may. , .. k� : - {s r.fr�1�W��'.,*.r k.�� '�'�"� .si`��-r -. "Slrt�� 'r��sst^ '�3P' f�i,2 `^�� x`. ". PrITi1 �i �.;-,.-iFa -S. ,• -sem- � -u,.w : ? ,1QP.PERT, OWdI ?�� kG % : �w�/�.!✓ k �. � = � �ONING"Dy�STRIOTHstoric_ =Istrict ~�, , 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 Sepfic ella� N� Ftflotl la�nx1y�JUeflar�rls i ., ,tP %-� z a hEtlDastnt' T fart L iters r; .:.`.x - DESCRIPTION OF WORK TO BE PREFORMED: y P Identification, Please Type or Print Clearly) OWNER: Name: -N P��e/val' /ZC Phone.• q7�`'�' � V Address: - " �geNsriSs:'i c ltd y..-3•nt.y'Scf y,di � "r, , Nil� w' w CO�T;RATOR �Narne Y s Y r x "•I;Lr�.r�,a• } h,,, u �. .� , i-s."R^-+ *t1:^a �c "�sS^''�-F�°T s'ft.wgig_ (� � 'r r e .ta 'x- s t{ ^c. tz -rr""`r' �.." .'" .�sY rcs �...e 94 1 7,.'J,� _."w.- /' 3 1� .�T Y 4 UUPr.S.5.. tt wr-,�"sr v 2-IN ..9. t } .� n - sv•E- r rade t', .fi">xiw .r2} ` y. :e} -.>,.. � •` 4:,''- t 4 �' rY, ` 1>i'i, K..y5 w"ti zlu •n'' '- fix.: -y,�S -ui� c'y �. t'S.i.. T<`. '. pervtsnr �.;, e,n �� tom ; y t 's�Constrctionice . � r _ ' Da #e ` tom' v-, � «.-+'''� E�C - �"".".4. � �,'�`".�EXp ,..Date:'��..�'..y f 't„� ��="` .'•,. ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE:BOLDING PERMIT.$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost:.$ t �. �� FEE: $_ ��,;267 Check No.: .53 6' � Receipt NO.: o2 4e'/y NOTE: Persons contracting unregistered contractors do not have access to the guaranty fund S� natar.��of Agent�{):wner- �� 1 - �gnature�oftcontractor #. Plans Submitted Plans Waived Certified Plot Plan Stamped Plans =Well OSAL Tanning/Massage/Body Art Swimming Pools TobaccoSales Food Packaging/Sales Permanent Dumpster on Site THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM PLANNING & DEVELOPMENT DATE REJECTED DATE APPROVE OCOMMENTS CONS NATION DATE REJECTED DATE APPROVED C MENTS DATE REJECTED HE TH DATE APPROVED MMENTS i I i i Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments Conservation Decision: Comments Water$ Sewer Connection/s,' nature date Located at 384 Osgood Street Dnvewa Permit FIRE OEfPARTMENT emp'Durx pster on slte n ': `- r - 124 1 Located at Marn Street - yes rip F Fire Depart`ment'sign-a Orelt7ate`f O MI1ylENTS t -� _ � � i 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 2007 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 2.2007 Location /0o4� No. '�' �— Date B 7 �. Of NO DTh,ti TOWN OF NORTH ANDOVER r F p E / Certificate of Occupancy $ Building/Frame/Frame Permit Fee $ 6. s+cNust r Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # R 111-7 208 '14 ` Building Inspector Maugel Architects Inc. Construction Control Affidavit November 14, 2007 Project Location: Caron Chiropractor 1025 Osgood Street (Retail Building) North Andover, MA 01845 In accordance with section 116.0 of the Massachusetts State Building Code, 780 CMR, I, Brent A. Maugel, Registration No. 5554, being a registered professional architect hereby certify that I have directly supervised the preparation of all design plans, and construction documents for the above named project and that, to the best of my knowledge, such plans meet the applicable provisions of the Massachusetts State Building Code and the Americans with Disabilities Act. All acceptable engineering practices and all applicable laws and ordinances for the proposed use and occupancy will be adhered to. I further certify that Maugel Architects, Inc.. orm the necessary professional services on the construction site to dete tl work will be done in accordance with the documents aper z X. r ng permit. CD No. 5554' EvSTO`,• Brent A. Ma el A.I.A. � �' Date Maugel Architects, 200 Ayer Road, Ha c (3 Commonwealth of Massachusetts County of Worcester On this J It day of, 1 1 20 ,before me,the undersigned Notary Public,personally appeared Brent A. Maugel A.I.A.,proved to me through satisfactory evidence of identification,which was/were personal knowledge,to be the person(s)whose name(s)is/are signed on the preceding or attached document in my presence,and who swore or affirmed to me that the contents of the document are truthful and accurate to the best of his/her knowledge and belief. � ' "Mp0hhpg ��P�"......Co,. Signature of Notary ' A s. 2 My commission expires vis ter; SSe .gITMOf�:r.' �IiINN� Maugel Architects Inc ... .?Harvard, . ' t:978-456-2800 T / o' www.maugel.com i x.10 R TH o '" ToAndover No. 9� dover, Mass. o > o �. I� COCMICHEWICK V 7�AERATED P,Pa,�� IT BOARD OF HEALTH PERMIT T D., Food/Kitchen Septic System BUILDING.INSPECTOR THIS CERTIFIES THAT �„�/� G?►° .1fQ. '.S:/ V ........... ................ .............:..:........................................... Foundation has permission to erect..... buildings on ... ��'�.....�,�� .a.��"'�d g ................. .... Rough r to be occupied as...........`. -1 ... � . ..............f .. ��^�.N... . ..1�.(7�2^� �':.../ al Ch' provided that the person accepting this permit shall in every respect conform to the terms 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 VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough PERMIT EXPIRES IN 6 MONTHS Final ELECTRICAL INSPECTOR UNLESS CONSTRUCTION TARTS Rough ��s-..s...- q................. Service BUILDING INSPECTOR - Final Occupancy Permit Required to Ocayy Building GAS INSPECTOR 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. SEE REVERSE SIDE Smoke Det.