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Home My WebLink AboutBuilding Permit #232 - 1007 OSGOOD STREET 9/30/2008 BUILDING PERMIT o* NORT/y.uao TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION w 1• Permit NO: 0.? Date Received Date Issued: AdA IMPORTANT:Applicant must complete all items on this page LOCATION Print � PROPERTY OWNER R t✓ � O&I'o G/foss//u G 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; r Commercial Repair, replacement Assessory-Bldg +' Others: Demolition Other Septic Well Floodplain Wetlands Watershed District Water/Sewer DESCRIPTION OF WORK TO BE PREFORMED: I All'GK109 U>01T' 1007 (9-56-000 SQ- Identification Please Type or Print Clearly) OWNER: Name: CIgt;A► e0go r BASSI A)G, k/L Ph6ne: Q?f(-6U--,?J'f.� Address: CONTRACTOR Name: (SkA S1Ci Go J 5�1 a,) t ry L Phone: ? 7f — _f?F Address: �96 '� >� 57 ItId 0,)F Supervisor's Construction License: Exp. Date: 0 .12, / b Home Improvement License: ( J 13 Exp. Date: J `•_ .� ARCHITECT/ENGINEER VS RCS I%OriSL_ Phone: ,roti /�yE n �Ajn 4MKo�Rn, Ma . .RegNo Address: 0 _ s FEE SCHEDULE.BULDING PERMIT.$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ �'o? 10 0 0 FEE: $if Check No.: 3 9f rely Receipt No.: NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund ignattare of Agent/Owner Signature of contractor i Plans Submitted Plans Waived Certified Plot Plan S II tamped Plans TYPE OF SEWERAGE DISPOSAL Public Sewer Tannin Swimming Pools Tanning/Massage/Body Art g Well Tobacco Sales Food Packaging/Sales Private(Septic tank,etc. Permanent D umpster on Site I THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM DATE REJECTED DATE APPROVED I PLANNING & DEVELOPMENT i COMMENTS �- 71 CONSERVATION I Reviewed on Si nature COMMENTS T HEALTH Reviewed on Signature i a COMMENTS zig Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes I -Planning Board Decision: Comments Conservation Decision: Comments Water & Sewer Connection/Si9 nature& Date Driveway Permit DPW Town Engineer: Signature: Located 384 Os ood Street FIRE DEPARTMENT - Temp Dumpster on site yes no Located at 124 Alain 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 I 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) ❑ Muss 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 o� Location /0 7 60o Y No. o23z Date MaRT� TOWN OF NORTH ANDOVER O Certificate of Occupancy $ CDU Mus t� Building/Frame Permit Fee $ 2 Foundation Permit Fee $ Other Permit Fee $ TOTAL $ 7_2 e/ Check # s 2 1 55� Building Inspector FORTH c TO'" of _ LAKE dower,`Mass., 5'S COCHICHEWICK y1. ADRATED `S BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System � ,� Q C�„o .� BUILDING INSPECTOR THISCERTIFIES THAT............ ..........................:.1J........................... ............................................................................ Foundation has permission to erect....... ; buildings on ..... .40�� ........... .............. ..................... ... ..� .... ........�� Rough �i�14Z-07 �`�/ / Chimney to be occupied as.............. ..............�a- ........p............ ...............:... ............-0` ..: 1.,�.. y provided that the person a cepting this permit shall in every r ct conform to the terms of the app1 ' non file in Final this office, and to the provisions of the Codes and By-Laws.re ating 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 EXE MS IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRU N START Rough ... .............. .......... ......... ........ ...................................... 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 Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. SEE REVERSE SIDE Smoke Det. Maugel ArclllM Inc. Construction Control Affidavit September 22, 2008 Project Location: Beabe Gallery 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. will perform the necessary professional services on the construction site to d that the work will be done in accordance with the documents a building permit. A,a440 Fc, No. 5554 22 Brent A. Maugel A. .A. 1lA Date Maugel Architects, 200 Ayer Roa ard, 451 �.r.;x Commonwealth of Massachusetts County ofWorcester On this 1�� day of, 20 �-X ,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. Signature of Notary My commission expires ®r . �'7-•'�y�ss�cM�s•' Maugel Architects Inc. 200 Ayer Road Harvard,MA 01451 t:978-456-2800 f:978-456-2801 www.maugel.com IL