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HomeMy WebLinkAboutBuilding Permit #295 - 1013 OSGOOD STREET 5/1/2018 00RTM ,.: 1.BUILDING PERMIT r. o` ,bgti TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION e 7° Permit.NO: er Date Received--, 2 6 7 , 'n,r.o'°" r 9SSACHUS�� Date Issued: - IMPORTANT:Applicant must complete•all--items on this page r r Fw rpt _ ATION Pnnt PROPERTY OWFI4ER j �i� `T" 600 MAP f�0 � 'PARC�L� a ' ". .ZONING DISTRJCT "H�storic Dis'tric� ryes nog - � '' •r �`' °Machine Shop,Village dyes _ ..-no , F�? TYPE OF IMPROVEMENT -PROPOSED USE Residential 'Noh--Residential New Building. �� << :a4 fyR «' One family, Addition Two or more family Industrial_ ` Alteration. No. of units: Commercial Repair, replacement Assessory Bldg Others: -Demolition - - Otherf,- - - `b r Septic. G bell s Fri iFloodpla n we lands U1/atershetl"Drstnct y' DESCRIPTION.OF WORK TO BE PREFORMED: - FIT Agla�_ ' Identification ' Type or Print Clearly) .OWNER: Name �It" A eoAM (r_.R� t nlr l k C Phone: ?Z? ? Address: io s� l�tl(� �11/� s�j N . ' ?honCO -Cr r ; Supervisor's C®nstructior� License Exp Da#e i 1Horne�lrnpr©vement 1�cense. ARCHITECT/ENGINEER M g Cy-c- ,L A(?Q41 i 6CTS i N(_ Phone: _ � `7 f Address: 0� A - - - (� Re No.. `� .(� 4Z wIR(1 g. FEE_SCHEDULE.=BULDING PERMIt:,_$12.00 PER$1000.00 OF THE TOTAL(ESTIMATED COST BASED ON$125:00 PER S.F. f Total Project Cost: $ 4 c�, 000 FEE: $ Check No.: _ Receipt No.: 'NOTE: Persons contracting w' :nregistered contractors do not,have access to a guaranty fund fL Signature;.fof A. gent/O;wner �' _T71 - : $Signature of_contractor 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 & DEVELOP NT COMMENTS /h ,0,, . DATE REJECTED DATE APPROVED CONSERVATION COMMENTS DATE REJECTED DATE APPROVED LOHEALTH 7,-hap-- 0Gr// ��- COMMENTS All dL G _ 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 Located at 384 Osgood Street FIRE DEPARTMENT -Temp Dumpster on site yes no Located at 124 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 4 , dZt-� 15 5 C ' c� ` C 6;�— S ❑ 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 o? 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 No. Date �oRT►, oTOWN OF NORTH ANDOVER ��...o .� do S Certificate of Occupancy $ CNUSE<�' Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ ®ChecTOTAL $ CO— Check k # �U 9i(7 20701 Building Inspector tjoRT'H Town of :: Andover No. a 90T X oe \l �O �A K o , doves, Mass., T COC HICKEWICK y1` 7�ADRATED BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System BUILDING INSPECTOR THIS CERTIFIES THAT AWW rftM�!' .....„..:..:............. ..... Found ation has permission to erect........................................ buildings on ,�,. . Qom, fRough to be occupied as....... d�'� I.. ..�!�I ........:... .......�COy.. i �r/1T dN►�� Chimney provided that the pe son accepting this permit shall in every resp e conform to the terms of the application on f:,in Final this office, and to the provisions of the Codes and By-Laws relating to the Inspectio , Alteration n Co ruction of Buildings in the Town of North Andover. �!�•��, PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final V000, PERMIT EXPIRES IN 6 MONTHS - ELECTRICAL INSPECTOR ... . UNLESS CONSTRURough :. 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 Architects Inc. Construction Control Affidavit September 24, 2007 Project Location: Dtox International Fit-Up 1025 Osgood Street 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 Arc hitec I ill perform the necessary professional services on the construction site feFLTa that the work will be done in accordance with the document Q. 6t a building permit. Bo,To� W 9/24/07 Brent A. MaugelK.I.A. � �' Date Maugel Architects, 200 Ayer Ro _ r 01451 - Commonwealth of Massachusetts County of 'Worcester yrs On this 7 qday of, 54 rn 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 MreoWya te to the best of his/her knowledge and belief. QCp ��\\•�}�••EXPjA.yF y 9. Signature of Notary y; My commission expires L or; gr: �?r'$ Maugel Architects Inc. 200 Ayer Road Harvard,MA 01451 t:978-456-2800 f:978-456-2801 www.maugel.com