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Home My WebLink AboutBuilding Permit #713 - 1025 OSGOOD STREET 5/3/2007 BUILDING PERMIT "°pT" qti TOWN OF NORTH ANDOVER F? °tt_ „6,e o� APPLICATION FOR PLAN EXAMINATION i ey Permit NO: '� �, Date Received Q 3 �°R�Teo�Pp`yg5 Date Issued: �SSACHUS�� IMPORTANT: Applicant must complete all items on this page LOCATI&I�� PROF'ERT it � . MPr SP No, O ?A CEL: ZONING DISTRICT: TRIt HISTORIC>DiSWT ` yes no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential El Building N�6�Lr ag ❑ One family ❑ Addition F17 uVO ❑ Two or more family ❑ Industrial ❑ Alteration No. of units: Commercial ❑ Repair, replacement ❑ Assessory Bldg ❑ Others: ❑ Demolition ❑ Other SepticILII p Foodpla�n Wetlands ❑ Water"s�ed,. istrict 1tUaterlSewer%k DESCRIPTION OF WORK TO BE PREFORMED: t t� �tq� �isg i C1` Identification Please Type or Print Clearly) OWNER: Name: r D�t10 c nl >`C Phone: Address: 'v ., a/� -^ CtJNTRACTO( ai .t� tS �C. +t5�" t' //rrct� Phone: F Ad s Supervlso s.Constcti License:__ Exp. Date � ap, Home (rn JI•d!vement,�Lrcerise: �` � Exp. Date: ARCHITECT/ENGINEER MAL'Csr �- SCE-f'r��Z� SNC Phone: I 7 Address:la 4 ZLa IUR MSA t)4D 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: $ 9a FEE: $_ Check No.: Receipt No.: NOTE: Persons contracting with unregistered contractors do not have access to the uaranty fund Signature of Agent(0wner _ __Signature of contractor Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ TYPE OF SEWERAGE DISPOSAL Public Sewer j Swimming Pools �; C ~'` 'Tanning/Massage/Body Art ❑ Well ❑ Tobacco Sales ❑ Food Packaging/.Sales!; 4, 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 DATE REJECTED DATE APPROVED CONSERVATION ❑ ❑ COMMENTS .t i +"!i a '�i�ip��41�• i �i T+ . DATE REJECTED DATE ,�f P VED -71 tX/7, '17 HEALTH jx COMMENTS X 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 Crhood Street k FIRE DEPAR 'MENTI ,Temp Dumpster on site yes no Luted ate x,24 'ir 5tret - Fire Department si' natureldate �" ° s y .- r "CC3ell1lt�NTS ; . � � s Dimension f 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 E f I ❑ Notified for pickup - Date :..............................................................................-........................................................................................................................................................................................................................................................................................................................................... Doc.Building Permit Revised 2007 J 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 r Location ��' r ' No. f f Date �aRTM TOWN OF NORTH ANDOVER f 9 Voli • ; : : Certificate of Occupancy $ j s„CNUS<� Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL4�1- Y j Check # 3d � 20i Building Inspector NORTH Town of Andover 0 V" No. 113 '-_ 0 over, Mass., OC MICHEWICK ArED BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System BUILDING INSPECTOR ... THIS CERTIFIES THAT..........(�.� ............... ...........A(C.............................................................. Foundation 6d 51A- has permission to erect... buildings on ../Plr...... .............................................. Rough W -4 to be occupied as............... apdzp Chimney I . .......................;7 .... .... P rovided that the person accepting this perm n every respect conform to the terms of the application on (6 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 cr PERMIT 6 MONTHS Final a ELECTRICAL INSPECTOR UNLESS CONSTRU !!,T,�RTS Rough ... . ........................ .......7.....:-,---�BUILDING IN..................R Service 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 DEPARTMENTUntil Inspected and Approved by the Building Inspector. Burner Street No. SEE REVERSE SIDE Smoke net. . .1 �'l e �o,n�na�uuP,alt/ o�'./�aeoac><ZaaeCta I BOARD OF BUILDING REGULATIONS ° License: CONSTRUCTION SUPERVISOR Y i Number: CS 022988 Birthdate: 10/31/1943 Expires: TO/31/2007 Tr.no: 7373.0 i Restricted: 00 JOHN GRASSO I 865 TURNPIKE ST NO ANDOVER, MA 01845 Commissioner Board of Building Regulations and Standards lug HOME IMPROVEMENT CONTRACTOR Registration: 113130 Expiration: 5/18/2009 Tr# 129567 Type: Private Corporation GRASSO CONSTRUCTION CO.,,INC. JOHN GRASSO 865 TURNPIKE ST N.ANDOVER,MA 01845 Administrator