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Home My WebLink AboutBuilding Permit #Exception - 1060 OSGOOD STREET 5/1/2018 k BUILDING PERMIT TOWN OF NORTH ANDOVE �� 5"'`- ._.•. °� APPLICATION FOR PLAN EXAMINATION _ T b AIL fO Permit NO: Date Received �SSACHUS�� Date Issued: IMPORTANT:Applicant must complete all items on this page LOCATION: 5 � - PROPERTY QW NER e n4 ZZ NM Zzl S i' !O _ Pint, 'MAP NO: PARCEL: ZONING DISTRICT: - - Historic District yes no MaclineShop,Village, yes lop 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 Septic W611 Floodplain Wetlands. Wate rshed`District Water/Sewer ` j� DESCRIPTIO OF WORK TO BE PREFORMED: L.. OI Aadvzx� /Ifientifieati Pjqse Type or Print Clearly) OWNER: Name: Phone: 6 /7' �- a -0 0/ Address: C CONTRACTOR Name: Phone:. ,Address: Supervisor's Construction License _ Exp: Date: Home Improvement License - Exp. Date ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE:BULDING PERMIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. r Total Project Cost: $ FEE: $ a Check No.: Receipt No.: NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund Signature of Agent/Owner 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 & DEVELOPMENT COMMENTS CONSERVATION Reviewed on Siqnature COMMENTS HEALTH- Reviewed on Signature COMMENTS Zoning Board of Appeals:Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments r Conservation Decision: Comments Water& Sewer Connection/Signature &Date Driveway Permit DPW Town Engineer: Signature: Located 384 Os ood Street FIRE.DEPARTMENT =Temp'Dumpster onsite yes no` Located°at 124 Main Street t >: 'Fire'Departinent signature/date:' COMMENTS. l - 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 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) ❑ 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 a 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 Location 0 6 /� i�c� •J / No. Date /2 2 /2 • - TOWN OF NORTH ANDOVER e `S�I,tsU r Certificate of Occupancy $ 51 - �� Building/Frame Permit Fee $ u c � Foundation Permit Fee $ " Other Permit Fee $ r TOTAL $ i ,F Check#/77/er 25548 Yu lding Inspector i i OAO oT 4 9 M � �SSACHUSE4 CERTIFICATE OF USE & OCCUPANCY TOWN OF NORTH ANDOVER Building Permit Number 854-12 on 6/4/2012 Date: July 27, 2012 THIS CERTIFIES THAT THE BUILDING LOCATED ON 1600 Osgood Street - Suite 2 MAY BE OCCUPIED AS a Martial Arts School IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. Certificate Issued to: Paul B. Cevizzi 1060 Osgood Street Suite 2 North Andover, MA 01845 Build'ng Inspe for Fee: $100.00 Receipt: 25548 Check :1718 NO ,H over .. To" 00 -� odover, Mass., ' 0� '= LAKE �J co '7 AO'C?ATED '9 S' e� BOARD OF HEALTH Food/Kitchen Septic System . .PER IT T • BUILDING INSPECTOR pp THIS CERTIFIES THAT..........ok0�r ,?' � ......• Foundation ...... has permission to ere ........................................ buildings on ...�..... ...... . ...i/........... � CoRough'I ,�•�• �� Chimney to be occupied as..... .................. .. .... . .................. Arka........dadwr. ......W• provided that the person accepting this permit shall in every respect to the terms of the application on file iny�Z- 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 M THS ELECTRICAL INSPECTOR UNLESS CONSTUC 1 Rough ................ .............. ......................................... ....... ........ Service BUILDING INSPEC R Gnpm(Pk 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 (Mall To Be Done FIRE-DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street. No. Smoke Det. SEE REVERSE SIDE