The URL can be used to link to this page

Home My WebLink AboutBuilding Permit #586-2011 - 1077 OSGOOD STREET 3/3/2011 TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit NO: �� a Ofd Date Received Date Issued: IMPORTANT:Applicant must complete all items on this page LOCATION os RP1rint PROPERTY OWNER 6 � Print MAP NO: .5 5� PARCEL: 2 7 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: ❑ Commercial ❑ Repair, replacement 0 Assessory Bldg ❑ Others: ❑ Demolition , ❑ Other ' r��Wetlands, `� 'WatershedDs`tnct Septic ®Well f Floodplain DESC TI N OF WORK TO BE PERFO D: / e•c U c &h Ld coxAev-n /4-012 OC �Gcl �/rof��'Y► Identification Please Type or Print Clearly) OWNER: Name: Phone: Address: CONTRACTOR Name: &reock-S C�•�!S!��7` Phone: 9�g' '� ) Address: % ��(S b�✓ A&/ Supervisor's Construction License: �� 3a �s Exp. Date: Home Improvement License: ��S t� . Exp. Date: ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE:BULDING PERMIT;$12.00 PER$9000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ FEE: $ `L � Check No.: Receipt No.: I NOTE: Persons contracting with unregistered contractors do not have access to the guaran and _ - Signatiaeo_f_.Agent/Owner Signature of.contrac,._r -� v 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 Signature COMMENTS HEALTH Reviewed on Signature i COMMENTS Zoning Board of Appeals:Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments I Conservation Decision: Comments Water & Sewer Connection/Signature&Date Driveway Permit DPW Town Engineer: Signature: Located 384 Osgood Street FIRE DEPARTMENT - Temp Dumpster on site yes no Located at 124 Main Street Fire Department signature/date COMMENTS i — 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 d®TE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit n all cases if a variance or special permit was required the Town Clerks office must stamp the decision from the Board of Appeals hat the appeal period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording lust be submitted with the building application Doc: Doc.Building Permit Revised 2008mi Location J r Ci No. �6 " 2 0�i / Date 3 3 /i a y MORT1y TOWN OF NORTH ANDOVER s 1 t Certificate of Occupancy $ { s�cHusEt� Building/Frame Permit Fee $ -2 Irr- j Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # t 01/ 2 3 9 6 6 —building Inspector ORTH 0 of _ .,, b Andov ,er -o dover, Mass., Y O COCMIC EWICK �d ADRATED PC BOARD OF HEALTH Food/Kitchen Septic System .PERMIT T D BUILDING INSPECTOR THIS CERTIFIES THAT �`�� ......... ................................ .... ..................................... Foundation has permission to erect........................................ buildings Rough to be occupied as............ ,�iC i . ..G ��. /... .7_17.,...... . 4r.. . Chimney..... ..... ..r/�� . - ........ . �.. Ch' provided that the person accepting this permit shall :Avery respect conform to the terms of th application on film 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 Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTION STARTS Rough .......... .....................:.......................... Service /� UILDING 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. \ I 1 I l I { .Massachusetts - Delmrtment of Public Safety Board of Building Regulations and Standards Construction Supervisor License License: CS 73265 DANIEL J BARCELOS 42 TEWKSBURY RD HAMPSTEAD, NH 03841 Expiration: 8/25/2012 ( unniisci ncr Tr 3495 J` • CN:Sn 5N4-CCP9.YN{M hE ci-mot k-m CP ri°w VS:TE 5"AE Eula\G LD%E.71G 2C.R'YdYt5 Cf M1ETCNN CP\CTM CCCLPATIZIN&A^DW.TM to MBAV:A C*{RA=X-AB°REGLAZ'2 U\V5�CMNINM M 90ht S5 I u.G•• TI4\\'.'A'. 'n\rt'TCRH.SP"AM\DRR01CC.3.!!L""TaS*OlUTP.t\WG5SAAFECCMTM•E1R6EJTOry LTCPTML %Cl&LW-2"CTTAT .. Y i AC?t3 ADSf�nPCfJMTDnl5`AtEN FRDM E+75Tr1G n5 A\D 0.MCDMFEL"'L`4ELftFJ'EnT5 MD61 xL\tDED^.niY iCAS.ST ME CCMRAZZO N CTCR A E0'aVY.I&N.4TYE5CCgE O NCRI. sw•Mi.ute.e \ /'/ CCKfii\S A\D Pl,M C7T rC2 j-h551:UD CE\}NECN71@rf.7 Q :—Tom—CI 1 DGCRTDl,=-\CNG TM0E"'CCG\T MIIII-a BVI P"0 5W, \MT CRAY \ DLRCRFDMCE5 rTxM'IV TIE"N'C0 6GlCNCATICn'S OEtLRE CRCCF6?VG IMNA°PEC'FO GAP Cf TIL Nipi< l w!.Rcxa IVmPLulN.tL' fit\— �fiLAd WE 02ANIVG4°LTE DJAVTilES tE\GiMS,ELES,PfGV.L.E/AA\CEB ETC, ^ognw n�VVVVVV va .„'�i `nn�m�; \a*ra+a [fwrmfrsMiE pkusrw CCfGV LCF15551U•. nCZ ni: ! .P0 NnT1EW1IW nH,EfM:W , \ SIR�KLBE IERCWVAT'HE EVDCr EaLa\1CRNG DAr..+.L DEERS wrLl.9EgL�'D LO Mljl�[Y�IA�MSIt] / \ AnO GVC!DNCCNTN\ESS,CCnETSJL1CvttW1TY9�0�?R CR CTr�'.R ALCEGCAE� { Iw.l�[L> MGAVS I NLp?MCVfL^nA';OLCN,'fdl'.'iIC\CE0iMi 6HA1.00 FRLCER.Y pS'/..SJtGJ�.G iME Q �i i II EVifM77 NGRi MDTNE EfESrNI EE LEFTCC-fi.E*Lv C,pp\.\C iREFGCEER5 A' Y y Tr@ENC G1'MO CCMRACt,A.1.DPPw'E.dt+LL�GRDFELY IEGDE�LPO 1 EXISTING FLOOR PLAN GENERAL NOTES til V. V.K'4^.v CIT✓d 0.Ai!CRtl BC1H FRN'dVG MC SLE•FIDCR\G l f MAT Mk 5NNA U RRE WASCAV*`:L'= Y1 Q Mrru:ucto•.w R\ 1 \5'SJLTiG; V.'A M'•:I0.tC "CiAL StTDG O'N C.C,PM 00 •N MD TU RE RM4,51AVi CRt\1AL IEC w m 5, Mn MOM Fin R � y � ® o dt u�K.ti B.1-:N3 FSC�fRENiLY%R,^'EC"ED B"AFFE 5Jx�lSEt7V 6v01EM M O O O O O O Ri a- nM„lw.. .� —11—m ww` uvra-meaue xa ` . � V x✓a ro�V�a.Ttir�� .:aaSitr.xxa..:c- \JJ\ � O/ a� •m•xlcau- B r My i Iw � I V I sV PROPOSED FLOOR P'-AN LA_ I