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Home My WebLink AboutBuilding Permit #810-12 - 1077 OSGOOD STREET 5/1/2018 OORTH BUILDING PERMIT 0 11T%.aD 0616a TOWN OF NORTH ANDOVER �? at _ •. APPLICATION FOR PLAN EXAMINATION * ,� Permit NO: �/ � Date Received _0_ *�° LIK. " ," Esq q°j+^rap�PP�g9 9,0/0. SSACHUSE Date Issued: IMPORTANT:Applicant must complete all items on this page LOCATION Print PROPERTY OWNERmay uf P nt 'MAP NO: PARCEL:,27 ZONING DISTRICT:. Historic District yes: no Machine Shop Villade 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 Assessory Bldg Others: Demolition Other Septic Well Floodplain Wetlands Watershed District Water/Sewer DESCRIPTION OF WORK TO BE PREFORMED: &(k ` x V1 0-oy,\-v-e.�2 Qo.� � clk3xrvA ols ear. Identificationlease Type or Print Clearly) \ OWNER: Name: A\--\A rneen Najjr b �YW j 1 Phone:Q�%(0$'� Address: 4 Qc CONTRACTOR Name: Jf \Y)C. Phone: OI�l$ � )15- 8 a(p A Address: '4 L-O\Nt\ CA _ 2j4 I1�YkC�t\Iey 1M1t-) C) n Supervisor's Construction License: p p CS ��$. �a. Exp. 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. Total Project Cost: $ :] , ,�� FEE: $ Faroe Check No.: ��o �� Receipt No.: oii NOTE: Persons contracting with unregistered contractors do not have accgst t aranty fund Signature of Agent/Owner Signature of contracto 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 PROVED PLANNING & DEVELOPMENT COMMENTS Ila r! rl"'U)1/� ONSERVATION Reviewed on Jl �� v� Signature COMMENTS .0 //� ' Ild vU Y HEALTH Reviewed on Signature COMMENTS �. Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes C Planning Board Decision: Comments 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 Dimension Number of Stories: Total square feet of floor area,based on Exterior dimensions. Total land area,sq.ft.: NOTES and DATA— or department use I Page 3 f4 Doe:INSPECTIONAL SERVICES DEPARTMENT:BPFORMOS Cmued JMC.Jrn.2006 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) o 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 DEPARTMENTMFORM07 Revised 2.2008 Location No. Date--- f • • " TOWN OF NORTH ANDOVER 77 i Certificate of Occupancy $ Building/Frame Permit Fee $ �r k s Foundation Permit Fee $ Other Permit Fee $ 1 TOTAL $ Check#76 yy 25286 Building Inspector NORTIy TO" Of over 0 No. - Y = o , dover, ' Mass., LAK COC HICHE W ICK RATED PP��S BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System `` BUILDING INSPECTOR THIS CERTIFIES THAT,........... Foundation aY ..L1./.. ........... G . has permission to erect............::.......................... buildings o.. .� .. .a.°C ........................................ Rough to be occupied as c5? 0 k ` C6 /C. �l. .... lJiu�l '. .....:................... Chimney ............. .......................................................... .... . provided that the person accepting this permit shall in every respect conform to the terms of the application on file 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 Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTIO ARTS Rough Service ........................................... BUILDIN 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. fXFORO vowft- y o LINE Z OLD I'ARAt DAD /ZQ s,c �uv cFARAMf H\fARAI NO, P zz W 4i W '-q ti tAKE C� ; CI.gXX COChfr'HJ-WCK - Z iny 3ya"4�i3F S 1'N?F�T 147 C. LA Cf iO��J A!I/'4f�y� vn 1 �P�o a5 Nor M. sr"Ir olA \kcOD ?8. P �• GO O 0 1961 F ems\ y g Ind s� IN m S¢8• pack c1e5C�'i�-� � _ � � � 4 2yt�52. - Do °�' ��► 'x ym Ck- F 429,g NOTES /y //� y/�}p 1.BASE PLAN FROM DRAWING TITLED '1077 OSGOOD oy-\ c 1 i 7l( e STREET PLOT OF LAND LOCATED IN NORTH ANDOVER a MASSACHUSETTS', PREPARED BY.MERIOIAN ASSOCIATES2007. , INC. BEVERLY, MA DATED MAY 21, 2 2. ZONING DISTRICT. GENERAL BUSINESS (ce) B��c L� Tom► 0331��.�Qj� OO, 3. ASSESSORS MFO-. MAP 35 LOT 27 /,gBlE U 4.REGISTRY INFO: BOOK 00912, PACE 0443 2 Bio , �q raZ1T 5 �.,( 5.OWNER: ~ { 4Q— C)� ►�T L i ANGUS REALTY CORPORATION CL �o ! AN�DOVERR, cma NORRTH MASSACHUSETTS 01801 ~ o LEGEN �r J o i� ZONING DESI 3 RICHARD e6 of g Q BARTHELMES m �� p y GRAPHIC SCALE O `� lon IL C— '' t o Af&LE'JJS-sa