HomeMy WebLinkAboutBuilding Permit #Exception - 1077 OSGOOD STREET 5/1/2018 (5) TOWN OF NORTH ANDOVER
APPLICATION FOR PLAN EXAMINATION �ORTI{
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Permit NO: Date Received
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Date Issued: "EJ—
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IMPORTANT: Applicant must complete all items on this page
LOCATION_ 1077 CIZs6$ Street
Print
PROPERTY OWNER Angus Realty Corporation
Print
MAP NO.: 35 PARCEL: 27 ZONING DISTRICT: General Business (GB)
TYPE AND USE OF BUILDING HISTORIC DISTRICT YES ❑
TYPE OF IMPROVEMENT PROPOSES USE
Residential Non-Residential
rOAlteration
Building ❑One family j
JE-Addition ❑Two or more family 0 Industrial
No. of units:
❑Repair, replacement 1 F'Assessory Bldg ®Commercial
0 Demolition
❑Movin relocation 0 Other ❑ Others:
0 Foundation only
DESCRIP'T'ION OF WORK TO BE PREFORMED
Construction of refrigerated storage cooler and installation of 'two j
dry goods storage containers at the site.
Identification Please Type or Print Clearly)
• i
OWNER: Name:_ Angus Realty Corporation Phone: 978-688-1511
Address: 1077 Osgood Street North Andover MA 01.845
CONTRACTOR Name: To be determined Phone:
Address:
Supervisor's Construction License:_ N/A Exp._.I1ate:
Home Improvement License: NSA Ex . Date:
P
Lynnfield
ARCHITECT/ENGINEER Engineering, Inc Name:Phone: 978-777-7250
199 Newbury Street #115
Address: Danvers MA 01 923 Reg.No. 33017
FEE SCBED ULE:B ULDING PERMIT: $12.00 PER$1000.00 OF THE TOTAL ESTMATED COST BASED ON$125.00 PER S.R
Total Project Cost : x12.00=FEE:$
Check No.: Receipt No.:
Page I of 4
TYPE OF SEWERAGE DISPOSAL
Tanning/Massage/Body Art ❑ Swimming Pools 0 .
Public Sewer 19
Tobacco Sales ❑ Food Packaging/Sales `
Well ❑
❑ Permanent Dumpster on Site ❑
Private(septic tank,etc. Electric Meter location to
project
NOTE: Persons contracting with unregistered contractors do not have access to the guarantyfund
Signature of Agent/Owner Signature of contractor
Plans Submitted Plans Waived ❑ Certified Plot Plan ® Stamped Plans
THE FOLLOWING SECTIONS FOR OFFICE USE ONLY
INTERDEPARTMENTAL SIGN OFF-U FORM
DATE REJECTED DATE APPROVED
PLANNING &DEVELOPMENT ❑ ❑
❑Water Shed Special Permit
❑ Site Plan Special Permit
❑ Other
COMMENTS
DATE REJECTED DATE-APPROVED
CONSERVATION ❑ ❑
COMMENTS
i �
DATE REJECTED DATE APPROVED
t
HEALTH ❑ ❑
COMMENTS
Zoning r3oard ofAppear:Yanance,-Yefiifion. No:
Zoning Decision/receipt submitted yes
Planning Board Decision: Comments
Conservation Decision: Comments
I
Water&Sewer connection/Signature&Date Driveway Permit
Temp Dumpster on site yes_no_ Fire Department signature/date
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
Addition Or Decks
❑ Building Permit Application
❑ Surveyed Plot Plan
❑ Workers Comp Affidavit
❑ Photo Copy of H.I.C. And C.S.L. Licenses
❑ Copy Of Contract
Q Floor/Crossection/Elevation Plan Of Proposed Work With Sprinkler Plan And
Hydraulic Calculations (If Applicable)
❑ Mass check Energy Compliance Report (If Applicable)
New Construction (Single and Two Family)
a Building Permit Application
oc Certified Proposed Plot Plan
❑ Photo of H.I.C. And C.S.L. Licenses
❑ Workers Comp Affidavit
M 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
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
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integrating design, expertise and technology
March 21, 2008
Town of North Andover
Building Department
1600 Osgood Street
North Andover, MA 01845
Attention: Mr. Gerald Brown
Inspector of Building
Subject: Butcher Boy Mall
1077 Osgood Street
North Andover, MA
LEI Job No. 364-20
Dear Mr. Brown:
For your review, please find enclosed a completed Application for Plan Examination along
with four sets of drawings depicting the proposed refrigerated cooler and dry goods storage
containers at the above-referenced project.
If you have any questions or desire any additional information regarding this matter, please
do not hesitate to contact me at 978.777.7250 Ext. 12.
Very truly yours,
Lynnfield Engineering, Inc.
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Richard Brthelmes, P.E.
enclosures
Hand carry
c: Mr. Alan Yameen, Butcher Boy Markets
w/enclosures - hand carry
199 Newbury Street, Suite 115 • Danvers, MA 01923 • 978.777.7250 • fax 978.777.8650 • www.lynnfieldeng.com
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