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HomeMy WebLinkAboutBuilding Permit #224 - 1077 OSGOOD STREET 9/21/2007 BUILDING I'tKMI 1 1a TOWN OF NORTH ANDOVER - p APPLICATION FOR PLAN EXAMINATION * ry Permit N0: Date Received �,ys q,T.o►E��� SACHU`+ Date Issued: 1707 IMPORTANT Applicant must complete all items on this page s' Q G;. aa;; �."k�r � - z- c' .,� ,�.� r �:`�5 .s{, t'' fix. .s'b" z3 �%3R �'+�7✓"� iG �`N ,�"„gym '�'y -�... `.,-s. ^z�'°� P'����-•+.`���z. err^r ""."`'"� �r"`"'"^�"rr,�-`�' � �, � ,., :`��,�`��- � h�.�yv'�x„� ��' '� t -'^a'K. � � Y ,�, 'fv �"xu�e H�-✓r rsf z yrs :k �? .h- Y s:.;. TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building ❑ One family ❑ Aition ❑Two or more family El Industrial Iteration No. of units: 0 Commercial ❑ Repair, replacement ❑ Assessory Bldg 0 Others: 0 Demolition ❑ Other gPut ` h'Ek .�'�.�-�_ ,.,����..��,Ae� �,�..va ^ =. �_' ,r,.. �m ,r ,,..,� ;�- . '< -r�ir.•��sz �€`_.� . ,.�..r, DESCRIPTION OF WORK TO BE PREFORMED: Identification Please Type or Print Clearly) OWNER: Name: -;rA75K1 'a--/ ,az'Rre JLZ111s'4"- (�0R1< Phone: 978 Address 2/S rrlR-f? KCT w G�tic� 4 p Y � a- '`Vika' ..any r19k? � � ,{�"`�-„'z�•� ' � g-,�� �� � � fly ��” x�s�1.,,����r" r '�3�G� ~�"�^te �' , xk��������'���'` k" �x.;'t ,{'ri 3 217 �^{�r :�,� 4 x, � ARCHITECTIENGINEERf��/JG.,, Phone��f- Zr`70 36 75 Address: oZI)5;, Ste'u,42cReg. No. 94 ZZ FEE SCHEDULE:BOLDING PERMIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ cSy oa ' FEE: $ Check No.: Receipt No.: b / NOT rs zs co tra-ting with unregistered contractors don Iza e s tot a guaranty fund i 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 DATE REJECTED DATE APPROVED CONSERVATION ❑ . ❑ COMMENTS DATE REJECTED DATE APPROVED HEALTH ❑ ❑ COMMENTS 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 Osgood Street a. 'GS"y ,=.w71 $ �eJ� s °atm d" .-:: Ys�` 'els, ..x *-a» tt#.��� `r� "�'vr. x��E�r�Y. ` a K g � yC. earo,R -3Y."ia " *Ts3f'4�4mz�'�zr� 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.$10o-$1000 fine NOTES and DATA— (For department use ❑ Notified for pickup - Date Doc.Building Pen-nit Revised 2007 _ Building Department II The following is a list of the required forms to be filled out for the appropriate permit to be obtained. i Roofing, Siding, Interior Rehabilitation Permits ❑ Building Permit Application o Workers Comp Affidavit o Photo Copy Of H.I.C. And/Or C.S.L. Licenses ❑ Copy of Contract -❑ Floor Plan Or Proposed Interior Work o Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit Addition Or Decks o Building Permit Application o Certified Surveyed Plot Plan ❑ Workers Comp Affidavit o Photo Copy of H.I.C. And C.S.L. Licenses E3 Copy Of Contract o Floor/Crossection/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (If Applicable) o 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) E3 Building Permit Application o Certified Proposed Plot Plan u o Photo of H.I.C. And C.S.L. Licenses o 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 D 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 Location /077 S No. / Date zz 7 �aRTM TOWN OF NORTH ANDOVER Certificate of Occupancy $ '�i�SJ,.a°•Eta Building/Frame Permit Fee $ �cMus / Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # "q 2062. i Build g Inspector Board of Building Regulations and Standards HOME IMPROVEMENT CONTRACTOR - Registration: 103202 �c Expiration: 7/6/2008 Type: DBA DICK CONTE CONSTRUCTION Richard Conte 77 Elmwood Rd. ` Methuen,MA 01844 Deputy Administrator B a"r`�o� megu`7a�io(�s a`"Hasten ar� Construction Supervisor License License: CS 15979 Birthdate: 9/2111945 1 Expiration: 0/21/2009 Tr# 3565 Restriction: 00 RICHARD J CONTE 77 ELMWOOD RD METHUEN,MA 01844 Commissioner I I f x.10 R Thi 'r \ Town of over 0 . " V" No. Z Z' 1 C A K odover, Mass., T COC MIC KE WICK y�t �d ORATED P'? C3 7`s ` BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System BUILDING INSPECTOR THIS CERTIFIES THAT............AW -� Air--. .l�y...`�.✓ ,HCl..�................................. Foundation has permission to erect........................................ buildings on ../j7.? -��5. p/ d-� ....... .. . .............................. ... Rough h F i to be occupied as / !�`' ...�° !l .....'.................... ...... .....d�... `.^ .`.*....***"*':'.:`......'...... 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. S'G! 4"04, tl PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough j Final / PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR 111 UNLESS CONSTRUCTION S ARTS Rough .......................... Service BUILDING PECTOR 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.