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
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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
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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�
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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
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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
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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
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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
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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.