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HomeMy WebLinkAboutBuilding Permit #134 - 1503 OSGOOD STREET 8/18/2006 v TOWN OF NORTH ANDOVER µORT1y APPLICATION FOR PLAN EXAMINATION qt,f'D 0 6 i '6 0 o Permit NO: 13 / Date Received lass ATED fs��(� Date Issued: 1 ACHU IMPORTANT: Applicant must complete all items on this page LOCATION /�� �S Gi O e) d ' Print PROPERTY OWNER a 0,i Print MAP NO.: ,-� PARCEL: ZONING DISTRICT: ✓ ) r TYPE AND USE OF BUILDING HISTORIC DISTRICT YES ❑ TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑New Building ❑ One family ❑ Addition ❑ Two or more family ❑ Industrial ❑Alteration No. of units: ❑ Repair, replacement ❑ Assessory Bldg ❑Commercial ❑ Demolition ❑ Moving(relocation) ❑ Other ❑ Others: ❑ Foundation only DESCRIPTION OF WORK TO BE PREFORMED E Identification lease Type or Print Clearly) OWNER: Name: / � Q o C'� Phone: �/7 G y Address: 2 ��o'� v 4 cs CONTRACTOR Name: `'�A -� C"hone: 97� Address: Z Q Supervisor's Construction License: d S e/ Exp. Date: Home Improvement License: Exp. Date: ARCHITECT/ENGINEER Name: Phone: Address: Reg.No. FEE SCHEDULE:BULDING PE IT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost :$ ;—� 0 a ; U D FEES ��lU Check No.: Receipt No.: 0 -t- Pa e lof4 l TYPE OF SEWERAGE DISPOSAL Swimming Pools ❑ 11Tanning/Massage/Body Art E] g Public Sewer Well 11Tobacco Sales ❑ Food Packaging/Sales L1 Permanent Dumpster on Site ElPrivate(septic tank,etc. F1 Permanent Meter loca on t project NOTE: Persons contracting with unregistered contractors do not have access to thptampedPlans Signature of Agent/Owner Signature of contracto Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan . ❑ 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 i ❑ Other � COMMENTS w I DATE REJECTED DATE APPROVED CONSERVATION ❑ ❑ COMMENTS DATE REJECTED DATE APPROVED 0" HEALTH ❑ ❑ d COMMENTS Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments Conservation Decision: Comments Water&Sewer connection/SiEnature& Date Driveway Permit Temp Dumpster on site yes_no Fire Department signature/date J f I Building Setback(ft.) Front Yard Side Yard Rear Yard Required LProvided Required Provides Required Provided Dimension Number of Stories: Total square feet of floor area,based on Exterior dimensions. Total land area, sq. ft.: NOTES and DATA—(For department use I I Page 3 of 4 Doc:INSPECTIONAL SERVICES DEPARTMENT:BPFORM05 Created JMC.Jan.2006 t 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 ❑ 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) ❑ 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 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 i i Doc:INSPECTIONAL SERVICES DEPARTMENT:BPFORM05 Pave 4 44 Town o oaY North Andover O0 H Building Department o 27 Charles Street A North Andover,Massachusetts 01845 (978)688-9545 Fax(978) 688-9542 TA_�gA CO[N1CMwrK `y7' 7 �R�TED IPa .�J Building Demolition Affidavit 9ssACHus�� DATE - ?31 c OWNERS NAME&ADDRESS f CCI � 1. Ij �4 -19 PROPERTY LOCATION DESCRIPTION CONTRACTORS NAME&ADDRESS DEPARTMENT SIGN-OFFS SEWER l �� J GAS 6 ELECTRIC G` TELEPHONE \/CABLE Olt/ TAXES i POLICE FIRE O &,, l( He-u ig L,-)a J EXTERMINATOR DUMPSTER-ON/OFF STREET 4 L46'd DIG SAFE NUMBER 2 66� ��'v� C)!S BLDG. INSPECTOR DATE RECD 4 ** ?0 ' 30UJ -ld101 *W national girid � Robert C.Pendrake Supervisor of Support Services July 14,2006 Ranger Development Corp. � P � 2 Bridge Circle Tyngsboro, MA 01879 RE: Removal of electrical service and meters for demolition. Dear Tracy: This letter is to confirm that the electrical services and meter(s)were removed from 1503 and 1505 Osgood Street, Forth Andover, MA on July 13, 2006. If you have any questions or need further assistance,please feel free to contact me at 978-725-1320. Sincerely, Robert C. Pendrake Supervisor of Support Services RCP/cmc 1101 Turnpike Street North Andover,MA 01845 978-725-1320 20 ' d S28P6b982-6 16 of goo I S22- 82-6 JN I z133N I JN3 �J3 02 : 01 9002 V1 -inf ��,� �" �r- � ,�u����� �� s �� � a� � , AUG-10-2006 13:22 BELL ATLANTIC 978 682 0401 P.01 Town of North AndoverMORTFf of {�,ILo Building Department 27 Charles Street F°r North Andover,]Massachusetts 01845 (978)688-9545 Fax(978)688-9542 ���"'VPC Ib »�,ti y Build ng DIM01ition Affidatt �S�ACH►!g�` r n. 0W N & DRE 5 ? - Pg0PFP7TL0QTION D CkIPTIoN r CO TO D SIGN-OFFS � � t D P WJ WATER SEWER J GAS J ELEC'T'RIC I' i EA-9maG� ✓CABL TAXES POLICE FIRE J EXT FM9LAL0K DURST>r -Q&M STREET DIG SAFE NUMBER BLDG. INSPEMM DATE RECD TOTAL P.01 i 92 Glenn St,Lawrence Mass Comcast Fwax �1 To: fromc Fax: - a Pages: Phone: Date: Re: CC: ❑Urgent For Review 11 Please Comment ❑Please Reply C7 Please Recycle •Comments: Cmc � C"tv yp,.q ''N � So (soy SA- 08/02/2006 10: 02 7815927641 Al EXTERMINATORS PAGE 02 J All I 41 Exterminators pest control professionals DATE: AUGU,131! 2, 2006 TO: BOARD OF HEALTH .N. AN!LO EV R, MA 01845 AT THE REQUEST OF: RAN IER DEVELOPMENT 978-649-421 2 BR.IDGEVIEW CIRCLE TYNGSBORO, MA 01879 A RODENT CONTROL SERVICE WAS PERFORMED PRIOR TO DEMOLITION AT: 1505 OSGOOD STREET N ANDOVER MA 01845 THE PROPERTY SERVICED WAS: (1) SMALL SHACK IF YOU HAVE ANY QUESTIONS, PLEASE DO NOT HESITATE TC CALL., SINCERELY, A-1 EXTERMINATORS 183 Shepard Street Lynn. MA 01902-4597 781-592-2731 800-5254825 781-5927641 Fax Location ���Dd�• •�'� No. �I Date y Q� MORT1y TOWN OF NORTH ANDOVER F 9 a Certificate of Occupancy $ _ Building/Frame/Frame Permit Fee $ ' s�cNust 9 Foundation Permit Fee $ Other Permit Fee $ TOTAL $ �} Check # I� 1 ., 375 Building Inspector