HomeMy WebLinkAboutBuilding Permit #Exception - 1580 Osgood Street 6/19/2013TOWN OF NORTH ANDOVER
APPLICATION FOR PLAN EXAMINATION
Permit NO: I Date Received
Date Issued:
I I WPORTANT: ADDlicant must comDlete all items on this page I
LOCATION
V
Print.
PROPERTY OWNER Bll�p Llt_��r
Print. 100 Ye6r Old Structure yes'. no
MAP NO: PARCEL: ZONING DISTRICT: Historic District. yes no
Machine Shop Village yes* no
TYPE OF IMPROVEMENT
PROPOSED USE
Residential
Non- Residential
0 New Building
El One family
El Addition
0 Two or more family
El Industrial
0 Alteration
No. of units:
El Commercial
El Repair, replacement
0 Assessory Bldg
0 Others:
0 Demolition
0 Other
0 Septic 0 Well
0 Floodplain El Wetlands
El Watershed District
0 Water/Sewer
DESCRIPTION OF WORK TO BE PERFORMED:
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Identification Please Type or Print Clearly)
OWNER: Name: 11PT Ri/�. lvie_ �roA, X1,1-aelAkI Phone:'IA�- 651 -_Y160
Address: 9o.Aih:r/, Rd I�V,4. 6119q I
CONTRACTOR Name: Phone:
Address:
Supervisor's Construction License:
Home Imr)rovement License:
Exp. Date:
Date:
ARCH ITECT/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: $ )Q0, 0 6
Check No.: I&S I Receipt No.: —,12 & 3-311.
NOTE: Persons contracting with unregistered contractors do not have access to the guarantyfund
Signature of Agent/Owner
Plans Submitted 11 Plans Waived D
Signature of contractor
Certified Plot Plan El Stamped Plans
Plans Submitted D Plans Waived 11 Certified Plot Plan 11 Stamped Plans F1
TYPE OF SEWERAGE DISPOSAL
Public Sewer El
Tanning/Massage/Body Art El
Swimming Pools El
Well El
Tobacco Sales E]
Food Packaging/Sales El
Private (septic tank, etc.
Pennanent Dumpster on Site El
THE FOLLOWING SECTIONS FOR OFFICE USE ONLY
INTERDEPARTMENTAL SIGN OFF - U FORM
DATE REJECTED DATEAPPROVED
PLANNING & DEVELOPMENT El El
COMMENTS
CONSERVATION Reviewed on Si-qnature
COMMENTS
HEALTH Reviewed on Signature
COMMENTS
Zoning Board of Appeals: Variance, Petition No: Zoning Decisionfreceipt submitted yes
Planning Board Decisio n: Comments
Conservation Decision: Comments
Water & Sewer Connection/Signature & Date Driveway Permit
DPW Tow;,, Engineer: Signature:
FIRE DtPART'M I 'ENT' Ternp Dumpster on site yet
Located at'124 Main Street
Fire De 'rt
pa ihe*r:Jt-gigha"tdrb1datb
COMMENTS
Located 384 Osgood Street
no
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
MGL Chapter 166 Section 21A -�-F and G min.$100-$1000 fine
Nu i t5 ana DA I A — wor awartment use
13 Notified for pickup - Date
Doc.Building, Permit Revised 20 10
Building Department
i
The foh�owing is a list of the required forms to be filled out for the appropriate permit to be obtained.
Roofivg, Siding, Interior Rehabilitation Permits
u Building Permit Application
u Workers Comp Affidavit
o Photo Copy Of H.I.C. And/Or C.S.L. Licenses
u Copy of Contract
u 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
ii Building Permit Application
L3 Certified Surveyed Plot Plan
u Workers Comp Affidavit
Li Photo Copy of H.I.C. And C.S.L. Licenses
Li Copy Of Contract
ci 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)
o Building Permit Application
Certified Proposed Plot Plan
Photo of H.I.C. And C.S.L. Licenses
o Workers Comp Affidavit
Lj Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And
Hydraulic Calculations (If Applicable)
Li Copy of Contract
u Mass check Energy Compliance Report
Li 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 appml period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording
must be submAted with the building application
Doc: Doc.Builljing Permit Revised 2012
Location
No.
/6BO jkkal- /V/< F
Date
TOWN OF NORTH ANDOVER
Certificate of Occupancy $
Building/Frame Permit Fee
Foundation Permit Fee $
Other Permit Fee 6- C) sIM
TOTAL $
Check #o;� .57
M6 "A
2 6 5 17) 4 Building Inspelc1tor
.474
,ORTh
Ac H'Uf-
CERTIFICATE OF USE & OCCUPANCY
TOWN OF NORTH ANDOVER
Building Permit Number Date: June 19, 2013
THIS CERTIFIES THAT
THE 13UILDING LOCATED ON 1580 Osgood Street — NRT Bus, Inc.
MAY BE OCCUPIED AS Park and Fuel 50 School Buses and Office with Trainin
Room IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE
BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY.
Certificate Issued to: NRT Bus, Inc.
58 Hampshire Road
Methuen, MA 01844
Buf1ding Inspector
Fee: $100.00
Receipt: 26534
Check:2851