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Home My WebLink AboutBuilding Permit #232 - 1600 OSGOOD STREET 9/25/2007 TOWN OF NORTH ANDOVER gORTF/ APPLICATION FOR PLAN EXAMINATION of � 1O Permit NO: (:>L Date Received s Date Issued: �ss4re�c a IMPORTANT: Applicant must complete all items on this page LOCATION not PROPERTY OWNER Print MAP NO.: PARCEL: ZONING DISTRICT: TYPE AND USE OF BUILDING HISTORIC DISTRICT YES ❑ TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential 0 New Building 0 One family ❑ Addition 0 Two or more'family 0 Industrial 0 Alteration No. of units: ❑ Repair, replacement ❑Assessory Bldg ❑Commercial ❑ Demolition 0 Moving relocation 0 Other ❑ Others: 0 Foundation only D CRIPTION OF WORKTP BE PREFORMED L,, ty 1 Identification Please Type or Print Clearly) OWNER: Name: L6to Phone: Address: a ' C jr CONTRACTOR Name: Phone: Address: Supervisors Construction License: Exp. Date: Home Improvement Licenser Exp. Date: ARCHITECT/ENGINEER U� V„) ,��D C' Name: Phone: ' Address:—L��tL1L Reg.No. FEE SCHEDULE:BULDING PERMIT:511.00 PER$1000.00 OF THE TOTAL ESTIMA TEPf9ST BASED ON,S115.00 PER SF. Total Project Cost :$ FEE:$ Check No.: C)306 Receipt No.: aO 61? Page I of 4 I i TYPE OF SEWERAGE DISPOSAL Tanning/Massage/Body Art ❑ Swimming Pools ❑ Public Sewer ❑ ❑ Tobacco Sales Food Packaging/Sales ❑ Well ❑ Permanent Dumpster on Site ❑ Private(septic tank,etc. ❑ Electric Meter location to project NOTE: Persons contractin ith egistered contractors do not have access to thTpped Signature of Agent/Owner Signature of contractPlans Submitted Plans Waived ElCertified Plot Plan ❑ fans El 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 FIRE DEPARTMENT - Temp Dumpster on site yes no Fire Department signature/date z� COMMENTS 411 fe✓m) Zoning Board of Appeals: Variance,Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments Conservation Decision: Comments Water& Sewer Connection/Sienature& Date Drivewav Permit a I Building Setback( Front Yard Side Yard Rear Yard Required Provided 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 Page 3 of 4 Doc:INSPECTIONAL SERVICES DEPARTMENT:BPFORM05 Created JMC.Jan.2006 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 Doc:INSPECTIONAL SERVICES DEPARTMENT:aPFORMOS Page 4 of 4 Service Quote R-Squared Office Panels & Furniture, Inc. 360 Merrimack St., Bldg 9 / Door B Lawrence, MA 01843 Tel: (978) 685-7600 / Fax: (978) 689-4128 SERVICE DATE: TBA Sold To: Hudson Design Group 1600 Osgood Street Date: 9/21/2007 N. Andover, MA 01845 S.O. #: P.O. #: Attn: Jean Marshall Terms: Net 30 Tel: Salesmen: J. Balas Fax: Jobsite: same Per Description Station TOTAL 19 Knock Down, Move & Reassemble 19 Workstations. 200.00 3,800.00 Total Service Work $ 3,800.00 We accept MasterCard, Visa,American Express and Discover. Remit to address: 360 Merrimack St. /Bldg 9, Door B/ Lawrence, MA 01843 T40RT#j Town of O �nw-•'yam � .;F. ;",�'..` .ot•. No. Co. )00 LAKo dover, Mass., d COC H[CHEW ICK %ds RATED P•P�,`�5 7 BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System BUILDING INSPECTOR THISCERTIFIES THAT.......... .. ...... si. ........ ..� ..I............................................................................... Foundation has permission to erect........ .............................. buildin s on ./0-4.40......4 �.�. s. .T. .......... Rough • Chimney tobe occupied as......�y ►�, .., .......4W V . ........ ........ ...................................................................................... provided that the person accepting this permit shall in eve 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. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES IN 6 M THS ELECTRICAL INSPECTOR UNLESS CONSTRU ARTS Rough .............................................................................................. service BUILDING INSPECTOR 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. Location A40? No. Date NORT� TOWN OF NORTH ANDOVER f �h A Certificate of Occupancy $ 44 �N�s<�' Building/Frame Permit Fee $ ��. Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # 20650 Building Inspector