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Home My WebLink AboutBuilding Permit #710-2017 - 1600 OSGOOD STREET 5/1/2018 BUILDING PERMIT TOWN OF NORTH ANDOVER - APPLICATION FOR PLAN EXAMINATION ' _ f o �I '/ �`�/ 7��'�i Permit No#: � Date Received reo PJ, �SsaCHUS Date Issued: EMORTANT.Applicant must complete all items on this page - LOCATION _- - f - ,� pROPERrTY..®�t11NER - v - nnt', �; �, ?1DDYeaStr cture yes no MAP - PARCEL ZONING DISTRICT _ Histartc Distnct? yes no Machine.Shop.Vtllage yes no - I TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑New Building ❑ One family ❑Addition ❑Two or more family ,1 -lndustrial P� lteration No. of units: i)rCommercial `Repair, replacement ❑Assessory Bldg ❑ Others: ❑Demolition ❑ Other Se tic Well - �.Flpodp(ain 1Netlands Watershed Disfrict ❑ P... - _. _._.:.. _. p.Water/Sewer.::._�:.=_;....;,::_.�<;.-:.., ::,�,.�°;_.:_....._,K:-,. _=.�.::_��..:-.-�_......_:.� . •��__=: ::�`_ .._ . . : ._. .--- DESCRIPTION OF WORK TO DE PERFORMED: MOCCLAC Identific 'on- Please Type or Print Clearly OWNER: Name: ?� Phone: Address: 1 6 ov D S ' C)� [� - - C Contactor Name: ` � - 5upei isor's Consfructlort L�eense ' d:- Exp e, MY License: -- _Expr Date.._ := =f ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE:BULDING PERMIT.$92.00 PER$9000.00 OF THE TOTAL ESTIMATED COSTBASED ON$125-00 PER S.F. "e Cost: Z�U� FEE: $ J d _,Total Pro, ct C® $ Check No.: l Receipt No,. NOTE: Persons co tracting with unregistered contractors do not have.access to the guarantyfund --------------------- ---------- J Plans Submitted ❑ Plans Waived Certified Plot Plan ❑ Stamped Plans ❑ -TYPB-1F SEWERAGE DISPOSAL Public Sewer ❑ Tanning/Massage/Body Art ❑ Swimming ung Pools ❑ Well ❑ Tobacco Sales ❑ Food Packaging/Sales ❑ Private(septic etc. ❑ P Permanent Dempster on Site ❑ THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM PLANNING & DEVELOPMENT Reviewed On Signature .COMMENTS_ CONSERVATION Reviewed on Signature COMMENTS HEALTH Reviewed on Signature i COlWiviENTS r i Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes anning Board Decision: Comments Conservation Decision: Comments i Water & Sewer Connection/sic anature& Date Driveway Permit DPW Town Engineer: Signature: Located 384 Osgood Street FIRE DEPARTMENT' -.Temp Dumpster on site yes no Located at 124 Main Street Fire Department signatureldate /�i1R AR Rr'M IT!' -imension 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 lequires approval of Electrical inspector Yes No - DANCER ZONE LITERATURE: Yes No MGL Chapter 166 Section 21A—F and G min.$100-$1000 fine NOTES and DATA— (For department use) ❑ Notified for pickup Call Email ate Time Contact Name Doc.Buildingg Permit Revised 2014 Building Department The following is a list of the required forms to be filled out for the appropriate permit to be obtained. r 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 ❑ Engineering Affidavits for Engineered products N®TE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit Addition Or Decks ❑ Building Permit Application ❑ Certified Surveyed Plot Plan ❑ Workers Comp Affidavit ❑ Photo Copy of H.I.C. And C.S.L. Licenses D Copy Of Contract o Floor/Cross Section/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (If Applicable) o Mass check Energy Compliance Report (If Applicable) o Engineering Affidavits for Engineered products V®TE: 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 o Certified Proposed PIot Plan o Photo of H.I.C. And C.S.L. Licenses n Workers Comp Affidavit o Two Sets of Building Plans (One To Be Returned) to include Sprinkler Plan And Hydraulic Calculations (If Applicable) o Copy of Contract act o Mass check Energy Compliance Report o Engineering Affidavits for Engineered products 10TE: 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:Building Permit Revised 2014 Location R0 dV O S G G U 1 7 • // No. -710 - ?-0/7 Date • TOWN OF NORTH ANDOVER Certificate of Occupancy $ _ Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ ' r Check# / c t J L-1 ;/ Building Inspector t%ORTlf Town of t _ sAndover No. I�— C, h ver, Mass, ► � '# ` COC MICHlWKK y1• AERATED S U BOARD OF HEALTH Food/Kitchen PERMIT T LD Septic System 1 .M1!1.K� ...... THIS CERTIFIES THAT ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, BUILDING INSPECTOR ..... . .... .... ..... .... . . * has permission to erect .......................... buildings on .... .. om........4/ M....... 3.00 Foundation Rough to be occupied as ..... Qv .............� ........, ,,..�,�/1/�� ........... .A. .. ...... Chimney provided that the person accepting this permit shall in every respect conform to the terms of the application Final on file in 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 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTPY S RT Rough Service ......... .... ........... ........ ....................... ti BUILDING INSPECTOR Final GAS INSPECTOR Occupancy Permit Required to Occupy Building 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. Smoke Det. The Commonwealth of Mazaachusefts Department of Fire Services Office of the State Fire Marshal P.O.Box 1025 State Road,Stow,MA 01775 APPLICATION FOR PERMIT Date: Permit No City or Town) (If Applicable) Dig Safe Number In accordance with the provisions of M.G.L. Chapter as provided in Section application is hereby made Start Date by LIJ (FuH name of person,Firm or Corporation State clearly Address 67 L � /e,,—, p , o/ ��-3 � 7k 6Y7 purpose for (Street or P.O.Box City or Town) which permit For penniss1'01,to lZe 1 6 C_Z, � C_ z vu V, Ll, S a , - ds is requested =0NJ ei_' C"n� LI Comments: at 14 bb bsjo- d S4- 0/4, o sl Givd1ocation,by street and no.,o escribein such manner as to provied adequate identification of location — Name of competent operator CL I, I r ILe- Cert.No. ty4S-2- 2- (If Applicable) Date Issued-rejected By Signature of Applicant Date of expiration Fee S Paid Due --——---—-----------------------—--—---—-—---------------------------—cut-----—------—---------——-------—--------—----------- ———---------- The Commonwealth of Massachusetts Department of Fire Services Office of the State Fire Marshal P.O.Box 1025 State Road,Stow,MA 01775 PERMIT Date: City of Town) Permit No (If Applicable) Dig Safe Number In accordance with the provisions of M.G.L. Chapter�_as provided in section Start Date This Permit is granted to: Full name of person,Firm or Corporation Permission to Comments: Restrictions: at Give location by street and no.,or descri'be in such manner as to provied adequate identification of location) Fee,Paid S This Permit will expire (Signature of offical granting permit) _Offikalgranting permit (Title) TI-11_Q PIMMIT MI IRT Pl= MNAP[rl Ini I-ql V PORTi=nl MOM T141= PP1=M1_qP:_q