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Home My WebLink AboutBuilding Permit #627 - 1600 OSGOOD STREET 3/28/2007 pORTFM BUILDING PERMIT J TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION K Permit NO: 6�7Date Received 3O ,Te SUs�� o Date Issued: y d� 'Vo ACH IMPORTANT: Applicant must complete all items on this page LOCATION .. f wf", ,PROPERTYO' tS MAP.NO; PARCEL • ZC3NlNG'I I TI IG HI°STQRIG DISTRICT„k' yep no,, -'' TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building ❑ One family ❑ Addition ❑ Two or more family 0 Industrial C?-Aiteration No. of units: ❑ Commercial ❑ Repair, replacement ❑ Assessory Bldg ❑ Others: ❑ Demolition ❑ Other 0 Septic. D46ir oadpJein ,:I WefEands. a q, 111 t rsF ec Estr�ct v : b Water/Sewer i DESCRIPTION OF RK TO BE PREF MED: -//. t e # S Identification PI ase ype or Print Clearly OWNER: Name: MOO Phone: � r Address: ov CONTRACTOR, Name 'Phare. Address. - = Superviso°r's Constr act�0 1 Licehs� o `t r Ex }ate.. s Horne trt rc ueme t License ,' . xp Date . ARCHITECT/ENGINEER �r,S� �.s�� Phone: 9-77- Address: `� Ff t/lq_. %9 S 7' 124 ,4�aAe--Reg. No. FEE SCHEDULE:BOLDING PERMIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ FEE: $ a Check No.: 1 6D2' Receipt No.: NOTE: Persons contracting with in registered contractors do not have access to the guaranty fund Signature of Agent/Owner Signature of contractor Plans Submitted Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans P ❑ 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 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 ❑ `- 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 FIRE DEPARTMENTS Temp Eumpster on site yesno z Located at 124 Mai 'Street Fire Department signature/date c a Ar u COMMENT s � 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.$100-$1000 fine NOTES and DATA— (For department use ❑ Notified for pickup - Date ..................................................................................................................................................................................................................................................................................................................................................................................................................................................................... ...........: Doc.Building Permit Revised 2007 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 ❑ Engineering Affidavits for Engineered products NOTE: 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 ❑ 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) ❑ 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) ❑ 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 ❑ 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 No. �2 ? Date /-,, G NaRTM TOWN OF NORTH ANDOVER 41 f 9 Certificate of Occupancy $ cMus Building/Frame Permit Fee $ f s� Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # 20U / u Building Inspector v4ORTH Town of over 0 .- 0 No. A over, Mass.,— s oaL CO HICHEWICK rE 1) P" BOARD OF HEALTH Food/Kitchen PERMIT T Septic System BUILDING INSPECTOR THIS CERTIFIES THAT............6177— ......................................... ......................... .. .... *F danion V 0 has permission to erect........................................ buildings on .Ab.'O()......r �.0.0.a... ....fl . ...... ugh to be occupied as...................zsoi ........ .. ..........aChimney provided that the person accepting this:permit shall in every respect conform to the terms of iWapplication** iiiFinal 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 gFinal Q PERMIT EXPIRES IN MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRU TARTS Rough ..... ...... ....... ... .................... ......702 .................... ........B... .......ING INSPECTOR Service 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 SIDEl Smoke Det. DOWGIERT CONSTRUCTION CO. INC. 616 ESSEX STREET LAWRENCE, MA 01840 978 685-0306 fax 978 685-1290 CONTRACT Customer Name Nxstage Medical Date 3/28/2007 Address 1600 Osgood Street Job Loc Bldg 30 2nd floor City North Andover State MA ZIP 01845 Job Name Phone Qty Description Unit Price TOTAL Supply necessary permits. Supply necessary piping and install sprinkler heads in existing ceiling by others. Install lighting and switch. 1 TOTAL CONTRACT PRICE $3,200.00 $3,200.00 SubTotal $3,200.00 Shipping & Handling $0.00 TOTAL $3,200.00 ` Office Use Only