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HomeMy WebLinkAboutBuilding Permit #152 - 1600 OSGOOD STREET 8/25/2006 i TOWN OF NORTH ANDOVER NORTH APPLICATION FOR PLAN EXAMINATION 3?og�,�•° ;b!tioL F0- A Permit NO: Date Received Date Issued: ©� �9ssgc HUSE��y IMPORTANT: Applicant must complete all items on this page LOCATION Dscnnv �;T 2,6 2' Print PROPERTY OWNER Print MAP NO.:-3i—PARCEL: ZONING DISTRICT: TYPE AND USE OF BUILDING HISTORIC DISTRICT YES ❑ TYPE OF IMPROVEMENT PROPOSED USE Residential Non-Residential New Building n One family C Addition ❑Two or more family 2 Industrial _ Alteration No. of units: Repair, replacement ❑Assessory Bldg G Commercial Demolition Moving(relocation) ❑Other thers: -_ Foundation only ESCRIPTION OF WORK TO BE PREFORMED Iae4fication P1easee'Type or Print Clearly) OWNER: Name: Phone: Address: CONTRACTOR Name: Phone: PJA Address: Iof - % - - 1 V Supervisor's Construction License: Exp. Date: Home Improvement License: Exp. Date: � � ' t 2 £' ,ARCHITECT/ENGINEER Name: Phone: .)Lddress: Ll� eg. No. FEE SCHEDULE:BULDI.NG Rh11T 0 PFR$1000.00 OF THE TOTAL EST/MATED COST B,4SED ON$125.00 PER S.F. Total Project Cost r:$ x12.00=FEE:$ Check No.: m / Receipt No.: �c7� Page I o C.4 TYPE OF SEWERAGE DISPOSAL Tanning/Massage/Body Art [ Swimming Pools 7 Public Sewer r Tobacco Sales Well Food Packaging/Sales Permanent Dumpster on Site Private(septic tank,etc. _ Electric Meter location to project NOTE: Persons contracting with unregistered contractor not have access to the guarantyfr Signature of AgentOwne� Signature of contracto Plans Submitted <)j] Plans Waived ❑ Certified Plot Plan ❑ Sta d ans 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 ❑ Other COMMENTS DATE REJECTED DATE APPROVED CONSERVATION ❑ ❑ COMMENTS 1 ` DATE REJECTED DATE APPROVED HEALTH ❑ COMMENTS Zoning Board of Appeals: Variance,Petition No: Zoning Decision-'receipt submitted yes Planning Board Decision: Comments Conservation Decision: Conunents Water& Sewer connection/Si nature& Date Driveway Permit ry Temp Dumpster on site yes—no— Fire Department signature/date Building Setback (ft.) 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 DA['A—(For department use) Page 3 44 Doc:IN SPLCIIONAL SI,.RVK'LS DLPARI MEN I':13PFORMOS Cmamd I�1C.I;m._i}Uo 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 Pen-nit 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 Li 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 lis 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 DEPARTMEN'I MFORNI05 Location1� � �eig !� No. Date NORTIy TOWN OF NORTH ANDOVER O�••.ao ,a�'M ►O- 9 Certificate of Occupancy $ CNUS<� Building/Frame Permit Fee $ Foundation Permit Fee $ ; Other Permit Fee $ TOTAL $ vz- • Check # 01M awtt 19522 Bwlding Inspector F IAORTH Town of T • '�:'k 20 . �A dover, Mass., • d COCMICKEWICK ADRATED S BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System BUILDING INSPECTOR THIS CERTIFIES THAT.! t.Yh0... .WA&. .....■T".0. ...........:'..................................................... ...................... Foundation has permission to erect.'f"W%1140-4- buildings on ...... :. D... .... ........5f1!. Rough f rin .R Chimneto be occupied as...e ..rtii� provided that the person accepting this permitshery respect conform tot terms oappficoa7tiie' ofile 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. 3 5� 17 PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations oids this Permit. Rough Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRU ARTS Rough E .................. Service ! BUILDING INS i ...!ft Final Occupancy Permit Required to Ocaipy Building Is GAS INSPECTOR Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final No Lathing or Dry Nall To BeDone FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. SEE REVERSE SIDE Smoke Det. I NORTH Town of Andover 0 ....... 110 No. 15 20 LA� - dover, Mass., ` 2 5:- d � COC MI C EWICK ADRATED lk\' `� S BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System BUILDING INSPECTOR THIS CERTIFIES THAT-s-ty0.. ..=.. ..... � .. ........... ..................................................... ...................... Foundation 1 has permission to erect...'��. buildings on ......1.16 ........�... 5 Rough t - to be occupied as....:....off.1 o................... ..�!.,�f. .... �..... ........... le Chimnev provided that the person accepting this permit sha in every respect conform tot terms o the app icati 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. 3 5F17P PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations olds this Permit. Rough Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRU ARTS Rough Service , I .. ............ ................... BUILDING INS ' Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Rough Display in a Conspicuous dace on the Premises — Do Not Remove Final No Lathing or Dry Nall To ReDone FIRE DEPARTMENT Until Inspected and Approved by the wilding Inspector. Burner Street No. SEE REVERSE SIDE Smoke Det. R-Squared Office Panels&Furniture,Inc. 229204 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 To: Etrolz Date: 8/23/2006 S. Union Street S.O. #: Lawrence, MA P.O. #: Terms: Net 15 Attn: Jim Robertson Salesmen: Balas Tel: Fax: Project: Install Office Furniture & Clean Panel Fabric Description TOTAL Move and build (13) Steelcase 9000 workstations per plan $1,500.00 Clean panel fabric on roughly (83) panels (both sides) 950.00 Assumes done with panels built but no components hung. Install Steelcase 9000 office desks as defined below 375.00 - (3) straight desks with overhead service module - (2) desk with return Pull and install conference table 50.00 Pull and set-in-place (12) sets of desk chair and side chair for cubes 144.00 Pull permit for cubicle installation. Assumes licenced architect print 150.00 is done and accepted by the town. The actual permit cost (less than $50)will be billed separately in the final invoice. Quote Total $3,169.00 We accept MasterCard,Visa,American Express and Discover. Remit to address: 360 Merrimack St./Bldg 9, Door B/Lawrence, MA 01843