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Home My WebLink AboutBuilding Permit #531 - 1600 OSGOOD STREET 2/2/2007 TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATIONo�No DT 6 qti 32 ba:nt '6 �0 FO Permit NO: 3/ Date Received IfArlo s e Date Issued: ��SSAc►+Usr`�� IMPORTANT: Applicant must complete all items on this page LOCATION _ffQSP� gr A-N) k�k Print PROPERTY OWNER 6M "�'' Prin MAP NO.: PARCEL: ZONING DISTRICT: TYPE AND USE OF BUILDING HISTORIC DISTRICT YES ❑ TYPE OF IMPROVEMENT PROPOSED USE Residential Non-Residential ❑New Building ❑ One family ❑Addition ❑Two or more family ❑ Industrial ❑Alteration No. of units: ❑Repair,replacement ❑Assessory Bldg ❑Commercial ❑Demolition ❑Moving(relocation) ❑Other ❑ Others: ❑ Foundation only E,JESCRIPTION OF WORK TO BE PREFORMED Identification Please Type or Print Clearly) OWNER: Name: e M e— Phone: Address: _�Zt4 (_14 V?I-LN��Qr dtapewela AA -,nz&L<z1 CONTRACTOR Nam • Phone: Address: 0A Supervisor's Construction License: Exp. Date: Home Improvement License: Exp. Date: 4 --ARCHITECT/EN WEER - Name: Phone: �� /14 i_/OnT904 Address: eg. No. FEE SCHEDULE:BULDINV PE Ml • 1 0 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost :$ `� , /� „ meq, FEE:$_ Q 2 v Check No.: Receipt No.: cT DO Page W4 TYPE OF SEWERAGE DISPOSAL Swimming Pools ❑ ❑ Tanning/Massage/Body Art ❑ Public Sewer El❑ Tobacco Sales Food Packaging/Sales Well ❑ ❑ Permanent Dumpster on Site Private(septic tank,etc. Electric Meter to tion o project NOTE: Persons contracti with unregistl6red c retractors do not have acceJY dSignature of Agent/Owne ✓� Signature of cPlans Submitted � Plans Waived ❑ Certified Plot Plan a s ❑THE FOLLOWING SECTIONS FOR OFFICE USE O 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 COMMENTS Zoning Board of Appeals:Variance,Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments Conservation Decision: Comments i Water & Sewer Connection/Signature&Date Driveway Permit i I i 1 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 1MC.Jan.2006 -- r J 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:BPFORM05 Page 4 of 4 Location �� 00 Ogr4,aaj No. 2 Date v? 1210 "7 TOWN OF NORTH ANDOVER ' Certificate of Occupancy $ .. �ss•►CHUSE< Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ e � Check # .2 iI 19970 Building Inspector .f ►% Preliminary Order R-Squared Office Panels & Furniture, Inco 360 Merrimack Street, Bldg. 9 / Door B Lawrence, MA 01843 Tel: 978-685-7600 / Fax: (978) 6894128 To: Watts Regulaior Date: Jan 26, 2007 S.O.# P.O.# Andover, MA Terms: Net 30 9 Attn: Georgina&Ty Muscat Tei: 978-689- Fax: Product: Allsteel Terrace Fabric: Guilford#539 Blue Papier Accent Tile: Hampstead Medium Blue Laminate: HM LG t-mold edge Trim, Pedestal & Overheads: Black AREAS Unit Price TOTAL DeScrl tion 1 2 3 Qty. List % List Net NET 7060 acoustic panel 2 1 5 8 $ 805 80% $ 161.00 $ 1,288 7042 acoustic panel 13 16 11 40 639 80% 127.80 5,112 7036 acoustic panel 0 1 0 1 588 80% 117.60 118 7030 acoustic panel 0 2 1 3 504 80% 100.80 302 7024 acoustic panel 3 1 0 4 510 80% 102.00 408 34ay connector 3 0 0 3 150 85% 22.50 68 2-way connector 2 7 0 9 100 80% 20.00 180 Straight connector 5 7 0 12 50 85% 7.50 90 Panel end cap 13 12 0 25 17 80% 3.40 85 Wall Mount 0 3 0 3 16 80% 3.20 10 60" bin w/lock 0 0 1 1 550 85% 82.50 83 42" bin w/lock 10 9 7 26 375 85% 56.25 1,463 30" bin w/lock 0 1 0 1 300 85% 45.00 45 Task light 5 5 0 10 175 85% 26.25 263 42X30 corner surface 5 5 4 14 350 85% 50.00 700 30X30 worksurface 0 1 0 1 396 85% 59.40 59 30X36 110 1 0 1 264 85% 39.60 40 30X42 If5 3 3 11 210 85% 31.50 347 30X48 0 0 1 1 240 85% 36.00 36 1 30X60 0 0 1 1 275 85% 41.25 41 30X66 5 5 3 13 275 85% 41.25 536 30X72 0 0 0 0 300 85% 45.00 - 30X30 end panels 5 3 2 10 46 80% 30.00 300 T-base support 5 5 4 14 42.00 588 30" B/B/F pedestal 10 10 8 28 506 82% 91.08 2,550 Total Product 14,710 MA Sales Tax - Delivery/Installation 2,100 Quote Total $ 16,810 Notes: r10RTH Town of 4Andover 0 �. C% LA o dover, Mass., Z �. O COCMICMEWICK V ADRATED PPp��S S BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System BUILDING INSPECTOR THIS CERTIFIES THAT .............. .. ... ....s............. ..... .�... ............. ............................ ..................... Foundation has permission to erect........................................ buildings on.. �..�.Q......... ,Si Rough ,-t0 be Occupied 8S............., .. .. . ..��..�.SAI.0......................... .. y himn y C e . provided that the person accepting this permit shall in every 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 D PERMEXPIRES IN 6 MON S Final IT ELECTRICAL INSPECTOR UNLESS CONSTRUCTION Illp Ile Rough ... . .... ce .. .. ......... ....... BUILDING INSPECTOR Final Occupancy Permit Required to Ocmpy 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. f ' NOMSEH DRIVER'S LICENSE __ !72615202gE DATE OF SIHTH CLASS HEST HEIGHT SIX tl s 60o M 11-09-1952 D E(pIHES 11-09-2008 BALAS JOSEPH M 4 S) 125 GLENWOOD ST LOWELL,MA 01852-3045�j