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HomeMy WebLinkAboutBuilding Permit #018-2012 - 1600 OSGOOD STREET 7/8/2012 TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit NO: OA?` �O12 Date Received Date Issued: Z4_11 2- IMPORTANT: IMPORTANT: A licant must complete all items on this page LOCATION. 0L nr11. + .,,� - 2.[�D L_S=OA `A _f1 ox Woyej( 1'1 A Print PROPERTY OWNER Unit# 17 Print MAP NO: PARCEL: /7 ZONING DISTRICT: Historic District yes no Machine Shop Village yes no 100 year-old structure yes no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building ❑ One family �El ❑Addition ❑Two or more family ❑ Industrial ❑Alteration No. of units: ❑ Commercial ❑ Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other ❑ Septic ❑ Well ❑Floodplain 0 Wetlands ❑ Watershed District ❑ Water/Sewer DESCRIPTION OF WORK TO BE PERFORMED: In / AL7lr Yr\ r1 � CJY4CLkIe � �r`6 -e ^ r' of l /V4_RrL,P31Q t" 'S (Identification Please Type or Print Clearly) OWNER: Name: ...Z ab,�� 1 ,a, 1.i.p - t>Je I ,.,,�.,T ter, Phone Address: r14z(- 5L. C, Az_ '8542 -2, • v CONTRACTOR Name: Phone: Address: Supervisor's Construction License: Exp. Date: Home Improvement License: Exp. Date: ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE:BOLDING PERMIT.•$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. v Total Project Cost: $ FEE: $ �3�^ Check No.: S�� Receipt No.: NOTE: Persons contracting egistered contractors do not have access to the guaranty fund Signature of Agent/Owner Signature of contractor /SW Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ 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 ❑ THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM DATE REJECTED DATE APRO ED PLANNING & DEVELOPMENT ❑ LJ COMMENTS 1 Ile CONSERVATION Reviewed on Signature COMMENTS HEALTH Reviewed on Signature COMMENTS 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 DPW Town Engineer: Signature: Located 384 Osgood Street FIRE DEPARTMENT - Temp Dumpster on site yes no Located at 124 Main Street Fire Department signature/date COMMENTS 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 2011 June/mi i 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: Doc.Building Permit Revised 2008mi Location T No. ©�� - °�'2 Date MORTM TOWN OF NORTH ANDOVER • � s + i : . Certificate of Occupancy $ +l•�s'"'•'''<� 9 Buildin /Frame Permit Fee $ ' y su,wss Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # 24 % Building Inspector Elizabeth Bowman Branch Manager inobi/emini;�� The Storage&Office Solution Specialists® 3120 Hollins Road NE office 540.777.4072 ext 176007 Roanoke,VA 24012 fax 540.725.8490 www.mobilemini.com toll free 888.933.5797 ebowman@mobilemini.com cell 540.355.0641 Ellen J.Keller vice President Commercial Real Estate OZZY PROPERTIES Osgood Landing Phone:978.681.5004 Ext.113 1600 Osgood Street Fax:978.681.5109 North Andover,MA 01845 Cell:978.423.1319 www.ozzyproperties.com ekellei uzzypruperties.com ORTly o 0 0dover �. 0 CAKE O dover, Mass., , COCHICHEWICK �t ADRATE D SS ` BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System BUILDING INSPECTOR THIS CERTIFIES THAT...... ... .. C��<�"�/�-s'• ... .. .............................................................. .............................................. Foundation 19 d� has permission to erect........................................ buildings on ��.................:�Q............ ................:................... Rough 6 "�E . ��/ SIC S�4c1• C /dt.wC�JcsatF to be occupied as / "�.... . (. ,,.Z,,,,,� /1 �`. Chimney ...... ..... .. . . .....:............................ ........................................................................................... 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 PERMIT EXPIRES IN 6 MONTHS Final UNLESS CONSTRUCTIONS A�R,T S ELECTRICAL INSPECTOR Rough C:eLsr��� 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. i� i~ In NARY -- •. out � �, ' � _ ._1, "i �i t _ �?'. i. . I_,-- ----•.--,r"�- -, t[ 1--:,WA i i t sal.:' F� 4 r• 31 4r.• 1 i f J ,. -�+,T ��• Fi 6. y 'Irr ' 4�' ' � �'��,r � :..4x ... ._---'-� l�i.i��:• ' gay's �a..3�.Jli�'le � ,t .',i. `+il V•' •Er`r .� 'ti4r ? �JFfY+ i' Y`rr �'�"1 � , I �#.•wirw-•ikI4S 6. "A iW 4l �`,.i, � 1 Ey.: , e t L.. T...ri_. J J li4i�1' -•t ,, :. �_...•_J.-..__.:.. ,. - S l v a `!'' f sots •:�, 1l`a•.:1.:ti'i 1, -M.� •+,ali�4Y;.s• iwfia si iiwl �wa'erc ti., LL. .... .`......w.. .- -• - .