HomeMy WebLinkAboutBuilding Permit #248-11 - 1600 OSGOOD STREET 9/24/2010 BUILDING-PERMITKORTy
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TOWN OF NORTH ANDOVER o� s�rt'� '✓:="x°
APPLICATION FOR PLAN EXAMINATION
Permit NO: Date Received qo;�
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Date Issued: �� r L� �SSAACHUSE�
IMPORTANT:Applicant must complete all items on this page
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TYPE OF IMPROVEMENT PROPOSED USE
Residential Non- Residential
New Building One family
Addition ' Two ormore-family Industrial
Alteration No. of units: Commercial
Repair, replacement- Assessory Bldg Others:
Demolition Other
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- DESCRIPTION OF WORK TO BE PREFORMED:
Identification PIease Type or Print Clearly)
OWNER: Name: Phone:
Address:
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ARCHITECT/ENGINEER Phone:
Address: Reg. No.
FEE SCHEDULE.BULDING PERMIT:$12.00 PER$9000,00 OF THE TOTAL ESTIMATED COST BASED ON$125 00 PER S.F.
Total Project Cost: $ cPSy d
FEE:
Check No.: / ��— ( Receipt No.:
NOTE: Persons contracting with u gist d c �ctorsdo nothave access to the guaranty fund
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Plans Submitted Plans Waived Certified Plot Plan Stamped Plans
TYPE OF SEWERAGE DISP7Tanning/Massage/Body
Public Sewer Art Swimming Pools
Well acco 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 APPROVED
PLANNING & DEVELOPMENT
COMMENTS
CONSERVATION Reviewed on Siclriature
(CIOMMEN TS
HEALTH Reviewed on Si
q
nature
COMMENTS
4
Zoning Board of Appee is.`Variance, Petition No: Zoning Decision/receipt submitted yes
Planni6g-- aoard Decision: Comments
Conservation Decision: Comments
Water & Sewer Connection Signature&Date Driveway Permit
DPW Town Engineer: Signature:
Located 384 Osgood Street
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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.966 Section 21A—F and G min.$1o0-$1000 fine
NOTES and DATA— (For department use)
❑ Notified for pickup- Date
Doc-Building Permit Revised 2010
I'
Building Department j
The following is'a fist of the required forms to be fillet[out for the appropriate permit to be obtained.
Roofing, Siding, f.nterior Rehabilitation Permits
❑ Building Permit Application
o 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
o Workers Comp Affidavit
❑ Photo Copy of H.I.G. And C.S.L. Licenses
❑ Copy Of Contract
❑ Floor/Grossection/Elevation Plan Of Proposed Work With Sprinkler Plan And
Hydraulic Calculations (If Applicable)
❑ iviass 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
,r_%e 11.C! Mr r o -'i rho: rl- n
❑ L! e r-
Photo
�v �eii t
❑ 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:Building Permit Revised 2008
Location L
No. Date v
NOR71y TOWN OF NORTH ANDOVER
` Certificate of Occupancy $
cMustt� Building/Frame Permit Fee $
Foundation Permit Fee $
Other Permit Fee $
TOTAL $
Check #62L—q�
234tu G
Building Inspector
NORTH
TO" ofA_ _ _
over
O r. w ,:' .. ,.,. 0
Fu.
In
No. a 4ip
yy o dover, Mass., • '
T Q - LAKE
COCHICHEWICK
7d�oRATE
1 v J BOARD OF HEALTH
Food/Kitchen
Septic System
..PERMIT , T D
BUILDING INSPECTOR
THISCERTIFIES THAT......... .0..06006....... ......................................................................................... Foundation
has permission to erect............. buildings on ../(j.&, .....supp ....J,6..A..... .... Rough
to be occupied as......60.400q&................ ...�!►...... .. ..�/.�.�............................................................... Chimney
Ch' e
provided that the person accepting this permit shall in every res ct 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
Final
PERMIT EXPIRES IN 6 MONTHS
ELECTRICAL INSPECTOR
UNLESS CONSTRU STARTS Rough
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.
Neil Gillen
VP,Manufacturing&Distribution
ngillen@panelclaw.com
pa n e "' 1600 Osgood Street
claw" Bldg 20, Suite
North Andover,, MA 01845
Securing a Brighter Future Tel: 978.688.4900 x206
Mob: 978.973.0835
Fax: 978.688.5100
www.panelclaw.com
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