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Home My WebLink AboutBuilding Permit #291 - 1600 OSGOOD STREET 10/18/2006 TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION NORT1y q O to tt� .6 ti OL Q _ (/ A Permit NO: Date Received �* Date Issued: eovt SAC HU`-+�� IMPORTANT: Applicant must complete all items on this page LOCATIONOAC o�"D 15T 1 £ 2 - S R Print PROPERTY OWNER (� IC, Print 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: E Repair, replacement ❑ Assessory Bldg ❑ Commercial C Demolition Moving(relocation) ❑ Other ❑ Others: ❑ Foundation only DESCRIPTION OF WORK TO BE PREFORMED _ E►.lmJr. Fit— L) Cu$LC L IE S ()WA LD UJ. -Bo I A 1,N C- Identification Please Type or Print Clearly) OWNER: Name: F(WALD W , 117 --ZN C- Phone: Q�8'(�N-1227 Address: L U O S cwy .31- , S u ItE 2- e9 CONTRACTOR Name:Vol. &I Irf CPhone. ' Address: rf ) 11 r Supervisor's Construction License:. Exp. Date: Home Improvement License: MA Exp. Date: ARCHITECT/ENGINES ZName: Phone: Cl� C� Address: IPP Reg. No. r.. FEE SCHEDULE:BULD/NG�PERM/T.•$12.0 ,51000.00 OF THE TOTAL EST/MATED COST BASED ON 5725.00 PER S.F. Total Project Cost :$ FEE:$ AQ Check No.: agog S� Receipt No.: 0 Page Iof4 i TYPE OF SEWERAGE DISPOSAL F-1 Swimming Pools El Tanning/Massage/Body Art Public Sewer .� Tobacco Sales Food Packaging/Sales FJ Well ❑ ermanent Dumpster on Site Private(septic tank,etc. Electric Meter location to project NOTE: Persons con racting with nnr 'ste ed c ntracto s do not have access to tit tare my tnd Signature of Agent/Own Signature of contra r �C.1 Plans Submitted Plans Waived ❑ Certified Plot Plan Sta pe Plans ❑ THE FOLLOWING SECTIONS FOR OFFICE USE ON INTERDEPARTMENTAL SIGN OFF- U FORM DATE REJECTED DATE APPROVED PLANNING & DEVELOPMENT ❑ ❑ COMMENTS DATE REJECTED DATE APPROVED CONSERVATION ❑ ❑ COMMENTS . DATE REJECTED DATE APPROVED HEALTH ❑ ❑ COMMENTS g i i • FIRE DEPARTMENT - Temp Dumpster on site yes no Fire Department signature/date 2x- 07�g�� —� 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 Building Setback (ft.) Front Yard Side Yard Rear Yard Required Provided Required Provides Required Provided / I Dimension Number of Stories: Total square feet of floor area, based on Exterior dimensions. j Total land area, sq. ft.: NOTES and DATA—(For department use) Page 3 of 4 Dac:INSPECTIONAL SERVICES DEPARTMENT:BPFORM05 Created JMC.J:m'006 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 Com Affidavit t ❑ 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 DF:I'AR'f�IEN'r:BPIY)R.1105 Page 4 of 4 Location oaf �C}/�-• No. c? / Date �oRTM TOWN OF NORTH ANDOVER F w a ` Certificate of Occupancy $ . � s�CM�s<� Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # 19701 `building Inspector NORTkj Town of : _ it over O �n�f.�.q� 'Y.H •f ,t C% OF—L A E dower, Mass../� % lie 40 ;0 os$ COCMICMEWICK V 7,9 RATED `S BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System BUILDING INSPECTOR THIS CERTIFIES THAT.......... . .w. ..... .�. .............. If ... Foundation has permission to erect........................................ buildings on../6.. ........ �.....�r.........p7 1 Rough ......5 ....d/ .........�...i Chimney provided that the person accepting this permit shaA in everyrespect conform to the terms of the application on file in Final to be occupied as...Ttx*A. 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 O ST T Rough "'1'!............. ........................... ....... Service . .... ..................... S BUILDING INSPECTOR Final Occupancy Permit Required to OcLupy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove RoughFinal 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. 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 Sold To: Ronald W. Buia, Inc. Electrical Engineers Date: 10/17/2006 1600 Osgood Streeet, Bldg 20, Ste. 2-89 S.O.#: North Andover, MA 01845 P.O.#: Terms: Net 20 Attn: Ron Buia Salesman: J.Balas Tel: 978-682-9229 Fax: 978-688-4930 Project: Service Work TOTAL Qty Description Net NET 4 Service to build (4) cubicles 175.00 700.00 Total Product $ 700.00 MA Sales Tax - Delivery& Installation TOTAL $ 700.00 Remit to address: 360 Merrimack St. /Bldg 9, Door B / Lawrence, MA 01843 i NPW HALLWAv NETWORK HUB (BRING ALL TEL/DATA WIRING TO HERE) - ............._. ------ . .. _..__........................................................................._._...-------......._..._....................__. ................ --- - PNLBD ADD RECEPTACLE OPEN OFFICE ,AREA COMBINATION TEL/DATA OUTLET (TYPICAL) UTA I qp OFFICE. 1 0FFIC 2 RONALD W. BUTA, INC ' ' ' ENGINEERS X 11 -6 14 - X I -6 1600 OSGOOD ST BLDG 20 SUITE 2-89 N.ANDOVER, MA 01845 TEL:(978)682-9229 FAX:(978)688-4930 W. .a _..............................._.......................................__._..............................._........_.._................._._..._......_........................................................................................._ .__......................................................................................................................._.....----- ----- — - ....................................................................__._............................__........................................................................................._...._..---............................-........................................................................................................................................................................................ Q SUITE 2-89 Scale: 1/4"=1'-0"