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HomeMy WebLinkAboutBuilding Permit #163 - 1600 OSGOOD STREET 5/1/2018 BUILDING PERMIT N°erN q TOWN OF NORTH ANDOVER oo APPLICATION FOR PLAN EXAMINATION Permit NO: Z4, 9 Date Received Q U SACHUS Date Issued: IMPORTANT:Applicant must complete all items on this page . �y �^ �J LOCATION 0/9 0 Cni i) Print PROPERTY'OWNER Print MAP NO: PARCEL: ZONING DISTRICT: Historic District yes no Machine Shop Village yes no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential New Building One family Addition Two or more family Industrial Alteration No. of units: Commercial Repair, replacement Assessory Bldg Others: Demolition Other Septic Well Floodplain Wetlands Watershed District Water/Sewer DESCRIPTION OF WOR T B RE-FORMED: I;i Ac P Identification Please Type or Print Clearly) OWNER: Name: Phone: Address: CONTRACTOR Name: Phone: 0 C n. Address: t dy L ✓ �C� tq t Supervisor's Construction License: Exp. Date: C �— --' d 0 Home Improvement License: _ Exp. Date: ARCHITECT/ENGINEER Ak I Phone: Address: JAOV� :(;?CMReg. No. FEE SCHEDULE:BULDING PERMIT: 12.00 PER 10 .00 OF THE TOTAL E TIMATED COST BASED OWN$11225.00 PER S.F. Total Project Cost: $ © �-( FEE: $ Check No.: _ Receipt No.: AVY yV NOTE: Persons contracti with unregisteY contractors do not have access to the guaranty fund ignature of Agent/Owne Signature of contractor 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 APPROVED PLANNING & DEVELOPMENT COMMENTS CONSERVATION Reviewed on Signature COMMENTS HEALTH Reviewed on Signature COMMENTS I I 1 a 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 DDumpster on site yes no Located at 124 Main Street Fire Department signature/date I 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 i Doc.Building Permit Revised 2008 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:INSPECTIONAL SERVICES DEPARTMENT:BPFORM07 Revised 2.2008 I ORTH Andover f M0 . . No. 163 CS dover, Mass., 0 C OCHICHEWICK BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System BUILDING INSPECTOR THIS CERTIFIES THAT......................... . .......................................... ............................. Foundation has permission to erect........ ................ buildings on ./ .. ........................ Rough ..........oj7 % oO�F�4 Chimney to be occupied as............... .. . .... ....... ............... �- -.__v............................ provided that the person accepting is permit shall in every respect conform to the terms of the application an file in Final this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration a Cojostruction of 9 1 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 CONSTRUCTION ARTS Rough Service .......... . ..... ... ...................... .......... .............. .................................................. ..... ....... BUILDING INSPE 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 J1 Smoke Det. --- Jay Paiva ' AnQR RENTAL® General Manager j J = Tel: 978-475-7550 Fax: 978-327-5582 VFCUL EVENT EQUIPMENT RENAL 637 Andover Street Lawrence, MA 01843 taylorrental@conversent.net www.LawRents.com a Cerfif irate of iftame �sT�,4 REGISTERED issued by Date Manufactured if C44, F FABRIC 1 NUMBER TOPTEC, INC. �`+ F53501 1905 N.E. Main Street F 02/20/06 -;. Re +� p Simpsonville, SC 29681 REZP� This is to certify that the materials described are inherently flame retardant. Name TAYLOR RENTAL CENTER Address637 ANDOVER ST LAWRENCE MA 01843 City State Zip Certification is,_lhereby made that: The articles described are flame-retardant, approved and registered by the State Fire Marshal and that the fabric is in conformance with the laws of the State of California and the Rules and Regulations of the State Fire Marshal. Fabric has been tested and passes NFPA701-96, CPA184, ULC 109, MVSS302. Method of Application: The Flame Retardency of this Fabric is Inherent and Permanent Description of item certified: EXPRESS 20x30 BLACKOUT WHITE The Flame Retardant Process Used WILL NOT Be Removed By Washing. TOPTEC, INC. MODEL TTFE203005 Name of Production Superintendent SERIAL # 2615656 oard of Buildibi gegti]$t►bbs `, Construction Su '�Standardt Perviscr Idense s�rtnd �Hiss .. T Res�ctioi: UU 97508 JAY PAIVA y r ""MEADOW LANE a SALENIf NH 03079 COMI issioner y Location// No. Date 6` NOR7N TOWN OF NORTH ANDOVER AL � p ' Certificate of Occupancy $ �'�S'•"°''<� Building/Frame Permit Fee $ su�sE Foundation Permit Fee $ Other Permit Fee $ TOTAL Check # 21471 BtflIdiAg Inspector