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HomeMy WebLinkAboutBuilding Permit #575 - 1600 OSGOOD STREET 5/1/2018 BUILDING PERMIT of NORTH q tt`ec 'b ~O TOWN OF NORTH ANDOVER �rtb "'- =" *° APPLICATION FOR PLAN EXAMINATION e Permit NO: Date Received �'� d '44 ��SSACHUS Date Issued: j IMPORTANT: Applicant must complete all items on this page LOCATION to 0.S 00 cL oa f ;!I I-J ZQ PROPERTY OWNER—/600 0.5 nt Print MAP 210 PARCEL: ZONING DISTRICT: Historic District yes !Machine Shop Village yes (01 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 Ca.f livVQ/ Septic Well Floodplain Wetlands Watershed District Water/Sewer DESCRIPTION OF WORK TO BE PREFORMED: 7—empr Ca-/-h P'va_/ &5r'it l .2$ -- /1VtiV 24 a0/6 4, /�0 0 ©s 2!OOW Identification Please Type or Print Clearly) _ OWNER: Name: /77•e.5 rce— Shours Phone Address: PA da)' Y 6 p -Sea_ &rc)©�'(� � P 03 CONTRACTOR Name: Phone: Address: Supervisor's Construction License: Exp. Date: Home Improvement License: Exp. Date: ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE.BULDING PERMIT.$12.00 PE 000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ FEE: $ A)it Check No.: Receipt No.: 2Z I NOTE: Persons c ntracting with unregistered contractors do not have access to the guaranty fund Signature of Agent/0wnerCt-50 ignature of contractor ���,� 1e F14411) 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 4 i 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 signatureldate 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 2010 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 PP 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 t rior 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./�w No 15, Date df �oRT� TOWN OF NORTH ANDOVER i y Certificate of Occupancy $ + s . ��s'„•°'tt'�' Building/Frame Permit Fee $ ^C MUS Foundation Permit Fee $ Other Permit Fee $ Mr TOTAL $ Check # 22u +;� 'i _ V Building Inspector F NORTH T0VM o I gAndover , 0 No. Z _ dover, Mass., O GOC MIC EWIGK �ADRATED '9S BOARD OF HEALTH • Food/Kitchen PER Septic System BUILDING INSPECTOR THIS CERTIFIES THAT ............................ .. ................................................ ............. ......... ..... . Foundation has permission to erect...... ............. buildings on ...... Rough ................ .... 0 to be occupied as............... !! .. ............ ................ ... Z.... Chimn y e provided that the person accepting t s permrt shall in every respect conform to th a sof the applicatio on file in Final this office, and to the provisions of the Codes and By-Laws relating to the I s ection, 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 OTS Rough ......... ........... 11,L- ...................................................................... Service BUILDING INSPECTOR Final Occupancy Permit Required t0 Ocmpy Building GAS INSPECTOR Rough Display in-a Conspicuous Place on the Premises — .00 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. Department of Public Safety License to Operate Amusement Devices Eugene J. Dean,Jr. License#: MA-001-10 (603)474-5424 Issued Date: 3/12/2010 Dean&Flynn Inc., Expiration Date: 2/15/2011 Fiesta Shows Certified Maintenance Mechanic 15 Pine St.,PO Box 460 Wallace Wagemaker Seabrook NH 03874 U.S.I.D. # Device U.S.I.D. # Device U.S.I.D. #Device 05266 Pharoah's Fury 10394 Haunted Mansion Dark 10452 Alpine Funhouse(NM) 09974 Slide(1) Ride 10453 Dark Ride-Castle of Evil 10400 Cobra 09975 Scooter 10454 Artic Blast 10439 Zipper 09978 Tilt A Whirl 10440 Twister 10455 Sea Dragon 09979 Nittany Ferris Wheel 10458 Haunted House(NM) 10441 Surfer(Tip Top) 09980 Turtles 10442 Zipper 10460 Flying Bobs 10016 Swinger 10461 Dragon Wagon 10443 Cyclone Round Up 10017 Tornado 10444 Cliff Hanger 10462 Berry Go Round 10167 Freakout 10463 Mini Jet Panda 10445 Sea Dragon 10204 Eurobungee 10446 Tilt-A-whirl 10464 Mini Jet Elephant 10224 Wacky Worm 10447 Thunderbolt 10465 Boomer's Circus(NM) 10311 Music Fest 10466 Merry Go Round 10448 Scooter 10390 Nittany Ferris Wheel 10449 Gondola 10467 Slide(NM) Friday,March 12,2010 Commissioner of Pu is Safety Page I of 2 r,; , Department of Public Safety License to Operate Amusement Devices Eugene J.Dean,Jr. License#: MA-001-10 (603)474-5424 Issued Date: 3/12/2010 Dean&Flynn Inc., Expiration Date: 2/15/2011 Fiesta Shows Certified Maintenance Mechanic 15 Pine St.,PO Box 460 Wallace Wagemaker Seabrook NH 03874 U.S.I.D. # Device U.S.I.D. # Device U.S.I.D. # Device 10468 Tooterville 10488 Dizzy Dragon 1001973 Dalmation A Frame Bouncer 10469 Earthquake 10489 Crazy Bus 1001974 Funny Farm A Frame 10470 Orient Express 10490 Umbrella Combo#I Bouncer 10471 Bounce(Winnie-NM) 10655 Lucky Lizzy Funhouse I001975 End Zone Obstacle Course 10473 Convoy Cinema 2000 10656 Grand Carousel Chance I001976 3 in 1 Kid Combo 10474 Rockin Tug 10817 Remix I001977 Wacky World 10477 Merry Go Round 10819 Traffic Jarn 1002406 Atlantis 10478 Raiders(NM) 13347 Mardi Gras 10479 Crazy Bus 1000121 Bounce-CA 10480 Convoy 1001900 Candy Factory 10482 Slide(NM) 1001901 Jungle Island 10486 Umbrella Dune(Umbrella 1001971 Jungle Island A Frame Combo#2) Bouncer 10487 Gravitron Friday,March 12,2010 Commissioner of Public Safety Page 2 of 2