The URL can be used to link to this page

Home My WebLink AboutBuilding Permit #423 - 1615 OSGOOD STREET 11/27/2006 TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION OfNo RT a qti FO A Permit NO: Date Received cocA ED ,> Date Issued: 8 �9SSACNUS�� IMPORTANT: Applicant must complete all items on this page LOCATION PROPERTY OWNER �� Print MAP NO.: o 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: ❑ Repair, replacement ❑Assessory Bldg ❑Commercial ❑ Demolition ❑ Moving(relocation) ❑ Other ❑ Others: ❑ Foundation only DESCRIPTIQN OF WORK n/TO BE war-s-, a- sl Gl a s- (-//2) Identification Please Type or Print Clearly) OWNER: Name: /{�l �J Phone: L� 1 � Address: CONTRACTOR Name: L) Phone:7Tu-rrx,PL k:41 Zf it Address: oc 0 At Supervisor's Construction License: S Q3 �C D_ J) Exp. Date: Home Improvement License: Exp. Date: �S /& ARCHITECT/ENGINEER Name: Phone: Address: Reg. No. FEE SCHEDULE:BULDING PERMIT: 2.00 PER$1000.04 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost :$ � Q� FEE:$ SO ---- Check No.: d' 1J Receipt No.: Page I of 4 TYPE OF SEWERAGE DISPOSAL Swimming Pools ❑ L1 Tobacco Art ❑ Public Sewer Tobacco Sales ❑ Food Packaging/Sales ❑ Well ❑ Permanent Dumpster on Site ❑ Private(septic tank,etc. ❑ Electric Meter location to project NOTE: Persons contractinfywith unregistered o not have access to tnd Signature of Agent/Owne Signature of contracto �. Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF-U FORM DATE REJECTED DATE APPROVED PLANNING & DEVELOPMENT ❑ ❑ COMMENTS DATE REJECTED DATE APPROVED CONSERVATION ❑ ❑ COMMENTS DATE REJECTED DATE APPROVED HEALTH ❑ ❑ COMMENTS f FIRE DEPARTMENT - Temp Dumpster on sitOyes_�� no Fire Department signature/date 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 i Building Setback(ft.) Front Yard Side Yard Rear Yard Required Provided Required Provides Required Provided Dimension Number of Stories: Total square feet of floor area, based on Exterior dimensions. Total land area, sq. ft.: NOTES and DATA— For department use) �t Wnl 6 �c vti A-clt A Page 3 of 4 Doe:INSPECTIONAL SERVICES DEPARTMENT:BPFORM05 Created 1MC.Jan.2006 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 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 j ❑ 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 DEPARTMENT:BPFORM05 Page 4 of 4 Location 11o1r b��d o dt s� No. (42-3 Date f! d (0 MORT1y TOWN OF NORTH ANDOVER F 9 Certificate of Occupancy $ �'�a"•��'E<�' Building/Frame Permit Fee $ s�►CHU Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # /�V 19828 B 11n Ins ector 9 P NORTH Town of No. Z o 3 CO, L A N E dover, Mass.,�,.�.� •d COCHICHEWICK sRATED P P �y 1 BOARD OF HEALTH Food/Kitchen PERM- IT T D Septic System THIS CERTIFIES THAT....�/..� ��..t.......... .....��.�I..V BUILDING INSPECTOR ' Foundation has permission to erect........................................ buildings on ....... zr...... Q.ode......sr......... Rough to be occupied as .. .t... Diet........MZ.....S�:�r.��o........ ...... �.. ..... ... ..0... X.a Chimney provided that the person accepting this permit shall in every respAEt con orm th 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 3� PERMIT EXPIRES IN 6 MONTHS Final UNLESS CONSTRU ELECTRICAL INSPECTOR Rough ............ .......... ...... Service AL .. .... ... ......... .. .. ........ .... .... BUILDING INSPECT R Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove Rough Final No Lathing or Dry Wall To BeDone FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. SEE REVERSE SIDE--]ISmoke Det. , �� t174'+>Yl�lldlulE1A5+4'te?`�GfA IJ�w '��('CCs1c1C�Y�(fi4 BOARD OF BUILDING F��GULATIONS LicerSso, . CONSTRUCTION 3UpEF7VISOR` � � a� r� Number:^CS 039928 Birthdate 03/18/1:944 a; expires`:03/16/2008 Tr,no: 1 3 i Rea rictetl 00 PAULA 'PIEROG 000,TURNPIKEST N ANDOVER MAA Commissioner