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Home My WebLink AboutBuilding Permit #551 - 1659 OSGOOD STREET 3/28/2008 yORTI♦ BUILDING PERMIT 0 Tuan 16qti TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION # • � �o his. eu � b Permit NO: Date Received Argo �SSACHUS�t Date Issued: o IMPORTANT:Applicant must complete all items on this age 10CA?ION ;I - y1 Pont ._ ?ROPERTY OWN ER; - - Pnnt� - -_ MAP NO,; PARCEL SOI'-11�G DdSTR1CT ' 'S H�stori Das#rict Vires n 'Machine,Slop Village yeso TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential New Building One family Addition V Two or more family Industrial Iters io No. of units: aZ Commercial epair, eplacement Assessory Bldg Others: Demolition Other- .8eptic `djl Floodplain �/Uetlands 1Natershed Distract DESCRIPTION OF WORK TO BE PREFORMED: ' MED: �e�oyo�-re ��:ST-•n �'P�°t'MeKr e bor � Qr�i2x��ti k Vk Identification Please Type or Print Clearly) _ �I OWNER: Name: VAro C Phone: Address: 100 rCr' A01JO J rl' A1Cc S it. O:NTRAOTOR P� Marne _^Phony Addcess Superyisor's :onstruction License -` � Exp ,pate P ,' i, Home Improvement.License C1 ``1 `- Ex Dade ARCHITECT/ENGINEER "-'�� Phone: Address: Reg. No. FEE SCHEDULE:BOLDING PERMIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ a C I'9D o 00 FEE: $ 7 � Check No.: R 7 7 Receipt No.: 02/62 NOTE: Persons contra ith un r gisterettractors do not have accet to the guaranty fund - gnature of A ent/Own . . =$jgpattu of contractor s _ 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 DATE REJECTED DATE APPROVED CONSERVATION COMMENTS DATE REJECTED DATE APPROVED HEALTH 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 Located at 384 Osgood Street FIRE:DEPARTMENT -Temp Dumpster on site yes no Located at 124 Main Street Fire Department signature/date 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 2007 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 o 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 ConstructionSin le and Two Family) � 9 Y) I ❑ Building Permit Application ❑ Certified Proposed Plot Plan ❑ Photo of H.I.C. And C.S.L. Licenses d' ❑ Workers Comp Affidavit ❑ Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (If.Applicable) ❑. Copy of Contract p i ❑ Mass check Energy Compliance Report ❑ Engineering Affidavits for Engineered products I 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 2.2007 Location No. Date 3 4 �oRTM TOWN OF NORTH ANDOVER � s a ' Certificate of Occupancy $ Building/Frame/Frame Permit Fee .1 CHUst 9 Foundation Permit Fee $ Other Permit Fee $ . J. TOTAL $ x: Check # a 7 21026 - B�Iding Inspector NORTH Town of Andover No. 4r/ oY dover, Mass., '' T O - LAK T COC KI CNE WICK �� AQRATED P11 �5 `s BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System BUILDING INSPECTOR THIS CERTIFIES THAT ....................... ...... .......................................................................... Foundation has permission to erect............................ buildings on .,1(.��.....1/-s S........................................ Rough • C.�QChimney to be occupied as.......... . -. . .. r �...../ rlt . provided that the person accepting this permit shall in every re?ecl einio��.tio- 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 CONSTRUCTION STARTS Rough /•f�`'s�'"�—!............... 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. March 26, 2008 To: North Andover Building Inspector From: Tyler Munroe Re: 1659 Osgood Street,NA To Whom It May Concern: I purchased the house at 1659 Osgood Street in September of 2004. When I bought the house it had the main house with a three stall garage attached and a separate carriage house in the rear of the property. The house was an old farm. The main house was broken into two sections; one main living area and one area that appeared to be servants' quarters on the second floor. The second floor apartment had its own set of stairs and separate door which led to the rear of the house;the same place it is currently located. The apartment has one bathroom, one bedroom and a small kitchen area. To my knowledge, this apartment has always been there. � y aad� CADocuments and SettingsWunuoe Landscaping\Desktop\TYLER\1659 apartmentdoc NORTH ANDOVER BUILDING DEPARTMENT Tel: 978-688-9545 DEBRIS DISPOSAL FORM In accordance with the provision of MGL c 40 S 54, a condition of Building Permit at: is that the debris resulting from this work shall be disposed of in a properly erly licensed solid waste disposal facility as defined by N1GL , 11, SISO A. Also, note Permits are required under Fire Prevention laws Chapter 148 Section 10A. The debris will be disposed of in: Location of Facil ty) Signa o Permit Applicant Fire Department Sign off: l`J 1). Dumpster Permit Date i The Cominonteealth of Manechawas ;i laepartttant Of Industrial Accidents jo/ Offlce of Inw3dgetionsSi600 Washington rew Romer, MA 02!II { y. w+vw.W0Mgov/slit Workers' Compensation Insurance Afte it: Builders/Contrxctors/Ekdrkiana/Plumbers P Print NBtfie�tl��inrN9r�[wei�nNi�+n/l�ntivkrurli: ;r, M — '�- C,. City/State/Zip: �`-�...dl_ , a 1It C7 Photic Are you an empkiyer'Check the anwWri ate bets: TYfW of t(required): I i am a ztnpioyer with, 4• ❑ i an a general contractor and f � { employees(&U and/or prat-time). have hired the sub-contractors 6. ❑ New construction 2.(^] I am a sale ptopriew or part""- lined on the attached sheet, = 7. [ Remodeling ship stat have as employt:es 'hese soh-contractors have on working for mem any capacity. warners'comp. insuranct. - ❑Buildif A a (No workers,camp, insurance 5 ❑ We are a corporation and its 9. Building addition requked'i officers have exercised their 10•0 Electrical repairs or additions 3.D t am a homeowner doing all work right of exemption per MGL t t•❑plvriyb�v repairs or additions myselc fNa workers'ootnp. c. 152.§1(d),and we have no insurance requited.I t employees.Mo woticers' !?.❑ Roof repairs comp. insurwice rcqu!Td 13.0 00mr .. _.._._ :Arty appiw:enl thM etwdm Iron Of mw obo rdl iwr rhe action below.4towing their vmwkers'uompenwk„�poles ice. 'ifatwaewwent wAe tabrrtit noir it li iaNfiealia�thry are d0 ft aft W9A Md then l/ire autaide atrntragpA aMrt sabrnl!a nr«attilrw a indk*tlrts,,k, f.'oaba11-IN-00 cheep d*ttroe tow WWhOd as 0111018 - 1Mtet>fAewtrt flit soft ref the snb+wafacim Myr their cankers'a^mp,tkiiiay i"Awnatioa ��t�11t IIMJI[r�!,GblltpAfIflt A011 gRpiI�N�Ct f 6�I AI)►!a i tA!'/N/�ICy 0WA6 S* r Insttrttnce Company Name: -.. s,.__C^+ Policy p or Self-itis.tic. Job Site Address: t '" L✓� -[.�-c ✓ ti,,,,y� __....__. �....-.. Citylstattarzip:.�_�^�w-.^,..t...�e,�.. .ktheh a to"of dw workesls•eswpetatrtiou policy daa'IsratMu price(akei"ing the 'aalrpber and expiration dobe), Failure to secure cove"*as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a tine up to S 1.300 00 snorer one-year imp6wnmem,as welk as civil penaitirs in the kwm of a STo p W4)Rl<GIRDER and a fific ofup eo$250.00 a day agakut the vioiekw- Be advised that a Copy of this moment fnsy be forwarded to the Office of Investigation of the DIA for insuratice coverage verification. 1 tilts eerll�► MeM"ow PON""all rr*ot tele IR&n tdiotpr0fyetd4110"rtr Mw ead rorreii _ 10 oat 004, DM Mr1 trr>lkle M/AR1 rnM,M Atraeuq►kleei M. cry ar own a0'idol City or Town: PerulWLkenst/t I i I g Authority(drda ower 1. Bmrd otl}kallb 3.AMC D"Wrtatlaet 3.Chyf rewo Cork 4.LlecerW ingladerS per"inspector 6.Otbar Co�wnst Ptrsart: Pltaarr M: uv."icuu7 UV:58 FAX 19786833147 I.P.ROBERT'8 INSURANCE laOOY/002 ACI=w CERTIFICATE OF LIABILITY' INSURANCE DAYE(�WA�yyhrY! 2,7/200*1 K.P. 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