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Home My WebLink AboutBuilding Permit #557-12 - 1659 OSGOOD STREET 1/19/2012 BUILDING PERMITo�No oT 6 bt',,, ...h. •6 0 TOWN OF NORTH ANDOVER o 1 _ .�;_.• oCn APPLICATION FOR PLAN EXAMINATION `` M * � Permit NO: '' �2- " ° - � Date Received �pq°"ArED 9SSACHIJ Date Issued: 2 PORTANT:A licant must complete all items on this page LOCATION �h S�� D 5Scoj ST Print PROPERTY OWNER ct +JnfoP Print MAP NO: j a PARCEL: ZONING DISTRICT: L Historic District yes no Machine Shop Village yes no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building ❑ One family ❑AdditionTwo or more family El Industrial RAlteration o. of units: ❑ Commercial ❑ Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other ❑ Septic ❑Well ❑ Floodplain ❑Wetlands ❑ Watershed District ❑Water/Sewer DESCRIPTION OF WORK TO BE PREFORMED: T%,,r oIe- , ;()f, U�'c Identification Please Type or Print Clearly) OWNER: Name: rrTyl Pf uve 'rrl-f Phone s ll� i • �' = ` U Address: 100 ros re 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 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ ?ODd, 0 v FEE: $ eyOz) Check No.: 3og7 Receipt No.: y'Fb f NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund ,Signature of Agent/Owner Signature of contractor 1 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 Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments Conservation Decision: Comments kater & 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 Departmeint 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 i i i ❑ Notified for pickup - Date Doc.Building Permit Revised 2009 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 l ❑ 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:Building Permit Revised 2008 '€ Location eNo. Date s NORTH TOWN OF NORTH ANDOVER 0ii`�•. :•,1•C t 0 s P t }�. ,,•+' Certificate of Occupancy $ �,SSACMUs t� Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # _ Dr- 7 24969 Buildi g:Inspector NORTH Town of 0 over .. o d.over, LAE 1Vlass., �. K Q COCHIC EWICK 0RATED P.P��,�S 7 U PERMIT T ` BOARD OF HEALTH Food/Kitchen Septic System THIS CERTIFIES THAT........ ..... lC�^ �/��- BUILDING INSPECTOR �� _.. has permission to erect......... :......................... buildings dn fi Foun aon on 6y C�s�a�r c y....... ........ Rough 'to be Occupied as ' r�v�s ,cr p ................. ................�p ....:............................................................................. provided that the person accepting this ermit shall in every respect conform to the terms of the application on file in Chimney this office, and to the provisions of the Codes and By relating to the Inspection, Alteration and Construction of Final Buildings in the Town of North Andover. VIOLATION of the Zoning or Building Regulations Voids this Permit. PLUMBING INSPECTOR D ,� V� T L Rough PERMU E111 MES Lt V V MONTHS Final UNLESS CONSTRUCT70- NLN �sARTS ELECTRICAL INSPECTOR Rough ................ .. .. Service .. . .. . . .... ............ BUILDING INSPECTOR Final i Occupancy Permit Required to Occupy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove Rough No Lathing or Dry Wall To Be Done Final Until Inspected and Approved by the Building Inspector. FIRE_DEPART'MENT . Burner `- Street No. SEE REVERSE SIDE Smoke Det. F N°RTH TOWN OF NORTH ANDOVER r0`�t�eo^6'S4, e s ° OFFICE OF BUILDING DEPARTMENT o .y 1600 Osgood Street Building 20, Suite 2-36 "yes°^,C10 cHus{<y North Andover'Massachusetts 01845 Sge Gerald A.Brown Telephone(978)688-9545 Inspector of Buildings Fax (978)688-9542 HOMEOWNER LICENSE EXEMPTION BUIDING PERMIT APPLICATION Please print DATE: ! JOB LOCATION: 3 9 Number Street Address Map/Lot HOMEOWNER I� 313 Name Home Phone Work Phone PRESENT MAILING ADDRESS' Q City Town S+w+e. Zip Code The current exemption for"homeowners"was extended to include owner-occupied dwellings to two units or less and to allow such homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor). State Building (Code Section 108.3.5.1) DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one or two family structures. A person who constructs more that one home in a two-year period shall not be considered a homeowner. The undersigned"homeowner"assumes responsibility for compliances with the State Building Code and other Applicable codes,by-laws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of North Andover Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. HOMEOWNERS SIGNATURE APPROVAL OF BUILDING OFFICIAL Revised 7.2009 Form Homeowners Exemption BOARD OF APPEALS 688-9541 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535