HomeMy WebLinkAboutBuilding Permit #281-13 - 326 OSGOOD STREET 10/10/2012 TOWN OF NORTH ANDOVER
APPLICATION FOR PLAN EXAMINATION
141
Permit N0: Date Received
Date Issued: 01,401,
IMPORTANT:Applicant must complete all items on this page
LO'CATIQN►_ - . .. � _ f _ _._
- . . — - - - -
not
R14A�A" G
' PRQPERTY OWNER- -
Print 100 Year;Old Structure) yesa
MAP',NO' 9- PARCEL:�38 ,ZONING DISTRICT Histonc,Disthct Yes;
-__
Machine"Shop Village y-es;
TYPE OF IMPROVEMENT PROPOSED USE
Residential Non- Residential
❑ New Building ❑ One family
❑Addition ❑Two or more family ❑ Industrial
❑Alteration No. of units: ❑ Commercial
KRepair, replacement ❑Assessory Bldg ❑ Others:
QFDemolition ❑ Other
s ❑ Septics E]-Weill ' 1 Floodplain; ❑Wetlands ❑ Watershed District,
Water1S"ewer._�&
DESCRIPTION OF WORK TO BE PERFORMED:
66-17',40Y C/gyt_,01110r ,& �� Ze,4c7
Identification Plea a Type or Print Clearly)
OWNER: Name: ECHBaD Gam- Phone: ?'>S"
Address: 3'Z
CONTRACTOR, Name: - -_ _ - ._ Rhone,
Address: -
f
'Supervisorf's.Constructioh License: _ Exp. Date:
Norrie,Improvement License: Expi 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. a
Total Project Cost: $ 2(9 MV FEE: $ o a
Check No.: � Receipt No.: :5—go Z>
NOTE: Persons contracting with unregisteredoontractors do not have access to the guarantyfund
�Sign:ature;ofi AgentJOwnerr .' ignature,of ccontractor. . _
Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑
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: Doc.Building Permit Revised 2012
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. ❑ ElPermanent Dumpster on Site
i
THE FOLLOWING SECTIONS FOR OFFICE USE ONLY
INTERDEPARTMENTAL SIGN OFF - U FORM
DATE REJECTED DATE APPROVED
PLANNING & DEVELOPMENT ❑ ❑
COMMENTS
CONSERVATION Reviewed on 10 )10 G4 Signature
COMMENTS c OO` cru
HEALTH Reviewed on Signature
COMMENTS
Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes
Planning Board Decision: Comments
Conservation Decision: Comments
Wateir & Severer 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 Departrrient,signature/date
COMMENTS
I
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
i
DANGER ZONE LITERATURE: Yes No
MGL Chapter 166 Section 21A—F and G min.$10041000 fine
I
NOTES and DATA— (For department use
I
® Notified for pickup - Date
i
Doc.Building Permit Revised 2010
Location ��
a® S;4-
No. c`��� _ Date
• TOWN OF NORTH ANDOVER
e
Certificate of Occupancy $
Building/Frame Permit Fee $ a5,0--'
Foundation Permit Fee $
Other Permit Fee $
TOTAL $
Check
25800 Buildin`g`Inspector
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PLAN OF LAND
i SG LOCATION
NORTH ANDOVER, MA
PARCEL 32 PARCEL 37 goFEss�o?d� DRAWN FOR
LOT 14 (OLD PLAN)
LOTS 54 - 58.(OLD PLAN) RICHARD BRUCE
!'/IAP 85' PARCEL 38`R °1 j � . i ,
. � b so � SCALE. 1 — 20 DATE: 12111f98
o.
LOTS-9310,11 , 12313 3/9/99
�o0 13,000 0' 20' 40' 60'
SCOTT L. GILES, R.P.L.S.
FRANK S_ GILES, CAD
y NORTH ANDOVER, NIA.
O
z (978) 683-2645
4
Q- b < ' NX
ZONING DISTRICT R4
MIN AREA =12,500 S.F.
�d •���. f� ��c �- 4�C
MIN. FRONTAGE=75'
00 •�a 'bs� �`' MIN. FRONT SETBACK=30'or(AVE.250'EITHER SIDE)
aa`` -MIN. SIDE SETBACK= 15'
ro Qo Cw MIN. REAR SERBACK= 30'
y THERE ARE NO WETLANDS ON THIS LOT.
a REFERENCES:
SEE PLAN # 195 @ N.E.R.D.
PARCEL 40 ��y�o ti� LtK �� DEED BK. 2538 f 257
>.
LOTS 1 - 5 (OLD PLAN) o NOTES
aas7z The-average:Erol setbactcs in is location are 24',
C)- '8 fZ L'M vvC:v , '��-rstf��oa�,® measured 250' each side of locus.
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I i C—PLA
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µoery TO'P W 1VORTH
OF jYLeo �6'S,� OF ANDOVER
�°� OFFICE OF
BUILDING DEPARTMENT
,1600 Osgood Street Building 20,-Suite 2-36
R"�ssA�Nusfc�y North Andover,Massachusetts 01845
Gerald A.Brown
Inspector of Buildings Telephone(97g)688-9545
HOMOWNER-LICENSE EXEMPTION Fax
E (978)688-9542
BUIDING PERMIT APPLICATION
Please print
DATE:
JOB LOCATION: 30
Number Street Address
Map/Lot .
FJOMEOWNER c a-►�q rL 17 ,�nv�
NameHome Phone 8S^2� 2 62 3
Work Phone
PRESENT MA L''NG ADDRESS -?:1.2 C
CRY To,:.,T,
S+.Y+t.
Zip Code—
The
odeThe current exemption for"homeowners"was extended to incIudeowper-occupied dwellings to two units or less aPr
to allow such homeotaYers to engabe an icividual.for hire who does not possess a license,provided that the owner 1
acts as supervisor). State Building (Code Section 108.3.5.7)
DEFMITION OF HOMEOWNER
Persons)who Qwns a parcel of land on which he/she resides or intends to reside on whi
be,a one or two family structures. A person who constructs more that one home in a two-year period shall not e
ch(here is,or is intended to
considered a homeowner.
The undersigned"homeowner"assumes responsibility for compliances with the State Building Code and other
Applicable codes,by-laws,rules and regulations• r
t
The undersigned"homeowner"certifies that he/she understandsthe Town of Fporth 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
130ARD OF APPEALS 688-9541 CONSERVAMN 688-9530
HEALTH 688-9540 PLANNING 685-9531
NORTH
Town of E .LI, 6 ndover
No.
ooh ver, Mass,
COCHICKIWICK
p�RATED r .(0
S U
BOARD OF HEALTH
PERM11 I LD Food/Kitchen
Septic System
A Gr BUILDING INSPECTOR
THIS CERTIFIES THAT .... . .:°: .............................................................................
........... ........
has permission to erect .......................... buildings on . -5);�i0(.:!D ....�...................... Foundation
Rough
to be occupied as ..... ...../.. ....k...2........�. d � Chimney
provided that the person accepting this permit shall in every resp et t conform to the terms of the application/4>,2f" Final
on file in 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
Rough
VIOLATION of the Zoning or Building Regulations Voids this Permit.
pA
c pA Final
PERMV IT EXPIRES IN MONTHS ELECTRICAL INSPECTOR
UNLESS CONSTRUCTION STARTS Rough
Service
................. ..... .. .... .. .. ^:..................... Final
BUILDING INSPECTOR
GAS INSPECTOR
Occupancy Permit Required to Occupy Building 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.
Smoke Det.
SEE REVERSE SIDE
Town of North Andover Page 1 of 1
(� Base Map ; Zoning 2008 Aerials i Watershed Zone Utilities [ Size UQID Selection Legend Location 3 Markup
Help Scale 1"= 63_ ?ft Select ="'Parcels
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Owner
r � "' ', ' ,•.' i *,
BRUCE,RICHARD ALLEN 108
B0038-0000.0 326 _
B 5..0 OSG OSGOOD S
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Property Building Permits J.,7Planning Septic Pu[]if
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Ownerl BRUCE,RICHARD ALLEN
J , Owner2 CHERYL KNOWLTON
ff =
Address 326 OSGOOD STREET
PropertyID 085.0-0038-0000.0
Lot Size 13503.6S
"4
Fiscal Year 2013
a`s¢ Land Use 101
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http://mimap.mvpc.org/NorthAndovennimapNiewer.aspx 10/10/2012