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HomeMy WebLinkAboutBuilding Permit #363 - 345 OSGOOD STREET 11/2/2006 TOWN OF NORTH ANDOVER VtORTFI �3 3 APPLICATION FOR PLAN EXAMINATION o� t�•o ;"+tio O :0 Permit NO: Zoe Date Received Itop- r Date Issued: `' _ �,3. -"AumS-��� IMPORTANT: Applicant must complete all items on this page LOCATION 3611 Print PROPERTY OWNER_ ; S �S��/� s S ,Alar/"f Print MAP NO.:-9—!5' O.: PARCEL: ZONING DISTRICT: /�L TYPE AND USE OF BUILDING HISTORIC DISTRICT YES ❑ TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential El New Building ❑On mily ❑ A ' ion wo or more family ❑ Industrial Alteration No. of units: - ❑ Repair, replacement ❑ Assessory Bldg ❑Commercial I-- Demolition Moving(relocation) ❑Other ❑ Others: ❑ Foundation only DESCRIPTION OF WORK TO BE PREFORMED /01 l Identification Please Type or Print Clearly) , OWNER: Name: L2,plz,� Phone Address: ��_ CONTRACTOR Name:�� Phone: g7,3 V2G O /gyp Address: Supervisor's Construction License: hag 1,�Q Exp. Date: /�/ ?",fe Home Improvement License: X32/ Exp. Date: //��/Zayz ARCHITECT/ENGINEER Name: Phone: Address: Reg. No. FEE SCHEDULE:BULDING PERM/T.•$12.00 PER$1000.00 OF THE TOT,4L ESTIMA ED COST BASED ON$125.00 PER S.F. Total Project Cost :$ dC7, �� FEES0 12-6—r � Check No.: Y�, Receipt No.:—L? 2 t/-r Page I of 4 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 ❑ 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 DF.PARTNIENT:BPFORM05 Page 4 of 4 t TYPE OF SEWERAGE DISPOSAL Swimming Pools C Tanning/Massage/Body Art ❑ Public Sewer '' 1 Tobacco Sales �J Food Packaging/Sales t+ } WellD Permanent Dumpster on Site ❑ o Private(septic tank,etc. ❑ Electric Meter location to. project NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund Signature of Agent/Owner Signature of contractor 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 D TE APP VED CONSERVATION ❑ �0Oji COMMENTS 7( DATE REJECTED DATE APPROVED HEALTH ❑ ❑ COMMENTS FIRE DEPARTMENT - Temp Dumpster on site yes 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/Siunature& Date Driveway Permit 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 Doe:INSPECTIONAL SERVICES DEPARTMENT:BPFORM05 Created 1MC.Jan'0% Location �� ��� No. �3 Date 1 � �ORTh TOWN OF NORTH ANDOVER i s . Certificate of Occupancy $ ��Ss�cNusE� Building/Frame Permit Fee $ =3 Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # 19765 Building Inspector Handrail this side 42" 61 .25" 52.5" 70" 43.75' U A 78.75" 35" _ 36" _ Landing _ _ 87.5' 26.25 CD ' co - max. I 96.25" U -7.5 CO height from _ 1 grade 30" I I - CO 8. � I M M IL 4 7" 39 .w rr f. � Vr A f �t i � j ,iisr w lJ V� 6*nj r rJ. o -0414 'rGJr uf`i �'` w .•� �y Handrail this side 42I IA " NI 61 .25 52.5" r — — — 70" 43.75' _ Landing 1 CO max. _ 8.75' 35" height from I grade 30" ( 187.5' 26.25 ' 96,25" U P � _ 17.5 8. 11 I� 3 6 c� 39 { 67e 1°oamvr�onurea/l�c,a�./�iraaacuaaQ3 BOARD OF BUILD G REGULATIONS License: CONSTRUCTION SUPERVISOR Numlc:-CS 089930. Bi�kii-a1-e.�4t31/1956 ipires ,dfi/31/ 008 Tr.no: 899301 Rented STEPHANIE L MOdRE l/r ' 8 CEDAR RD �, G ANDOVER, MA 0�tf10� Commissioner j ✓/ze �anvnzoozaec�� a��vaac�iu • Board of Building Regulations and Standar HOME IMPROVEMENT CONTRACTOR Registration 137381 lug Expiration: 11/5/2008 Tr# 12• Type: Private Corporation Lasting Impressions Custom Design&Buil Stephanie Moore 8 Cedar rd. �— Andover,MA 01810 Administrate XAORTH Town of over 0 . No. 3 G _� _ over, M 0 Z-OC'LA E d ass., 11CHIEWICK o0A'rED BOARD OF HEALTH Food/Kitchen Septic System PERMIT T D ASA W 0.*A& pow VS 4 BUILDING INSPECTOR THISCERTIFIES THAT................................................................. ....... . ........ .4..... ......................... Foundation has permission to erect........................................ buildings on .loe'r.........j#mCf. W.......4C.41F.............. Rough ....it *#%.A.......... to be occupied as..Oft.4w . ...... ............. .... e in ^&ney g I rmft hall in every respect con Ift P rovided that the person acceptin conform to the terms of t�e lii� 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 PERMITEXPIRES IN 6 MONTHS Final ELECTRICAL INSPECTOR UNLESS CONSTRUCn< t�R Rough ..................... .......... ..................................................................... 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.