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.