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Home My WebLink AboutBuilding Permit #266 - 575 OSGOOD STREET 10/2/2009 O R TFr BUILDING PERMIT OF",Eo "moo TOWN OF NORTH ANDOVER O� y` a, '6 O� APPLICATION FOR PLAN EXAMINATION ` Permit NO: Date Received �SSACHU`'�t Date Issued: 2 IMPORTANT: Applicant must complete all items on this page a rift Y:y t PROPERTY OWnnt NER =— - --- {` 1 t MAP NO '� PARCEL ° ZONING DISTRICT ` Hlstonc�Dlstnct Y yes Macilrne Shop V,illa`ge yes TYPE OF,IMPROVEMENT PROPOSED USE a Residential Non- Residential New Building One family Addition Two or more family` ' Industrial , Alteration No. of units: Commercial Repair, replacement Assessory Bldg Others: Demolition Other ep ic- ell - Floodplain Wetlands ,WatershedlDlstnct Water/SeweXP ,., .: DESCRIP Z�l Cil2 OF WOR REFORMED: 1 1--it, V-6 Ll- ZZrv�j;jp' t eA1�5 1 Va>�` FV-41-471 —k-Hi-=> a�� rI WILL- r-ell,,I c�4 14r , Identification Please Type or Print Clearly) OWNER: Name: � � n��i`-sl1. \ Phone: Address: 1 -ONTRACTQft, Narne Phone:: Address. �T:�� e _ Supervisor's'Construction :'License = Expo Date sf kF TM K= r Horne Improvement:License w Exp Date - _ , ARCHITECT ENGINEER'S—� � ��- I� � .: Phone: X76 571 -7 Sef ' ''i' R Address: G�� 1 ( � t- Reg. No. FEE SCHEDULE:BULDING PERMIT:$12.00 PER$1000.00 OF THE T� �V►STI�T�p_COST BASED ON$125.00 PER S.F. Total Project Cost: $ I J�9 �� FEE: $ �Qy Check No.: � Receipt No.: NOTE: Persons contracting with unre istered contractors do not have access to the guaranty fund Signature of Adent/Owner. gnature of contractor 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) El Building Permit Application ❑ Certified Proposed Plot Plan ❑ Photo of H.I.C. And C.S.L. Licenses L3 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:INSPECTIONAL SERVICES DEPARTMENTMFORM07 Revised 2.2008 Plans Submitted Plans Waived Certified Plot Plan Stamped Plans TYPE OF SEWERAGE DISPOSAL Public SewerI Tanning/Massage/Body Art Swimming Pools :-ff 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 Q COMMENTS CONSERVATION Reviewed on r Si nature 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— Water omments Water & Sewer Connection/Si natu & LDrivewa Permit- . 'IDPW Town Engineer: Signature: Located 384/ Os ood Street Fire D�epart�ent-signa#i�re�date�:,�� c Dimension Number of Stories: Total square feet of floor area, based on Exterior dimensions. 7� r:�:> 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 P ❑ Notified for pickup - Date --__---....-........_......__...------.._....- --..__....._......_.........._......._..................._.. ---....__...-- _..... _ E Doc.Building Permit Revised 2008 '4 Location-,4T No. / Date NORTH TOWN OF NORTH ANDOVER O� «•o � s 9 Certificate of Occupancy $ ;1s3ACMu5< Building/Frame Permit Fee $ Foundation Permit Fee $ J Other Permit Fee $ TOTAL $ Check # 224Q4 Building Inspector J/ J 1 January 20, 2009 Mr. Kevin Tremblay Edgewood Retirement Community 575 Osgood Street North Andover, MA 01845 Dear Mr. Tremblay, On January 6, 2009,the North Andover Historical Commission held a public meeting to review the demolition application for the Edgewood Dairy Barn. In the absence of a continuance request for the January 6th meeting, the Commission voted on January 13 that the structure was `preferably preserved' as related to the North Andover Chapter 82 bylaws for a period no longer than 12 months. The purpose of this delay period is to encourage owners `to seek out alternative options to preserve, rehabilitate or restore such buildings...' and no permit may be issued `unless otherwise agreed to by the Commission'. The Edgewood Farm, along with the Stevens Estate and adjacent conservation land on Osgood Hill, are recognized as significant historical assets of the Town. The Commission encourages the Edgewood Retirement Community to continue efforts to protect the farm structures during this interim period. The next Historical Commission meeting is scheduled for 3 pm on February 9, 2009 at 120 Main Street. Very truly yours, Linda Tremblay North Andover Historical Commission cc: Gerald Brown Building Department V40RT#q ® o Andover . No. over, Mass., 0 LA E COCHICHEWICK �S RATED P"G C:) BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System BUILDING INSPECTOR THIS CERTIFIES THAT......L—.,v......................... .............I................ ............................................................................... ........... ... ... Foundation has permission to erect........................................ buildings on S7 ...... ............................I......... Rough -i Chimney "D ............................................................... to be occupied as....... e.m. a.......... ..........73... provided that the person accepting this permit shall in every respect conform to 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 Service .................................. ..................... ....... �41 BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Rough Display in a Conspicuous Place an 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. Town of North Andover NORTH Building.Department o16 ? as O 1600 Osgood Street s► 5 '`'_ °� North Andover MA 01845 R _ Tel: 978-688-9545 Fax: 978-688-9542 +� K a �A coc"Icok WKK`y� DEMOLITION OF BUILDING AFFIDAVIT 9 04ATED SSgCHUS� DATE) U L, o OWNER'S NAME � ADDRESS ,,.. -I�-� � + � I a LOCATION OF PROPERTY TO DEMOLISH ':57c�J DESCRIPTION 900±f C:3F- CONTRACTOR'S NAME &ADDRESS DEPARTMENT SIGN-OFFS DEPT. OF PUBLIC WORKS -WATER: SEWER: DEPT OF CONSERVATION HEALTH DEPT: Septic Well k-HISTORIC COMMISSION Pr d� -b J X1W �vts- ,y M ne vl,e u7. 'GAS -ELECTRIC TELEPHONE CABLE TAXES POLICE FIRE EXTERMINATOR DUMPSTER— ON/OFF STREET DIG SAFE NUMBER DATE REC'D BLDG. INSPECTOR Doc.fonn demolition of building affidavit i i Town of North Andover NORTH q Building Department o��ct`ED 0 64 �O 1600 Osgood Street �'� �; 6 0� North Andover MA 01845 �. Tel: 978-688-9545 Fax: 978-688-9542 y LAKE ey T O 4A CO[NKMlwKw`y DEMOLITION OF BUILDING AFFIDAVIT �,9 °RAreo ►'P�`,�q`� SSgCHUSE DATE Jy OWNER'S NAME & ADDRESS --��-- �1��- ��1C'�v�l LOCATION OF PROPERTY TO DEMOLISH q,cc,,V> e 5 - DESCRIPTION CONTRACTOR'S NAME & ADDRESS DEPA ENT GWOFFS Z t DEPT. OF PUBLIC WORKS -WATE DEPT OF CONSERVATION HEALTH DEPT: Septic Well HISTORIC COMMISSION ek- GAS ELECTRIC I TELEPHONE CABLE �1 TAXES POLICE FIRE v 3 V EXTERMINATOR DUMPSTER- ON/OFF STREET DIG SAFE NUMBER DATE REC'D BLDG. INSPECTOR Doc.form demolition of building affidavit