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Home My WebLink AboutBuilding Permit #461 - 575 OSGOOD STREET 12/22/2008Permit NO: 96 1 BUILDING PERNN rJ TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Date Received Date Issued: IMPORTANT: Applicant must complete all items on this page E / LOCATION } O' c\ O 6 d. A e tu o 0 CJ ' Print PROPERTY OWNER Print MAP NO: PARCEL: ZONING.:DISTRICT Historic` District yes no `. Machine Shop Village -yes no TYPE OF IMPROVEMENT PROPOSED USE 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 Septic Well Tfloodplain )"lands Watershed'District Wates/Sewer a DESCRIPTION OF WORK TO BE PREFORMED: Identification Please OWNER: Name: o A e, c L< G /�c Address: -) OD %lmru r l Rnoi C_ 4 r f� or Print Clearly) Phone: ,4 Coil ( ;� ,- f .r — ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE. BULDING PERMIT. $12.00 PER $1000.00 OF THE TOTAL ESTIMATED COSSED ON $125.00 PER S.F. Total Project Cost: $ FEE: $ spa Check No.: 7,5 `' Receipt No.: 1/ i 65s NOTE: Persons contracting with u#registered contractors do not have access to the t Of fund 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: Building Permit Application Revised 2.2008 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 MGL Chapter 166 Section 21A—F and G min.$100-$1000 fine NU 1 t5 and UA 1 A — (For department use ❑ Notified for pickup - Date Doc.Building Permit Revised 2008 No Plans Submitted Plans Waived - Certified Plot Plan Stamped Plans TYPE OF SEWERAGE DISPOSAL Public Sewer Tanning/Massage/Body Art Swimming Pools ,a�•; Well Tobacco Sales Food Packaging/Saies 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: Com Conservation Decision: Comments Water & Sewer Connection/Signature & Date Driveway Permit DPW Town Engineer: Signature: I Location s� T DSV Date /2 N OF ND J Cartificata Th AND pV euiidin9�F�a°f OCCU pc ER Othundation Pa mPar/nit Fee $ \ C�,� T^rA� Pe 't Faa t Fae $ \� ck # s -5- 21 X69 \ A �euild/r'9 / nSDec/or , CO) m m m CO) m F, a- 03 CD � O Z vs O 'O CL r - CD CL acm N� C CD CD CL CD CD o CD cow S C CD CCDO) CL O y O I �Q CD v CO) O 'o Z CD O O CD 0 CD C C �� p -4 cr y G O m y _ ® n m Cli mCD Cos naC2 T Z =r- N --4 CL ..► d �? -.410 m m 0 y CA N O m m a a G C2 o m � ... O ZC•n t O y n O =r CLca CD O y rr 'Ty CA nCD CD ems+. O C2 D7 y Zy D.d Q \� C W C. y m m oc n.. CD fCosiu� C of ) y y O CD1 L•� O �D » � T '•V ® oz D a ,)., 1 o �. C„ O z y CD ... ~: ? rrC m ^^ 1 - VJ = m C/) y W oq / iii � d r: = CWD 0 d: su CL0 n"z CD H 0 9 oC/) t7 ° rD d yro 7d H w 0 ro t� � p fD O � p O 0 `° ` p O p C7rb 0 rp rr_ p C O O 0 C M h W 0