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HomeMy WebLinkAboutBuilding Permit #Exception - 575 OSGOOD STREET 5/1/2018 (13) 71f�'; , -ti Lr7TED N°DTh q BUILDING PERMITTG TAM L(A R y 13 3�ot�t. »6.6tioL TOWN OF NORTH ANDOVER ° APPLICATION FOR PLAN EXAMINATION '" 70 n e Permit NO: Date Received 2 8 y 79AeRwreo'�'y cy �SSACHU5�� Date Issued: IMPORTANT: Applicant must complete all items on this page LOCATION ' c` Print PROPERTY OWNER Print MAP NO: a(r> PARCEL: ZONING DISTRICT- - 'Historic District yes 40 'Machine Shop Village yes TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential New Building One family l Addition Two or more family Industrial Alteration No. of units: Commercial Repair, replacement Assessory Bldg Others: Demolition Other Sep-ticell Floodplain Wetlands Watershed District Water/Sewer DESCRIPTION OF WORK TO BE PREFORMED: a-4a-.0 Ttae)byN -I;�,Tz> —1 "i T i ql- rte e5_,iL4,i H-naq vel Ll_ %_,-,4-E_ � i t� �i�� r� ��� i���• �t S r�EitL; �i9 i l..�i�� 1tl i t..L t'�(L-tel Li-�' 'TE-4�� Identification Please Type or Print Clearly) OWNER: Name: : J.E:11 -1Etfi' ce�O'V►M \7 I Phone: Address: CONTRACTOR Name: s Phone m Address: Supervisor's Construction License: Exp. Date: Home Improvement License: l Exp. Date ARCHITECT ENGINEER i1�� 5�i4 M Io Phone: �7e 5.71 -7� Ste. Address: ©'i��'►`'tiy � (`&Reg. No. FEE SCHEDULE:BULDING PERMIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ FEE: $ I Check No.: Receipt No.: NOTE: Persons contracting with unre istered contractors do not have access to the guaranty fund Si nature of A ent/Owner I f g 9_ Signature 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 PP 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:INSPECTIONAL SERVICES DEPARTMENT:BPFORM07 Revised 2.2008 Plans Submitted Plans Waived Certified Plot Plan Stamped Plans TYPE OF SEWERAGE DISPOSAL Public Sewer Tanning/MassageBody.Art Swimming Pools 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 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: Comments Conservation Decision: Comments Water & Sewer Connection/Si nat &'D Drivewa Permitl_-'' i. DPW Town Engineer: Signature: -- Located 384 Osgood Street FIRE DEPARTMENT - Temp Aster onsite yes no Located at 124 Main Street Fire Departmentsignatu;refdate COMMENTS Dimension Number of Stories: 2, Total square feet of floor area, based on Exterior dimensions. C 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-$1000 fine NOTES and DATA—(For department use i i ❑ Notified for pickup - Date P ..................................-........-_..._.............._....---...-- .......--...................................................--...........................-----.._....._..-..................................................._................................--.........-----.................................................................................................. _' i Doc.Building Permit Revised 2008 January 20, 2009 Mr. Kevin Tremblay Edgewood Retirement Community 575 Osgood Street North Andover,MA 01845 Dear Mr. Tremblay, On January 6,2009,the North Andover Historical Commission held a public meeting to review the demolition application for the Edgewood Dairy Barn. In the absence of a continuance request for the January 6`h meeting,the Commission voted on January 13 that the structure was `preferably preserved' as related to the North Andover Chapter 82 bylaws for a period no longer than 12 months. The purpose of this delay period is to encourage owners `to seek out alternative options to preserve, rehabilitate or restore such buildings...' and no permit may be issued `unless otherwise agreed to by the Commission'. The Edgewood Farm, along with the Stevens Estate and adjacent conservation land on Osgood Hill, are recognized as significant historical assets of the Town. The Commission encourages the Edgewood Retirement Community to continue efforts to protect the farm structures during this interim period. The next Historical Commission meeting is scheduled for 3 pm on February 9,2009 at 120 Main Street. Very truly yours, Linda Tremblay North Andover Historical Commission cc: Gerald Brown Building Department Town of North Andover NORTH Building Department o�%'V% 060 1'0 1600 Osgood Street 6 O� North Andover MA 01845 Tel: 978-688-9545 Fax: 978-688-9542 ?, o K!�$ �. a` 1 SQA COCMICMlWKI[`y DEMOLITION OF BUILDING AFFIDAVIT "\�o SSACHUS� DATE 'DL. OWNER'S NAME &ADDRESS C=&I"VAI 1 LOCATION OF PROPERTY TO DEMOLISH ��+J j tt't DESCRIPTION2� CONTRACTOR'S NAME &ADDRESS ;DEPA ENT GN-OFFS 2l-� DEPT. OF PUBLIC WORKS -WATE SEWER: v� DEPT OF CONSERVATION HEALTH DEPT: Septic Well jS , V`r-,HISTORIC C _ r4, GAS ELECTRIC TELEPHONE CABLE TAXES POLICE LRE v IV r f EXTERMINATOR t DUMPSTER- ON/OFF STREET DIG SAFE NUMBER DATE REC'D BLDG. INSPECTOR Doc.form demolition of building affidavit 1 1 r December 21, 2008 Mr. Kevin Tremblay Edgewood Retirement Community 575 Osgood Street North Andover, MA 01845 Dear Mr. Tremblay, The North Andover Historical Commission has reviewed your two applications dating December 9,2008, for the demolition of the Dairy Barn and the Caretakers Cottage on the Edgewood Farm. The Commission has determined that the Dairy Barn is significant to the history of North Andover as part of the Deacon Osgood/Edgewood farmstead. The age of the Dairy Barn is not definitive,but most likely predates the `big' barn built in 1881 by Moses Stevens. A public hearing,pursuant to Chapter 82 of the town bylaws, will be held on January 6, 2009, at 3 pm,in the first floor conference room, 120 Main Street. A decision as to whether the structure should be `preferably preserved' shall be made at the Commission's regular January 13, 2009 meeting According to historical records (Edgewood Farm Manager's 1917 report), the Caretaker's Cottage dates to about 1917 and is therefore not subject to Commission review. Both applications are on file the Town's Building department for further action. If you have any questions,please do not hesitate to contact any member of the Commission. Regards, Linda Tremblay North Andover Historical Co sion yl-c: Gerald Brown Building Department