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HomeMy WebLinkAboutBuilding Permit #892-14 - 650 OSGOOD STREET 6/10/2014i TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION �r Da Received Permit NO: Date Date Issued: 164 4 IMPORTANT: Applicant must LOCATIONS b � - ��:<. _�— "-� Paint', -� PR'OPERTYr OWNER -� — Print` , ,MAP�NO'/PARCEL,-ZONING DI TF mplete all items on this x �100�Yea� Ol,d, T. _� � `Histone Desi -._ _4 icture yes, n a yes 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 11. tic • ❑Well _ `� Floodplair F ❑Wetlands ®1Natershedl it-r_cf � �. x lNater/Sewer,__ -, r DESCRIPTION OF WORK TO BE PERFORMED: 111111111111KNOW Identification Please Type or Print Clearly) OWNER: Name: Z G Phone: 05e7' Address: - 6 P1i`- u, 4"e."r. izira CONTRACTOF2'Name - s ;Su ervlso.r sConstruction +License:% _ Exp Pae -:p - _- - _ _. Hn1rY1P., -moi'n fi1- v6 M,P_nt Ii"ICAnCP Fyn a ' t ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE. BOLDING PERMIT: $12.00 PER $1000.00 OF THE TOTAL ESTIMATED COST BASED ON $125.00 PER S.F. Total Project Cost: $ FEE: $ q8 0 _ Check No.: /064' Receipt No.: 91 NOTE: Persons contracting with unregistered c n , actors do not have access to the guaran� _..._. Plans Submitted Cans Waived ❑ Certified Plot Plan ❑ tamped Plans ❑ - . Plans Submitted ❑ Plans WWaived ❑ Certified Plot Plan ❑ Stamped Plans ❑ M- E_OF-.;SEViMRAGEDiSPOSAL Public Sewer Tanning/MassageBody Art ❑ .. Swimming Pools ❑ Well ❑ Tobacco.Sales ❑ Food Packaging/Sales ❑ Private.(septic tank, etc..- -� _Permanent D�inpster on Site ❑ ` -THE-FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM ..-::_ DATE REJECTED DATE:APPR-OVED _ PLANNING & DEVELOPMENT ❑ ❑ COMMENTS .CONSERVATION Reviewed on Signature COMMENTS HEALTH COMMENTS Reviewed on F&� 1� Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments Conservation Decision: -Comments Water & Sewer Connection/Signature & Date Driveway Permit DPW To`v,! Engineer: Signature: i LOcatea jb4 us 000 Street ;FIRE DEPARTMl`NT,. -: Ternp Dump'ster on site yes no Located -at ;124{Mair'Street Fire Depa .} rtme►rt=signatu'reldate ' COMMENTS 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 strop 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 deoartrnent use) D Notified for pickup - Date E t E Doc.Building Permit Revised 2010 Building Department -''The foOswing'is"a=list of the required -forms to be -filled outfor the appropriate. permit to be obtained. Roofing, Siding, Interior Rehabilitation Permits ❑ B,ailding Permit Application ❑ Workers Comp Affidavit ❑ Photo Copy Of H.I.C. And/Or C.S.L Licenses o Copy of Contract o Floor Plan Or Proposed Interior Work o 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 o 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 apw��al period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording must be submAted with the building application Doc: Doc.Buil,ling Permit Revised 2012 Location (G No. <Z6 �A 2 L4 Date TOWN OF NORTH ANDOVER Certificate of Occupancy Building/Frame Permit Fee Foundation Permit Fee Other Permit Fee TOTAL Check# 27659 Bui nspector Ang I R J LL O � a cAm O O LL +O+ ? V) v O_ a) V1 o U z Z ® C O Y 7 O LL r 7 O W a) c E :E U a7 O LL ® w z Z J C. s j O LL' co O LL ® aul z U w w s j O OC �_ a) (n R S LL oC p uj h a t j O d' _ ca O LL Z w a a w LL.L v i m O z a) .N in a a) ai Y O N yJ �, v O d o EcD C. L U) :� yr 16. • � m : : O v 3 Cc S J j-4 L m m 4) .r ' m O� •Oa O 4 wU_0 N= C(� ".r� 4=m O _t -o L aCLd d 0 -� c O ,N • c a� o c ' ~ cc Q L N W O +�+ O O �Q =:E.2 joEW v ,� C to CL � �j co Ica 2 AS o A O O I--- .i Z CL o t9 i cn m z m cc z cnW w CLX uiH W M V v O 9 ti o o z N O i ^' 0 -- CL .0 O CD U)z O Q U cry N 0 . \ a w . . » \ c M ,\\ » ,. = e 1 4 = \© 7 % m 77 \ ƒ co 0 - \ � 3 $ . . \ / , a a , 40- 6 6 \ + ® © ƒ § \ 7�~ \ � ƒf . Town of North Andover Building Department 1600 Osgood Street Bldg 20, Suite 2035 North Andover MA 01845 Tel: 978-688-9545 Fax: 978-688-9542 DEMOLITION OF BUILDING AFFIDAVIT S/q/ly OWNER'S NAME &ADDRESS T KZ LLC LOCATION OF PROPERTY TO DEMOLISH C, SO OSFOGO( CONTRACTOR'S NAME & ADDRESS t"�AA CPMr.1`CT i b&\ -117 L DEPARTMENT SIGN -OFFS DEPT. OF PUBLIC WORKS - WATE r10 R T1� �Qh ED �6 �� 0 O �w�ci 1 CO[HICHtWIGK V 7,9 04AreD ►�Pp,��GJ SSACNUS� LA 1 MMVIIIVN i VK rY;vt DUMPSTER - ON/OFF STREET dVT- DIG SAFE NUMBER dN FIL6 BLDG. INSPECTOR Building Demolition Affidavit Plans Subrnitte&K 'Plans Waived -E] .-.-Certified Plot Plan n StampedPlans-11 - TYPE _OFSEWRAGE DISPOSAL ' Public Sewer Tanning/Massage/Body Art D Swimming Pools Well ❑ Tobacco.Sales ❑ -food Packming/Sales El Private (-Septic tank, etc..-: D=Permanent Dempster onSite El' THE- FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM ::..'DATE REJECTED. DATE:A D PLANNING & DEVELOPMENT- El El 'ro S r_1 t r - COMMENTS L_ G7 Kt S�( I C C -T CONSERVATION Reviewed on Sidna, Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Nj Planning Board Decision: Comments Conservation Decision:- CommenjS -7 Water & Sewer Connection/Si nature.. at' DPW Tow o Engineer: Signature: u' M FIRE btPARTiWV*Nf'--Temp bseron ye: Located at 124 Main Street' -Fire Dboartiii—ertitsignature/Mate , -7- COMMEN T -S. Located 384 Osg66d'Street no