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HomeMy WebLinkAboutBuilding Permit #261-16 - 650 OSGOOD STREET 8/31/2015 r BUILDING PERMIT NORTHq� 4t VED V(f TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION V `R/ POrmit No#•• Date Received ADR{7ED ""c5 �SSgCH►1`-+�� D2te Issued: IMPORTANT:Applicant must complete all items on this page LOCATION S O d Print PROPERTY OWNER TKZ- Lt C Print 100 Year Structure yes o MAP � 64) PARCEL: � ZONING DISTRICT: Historic District yes Machine Shop Village yes no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ h, ew Building 14 One family ❑Addition ❑ Two or more family ❑ Industrial 9 Alteration No. of units: ❑ Commercial ❑ Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other Septic *®1Nell FI©odplam� ®Wetl+ands,T � ® WWW to shd®istrict, q . ' ter/Sewerk DESCRIPTION OF WORK TO BE PERFORMED: Z xy e�tecf«c� ,i�s�i �,, ;a uL Identification- Please Type or Print Olearly OWNER: Name: j k -2-L(,G Phoneg7�-8e Address: S St, Z01 �f MA d) � 'j Contractor Name: i Phone:gV-Fr2 r QJJ7i IP Em il: Address: . 51,E &IN• A VkeCX/ ` Supervisor's Construction License: d S`s'�jl Exp. Date: �6 Horne Improvement License: Exp. Date: ARCHITECT/ENGINEER _ — Phone: << Address: — Reg. No. FEE SCHEDULE:BULDING PERMIT.$12.00 PER$9000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Tgtal Project Cost: $ l.$:�UdD-� FEE: $ 180.01 Check No.: I � 4 2 Receipt No.: NOTE: Persons contracting with unregistered ntractors do not have access to the gua7 ty nd _� '' �._ �, a r'hCR s � -- — _ - - — g ---- - - _— - - _ I Plans Subrnittedg Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ TYPE OF SEWERAGE DISPOSAL Public Sewer Tanning/Massage/Body 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 m U §0 M PLANNING & DEVELOPMENT Reviewed On Signature_ COMMENTS CONSERVATION Reviewed on e COMMENTS WEALTH Reviewed oni nature COMMENTS Zoning Board of Appeals:Variance, Petition No: Zoning Decision/receipt submitted yes Plar-iing Board Decision: Comments Conservation Decision: Comments Water& Sewer Connection/Signature& Date Driveway Permit DPW'I'ovvn Engineer: Signature: Located 384 Osgood Street "."N„t'� 31i L.?"ra"� "L fi 3s`r T 4-* U**--*, :�n-,� -r�.s•s�' 3'G:_(.'+a^w. r '�, r,FIRE 4DEPRTNIENT Temp D"umpster�on�site� yesI �. �, no ..aC :i Located at 124 Main Street *f" e� � it � r ; � F',S^ ,�'! R a � #Y•p- Fre Department signature/date ►�..r � s . . f 4� s ♦. i'� '4. Y ` �,��«' t�r��a"� a `s �" '�,Ant a #� ..ww-- k5+'r, .p,y l^ ..,i9 i c+' ."' ,r*t f i;•1 d'+P t""b 5 �a II'Y* ,"�...1r -:a �. t,a,n... -�:cr,� - „� � ,. �'•r1sa, Xra'task +a kr,,, :� P T4L.:: �` c � r<� � .3a::� r � �+, ��:*'°d'�r, Dimension Number of Stories: 7. Total square feet of floor area, based on Exterior dimensions. 6�p Total land area, sq. ft.: (, 05 A(/,- 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 i I NOTES and DATA— (For department use) Ii i a I I Il Notified for pickup Call Email Date Time Contact Name Doc.Building Permit Revised 2014 i �I I 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 -I Building Permit Application 4� 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 OTE: 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/Cross Section/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 OTE: 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 4. Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (If Applicable) 4. Copy of Contract 2012 IECC Energy code Engineering Affidavits for Engineered products OTE: 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 Revised 2014 Location No. / ._ Date w . - TOWN OF NORTH ANDOVER t Certificate of Occupancy $ Building/Frame Permit Fee $w Foundation Permit Fee $ �o r Other Permit Fee $ TOTAL $ - Check,#�� Bui ding Inspector _. 29 2S . i Enter construction cost for fee cal - North Andover Fee Calculation Construction Cost $ 15'5,000.00 m $ - $ 490.00 Plumbing Fee $ 22.50 Gas Fee 100 comm. $ 100.00 Electrical Fee $ 22.50 Total fees collected $ 635.00 650 Osgood Street 261-16 on 8/31/15 Basement finish NORTH own of EAndover 16 No. - h ver, Mass, COCNIC HlWKIt A�RAT*o PPp��S S U BOARD OF HEALTH PERMIT T LD Food/Kitchen Septic System // C THIS CERTIFIES THAT .......... BUILDING INSPECTOR ..........................................................................................................,....... . has permission to erect .......................... buildings g .. �„�, . ...................................... Foundation on ............. Rough to be occupied as .......... 'i-���� �5�.rte�� e.�,,.,/- ....................................... Chimney .......................................................... provided that the person accepting this permit shall in every respect conform to the terms of the application Final on file in 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 CONSTRUCT TARTS Rough Service ....... .......... .. . .. . .,.IUILDINGINSPECTOR .......... � . Final GAS INSPECTOR Occupancy Permit Required to Occupy Building 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. Smoke Det. ........... ............... iQ— ............ ... -------j­...— I uV N I, m In ---- ------- ........... J ........... ------- ___ _ _. �► �_ .f __, . _ ------- ------ .......... ............ --------- Ap -.7.......... ........... ------- 64 V'd S ...... , ! I I I , .. ............. lilll ! � 0. 9 ;- 11 1 I IN w s I , I f _ - _ .......t_. . . ...._ ...__ -._-1__.-!'---- -._ _... .... _.'__._..�..____j._ tcT_�.�d' � 11 If I I I I �._._-_.}--__{. _.._l_. _..' j v � 19-•Z 1 _ _._.- _v��"t_?? -..,._.�- �.. �Q."-.-?.__-_..__.._---_�___-__-L.---- -- I f I _ 1 1 � ► 1 1 1 1 I 1 I ! I I � , i l I I I . 04) i I 1 I � � i I I 1 1 { 11 9-x,1 I I ( I I �.. _I z -- __ i _ 1 i , 1 I ly ! I 1 _ jam- I•� I I I _i • 1 1 , s 1 r 1 I 1 � � 1 � 1 t s 1 ; I t i f i ;is-SubmitiedT] -Plans-Waive-d-El ..Certified-Piot Plan ❑ Stamped Plans ❑ YPE OF:SEWERAGEDISPDSAL ` - Public Sewer . Tannings passage/Body Art El Swimming Pools ❑ Well ❑ _Tobacco.Sales :-Food Packaging/Sales ❑ Private(septic tank,etc. _ - Permanent Dumpster on=Site THE.FOLLOWING SECTION FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF- U FORM - ::.-DATE REJECTED DATE-AR ---.S fED PLANNING-&DEVELOPMENT ❑ :=0 COMMENTS ! R Ti e \ J� ' Reviewed on =:;_ Signature CONSERVATION ` COMMENTS i } F f; t�r =} -: ;,: _Aj _L , C, 1 7- HEALTH Reviewed onr'7"�� Signature COMMENTS f 1 ?A Zoning Board of Appeals:Variance, Petition No: Zoning Decisionfreceipt submitted yes Planning Board Decision: Comments Conservation Decision: :Commen Water 8: Sewer C®�necti� rJBi afi � Driveway Permit DPW • 1Eng,.�eer: � gnature: u- em 384 Os ood'Street Ia" RE t q SPAR'►I�._ g -Temp Dumpster on s eyes.. no -orated-at 124 Mair,Street Fire DepattmerIt-signature/rate C%y,�.. ����- iy 7—f,2,4 COMMENTS -. 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I' 3 i 11 U liD6 F� .�Lt6 E$k 'm C-11w tm care vas. se:ca' scar s MAW= w f55�'!Ft}a 1YFFCi R't.Ytfi�Yi SSM MOOVM N7a OY94,5 ir A _. {t.7 a`33�{n-w� +d3'�4LQlo'�Kll, Nf WVjli N.ew1&.1 n�S%Dti �y'&sit a Ito tlta x7 rJFraA.:ai asr.ro:ttrtF aA�.;ia rd Lf3i ... ."x i Massachusetts - Department of Public Safety �J Board of Building Regulations and Standards Construction Supers isor License: CS-055417 s° } Phomas D Zahoruiko ' 78 Great Pond Road North Andover NEW 0184- :3 Expiration Commissioner 04/05/2016