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Home My WebLink AboutBuilding Permit #891-14 - 696 OSGOOD STREET 6/10/2014 TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit NO: v ` Date Received Date Issued: IMPORTANT: Applicant must complete all items on this page p LOCATION.. Cr1�,a! , w _ Print PROPERTY OWNER100.Year Old MAP NO: % ,.,PARCEL': b.. ZONING.DISTRICT : �Histonc DistrictPrint- yes yes o — Machine.Shop Village 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 ❑ Septic. ❑Well Floodplain Wetlands - ? ❑ Watershed District, , Water/Sewer s- DESCRIPTION OF WORK TO BE PERFORMED: Identification Please Type or Print Clearly) -i OWNER: Name: TXZ L Phone:'? Address: 7f �i )J, ✓ M . 1 CONTRACTOR Name: IMAS !fib 'Phone:ct?eF-�77-`Z63S. Address: '" C,. i - - V2 JTJA �I�� - _ 4 - . --� 71.E Supervisor's Construction license: D s .` Exp.. Date: _ ._ _ _-rte .`Home.Improvement License;_ _. -: Exp. -Date..---.- ARCH ITECT/ENGI NEER Date:ARCHITECT/ENGINEER Phone: Address: --- 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: $ 3 odea • _FEE: $ 3 6 Check No.: 10 6 Receipt No.: 7--1(a NOTE: Persons contracting with unregistered contr ors do not have access to th&guaranty Si nature of,A ent%Ovvnerµ. Si nature of contractor. _g Plans Submitted L PIA s Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ Building Department --.`rhe foh'�wing is'a list of.the required forms to be-filled oufforthe.appropriate permit tube obtained. Roofivg, Siding, Interior Rehabilitation Permits ❑ Building Permit Application ❑ Workers Comp Affidavit Li Photo Copy Of H.1.C. And/Or'C.S:L Licenses L3 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 Li Building Permit Application L3 Certified Surveyed Plot Plan ' L3 Workers Comp Affidavit Li Photo Copy of H.I.C. And C.S.L. Licenses o Copy Of Contract o Floor/Crossection/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (If Applicable) o Mass check Energy Compliance Report (If Applicable) o 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 a Certified Proposed Plot Plan ❑ Photo of H.I.C. And C.S.L. Licenses o Workers Comp Affidavit o Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (If Applicable) o Copy of Contract o 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 apu•?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.Buiiding Permit Revised 2012 f Plans Submitted ❑ Plans Waived 7 Certified Plot Plan ❑ Stamped Plans TYPRDVS> WERAGEDISPOSSAL Public Sewer Tanning/MassageABody Art ❑... .Swimming Pools ❑ Well ❑ Tobacco Sales E] Food Packaging/Sales ❑ Private?(septic tank, etc:. . El. Permanent Dempster on-Site THE-FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM DATE REJECTED DATE:APPR:OVED PLANNING & DEVELOPMENT ❑ COMMENTS 'I MIJ I CONSERVATION Reviewed onL ature 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/Signature& Date Driveway Permit r DPW Tow-2 Engineer: Signature: Located 384 Osgood Street j - FIRE DEPARTMENT -.Temp Dump:ster on:site` yes no . Located-at-V4MainStreet: Fire Departme►it signatuare/date COMMENTS , . ' Dirnension Number of Stories: Total square feet of floor area, based on Exterior dimensions.- -Total-land area, sq. ft.; A ELECTRICAL:-Movement of.Meter,Iodation,'n as$or service drop requires approval of Electrical Inspector Yes No i DANGER ZONE LITERATURE: . Yes No MGL.Chapter166.Section 21A.-F and G min.$100-$1000.fine NOTES and DATA—(For department use 67U) i' D Notified for pickup - Date I Doc.Building Permit Revised 2010 it , Location U0 No. 1 I "-t`'a� Date o • TOWN OF NORTH ANDOVER e . .-v� Certificate of Occupancy $ Building/Frame Permit Fee $ `u Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check# ' 276558 0� !` vIBuilding Inspector � NORTy own o : ? E : a� n over0 - 10 .. �.. No. K, h ver, Mass, ff10s2o 14 �I- coc"Icnewicot 0? rE D '.Pp�,�5 U BOARD OF HEALTH Food/Kitchen PERMIT T LD Septic System THIS CERTIFIES THAT ......... BUILDING INSPECTOR ..... . ..................................................... Foundation has permission to erect.......................... buildings on ..(DIN ..... ... . i...sreaf....... Rough to be occupied as ........ imalt .... ........ .ar... .. ... .. ...... .......... 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 CONSTRUCTION STARTS Rough Service ................... 11e- ... . : „r:,,,�........................ Final BUILDING INSPECTOR 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. Town of North Andover NORTH q Building Department �o�'�t�yED '64a�o 1600 Osgood Street Bldg 20, Suite 2035 0 North Andover MA 01845 �- Tel: 978-688-9545 Fax: 978-688-9542 - ?, a m" DEMOLITION OF BUILDING AFFIDAVIT ' °�A COC441 EWICK`V'� ORATED DATE S �9 'I 9SSACHUS�t OWNER'S NAME &ADDRESS KZ U_ LOCATION OF PROPERTY TO DEMOLISH G ((o DESCRIPTION CdA.Q A2 +k0 CONTRACTOR'S NAME &ADDRESS MG�M# C Mdn66 , .�._.►nC DEPART SIGN-OFFS s DEPT. OF PUBLIC WORKS ,-WATER: SEWER: i TREE WARDEN 41 �K,,� TOWN ENGINEER w DEPT. OF CONSERVATIONS HEALTH DE got SEPTIC 4r'-LL HISTORIC COMMISSION N $UILT 19 2-01.5 q;9 PLANNING YeM TO 6rEWY SPOO ftI• PP.IfM rAGrshyj GAS Pw•Q �' Zo( ELECTRIC TELEPHO TAXES POLICE FIRE EXTERMINATOR N DUMPSTER- ON/OFF STREET 6rCj�_ DIG SAFE NUMBER 0)j �`I BLDG. INSPECTOR Building Demolition Affidavit - -- Plans Su - � bmittedN Plans--Walved-O :..Certified.Piot Plan ❑ Stamped Plans ❑ OF:SE'WERAGE DISPOSAL '.. Public Sewer Tanning/Massage/Body Art ❑ .. Swimming Pools ❑ Well ❑ -Tobacco-Sales El' 'Food Packaging/Sales ❑ Private(septic tank,etc..: -❑ Permanent Dempster on Site ❑ THE.FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM -DATE.REJECTED: - DATE:APPR_ �D _ PLANNING &'DEVELOPMENT ❑ ❑ _S/ )Y COMMENTS .CONSERVATION Reviewed on = - _ ' ^ 1 Si-nature COMMENTS HEALTH Reviewed on Siqnature COMMENTS �.L ..` N Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes N Planning Board Decision: Comments v 14 Conservation Decision: :Comments Water& Sewer Con nectionlSi nature&�C "� Drivewa �ermit A / DPW TowL Engineer: Signature: Located b84 bs ood Street FIRE DEPART61tle AT' =Temp b'd pster on ite yes no Located-at 124 Mair Street=-: = _ . - .. - Fire Departrner�fsignature/hate GOMM.ENTS BoassachUsetts _ ` and of$uiiding 4e�artnieng of`p Ubli IicenseryrC SUPS-1-jv ns and StSafandarety S.oSS4 ds 17 78 G►eatpoko North Ando er id P pp i= F �IOQS fix. 1 I � 1. 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