HomeMy WebLinkAboutBuilding Permit #082-15 - 696 OSGOOD STREET 5/1/2018 BUILDING PERMIT of N�pTH q
TOWN OF NORTH ANDOVERo� ^6'°~0
APPLICATION FOR PLAN EXAMINATION '-
iE
* : e *
Permit No#: Date Received " 9 -
Date Issued:
�9SSACHt1`'���5
_ IMPORTANT:Applicant must complete all items on this page
LOCATIQN' b 6. 05
Print
PROPERTY OWNER -_ -T-kZ
Print 100 Year Structure yes no
MAP _PARCEL-: ZONING DISTRICT:
�Z-- •-Historic District yes
-_
Machine Shop Village yes no
TYPE OF IMPROVEMENT PROPOSED USE
Residential Non- Residential
)C New Building XOne family
❑Addition ❑Two or more family ❑ Industrial
❑Alteration No. of units: ❑ Commercial
0 Repair, replacement 0 Assessory Bldg ❑ Others:
0 Demolition 0 Other
0 Septic 0 Welk ❑ Floodplain D Wetlands ❑ Vllatershed District
Water/Sewer
DESCRIPTION OF WORK TO BE PERFORMED:
S FR FRp�narL 3 ucT-UR67
Identification- Please Type or Print Clearly
OWNER: Name: —11<-Z- l.L(„ Phone.'J7y-- �'Z-Kb7,
Address: G
-TJn
Contractor Name �. �,� Phone:
Address._7 n
Supervisor's Construction License: /_7 _ Exp. Dater
Home Improvement License,_=,.
_ . - - :Exp. Date:_-�``�---.
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: $_S07; «D FEE: $ pqp.
Check No.: l l 1 Receipt No.: ,R, 71?
ep
NOTE: Persons contracting with unregistere ontractors do not have access to the guaranty n
Signature of Agent/Owner _ -- — — i
Signature of contractor
I
r
Building Department
The following is a list of the required forms to be filled out for the appropriate permit to be obtained.
it
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 p rtment prior to issuance of Bldg Permit
Addition Or Decks
o Building Permit Application
o 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 S rink)
Hydraulic Calculations (If Applicable) p er Plan And
❑ 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 i
I'llssuance of Bldg Permit '
New Construction (Single and Two Family)
❑ Building Permit Application
❑ Certified Proposed Plot Plan
o Photo of H.I.C. And C.S.L. Licenses
❑ Workers Comp Affidavit
o Two Sets of Building Plans (One To Be Returned) to Include
Hydraulic Calculations (If Applicable) Sprinkler Plan And
❑ Copy of Contract
❑ Mass check Energy Compliance Report
❑ Engineering Affidavits for Engineered products
NOTE: All dumpster permits require sign off from Fire Departmentrior to issuance ssuance of Bldg. Permit �
1n all cases if a variance or special permit was required the Town Clerks office must stamp the decision from the B
that the appeal period is over. The applicant must then get this recorded at the Registry of Deeds. One co
must be submitted with the building application pard of Appeals
Copy and proof of recording
Doc:Building Permit Revised 2014
COMMENTS.
i
Plans Submitted Plans Waived ❑ Certified Plot Plan Stamped Plans ❑
TYPE OF SEWERAGE DISPOSAL
Public Sewer �6 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 - U FORM
PLANNING & DEVELOPMENT Reviewed On Signature_
COMMENTS
CONSERVATION Reviewed on f,,V Signature
COMMENTS 1
HEALTH ReviTV d on Signature
V
COMMENTS
&4)6ng 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 Town Engineer: Signature:
Located 384 Osgood Street
FIRE DEPARTMENT Terrlp Dumpster-on site` yes
Located at 12.4°M6inStreet
Fire,Depa_rtment signature V'gte
COMMENTS —
Dimension
1l
Number of Stories: t /2 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 No
MGL Chapter 166 Section 21A—F and G min.$100-$1000 fine
NOTES and DATA— (For department use)
C CUL - lvw '
�o SL I vw, '
S ��R' hew
O (6O To)AA
Z S� MUL. 1
5'o s o l Z 6 o . ob
'kA 100 Cl0
L�.�s 1 o d fou
whR&bAvT ow FlIE
❑ Notified for pickup Call Email
Date Time Contact Name
I
Doe.Building Pennit Revised 2014
Location � l
No. I j Date ,'2 1 y
o - TOWN OF NORTH ANDOVER
e Certificate of Occupancy $
Building/Frame Permit Fee
� 7 Foundation Permit Fee $
Other Permit Fee $
TOTAL $
Check# W-9
27810
BuildKg I{ spector
A
' ,NO RTry
� :y
�1'41.AC`"us
CERTIFICATE OF USE & OCCUPANCY
TOWN OF NORTH ANDOVER
Building Permit Number 082-15 on 7/23/2014 Date: November 20, 2014
THIS CERTIFIES THAT
THE BUILDING LOCATED ON 696 Osgood Street
MAY BE OCCUPIED AS a single family home IN ACCORDANCE WITH THE
PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER
REGULATIONS AS MAY APPLY.
Certificate Issued to: TKZ,LLC
78 Great Pond Road
North Andover,MA 01845
TUaing Inspector
Fee: PrePaid$100.00
Receipt: 27810
Cheek : 1114
i
ooRTH
own oAndover
o ti - . - to
a h ver, Mass, 5
Coc"W"t WICK y�•
�gS°'Q�reo �QP��S
U BOARD OF HEALTH
Food/Kitchen
PERMIT T LD Septic System A
THIS CERTIFIES THAT ..........��f BUILDING INSPECTOR
�
has permission to erect.......................... buildings on .:.�-'.. ..... .. .. .........�. Foundation............................ l'.i'�,
Rough
t
to be occupied as .............. ..... . `, :<. . . . ::� � � �: :................................................ f/V",u
provided that the person accepting this permit shall in every respect conform to the terms of the application Fi /Z-
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
� 1�`T '7'� � r� Its► l,
VIOLATION of the Zoning or Building Regulations Voids this Permit. V29i
�� �y
PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR
UNLESS CONSTRUCTION STARTSRough /��° 141
Service
................. ...... ... ......................
B ILDING INSPECTOR
GAS INSP TOR
hy
Occupancy Permit Required to Occupy Building
ugh
®R ,Display in a Conspicuous Place on�� Tt/he Premises Do Not Remove ��UU1l
No Lathing or Dry Wall 1 o Be Done FIRE DEPARTME
Until Inspected and Approved by the Building Inspector. Burner
Street No. h
Smoke De3
{
M1i HORTM i
0
'l7''4n..rr'S49
SS�[NUSf
CERTIFICATE OF USE & OCCUPANCY
TOWN OF NORTH ANDOVER
Building Permit Number 082-15 on 7/23/2014 Date:November 20,2014
THIS CERTIFIES THAT
THE BUILDING LOCATED ON 696 Osgood Street
MAY BE OCCUPIED AS a single family home IN ACCORDANCE WITH THE
PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER
REGULATIONS AS MAY APPLY.
Certificate Issued to: TKZ,LLC
78 Great Pond Road
North Andover,MA 01845
i
p4ding Inspector
Fee: PrePaid$100.00
Receipt: 27810
Cheek : 1114
I
NORTf�
Town of
O 0%
E-
No.
y y
T Z -
h ver, Mass, 77/
CONIC Nl WI[/f
��S R�7ED P'PP,`'�5 •
U BOARD OF HEALTH
Food/Kitchen
PERMIT T LD Septic System A
THIS CERTIFIES THAT..........Z. .. �` BUILDING INSPECTOR
.. ... .... ...
•�* � Foun�tion �
has permission to erect .......................... buildings on . ��. ..... .��.. .:.. .. .............................. pion
Rough
tobe occupied as ............. g ..... . ................................................
provided that the person accepting this permit shall in every respect conform to the terms of the application Fi oar
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. 6 , PLUMBING INSPECTOR
117 14
VIOLATION of the Zoning or Building Regulations Voids this Permit. ;r"
g
PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR
UNLESS CONSTRUCTION STARTSRough
Service
................. ...... ... .. ... E,,•a.,........................ finales d� Z v j
B ILDING INSPECTOR
GAS INSe TOR
Occupancy Permit Required to Occupy Building ughL;� t
Display In a Conspicuous Place on the Premises Do Not Remove �Final
No Lathing or Dry Wall To Be Done FIRE DEPARTME
Until Inspected and Approved by the Building Inspector. Burner
Street No.
! Smoke Det ��f
l
. h
3=°�"a•' ��t
� a i
M
X17 X04...N�419
SS�CIHISE i
CERTIFICATE OF USE & OCCUPANCY
TOWN OF NORTH ANDOVER
Building Permit Number 082-15 on 7/23/2014 Date: November 20, 2014
THIS CERTIFIES THAT
THE BUILDING LOCATED ON 696 Osgood Street
MAY BE OCCUPIED AS a single family home IN ACCORDANCE WITH THE
PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER
REGULATIONS AS MAY APPLY.
Certificate Issued to: TKZ,LLC
78 Great Pond Road
North Andover,MA 01845
TiAiliding Inspector
Fee: PrePaid $100.00
Receipt: 27810
Check : 1114
I
i ',
NORTh
Town of ndover
0
!r•
L o h ver, Mass, 7A-2
pORATEO ov. _5z/
BOARD OF HEALTH
Food/Kitchen
PERMIT T D Septic System A
THIS CERTIFIES THAT .......... BUILDING INSPECTOR
has permission to erect .......................... buildings on ..� Found tion
.............................. �� l/�
Rough L ��
e �,
to be occupied as .............� ..... . �`�:<�-2.4::� '° ... :' .................................................
provided that the person accepting this permit shall in every respect conform to the terms of the application -F; f�
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
oug l
VIOLATION of the Zoning or Building Regulations Voids this Permit.
PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR
UNLESS CONSTRUCTION STARTS ,Rough
Service
................. ...... ... . . ... .__........................ final , � —2— //
B ILDING INSPECTOR Y
GAS INS TOR
Occupancy Permit Required to Occupy Building ugh
inaltv
Display in a Conspicuous Place on the Premises Do Not Remove ::F
No Lathing or Dry Wall To Be Done FIRE DEPARTME
Until Inspected and Approved by the Building Inspector. Burner , p]
Street No. ��
• Smoke De3
k
Enter construction cost for fee cal- North Andover do er Fee Calculation
Construction Cost
$ 5073500.00 m
$ - $ 6,090.00
Plumbing Fee $ 761.25
Gas Fee 100 comm. $ 100.00
Electrical Fee $ 761.25
Total fees collected $ 7,712.50
696 Osgood Street
082-15 on 723/2014
Single Family Home
i
i
� � pRTFr
Town of 1s ndover
0 - :
No. a
h
h ver, Mass, .s
coc NIc MlwlC.f
AoR�TED
S V
BOARD OF HEALTH
Food/Kitchen
PERMIT T LD Septic System
THIS CERTIFIES THAT .......... ..... 44
BUILDING INSPECTOR
has permission to erect g S51- Foundation
.......................... buildin s on ...��.. . ......11..-r . �? .......................................
Rough
to be occupied as ............. ..... .�rc.�x �. s. �! v:'>t................................................ 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
................. ...... ... . �„�.....................
....
Final
B ILDING 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.
NORTH
own of ndover
O
i
No. 013
L1.0. 0NNAP_
* _
h ver, Mass
�q COCNIC NlWK.t
U BOARD OF HEALTH
Food/Kitchen
PERMIT T LD Septic System
THIS CERTIFIES THAT Z BUILDING INSPECTOR
............................................................................................................................
'
has permission to erect .......................... buildings on .,�.. 7r.. ...... x�Q� .............................. Rough
Foundation
�1
tobe occupied as .......... �. ... 7f........................................................................ 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 CONSTRUCPON STARTS Rough
Service
�.�.
..... .... . ..... ... .............................................. 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.
NORTH q •
O CTIED fb* "YO
3� yt'��` N, 6 0�
t APPLICATION FOR CERTIFICATE OF OCCUPANCYANSPECTION
�9S'^rEv BUILDING PERMIT #_O?--
�r S
SACHUS
aoa
ADDRESS/LOCATION OF PROPERTY: 6q6 Os
Map O Parcel Lot Number -~
SUBDIVISION: N
DATE REQUESTED FILED/READY FOR INSPECTION:_
CLOSING DATE ON PROPERTY: it 121 ►-�
FIVE (5)DAYS NOTICE PRIOR TO CLOSING DATE IS REOUIRED
ALL WORK AND SIGN-OFFS MUST BE COMPLETED WITHIN THIS TIME FRAME. A
REINSPECTION FEE OF TWENTY DOLLARS ($20.0 WILL BE CHARGED IF THE STRUCTURE
DOES NOT MEET ALL APPLICABLE CODES.
APPLICANT SIGNATURE
Permit Issued to: r JAZ LLC
Address: � R"'J �0 fid( AOL ,e Y' �J7
ROUTING
TOWN ENGINEER; SITE PLAN—DRIVE-WAY REVIEW
CONSERVATION
PLANNING
DPW-WATER METER 14 B M
SEWER CONNECTION L
DPW MUST INDICATE THAT THE WATER METER HAS BEEN INSTALLED PRIOR TO
SUBMITTAL OF THE OCCUPANCYANSPECTION REQUEST
DPW
SIGNATURE
File:Application for OC form revised Jan 2007/2011
N07'1411 0-W 185.00
r
r ` -X-BUI
LOtNG SEMACO�1NE(-.Z
TAX MAP 100 PARCEL 6
LOT AREA
44,328 S.F.t
i 139x'
Z
N V
N
1SA
com
W o I
12 ON 20.5' Nb 16.5'
21.5'`} 16.0' 63.6.— b O
C4 ad 39.5'
o
EX' CONCRETE b 4,0' EX. CONCRETE
FOUNDATION c r*40' FOUNDATION
#696 I b #700
4zt' c1 Nbb
12.00 ad 20.00 I 16400 22.0
N 25.0 010. .0'
iI 10.0'
L — • — - — — • — — • — • ZONING DISTRICT R2
MIN. LOT AREA: 43,560 SF.
MIN. LOT FRONTAGE.- 150 FEET
R=456.08 S14'38'00"E MIN. BUILDING SETBACKS.
L=81.35' 96.13'
FRONT' 30 FEET
SIDE: 30 FEET
OSGOOD STREET REAR: 30 FEET
I CERTIFY THAT THE FOUNDATION SHOWN WAS FOUNDA TION AS-BUIL T
LOCATED BY AN INSTRUMENT SURVEY AND THE
LOCATION COMPLIES WITH THE ZONING SETBACK #696 OSGOOD STREET
REQUIREMENTS FOR 2 ZONING DISTRICT. NORTH ANDOVER, MASS.
NOF. . �
�tN 01 PREPARED BY:
JOHN D. SULLIVAN III, P.E.
eML 22 MOUNT VERNON ROAD
I,to•41M 13872 H BOXFORD, MA 01921
sogsse� ��, ��� r r4 (978) 352-7871
SCALE: 1'=40' DATE: 6/30/14
i
N0714'10'W 185.00
I— ' � �lN.BUILOlNG
TAX MAP 100 PARCEL 6
LOT AREA
44,328 S.F.t
139.2'
Z
N V
W �
N
�' I I t0 0
`4
GW 0000 I I m
12 0-4 20.5' o � I 16.5'
N 21.5"r 18.0' c b
83.6' ad 39.5'
o EX CONCRETE I c 4,0• EX. CONCRETE
FOUNDATION b 4-14.0- FOUNDATION
#696 o #700
"j No o
12.0'o
N 20.0 0 18.0 " 22.0
cq 25.0 0 4.0'
10. 0' I 10.0'
1- — 4.— — ZONING DISTRICT R2
MIN. LOT AREA: 43,560 S.F.
MIN. LOTFRONTAGE.- 150 FEET
R=456.08' S14'3.13' MIN. BUILDING SETBACKS:
L=81.35' 96.13'
FRONT.' 30 FEET
SIDE: 30 FEET
OSGOOD STREET REAR: 30 FEET
1 CERTIFY THAT THE FOUNDATION SHOWN WAS FOUNDA 77ON AS-BUIL T
LOCATED BY AN INSTRUMENT SURVEY AND THE
LOCATION COMPLIES WITH THE ZONING SETBACK #696 OSGOOD STREET
REQUIREMENTS FOR 2 ZONING DISTRICT. NORTH ANDOVER, MASS.
c"OF s i"pF k , ` PREPARED BY:
JOHN D. SULLIVAN III, P.E.
CML ' 22 MOUNT VERNON ROAD
No.41586 BOXFORD, MA 01921
�qgs s �°� �Ec�n � ` (978) 352-7871
AL j SCALE: 1"=40' DATE: 6/30/14
I
!fit Massachusetts -Department of Public Safety
Board of Building Regulations and Standards
Construction Supervisor `
License: CS-055417
Thomas D Zahoruiko ,.
78 Great Pond Roid Ti
North Andover 1V1<A 01845
a, r �i 4+,�� Expiration
04/05/2016
commissioner
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