HomeMy WebLinkAboutBuilding Permit #924-14 - 696 OSGOOD STREET 5/1/2018 i
TOWN OF NORTH ANDOVER
APPLICATION FOR PLAN EXAMINATION
Permit NO: Date Received
Date Issued:
IMPORTANT:Lk licant must complete all items on thisage
- _ - - — -
L -
QCATION --O.r
.._ � � � Fr nt
P-R. OPERTY OWNER .r
Pnnt 9OO Yeas Old Sftuctuireo yes, rio:-
MAP•NO __k�PARCEL: ZONING =HistoriciDiWict. yes n.. ;
Machine Shop Village yens n-o . ''
TYPE OF IMPROVEMENT, PROPOSED USE
Residential Non- Residential
RNew Building XOne family
❑Addition ❑Two or more family ❑ Industrial
❑Alteration No. of units: ❑ Commercial
❑ Repair, replacement ❑Assessory Bldg ❑ Others:
❑ Demolition ❑ Other
❑ Septic. 01Nell a ❑ Floodplain E Wetla_nds, ❑ Watershed'®istrict�
DESCRIPTION OF WORK TO BE PERFORMED:
sip R Fra me S-T ruclu ei 64 t w) �X��- �Q� �N LY
Identification Please Type or Print Clearly)
OWNER: Name: t'X ,Z LLC Phone:4;z8-687-Z 63S
Address: $ G ? N. Ah� U�r Rvd� o A a i$i'l.
CONTRACTOR N.arne: CPhone:.
r
Address: 8 _.C�t =-PY � '► ��y1. r.O��8.�,
Supervisor's Construction License. ... O SSS _- Exp Date U{_514I ._
Home 1.mproyement License: _ . _ _ __._:_ Exp 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: $ 56:1; Kn0Z FEE: $ i A n . OZ)
Check No.: ®g� Receipt No.: �27 .��
NOTE: Persons contracting with unregistered co actors do not have access to the guaranty fu
�_
_ _ iature�of`contractor; w
Signature of.�Agent/Owne - S g _ .
I,
Plans Submittedi tans Waived ❑ Certified Plot Plan ❑ 4tamped Plans ❑
Building Department
The fol;owing i6'a list of the required-forms to be filled ouffor the.appropriate.permit to.be obtained.
Roofilag, Siding, Interior Rehabilitation Permits
❑' Building Permit Application
❑ Workers Comp Affidavit
o Photo Copy Of H.I.C. And/0'r 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 Permit Application
❑ Certified Surveyed Plot Plan
❑ Workers Comp Affidavit
❑ Photo Copy of H.I.C. And C.S.L. Licenses
o 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 casi s.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 subm.tted with the building application
Doc: Doc.Buiiding Permit Revised 2012
Plans Submitted Plans Waived ❑ Certified-Plot Plan ❑ Stamped Plans ❑
;TY-PE;OFSEWERAGEDiSPOSAL . .
Public Sewer El Swimming Pools 11Tanning/Massage/Body Art
;I
Well ❑ Tobacco.Sales Tood Packaging/Sales ❑
I
Private(septic tank,:etc._
- =Permanent Diimpster on_Site El
THE-FOLLOWING SECTIONS FOR OFFICE USE ONLY
INTERDEPARTMENTAL SIGN OFF - U FORM
_;_ DATE. REJECTED DATE:'"
PLANNING & DEVELOPMENT ❑ ❑ s S��Y
COMMENTS
CONSERVATION Reviewed on
"���>� � � Si nature � 7
COMMENTS
HEALTH Reviewed on Signature
COMMENTS
N Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes .
)Q/A-Planning Board Decision: Comments
Conservation Decision: Comments
ateB` & Sewer ConnectionlSi natu ai Q eway ermit
DPW'lbw Engineer: Signature: �.
Located 84 sgood Street
FIRE DEPARTM-L :Temp Du pater on. ite .yes . no
Located-at;124;MairStreet -- .-.' :fz
Fire Ddpartmeit signature/date
«bs. ,
COMMENTS
I
i
Dimension
I� Number of Stories: 1 Totalsquare feet of floor area based on Exterior dimensions.
,x
.Total land area, sq. ft.:
ELECTRICAL: Movement of Meter location, mast or service drop requires approval of
.Electrical Inspector Yes No
DANGER. ®NE LITERATURE: Yes No
MGL-Chapter-166 Section 21A-F and G min.$100=$1000:fine
NOTES and DATA— (For department use
i
® Notified for pickup - Date
Doe.Building Permit Revised 2010
i
Location C/-S� n ill
No. `� / / Date
. • TOWN OF NORTH ANDOVER
Certificate of Occupancy $
Building/Frame Permit Fee $
rir 4 Foundation Permit Fee $/,go''
Other Permit Fee $
TOTAL $
Check#
27691
`Building Inspector
NORTH
Town of �. E : I� Andover
No. * -
+� s y
''93 qw.
C h ver, Mass,. eAe/v
0 LANE
COC
NICNI WICM
�s.9s Rare o �PP���S
U BOARD OF HEALTH
Food/Kitchen
.PERMIT T L D
Septic System
T � � 1 �
THIS CERTIFIES THAT BUILDING INSPECTOR
..............:.....................................................................................
has permission to erect ........................... buildings on . .rte ...... l.2?Q.4�. ......................... Foundation
Rough
1
to be occupied as .......... ...! ���'!1f........................................................................ chimney
provided that the person accepting this permit shall in ev6ry 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
Rough
VIOLATION of the Zoning or Building Regulations Voids this Permit.
Final
PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR
UNLESS CONSTRUCPON STARTS Rough
Service
..... 17r'-'Oe'
44!!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.
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NJ Massachusetts _De
Board of Buil partment
Construof
ding Regulations a St
Public safety
"'on Supe"j.or andards
License: C&055417
Tho
78 creat D Zahoru�ko
North fond Road
Andover X'A 0184
'i of
Con1R11Ssioner
expiration
04/0512016
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„a 9 #650, #606, & #700 OSGOOD STREET
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NORTH ANDOVER, MASSACMSETTS
moo.�' !h SITE DISTURBANCE rABL£ El=COUNTY
� SITE LAND AREA � .xO"�,
PRSPARE7)itlR
7ZD�LLC
SCALE:1"-S0' DATE:MAY 2,2014
GFAPM SCALE /)00 14,611 S.F. R-;-y+ PRRPARRD BY
suR -sT ronw 41,119 s.F, SULLIVAN ENGINEERING CROUP, LLC
FEET .TO 0 19 10 Rl rm RENSlONS b MnDIHr VIUMM ROAD
WIT 5 PERMIT NOT REWIRED SINGE THERE IS LESS THAN —� 691 d) YA 0I9P1
(Ofa)Sf8-7an
ONE ACRE(43,560 S.F.)OF DISTURBANCE Na DAR 9Gsaavmv Or awn
SNEEf No. I OF!