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Home My WebLink AboutBuilding Permit #864-14 - 700 Osgood Street 5/1/2018 TOWN OF NORTH ANDOVER ` APPLICATION FOR PLAN EXAMINATION Permit NO: �(� ` Date Received Date Issued: IMPORTANT:A licant must complete all items on this age v X00 LOCATIONS 2r - w RA)3 19N1( ,J Pr i PROPERTY OWNER L L C. Print i 100 Year Old Structure yes l0- '} _.PARCEL:: _ ZON.ING.:DISTRLCT: Hlstoric District yes n.o j MAP Na. L Machine $hop Village .yes, no TYPE OF IMPROVEMENT, PROPOSED USE Residential Non= Residential )KNew Building XOne family ❑Addition ❑Two or more family ❑ Industrial ❑Alteration No. of units: ❑ Commercial ❑ Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other p Septic ❑Well, E Floodplain .Wetlands f 0Vatershed ®istnctx: xWater/Sewer DESCRIPTION OF WORK TO BE PERFORMED: (Foo3b�r16N� Identification Please ype or Print Clearly) OWNER: Name: T KZ LL C n Phone: 97R-627-?6 35 Address: oin,, R01 N , Pt v\ \M� AA 0 1 8 S CONTRACTOR Name-nrlvv�� d �- o `Phone ��5'b8 2635 . i8 ;�-edPdo�, 1`1. JN yo�n M __015� Address Supe.(visor's:Construction -.License. r0_0�S� ��_ Exp Date: Home.Irnpropement Llcerse r r_ _ _ Exp Date;. - - a I ARCHITECT/ENGINEER Phone: .. j 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: $J,jj1�r1I\ FEE: $ i oV .an 0;Y,c, A'Cl�t Check No.: 1 OtoO Receipt No.: 0;2 7a—;,P NOTE: Persons contracting with unregistered co actors do not have access to the guaranty f e I nature.: f"contractor;,.. SignatureTof= o AgentLQwner,� �. Plans Submitted. ns Waived ❑ Certified Plot Plan ❑ amped Plans ❑ Building Department The fo0owing'is 41ist of the required:forms to be filled ouf for:the.appropriate.permit to.be obtained. <,J Roofiri g, Siding, Interior Rehabilitation Permits ❑ B;ailding Permit Application a 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 prior to issuance of Bldg Permit Addition Or Decks o 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 ❑ 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 subm.tted with the building application M Doc: Doc.Bubding Permit Revised 2012 Plans Submitted Plans-Waived❑ '".Certified Plot Plan ❑ Stamped Plans ❑ TYPE OF EWERAGEDISPOSAL" 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 - U FORM - DATE REJECTED: DATE:A"VED PLANNING DEVELOPIVIEN7` ❑ ❑ �-� �1 COMMENTS CONSERVATION Reviewed on Si nature A �k COMMENTS ' r1 HEALTH Reviewed on 'I-'Z2- 7l 41(Si nature COMMENTS 1� —z v <49 a N(,Zoning Board of Appeals:Variance, Petition No: Zoning Decision/receipt submitted yes . 1Vj,P1bnning Board Decision: Comments N,,AConservation Decision: :Comments 14 Water & Sewer Connection/Si nature uweIVAr-ADriveway Permit DPW Tow.-2 Engineer: Signature: Located vIR4 6sg6od Street FIRE DEPARTM .T Temp Dumpster on sit yes . no Locatedat 124iMair�`,Str'eet `-` _ ' , Fire Departure►itsignatU- date I -Dim-ension Number of Stories: Z Total square feet of floor area, based on Exterior dimensions.8�X Z Total land area;sq. ft.: 49�SL8 5 ELECTRICAL: Movement of Meter location, mast or service drop requires approval of Electrical Inspector Yes No DANGER ZONE LITERATURE: 'Yes No MGL-.ChapteP 166 section 21A—F and G min.$100-$1000:fine 'I NOTES and DATA— (For department use i FtE CALCUI. IF o.0>v 14100 no D Notified for pickup - Date Doc.Building Permit Revised 2010 y I Location "9 No. F, Date i j e - TOWN OF NORTH ANDOVER . Certificate of Occupancy $ Building/Frame Permit Fee $ -nj< Foundation Permit Fee $ �- `� Other Permit Fee $ TOTAL $ i Check# (AGO 2 628 Building Inspector NORTH Town of E : ��: Andover O _ 0 No. �. hover, Mass, -,1-o 41 A_ COC NIC MI WICK �01- 7�p�R^TED P.PP��S S U BOARD OF HEALTH Food/Kitchen PERMIT T LD Septic System BUILDING INSPECTOR THISCERTIFIES THAT ........ 1.. '. ... �.............................................................................. has permission to erect .......................... buildings ons ..... ...... ......................... Foundation Rough to be occupied as ................. 'e k-11.....�.�r.� . ...... chimney provided that the person accepting this permit shall in every re�ct 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 CONSTRUCTIONS ARTS 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 Town of t E : 1jAndover - ,0 No. ik -0 '.* _Ke h over, Mass, A_4 COCHIc 1—C. 7S V BOARD OF HEALTH Food/Kitchen PERMIT T LD Septic System THIS CERTIFIES THAT....... ... .h................................................................................. BUILDING INSPECTOR has permission to erect ......... buildings on '7 'If �. �(.. ......................... Foundation ................. ...�l°.7fJ ...... Rough to be occupied as ...................P�I P'UI.G X.�: ....��l/ .............................................................. Chimney provided that the person accepting this permit shall in every re, ect 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 CONSTRUCTIONS ARTS Rough .... Service ............. ...... UILDING� .. Final B ..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. '`4 00 05GOOD STR-i ET .2.Q .. .. 38-0 1°•R-b �'� , ' i 6,G . G w lot,xq 6°i r AA-L Pic%F.F'VC petm%ne t. �4N °t � E Tk*Z LLC, v l¢ V.ey sky `H I NIC.RhR (�41. 3ocse� pst� F700 OSsocm Sl`R�:£T c�uN �rl®N• PLAN MRT 3Cb,'2.01 SCAIA-VAMt5 i Massachusetts -Department of public Safety Board of Building Regulations and Standards i Construction Supersisor Y==a License: CS-055417 i �. Thomas D Zahorq o 78 Great Pond Road 7�iV North Andover NSA 01 Expiration j 04/05/2016 commissioner I I