HomeMy WebLinkAboutBuilding Permit #408-14 - 991 OSGOOD STREET 5/1/2018 i
. TOWN OF NORTH ANDOVER
APPLICATION FOR PLAN EXAMINATION
Permit NO: y Date Received
Date Issued:
. IMPORTANT:Applicant must complete all items on this page
LOCATION 11 . .
P
PROPERTY OWNER 0,0�1JL
" Print '`. 100 Year Old Structure yes no.
MAP NO: PARCEL: ZONING DISTRICT: Historic District yes no
Machine Shop Village yes no
TYPE OF IMPROVEMENT. PROPOSED USE
Residential Non- Residential
❑ New Building ❑ One family
❑Addition 0 Two or more family ❑ Industrial
❑Alteration No. of units: X Commercial
❑ Repair, replacement ❑Assessory Bldg ❑ Others:
❑ Demolition ❑ Other
❑ Septic ❑Well 0 Floodplain 0 Wetlands ❑ Watershed District
❑Water/Sewer
DESCRIPTION OF WORK TO BE PERFORMED:
1B I -D b O> Inly'�r2�a
Identification Please Type or Print Clearly)
OWNER: Name: D � PROF J�eM S, Phone: 97R
Address:
CONTRACTOR Name: G M90 4!�VC Phone
Address: 0b-^ r-!J 2v� /de .�L� t�f�� ifi) SOC IF 9 HPI Old
Supervisor's Construction License: G g a2°2 98� Exp. Date: /10h.
Home Improvement License: 1 3 so Exp. Date: /
ARCHITECT/ENGINEER ANNIQ 1JL 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: $ ,000 FEE: $
Check No.: Receipt No.: 02 7C26
he uaran and
contractors do not have access to t
NOTE: Persons contracting-With unregistered co g tY.�
Signaturetof Agenti w0 n , t7 I Signature,of contractor+Staped
Plans Submitted ❑ Pla s Waived ❑ Certified Plot Plan ❑ Plans ❑
Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑
TYPE OF SEWERAGE DISPOSAL
Public Sewer
Ll Tanning/Massage/Body Art ❑ Swimming Pools Ll
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 APPROVED
PLANNING & DEVELOPMENT ❑ ❑
COMMENTS
CONSERVATION Reviewed on Signature
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 0, Date Driveway Permit
DPW Toiry�^ Engineer: Signature:
-Located 384 Osgood Street
FIRE DEPARTI! L-NT - Temp Dumpster on site yes no
Located at 124 Mair, Street
Fire Departme,,t signature/date
COMMENTS
Dimension
Number of Stories: Total square feet of floor area, based on Exterior dimensions.
Total land area, sq. ft.:
ELECTRICAL: Movement of Dieter 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)
U Notified for pickup - Date
Doc.Building Permit Revised 2010
Building Department
I he fol,jwing is a list of the required forms to be filled out for the appropriate permit to be obtained.
Roofiv,g, Siding, Interior Rehabilitation Permits
Li Building Permit Application
o Workers Comp Affidavit
Li Photo Copy Of H.I.C. And/Or C.S.L. Licenses
Li Copy of Contract
o Floor Plan Or Proposed Interior Work
Li Engineering Affidavits for Engineered products
NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit
Addition Or Decks
u Building Permit Application
u Certified Surveyed Plot Plan
Li Workers Comp Affidavit
Photo Copy of H.I.C. And C.S.L. Licenses
u Copy Of Contract
Li Floor/Crossection/Elevation Plan Of Proposed Work With Sprinkler Plan And
Hydraulic Calculations (If Applicable)
Li Mass check Energy Compliance Report (If Applicable)
Li 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)
o Building Permit Application
Li Certified Proposed Plot Plan
u Photo of H.I.C. And C.S.L. Licenses
u Workers Comp Affidavit
Li Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And
Hydraulic Calculations (If Applicable)
Li Copy of Contract
Li Mass check Energy Compliance Report
Li Engineering Affidavits for Engineered products
MOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit
In all cas<s if a variance or special permit was required the Town Clerks office must stamp the decision from the Board of Appeals
that the a1>u,,al period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording
must he subm_"Led with the building application
Doc: Doc.Buhling Pcrmit Revised 2012
SYLocation c/S GQ
No. Z/U�-� ` Date
. - TOWN OF NORTH ANDOVER
. Certificate of Occupancy $
Building/Frame Permit Fee g� G
Foundation Permit Fee $
Other Permit Fee $
TOTAL -®"
Check# ✓ ��
r
2 / o f 0 Building Inspector
Enter construction cost for fee cal - North Andover Fee Calculation
Construction Cost
X8'8,� . ., m
$ — - $ 1,056.00
Plumbing Fee $ 132.00
Gas Fee 100 comm. IJ00:00
Electrical Fee $ 132.00
Total fees collected $ 1,420.00
991 Osgood Street
408-14 on 11/5/2013
Tenant Fit Up
Mike Trigilio
i
p1 .•°TN 1ti
r
+ Br
'i7^Lnc'r't,9
SSACHUSE
CERTIFICATE OF USE & OCCUPANCY
TOWN OF NORTH ANDOVER
Building Permit Number 408-14 on 11/5/2013 Date: January 30, 2014
THIS CERTIFIES THAT
THE BUILDING LOCATED ON 991 Osgood Street
MAY BE OCCUPIED AS tenant fit up—Associated Home Health Care IN
ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING
CODE AND SUCH OTHER REGULATIONS AS MAY APPLY.
Certificate Issued to: Osgood Properties,LLC
991 Osgood Street
North Andover,MA 01845
Building Inspector
Fee: PrePaid$100.00
Receipt: 27070
Check : 1366
OO R TH
own of
o - .: . � .
No. 461 _'q y _
h , ver, Mass, // /
coc"Ic"awicw 1
0R4TEO
U BOARD OF HEALTH
PERMIT L D
Food/Kitchen
Septic System
THIS CERTIFIES THAT <� 4,1.S.yCi. ...........�Pl.L2- ' ��s �� BUILDING INSPECTOR
has permission to erect „fid! -S�dOG�,�� Foundation
.......................... buildings on ....1........ . ....................................................... ugh d
V_��
to be occupied as ...... ... ` �...c f .. ..... �. �..... � cc,c� /�� �'�f 7"�, `i'a
..... .......... (..7. �..................�.....�............��. Chimn
provided that the person accepting this permit shall in very respect conform to the terms of the application Fina �3a /y
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. PLUM 1 G INS . CTOR
VIOLATION of the Zoning or Building Regulations Voids this Permit. Roug�
g 6lc�i�l1 �!g
Final
PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR
UNLESS CONSTRUCTI TARTS0/c /Z 4 /3
Service
.. ....... ................................
BUILDING INSPECTOR -�
GAS INSPECTOR
Occupancy Permit Required to Occupy Buildine Rough
Display in a Conspicuous Place on the Premises — Do Not Remove Fina'
No Lathing or Dry Wall To Be Done FIRE DEPARTMENT
Until Inspected and Approved by the Building Inspector. Burner
Street No.
Smoke Det. }� ��
EIF
SEE REVERSE SIDE _ ,� 0-1
NORTH
F �
own of 2 : _ .. I, Andover
No. 401. iq -
� ZT
h ," ver, Mass,
COC HICHl WICK
S U BOARD OF HEALTH
PERMIT T LD Food/Kitchen
Septic System
BUILDING INSPECTOR
THIS CERTIFIES THAT
. ......... �...s4 0 ..........�'n,. . ' ......... r......................
�j oS �0 �'� Foundation
has permission to erect.......................... buildings on ..''. /...........,T.......................................................
-Z /N C. � �• Rough
to be occupied as �` GGF �..................
• !:•• �� °
Chimney
...... ............................................... . ..�. ...... .................. .. .. ...... y
provided that the person accepting this permit'shall in Zery 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 CONSTRUCT TTARTS 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.
SEE REVERSE SIDE
of Consumer Affairs&Business Regulation
yfbME IMPROVEMENT CONTRACTOR
registration: 113130 Type:
�c expiration: 5/18/2015 Private Corporatici
GRASSO CONSTRUCTION CO:,INC.
JOHN GRASSO
865 TURNPIKE ST g � _
N.-ANDOVER,MA 01845 Undersecretary
}
Massachusetts -Department of Public Safety
Board of Building Regulations and Standards
Construction Supervisor
License: CS-022988 .
JOHN GRASSO �� r
865 TURNPUU Si
NO ANDOVER NIA 01 y84
Expiration
10/31120.15
Commissioner