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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