Loading...
HomeMy WebLinkAboutBuilding Permit # 8/2/2016 of K�ork qw BUILDING PERMIT TOWN OF NORTH ANDOVER s APPLICATION FOR PLAN EXAMINATION += a *� e ff�Permit No#: CDate Received ' y ,gyp 4SSgCNUSE< Date Issued:t� IMPORTANT•Applicant must complete all items on this page LOCATION ;Ll G to f r)a=K� Srtr-ce t Print + PROPERTY OWNER /1)6rr r7c cJe CreSSe a�ic s L,;n,{� c;cftrtr5fj,j� Print: 1ooYearstructure yes. no MAP Z3 PARCEL:1_ZONING DISTRICT: Historic District yes no Machine Shop Village yes no TYPE OF IMPROVEMENT PROPOSED USE Residential Non-Residential ❑New Building j ❑One family D Addition ❑Two or more family C Industrial Alteration No.of units: Z Commercial ❑Repair,replacement C Assessory Bldg ❑ Others: ❑Demolition C Other 7� s Identification-Please Type or Print Clearly t OWNER: Name: t � n Ar` n1 ,, C, I y 3n� P one: Address: /I- Contractor Name:Merd of c A Li ZAA o Phone '7-,� 79'0-675-1 Email: Address: k /tlellef/f4 DR eJh.,, 1t//f Supervisor's Construction License:��-- Q � ��5 Exp. Date: �2IQZIJ1 7 Home Improvement License: Exp. Date: ARCHITECT/ENGINEER Phone: Address: Reg.No. FEE SCHEDULE:BULDING PERMIT:$12.00 PER$1000.00 OF THE TOTAL ES77MATED COST BASED ON$125.00 PER S.F. I Total Project Cost:� ?C ��� _ FEE:$ Check No.: ? �j Receipt No.: NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund Plans Submitted❑ Plans Waived❑ Certified Plot Plan ❑ Stamped Plans ❑ TYPE:(septic ERAGE DISPOSAL Public ❑ Tanuiug/MassagelBody Art ❑ Svrimmhlg Pools 11 Stell ❑ Tobacco Sales ❑ Food Packaging/Sales I] Privateank,etc. ❑ permanent Dwnpster on Site ❑ THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERQEPARTMENTAL SIGN OFF-U FORM PLANNING&DEVELOPMENT Reviewed On Signature_u V� COMMENTS 1u .TGImP i0i cin niIP on t a' CONSERVATION Reviewed on Signature COMMENTS HEALTH Reviewed on Signature COMMENTS Zoning Board of Appeals:Variance,Petition No: Zoning Decisiontreceipt submitted yes Planning Board Decision: Comments Conservation Decision: Comments Water&Sewer Connection's ignature&Date Drivetaav Permit DPW Town Engineer:Signature: Located 384 Osgood Street FIRE DEPARTMENT -Temp Dumpster on site yes no Located at:124 MainStreet FireaQepart hient signature/date COMMENTS ORT Town of = "_ Andover a No. so h ver, Mass, ©Z. Z Ae6 ��s RATED PPp,c'�5 U BOARD OF HEALTH ILD Food/Kitchen PERMIT T Septic System THIS CERTIFIES THAT... ,xI�I,,,..... /.I '.a ltly� 1..... .......... � ..Ale) Foundation BUILDING INSPECTOR r'] / has permission to erect..........................buildings on rrwr.//..... ( �P� ....71...'.., ® Rough ... to be occupied as 7,A, ✓ ✓ .,��1777. .......................................................... 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 CONST TIO Rough .,...... $erViCe .. ..... ..... ...... .. ......... Final BUILDING IN CTOR 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. CERTIFICATE OF USE & OCCUPANCY TOWN OF NORTH ANDOVER Building Permit Number 104-2017 on 8!212016 Date:August 4,2016 THIS CERTIFIES THAT THE BUILDING LOCATED at 546 Turnpike Street MAY BE OCCUPIED AS a tenant fit up-Dawg City Inc.IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. Certificate Issued to: Jayne Malenfaut 546 Turnpike Street North Andover,MA 01845 Building Inspector Fee:$100.00 Receipt:30715 Check:4803 NORry Town of; z Andover No. na h ver,Mass, O_L "16 <®A�OATEC>y. 5 s U BOARD OF HEALTH Food/Kitchen PERMIT TO ILD Septic System THIS CERTIFIES THAT.... ,X�/ A*..lit 1. .....A�1��T.........►f/�ltr� �!.� ..�c� BUILDING INSPECTOR s ," � ...�.....• fff Foundation has permission to erect..........................buildings on ...... ....... ill. „�,.....-- '� )) Rough to be occupied as... ie;e p .. T .............................................................. chimney provided that the person accepting this permit shall in every respect conform to the terms of the application Final 6;60�Z7P„ 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 CONST TIO Rough Service ... ...... ...... ...... .. ............. .....R ( Fina `(✓N; '•- . BUILDING IN CTOR GAS INSPECTOR Occupancy Perrnit Required to Occupy Suildina 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. increase in units or dimensions of buildings,structures or use,such spaces to be provided in at least the following minimum amounts provided in the following Table of Off-Street Parking Regulations and accompanying notes below. Table of Off-Street Parking Regulations Use Parking Spaces Required Single Family Dwelling Unit 2 per dwelling unit Multi-Family Dwelling Unit Studio 1.25 per dwelling unit One Bedroom 1.5 per dwelling unit Two or More Bedrooms 2 per dwelling unit Accessory Dwelling Unit 1 space per dwelling unit Sleeping Room 1 space per unit or room;plus 2 for ownerhnanager L25 per guest room;plus 10 per ksf restaurant/lounge;plus 30 per ksf Commercial Lodgings meetinglbanquetrcorn(<50 ksfper guest room)or 20 per ksf meeting/banquet room >50 per guest room 0.6 per dwelling unit;plus 1 per 2 Elderly Housing Independent Unit employees Elderly Housing Assisted Living 0.4 per dwelling unit;phis 1 per 2 employees Group,Convalescent,and Nursing Hones 1 per room;plus 1 per 2 employees Day Care Center 0.35 per person(licensed capacity) 0.4 per employee;plus 1 per 3 beds,plus 1 HospitaVlvledical Center per 5 average daily outpatient treatments; phis 1 per medical staff,plus 1 per student/faculty/staff Grocery(Freestanding) 6.0 per ksf GFA Discount Superstore/Clubs(Freestanding) 6.0 per Icsf GFA Home Im rovemant Superstores 5.0 per ksf GFA Other Heavy/Hard Good (Furniture, Appliances, 3.0 per ksf GFA Building Materials,etc.) Personal Gare Facilities 2 per treatment station,but not less than 4.3 per ksf GFA Coin-Operated Laundries 1 per 2 washing anddtying machines 2.7 per ksf GFA interior sales area,plus 1.5 Motor Vehicle Sales and Service per ksf GFA interior or storage/display area, plus 2 per service bay Motor Vehicle Laundries/Car Wash 2,plus 1 per each 2eak shift mplo.ees Ofher Retail Not Otherwise Listed Above 3.5 per ksf GFA Restaurant(non-fast food and/or with no drive- 15.0 per ksf GFA 87 through facility) Fast Food 15.p per ksf GFA Fast Food(with-drive through facility) 12.0 per ksf GFA Wbff cenduliesr� �11 : Data ProcessinglTelemarketing/Operations 6.0 per ksf GFA Medical Offices(multi-tenant) 4.5 per ksf GFA Clinic(medical offices with outpatient treatment:no 5.5 per ksf GFA overnight stays) Veterinary Establishment,Kennel or Pet Shop or 0.3 per ksf GFA Similar Establishments Bank Branch with Drive-in 5.5 er ksf GFA Funeral or UndertakingEstablishment 0,05 ger ksf GFA Other Business or Office Uses Not Otherwise Listed 3.0 per ksf GFA Above R&D establishment,manufacturing;industrial 0.8 per ksf GFA services,or extractive industry Industrial 2.0 per ksf GFA Manufacturing/Light Industrial(Single-Use) 1.5 per ksf GFA j Industrial Park(Multi-tenant or mix of service, 2.0 per ksf GFA warehouse) 'Warehouse 0.7 per ksf GFA Storage 0.25 per ksf GFA Other Industrial and Transportation Uses Not As determined by the Planning Board,but Otherwise Listed not less than 0.25 per ksf GFA .��Go�Cernp�euta �rit��duc'attoa�. -"- Elementary,and Secondary Schools 0.35 per stud�Plusper 2 employeesCollege University Determined btudy specific tosubject institu win""nIn eat £ Public Assernbl 0.25 per-person in permitted capacity Musetrlo 1.5 per 1,000 annual visitors Library 4.5 per ksf GFA Religious Centers 0.6 per seat Cinemas Single-Screen:0.5 per seat;Up to 5 screens: 0.33 er seat;5 to 10 screens:p.3 er seat Ttreafers(live rerformanee) 0.4 per seat Arenas and Stadiums 0.33 per seat 50 per nine(holes);plus the parking Golf Course or Country Club requirements for food or beverage uses described above Health Clubs and Recreational Facilities 2 per player or 1 per 3 persons permitted capacity 88 � ( iD•R iQ'R 25, N tF KEN T 232.45' C w 5'04'73"W C �„ m_ C N 4 C N C t� C Co— NIF DiFC?RtU 141F Elk= - ! TRUST c C t Ccc. S4T0402"E ` C '� WR200.00' w j'R• ,_� _ END B.C. C COMPACT CAR SPACE R (� �6-cc75'X 16 (TYF.) Z C _ �} 16 SPACES @ 120' SR s s3a. C w C CJ C C C C C C C C C C C C C C "'i,a, 1 Z5' C END B.C. Q. �.1 �\ TO BE 5 FT. UNLESS OTHERMSE NOTED. C m \ \\\ t N45`04'16"W 68` n \ C P.jH-Pj N/F c EE f Tj@@Tj 1 7 J SAWYER C 9 SPACES BO' E"C.C. -- 7 SPACES 0 7Q'— -4 SPACES 0o 4 40' END C `9 i 5 SPACES ( `� CUR 6 SPACES 6`Rc. 8 SPACES g0, 8 SPACES 60' 8"C.c. C _ 4 37.5 0 45' -- --�. n � to -xtsr. ts' �vroe sE�v�tia ErasFMtet�T b-G.G. c as CCcCC CCCcCCcIeCCCCClc CC CC CC CC END C.C.A B.C. -.._ 383.00'.s._. � END B.C.A C.C.--- B.C.k C.C. .4 15, r5R N45'04.14":V f 15R _sr an rF. TURNPIKE STREET ( ROUTE 114 � 40�11 i f� i I E k � i a , i III i i T r , g& 1, - , s i —/-Y* : : The Commonweatth of Massachusetts Department oflndustrialAecidents 1 Congress Street,,Suite 100 Boston,MA 02114-2017 wngv.mass.gov/dia Nvorkers'Compensation Insurance Affidavit,Builders/Contractors/GlectriciansIRlrlmbers. TO BE RILED WITH TM PERMTTING AUTHORITY. ApphcantInformation l q ` Please Print Leeibly Name(Susinoss/Organize8on/tndividual}: �t'Y'Q��f u .�`t t-/Z'd�� Address: I(� Ue�je s te z City/State/Zip: Phone#: 178-3`10-G SZ Areyou an employer?Chcrkff e appropriate box: Type of project(}'ggnired}' 1.❑lamaemployerw1th : employees(falland/orpait-time).* 7.Q New construction 2.©I=a sole proprietor,or partnership and here naemployces working forme in $. EjRemodeling any capacity.Pie workers'comp.insurance required.] g. ❑DernOlitiOn 3.Q Iam a homeowner doing all work myself[liowork-&eomp.jecursum required.]t 10 Q Building addition <]I an,a hasamwnor and will be hiring con rodorsto oonductall work onmy property.I will onsurethat all contractors either have workers'eompensation insurance or are sole 11•❑Electrical repairs oradditions propxietors withno employees. l2:Q Plumbing repairs or additions 5.p Iam ageneral cantractarand I have hired the sub-contractors listed on the attached sheet. 13:0 RObfYepairs These sub-cantractorsha,' employees andhavewerkers'comp.insunmca. 14.El Other - 6.E]V,'e are a corporation and its office is have exercisedtheirright ofexemptionperMrs,c. 152,§1(4),andwwe b-P 40.eanployees.[Noworkers'comp.insurance required] xAny applicanttbat cheeks box#1 must alsofill outthe section below showingtheirwerke:'wmpensationpalicy information - t Homeowners who suhniifthis affidavitiadicatingthey are doing all workand thenhhe outside contractors must submit a new affidavit indicating such tCbnhactors)batcfieekfhis box rnusf�tfae)red an additional sheat showing f$e name o£the sub-eontractoxs and sfaiv whether ornaifhose entities have .. employees.7fthe sub-conlrar,(ors fiave employees,lliey mast pmvidethoir wadcers'camp.policy number. Zama an employer tfiat is pi'avidingworkerscompensation insucance for rey employees.'Betaiv is the pofly and job site information. Insurance Company Name: Policy#or Self-ins.Lie.#: ExpirationDate: Sob Site Address: City/State/Zip: Attach a copy of the workers'compop§ation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under MGL o.152,§25A is a criminal violation punishable by a fine up to$1,500.00 '.. and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine o£up to$250.00 a day against the violator.A copy of this statement may be forwarded to the Office of Investigations ofthe DTA for insurance coverage verification. I do hereby car' under flee pains andpenatties ofpeijury that the informaaon provided-a7bove is true and correct Si afore: Date: t Z L- Z-6 Phone#: P7Z 360'13 9`t 97F-3�0-L7i 9 Official use onty. po not write in this area,to be completed by city or town official, City or Town: PermitlLicense 0- Issuing Authority,(circle one): i I.Board of Health 2.Building Department 3.City/Town Clerk 4.EIectrical Inspector 5.PIumbinglnspector 6.Other Contact Person: Phone#: Massachusetts-Department of Public Safety Board of Bttiiding Reguia@ons and Standards , ^on,t,uclii Supe. - License CS-086805' a MERALDO A LIZ�1`RD 16 WELLESLEYJ)R .,, 0 PELHAM NH 03076 ��. - - _ Expiration `C.Qmtnissioner - 02/1012017