HomeMy WebLinkAboutBuilding Permit #044-14 - 120 WATER STREET 7/11/2013 TOWN OF NORTH ANDOVER
PPLICATION FOR PLAN EXAMINATION
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Permit NO: Date Received
Date Issued:
} IMPORTANT:Applicant must complete all items on this page
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TYPE OF IMPROVEMENT PROPOSED USE
Residential Non- Residential
❑ New Building ❑ One family
❑Addition ❑Two or more family ❑ Industrial
P.Alteration No. of units: Commercial
❑ Repair, replacement ❑Assessory Bldg ❑ Others:
❑ Demolition ❑ Other
Y'a s'�"�CT�.`W�``a5ti•r�«.t 'L. a•{"�„ -^ t`r
€❑ Septics ®Well " ❑E _Flootlplain {� ®�1Netlands ' r�� Watershed a tr 4 k
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DESCRIPTION
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�-- DESCRIPTION OF WORK TO BE PERFORMED: <<
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Identification Please Type or Print Clearly) _ /
OWNER: Name: �I � �
C 'ri Q o", Phone: 17 (3 Lj
Address- �� J (� ��`t -Ui �16� O Z 1 ��
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C®NTR-A�CT®R Name � A _ P .kkkJJl
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Add cess-! : 25
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Su ervisor:s Construction License ��' iJV � ; Exp , Dafen .
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' Home�lmprovement License.,�...,��,<�����x.�;�s
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: $_��T 00 FEE: $
Check No.: i��—Z� Receipt No.: tL(�
NOTE: Persons contracting with unregistered contractors do not have access tot guaranty fund
Signature of Agent/O azure of contractor
_ .
Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ �
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Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑
TYPE OF SEWERAGE DISPOSAL
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 APPROVED
PLANNING & DEVELOPMENT ❑ ❑
COMMENTS
CONSERVATION Reviewed on Signature
i
COMMENTS
HEALTH Reviewed on Signature
COMMENTS
Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes
A
Planning Board Decision: Comments
Conservation Decision: Comments i
Water & Sewer Connection/Signature& Date Driveway Permit
DPW Towp- Engineer: Signature:
Located 384 Osgood Street
FIRE DEPARTM�-.i*T - Temp Dumpsteron i yes no
Located at'124 MainStreet
Fire De "it merit signature/date X14
COMMENTS
i
Dimension
Number of Stories: Total square feet of floor area, based on Exterior dimensions.
Total land area, sq. ft.:
ELECTRICAL: Movement of Meter location, wast 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
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El Notified for pickup - Date
1 -
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Doc.Buildin
Permit Revised 2O10
Building Department
The folowing is a list of the required forms to be filled out for the appropriate.permit to be obtained.
Roofing, Siding, Interior Rehabilitation Permits
❑ Building Permit Application
❑ 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
❑ Building pp
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
MOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit
New Construction (Single and Two Family)
a 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
qOTE: 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 appal period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording
most be subin tted with the building application
Doc: Doc.Building Permit Revised 2012
Location . "174e
.
No. Date7:�
M TOWN OF NORTH ANDOVER
o _ Certificate of Occupancy $
Building/Frame Permit Fee
f Foundation Permit Fee $
Other Permit Fee $
TOTAL
Check
266115�
15 Building Inspector
Location'` tl� ��G L/""' "26 7
No. /�_ Date 1 ��
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4
o - TOWN OF NORTH ANDOVER
• �, Certificate of Occupancy $ �
Building/Frame Permit Fee
-, i Foundation Permit Fee $
Other Permit Fee $
TOTAL $
Check
26693 &i1ding Inspector
of Mo DTM'h
32 y.e. .,.,••O0
o N"`40
�7S ACIWSES
CERTIFICATE OF USE & OCCUPANCY
TOWN OF NORTH ANDOVER
Building Permit Number 044-14 on 7/11/2013 Date: August 1, 2013
THIS CERTIFIES THAT
THE BUILDING LOCATED ON 120 Water Street Suite 209
MAY BE OCCUPIED AS tenant fit up IN ACCORDANCE WITH THE PROVISIONS OF
THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS
MAY APPLY.
Certificate Issued to: RCG NA Mills,LLC
120 Water Street
North Andover,MA 01845
Building Inspector
Fee: $100.00
Receipt: 26693
Check : 1356
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CERTIFICATE OF USE & OCCUPANCY
TOWN OF NORTH ANDOVER
Building Permit Number 044-14 on 7/11/2013 Date: August 1, 2013
THIS CERTIFIES THAT
THE BUILDING LOCATED ON 120 Water Street Suite 209
MAY BE OCCUPIED AS tenant fit up IN ACCORDANCE WITH THE PROVISIONS OF
THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS
MAY APPLY.
Certificate Issued to: RCG NA Mills,LLC
120 Water Street
North Andover, MA 01845
Building Inspector
Fee: $100.00
Receipt: 26693
Check : 1356
t%O R TH
Town of E Andover
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No. - -
LAK. h ," ver, Mass, l
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NICHlwICK IV
�•9 ADaATED IPP��S
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BOARD OF HEALTH
Food/Kitchen
PERMIT T LD Septic System
THIS CERTIFIES THATG.�i1-..Y1�,tl.l, ,L, �rir�• ,,,,,,,,,,,,,, , BUILDING INSPECTOR
...... .�............ ............ .........
e� <
has permission to erect buildings on 1 ao '��.� S ao Foundation
Ruh
to be occupied as ..........6.%*I.W....Q.Wr. ......0-6... .......................................................... Chimney
provided that the person accepting this permit shall in every respect conform to the terms of the application7,
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 1%6 MONTHS �, ELECTRICAL INSPECTOR
UNLESS CONSTRU ION ARTS 0oug� �� / (/3�r 3
I • =Service
..... ......... .............: ,yGA Fin
....... ............... .........
BUILD, SPECTOR
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
Enter construction cost for fee cal - North Andover Fee Calculation
Construction Cost
.........
.. ......... ......__. ..............._...__._......
�500. m
$ - $ 186.00
-Plumbing Fee $ 23.25
...............................................................
Gas Fee 100 comm. $ 100.pU
Electrical Fee $ 23.25
Total fees collected $ 332.50
120 Water Street Suite 207
044-14 on 7/11/13
Reno of Existing Space
NORTH
Town of t ndover
No. oqq., (q
h , ver, Mass, l
COCKICNIWICK
�•9 p�R�reo �Pa��S
S U
BOARD OF HEALTH
Food/Kitchen
PERMIT T LD Septic System
THIS CERTIFIES THATZdA04.4.r�r.. %.(.(1�1 L•��• BUILDING INSPECTOR
has permission to erect buildings on 1 a Got 4f./- S a.0�• Foundation
.......................... . . ... .. ............ ................
Rough
to be occupied as ..........(6-w-W.....&wr......L&.6...�?.......................................................... 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
Awl PERMIT EXPIRES 1%6 MONTHS ELECTRICAL INSPECTOR
UNLESS CONSTRt ION ARTS
Rough
140) • Service
..... ..... ....... ............... ........... . .. ................ Final
BUILDI SPECTOR
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
TlfiS C lwws iS LJ AS A'MA'f" R OF tNlFtli TION° INSURANCE
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Massachusetts- Dcpartmcnt of Phlilic 5 i'ct,`
Beard of Building; Regulations and Standards
Construction Supervisor ,License
License: CS 66334
KIERAN T WHFLAN
31 RICHMdNb ST
WEYMOUTH IMA Q2188
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� - !y✓ ` Expiration: 9/26/2013
ColuAlissiogee Tr#: 6168