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HomeMy WebLinkAboutBuilding Permit #044-14 - 120 WATER STREET 7/11/2013 TOWN OF NORTH ANDOVER PPLICATION FOR PLAN EXAMINATION iC Permit NO: Date Received Date Issued: } IMPORTANT:Applicant must complete all items on this page .,«y... '— nn LOC�P, I®N ' � V�►Q � ' .�C ;* V tom , �� _ �, 3 5�T s Q r � K PR,O_PERTINYOWNERY� r � � Print 1 r O Strums ctu ey� :�, no. � ' ARGEL�I� � ®NIIVG®I STRICT = Histon'c ®istnct p)VA Ili Shoa9 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 W6 DESCRIPTION " '"'`� � �-- DESCRIPTION OF WORK TO BE PERFORMED: << 0d . 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 �� -rr r '1`a�'P Yt`.t'.-rs- r_ vF-.s.s w .�..�: v,•` '�t- .,'Ace.`s'+ "»t :_+ ,+ H.-,t- i^`r°t':C i4 t''!k_ .� �'"'"a ea'. C®NTR-A�CT®R Name � A _ P .kkkJJl r4 ( �lv V Add cess-! : 25 > { a••£.*'* -E - ,� - ��'k —_ _�,"""'`"�"r` r• -n ,r 1 S y. S�nt '.•��� "s e h' + rtx we 31 a 4 �{ z 41 Su ervisor:s Construction License ��' iJV � ; Exp , Dafen . r dry` ' Q tys:, i 'r-r�� < %C619- -4. -1+. � �• it .{ � �. _8 '6'k' Y.2' S d. ? ' !". .a. �� � �•'t,a ,T raw r, � 36•a� "`��+y_: -rvsr i k '� g7.Sr ^+ �.Y y- ' 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 ❑ � i 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 I i El Notified for pickup - Date 1 - E 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 �� i 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 ONo o7N q4 O 32 6•;s, a 0 N s :M o ' 4g �3 4[NU`+ES 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 O .1 *,I 10 No. - - LAK. h ," ver, Mass, l COC NICHlwICK IV �•9 ADaATED IPP��S S U 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 f}NL1l ANO,CONF S NO Rtfsii M UPON TH9 CEitTVICA7'E t�C31 DER X 18 GE E.M?ES piOT AFF1Ri tA'N1Oiff OR`i�1EM" ELY AMEND, ESC EM 00,W AMRt sBY,t>iE SES ZowT CE t#FtCA?E C3F il+IISL1�tA1+iCE-1�ES Nt3T CONSMLIT 'A CONTRACT 8 t#iItEEN"THEIS'3L11NQ S}:A!!i #ClRi D �' 'PRtNI t�AIMt#lii`CES 7 lOLDElt. 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'[tELtful ECt IN JK Conti cdng LLC ACCORDANCE V�TH Ttm t�tf3N$. 31 Richmond St dle �wimouth,MA 02186 Aum /l :Ct}ttPf lNA iltlN A'11 t 6gftts f 1 tttvd iCORt3 ZS:2itii8tii9 The ACQi2C3 narttt3 and LtrOa-atya.regiater*d tr etits b AWRb i i 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 • � - !y✓ ` Expiration: 9/26/2013 ColuAlissiogee Tr#: 6168