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Building Permit #724 - 1275 TURNPIKE STREET 4/12/2012
TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit N0: - Date Received Date Issued: Z 1 ) "Z, ( 12I 221 I 1 IMPORTANT:Applicant must com lete all items on this page LOCATION 1`2-7-S -rU >ZN ?I K E Print Yvl1 . PROPERTY OWNER E>1Z1 GM-Ty I E-W N o YZ-rl-1 )kM D 0VC_. >_L C Unit# Print `lo SK G L-Ve< -Lo-f M S-i J-r MAP N0: I o 7A PARCEL: 119 ZONING DISTRICT: VR Historic District yes no Z. Machine Shop Village yes no S 100 year-old structure yes no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential XNew Building ❑ One family ❑Addition ❑Two or more family ❑ Industrial ❑Alteration No. of units: ❑ Commercial ❑ Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other E® peptic Well loodpl - ` 1®Wetlancl� � 7Watte hed,Distnct� ®W_ater/Sewer . DESCRIPTION OF WORK TO BE PERFORMED: �!✓W cotiS'TY�VGT�o1.1 of A 133 uN iT T__0U9- S-ToFy 5Eh410f_ LIVING FAC ( L.l -ry &UIL.DIIJG I` (Identification Please Type or Print Clearly) OWNER: Name: RogzrH AIaDoVsR_ LLC- Phone: 11.10 - 4- •77<; yo SHEL-rS-P_ DEVELor *r-j r Address: 218 hjn &-rN c_K A g.LES su i-rC 220 bAL-rt M �t ,TWIT . 21 Zo 1 CONTRACTOR Name: P F o Go i t I t1r' . Phone: (13S°) HooKsC--rT* ?--,OAD , Hoo"e-rr, , NK 0310 Address: p p 60 x g o 3Q tM A 1 G H Edi ef- , lel �--1 o 310 6 Supervisor's Construction License: G S `70 3 4-o Exp. Date: t a 115 20 I Z Home Improvement License: Exp. Date: ARCH ITECT/ENGINEER_?Ao ro►.t Cllr- ARCW1--lEcr9hone: X03 23 • b511 (I 3S;9 ROOY_SS.-rr K:OA4o HooKse-rr M H o3 to Co ) ARGk Address: ?.o . &o >( A43o mAA"Esnmg KIR , Reg. No. s-mvcT . 431o.4- FEE 31o. -FEE SCHEDULE:BULDING PERMIT:$12.00 PER$1000.00 OF THEOTAL ESTIMATED COST BASED ON$125.00 PER S.F. C NALAMcE OF ) Total Project Cost: $ 6 — FEE: $ 1�5 3I�li2_ p' �vvadr�r\ 2�O��iOoO.00� Check No.: 10S Receipt No.: Q S_ NOTE: Persons c ntr ting with unregistered contractors do not INve access o the g ranty fund �kI0 - -- _ .. w. �natiireofA`geri ergs d : ,. StgnatureofEcon_tracforr.M �. oWN� R>rP. -- i Plans Submitted Plans Waived ❑ Certified Plot Plan Stamped Plans x TYPE OF SEWERAGE DISPOSAL Public Sewer I 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 A PROVED PLANNING & DEVELOPMENT ❑ COMMENTS CONSERVATION Reviewed on Signature COMMENTS jL_,f. :LC2 HEALTH Reviewed on Z Signature C01MMENTS Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments Conservation Decision: Comments Water & Sewer Con nection/si nature& Date 4Driveway Permit DPW Town Engineer: Signature: ef, "✓! '�� d ocated 384 Osgood Street FIRE DEPARTMENT -Temp Dumpster on site yes no Located at 124 Main Street , Fire Department signature/dat _"'�41_ / COMMENTS Dimension Number of Stories:_Total square feet of floor area, based on Exterior dimensions.- 3Os� Total land area, sq. ft.: U-4 :S.� ELECTRICAL: Movement of Meter 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 ❑ Notified for pickup - Date l Doc:.Euilding Permit Revised 2011 June/mi I Building Department artment � The following 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 11 NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit Addition or Decks ❑ Building 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 NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit New Construction (Single and Two Family) ❑ 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 NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg .Permit I 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 appeal period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording must be submitted with the building application Doc: Doc.Building Permit Revised 2008mi Location Q-4-IS' 1 vayuo, Lx.- S 7— T r I No. 77 Date e ' TOWN OF NORTH ANDOVER 0 .� t.tsU ig6 e .. Certificate of Occupancy $_�r Building/Frame Permit Fee $ 601 Foundation Permit Fee $_'to Other Permit Fee $ TOTAL $ Check# 25176 Building Inspector NORtN Q<'gSLEC fb�� *6 APPLICATION FOR CERTIFICATE OF OCCUPANCYANSPECTION A�HUsi BUILDING PERMIT # 7 2 ADDRESS/LOCATION OF PROPERTY: 12--7 Mfr°`('` ��� "f���" , �1 ���J Map td-IA Parcel Ilk Lot Number ?2� SUBDIVISION: / DATE REQUESTED FILED/READY FOR INSPECTION: ��Z 1 13 CLOSING DATE ON PROPERTY: FIVE (5)DAYS NOTICE PRIOR TO CLOSING DATE IS REQUIRED ALL WORK AND SIGN-OFFS MUST BE COMPLETED WITHIN THIS TIME FRAME. A REINSPECTION FEE OF TWENTY DOLLARS ($20.00)WILL BE CHARGED IF THE STRUCTURE DOES NOT MEET ALL APPLICABLE CODES. APPLICANT SIGNATURE Permit Issued to: f; k4`j`r,,) A� Address: (Z-75- ,J!— ROUTING , . TOWN ENGINEER, SITE PLAN—DRIVE-WAY REVIEW SSI e ( _ 7 _ I2J CONSERVATION V b PLANNING DPW-WATER METER SEWER CONNECTION DPW MUST INDICATE THAT THE WATER METER HAS BEEN INSTALLED PRIOR TO SUBMITTAL OF THE OCCUPANCYANSPECTION REQUEST DPW a SIGNATURE File:Application for OC form revised Jan 2007/2011 Location �No. ! Date • - TOWN OF NORTH ANDOVER • ,5 Certificate of Occupancy $ Building/Frame Permit Fee $ J Foundation Permit Fee $ Other Permit Fee TOTAL CD7 Check# -L'9 26731 Buil i g Inspector J u 1. 30, 2013 10: 34AM No, 1418 P. 1 rTOWN OF NORTH ANDOVER OFFICE OF BUILDING DEPARTMENT i * 400 Osgood Street Y t` ,N,jo Notch Andover,Massachusetts 01845 N-is���, Telephone(978)688-9545 Gerald A. Brown Fax (978)688.9542 Inspector of Buildings AFFIDAVIT FOR FINAL COST OF CONSTRUCTION In accordance with the provisions o the Massachusetts State Building Code,Article 1, Section 110.4 and 114.21 the total estimated cost of the construction including all related construction costs* of the building located at /'LTC___ 10!1" 9=� o"VAzP amounts to --,being the person,referred to as the owner identified below, do solemnly swear that the statements made herein are strictly tnie and correct and made in good faith. *Related construction costs itncluded all work done with or concurrently with the work contemplate by the Building Permit including demolition, plumbing, heating, electrical, air diti in , painti carpentry, landscaping, site improvement, etc. Fumishings and portable e t re no part the total construction costs. Signa ure of w er COMMONWEALTH OF MASSACHUSETTS ►' d le�yc s,s. � 20�� Then personally appeared the able named /A.vz Made an oath that the above statement is true. TAMMY LEE CROTEAU [Votary Public U Commonwealth of Massachusetts my Cotnmission Expires N.jr4oinry 2.1, 2016 Notary Public OFFICIAL USE: Final Cost: .... Original Estimate cost of general work: .61.3Sol 04M. Q© Cost Difference: Additional Fee Required: __...._._... ..........�,. C..y� r. . TO AMEND FEE UNDER PERMIT NO.: NC?�.. '�.Zy-►.. ... .... .... .. . . Insheutional servicay Deparitnunt 2005 C 4 3/ `V FAI-11 Mdcttslrtf$duvitfaurt Sfric!code e)r/rrrc��nrrn nrak c t c�lo��)rscr/��r pe &7 !3P ti!"r+htn!)r re)rkh !e r !x ! wiling YY� r .I q, c s check k ISt)Altl.lill',1PI''li.�l,�(,ti)1-q dl r't)NNFR1 A1'(l1Nli$8.�)?_ill I11i,5t,CfIO'k.45,111 1'!„1NNIV(i(tYt.Qi75 Elevator: 210-P-225 The Commonwealth of Massachusetts Expires: 07/30/2014 Printed: 08/08/2013 Department of� Public Safety Chapter 143 of the General Law,Section 65 states the(elevator - F A7 LJK"161 inspection)certificate shall be posted in a conspicuous place in Chapter 143,General Laws,as amended or near the cab or car of such elevator. Loca` n: 1275 Turnpike Street, North Andover MA Location: Brightview Senior Living Capacity: 3000 Pounds Speed: 150 Feet per minute 1275 Turnpike Street North Andover, MA 01845 State ID#: 210-P-225 F.T.#: 022081 Owner: F. F. Issued on: 08/02/2013 Expires: 07/30/2014 BfIgIltVleW Senior Living LLC Apply for Re-inspection Thomas G.Gatzunls 1275 Turnpike Street, 60 days Prior to Expiration Date. Commissioner North Andover, MA 01845 IN CASE OF ACCIDENT NOTIFY(508) 820-1444 AT ONCE. Issued F-1 Work F-] None ' REPORT UNSAFE CONDITIONS TO BUILDING MANAGER/OWNER DPS-W3-EL® 30 M-02/10-DBSWHITEELEVATORFY10 c^L_ r Elevator: 210-P-225 No, 1482 P. 2/4 Expires: 07/30/2014 S\_ The Commonwealth of Massachusetts Printed: 08/08/2013 Department ofpfPublic Safety ' Chapter 143 of the General Law,Section 65 states the(elevator Q%FHAd t?�""`tdr,=v� rsYB inspection)certificate shall be posted in a conspicuous place in Chapter 143,General Laws,as amended or near the cab or car of such elevator. Loc n: 1275 Turnpike Street, North Andover MA Location: Brightview Senior Living Capacity: 3_060 Pounds Speed: SC➢ Feet per minute 1275 Turnpike Street North Andover, MA 01845 State ID#: 210-P-225 F.T.#: 3 022081 Owner: Issued on: 08/02/2013 Expires: 08/02/2014 Brightview Senior Living LLC Apply for Re-irlspectlon Thomas Gas Gatzunis 1275 Turnpike Street, 60 days Prlorto Expiration Date, Commissioner North Andover, MA 01845 IN CASE OF ACCIDENT NOTIFY(508)820-1444 AT ONCE. [� Issued [:1 Work [I None . REPORT UNSAFE CONDITIONS TO BUILDING MANAGER/OWNER 'S-W3-EL ® 30 M-02/10-DBSWHITEELEVAT0RFY10 I J u 1. 30. 2013 10:34AM No, 1478 P. 2 Final Construction Control Document I; To be submitted at completion of construction by a M Registered Design Professional for work per the Sty edition of the Massachusetts State Building Code,780 CMR,Section 107 Project Title: Brightview North Andover Date: 13 i 3 Permit No. 724 Property Address: 1275 Turnpike Street North Andover, MA Project: Cheek one or both as applicable: ®New construction 0 Existing Construction Project description: Four story, combustible/ non-combustible residential building. Assisted iving z eimer s wing is non-combuslible I ype 2A construction. Independent iving wing is combustible Type 5A cons rue ion. I he two sections are separated by a 2-hour fire wall. The building is fully sprinklered. The buil ingincludes commercial kitchen and laundry facilities. as well as clining_rooms, activity rooms and.nthpr amenity soac:Ps for residents. 114644410 L.aC re eq(A-e MA Etegistration Number: Expiration date: W 30 1 i am a registered design professional, and I have prepared or directly supervised the preparation of all design plans, computations and speoifloations conceming: [ , Architectural [4truotural [ ] Mechanical [ ] Fire Protection [ ] Electrical [ ] Other: for the above named project. I,or my designee,have performed the necessary professional services and was present at the construction site on a regular and periodic basis.To the best of my knowledge,information,and bellef the work proceeded in accordance with the requirements of 780 CMR and the design documents approved as part of the building permit and that I or my designee: 1. Have,reviewed,for conformance to this code and the design concept,shop drawings,samples and other submittals by the contractor in accordance with the requirements of the construction documents. 2. Have performed the duties for registered design professionals in 780 CMR Chapter 17,as applicable. 3. Have been present at intervals appropriate to the stage of construction to become generally familiar with the progtess and quality of the work and to determine if the work was performed In a manner c i tent with the construction documents and this code. ZN OF Mass Nothing in this document relieves the contractor of its responsibility regarding the provis' r B QUE r U URAL Enter in the space to the right a"wet"4r No 43104 electronic signature and seal: 0 9 /STER``� 'S/ONAI Phone number: 603-623-8811 Email: mldbK--ec4ule0 �'�pC �nC. cay►'t Baildim Offtclal Use Only Building Official Name: Permit No.: Date: verslon 06 1'1 2013 FINAL AFFIDAVIT ❑ HVAC 10 Plumbing ❑ Electrical ❑ Fire Protection The undersigned,being duly sworn, deposed and says: I have made regular and periodic site visits to observe the construction carried out at: Brightyiew(Section B) 1275 Turnpike Street North Andover,MA ,under permit# All required approvals and material affidavits have been submitted;there are no outstanding violations of law or orders of the Building Department; and the said construction has been satisfactorily completed in all respects in accordance with plans and specifications submitted for permit purposes,and with all applicable codes,rules and regulations of the Town of North Andover and the Commonwealth of Massachusetts(excepting those items, if any, listed on Exhibit A,which do not endanger the intended occupancy of the project, or which constitute deviations from the said plans and specifications). Therefore,I request that a certificate of occupancy be issued for the above address. "OF OH a O U N No.45 70 •� 'QFOt� tiO Ilk, Date Original Signature and Seat On this 3O day of U1. 20 l3 before me,the undersigned notary public, personally appeared 3ohn 4 Woo proved to me through satisfactory evidence of identification,which were state ID,to be the person whose name is signed on the preceding or attached document, and acknowledged to me that he/she signed it voluntarily for its stated purpose. As an Employee for Allied Consulting Engineering Services,Inc. ,•``PAY J. SPR s� D e Notary Pu c My commission expires: � sK LT +��4�USEiTCS`���` FINAL AFFIDAVIT ❑ HVAC El Plumbing ❑ Electrical ❑ Fire Protection The undersigned,being duly sworn,deposed and says: I have made regular and periodic site visits to observe the construction carried out at: Brightview(Section C) 1275 Turnpike Street North Andover,MA ,under permit# All required approvals and material affidavits have been submitted;there are no outstanding violations of law or orders of the Building Department; and the said construction has been satisfactorily completed in all respects in accordance with plans and specifications submitted for permit purposes, and with all applicable codes,rules and regulations of the Town of North Andover and the Commonwealth of Massachusetts(excepting those items,if any,listed on Exhibit A,which do not endanger the intended occupancy of the project,or which constitute deviations from the said plans and specifications). Therefore,I request that a certificate of occupancy be iss for the above address. -AH OF H0 NI yG vii No.45670 Date Original Signature and Seal On this 350'day of 2012 before me,the undersigned notary public, -A personally appeared proved to me through satisfactory evidence of identification,which were state ID,to be the person whose name is signed on the preceding or attached document,and acknowledged to me that he/she signed it ,,,�Estill 111,.141 •{ J. RU. voluntarily for its stated purpose. p As an Employee for Allied Consulting Engineering Services,Inc. P • ch : �� s A C ,�2-0�q� G.: 7 3p 13 �o W Y P.. :o� Date Notary Pu �SSy�t' Sg�` E�S`,,``,��� My commission expires: FINAL AFFIDAVTI' ❑ HVAC 21 Plumbing ❑ Electrical ❑ Fire Protection 'The undersigned,being duly sworn,deposed and says: I have made regular and periodic site visits to observe the construction carried out at: Brightview(Commercial Kitchen/Commercial Laundry/Mechanical Room) 1275 Turnpike Street North Andover,MA ,under permit# All required approvals and material affidavits have been submitted;there are no outstanding violations of law or orders of the Building Department; and the said construction has been satisfactorily completed in all respects in accordance with plans and specifications submitted for permit purposes, and with all applicable codes,rules and regulations of the Town of North Andover and the Commonwealth of Massachusetts(excepting those items,if any, listed on Exhibit A,which do not endanger the intended occupancy of the project, or which constitute deviations from the said plans and specifications). Therefore,I request that a certificate of occupancy be issued for the above address. �jtl OF 0 0 N o v No.45s70 C 9b �FQes-r�``G�a�Q 9b0 )3 AL Dah Origi'AWRRRWand Sea[ On this3O day of 2d13 ,before me,the undersigned notary public, personally appeared proved to me through satisfactory evidence of identification,which were state ID,to be the person whose name is signed on the preceding or attached document,and acknowledged to me that he/she signed it voluntarily for its stated purpose. ;••''��•.J;•RUO As an Employee for Allied Consulting Engineering Services,Inc. P °"'"'-ei. I � 9 -o �.= Z U 7130113 Date 1 Notary c ��ss;,kUSES`••••`` My commission a pares: / / '<«e��nn�u•` OE HO°T �.y 3=P`r" •' OL F 49 T/�°4rm p•t19 SSACIIUSE CERTIFICATE OF USE & OCCUPANCY TOWN OF NORTH ANDOVER Building Permit Number 724-12 on 4/12/12 & 630-12 on 3/5/2012 Date: August 14, 2013 THIS CERTIFIES THAT THE BUILDING LOCATED ON 1275 Turnpike Street MAY BE OCCUPIED AS Brightview Senior Living— 133 Units IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. Certificate Issued to: Brightview North Andover LLC c/o Shelter Development 218 North Charles Street Suite 220 Baltimore,MD 21201 ,121,",'/'//A- -"-— Bu' ding Inspector Fee: PrePaid Receipt: 26731 Check : 489 oRr FN Nq O �ZiED I6 ti t U d APPLICATION FOR CERTIFICATE OF OCCUPANCY/INSPECTION A°" T• �� BUILDING PERMIT # 72- �SSgCHUS�� r ADDRESS/LOCATION OF PROPERTY: /21 Lw^(� Sc, 5,,,,+ . �J A o k 0+v, Map 01A Parcel 1qLot Number SUBDIVISION: DATE REQUESTED FILED/READY FOR INSPECTION:_ O$f k 2 l l3 CLOSING DATE ON PROPERTY: FIVE (5)DAYS NOTICE PRIOR TO CLOSING DATE IS REQUIRED ALL WORK AND SIGN-OFFS MUST BE COMPLETED WITHIN THIS TIME FRAME. A REINSPECTION FEE OF TWENTY DOLLARS ($20.00) WILL BE CHARGED IF THE STRUCTURE DOES NOT MEET ALL APPLICABLE CODES. APPLICANT SIGNATURE Permit Issued to: Address:_ (2?5' cA . /k'. tjou4te &AAA ROUTING , . TOWN ENGINEER, SITE PLAN—DRIVE-WAY REVIEW CONSERVATION 7 3 PLANNING DPW-WATER METER SEWER CONNECTION DPW MUST INDICATE THAT THE WATER METER HAS BEEN INSTALLED PRIOR TO SUBMITTAL OF THE OCCUPANCY/INSPECTION REQUEST DPW ( � Y SIGNATURE File:Application for OC form revised Jan 2007/2011 I Jul. 30. 201310:34AM No- 1478 P. 2 Final Construction Control document u To be submitted at completion of constriction by a Registered Design Professional for work per the 0 edition of the Massachusetts State Building Code,780 CMR,Section 107 Project Title: Brightview North Andover Date: PermltNo. 724 Property Address: 1275 Turnpike Street North Andover, MA Project: Check one or both as applicable: ®New construction 0 Existing Construction Projectdesoription: Four story, combustible/ non-combustible residential building. Assisted iving z eimer s wing is non-combuslible I ype 2A construction. n epen ent Living wing is ombustible Type 5A consruc ion. e o sections are separated by a 2-hour fire wall. The building is fully sprinklered. ____._The_build'ng includes commercial kitchen and laundry facilities, as well as dining rooms, activity rooms and nther amenity Spaces for residQnts 1_ER I k D.A t lt4P_M d t� _ MA Registration Number:30 6'9 6 Expiration date: am a registered design professional,and I have prepared or directly supervised the preparation of all design plans, computations and specifications concerning. M Architectural [ ] Structural [ ] Mechanical [ ] Fire Protection [ ] Electrical [ ] Other: for the above named project. I,or my designee,have performed the necessary professional services and was present at the construction site on a regular and periodic basis.To the best of my knowledge,information,and belief the work proceeded is accordance with the requirements of 780 CMR and the design documents approved as part of the building permit and that I or my designee: 1. Have reviewed,for conformance to this code and the design concept,shop drawings,samples and other submittals by the contractor in accordance with the requirements of the construction documents. 2. Have performed the duties for registered design professionals in 780 CMR Chapter 17,as applicable. 3. Have been present at intervals appropriate to the stage of construction to become generally familiar with the progress and quality of the work and to determine if the work was performed in a manner consistent with the construction documents and this code. Nothing in this document relieves the contractor of its responsibility regarding the provisions of 780 CMR 107 �\c, �-RED,4q O.A,NpF� o a Enter in the space to the right a"wet"or No.30636 2 electronic signature and seal: p NH. v, 603-623-8811 �F91 j�of c�NsSP"�Jy Phone number: Email: D So ea k Building Official Use Only Building Official Name: permit No.: Date: Version 06 I.1_2013 Jul, 30. 2013 10: 34AM No, 1478 P. 1 N9tYrp TOWN OF NORTH ANDOVER OFFICE OF BUILDING DEPARTMENT Y + wr,4� 400 Osgood Street rvui: � i, North Andover,Massachusetts 01845 gA C HUSH' Telephone(978)688-9545 Gerald A. Brown Pax (978)688.9542 Inspector of Buildings AFFIDAVIT FOR FINAL COST OF 'CONSTRUCTION In accordance with the provisions o the Massachusetts State Building Code,Article 1,Section 110.4 and 114.2, the total estimated cost of the construction including all related construction costs` of the building located at amounts to I, ll� being the person referred to as the owner identified below, do solemnly swear that the statements made herein are strictly tnie and correct and made in good faith. *Related construction costs included all work done with or concurrently with the work contemplate by the Building Permit including demolition, plumbitig, heating, electrical, air c diti 1a , palnti carpentry, landscaping,site improvement, etc, Furnishings and portable e t re no part the total construction costs. e w COMMONWEALTH OF MASSACHUSETTS Signa ure of er 1 d dei c�S,s. Then personally appeared the able named Al a P1 D. S rG fi'r�i° and Made an oath that the above statement is true. TAtiRIM LEE CROTEAU No-tart' Public ,t ®* N�14' - s Common e"'Iith of Massachusetts my Carnmission Expires .i n �ry 2.1. 7016 ` Notary Public OFFICIAL USE: Final Cost: Original Estimate cost of general work: 1-61.13501 pcx:)e Qp Cost Difference: Additional Fee Required: __....._... ._,......�,. t.c.�• , TO AMEND FEE UNDER PERMIT NO.: -Now- 'Z.Z!-�.. ... .... ..... .. . . . luspwtional xervices Department 2005470 -� i E:llin ticctsttlfttdovi(Furm Strict Code m, cyntrrt makes A 101VIt sc,%r �C�� 67 / ljc�)re htn;ng,rn���ihq,le�r�in�;riteck:rutDtR UUU ��` Iti)r11t1.1 X11' 11'I''I:.11,•S GItN-U'.11 CONNFR1 :\RoN A31.9i.10 HE'Ai,r1.1 oNY -95.10 f'1,ANNIiv(i ------------ DESIGN DAY MECHANICALS INC July 31,2013 The Commonwealth Of Massachusetts State Building Code Final HVAC Construction Control Affidavit Project: Brightview Living Center 1275 Turnpike Street North Andover, Massachusetts Engineer: David E.Goddard,P.E. -Design Day Mechanicals,Inc. 1 Mapleleaf Drive,Nashua,NH 03062 In accordance with Section 116.0 of the Massachusetts State Building Code, i,David E.Goddard Registration No.31095,being a registered Professional Engineer,hereby certify that Andrew W. Arsenault,my assigned representative from Design Day Mechanicals, Inc. (DDMI)has been present on the construction site to determine that the work is proceeding in accordance with the documents approved for the Building Permit,as required in Section 116.2.2,item 3 as outlined below. July 31,2013-Observed installation of equipment and grilles/diffusers in A, B and C wings.Final installations are either complete or are proceeding,subject to finish painting and final wiring of equipment,as shown on the pertinent a roved DDMI drawings. Testing and balancing is proceeding where power is availa OF Respectfully submitted, DAVID E. c UDAR 310955 David E.Goddard,P.E.President,De I ay Mechanicals,Inc. Professional Engineer#31095 David E.C-oddcrd.P.E e I MopleeOi Delve.Nashua.NH 03062 + (6031888-1632 davideegoddord,aEve.com- Douglas C.WoM P.O.Box 447,New tpsvrich.NH 03071 . (603)291-01 i 3 . . dougwoifi�cormost mt Richard D.Gogo 84 Gilford Street.Manchester,NH 03102 • {6031 666-5027 rdgi?tggcomcost.nei John L-Wo9tt 148 Beaver Ridge Road,Center Bamstead,NH 03225 • 16031 269-7253 j*ddC ids,ne1 Final Construction Control Document To be submitted at completion of construction by a Registered Design Professional for work per the 7d'edition of the Massachusetts State Building Code, 780 CMR,Section 107 Project Title:Brightview Assisted Living Date:7/31/13 Permit No. Property Address: 1275 Turnpike Turnpike Street,North Andover,MA Project: Check(x)one or both as applicable: X New construction Existing Construction Project description:New Assited Living Facility I Domenic A.Ciolino MA Registration Number:41630 Expiration date:6-30-2014 ,am a registered design professional, and I have prepared or directly supervised the preparation of all design plans,computations and specifications concerning: Architectural Structural Mechanical X Fire Protection Electrical Other:Describe for the above named project. 1,or my designee,have performed the necessary professional services and was present at the construction site on a regular and periodic basis.To the best of my knowledge,information,and belief the work proceeded in accordance with the requirements of 780 CMR and the design documents approved as part of the building permit and that I or my designee: 1. Have reviewed,for conformance to this code and the design concept,shop drawings,samples and other submittals by the contractor in accordance with the requirements of the construction documents. 2. Have performed the duties for registered design professionals in 780 CMR Chapter 1,Section 116,as applicable. 3. Have been present at intervals appropriate to the stage of construction to become generally familiar with the progress and quality of the work and to determine if the work was performed in a manner consistent with the construction documents and this code. Nothing in this document relieves the contractor of its responsibility regarding the prov' ' rP 116.3. N SS4c"C30".'ENtC A. n+ Enter in the space to the right a"wet"oro CIOLINo electronic signature and seal: L) FIRE PROTECTION cn N4-41630 10 �FGtg.ERtiC r �S%NAL ENG Phone number:603-948-0634 Email:vestafpe@gmail.com Building official Use Only Building Official Name: Permit No.: Date: Version 06 11 2013 FINAL AFFIDAVIT ❑ HVAC EI Plumbing ❑Electrical ❑ Fire Protection The undersigned,being duly sworn,deposed and says: I have made regular and periodic site visits to observe the construction carried out at: Bri tview(Section A) 1275 Turnpike Street North Andover MA ,under permit# All required approvals and material affidavits have been submitted;there are no outstanding violations of law or orders of the Building Department;and the said construction has been satisfactorily completed in all respects in accordance with plans and specifications submitted for permit purposes,and with all applicable codes,rules and regulations of the Town of North Andover and the Commonwealth of Massachusetts(excepting those items,if any,listed on Exhibit A,which do not endanger the intended occupancy of the project,or which constitute deviations from the said plans and specifications). Therefore,I request that a certificate of occupancy be issued for the above address. H OF O d �G Q c.u- t. P10.4567 AL Date Date Original Signature and Seal On this3c*day of ,20 IS ,before me,the undersigned notary public, personally appeared /t proved to me through satisfactory evidence of identification,which were state ID,to be the person whose name is signed on the preceding or attached document, and acknowledged to me that he/she signed it voluntarily for its stated purpose. As an Employee for Allied Consulting Engineering Services,Inc. RGH ..t•. s ' ¢ 2 O•Y�0 Pate I Notary Pub *•S+yBp� My commission exp s: c3Q�B�''�:�" R �;+• �'� Final Construction Control Document u To be submitted at completion of construction by a Registered Design Professional for work per the 8`l'edition of the Massachusetts State Building Code, 780 CMR, Section ]07.6.4 Project Title: Brightview Senior Living Ctr Date: 07/29/13 PerrmitNo. Property Address: 1275 Turnpike Street, North Andover MA _ Project: Check one or both as applicable: X New construction Existing Construction Project description: Entire Building I Stephen B. Sager, P.E. MA Registration Number: 38799 __Expiration date: 06/30/14 ,ama registered design Irrnfessional, and hereby certify that I have prepared or directly supervised the preparation of all design plans,computations and specifications concerning: [ ] Entire Project [ ] Architectural [ ] Structural [ ] Mechanical [ ] Fire Protection [X] Electrical [ ] Other: for the above named project. I certify that 1,or my designee,have performed the necessary professional services and was present at the construction site on a regular and periodic basis to determine that the work proceeded in accordance with the requirements of 780 CMR and the design documents prepared by me and approved as part of the building permit and that 1 or my designee: l. Have reviewed, for conformance to this code and the design concept,shop drawings,samples and other submittals by the contractor in accordance with the requirements of the construction documents. 2. Have performed the duties for registered design professionals in 780 CMR Chapter 17;as applicable. 3. Have been present at intervals appropriate to the stage of construction to become generally familiar with the progress and quality of the work and to detennine iE he ,ark was performed in a manner consistent with the construction documents and this code. CV tft, a' B *. Enter in the space to the right a"wet"or electronic signature and seal: �F��� � Phone number: 781-341-4770 Email: KSAGERQSBSAGER.COM Building Official Use Only Building Official Name: I}ermit No.: Tate: Trial version 10 09 2012 TommOf An over . . tit No. :� --- - - - dover, Mass., L ' • T Q �'- AKE � �!- CoCHICHEWICK V1 po'QA r E Q BOARD OF HEAL [ Food/Kitche� M IT T Y Septic.System t� * BUILDING INSPECTOR THIS CERTIFIES THAT..... f.� Ir� �'. '�...�1.4'4 ......... + 4�.f �"......... Il�.l......... . ... Foundation ,has permission to erect.......................................... buildin s on ...�. . , ' ' .. ! !!. .w,... . ... .......` ... Rough to-be occupied as. j. . ..... �`, � .. s.:.......;�! /M!.�o ...... .u11�1:V4� ... Chimney provided that the person accepting this permit shall in every respect. norm to the terms of the application on file in Final- 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 7 Final eCi4-0`-CJek�✓����C�N'��CC( C. � PERMIT EXPIRES IN 6 MONTHS , 14 A ���' • �-y T ELECTRICAL INSPECTOR UNLESS LESS %C__."VN STRU (,I Rough N ..................... ............................................................................... Service BUILDING INSPECTOR Final Occupancy Permit Required to Oca/py Building GAS INSPECTOR Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final No Lathing or Dry Wall To BeDone FIRE.DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. SEE REVERSE SIDE Smoke Det. a o411�r- Ojj :c _--72-24 21-Sil "� 9yQy PQ t? � RKF ,� - �� � -��,� -� `fir ��,� �.�� ��.��� •Jif � � � Lri�r h 27 „ .,w� , S� . . oma Flo - �� soh ,, ,, �, •��� y� Tomm Of Andover .. 0 0% over, Mass.,. f , COCMICMEWICK 7�SDRATED BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System ' d b BUILDING INSPECTOR THIS CERTIFIES THAT...... '..........w. :a /'^'.L'&. ............................................................... Foundation o ..................... buildings ..t:®..`.... has permission to erect.................. gs on ....,�.:........:. ............ .. . . ....................... Rough to be occupied as. ... ..... � ........ ..:. ' . '"...' :. ....... . � `.�:. :°`.................... ......................... Chimney provided that the person accepting this permit shall in every respect conform to the terms of the application on file in Final 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 ".210 _, _ UNLESS CONSTRUCTION';/ TARTS Rough -�............... ? .:• ..`. ... ..... Service --r BUILDING INSPECTOR FiQ ZZ46nal t ccupar>,cy Permit Required to Occupy Building GAS, SP. TOR Rough � f0 3-t3 Display in a Conspicuous Place on the Premises — Do Not Remove Final No Lathing or Dry Wall To Be Done FI E-DEPARTMEN Until Inspected and Approved by the Building Inspector. B, ier� � Street No. SEE REVERSE SIDE smoke Det. Z GENERAL BUILDING NOTES/CHECKLIST-NOT LIMITED TO ITEMS BELOW POST ALL LOT NUMBERS,ADDRESS, AND PERMIT(COPY OK)..or no inspections INSPECTIONS: (Minimum) Excavation , Footing, Foundation, Frame, Insulation, Final. FOOTINGS: Continuous Full 2x4 Keyway Continuous strip footings for interior columns FOUNDATION: Rebar as required Anchor bolts or straps Damproofing Foundation drain-pipe/stone/fabric filter/cover and outlet connection. FRAME:Fireblock-over girts/plates between floor joist Penetrations for plumbing, heat, elec, etc. Walls at stair stringers. Windbrace corners and center bearing partitions. Size ridge to provide full bearing at rafter cuts. Hip and Valley rafters-watch bearing at walls. Ridge&Hip-Provide proper connections. Cathedral roof rafters provide proper connections and use"Hurricane Clips"tie to plate. Stair stringers-watch cuts and heal support. Joist hangers-fully nailed w/hanger nails. Sill plates 2-2X6(1 PT)w/sill seal. Girls-solid brick or steel plate bearing at foundations '/"air space at sides in foundation pockets. Lateral bracing at ends. Certified calculations. required for Beams/LVL's Trusses. Solid bearing support for Headers/Beams etc. Check headroom clearances-stairways, under beams Attic Access. (min. 22x30 w/3'headroom above). Crawl space access. (min. 18x24). Bath exhaust fans to have metal duct to exterior(not in soffit). Firecode S/R wood frame of"0"clearance fireplaces&stoves Window Schedule or Every Habitable Room Must Have: Natural light equal to 8%of floor area. '/of required glazing shall be openable. Bedrooms required min.20x24 egress window or door. Vent attic spaces-"proper vent", soffit and required ridge vents. Firecode under stairs if used for storage FIREPLACES: Separate permit required. Inspections at Footing-Smoke Chamber-Finish Smooth parging,clean joints, 8"solid @ combust. DECKS: Lag to house, provide flashing. Rails min. 36" high, Baluster max space 5"on center. Over 8'above grade, use 6x6 posts w/lateral bracing. Lag all posts and rails. Pier footings down 48", Conc. pad at stair base. FINISH: Handrails returned to wall/newall post. Guardrails required alongside open cellar stairs. Exterior grading complete. Certificate or occupancy required prior to occupying structure. �. Temporary Stairs required for inspection. Re-inspection fee- $30.00(Be Ready). Certificate of occupancy required prior to occupying structure. - 33 Y'57 00 2- 3 � �� 0�G Z,� 2- ;2 3t 3( Sof) 3FY 312, ,3 3, OV, 36 t M 35- O/T T �i /34let n rC� R n/S \ Pro Con,Inc. 3• e� I ``y`� P.O.Box 4430 Manchester,NH P.603.623.8811 E 603.623."I250 v w,vw.pmmmncwm htj� ud 7 COMMERCIAL 11e DRY NON-COMBUSTIBLE;COMBUSTIBLE CH I GON5TRUGTION ; GON5TRUGTION \ IL-09a M .2 ELEC. ATE MECH. S_R 2s9 CCC......������ ifs 2BEED army / � 0 ® �� I .K •1' HC _ KITCHEN /AL OUTDOOR I zzt �//(( _ (� A Ep L'.. 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BRAIN 13> 3 ` �_L_J 0 OUTDOOR �r EXEC I 130 FITNESS f/� PATIO DIRE OR — -- ,aa V -I— - 4/G lee, ARCHITECT: DRAWN: EA SFV I Lfi w O Q LIJ Z OVERALL FIRST FLOOR PLAN _ = a a��,n6 ,•� r Q N TRUE PROJECT F, NOTES: oRTR t,oRrH O W cn O 1.REFER TO PLUMBING DRAWINGS FOR RADON DESIGN AND DETAILS Z W Q .51 _ 2.HC=ACCESSIBLE UNIT(REFER TO PARTIAL PLANS FOR ADDITIONAL INFORMATION) 2 rL W W j 0 Li- Z Z I 9 I = D ¢ � m � z O _ AREA"A" :y AREA"B" In x KEY PLAN Im Al . 1 a 301112 0 CWMgM 2012 I=m con,mo. Date? TOWN-OF NORTH A1406VER PERMIT FOR WIRING This certifies that e........... haspgrrriission to perform wiring in the building of ?�1" ..... �L at...`z7 2., .,:North.Andover,Mass. _. ELECTRICAL INSPEC7bR Chick# i � l 1094 :. . 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O EU r 1 I 152n� ABovE i + + STUDIO DATA FEC 153 CLO ° (OWNER#1136) 33/4^ _-� - ...�'� / GROUP 2A � Q 333/4, T'4' l l r ` "'•� l REFER TO // STUDIO ® (J Z NOTE#13 4p 106 IL-08 .r 23'2St / „_ .. / WNER#1134) 2 BED 77/4 AZ 3/4• 6' 31 II 40 (OWNER#1132) 701/4" r / r •—, N � li rr312 % � / `� 40 >q I STUDIO 23,2 r/2+ Stg y4• / 4.31 / � / / 108 r t_ 4 A•3 6c10, OPP. / % (OWNER#1130) roto 7 A� 23t23j4^ 741/4" A31 ro• r � % l W R, .1 2^ P I� �• I r ® , ° m _ � m 0� ��►l iii � �I ADAAG 1 ® 1 BED 1 205. ;;� � __� � /lam �'v j�� •- � � � � —�• �il —7 �'�:,� ! ',r =� , QAC � ® �r�,. ., . s -- / e "`°� 23: 17',4 314 -✓ 31, ADAAGGROUP I 70" / AZ-02b l 48 / ` 2 5:70" 24:231, A-73 A3.2 ESIDEN STUDIO / / '� A2.3 3141, A3.2 (g / LAUNoDR 40 (OWNER#7) I I�•---1..�Y 300A� `` WNER#7) (OWNER#6A) 33/qia 40 12,AROP IADAAG SUNOOM GU1 GROUP 1 4BAZ- 6a s:7o" 1 / 301 ® Q COMP ® AZ AZ-02d A3.2 STUDIO AZ-02e ® 306BATHER 312 COMP -"" ,�,/ /A4•s I i R# 310 /O 315a AZ-02e �� k) COMP I- FEC" CLOSET 3foa (d�WVVNtK#4) F3_1 5—b I `! 8- ' (OWNER93) AZ-02 40 1 310q OWNE #3 STDIO /ADAA 3o2A S �` 3nA STOR. ( #2 /GROU 1 FDF CE I 3 ( � AZ-04d 322 DELUXE B 3sa O 3oey$ STUDIO ® LOCAT�ME„ 40 " B-3 / ® CABIN ADJACENT VISITORS l 48 ELECT SHOW R @ROOM#309CJ - 323 364 ID BACK-TO - 40 C - IN GJ " -.__ / 922A LI 48 ZZ 0 STAIR 1 CORR/D I 302 /ADAAG ® ® CHARTS 37q oR cJ AZ-02 / 365 JANITOR No 1 GROUP 28 STUDIO 40 _` --CLOSET B-E I AZ-02a / STUDIO 305 �'"'«"376 FES 303 40 (OWNER#9) AD — — " ' �41P!_ R #g GROUP 1 4p ° 4'� ° TEL./ –. DATA 3 ^-) (OWNE #9 AZ-02c 320 A5.5 STUDIO / GROUP 1 0 / '1 — — 307 (OWNER#10) / STUDIO \ 37 4e 309 DELUXE ADAAG r / R#1 (OWNER#11) STUDIO/ _ M ao 311 ' ae E GROUP 1 ( I 3788 R#1 OWNE AZ-04a )#12 DE UXE �^ ?3: 5:70 114-23/4" �1/q• 4.1 OW ER #6 � 40 313 / E) O 4 r 77 (0 NER#13) AZ-02 AZ-02 ROOM G STUDIO STUDIO 321 I 23:27/2, ' 5'.9&4- NER#13 316 316 / A-3 s % / (OW l I AZ-01a 11`6SMALL / Q STUDIO 23: 324 Aq 23/q" 70 T70, / / / �"�. 'v/ S 112 [OWNER#16) r ,-A7q p, 3�,l 1 1 l I `� B 1 (OWNFR#1fi) 1j`63/4- % S:10'• 23•'23/4" q.5 17' 48 3/^ / _ AL-02b 48 AAG / / 5'1o^ 24-23/4., q-7 STUDIO 401 l 1 12'83/4^ I "` - SS.-Jo. 24•-23/ O2 - - 4 r -' -•.,.,.).•� �- / ._�. ,1 '-./_ _ / 72:8 al, AL-06c s j 1 BED -.. / `` 10" 8C 403 48 / z ae2 ADAAG / �`" -`., / / Q eca. gAL-06c 1 BED "/� — — m / 407 1 48 ADAAGAL 05 C EC ART ROOM 40DA ` -'^--_'^ .. / 412 / 414 4q 2 ROOF ACCESS -` &MECH. COMP E) F_410 1 ® 4D / T 405A aoa 48 CW ELEC.ee OR FF �® N • — — 08 STAIR 2 BED IIR 1 ® 405 �� / ' / AL / 2 4 / A4 HE 402 CLOS. 459 R I L No.1 B. ! D 460A ` ci TEL. — — — AL-06Ee 60 ❑4 — — _ 1 8 6 D / 4D ; __.�"" CJ 460 FEC / 2 ! / l aeADAAG \'`� � ' F- AL-03a I�, 4...' / 2 STUDIO l / aD DELUXE 1112- 23 10_:23/4- S"7114" l l / / ^+-�.._. 2 408 STUDIO UDIO s:1p ADAAG ® z 1/4^ z DELUXE AL-03aao 61/2• / / / 4D STUDIO 11 N AAG 23:2j�" s:s�4- s / 1 - DELUXE 48 ALD-6b A BED A-3 1 BED 11:6a- 2 / 2 415 416 23:2 314- (B3 ` i� 74:0, 3'-g• 200 Date. .l.©l �J ... . . .'. . . . . 2 0 0 Date. .l.�<. bz.. . . . . NORTH TOWN OF NORTH ANDOVER TOWN OF NORTH ANDOVER ,e1tiO NORTH Of�.,,•o ,e1~O PERMIT FOR MECHANICAL INSTALLATIO 3? • p` PERMIT FOR MECHANICAL INSTALLATION O P • + • + .. Z •�•4qh 9SSACMUS6 SSACHU5 This certifies that This certifies that S . . . V�.a ���� has permission for mechanical installation+ ��•�• r has permission for mechanical installation .�,(. I�eJ I in the buildings of in the buildings of . . . " . . �,.�,p �, t . . ., North Andover, Mass. at .1 �.� . . . '�pp. . . at � �. . . �.:� s':Y?. �: . . . . . . . . ., North Andover, Mass. Fee J`1(09 . . Llc. No.>1 4►� . . . . Q ' GAS INSPECTOR. . . . . . . . . . . Fee: I(PX . . Lic. No��l9� . . . . HD . . . . . . . . . . . . . . . . . . . . . . . GAS INSPECTOR WHITE:Applicant CANARY: Building Dept. PINK:Treasurer WHITE:Applicant CANARY: Building Dept. PINK:Treasurer of%O eT•1ti H S SS ICNUSt CERTIFICATE OF USE & OCCUPANCY TOWN OF NORTH ANDOVER Building Permit Number 724-12 on 4/12/12 & 630-12 on 3/5/2012 Date: August 14, 2013 THIS CERTIFIES THAT THE BUILDING LOCATED ON 1275 Turnpike Street MAY BE OCCUPIED AS Brightview Senior Living— 133 Units IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. Certificate Issued to: Brightview North Andover LLC c/o Shelter Development 218 North Charles Street Suite 220 Baltimore,MD 21201 Bud ding Inspector Fee: Prepaid Receipt: 26731 Check : 489 i OE NO otH�H F A a `a SSACHU CERTIFICATE OF USE & OCCUPANCY TOWN OF NORTH ANDOVER Building Permit Number 724-12 on 4/12/12 & 630-12 on 3/5/2012 Date: August 14,2013 THIS CERTIFIES THAT THE BUILDING LOCATED ON 1275 Turnpike Street MAY BE OCCUPIED AS _Brightview Senior Living— 133 Units IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. Certificate Issued to: Brightview North Andover LLC c/o Shelter Development 218 North Charles Street Suite 220 Baltimore,MD 21201 Bu' ding Inspector Fee: PrePaid Receipt: 26731 Check : 489 Enter construction cost for fee cal- North Andover Fee Cakalation Construction Cost $ 20,048,000.00 m $ - $ 240,576.00 Plumbing Fee $ 30,072.00 Gas Fee 100 comm. $ 100.00 Electrical Fee $ 30,072.00 Total fees collected $ 300,820.00 1275 Turnpike Street 724-12 and 639-12 Bri htview l u �, Enter construction cost for fee cal - North Andover Fee Cakulation Construction Cost 20,0481000.00 m $ - $ 240,576.00 Plumbing Fee $ 30,072.00 Gas Fee 100 comm. $ 100.00 Electrical Fee $ 30,072.00 Total fees collected $ 300,820.00 1275 Turnpike Street 724-12 and 639-12 Bri htview AORTH ® Of oAndover - . 0 ...... No. V]]`�(( 0 o dover, Mass., T O -.- LAKE I� COCHICHEV V %S RATED F' �� BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System • BUILDING INSPECTOR THIS CERTIFIES THAT..... ... .��. o0c.")......... !!��. ........U.1146.1........ .............................. Foundation buildin s on ... .VIV........ V�f'!! �..... .... ....... .. has permission to erect... .... ' ' Rough to be occupied as..�Ad3.... A.......j... ....... ... '`�r11!1. &V4.0.0e........�ll�.l.l .. Chimney C ' provided that the person accepting this permit shall in every respect nform to the terms of the application on file in Final 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 1 ��� • TRICAL INSPECTORELEC%• UNLESS CONSTRJC A ........................................... ......................................... Rough r' ......................................................... .. ...... Service BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Rough Display in a Conspicuous Place on the Premises — Do- Not Remove Final No Lathing or Dry Wall To Be Done FIR_E.DEPARTMENT. Until Inspected and Approved by the Building Inspector. Burner -- Street No. Smoke Det. SEE REVERSE SIDE