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Home My WebLink AboutBuilding Permit #038-16 - 200 SUTTON STREET 5/1/2018 ( ; BUILDING PERMIT o��O�T 6 vr' TOWN OF NORTH ANDOVER �2 h�•' tb F0- APPLICATION FOR PLAN EXAMINATION * = q Permit No#: �^l Date Received '11 RQ°R�reo�4a` c5 gSSACFiUS�� Date Issued: IMPORTANT:Applicant must complete all items on this page LOCATION :),,QO 5,N4,, Print PROPERTYOWNER I-N fV\ &-lA'-,i Print 100 Year Structure yes no MAP @)- PARCEL:i 91 ZONING DISTRICT: Historic District yes no Machine Shop Village yes no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building ❑ One family ❑Addition ❑ Two or more family ❑ Industrial [Iteration No. of units: eCommercial ❑ Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other fl Septrc ❑1Nell -m flFloodplain ❑Wetlantlss IT�Ullater5hed ❑`�Water/SeiNer DESCRIPTION OF WORK TO BE PERFORMED: L) . Identification- Please Type or Print Clearly OWNER: Name: L a,tA te6k;--4 Phone: b SIT- ZL461 Address: `3, o� s .{��►, 5�-� N o��-ti �► Contractor Name:-w�,,�_(' ,J�a,}s�s Phone: 01 Z-` Email: lZm4r6u P, c4,..e\-t5 -A C �w>7anv LoKn Address: 2 0 o s ,.4A s �-4-r.0.<. �N„�4-k AMA a t/ f iA o 1 kJ Supervisor's Construction License: CS- Cho s ��- Exp. Date: i 0 - 23 — J Home Improvement License: Exp. Date: ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE.BULDING PERMIT.,$12.00 PER$9000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project-Cost: $ FEE: $ �S'�'®0 o Check No.: j&-�� Receipt No.: NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund rt qpntr_ �r � - €. x_ �. 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 PLANNING & DEVELOPMENT Reviewed On Signature_ COMMENTS CONSERVATION Reviewed on Signature COMMENTS HEALTH Reviewed on Signature COMMENTS e Zoning Board of Appeals:Variance, Petition No: Zoning Decision/receipt submitted yes u•Planning Board Decision: Comments Conservation Decision: Comments Water& Sewer Connection/sicmature ®ata Driveway Permit DPW Town Engineer: Signature: Located 384 Osgood Street 1FI1 E ,ARTMENT Temp Dumpsfier on site, r #T . Located at 1x24 Mam Street #' �_ ;Y '�' t � - ' ,. .,d;.•c ��—< ¢ �# � # 5P�*�^z ` �� a � '„+ �� + xFire Departf!i t gnature/date� �., .i♦t '# r fix# '.� ar k c S �. F x#`1 #*+c 4x +., 2 � .y ” r "'' r€ `�aYx >y •}: �7 ^:S f 1 Dimension Number of Stories: Total square feet of floor area, based on Exterior dimensions. Total land area, sq. ft.: 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) C Ll Notified for pickup Call Email Date Time Contact Name Doc.Building Permit Revised 2014 Building Department 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 OTE: 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/Cross Section/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- �". -�� IS OTE: 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 4, 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 3 2012 IECC Energy code Engineering Affidavits for Engineered products OTE: 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 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:Building Permit Revised 2014 LocatiowQ00 "�n /X 6 f No,* Date • - TOWN OF NORTH ANDOVER • 1 Eb l Certificate of Occupancy $ � ��, .� Building/Frame Permit Fee $- Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check# P, Building Inspector G� �i 129 r 1 NORTH w: t idover 0 o h ver, Mass, 9A GOCNIG CRATED S u BOARD OF HEALTH Food/Kitchen PER :M1 LD Septic System THIS,CERTIFIES THAT $.0. "'r BUILDING INSPECTOR ..... .... ... ... .. . ..... ... .......... ........... ............................. . Foundation has permission to,erect .......................... build'8.01U.0 s on . d.... YI... .......�!�t1�1.G. "�, Rough u h to be occupied as ..::....:�.GIMr:!! ......... VT....:.. .. ....S..4.... .............. • Chimney provided that the'person accepting this permit shall in every respect conform to the terms of the pplication �in t/ 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 PERMIT EXPIRES IN 6 ONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTn A Rough Service ............r ...... ...... /� BUILDING INSPECTOR Fin - a s N� c ' - 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. Location oca on / y No. d 'ZQ/ Date • '= TOWN OF NORTH ANDOVER Certificate of Occupancy $ A) Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check# r MBuilding Inspector OE 40 oTh H 3r t` OOt SSCHUSE CERTIFICATE OF USE & OCCUPANCY TOWN OF NORTH ANDOVER Building Permit Number :038-2016 on 7/7/2015 Date: August 18, 2015 THIS CERTIFIES THAT THE BUILDING LOCATED at 200 Sutton Street MAY BE OCCUPIED AS a salon "Hue House" IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. Certificate Issued to: LBM Realty Trust 200 Sutton Street North Andover,MA 01845 Build ng Inspector Fee: $100.00 Receipt: 29223 Check : 104 r ��eLCO 66 aO IVM NORTH ANDOVER PUrLDING DEPARTMENT 1600 Osgood Street North.jidover . Tel: 978-688-9545 - Fax: 978-688-9542 BUSHESSFORM TOWN CLERK wLvtc- ,0NINGDISTRICT: PF-OF 33USDMS �+ 1 EUJLDINGLA.YODTPROVEDED: YES NO zoNiNGFYLAwUSA.CE: YES WO BUMUNG INSPECTOR.SIGN TUM EUSINHSS FORM FORTOWN CLERK A 1t 2.40 Rome Occupation(1989/32) r An accessory use conducted within a dwelling by a resident who resides in the dwelling as his principal address, which is clearly secondaryr to the use•of the-b'dding.for living ptuposes. Home occupations shall 'iiicliide,"but not'Iimited to the following uses; personal services such as fuuiished by an artist or instructor, but not occupation involved udth motor vehicle repairs, beau4,pallors, animal fennels, or the conduct o£ xetail business,or the manufacturing o�goods,which.impacts the residential nature of the neighborhood;' 4. For use of a dwelliiag in any residential district or multi-famffy district for a hoarse occupation,the following conditions shall apply. a. Not more than a total of three(3) people may be ftloye4,,�they hgirze occupation, one of whom shall be the�owaier of the ati6 and residing iiz said d�relling; b. The use is carried on strictly withinthe principal building; e. There shall be no exterior alterations, accessory buildings, or display which are not customaw with residential buildings; - d. Not more than.twenty-five(25) percent of the existing gross floor area of the dwelling unit. so used, not to exceed one thousand (1000) square feet; is devoted to'such use. Zit connection with such use,there is to be kept no stock in trade, commodities or products which occupy space beyond these limits; e. 'there will be no display of goads or wares visible from the street; f The building or premises occupied shall not be rendered objectionable or detrimental to the residential character of the neighborhood due to the exterior appearance, emissioii of odor, gas, smoke, dmfs noise, disturbance, or is any o4her way become objectionable or detrimental to any residential use witbinthe neigbborhocd; g. Any such building shall include no features of design_not custbmaxy in buildings for residential. use. s i eNIJDate NORTH own of 2 ? EAn ove r 10 ver, Mass, T O LANE COC NIC NC WtC.f � S u BOARD OF HEALTH Food/Kitchen PERMI LD Septic System THIS CERTIFIES THAT .....LIPA.... ... .. . ..... ... .......�........ .................................................. BUILDING INSPECTOR Foundation has permission to erect .......................... buildin son . d.... Y►...a.......Amilleox.W.#%o Rough to be occupied as ..o.....0;GP`..r�! ......... .. �. .......Q4 .. ..... ...............• Chimney provided that the person accepting this permit shall in every respect conform to the terms of the pplication 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 ONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCT TA 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. ��a DATE(MM/DD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 6/26/2015 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONA:L INSURED,the polioy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsemengs). PRODUCER GUN FACT NAME Mathias Insurance Agency, Inc PHONE97$-688-5531 � AX n10:978-687-7460 r 200 Sutton Street Suite 160 A/c ND FXIL North Andover, TKA 01845 ADDF2ESS: -^^ - i (S) AFFORDING COVERAGE _ NAIC# _ 1 INSURER av' A:Nigatogatore Specialty Insurance� Cn� INSURED Charles Construction Company, Inc. INSURERB_:8afety Insurance Co � PO Box 847 INSURER c_First Mercury Insurance Co North Andover, MA 01845 INSURERD:Trayelers Insurance Company INSURER€ INSURER F: COVERAGES CERTIFICATE NUMBER:' REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDLICED BY PAID CLAIMS. INR TYPE OF INSURANCE .p ygyD POLICY NUMBER {MM/DDIY?YY (MMAADDL SR /DD YYYY LIMITS 1,000,000}�/� /�/� COMMERCIAL GENERAL LIABILITY } EACH OCCURRENCE _$ 1 r 000,000 r_y� CLAIMS-MADE L_J OCCUR i PREMISES iEa occurrenca $ IS15CGL1331121C 05/16/15 05/16/16 MED EXP(Any one person) $ — A _ PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: I� GENERAL AGGREGATE $ X POLICY 1:1 CT E.1 LOC ( ` PRODUCTS-COMPIOP AGG $ OTHER: I $ AUTOMOBILE LIABILITY COMBINED SINGLE Ea accident _ $ 1;000,000 _ ANYAUTO 1)6/06/16 BODILY INJ URY(Per person) $ ALL OWNED 06/06125 SCHEDULED I 6213523 I BODILY INJURY(Per accident $ AUTOS X AUTOS ! NON-OWNED I Per accident, $ 1,000,000 X MIRED AUTOS +� AUTOS $ UMBRELLA LIAR �{ OCCUR EACH OCCURRENCE $ 5,000,000 C EXCESS LIAB _ CLAIMS4AADE N3BX000004370102 �05116I15 05116/16 AGGREGATE $ 5,000,000 DED I I RETENTION$ 11 $ WORKERS COMPENSATION TFr YIN NAND EMPLOYERS`LIASILiTY STA'T'UTE ER ANY PROPRIETORIPARTNERIEXECUTIVE E.L.EACH ACCIDENT $ 1,000,000 U OFFICER/MEMBER EXCLUDED? NIA (Mandatory in NH) 6HUB-980OM24-7-15 06/11/15 06/11/16 E.L.DISEASE-EA EMPLOYE-$ 1,000,000 If yyes,descr be under _ DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000 ° DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD t01,Additional Remarks Schadwe,mt?y be attached if more space is required) CERTIFICATE HOLDER CANCELLATION Town of North Andover SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Building Department THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN I g P ACCORDANCE WITH THE POLICY"PROVISIONS. j 1600 Osgood Street Bldg, 20, Suite 2035 AU HO ED ES TATIVE North Andover, MA 01.845 'o1988-204 ACORD CORPORATION. All rights reserved. ACORD25(2014/01) The ACORD name and logo are rea' red rks of ACORD Massachusetts -Department of Public Safety Board of Building Regulations and Standards Construction Super%isor License: CS-005712 . e Is � ,, STEVEN C MATS `S ,. 202 SUTTON ST J� N ANDOVER 0184 M Expiration Commissioner 10/23/2015 Q�'gq},CD lB�fi� �2 yti•tir �.a Ot F c •A NORTH ANDOVER.WELDING DEPARTAI ENT �•n¢�rA c unsm.ew�1� � 1600 Osgood Street '$sgAcHt�s�i - . . North AAdovex Tel: 978-688-9545 Fax: 978688-9542 BUSEVE'S,S FORM FOR TOWN CLERK DATE: (P-- a�-�5 SlId A/ NAWAmmss. acp ak �cn -cbt Nx)L-\n bojLv,-o r 4 E OF EUMM8S.. - , BC7MDING LAYOUT PRO'tTIDEA: YES NO AEVAIJIMLEE PARKMG SPAM: rl ZONMCI BY LAW USAGE: YES NO Boll, fNG JI& OTGR SIGNATURE BUSINESS FORM FOP-TOWN CLERK 2.40 Home Occupation(1989132) An accessory use conducted within a dwelling by a resident who resides in the dwelling as his principal address, which is clearly secondary'to the use.of the building for IiAng piuposes. Home occupations shall 'iiicliide,"but not"limited to the following uses; personal services such as furnished by an artist or instructor, but not occupation involved wffi motor vehicle repairs, beau4,parlors, animal kennels, or the conduct of retail business,or the manufacturing of goods,which impacts the residential nature of the neighborhood, 4. For use of a dwelling in any residenfial district or multi-f roily district for a home occupation,the following conditions shall apply: a. Not more than a total of three (3) people may be eTpjoyed,in tbe,•ligmo occupation, one of whom shall be the,owner of the hbmo occupation.and residing in.said&,-611mg, b. The use is carried on strictly within the principal building, c. More shall be no exterior alterations, accessory buildings, or display which are not custommy with residential buildings; . . d. Not more than tweet!-five (25) percent of the existing gross floor area of;the dwelling unit. so used, not to exceed one -thousand (1000) square feet; is devoted to'such. use. In connection with such use,there is to be kept no stock in trade, commodities or products which occupy space beyondthese limits; e. There will be no display of goods or wares visible from the street; f The building or premises occupied shall not be rendered objectionable or detrimental to the residential character of the neighborhood due to the exterior appearance, emission of odor, gas, smoke, dust, noise, disturbance, or in any other way become objectionable or detrimental to anyresidential use within.the neighborhood; g. .Any such building shall include no features of desiga not custernary in buildings for residential Use. signature Date