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Home My WebLink AboutBuilding Permit #104-14 - 21 HIGH STREET 7/30/2013 TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit N0: Date Received Date Issued: IMPORTANT:Applicant must complete all items on this page LOCATION `�� o-, . .� � �fi --•_ - �J �. + ivy Print 1 Lt'' PROPERTY OWNER _ � _ [ i - Print 100 Year Old'Structure yes, no MAP NO: PARCEL: _` ZONING DISTRICT: Historic District <yM no Machine Shop Village VM no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building ❑ One family ❑Addition ❑Two or more family ❑ Industrial 'Alteration No. of units: ❑ Commercial ❑ Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other ❑ Septic ❑Well ❑ Floodplain ❑Wetlands ❑ Watershed District ❑Water/Sewer DESCRIPTION OF WORK TO BE PERFORMED: r, tNS�il� l l ,.r ls� co U eA tzto 1 ^ Identific on Please Type or Print Clearly) OWNER: -Name 'N Q Pho -�)� � ne. � Address: X0-6 `� ZG fJ �,� '�cu2� N � ` S CONTRACTOR Name: Phone: - Address: ` I IA LyktuSy--'o \S 1F C��LI Supervisor's Construction Licenser, 3 LL Exp. Date: q, 2e 3 Home Improvement License: Exp. Date: ARCHITECT/ENGINEER s Phone: Address: Reg. No. a FEE SCHEDULE:BOLDING PERMIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. i' Total Project Cost: $ FEE: $ Check No.: 13�D Receipt No.: 4-, 6 LF3 NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund Signature of Agent/Owner Sigoafure of`contractor Plans Submitted 0 Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ Plans Submitted ❑ Plans Waived❑ Certified Plot Plan ❑ Stamped Plans ❑ I TIYPE OF SEWERAGE DISPOSAL Public Sewer ❑ Tanning/Massage/Body Art ❑. . .Swimming Pools ❑ Well ❑ Tobacco Sales ❑ Food Packaging/Sales ❑ Private(septic tank,etc. ❑ ElPermanent 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 COMMENTS HEALTH Reviewed on Signature COMMENTS Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes_ .. Planning Board Decision: Comments Conservation Decision: Comments Water & Sewer Connection/Signature& Date Driveway Permit DPW Tow;., Engineer: Signature: Located 384 Osgood Street FIRE DEPA'RTMENf - Temp Dumps n site es no Located at'124 Main Street Fire Departinert-signature /date ' COMMENTS 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 I 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 B Notified for pickup - Date Doe.Building Permit Revised 2010 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 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 o 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 In all cases if a variance or special permit was required the Town Clerks office must stzmp 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 subm'Ated with the building application Doc: Doc.Builiing permit Revised 2012 Location <% J No. 7 —�� Date 7-5o . - TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $ l l d Foundation Permit Fee $ kro��xjr � l, ' Other Permit Fee $ TOTAL $ .r Check# 2 U } j 436ding Inspector C�Gt"S�1 Location J ` ' 300 �/ LJ No. !` Date A . - TOWN OF NORTH ANDOVER D . Certificate of Occupancy $ , .� Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ #� •ATED TOTAL $ Check 4w)3 r: r• r, �� 6U Bbilding Inspector Ot,,ORTN AH ♦ +r �/1"O1n. rA9 S`SACRU°'ES CERTIFICATE OF USE & OCCUPANCY TOWN OF NORTH ANDOVER Building Permit Number 104-14 on 7/30/2013 Date: August 19, 2013 THIS CERTIFIES THAT THE BUILDING LOCATED ON 21 High Street - Suite 300— Third Floor MAY BE OCCUPIED AS Tenant Fitup IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. Certificate Issued to: Abhijit Beej Das Boston East India Hotels 31 Union Square West Suite 2D New York, NY 10003 Buil Jing Inspector Fee: $100.00 Receipt: 26758 Check :1392 i Boston East India Hotels LLC advisory•development•management Abhijit"Beef" Das Boston•Goa President&CEO Mumbai• New York 31 Union Square West,Suite 2D New York,New York 10003 USA Road Opposite Bank of India b o sto n Bhatiwado,Nerul,Bardez,Goa 403114 India . . i Main:+1617 8719950/+91832 6714141 Mobile:+919920428968/+1617 233 5280 uc Email:adas@bostoneastindia.com i NORTH Town of tAndover o - No. b Iq _ y LAE h , ver, Mass, 7hall-g, coc«Ic«ew.c.. 1' A- o P`y RATEo 01,V1 S U BOARD OF HEALTH r Food/Kitchen PERMITU L- D Septic System THIS CERTIFIES THAT pW.0 Y. ... ..�..,,�../:ll.-�... � BUILDING INSPECTOR has permission to erect .......................... buildings on .0��..l ..1.jt�.��.....1,51 : `. ... C ?....... Foundation Rough to be occupied as .................. Ff. .l�.f.:�...UP........................................................... Ch ney provided that the person accepting this permit shall in every respect conform to the terms of the application Fina 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 IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTION T TS Rough .............. Service /,�� .............. ........ .s,�., r� e ; ...... ]Final l�— 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 ', f Street No. Smoke Det. SEE REVERSE SIDE � NORTf/ Town of - n 0% o . T4": . inn No. _ _ - I� � Z C, : LA�f h , ver, Mass, 7 �d/ COCNic„ewicw y1. �d ATE0 S U BOARD OF HEALTH Food/Kitchen PERMIT . T/ / / Septic System THIS CERTIFIES THAT ....G�..1..(f(�............Y... ....1�.,�....// .. ......................................... BUILDING INSPECTOR has permission to erect .......................... buildings on o��..� tjt�.��'.... ......... �:!�E.,...�.C ?....... Foundation Rough to be occupied as rl... �.. . `,?� y provided that the person accepting this permit shall in every respect conform to the terms of the application 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 CONSTRUCTION T TS Rough .� ..............'. Service .............. ........ .6,l.��:r� �. �.... .. 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. �41 Smoke Det. SEE REVERSE SIDE Enter construction cost for fee cal - North Andover Fee Calculation Construction Cost 7,500.00 m $ - $ 90.00 Plumbing Fee $ 11.25 Gas Fee 100 comm. $ 100.00 Electrical Fee $ 11.25 Total fees collected $ 212.50 21 High Street 104-14 on 8/1/2013 Tenant Fit Out Suite 300 � r10 R Tl-/ Town of ) 2 t E 1, Andover 0 No. o h , ver, Mass, 7 30LAKI / COCNICMIWICK 'li.9s a^re D Pkl? U BOARD OF HEALTH Food/Kitchen PERMIT T LD Septic System /� y�� BUILDING INSPECTOR .. THIS CERTIFIES THAT ...: . .. ...:.... .......`...../."..:1./: - ... ............................................... has permission to erect .......................... buildings on .o��..l.. t�1.��.... .... �:! ., ....... Foundation Rough to be occupied as .................. l..F :.1 �: ...U . ......................................................... 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 CONSTRUCTION T TS Rough .................... Service .............. ........ +�`"�`� ��:e• 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. SEE REVERSE SIDE 14--- 1- Noi- _ _- - --- tt p�partmcnt MBo�ac�radchis►�t `« o •P' 5t. utio � ahikb. elnse Lice otruction Supervisor con License: CS 66334 HEWN � KIERAN T W `y - 31 RICHMoNoST WEYMpUTW�Mp,021SS e xpir ation: 912612x13 6166 comiitisgion� y a. 1 of 1 C I