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HomeMy WebLinkAboutBuilding Permit #198-2017 - 451 ANDOVER STREET 8/24/2016 V BUILDING PERMIT o� NORTy q TOWN OF NORTH ANDOVER �? yE.;,,.- ,_....•a o APPLICATION FOR PLAN EXAMINATION ° ; r Permit No#: 5b--U�'l Date Received � " �•4 Q�q•lrED rPp��S SSAaR .� CHUS� Date Issued. �l IMPORTANT: Applicant must complete all items on this page LOCATION Print � PROPERTY OWNER J Print 100 Year Structureye no MAP PARCEL: ZONING DISTRICT: Historic District no Machine Shop Village y s no TYPE OF IMPROVEMENT PROPOSED USE01 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: 516N ON Identification- se Type or Print MMy OWNER: Name: Phone: Address: -Co4r4GtQr-�e: Pd / OJJ/16Phone: - 3 j Email: 4-7 7 Z 4:; Address: Supervisor's Construction License: Exp. Date: Home Improvement License: Exp. Date: ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE.BULDING PERMIT. P_ER_$100D-D0 OF THE TOTAL ESTIMATED COST BASED ON$925.00 PER S.F. Total Project Cost: $ F (�© FEE: $ Check No.: / 3a _ Receipt No.: (Q NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund Location No. �sS " G(� Date 4 • - TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $-� Foundation Permit Fee '$ Other Permit Fee $ TOTAL $ 4 1 r Check# f 13uildin Inspector �' 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. ❑ Pennanent Dempster on Site ❑ THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM PLANNING & DEVELOPMENT Reviewed On Signature_ COMMENTS CONSERVATION Reviewed on Signature f 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 Town Engineer: Signature: Located 384 Osgood Street TepDupFIREMNTm ,yesy_ . Yno3so+Locateat +124tMain.Stteet Fire+D,epartment signgture/date COMMENTS- C 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 DANCER ZONE LITERATURE: Yes No MGL Chapter 166 Section 21A—F and G min.$10041000 fine NOTES and DATA— (For department use) ❑ Notified for pickup Call Email Date Time Contact Name Doc.Building Pennit Revised 2014 __ r 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 4� 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 4 Building Permit Application 4. 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 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 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 2012 IECC Energy code 4 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 NORTfy '9 Town of 2 6Andover O to No. — 6 h ver, MassAA GOCNICNlWK.t �1' W OSIV % �a A�R�TED PPa,��y S u BOARD OF HEALTH Food/Kitchen PER Septic System T L D THIS CERTIFIES THAT .......... BUILDING INSPECTOR .. . . .::. ......... ........... .... .. . ...... .... .... .......... ............. . Foundation has permission to erect 4v.......................... buildings on ...... ..,.�......... .1! ... ..... •` ..-.......... Rough 1 t0 be OCCUpled as .................. ...I ..... ...;co2nfoYr;io-th-e-term-s-of-th-e-ap-p-licat-ion... .. .. . ...... . ... .. . ... . ..... .... Chimney provided that the person accepting this perm hall iry respec 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. 6�*&b 4% PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. L Rough Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSL=WBU Rough Service ILDI INSPECTOR Final 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. NORTH q oven of � t sAndover No. h ver, Mass A MASI caq_70a I A- COCNICM[Wrc.t 9 ___r 7�S RATED U BOARD OF HEALTH PER Food/Kitchen Septic System THIS CERTIFIES THAT .......... BUILDING INSPECTOR .. T ........... .... .. Alo... Wqft *,.......... Foundation has permission to erect .... ..................... buildings on ....�I.... ..... Rough tobe occupied as .................. . .. . .. .... .... ... .. ........ '.....,� ..... ............................................. Chimney provided that the person accepting this perm hall in eery respect confo m 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. ,A .� 4%) b) PLUMBING INSPECTOR v M Rough VIOLATION of the Zoning or Building Regulations Voids this Permit. L Final I PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSLMWB�61 Rough Service ...... ....... ......... Final LDI INSPECTOR GAS INSPECTOR Occupancv 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. Ififtftw-BOSTON 9DEVELOPMENT GROUP NAOP CONDOMINIUM TRUST 93 UNION ST. SUITE 31S NEWTON CENTRE,MA 02459 August 17,2016 Lyme Laser Dr.Douglas Wine 4S1 Andover Street,Suite 190 North Andover,MA 01845 Re:Building Signage Dear Tenant: Please accept this letter as approval for exterior building signage. Sincerely, 1 ie Z ssma hi f Op g Officer of Boston Development Group BOSTON DEVELOPMENT GROUP 93 Union Street. Suite 315,!Newton Centre,MA 02459 TEL:617 332.6440 f JIM NO Ai , 4 u 4 4 5 1 4 w r . �. VI5 L R,5 LYME ]LASER " CENTERS OF NEW ENGLAND g _ , o � - �, _ ,_ , _ ._ __,_W_�__. ,� ,_._ , � �_ _., _. a SEAPORT SIGNWORKS 18 GRAF RD UNIT 10 NEWBURYPORT,MA 01950 08/04%2016 16:49:53 CREDIT CARD MC SALE Card# XXXXXXXXxd- SEQ#: Batch 9: ro, INVOICE 6 Approval Code: 080405 Entry Method: ,,,iped Mode: Online Tax Amount: $uo SALE AMOUNT $600,00 CUSTOMER COPY Seaport Signworks ' Q sea ort � 18 Graf Road, Unit 10 UnitedNewbutate MA 01950 n EICP v United States �(\/ rks Phone:978-463-4444 www.seaportsignworks.com l i Quote 7808 -Various Signage Expiration Date : 10/05/2016 Quote for Contact Shippinglinstall Lyme Laser Centers of New Doug Wine England Mobile:(978)828-3154 58 Winnacunnet Rd Email:drwine@lymelasercentersofnewengland.com Hampton NH 03842 Address:58 Wrinacunnet Rd Hampton NH 03842 Quote# Quote Date Sales Rep Payment Terms PO PO Date 7808 07/07/2016 Due Upon Receipt Items # Item Qty Unit Price Disc.Price Total(Ex.Tax) Tax 1 Layout-Design 1 $60.00 $60.00 $60.00 $0.00 Includes:layout of text&graphics ***ESTIMATE ONLY*** 2 Fabricated Aluminum Wall Sign 1 $673.20 $673.20 $673.20 $42.08 60"w x 48"h-Fabricated aluminum sign with digitally printed graphics (per customer approved layout) 3 Tenant Panel Overlays 2 $76.25 $76.25 $152.50 $9.53 60"w X 15"h digitally printed vinyl overlay(Sizes may change) (per customer approved layout) ***ESTIMATE ONLY*** 4 Window Decals 6 $12.50 $12.50 $75.00 $4.69 20"w X 5"w Window decals(Sizes may change) (3)Logos (3)Websites (per customer approved layout) ***ESTIMATE ONLY*** 5 Installation 1 $240.00 $240.00 $240.00 $0.00 Includes:Installation of Wall Sign&Graphics at customer site Total Sub Total Total Tax Taxable Amount Non-Taxable Amount Final Price (Tax Percentage) $1,200.70 $56.30(6.25%) $900.70 $300.00 $1,257.00 Downpayment(%) $0.00 Emailed 07/07/2016 05:06 EDT by DM Page 1 of 2 y: u' A,. SEAPORT SIGNWORKS 18 GRAF RD UNIT 10 NEWBURYPORT,MA 01950 08/04/2016 16;49;53 CREDIT CARD MC SALE Card# XXXXXXXXXXXX5307 SEQ#; 6 Batch#: 167 INVOICE 6 Approval Code: 080405 Entry Method: SYyiped Mode: Online Tax Amount: $0.00 SALE AMOUNT $600,00 CUSTOMER COPY SIGN PERMIT APPLICATION 1600 Osgood Street–Building 20, Suite 2035 TOWN OF NORTH ANDOVER Map Parcel DATE SUBMITTED I I Site Owner T � � 7P{�� G�IJ� Applicant, S� ����1 � INTel1 _cj COJ A 51 AN`LNEPI- � N AaP LLC Ll 8" X :72 Site Address � N,.��o� Size�–�� of Proposed Sign INTERNALLY ILLUM HATED SIGN PROIIDBITED How attached: a)Against the wall ✓ b)Roof Illumination: of illwninated c) Ground b e—! y i mated d) Other Materials: 01"� 11 1 M � 7�- Proposed Colors: Background Lettering DA i LK TW)F_- / r p Border Required Attachments: Photographs of building- Note: No permanenthemporary sign shall be erected, or enlarged until an Material sample application on the appropriate form fWmished by the Sign Office has been Color sample filed with the Sign Officer containing such information including Site or Plot Plan(Required for all free-standing signs) photographs,plans and scale drawings,as he may require, and a permit Drawings of proposed sign for such erection,alteration, or enlargement has been issued by him Other, specify Such permit shall be issued only of the Sign Officer determines that the sign complies or will comply with all applicable provisions of the By- j Law. Will sign overhang any public road or walkway Yes ( ) No (� If Yes,Name of Agency who will.provide liability insurance: i AN INCOMPLETE APPLICATION WILL NOT BE ACCEPTED DATE FILED: SIGNA'T'URE OF APPLICANT DRAFT i EXHIBIT A FLOOR PLAN OF PREMISES 111 yvb^'ll� room nL'FZ � r ,f71^l�xz OPiG C_ 27