HomeMy WebLinkAboutBuilding Permit #717-2017 - 565 TURNPIKE STREET 1/17/2017•* V
BUILDING PERMIT
TOWN OF NORTH ANDOVER
7/-7 X17 APPLICATION FOR PLAN EXAMINATION
Permit NO: Date Received
Date Issued: /// -711-7
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IMPORTANT: Applicant must complete all items on this page
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LOCATION I �6 � ) vrn p b ice S+- 1)n
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PROPERTY,OWNERP Urd 10a, co.
`°7 r7n Print ao-, MAP NO:" `�PARCEL.- /�� ZONING DISTRICT: Historic District yes V,Machine Shop Village yes °(
TYPE OF IMPROVEMENT
PROPOSED USE
Residential
Non- Residential
❑ New Building
❑ One family
,Address:
IO 6
❑ Addition
❑ Two or more family
❑ Industrial
y -Alteration
No. of units:
bLCommercial
❑ Repair, replacement
❑ Assessory Bldg
E Others:
❑ Demolition
❑ Other
n
,,❑ Septic ❑ Well g
- ❑ Floodplain ❑ Wetlands
❑ Watershed District
0 Water%Sewer,
Exp. Date: Y„
_
OWNER: Name:
Address:
rta Cnr�nll�e.r �,�a�S in Dr�Px�s�,nc CnrinK.�e
Identification Please Type or Print Clearly)
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CONTRACTOR Name: -p f
Phone: y 7$ -2,6 S`=
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,Address:
IO 6
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'C, License: "°
Exp. Date:
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Improvement License:. _
Exp. Date: Y„
.Home
ARCHITECT/ENGINEER Phone:
Address: Reg. No.
FEE SCHEDULE: BULDING PERMIT: $92.00 PER $9000.00 OF THE TOTAL ESTIMATED COST BASED ON $125.00 PER S.F.
Total Project Cost: $�3 7�'y FEE: $
Check No.: CaL I Receipt No.: "> ILA,43
NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund
e
permit No#:
Date Issued:
BUILDING PERMIT
TOWN OF NORTH ANDOVER
APPLICATION FOR PLAN EXAMINATION
Date Received
%AORTy
O&J"so ,6�4.
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°R�reo r4p< k
�SSACHUS��
IMPORTANT: Applicant must complete all items on this page
ME
LOCATION _._�.� �7� - - _ - -- - - - - `--_ *-4
PnnW. Sto sQ
RMERTY�/VNER �.J s _
��Pnnt` � � 10D -Year ructure
ZONING DISTRICTx �:�. HlstoricDistnct yes,�� no
M c tne�Sh 'ill yes 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
El Assessory Bldg
❑ Others:
❑ Demolition
❑ Other
_
__........,_...,.__.
❑Septic Well
_ _ .
Floodplain Wetlands
ed ®is
Ij Watersh tact
L:�;=��;`4
❑_Water/Sewer. _
- - - -
2.,._ s,ti - --
Ut5(;1{IY I IUN ut' VVUKM l U Dl= rcrsre���dicv.
Identification - Please Type or Print Clearly
OWNER: Name:
Phone:
Address:
Contractor Name:-..: Phone;:
_
- _-_-:.-....__:. _ .
u erVisor's<Con tructlon License
ExpDafeb_s,'-
LLome! lmprovem` ent License _
Exp: Date
ARCHITECT/ENGINEER
Phone:
Address:
Reg. No.
FEE SCHEDULE: BULDING PERMIT: $92.00 PER $9000.00 OFTHE TOTAL ESTIMATED COST BASED ON $925 00 PER S -F.
, 'otat Project Cost: $
FEE: $
Check No.:
Receipt No.
NOTE: Persons contracting with unregistered contractors do not have: access to the guaranty fund
AnenfilC��rilhAr
Sicinature of contractor's
4:--.; f-%. �
Plans Submitted ❑ Plans Waived 0 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 Sianature
COMMENTS
a
Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes
Planning Board Decision: Comments
Conservation Decision: Comments
Water & Sewer Connection/Signature hate Driveway Permit
DPW Town Engineer: Signature:
Located 384 Osgood Street
FIRE DEPARTMENT- - Temp Dumpster on site yes
Loeated at 124 Main Street
Fire Department signature/date
]-COMMENTS
no
-Amension
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 21 A —F and G min.$100-$1000 fine
Doc.Bujiding 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
o Building Permit Application
o Workers Comp Affidavit
o Photo Copy Of H.I.C. And/Or C.S.L. Licenses
L, Copy of Contract
o 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
o Photo Copy of H.I.C. And C.S.L. Licenses
o Copy Of Contract
a 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
,MOTE: 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
n 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 Con 1 act
a Mass check Energy Compliance Report
o Engineering Affidavits for Engineered products
DOTE: 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
LocationCJ
No.-� Date
Check #
31443
TOWN OF NORTH ANDOVER
Certificate of Occupancy
Building/Frame Permit Fee
Foundation Permit Fee
Other Permit Fee
TOTAL
1
Building Inspector
)wn of North Andover
ayment Date Tuesday, January 17, 2017
eposit Number 1701171
perator Counter pc 1
CR (BUILDING INSPECTION) $30.00
ri
)tal Paid $30.00
ash $30.00
hange $0.00
eceipt Number gov00005274
17/2017 9:31:53 AM
ame 31443
ashier Id. treascoll-17
id
161
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Commercial Fire Sprinkler
P.O. Box 9335, Lowell, MA 01853
CommercialFireSprinkler@gmail.com
CommercialFirelnc.com
(978)265-1778
North Andover Fire Department
Fire Prevention Officer
795 Chickering Road
North Andover, MA 01845
To Whom It May Concern,
October 25, 2016
Commercial Fire Sprinkler, Inc. will be performing the following work for Landmark Associates
on a property located at 56S Turnpike Street, North Andover, MA 01845: Relocate existing
sprinkler heads into new acoustical ceiling grid. We will not be adding any new heads.
The work to be completed on the preexisting sprinkler system will be done in accordance of the
latest edition of NFPA 13, and the Massachusetts State Building Codes. All testing and
acceptance requirements will be in accordance with NFPA 13, and the local authority having
jurisdiction.
If you have any questions or concerns, please contact our office at (978)265-1778.
Thank You,
1!
Jason Wing
President & Owner
Commercial Fire Sprinkler
COMMERCIAL FIRE SPRINKLER, INC. • 978.265.1778 • PO BOX 9335 LOWELL, MA 01853
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