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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 � OH 7.0 A�N'{TEO rpP`i�f. IMPORTANT: Applicant must complete all items on this page /� _ a T LOCATION I �6 � ) vrn p b ice S+- 1)n Print _ - 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) nn ro SQ( - et` • Ph( to 1-2 '5357- ak-) a ) CONTRACTOR Name: -p f Phone: y 7$ -2,6 S`= on ' � � 41 a ,Address: IO 6 p y„ s3. _ 'C, License: "° Exp. Date: ' n a16032, ar 0 1g . 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. o °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 0 CL •Q. L V �a � s o S m L O M v W O _� t �CD L - Q� h � c 0 0 a. " 3 yra J > C Cc i or - N � O O O -0 > Ab N d Q C = s t .O .Q E•0 0 O � Q C Z ®N O O �t 'N a' a, cm > 0 = Q CL 4) •� 0 v 0 c ,a c N as .O = OCLN O ca v m N .r W -0 +�+ O O ' uj LLd N C O nQ t O w = � V O W i 0 O .a V Q0-0 d Q CO) 0g j ;� J y g 0 O OCL 0 z m co z U) CL W W CL O LTS U 0 W O O Z O N O = .� m In a. c� O . �+ V L cO Q a. 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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 i^nn en nrnf^l Ai rinrenninivi Cr) I--%/-nAAII 'nnn A. rnn nn nrnri A rinrmri i^nnn f w � 1 a Y i • A ate f w � 1 a Y •tet ate t oOr r 2 0 C UJ 0 f w � � f S P ate LUk