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HomeMy WebLinkAboutBuilding Permit #213-14 - 565 TURNPIKE STREET 9/9/2013 TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit NO: 3"I Date Received Date Issued: IMPORTANT:Applicant must complete all items on this page 'N 104 Pent PROPERTY OWNER._ _ Pant 4 100 Year old;,Strueture yes nq MAP NO: -�_. `- 3PARCEL":_e ZONING DISiTiRICT Historic District yes no - il(agea yes rio MachinebShop V _ TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building ❑ One family El Addition El Two or more family ❑ Industrial El Alteration No. of units: El Commercial ❑ Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other Septic O V11ell s T©`Floodplainp :1Netlands - ❑ Watershed Distract x. DESCRIPTION OF WORK TO BE PERFORMED: ffX rrOLtY F t G _ ��� 2.1 S Identification Please Type or Print Clearly) OWNER: Name: Phone: Address: CONTRACTOR' Name -- — _. 'Phone!, R = _ - _ Address: $tapeNisor'ss Const taction.License y r- Exp: Date: Home Improvement:Llcense: - F ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE:BULDING PERMIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ 0 FEE: $ Check No.: /f72- Receipt No.: -92(:;�. NOTE: Persons contracting with unregistered contractors do not have access to the guarantyfund Sgnatureaof�Agent/O�wn _ Slg�iature,of'confactorx,, .,_ _._ u �� Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ Plans Submitted-0 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 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 P Planning Board Decision: Comments t Conservation Decision: Comments Nater & Sewer Connection/Signature& Date Driveway Permit DPW Tow;! Engineer: Signature: Located 384 Osgood Street FIRE DEPARTMENT - Temp Dumpster on site yes no Located-at-124;Mair, Street Fire Departmerit signature/date COMMENTS I - Dimension Number of Stories: Total square feet of floor area, based on Exterior dimensions. Total land area, sq. ft.: ELECTRICAL: Movement of dieter location, mast or service drop q pp requires approval of Electrical Inspector Yes No DANGER ZONE LITERATURE: Yes No MGL Chapter-166 Section 21A=F and G min.$100-$1000fine NOTES and DATA— (For department use s i i ® Notified for pickup - Date Doc.Building Permit Revised 2010 i Building Department The fol;owing is a-list of the required forms to be filled out for the appropriate permit to be obtained. Roofirg, 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 ❑ 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 cascs if a variance or special permit was required the Town Clerks office must stamp the decision from the Board of Appeals that the apw-al 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: Doc.Building Permit Revised 2012 i Location SZ5 1y��.d�' F NoR I` Date _ { 0 . TOWN OF NORTH ANDOVER ® fibli. • Certificate of Occupancy $ Building/Frame Permit Fee $ j Foundation Permit Fee $ �.. Other Permit Fee $ r�s� TOTAL $L — Check#1f�2 2681 9 Building Inspector ___ s�� �� ._ �- of,40RYN ,,do N T T 'rSHCNU`'E CERTIFICATE OF USE & OCCUPANCY TOWN OF NORTH ANDOVER Building Permit Number 213-14 on 9/9/2013 Date: October 4, 2013 THIS CERTIFIES THAT THE BUILDING LOCATED ON 565 Turnpike Street MAY BE OCCUPIED AS a dentist office IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. Certificate Issued to: Steven Rinaldi 565 Turnpike Street North Andover,MA 01845 Building Inspector Fee: PrePaid Receipt: 26819 Check : 1872 r ' NORTH own of E ndover o :. - r► 4 h n x LAK. h , ver, Mass, cocHjcKlWICK �1 A°RATED S U BOARD OF HEALTH Food/Kitchen PERMIT T LD Septic System THIS CERTIFIES THAT .........�.�.�1�:�EfJ�:..���:�.1:!+1.�s.�.b1..........�.I;%Ze?.......................................... BUILDING INSPECTOR Fou tion has permission to erect........................... buildings on .... . ...... ...... ...... ... :........................... fo_'4) 9 ' to be occupied as .....��.. :� /..a. 1. `I?' .... ... . .. �:. :.. ... .� Z/ nFin*a ey provided that the person accepting this permit shalt in every respect conform to the terms the application ¢s 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 I•N 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTION STARTS . �.... . Service .......... .. BUILDING INSPECTOR mal j)s •VV GAS INSPECTOR Occupancy Permit Required to Occupy Building Rough Display in a Conspicuous Place on the Premises — Do Not Remove -F 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 NORTH Town of 1 EAndover 0 ., y' 4A No. t 3 4 _ T C, L."", , ver, Mass, COCNIC.IWICK AoRATED ",f' �5 S U BOARD OF HEALTH Food/Kitchen PERMIT T LD Septic System THIS CERTIFIES THAT ........ BUILDING INSPECTOR .. Foundation has permission to erect.......................... buildings on .... .F?.,r........4'.r. ,, ? .!. ...��.. ............................ �. _ Rough 7 ' to be occupied as .....A<��� .�Y<. 1' .. ... ... ....�...��. f.:. :...... .... �. ...Y .. Chimney provided that the person accepting this permit shal�in every respect conform to the terms 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 Rough VIOLATION of the Zoning or Building Regulations Voids this Permit. Final PERMIT EXPIRES IN 6 MONTHSELECTRICAL INSPECTOR UNLESS CONSTRUCTION STAR 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 F 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