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Building Permit #600-2017 - 65 FLAGSHIP DRIVE 12/9/2016
�ORTy BUILDING PERMIT AW AI�,^� / `l ojF: �• �,A•116 1 TOWN OF NORTH ANDOVER o , �� APPLICATION FOR PLAN EXAMINATION '-* _ Permit No#• Date Received '�R'°Rwren�q¢xyq` �� Z,�� �SSAGHL15Et Date Issued: © `� � 7 IWORTANT:Applicant must complete all items on this page 5N•-rte� O.�� TIcOCAO . ��-{/-�,—•w r.1.r•c/A■,•xx + ts pRO 3l�Y O�-WNER � 10 _� , � -Tff-h 100 Yearx6tructure 4 _ MAP _- s,�P.AIR,ME,. ZONINQfQISTRICTu 1Histonc�®istnctt__ �yesl ono Machine ShopVillageyes no �. ? � 1`ye'.. J .�.M+•• .-.sJi_w ..�:= ...sh1 !'.k." "i.i.$':+�..f: per . �:.s, :...1' _ ...�,�+a,_x+a. u.._._ w.a... `^z . TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building ❑ One family ❑Addition ❑Two or more family ❑ Industrial I� ❑Alteration No. of units: ❑ Commercial ❑ Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other 0 Flood;Iain ❑1Netlands 0. V1laterslietl,Dlstnct t, D Septic O Well p. ,. t , .., Water/Sewer - � �...x`.�; :- '' - ESCRIPTIO F W, K TO BE ER ORMED- h Gi Qr C ak OSS Norte Iden cation- ase Type or P nt Clearly, n OWNER: Name:_ r 1 ra 1�1�1O1 �C Phone: Address: Phone: _ . ,}" ,,��x.�g`or c..,i•.iJ�t y.J--.e.Y � �.t r. "R it.. ,.._».-. .. .. .. r r IrJ-°♦ ?�+-• .,.-•,»�.,•-+° �fk`-FC-�j��*F.i+�3��_5 j'�T'"^... e4� ,` � jAddre9§;,4-c•s-s,-.vL:. �Le :.:..:i .. .,:: . _ - ......:..:::J,w :•2.�. _.y....3. tiJJwL::� •�''��: �: "! - CjA. 1 rh. •.%•� �. •,fie y�, kr �k i -♦ sdh4. S `: 41 ai.�S...Cu.i..p,e�,ea r�Mhv..i:it.strt;r-Y ,.,i.• C�o,'�.H.".t�t•'�"�`6t.._.;�,.ty,._.,-z•�3:.�'St"-�-J..��+rA�•�`�r a,rr�.t.; 's onstr at°1 aer gAsiL �".o7-yi at"► .'r,.y°fJ�S7Y"......?.,G' F65.y..0-..-..t-vw""9wwl •A -. �.h.. K�. tL^""'k�??'�.LAS`t^� �;,.a:f '�" '• � " 1 h 1:���i..p�4 s.i• 'w �Exp4"�rl]a Le 4' .K^•+...YX..�a��sa-.'*� +L-�..:�°Y •.°d'a�xR . Home Irrrn.fovementr U,icense> •_ ARCHITECT/ENGINEER Phone: r Address: Reg. No. u FEE SCHEDULE.BULDING PERMIT:$92.00 PER$9000.00 OF THE TOTAL ESTIMATED COST BASED $125.00 PER S.F. Total Project Cost: $ �,00 0 FEE: $ y Check No.: © 19 Receipt No.. NOT Pe o co a •n wit unregistered contractors do not have:access to the guaranty fun � �� Si o :_Ag nt/ Signature of contractor Location b/ No. /!%� '�r �/� Date • - TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $' � Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check#N—o Building Inspector / 1 Plans Submitted ❑ Plans Waived Certified Plot Plan ❑ Stamped Plans ❑ TYPB'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 f HEALTH Reviewed on Signature COMMENTS s 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 FIRE DEPARTMENT' -..Temp Dumpster on site yes no Located at 124.Main Street Fire Department signature/date COMMENTS r limension 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 ®ANGER ZONE LITERATURE: Yes No MGL Chapter 166 Section 21A—F and G min.$1oo-$1000 fine NOTES and DATA— (For department use) /Z M6; r. "Ali � N ❑ Notified for pickup Call Email ate Time Contact Name Doc.Building Pennit Revised 2014 it .. Building Department The following is a list of the required forms to be filled out for the appropriate permit to be obtained. r Roofing, Siding, Interior Rehabilitation Permits ❑ Building Permit Application w ❑ 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- o 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 NOTE: All dumpster permits require sign offrom 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 40TE: 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 ti Doc:Building Permit Revised 2014 oN•.7h h CERTIFICATE OF USE & OCCUPANCY TOWN OF NORTH ANDOVER Building Permit Number 600-2017 on 12/5/2016 Date: February 14, 2017 THIS CERTIFIES THAT THE BUILDING LOCATED at 65 Flagship Drive MAY BE OCCUPIED AS a tenant fit up — Cross Fit North Andover IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. Certificate Issued to: Leander Pease 65 Flagship Drive North Andover,MA 01845 Building Inspector Fee: PrePaid$100.00 Receipt: 1080 Check : 30863 ►�1� ZIZ��I"t Q a ME i amDr 4 \ R rm ue e RIM ' DX D f r ' 9 0 Z7�11 y I S Ia F` project/owner. sheet title: consultant architect , yF'§5 4'e;•@ s"a m • WO ICE TRAINING CENTERS OF AMERICA GSD Assoaates,LLC V WO S i �P 65 FLAGSHIP DRIVE EXPANSION PLAN 148 Main SL Bkg.A W RldF tl "g gay NORTH ANDOVER,MA01645 North ArMover,MA 01945 Tel:978.688.5422 Fax 978{88.5717 • l.g�:a NORTIy own o4\ ndover , No. -ab 4C, "t a _ ,� +� h ver, Mass � aQ' o coc"ICHIWIcw y1. U BOARD OF HEALTH Food/Kitchen PE . IT T D Septic System J0 db THIS CERTIFIES THAT ........� •I� BUILDING INSPECTOR ............�. , ............... .. ..... .... .......... ... .%.. 5 has permission to erect ........ buildings on Foundation E ` Rough to be occupied as f . ... .. .... w M. ... . ... .. .. .. .............. ... .... . 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 CON TI Rough Service ... .... ........... .... Final BUILD SPEC R 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.