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HomeMy WebLinkAboutBuilding Permit #Exception - 85 FLAGSHIP DRIVE 5/1/2018 TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit NO: /!'r Date Received Date Issued: IMPORTANT:Applicant must complete all items on this page LOCATION fj,4dsl l% i2-t l�� .51it ITL < ' A Wv7)a,-0 A-M �l Rif S— Print PROPERTY OWNER Print MAP NO: PARCEL: ZONING DISTRICT: Historic District yes no Machine Shop Village 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 ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other r0 Septics ��IrWell��� x ,� t �yFloodplain I�i�Wetlands� 0�WatershedlIDistrict !La_�,,, .5.._ -- - — - -:isi_.f -- - -' - - - - - — -- E-- K=.a.r.�� �= 4 -_,.l.•�`_+:,.-.tz..�. ....e.�� DESCRIPTION OF WORK TO BE PERFORMED: Identification Please Type or Print Clearly) OWNER: Name: l�S��'@fdc �^'�� Phone: 9176-'X 7- 710 0 Address: /�t/I`�'S/f�/� FL-rT"c /uG'ang A, /I* a 6 yv— ' CONTRACTOR Name: Phone: Address: Supervisor's Construction License: Exp. Date: Home Improvement License: Exp. Date: 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: $ FEE: $ /00✓ C' Check No.: J `l 1 Receipt No.: NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund nat r =co`` f. ntracto� :� .a. } Location O IrA—XG�l No. Date TOWN OF NORTH ANDOVER ° y Certificate of Occupancy $ �6 G Building/Frame/Frame Permit Fee $ s�CHU 9 Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # 23970 Aa'ding Inspector Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ TYPE OF SEWERAGE DISPOSAL Public Sewer ❑ Tanning/MassageBody 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 Sinature a 1 COMMENTS i Zoning Board of Appeals:Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments Conservation Decision: Comments I 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 I Dimension Number of Stories: Total square feet of floor area, based on Exterior dimensions. Total land area, sq. t.: 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 21A—F and G min.$100-$1000 fine NOTES and DATA— For department use i i ® Notified for pickup icku - Date Doc:.Building Permit Revised 2008 1 Building Department The following is a list of the required forms to be filled out for theappropriate ermit to be obtained. p (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 ❑ Floor Plan Or Proposed Interior Work ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire DepartmentPrior to issuance of Bldg Permit Addition Or Decks ❑ Building Permit Application ❑ Certified Surveyed Plot Plan ❑ Workers Comp Affidavit ❑ Photo Co py 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 Neter Construction (Single and Two Family) ❑ BuildingPermit 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 DOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit a all cases if a variance or special permit was required the Town Clerks office must stamp the decision from the Board of Appeals iat the appeal period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording . Lust be submitted with the building application Doe: Doc.Building Permit Revised 2008mi o _ Statement of Project Completion Project: 85 FLAGSHIP DRIVE Project Number: Handicapped Access Ramp to Building North Andover MA Date: August 28, 2008 Permit Number: 555 In accordance with 780 CMR (Commonwealth of Massachusetts Building Code) Section 116.0 Construction Control, and specifically Sections 116.2.2 Architect's/Engineer's Responsibilities during Construction, I. .......................Rainer,.Koch...N.CA REQ....................... Architectural Registration No. ..................MA 5056 ............ being a registered architect, have monitored the construction and provided the following tasks and documents during this construction process: 1. Reviewed for conformance to the design concept.*shop drawings, samples and other materials which were submitted by the contractor in accordance with the requirements of the construction documents. 2. Reviewed and approved the quality control procedures for all code-required controlled materials. 3. Was present at intervals appropriate to the stages of construction, generally familiar with the progress and quality of the work and determined, in general, that the work was being performed in a manner consistent with the construction documents. 4. Was present at the construction site on a regular basis or as outlined in the initial inspection schedule, and/or I have sent other appropriately qualified design professionals, to determine that the work was proceeding in accordance with the documents submitted with the building permit application and the applicable provisions of the Commonwealth of Massachusetts Building Code. 5. Provided the building inspector with an original, stamped report for each site visit, scheduled or otherwise. Please accept this statement in consideration for the issue of a CERTIFICATE OF OCCUPANCY for the above referenced project/work. :AM FD Signed and Sealed: or, No.5455 Attachments: '�l pr 1df Distribution: Building Department Client Architect Contractor/Field 38 Essex Road, Ipswich, Massachusetts 01938-2532 electronic: kccharchitects@verizon.net telephone: 1.978.356.5065 facsimile: 1.978.356.6056 Architect's Field Report Project: FITZGERALD HEALTH AND EDUCATION ASSOCIATESject Number: Pro 00720 Interior Improvements and Alterations Permit Number: 352-1011 North Andover MA Feld Report Number. 01 Date: Time: Weather: Temperature: 11/17/10 10:00 AM Rainy 59°F Work in Progress: 01. miscl. framing and cleanup 02. surface preparation for installation of ceramic floor tiles at bathrooms Observations: 01. all demolition at first floor areas and stairway done 02. below slab drainage lines relocated for new toilet locations ocati ons 03, framing at first floor areas in unit A complete and signed off 04. most of new stairway framed 05sound insulation installed at closed wall cavities 06. GWB installed, taped and sanded in areas of first phase work, opening for glazed side light complete 07 rough plumbing complete at first floor 08. entries to first floor private offices altered, to eliminate access alcove 09. material stocked for mezzanine framing 10. ceramic floor tiles and grout stocked for first floor bathrooms 11. no electrical, sprinkler piping and HVAC work yet Discussions/Coordination: 01. project phasing discussed to keep FHEA operational 02. framing support at newly created entries discussed, need 2x8 ledger at wall, to support sill plates at sistered floor joists(this will tie ample existing framing together for support) 03. mezzanine support framing and alignment discussed 04. requirement for lever hardware at all new and existing handicapped access doors discussed Follow-up Items: CZ No. Iv W Distribution: s� Building Department . � Client A., rH Of Architect Contractor/Field 38 Essex Road, Ipswich, Massachusetts 01938-2532 electronic: kocharchitects�verizon.net telephone: 1.978.356.5065 facsimile: 1.978.356.6056 JJ N�fh N M 7 aacnK� CERTIFICATE OF USE & OCCUPANCY TOWN OF NORTH ANDOVER Building Permit Number n/a Date: March 17,2011 THIS CERTIFIES THAT THE BUILDING LOCATED ON 85 Flagship Drive, North Andover, MA 01845 , Suite G Installernet Inc. MAY BE OCCUPIED AS integrated medicalsys_�terns IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. Certificate Issued to: Installernet Inc. 85 Flagship Drive North Andover,MA 01845 Building Inspector Fee: 100.00 Receipt: 23970