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—
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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
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DESCRIPTION OF WORK TO BE PERFORMED:
Identification Please Type or Print Clearly)
OWNER: Name: l�S��'@fdc �^'�� Phone: 9176-'X 7- 710
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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
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} 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
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® 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
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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