HomeMy WebLinkAboutBuilding Permit #Exception - 871 TURNPIKE STREET 9/9/2014BUILDING PERMIT
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TOWN OF NORTH ANDOVER
0
APPLICATION FOR PLAN EXAMINATION I
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Permit No#: Date Received
Date Issued:A, '5� CHUS
IMPORTANT: Applicant must complete all items on this page
LOCATION 174 1/ 0 12)')(-c ES Z4 A"7J,-1V
Print
PROPERTY OWNER V) V) C, I I'll- C
Print 100 YearStructure yes
MAP PARCEL:11�'Iz—t ZONING DISTRICT: Historic District yes
!Machine Shop Village yes *no
TYPE OF IMPROVEMENT
PROPOSED USE
Residential
Non- Residential
0 New Building
El One family
0 Addition
0 Two or more family
0 Industrial
D Alteration
No. of units:
11 Commercial
0 Repair, replacement
El Assessory Bldg
11 Others:
El Demolition
El Other
0 Septic 0 Well
El Floodplain El Wetlands
11 Wate hed District
�
0 Water/Sewer
1 -1 - I I
I 0e,
DESCRIPTION OF WORK TO BE PERFORMED:
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OWNER: Name:
Address: 'q� —7 1
Contractor Name:
�tification - Please TJ
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Phone: i
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pe or Print Clearly
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Address:
Supervisor's Construction License:. —Exp. Date:
Home Improvement License:— —Exp. Date:,.-
ARCHITECT/ENGI NEER 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.
--/— 7111n
Total Project Cost: $ FEE: $Crf
Check No.: Receipt No.:
NOTE: Persons contracting with unregistered contractors do not have access to the guarantyfund
-�—iq—na-t—ur-e-'of—co-n-t-ra—ctor
EignatureofAgent/Owner
Plans Submitted
Plans Waived 0 Certified Plot Plan 11 Stamped Plans [I
TYPE OF SEWERAGE DISPOSAL
Public Sewer
Tanning1massage/Body Art
Swinuning Pools
Well
Tobacco Sales
Food Packaging/Sales El
Private (septic tank, etc.
Pennanent Dumpster on Site
THE FOLLOWING SECTIONS FOR OFFICE USE ONLY
INTERDEPARTMENTAL SIGN OFF - U FORM
PLANNING & DEVELOPMENT Reviewed On
COMMENTS
Signature_
CONSERVATION Reviewed on Signature
COMMENTS
HEALTH Reviewed on Signature
COMMENTS
Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes
Planning Board Decision: Comments
Conservation Decision: Comments
Water & Sewer Connection/Signature & Date DrivewaV Permit
DPW Town Engineer: Signature:
Locatea M4 USgOOa ,street
FIRE DEPARTMENT - Temp Dumpster on site yes po
Located at 124 Main -Street
Fire Department signature/date
COMMENTS—
Dimension
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
MGL Chapter 166 Section 21A —F and G min.$100-$1000 fine
NU I t:bana UA I A — wor cieDartment use
J Notified for pickup Call Email
Date Time Contact Name
Doc.Building Pennit Revised 2014
M
r-
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
ci Building Permit Application
o Workers Comp Affidavit
Li Photo Copy Of H.I.C. And/Or C.S.L. Licenses
u Copy of Contract
Ei Floor Plan Or Proposed Interior Work
u Engineering Affidavits for Engineered products
NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit
Addition Or Decks
u Building Permit Application
Li Certified Surveyed Plot Plan
• Workers Comp Affidavit
• Photo Copy of H.I.C. And C.S.L. Licenses
E3 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)
Lj 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 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
Doe: Building Permit Revised 2014
—1
Location
1,361
Check
27995
Date 41
TOWN OF NORTH ANDOVER
Certificate of Occupanc I y $ Aq -
Building/Frame Permit Fee $.
Foundation Permit Fee $
Other Permit Fee $
TOTAL $
builbing Inspector
NORTH ANDOVER BUM -DING DEPARTMENT
1600 Osgood Street
North Andover
Tel: 978-688-9545
Fax: 978-688-9542
BUSINESS FORM FOR TOWN aERK
DATE: 6 11 0 '?- k I Lt
NAME: Ca V-6 ��--�C-fl
ADDRESS: -7 fU 0
ZONjNGDlSTR-FCT:—
IN
el cl
Y�j
TYPF- OF BUSINESS, 1L4A)e—J -IV) f--� 0 )2 �C
BUILDING LAYOUT PROVIDED: YE'S" NO
A7VAILABLE PARKMG SPACtS:
ZONING BYLAW USAGE: )mw NO
13USIMSS FORM FORTOWN CLERK
2.40 Horne Occupation (1989132)
An accessory use, conducted wifliffi a dwelling by a resident Ao resides in the dwelling a*s his principal
..address ' which is clearly 8econdary lo the use -of the -building. for �Idng puiposes, Home occupations shall
MCI "d 'blit
u 0, -tot'limited to the following uses; personal services such as furnished by an artist or instuctor,
but not occupation involved with motor vehiclo repairs, beauty padors, ammal kennels, or the conduct of
retail business, or the mamifacturi�g agoods, Which impacts the residential nature of the neighborhood,
4. For use of a dwelling in anv residential distdct or multi -family district for a home occup6tion, the
following conditions shall apply.
a. Not more than a total of fluee (3) people may be employW in the home occupation, one, of
whom shall be thet oWnier of thd h6me Owupation and residing Mi- said divolling,
b. The use, is carried on strictly within the principal building,
c. 'Rere shall be no ex-torior alterations, accessoxy buildings, or &play which are -not customW
with residential buildings, -
d. Not more flm twen�,fije (25) percent of the, emsting gross floor area of -dip, divelling unit.
so Used, not to exceed one thousand (1000) square fiet, is devoted to'such use. 'Jn
connection with
such use, there, is to be kept no stock in tade, commodities or products which occupy space,
bkyond these limits;
C. There, will be no display of go6ds or wares -visible from the street;
f The building or premises occupied shall not be rendered objecdonablo or detrimental to the
residential character of the neighborhood due to the exterior appearance, emission of odor,
gas, smoke, dust, noisq, disturbance, or in any offier way become objectionable, or
detrimental to any residential use, mithin the neighborhood,
g. Any such building shall Mic.111-do. features of dasip not customary in buildings for residential
Ilse.
Signature
Date
A
CERTIFICATE OF USE & OCCUPANCY
TOWN OF NORTH ANDOVER
Building Permit Number N/A —Date: September 9, 2014
THIS CERTIFIES THAT
THE BUILDING LOCATED ON 871 Turnpike Street — Suite 108
MAY BE OCCUPIED AS Carewell Physical Therapy Clinic IN ACCORDANCE WITH
THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH
OTHER REGULATIONS AS MAY APPLY.
Certificate Issued to: Dipti Shah
871 Turnpike Street — Suite 108
North Andover, MA 01845
Building' Inspector
Fee: $100.00
Receipt: 27995
Check: 8949
M
GROUND FLOOR UNIT
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31 Private offices
*
Reception area
*
Glass conference room
*
2 ceramic tiled baths
*
Kitchenette with stainless -steel sink.
*
Large storage closet
*
HVAC with heat pump
*
Central AC
if
Windows: Thermopane casements
with mint blinds and screens
Contact: David He -rick
978M8M292
dherrick(2officesultes-corn
Cejlings:.2� x'—)' revealed edge
acoustical til --
Flooring. Mgh quality conunercial
gade carpeting and ceramic tile
Lighting' Diffused fl6urescent
Wire, security, smoke detection
systems
Sprinkler system
City water and sewer
Ample free Parking,
For Lease
I 100, S -F
871 Turnpike Street
North Andover, MA 0 1845