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HomeMy WebLinkAboutBuilding Permit #Exception - 871 TURNPIKE STREET 9/9/2014BUILDING PERMIT .16 TOWN OF NORTH ANDOVER 0 APPLICATION FOR PLAN EXAMINATION I 5� 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: .5 ), -!5 1? (-- i V) - C, -A, ':?- D1'),(1---fC14 �05-cla-i C.//,)' ),C- 0 d 1 6, IV( -,A 4--� � <,- �� V 1 C4 Ca. V -r- L-xr- I I OWNER: Name: Address: 'q� —7 1 Contractor Name: �tification - Please TJ I �, /a J, " — 1�, � /V� 12 L Phone: i -�3 t, I L-,:;4 —r �)-. pe or Print Clearly N- 'SC4 , L c <2 a . %I �e Pho�nef3 cc) /Y70 Rqo - &V1 "/ 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 X. j r.- < < ir Jim C� FS -4 M 0 XI) =3 IJ (D 7e) E-� * 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