HomeMy WebLinkAboutMiscellaneous - 125 FLAGSHIP DRIVE 4/30/2018 (7) BUILDING FILE
Location a FIA S14
No. Date
NORTh TOWN OF NORTH ANDOVER
9
} ° Certificate of Occupancy $
Building/Frame Permit Fee $
s,+cMuse
Foundation Permit Fee $
Other Permit Fee $
TOT�L $ 0
Check #
15872
Building Inspector
TOWN OF NORTH ANDOVER BUILDING DEPARTMENT
APPLICATION TO CONSTRUCT REPAIR,RENOVATE,CHANGE THE USE OR OCCUPANCY OF, OR DEMOLISH ANY BUILDING ITI
OTHER THAN A ONE OR TWO FAMILY DWELLING_
`gP,�0113 Se'Ct10R for Official Use®III w�,,x�� �R���a���� � � �r�t�e�t � v b� ic_
BUILDING PERMIT NUMBER: ��� DATE ISSUED:
/ oZ Cl
SIGNATURE: ✓!�v �4
Building Commissioner/I or of Buildings Date
1.1 Property Address: / 1.2 Assessors Map and Parcel Number:
e, CD 140 Map Number Parcel Number
1.3 Zoning Information: 1.4 Property Dimensions: v
Zoning District Pr osed Use Lot.Area s Frontage(ft) m
1.6 BUILDING SETBACKS(ft)
Front Yard Side Yard Rear Yard
Required Provide Required Provided R red Provided
Sa /oo ' S'a' 117 " .fo' 'A 6 Is-
1.7
1.7 Water Supply M.G.L.C.40. 54) 1.5. Flood Zone Information: 1.8 Sewerage Disposal System:
Public Private ❑ Zone Outside Flood Zoe ❑ Municipal ,� On Site Disposal System ❑
2.1 Owner of Record
Wme(Print) Address for Service:
C.-Al
Signature Telgpltone
2.2 Authorized Agent
14ame nt Address for Service:
Signature Telephone
90
3.1 Licensed Construction Supervisor Not Applicable ❑
i
Address License Number O
Licensed Construction Supervisor:
Expiration Date
Signature Telephone r
3.2 Registered Home Improvement Contractor Not Applicable ❑
Company Name Registration Number
M
r
Address
�— Expiration Date ZZ
Signature Telephone hone
YI.
Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the
issuance of the building permit.
Signed affidavit Attached Yea.......❑ No.......❑
SECTIQAF S-PRI?IC$SSlfll�e4dL bESGt �STIEIICTI�tRIC) S )CFS BUIIi+tS A1�7►S '12iTC'[ 31€ S SIIYG°I Tb
C#7NSTRITI CTtOI PtTAM 116�+C+[)NxAIN MQ ? G� ;OF CT ►S1�t1 SPd�CI ) `
-
5.1 Registered Architect:
Name:
Address
Signature Telephone
�,.�Regst�rec��f'exs�a�3 ���`� �� �•
Area of Responsibility -• ,
i Name:
Registration Number .
Address:
Expiration Date
Signature Total
Not applicable ❑
Name:
Address - . . • „ . z .. .
Registration Number
Signature Telephone` ` Expiration Date
Name Area of Responsibility ►�
Y
Address Registration Number
Signature Telephone Expiration Date
Name
Area of Responsibility
Address Registration Number
Signatures yt Telephone Expiration Date
Company Name:
Not Applicable ❑
,__._
Responsible in Charge of Construction
m
a • �
New Construction ❑ Existing Building 0 Repair(s) ❑ Alterations(s) ❑ Addition ❑
Accessory Bldg. ❑ Demolition ❑ Other ify
Brief Description of Proposed Work:
PAU Jf � r �f e -�u.a o'Zc� �o cn.S /�+/P�r".o� Gori f.9 ,n d✓,!' M Y�C�_ �,o.✓�
O T o / �i9�r r7'x e c 2. 6 y fo r n e..-- y S a
/ rf
. s i-7 14\-t_ e C, 5Z"--0
a{ f • n G ` �o�
ee
(�a+� l�yy. 1 ro �e,r ,ate,v( �'c C efl�••.. �.-•�t -� � S ,v-G f�m�
',fir �lyf) Q
USE GROUP Check as applicable) CONSTRUCTION TYPE
A Assembly ❑ A-1 ❑ A-2 ❑ A-3 ❑ IA ❑
A4 ❑ A-5 ❑ 113 ❑
B Business ❑ 2A ❑
C Educational ❑ 2B ❑
F Factory 0 F-I ❑ F-2 ❑ 2C ❑
H High Hazard ❑ 3A 0
I Institutional ❑ I-I ❑ 1-2 ❑ 1-31 ❑ 3B ❑
M'Mercantile 0 4 ❑
R residential ❑ R-I ❑ R-2 ❑ R-3 ❑ 5A 0
S Storage 0 S-1 ❑ S-2 ❑ 5B 0
U Utility ❑ Specify:
M Mixed Use 0 Specify:
S Special Use 0 Specify:
COMPLETE THIS SECTION IF EXISTING BUILDING UNDERGOING RENOVATIONS,ADDITIONS AND OR CHANGE IN USE
Existing Use Group'-- Proposed Use Group:
Existing Hazard Index 780 CMR 34: Proposed Hazard Index 780 CMR 34:
BUILDING AREA EXISTING if applicable) PROPOSED
Number of Floors or Stories Include
Basement levels
Floor Area per Floor s
Total Area s
Total Height ft
Independent Structural Engineering Structural Peer Review Required Yes ❑ No ❑
SECTION 10a Owner Authorization- TO BE COMPLETED WHEN
OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
I> ,as Owner of the subject property
Hereby authorize to act on
My behalf, in all matters relative two work authorized by this building permit application
9
� 9 z coo
Signature of er Datd
1��
o
I, as Owner/Authorized
Agent
Hereby declare that the statements and information on the foregoing application are true and accurate,to the best of my
knowledge and belief.
Signed under the pains and penalties of perjury
�,'f3 �.r..•'�}' p� ,. .+ fat , ,+ a.. � ., t'-`. •. r r'�+ .+ `' ._ . . �. «Hr.aL.q � :�� '
f
-Print Name '`'1 - ?♦G j .t e ?+ s 1 e ` .�•.. a . •` y. +•r =• • ..+r
Signature of OWrner/Agent Bate - " '
�'`�
Item Estimated Cost(Dollars)to be
Completed by permit applicant ,
1. Building (a) Building Permit Fee
Multiplier
2 Electrical (b) Estimated Total Cost of
Construction from(6)
3 Plumbing Building Permit fee (a)x(b)
4 Mechanical(HVAC)
5 Fire Protection
6 Total (1+2+3+4+5) Check Number
s'I a tr• �' c r ,w
`t A,"A �+.x 4 C� G'a: S l 'CcF ?, R J
Y yr '� .,�'<r �� ff� fl-. n�� �s� f' �(�i�'f rs.... 3.+? ..s
i.:gj`�,�^iV'xi �7X£��x.61Vy�� tx.5�y
..1.. 7. >xj�'i'S., u a hrx f8_:1 r zY
a k ,a ), 5 g�. �3k
NO.OF STORIES SIZE
BASEMENT OR SLAB
SIZE OF FLOOR TIMBERS 1 sr 2ND 3RD
SPAN
DEMENSIONS OF SILLS
DEMENSIONS OF POSTS
DIMENSIONS OF GIRDERS
HEIGHT OF FOUNDATION THICKNESS
SIZE OF FOOTING X
MATERIAL OF CHIMNEY
i
IS BUILDING ON SOLID OR FILLED LAND
j IS BUILDING CONNECTED TO NATURAL GAS LINE
.r.
• a t
i
FORM U - LOT RELEASE FORM
INSTRUCTIONS: This form is used to verify that all necessary approvals/permits from
Boards and Departments having jurisdiction have been obtained. This does not relieve
the applicant and/or landowner from compliance with any applicable or requirements.
*****************************APPLICANT FILLS OUT THIS SECTION***********************
((�� ( > C��M
APPLICANT C tri e r J"`,ter'
�` `kJ GTTg Y` o r PHONE `� C ')-& (o
LOCATION: Assessor's Map Number PARCEL
SUBDIVISION LOT(S)
STREET I'IS� s�`(� U� ST. NUMBERS
************************************OFFICIAL USE ONLY***********************************
RECOMMENDATIONS OF TOWN AGENTS:
CONSERVATION ADMINIS ATOR DATE APPROVED /6 01
DATE REJECTED
COMMENTS Conl&�knprS okra. 504, f-e.c+ AA-)mm �rvm w )OA are- arec,J
I n (D1uGg bn Ther. nA o c,41C4 u3/ ;nQrov..»d CS4"r Nu.+cC
TOWN PLANNER DATE APPROVED
DATE REJECTED
COMMENTS
FOOD INSPECTOR-HEALTH DATE APPROVED
DATE REJECTED
SEPTIC INSPECTOR-HEALTH DATE APPROVED 1
DATE REJECTED
COMMENTS
PUBLIC WORKS-SEWER/WATER CONNECTIONS
DRIVEWAY PERMIT
FIRE DEPARTMENT O J Q
RECEIVED BY BUILDING INSPECTOR DATE
Revised 9\97 jm
t...............
xi
y I ' ��,� � \ � it � �� i \ \ r.
OD
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01
=Mark,Raymond
From: Karen J Eaton
Sent: Wednesday, August 28, 2002 9:30 AM
To: Mark Raymond
Subject: FW: Container :VSMail MX1
Here is the e-mail that Lisa sent. This may be enough for the town- not
sure but at least it is something in writing.
I haven' t heard from Lisa but we bought one container- hopefully we will
have the second one by Friday.
Thx.
-----Original Message-----
From: Lisa Littlefield [mailto:ll@channelbuilding.com]
Sent: Monday, July 22, 2002 6:40 PM
To: 'Karen J Eaton'
Subject: RE: Container :VSMail MX1
Karen,
There are no issues with the container - it just
hasn't been on the top of my list. I will get the
agreement done this week, I am comfortable with
you purchasing it if you have to do it right away.
Regarding the carpet and paint - I imagine it is a
definite improvement! According to the Amendment
of Lease Paragraph 6, we owe you 1/2 of the
overage on the $18, 000. Your total costs were
$24, 095, 1/2 of that is $3, 047.5.0. Please send
copies of the invoices for the carpet and painting
and I will issue a check right away.
-----Original Message-----
From: Karen J Eaton [mailto:Eaton@Kenics.Com)
Sent: Monday, July 22, 2002 11:46 AM
To: Channel- Lisa Littlefield (E-mail)
Cc: Karen J Eaton
Subject: Container :VSMail MX1
Importance: High
Mark said he has not received a letter of
authorization from you allowing us
to get (2) containers for outside storage. Our
fiscal year ends next month
and I need to get one of these purchased and paid
for before 8-30-02 . The
other may fall into Sept/Oct. Is there a problem
on this? We have done some
of the yard clean-up and will be getting more done
when the shop returns
from shutdown next week.
Also, .the painting in the office was done a few
months back and the
carpeting was completed last week. Looks really
nice. The paint came to
$4, 965 and the carpet was $19, 130. Should we send
the invoice to your
attention for the difference between the original
1
$187000 paid and the
..actuals? I will include copies of the invoices
from 'the suppliers.
Please get back to me at your earliest
convenience. Thanks for your help.
2
Nv rr rF1
TONM Of over
No.
Iss _
* 0
_-
CO.:..
A� dover, Mass.,
ADRAT E D
S H E
BOARD OF HEALTH
PERMIT T D Food/Kitchen
Septic System
BUILDING INSPECTOR
C,� / .�.... d4es...... ....�' . .THIS CERTIFIES THAT...... . Ai✓/1!r ...... � r .Ir1./!V �.
' Foundation
atton
has permission to erect.............dl ... ......... .... buildings on ..:� Rough
to be occupied as...... 't fd�....... ' f� i Lop N,I/� /' ! r �� ��� Chimney
.. .. . ..... . ............... ............... .........................
provided that the person accepting this permit shall idvery respect conform to the terms of the application on file in Final
this office, and to the provisions of the Codes and By- ws relating to the Inspection, Alteration and Construction of
Buildings in the Town of North Andover. a3- 9Si ��0 PLUMBING INSPECTOR
VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough
PERMIT EXPIRES IN 6 MONTHS Final
UNLESS CONSTRUCTIV.ZW4.14
STTS ELECTRICAL INSPECTOR
Rough
........ ..... ...... Service
............ ..........
BUILDING INSPECTOR
Final
Occupancy Permit Required to Occupy Building GAS INSPECTOR
Rough
Display in a Conspicuous Place on the Premises — Do Not Remove Final
No Lathing or Dry Wall To Be Done
Until Inspected and Approved by the Building Inspector. Burner
FIRE DEPARTMENT
Street No.
SEE REVERSE SIDE smoke Det.
FORM U - LOT RELEASE FORM 50 1hw�a�iad7
INSTRUCTIONS: This form is used to verify that all necessary approvals/permits from
Boards and Departments having jurisdiction have been obtained. This does not relieve
the applicant and/or landowner from compliance with any applicable or requirements.
*****************************APPLICANT FILLS OUT THIS SECTION***********************
APPLICANT C WA, >�` `+�)` � 'f j� Y PHONE
LOCATION: Assessor's Map Number PARCEL
SUBDIVISION LOT(S)
STREET 1- !A�S� _P U1 ST. NUMBER��_��
************************************OFFICIAL USE ONLY***********************************
RECO MENDATIONS OF TOWN AGENTS:
CONSERVATION ADMINIS ATOR DATE APPROVED i 6 al
DATE REJECTED
COMMENTS 50' -fe-t_.+ �(&M ire- alre41
in p" bpi nb !qrQ un ci &54"r t a-c-e—
TOWN PLANNER DATE APPROVED
DATE REJECTED
COMMENTS
FOOD INSPECTOR-HEALTH DATE APPROVED
DATE REJECTED
SEPTIC INSPECTOR-HEALTH DATE APPROVED
DATE REJECTED '
COMMENTS
PUBLIC WORKS -SEWER/WATER CONNECTIONS
DRIVEWAY PERMIT
FIRE DEPARTMENT -
RECEIVED BY BUILDING INSPECTOR DATE
Revised 9\97 jm
A
STI
1 77%
25�
J
�.c�!�fx`�E �`1� °d��' 'P�►.,�' �>,��IC a�I appY�r�`bIL�
construction ❑ Existing Building ❑ Repair(s). /❑ Alterations(s) 0 Addition ❑
essory'Bldg. ❑ Demolition 0 Other ,,2�' s cify -V--V-0,c e—
Brief Description of Proposed Work:
_e9y�Sta%,M i�G✓.••+.rs��.., '� �✓,S a -f-u.,o aZ.c� ` �o� sh PJ�',4 � Co+h f:4�✓1 �rs� !%f `f-t-.�_ s�,o,r'
o cvy l,-o v S n,
S 4F7
+� (.no /^p v e t .avl�C /`C C �0 0"h �r�r —1 it � s' e E
i4-G f rc9.�
l7' f
USE GROUP Check as applicable) CONSTRUCTION TYPE
A Assembly 0 A-1 ❑ A-2 ❑ A-3 ❑ lA 0
A-4 0 A-5 0 113 0
B Business ❑ 2A 0
C Educational ❑ 2B 0
F Factory ❑ F-1 ❑ F-2 ❑ 2C 0
H High Hazard ❑ 3A 0
IInstitutional ❑ I-1 ❑ I-2 0 I-3 ❑ 3B ❑
M•Mercantile ❑ 4 ❑
R residential 0 R-1 ❑ R-2 ❑ R-3 0 5A 0
S Storage ❑ S-1 ❑ S-2_ ❑ 5B ❑
U Utility 0Specify:
M Mixed Use ❑ Specify:
S Special Use ❑ Specify
COMPLETE THIS SECTION IF EXISTING BUILDING UNDERGOING RENOVATIONS,ADDITIONS AND OR CHANGE IN USE
Existing Use Group. Proposed Use Group:
Existing Hazard Index 780 CMR 34: G9 Proposed Hazard Index 780 CMR 34:
BUILDING AREA EXISTING if applicable) PROPOSED
Number of Floors or Stories Include
Basement levels
Floor Area per Floor s
Total Area s
Total Height ft
r
Independent Structural Engineering Structural Peer Review Rapired. Yes ❑ No ❑
SECTION 10a Owner Authorization- TO BE COMPLETED WHEN
OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
I, as Owner of the subject property
Hereby authorize to act on
My behalf, in all matters relative two work authorized by this building permit application
Signature of 6Aer Dat