HomeMy WebLinkAboutMiscellaneous - 2357 Turnpike Street (5) 2357 Tumpike St Bldg# 10
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Location
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No. /Y Date -7-6 C' j--
NaR,M TOWN OF NORTH ANDOVER
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Certificate of Occupancy $
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SSACNUSEt� Building/Frame Permit Fee $ �0 _
Foundation Permit Fee $
Other Permit Fee $
TOTAL $ ,30 3 0
Check #
3376 hW
'� Building Inspector
�4 4
TOWN OF NORTH ANDOVER BUILDING DEPARTMENT
APPLICATION TO CONSTRUCT REPAIR,RENOVATE,CHANGE THE USE OR OCCUPANCY OF, OR DEMOLISH ANY BUILDING
OTHER THAN A ONE OR TWO FAMILY DWELLING
's Section for Official Use Oal `
BUILDING PERMIT NUMBER: DATE ISSUED:
c - O
SIGNATURE:
Buildin Commissioner or dBuildings Date .
1.1 Property Address: 1.2 Assessop Map and Parcel Number.
MV Number l � Parcel
Number
1.3 Zoning Information: 1.44�Property Dimensions: v
Zoning District Proposed Use Frontage
1.6 WELDING SETBACKS(ft) M
Front Yard Side Yard Rear Yard
Required Provide R Provided Required Provided v
1.7 Water Supply M.G,.C.4o. 54) 1.5. Flood Zone Information: 1.8 Sewerage Disposal System:
Public ❑ Private ❑ ZdIIe Outside Flood Zone ❑ Municipal On Site Disposal System ❑
2.1 Owner of Record (/1
q� �
Name( rint) Address for Service
m
St re Telephone
2.2 Authorized Agent
Name Print Address for Service:
. p-
Signature Telephone K z
M
ti. 90
3.1 Licensed Constru 'onSu 'sor Not Applicable ❑
Ll 2s s
�d L3G
License Number p
Licensed CO on Sur s r. � 47/ Y
Expiration Date
Si a re Telephone
3.2 Registered Home Improvement Contractor Not Applicable ❑ v
Company Name Registration Number k
M
r
Address , r
9 �
Expiration Date Z^
Signature Telephone P1
r
T
s�C�t�z+r 4 �Al€mxK, c>~r
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.......11 No.......❑
S)gC i 1fOA1 5 `PBS SSIQI LD1 G C S ltC CT T; RYICCItPS t)R iT + :S A 6 $UU-l
,CONTJEttIC 'IAN Y . %M X.W—
.M. I ! 1'�I ' � +t $ b
z .,
5.1 Registered Architect:
Name:
Address
Signature Telephone
li'✓ Area of Responsibility
Name:
Registration Number
Address:
Expiration Date
Signature Total
Not applicable ❑
Name:
Registration Number–
Address
Signature Telephone Expiration Date
,Namie" Area of Responsibility
r•
Address Registration Number
Signature Telephone Expiration Date
,,Name Area of Responsibility
ddress Registration Number
Signature ( Telephone Expiration Date
Not Applicable ❑
Name:
nsible in Charge of Construction
New Construction Existing Building ❑ Repair(s) 0 Alterations(s) ❑ Addition ❑
Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify
Brief tion of Pro Wor
USE GROUP FCheck as applicable) CONSTRUCTION TYPE
A Assembly ❑ A-1 ❑ A-2 ❑ A-3 ❑ IA ❑
A4 0 A-5 ❑ IB 0
B Business ❑ 2A ❑
C Educational 0 2B ❑
F Factory ❑ F-1 ❑ F-2 ❑ 2C ❑
H High Hazard ❑ 3A ❑
IInstitutional ❑ I-1 0 I-2 ❑ I-3 ❑ 3B 0
M Mercantile ❑ 4 0
R residential ❑ R-1 0 R-2 ❑ R-3 ❑ 5A ❑
S Storage ❑ S-1 ❑ S-2 0 5B ❑
U Utility 0 Specify:
M Mixed Use 0 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: Proposed Hazard Index 780 CMR 34:
"r y .
BUILDING AREA EXISTING if applicable) PROPOSED
Number of Floors or Stories Include
Basement levels
Floor Area per Floors 4
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
Signature of Owner Date
as Owner/Authorized
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 a penal 'es of perjury
Print Name
r
7X
01
rgnature of Owner/Agent Date
NItemOMNI-
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
$y+ar"r'�r- i-: a ..�y'�r .: r(#";��.f'.a 'r,t,.�,��r�� 'r.I rSa3: SN'� 'ria3 ,i. `' ;i T�`k• � s{',.
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..s.{. ,...f.1•.;. Ad's.°. {A..�4.k:
NO.OF STORIES SIZE
BASEMENT OR SLAB
SIZE OF FLOOR TIMBERS 1 sr 2 No 3 RD
SPAN
DEMENSIONS OF SILLS
DEMENSIONS OF POSTS
DIMENSIONS OF GIRDERS
HEIGHT OF FOUNDATION THICKNESS
SIZE OF FOOTING X
MATERIAL OF CHIMNEY
IS BUILDING ON SOLID OR FILLED LAND
IS BUILDING CONNECTED TO.NATURAL GAS LINE
x�`�s+zs.�' i.. ,?v s,e 7
e .' - �'i... v ha �' '"
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
APPLICANT �'
LOCATION: Assessors Map Number —llJ�� PARCEL lDk�
SUBDIVISION G LOT(S)—L;—,74
STREET ST. NUMBER,
OFFICIAL USE ONLY
RECOMMENDATIONS OF TOWN AGENTS:
CONSERVATION ADMINISTRATOR DATE APPROVED
DATE REJECTED
COMMENTS
TOWN PLANNER DATE APPROVED
DATE REJECTED
COMMENTS
FOOD INSPECTOR-HEALTH DATE APPROVED
DATE REJECTED
SEPTIC INSPECTOR-HEALTH DATE APPROVED
DATE REJECTED
COMMENTS
PUBLIC WORKS -SEWERIWATER CONNECTIONS
DRIVEWAY PERMIT
FIRE DEPARTMENT ` d
DUMPSTER PERMIT
RECEIVED BY BUILDING INSPECTOR DATE
FORM U-Revhwd 6.05 JMC
North Andover Building Department
Tel: 978-688-9545
DEBRIS DISPOSAL FORM
In accordance with the provision of MGL c 40 S 54, a condition of Building Permit
Number is that the debris resulting from this work shall be
disposed of in a properly licensed solid waste disposal facility as defined by MGL
c11, S150A.
The debris will be disposed of in:
i
(Location of Facility)
oA " / Signature of Permit
. g Applicant
Date
NOTE: Demolition permit from the Town of North Andover must be obtained for
this project through the Office of the Building Inspector
..:~ OFFICE OF BUILDING INSPECTOR
:y
TOWN OF NORTH ANDOVER
CONSTRUCTION CONTROL
PROJECT NUMBER:
PROJECT TITLE: Oakridge Village and Maplewood Reserve
PROJECT LOCATION: Turnpike Street
NAME OF BUILDING: Buildings Nos. 1-4, 6-28
NATURE OF PROJECT: New Building
IN ACCORDANCE WITH ARTICLE 116 OF THE MASSACHUSETTS STATE BUILDING CODE,
1, William D. Lovallo REGISTRATION NO. 36883
BEING A REGISTERED PROFESSIONAL ENGINEER/ARCHITECH HEREBY CERTIFY THAT I
HAVE PREPARED OR DIRECTLY SUPERVISED THE PREPARATION OF ALL DESIGN PLANS,
COMPUTATIONS AND SPECIFICATIONS CONCERNING:
W14 Ll
�r
ENTIRE PROJECT ARCHITECTU L STRUCTURAL M CHANICAL
• C� f �4® 1 . I.
FIRE PROTECTION • ELECTRICAL • OTHER(SPECIFY)
FOR THE ABOVE NAMED PROJECT AND THAT,TO THE BEST OF MY KNOWLEGE,SUCH PLA
COMPUTATIONS AND SPECIFICATIONS MEET THE APPLICABLE PROVISION OF THE MASSACHUSETTS
STATE BUILDING CODE,ALL ACCEPTABLE ENGINEERING PRATICES.
AND APPLICABLE LAWS AND ORDINANCES FOR THE PROPOSED USE AND OCCUPANCY.
I FURTHER CERTIFY THAT I SHALL PERFORM THE NECESSARY PROFESSIONAL SERVICES AND B
EPRESENT ON THE CONSTRUCTION SITE ON A REGULAR AND PERIODIC BASIS TO DETERMINE THAT
THE WORK IS PROCEEEDING IN ACCORDANCE WITH THE DOCUMENTS APPROVED FOR THE BUILDING
PERMIT AND SHALL BE RESPONSIBLE FOR THE FOLLOWING AS SPECIFIED IN SECTION 116.0
1. Review,for conformance to the design concept,shop drawings,samples and other submittals
which are submitted by the contractor in accordance with the requirements of the construction
documents.
2. Review and approval of the quality control procedures for all code-required controlled materials.
3. Be present at intervals appropriate to the stage of construction to become,generally familiar
with6the progress and quality of the work and to determine,in general,if the work is being
performed in a manner consistent with the construction documents.
PURSUANT TO SECTION 116.2 .2 1 SHALL SUBMIT WEEKLY, A PROGRESS REPORT
TOGETHER WITH PERTINENT COMMENTS TO THE NORTH ANDOVER BUILDING INSPECTOR.
UPON COMPLETION OF THE WORK, I SHALL SUBMIT A FINAL REPORT AS TO THE
SATISFACTORY COMPLETION AND READINESS OF THE PROJECT FOR OCCUPANCY.
SIGNATURE
SUBSCRIBED AND SWORM TO BEFORE ME THIS 16th DAY OF March 20 05
NOTARY PUBLIC MY COMMISSION EXPIRES 22 Dec. 2011
M°°• OFFICE OF BUILDING INSPECTOR
�+ TOWN OF NORTH ANDOVER
=. CONSTRUCTION CONTROL
i
PROJECT NUMBER:
PROJECT TITLE:0441e/17GE ✓i'%t, E �� /'°JI�OGEWooT� �ESL�2✓F'"
PROJECT LOCATION: TVPI-1PW. S7Tl� T,
NAME OF BUILDING: i50l Lp/t,/45 MOS. 1-
NATURE
-NATURE OF PROJECTg �� �� ��C-ZOPLa7��
IN ACCORDANCE WITH ARTICLE 116 OF THE MASSACHUSETTS STATE BUILDING CODE,
I,Jawf Sl Eli!I EkNGZ REGISTRATION NO. l q&17
BEING A REGISTERED PROFESSIONAL ENGINEER/ARCHITECH HEREBY CERTIFY THAT I
HAVE PREPARED OR DIRECTLY SUPERVISED THE PREPARATION OF ALL DESIGN PLANS,
COMPUTATIONS AND SPECIFICATIONS CONCERNING:
ENTIRE PROJECT 0 ARCHITECTURAL 0 STRUCTURAL a MECHANICAL 0
FIRE PROTECTION ELECTRICAL OTHER(SPECIFY)
FOR r A2-VE � •ED" i. rr w•ID r TLS �
;: h4hn�i. R.:..E- �%NLO HAT,TO ..�E SES i Or V. Kl+�.OV. Gam.,SUCH FL,;Z43,
43,
COMPUTATIONS AND SPECIFICATIONS MEET THE APPLICABLE PROVISION OF r.'E MASSACHUSc;S
STATE BUILDING CODE,ALL ACCEPTABLE ENGINEERING PRATICES.
AND APPLICABLE LAWS AND ORDINANCES FOR THE PROPOSED USE AND OCCUPANCY.
I FURTHER CERTIFY THAT I SHALL PERFORM THE NECESSARY PROFESSIONAL SERVICES AND B
EPRESENT ON THE CONSTRUCTION SITE ON A REGULAR AND PERIODIC BASIS TO DETERMINE THAT
THE WORK IS PROCEEEDING IN ACCORDANCE WITH THE DOCUMENTS APPROVED FOR THE BUILDING
PERMIT AND SHALL BE RESPONSIBLE FOR THE FOLLOWING AS SPECIFIED IN SECTION 116.0
1. Review, for conformance to the design concept,shop drawings,samples and other submittals
which are submitted by the contractor in accordance with the requirements of the construction
documents.
2. Review and approval of the quality control procedures for all code-required controlled materials.
3. Be present at intervals appropriate to the stage of construction to become, general #omil V"
with6the progress and quality of the work and to determine,in general, if the work ibeing
performed in a.manner consistent with the construction documents. -ER DSC°
PURSUANT TO SECTION 116.2 .2 1 SHALL SUBMIT WEEKLY, A PROGRESS REP
TOGETHER WITH PERTINENT COMMENTS TO THE NORTH ANDOVER BUILDING 1
UPON COMPLETION OF THE WORK, I SHALL SUBMIT A FINAL REPORT AS TO THEA
SATISFACTORY COMPLETION AND READINESS OF THE PROJECT FOR OCCUPANC ����G� ` ?
NGNATy�E
S BSCR.IBED'�, S O THIS ADAY OFt�G 20�
OTARY PUBLIC MY COMMISSION EXPI5
Sent By: TOCCI BLDG CORP; 7819355500; Dec-3.04 9:15AM; Page 1/1
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NORTH
Town of t 4Andover
y
3030 �- ?,o zi-= L A dower, Mass.,
COCHICHEWICK y�.
ADRATE D PPS\ '`C3
`s BOARD OF HEALTH
PERMIT T D
Food/Kitchen
Septic System
THIS CERTIFIES THAT r �� s � r V C. BUILDING INSPECTOR
.
.......................... Foundation
has permission to erect............. ...:................... buildings on .0.3
.5 .....T r!�•.06..k ......s.. 4... Rough
to be occupied as.............q.......48A..Y G/4 Je#4&E Chimney
..............................................................................................................................
provided that the person accepting this permit shall in every respect conform to the terms of the application on file in Final
.this office, and to the provisions of the Codes and By-laws relating to the Inspection, Alteration and Construction of
Buildings in the Town of North Andover. �o q ♦c �'�33-.3481-2 9r
PLUMBING INSPECTOR
VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough
Final
PERMIT EXPIRES IN 6 MONTHS
UNLESS CONSTRUCTION START ELECTRICAL INSPECTOR
�j Rough
1..� ............................................ ervice
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 FIRE DEPARTMENT
Until Inspected and Approved by the Building Inspector. Burner
Street No.
SEE REVERSE SIDE Smoke Det.