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Home My WebLink AboutMiscellaneous - 550 TURNPIKE STREET 4/30/2018 (17)U) m m m (n 0 W 10 d E C) CD LF 1 0 O CD O CD C c ��O d 2 Q -. N O Q N d O m y CD o m n U3 cines CD 3 m ma Z N -4 o m o :Ti , . m _L m O CA O N O .•'� CD oo 'Z. .R a > > m �o : �TT O O O Z CO)S. c3 0CD 0 0 m m H t fl CD (o a m O N I N d d '' cr n ; �� CD y -v W m . C9 d CO) to hyo C 6 COD acl •• :` n�Y Cn 6 c N o� 1 fh of o �L CL 0: �. c) . G : c=, O t C O (): 0 = CD p 1 cn cn w ^ G7► Pj -Cl) pjO O G O °O -n (1) U Irl O Q O 7 W c r OQQ = OQ ' C z o W. C x o NIJ Z cnCA x M o �' .9 Location S .acs No. �� — c�2"S Date du TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee TOTAL Check # 15653 1 BuildingInspector 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 Section for Official Use 0 BUILDING PERMIT NUMBER: DATE ISSUED: -C). SIGNATURE: Commissi��F�� ---Buildi 1i or of Buildings Date L& 1. 1 Property Address: 1.2 Assessors Map and Parcel Number. Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: Zoning District Proposed Use Lot Area (sf) Frontage (11) 1.6 BUILDING SETBACKS (ft) Front Yard Side Yard Rear Yard Required Provide Raired Provided ReqWred Provided 1.7 Water ;nM.G-L.C.40. 54) 1.5. Flood Zone Information: 1.8 Disposal System: zone Public 0 w;e� Outside Flood Zone Municipal On Site Disposal System 0 1; 2.1 Owner of Record lXc5MTVJ Po`b(r'>r°7� d&trag toMOS /.IOW; r&-10 eg1;lftP C. T 5 -5 -;r - Name (Print) Address for Service: ?v - Signature Telephone 2.2 Authorized Agent Name Print Address for Service: Signature Telephone TAMP M, 3.1 Licensed Construction Supervisor Not Applicable D T;2a AddressLicense Number i A) cwc-c,Jz all 3 Licensed Construction Supervisor: Expiration Daie (; /& / Signature Telephone 3.2 Registered Home Improvement Contractor Not Applicable 0 -e GC1,L)"t y)Lc4- i,1 2-) -/ --- Company Name'. Registration Number Address Expiration Date- �Signature Telephone dM ic 0 M 0 M X Z 0 Z M 90 0 "n ic svM Z G) h ,as GV _sr/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 Print Name Signature of Owner/Agent Date Item Estimated Cost (Dollars) to be Completed by permit applicant 1. Building o (a) Building Permit Fee Multiplier 2 Electrical (b) Estimated Total Cost of Construction from (6) ^� 3 Plumbing Building Permit fee (•) X (b) 4 Mechanical (HVAC) 5 Fire Protection 6 Total (1+2+3+4+5) Check Number ib, w./ 1 `.!'z`.� 1-z l91�.. 'S lP-' a/, f Y 2 i 0 �Ky a✓X� ,may i'4�il�i �$ l-'.�{�� 1 �� ,5th A 7 Yp rI yyA iF fl .'"�f i .v N} 5`1"'� 1 5 r ,`,. I 7St f -� 1} �� h Yn I.tf � W`Y_..`X,i` �'} �y.�''w'., y..S� �Y;y �YY �4a,43 "5�} �.. . Y�Y. i4 )It�h Jfi`-, t'Yr 3' f1 �y.,l.tyj,V `ti�, �i� '��t f 3 5anf}�S\s.i�'.41hy,Y �'i'H.s�i1Y f� f�f b Tei. �st'�.��/%3 ?. i"i'��tr. t}'u �,r'>r� �,:.:!)��t :.�S��S ��ir vt r,'4,�rT•i� t�S'*�, i��.{��Zf ii '( .J S�1'}."•��4! �'t'�, 4. �.3'�' .t} NO. OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TIMBERS OT 2ND 3RD SPAN DEMENSIONS OF SILLS DEMENSIONS OF POSTS DIMENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CHIlviNEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE c"`-�, � ,.• { T S Tit ^v`.0-3 "u � S f' � �'- z� �� " ` �% '�l`s� '�L�f :,�'?F�T 3' .<: .:r,'SufiS� W } >SECTION 4 ��iRK��El�i1`G�.� � ll�t, ;b'�� •:'� . 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 ....... 0 SECTfQPI S PR4FE.5IU]L.nE�NZC�NSIERCT�i'tRViCLS Ft)R_i3D)1NSS1[�T1F�RS�"i T? C�JNSTRIICTI�iN 5.1 Registered Architect: Cc %/ �'Cd tJflgw r,.. q S Name: 'Address 2 - ,Signature Telephone Area of Responsibility ! Registration Number Expiration Date Name: . a 9 Address: Signature Total . Not applicable ❑ Registration Number Expiration Date Name: Address Signature Telephone Area of Responsibility Registration Number Expiration Date Name Address �J Signature Sr► Y Telephone Area of Responsibility Registration Number Expiration Date Name Address Signature Telephone COh'I�?L^2C �}�c�S /ij✓c` Not Applicable 0 Company Name: �.L''C�<iQc�2 � Qj�'GciYyv-S Responsible in Charge of Construction 1 New Construction ❑ Existing Building Repair(s) ❑ Alterations(s)C� Addition 0 Accessory Bldg. 0 A-2 A-5 Demolition 0 Other ❑ Specify Brief Description of Proposed Work: 00c - d--- 2A 2B 2C Existing Use Group: 96o C %? a- :;o9, o Existing Hazard Index 780 CMR 34: Proposed Use Group: M, . 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 Q' 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 USE GROUP Check as applicable) CONSTRUCTION TYPE A Assembly ❑ A-1 ❑ A4 ❑ A-2 A-5 0 A-3 ❑ ❑ lA 113 0 0 B Business d--- 2A 2B 2C ❑ 0 0 C Educational ❑ F Factory ❑ F-1 0 F-2 0 H High Hazard 0 3A 3B 0 a} IInstitutional 0 I-1 0 I-2 0 1-3 0 M Mercantile 0 4 0 R residential ❑ R-1 0 R-2 0 R-3 0 5A 5B 0 0 S Storage 0 S-1 0 S-2 0 U Utility M Mixed Use S Special Use 0 0 ❑ Specify: Specify: Specify: COMPLETE THIS SECTION IF EXISTING BUILDING UNDERGOING RENOVATIONS, ADDITIONS AND OR CHANGE IN USE Existing Use Group: 96o C %? a- :;o9, o Existing Hazard Index 780 CMR 34: Proposed Use Group: M, . 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 Q' 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 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'-I�)Locr—&t-,, PHONE LOCATION: Assessor's Map Number 4�>49-5 PARCEL�� SUBDIVISION LOT (S) STREET ST. NUMBER *****************************************OFFICIAL USE ONLY*********************************** RECOMMENDATIONS OF TOWN AGENTS: CONSERVATION ADMINISTRATOR DATE APPROVED DATE REJECTED COMMENTS TOWN PLANNER COMMENTS FOOD INSPECTOR -HEALTH SEPTIC INSPECTOR -HEALTH COMM DATE APPROVED DATE REJECTED DATE APPROVED DATE REJECTED DATE APPROVED DATE REJECTED PUBLIC WORKS - SEWER/WATER CONNECTIONS DRIVEWAY PERMIT FIRE DEPARTMENT RECEIVED BY BUILDING INSPECTO Revised 9\97 jm dllGl DATE ...r r, s 5. i . c • � . -- --- -' --- - - ---� .,/�2C 1J09)7/IYL04dUJP,CG6CIL 0�../(tCldP•%� BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR . Number: CS 056933 Birthdate: 06/08/1956 Expires: 06/08/2003 Tr. no: 10973 Restricted To: 00 JOSEPH A PACHECO 145 AVERY ST MANCHESTER, CT 06040 Administrator THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LTR DATE (MM/DD/YY) DATE (MM/DD/YY) LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS MADE7 OCCUR OWNER'S & CONTRACTOR'S PROT CEP 9327936 07/01/01 07/01/02 GENERAL AGGREGATE s2,000,000 PRODUCTS-COMP/OPAGG S 2,000,000 PERSONAL & ADV INJURY S 1,000,000 EACH OCCURRENCE $ 1,000,000 FIRE DAMAGE (Any one tire) S 500,000 MED EXP (Any one person) $ 10,000 A AUTOMOBILE X X X X X LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS BA 9325137 07/01/01 07/01/02 COMBINED SINGLE LIMIT S 1,000,000 BODILY INJURY (Per person) S BODILY INJURY (Per accident) S PROPERTY DAMAGE S GARAGE LIABILITY ANY AUTO AUTO ONLY - EA ACCIDENT $ OTHER THAN AUTO ONLY: EACH ACCIDENT S AGGREGATE S A EXCESS LIABILITY X UMBRELLA FORM OTHER THAN UMBRELLA FORM CLT 9327637 07/01/01 07/01/02 EACH OCCURRENCE $ 5,000,000 AGGREGATE S 5,000,000 $ A WORKERS COMPENSATION AND EMPLOYERS LIABILITY THE PROPRIETOR/ X INCL PARTNERS/EXECUTIVE OFFICERS ARE: EXCL WC 9326537 07/01/01 07/01/02 X TORY LIMITS OER ' EL EACH ACCIDENT — 5 500 000 EL DISEASE - POLICY LIMIT S 500 000 EL DISEASE - EA EMPLOYEE I S 500 000 OTHER DESCRIPTION OF OPERA ITEMS ACORD CORPORATION 1988 LTJ Cl) m m m m m m C/) m cn 0 m EM to PPo -0 =r O ca %a Q dc CA So Em 10 m y 64 0 CD 0 0 40 Cl M ca 0 CL C-) Z =r -O --I 0 ot SO, Lo. V-0 = CL 0 =r CL V -P Mn =r =r w C042 o =r CD CD 0 0 S. w zo c) ace =r CL U2 C—sr- c C=.r Fi- VI CD CD U2 71 Cid am:4 CIA 2 C41 WE CL cr w /) CA CL Cto CD. C/) CA CA CD on C—D ! � in (/) C2 H6 CD CD Cl) § �" 9 > C/) CA of cc CK -a: cl) cn 0 X- W z w -.n ro -x W 10 m Ix 0 to C) :v n d z 0-4 z 0 C/) � � d 0 0 C Peter G. Shaheen* Nicholas S. Guerrera* Sean P. O'Leary* Carol A. O'Leary** *Admitted in MA & NH **Admitted in MA, NH, CT & ME SHAHEEN GUERRERA & O'LEARY, LLC Jefferson Office Park 820A Turnpike Street North Andover, Massachusetts 01845 Telephone: (978) 689-0800 Toll Free: 866-665-5834 Facsimile: (978) 794-0890 VIA FACSIMILE [688 95421 AND FIRST CLASS MAIL December 5, 2001 Michael McGuire, Building Inspector Town of North Andover 27 Charles Street North Andover, MA 01845 RE: Starbuek-'s Dear Mike: Per your request, please accept this letter as authorization of the landlord, North Andover CrossRoads Limited Partnership, to the contractor for construction of the demising wall between Blockbuster Video and the proposed Starbuck's cafe. If you need anything else please advise. Thank you. PGS:el cc. Bill Shaheen John Pallone truly G. Shaheen