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HomeMy WebLinkAboutPermits - Permits - 203 TURNPIKE STREET 3 �p�yqastrrt R M ohg O •" CERTIFICATE OF USE & OCCUPANCY TOWN OF NORTH E Building Permit Number a Date ✓07-6-0 3 THIS CERTIFIE THAT THE BUILDING LOCATED ON o2 D 3 V 'N I r lee- �5 x F/av`- MAY BE OCCUPIED AS -Ie r- IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. CERTIFICATE ISSUED TO o�D �unN hot �/�' � f Building Inspector ................. NORTH own o Andover n � No. 4a rig (0 't- L JL- over, Mass., /40.600240'w COC NICHE WICK \ 0 0�ATE 0 9 BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System THIS CERTIFIES THAT...*0010.6pM Art-J44P.......SAR' 44, BUILDING INSPECTOR Foundation has permission to erect..M4 ' buildings an A).......V.. to be occupied as........... .......4r....RW Av.r............................ M Chimney provided that the person accepting this permit shall in every respect conform to the terms of the application on file in Z' Final this office, and to the provisions of the Codes and By-Laws relating to the Inspectign, Alteration and Construction of F 6 Buildings in the Town of North Andover. V's a/ SWIM PLUMBING INSPECTX?_R I C,� -P VIOLATION of the Zoning or Building Regulations Voids this Permit. Final PEBA/UT EXPIRES IN 6 MONTHS SPEC UNLESS CONSTRUCTION S S ELECTRIC.�L INRough --- ------------------- ...................AA BUMD& dINSPECTOR Final 'Lj:�� 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. l F— TOWN OF NORTH ANDOVER BUILDING DEPARTMENT "© 9 APPLICATION TO CONSTRUCT`REPAIR.,RENOVATE.,CHANGE THE USE OR OCCUPANCY OF, OR DEMOLISH ANY B13ILDING �rn1 OTHER TITAN A ONE OR TWO FAMILY DWELLING 1�; r'; •�i __ �' ...�"�l'�Eig tion for O{ lcim UW Oul BUILDING PERMFT NUMBER: i DATE ISSUED: / SIGNATURE: (� Building Colmniisssioner/It►s for of Btuldin Date Zen L I Property Address: 1.2 Assessors Map acid Parcel Number. Map Number Parcel Number --1 J r•1 day MA 1.3 Zoning Information: 1.4 Property Dimensions: Zarin District Proposed Use Lot Areas Fronta a it M 1.6 BUILDING SETBACKS(ft) Front Yard Side Yard Rear Yard Required Provide Re aired Provided Re aired Provided �; i 5 110Ud Z06B IntOmlatl0n: 1.8 Sewerage Disposal System: 1.7 Water Supply M.Gi C 4tl 54) Zo ne outside Flood Zone Cl municipal On Site Disposal System ❑ Public 17 Private a13 y(�yjy a��}, `may jp7�tfj� Di MOW OW 2.1 Owner of Record ame(Print} Address for Service: gnature U 'Telephone 2.2 Authorized.Agent = 'Z Name print Address for Service: O Z Signature Telephone M RMWI 3.1 Licensed Construction Supervisor Not Applicable C ppty, ! Address License Number Licensed Construe' iso ..4- r� Expiration Dale Signature Telephone 3.2 Registered Home improvement Contractor Not Applicable © C© Company Name,. Registration Number rl m r AddressZ Expiration Date SignatureY Telephone t F y I 7BIdg. New Con ❑ Existing Building Itepair(s) ❑ Alterations(,,) � Addition ❑ Accesso ❑ Demolition Other ❑ Specify Brief Description of Proposed Work: E i '—D rr.,o Liu 4 A- /l/� Ltti,f'i •c'� USE GROUP Check as applicable) CONSTRUCTION TYPE A Assembly ❑ A-1 ❑ A-2 ❑ A-3 ❑ IA ❑ B Business ❑ 2A C Educational ❑ 2B ❑ F Factory ❑ F-I ❑ F-2 ❑ 2C ❑ H High Hazard ❑ 3A IInstitutional ❑ 1•-1 ❑ 1-2 ❑ 1-3 ❑ 3B M Mercantile ❑ 4 ❑ R residential ❑ R-1 ❑ R-2 Tl R-3 ❑ SA 13 S Storage ❑ S-I ❑ S-2 ❑ 513 ❑ U Utility ❑ Specify: 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 CUR 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 Hei �l fl) ..... .,. _. .. .`..Ilk Independent Structural Eng!ncering 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 DEC. 4.2003 1:48PM ARCHITECTS INC, ETAI_ N0.127 f .3 December 4,2003 ,A HEALTHCARI; ARCHITECTS INC. Buil&g Inspeotor's Office Town of North A ndaver City Hall North Andover,NWSachusettS 01845 Re; Now Shaughnessy)Kaplan 17elxRbilitettion jjospital Clit►ic Space Third Floor 203 Turnpike Street North Andover,Massaellrrsetts 01.845 Dear Sirs: This letter is to confirm that the new Shaughaessy Kaplan Rehabilitation Hospital space on the Third Floo;203 'rarnpil(e Stircet,North Andover,Massachusetts hxs been constructed by the General Contxaotor In accordallee with olir cotitraot documents. in addition,the new ShausbAessy Kaplan Rehabilitation)Hospital space has been constructed,in my opinion,in conforman oe with applicable Massaalmsetts Buildi11 Codes. Sincerely, ]nEALTHCARE.ARClUTECTS INC. KL. A.I.A Cc- Charlie Feeney REALTROARE ARCRITECTS INC. G4 GOTHIC STRXET N611TOAKiVMN,IMAUACRUSETTS 01060 1.40.584.19I, NORTH ANDOVER BUILDING DEPARTMENT Tel: 978-688-9! Y 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 properly licensed solid waste disposal facility as defined by MGL Chapter 111, S 150 A. The debris will be disposed of in: (Location of Facility) Signature of Permit Applicant Date NOTE: Demolition permit from the Town of North Andover must be obtained for this proje( through the Office of the Building Inspector ' t The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations Boston, Mass. 02111 Workers`Compensation Insurance Affidavit yV Name Please Print Name: Location: Ci Phone # I am a homeowner performing all work myself. I am a sole proprietor and have no one working In any capacity' I am an employer providing workers' compensation for my employees working on this job. Company name: 16/11 lley . . `b:L L45,cc. •cam 4-� r 2 Address S ,!! + z cn ' Ste• City: d U/.lt� Phone#: insurance.Co. T E ST. (40L I N 5. CO _- Policy U i�, p 6 2 A Corn an name: Addres _ City:' Phone#,, Insurance Co. 2011gy# Failure to secure coverage as required under Section 25A or MGL 152 can lead to-the irnpoeloon of criminal penalties of a fine up to$1;500.06 and/or one years'Imprisonment.as_welLos.cis4i penahles.in-theleem faBTOP lalpRlCDRgER and aline ct ��0�o) �eyr�9 t me l understand that a copy of this statement may be forwarded to the Office of Investigations of the DLA for coverage verirwatlon, t do hereby certify under the pw)7s d naltks of ped th t the 1 bw provided above is bw and oweet. Signature � Date 0 ! -u Print name Official use only do not write in this area to be completed by city or town official' City or Town -____- PermftllJcensinq- Building Dept L]Check if immediate response is requked -0 Licensing Board p Selectman's Office Contact person: Phone#: ❑ Health Department Ei Other FORM U' - LOT RELEASE FORM . INSTRUCTIONS: This forrn is'used to verify that all necessary approvals/permits frc Boards and Departments having jurisdiction have been obtained. This does not retie, the applicant and/or landowner from compliance with any applicable or require. rnents ******"******'APPLICANT FILLS OUT THIS SECTION*�'�***`��������#��� APPLICANT,_b41&,4A-re C 7P-4 L 'c 'C_ W )U PHON C70) 36 7- 16 9(0 LOCATION: Assessor's Map Number PARCEL SUBDIVISION LOT (S) T STREE ►�C - VC (t r� C/2 ST. NUMBER i **"***'"`OFFICIAL USE QNLY ---------------- RECOMMENDATIOIVF OF TOWN AGENTS: CONSERVATION ADMINISTRATOR DATE APPROVED ' DATE REJECTED COMMENTS, TOWN PLANNj=R DATE APPROVED 6?A'F;E R�sJI�C:TER COMMENTS F006 INSPECTOR-HEALTH DATE APPROVED DATE REJEG ED -------------- SEPTIC INSPECTOR-HEALTH DATE APPROVED. DATE•ROEGTED COMMENTS 'UBLIC WORKS - SEWED/WATER CONNECTIONS DRIVE AY PERMIT A FIE DEPARTMENT CEIVED BY BUILDING-INSPECTOR DATE Aso M97 jm k � RrIF1CATE OF USE. & OCCUPANCY Town Of North Andover Building Permit Number Bate -- / I? �- 9 THIS CERTWWS THAT THE BUILDING LOCATED ON MAY BE OCCUPIED AS C WITH THE PROVISIONS OF THE IN ACCORDANCE SUCH OTHER REGULATIONS AS MAY APp Y. STATE BUILDING,CODE AND woR , CERTIFICATE ISSUED To �lC /e �}� c o - � ADDRESS X, SSACHUS it ing Inspector m " CERTIFICATE OF USE & OCCUPANCY TOWN OF NORTH- OVA Building Permit Number a Date_ L9-o. 3 - THIS CERTIl+IE$ THAT THE BUILDING LOCATED ON c2 U I'N r � L5 RW Fk,v/ MAY BE OCCUPIED AS L'� �e r - IN ACCORDANCE W]rM THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. CERTIFICATE ISSUED TO v v N.s s a 1A N 3.6 Randing Inspector AC 6 CERTIFICATE OF USE & OCCUPANCY TOWN OF NORTH ANDOVER Building Permit Number 171_(9/3/02) Date: December 22, 2009 THIS CERTIFIES THAT THE BUILDING LOCATED ON 203 Turnpike St Woman Health Center 2,d .Floor_ MAY BE OCCUPIED AS Tenant Fit UP . Health Center IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE WELDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. Certificate Issued to: Saints Medical Center 203 Turnpike St , North Andover NIA 01845 Building Inspector Es f i a l 1 k I 1 N Arro CERTIFICATE OF USE & OCCUPANCY TOWN OF NORTH ANNOYER Building Permit Number 322 10/21/09 Date: April 15, 2010 i THIS CERTIFIES THAT. THE BUILDING LOCATED ON 203 Turn eke St MAY BE OCCUPIED AS Staints Medical— Third floor Ph sician's Office IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. Certificate Issued to: Saints Medical Center 203 Tornpike Street North Andover Ma 01845 Buildi g Inspector ............................. NORTH _ Town of. Andover 0 No. an LA 0 lover, Mass., /to C.CPCCMEw,CK 0, 'X?ATED BOARD OF f1EAU1Y1 Food/Kitchen PERMIT T D Septic System BULDING INSPECTOR THIS CERTIFIES THAT... t�L ................SA406....................00' ...............11 Na....... Foundation has permission to erect... ... buildings A;A* RvV'---.... gs on..... A;......................................................... ................ Rough "9#4 Ar el� f-#.* Chimney to be occupied as................. ............................... ........ ....0....e _44, ..... ................ ...... ........... 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 Inspectign, Alteration and Construction of Buildings in the Town of North Andover. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough PERMIT EXPIRES IN 6 MONTHS Final UNLESS CONSTRUCTION STARTS ELECTRICAL INSPECTOR P- r Rough �04-41A.................................... Service BUMDING 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. Smoke Det. SEE REVERSE SIDE