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HomeMy WebLinkAboutMiscellaneous - 135 to 147 Main Street �. -- __ - l � � Location1 No. r�-/ Date //- 12 H0RT#q TOWN OF NORTH ANDOVER � 9 { Certificate of Occupancy $ s i �'�s'•C EBuilding/Frame Permit Fee $ s4cNus Foundation Permit Fee $ Other Permit Fee $ TOTAL $ �" / � n Check # ! " U ' Building Inspector 67 TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR,RENOVATE,CHANGE THE USE OR OCCUPANCY OF, OR DE1M[OLISH ANY BUILDING 7 OTHER THAN A ONE OR TWO FAMILY DWELLING i� cY niT�[IS S [OII g©1 ® 1fIaD USQ®d� �a sw -1777, ; p i^,g21 ?>.er' ,�.• .T7 YiL'k. .F.Yu�a A•lertx+a�%1' BUILDING PERNUT NUMBER: 7DATE ISSUED: I(Jo c/. o� Zc�rO�j -7) SIGNATURE: Q i;ALI Buildin Comimssioner/i or dBuildinDate 1.1� Property Address. 51 -- 1.2 Assessors Map and Parcel Number:V A N AA)po V e , M�, Map Number Parcel Number 1.3 Zoning Information: 1A Property Dimensions: Zoning District Proposed Use Lot Areas Frontage ft P1.7Water ILD NG SETBACKS(ft) Front Yard Side Yard Rear Yard red Provide R 'red Provided Required Provided Supply M.GL.C.40. 54) 1.3. Flood Zone Information: Public ❑ private ❑ Zone 1.8 Sew erage Disposal System: Outside Flood Zon ❑ Municipal On Site Disposal System ❑ +� j Y 2.1 Owner of Record s j Name t,0Sl vt 1"ln �0� ✓ "� ���� /y 5 . ) Address for Service: rAthorilzed Telephone ,t Name Print Address for Service: Signatur Telephone Uv r 3.1 Licensed Construction Supervisor Not Applicable ❑ Address License Number Licensed Construction Supervisor. 0-S 00r� oC l Expiration Date I Signature Telephone F3.2Registered Home Improvement ContractorNot Applicable� ��� �� g9 pany Name Registration Number MA Address / 14103 Expiration Date Signature Telephone 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 . ❑ Sl-CI'ION S. PRQF$SSIQ1�lA1G Yf�SI #N1Q. D1V5 1F1C"I Q?�S :R'V7CLt5 I�Q $t1II�1Qt a Al l►STR 7+ ES 51w#1f3 3t-TQ FDNS€BIICjeI?tzl$ 3QI.3I"{� TID 116"( Qlk�lts lylfiAllT3 35,Q C 11< )�SNCPE ' 8 5.1 Registered Architect: Name: i Address Signature Telephone Area of Responsibility Name: Registration Number Address: Expiration Date Signature Tom Not applicable ❑ ' I Name: Registration Number Address Signature Telephone Expiration Date Name Area of Responsibility Address Registration Number Signature Telephone Expiration Date Name Area of Responsibility Address Registration Number Signature Telephone Expiration Date e0dO e2qxA Not Applicable ❑ Company Name: rR—esp­ons—ib-1,i—,i Charge of Construction terations(s) Addition New Construction ❑ Existing Building ElRepair(s) ElAl Accessory Bldg. ❑ Demolition 0 Other ❑ Specify Brief Description f Pro sed Work: `Q,e C43k '--�COO �� t�p�s, �eP 002_- ��U '► � �4-��-- -�/I�� ��-- USE GROUP Check as applicable) CONSTRUCTION TYPE A Assembly ❑ A-1 0 A-2 ❑ A-3 ❑ 1A ❑ A-4 ❑ A-5 ❑ 1 B 0 B Business ❑ 2A 0 C Educational ❑ 213 0 F Factory ❑ F-I ❑ F-2 0 2C 0 H High Hazard ❑ 3A ❑ IInstitutional 0 1-1 ❑ I-2 ❑ 1-3 0 3B ❑ 4 0 M Mercantile ❑ _ R residential ❑ R-1 ❑ R-2 0 R-3 ❑ 5A 0 S Storage ❑ S-1 ❑ S-2 ❑ 5B 0 U Utility ❑ Specify: M Mixed Use ❑ Specify: S Special Use ❑ Specify: COMPLETE TRIS 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 Floors Total Areas _ Total Height ft _ Y .._ f..._.. .... mss. ... _ .... -. 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 -TvI, QSc� fJ to ©� as Owner of the subject property Hemby authorize l/ to act o My behalf, in all matters relative two work autho by this building permit application Signature of Owner Date �} s "®r .................. 1, Agent ,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 and penalties of perjury Print Name Signature of Owner/Agent Date Item Estimated Cost(Dollars)to be Completed by permit applicant y 1. Building (a)x Building Permit Fee Multiplier 2 Electrical (b) Estimated Total Cost of Construction from(6) 3 Plumbing Building Permit fee (a):c (b) l 4 Mechanical(HVAC) 5 Fire Protection 6 Total (1+2+3+4+5) ti 000,,W :,W Check Number I . ..i..e ..� '�.: ..� y1i::�}`,•....1s...i, tS ,.FY � v..r+. J } >� _ I 4 eN� \ ! �d -:N�1 F.v1y _p tG �3i 1, �>3 .;Tk r} 3 7 ✓ 5 NO. OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TIMBERS 1 ST 2No 3 P SPAN [HEIGHT MENSIONS OF SILLS MENSIONS OF POSTS IENSIONS OF GIRDERS OF FOi JNDATION THICKNESS 1 sE OF FOOTING X TERIAL OF CBRvINEYUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE N - i FORM U - LOT RELEASE FORM INSTRUCTIONS: This form is used to verify that all necessary approvals/permits fro Boards and Departments having jurisdiction have been obtained. This does not retie% the applicant and/or landowner from compliance with any applicable or requirements. *****************************APPLICAN-r FILLS OUT THIS SECTION "APPLICANT `J'`^ 1 s T. 0S GJ�� PHONE I�y3 LOCATION: Assessor's Map Number PARCEL SUBDIVISION LOT(S) .�-STREET Na, /V t-ST. NUMBER *** ***************** *** ***OFFICIAL USE RECOMMENDATIONS OF TOWN AGENTS: CONSERVATION ADMINISTRATOR DATE APPROVED DATE REJECTED COMMENTS s� 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 l'i re PN Te ci,ts, t/ �e (vn�yST 6e in nS1�A �►�� p� bwkil T, ri /sa�o3 RECEIVED BY BUILDING INSPECTOR DATE Revised 9X97)'M a The Commonwealth of Massachusetts M Department of Industrial Accidents Office of Investigations Boston, Mass. 02111 �o^M sy0 Workers'Compensation Insurance Affidavit Name \ Please Print Name: b l i,Wi6vk �[ �� be, Cmc) Location: City Y) Phone 1 am a homeowner performing all work myself. I am a sole proprietor and have no one working in any capacity' 1 am an employer providing workers'compensation for my employees working on this job. Comaany name: A Address Ci tJv (',1� ylrj<l dl a&IS Phone#:. 1,7 Insurance:Co. I PoljCV# / 7 / 7 y Come7arn name: Addreas . t✓ P hone.: Insurance Co. Poliev# Failure to secure coverage as required:under Section 25A or MGL 152 can-lead tothe i r position of aiminal penamm or, fine up to sy.5o and/or one years'Impris0nffVx t_as _rng7 penalties�oJhelnrm a�?S?P fiQe�€(S1IlQ t7D}� Y mew. understand that a copy of this statement may be to the ofrm of investigations of the DiA for coverage verification. 1 do hereby certify under the pain ofpmlmy that the ivdarm Um provided above is true and correct Signature Date Print name �,4-vlcw6L Yl�v N t'�ne ?7C15�_ Official use only do not write in this area to be completed by city or town driciar City or"town Pe[mit/l iCensino. 0 Bt ilWng Dept [jCheck if immediate ressp=e is required .0 � , B oa . 0 Selectn aWs a Contact person: Phone# E] Health Departs Other ACQRD,,, CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/YYYY) PRODUCER 978-975-4344 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION INTERNET INSURANCE AGENCY, INC ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 522 CHICKERING ROAD HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. NORTH ANDOVER, MA 01845 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURERA: ARBELLA PROTECTION D.G. CONTRACTING, INC. INSURER B: NORFOLK&DEDHAM DAVID INSURERc: ARBELLA PROTECTION 428 PLEASANT STREET I NORTH ANDOVER, MA 01845 NsuRERD: AIG INSURANCE INSURER E: COVERAGES 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.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR DD'LPOLICY EFFECTIVE POLICY EXPIRATION LTR S POLICYNUMBER LIMITS GENERAL LIABILITY EACHOCCURRENCE $ 1,000,000 A X COMMERCIALGENERAL LIABILITY 8500013549 07/01/2003 07/01/2004 PREMISES Eaoccurence $ 100,000 CLAIMS MADE A OCCUR MED EXP(Anyone person) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GENERALAGGREGATE $ 2,000,000 GEN'LAGGREGATE LIMIT APPLIES PER: PRODUCTS)COMP/OP AGG $ 2,000,000 POLICY ]JECTPRO' LOC AUTOMOBILE LIABILITY B ANY AUTO 90151692 06/12/2003 06/12/2004 (EaaccdeDSINGLE LIMIT $ 1,000,000 ALL OWNED AUTOS BODILY INJURY X SCHEDULEDAUTOS (Per person) $ HIREDAUTOS BODILY INJURY NON)OWNEDAUTOS (Per accident) $ PROPERTY DAMAGE $ (Per accident) GAR AGE LIABILITY AUTO ONLY)EA ACCIDENT $ _ ANY AUTO OTHER THAN EA ACC $ AUTOONLY: AGG $ EXCESSIUMBRELLA LIABILITY EACHOCCURRENCE $ 1,000,000 C X1 OCCUR CLAIMS MADE 4600020399 12/10/2002 12/10/2003 AGGREGATE $ 11000,000 DEDUCTIBLE $ RETENTION $ $ WC WORKERS COMPENSATION AND TORY ER D EMPLOYERS'LIABILITY WC333-27-74 03/31/2003 03/31/2004 TORY LIMITS ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT 100,000 OFFICER/MEMBER EXCLUDED? E.L.DISEASE)EA EMPLOYEE $ 100,000 If yes,describe under SPECIAL PROVISIONS below E.L.DISEASE)POLICY LIMIT $ 500,000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION SHOULDANYOF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL IMPOSE NO O IGATI OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENT ES. AUTHORIZE F.PR T ACORD 25(2001/08) ACORD CORPORATION 1988 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: (Location of Facility) Signature of Permit Applicant )4 Date NOTE: Demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector FIRST FLOOR: Existing walls & boarders future walls \� the expanded area for J & W Shoe Repair the expanded area for R.ennie's Flower Shoppe General: All sprinkler heads are to be removed per code. All walls are to be build with 2 x 45 insulated for sound 5/8" fire code sheet rock on both sides. Rennie 's Flower Shoppe will be installed new 3' steel door. J& W Shoe Repair the metal door will be removed to new location 6LA». l I j LLW Lxko R �C) ST vp-s OAJ C-ND = 1 L.".1.._ ti N 'THE FLO R_ i -t 3 C u ?-Zc V) S -�0 V-1 U- 1 �) N CI L OD �j 11 JL t.P r r AL Z v Z i %+J► L ia•A16�W v . � p „M .Y.�. ,' l ' 0 �OCLC dover, Mass., GV% ®S oZoa 3 RATED S H � BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System BUILDING INSPECTOR �'� � pof'!�.ob �aU 7.C�. �ivsSf,�wC THIS CERTIFIES THAT ........i`?...R........................ .... !!F�i.IA... l.. . L............. ..........................,�........ Foundation has permission -AW.AcpaAWIdings n ...tg.S7.X31....w1.1 w0 sb . ............. Rough to be occupied as.......rr�.!! .�,.�... �'�1-�ZwwI�FX .. .!vs17��►�+.�.s!!�t'f'og:iu4..! �!�e.. .S!' 1�4 Chimney provided that the person accepting this permit shall in eve 'res respect conform to the terms of the application on file in P P P 9 P every P PP� 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. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough PERMIT EXPIRES IN 6 MONTHS Final UNLESS CONSTRUCTION STARTS ELECTRICAL INSPECTOR Rough 4�...................... ... 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 FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. SEE REVERSE SIDE smoke Det' JP, _. ZZ t --------------- V-WA ''fes �n w � w� 1 ' t BOARD OF BUILDING RE GULATtONB OKLfCTIGN gupE+, VISOR Llcens Bir#+aiate: iDit)y1959 ` { empires:ioM=005 Tr.no: 6242 I Reswcted. 00 ULEDAVID SANT 8 N ANDOVER, MA TN - _:'�'_ 428 P OA 845 Adm�n�strator titer a 3 i ` J BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR Restdcted: no - '• aZ8 PLEASANT 5'T� - - ���'�/ ' __. - , N ANDOVER, MA 01845 Administrator t Location No. Date MaR,M TOWN OF NORTH ANDOVER o��.... ,• do �t 41 9 cat ," Certificate of Occupancy $ J 'CMUS c�' Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL S�y A/- $ Check # 2 1 235 1BAding Inspector NORTFJ p ,��to eb tiO L �• O Awa• q. �.p (O( LIN WICK y *'V4to �SSACHU`�� TOWN OFNORTH ANDOVER Sign Permit Date: __ __— June 12, 2008 , Permit Number: THIS CERTIFIES THAT "Fabulous Findz" to erecta rima front wall sign 1.5' x9.5" = 14.25' s . ft. and a second wall side 1.5' x3.75: si n has permission provided that the person On 142 Main Street respect conform to the application on file in this office, and to the provisions of the Codes and accepting this Permit shall in every res p By-Laws relating to the Sign Regulations in the Town of North Andover. lations, Section#6 Voids this Permit. Violation of the Zoning of Sign Regu INTERNALLY ILLUMINATED SIGNS ARE PROHIBITED Inspecto of Buildings y • SIGN PERMIT APPLICATION -Og -?a 1600 Osgood Street Building 20, Suite 2-36 TOWN OF NORTH ANDOVER Site Owner Applicant Tel ��1�- -`� 1>J I `� t l (��Lkh4'2�'�. Site Address Size of Proposed Sign `'Map Parcel Illumination: a� ot�llumina epi• t .c �t �, 5 b ally illuminated How attached: a) Against the wall c) Externally illuminate b) Roof c) Ground Materials: kZMD w i oy-ey-"Vi d) Other, _ L i pF3-M M UC Wi AS CbO I Ili -� S�v►1 - C�� t,��,re S-1-z lc w(� -5 Proposed Colors: Background� Aw4-3 Lettering Czolo Cost of Sign M&&W Border (T©LI:2 Note: No permanent/temporary sign shall be erected, or enlarged until an Required Attachments: application on the appropriate form furnished by the Sign Office has been Photographs of building filed with the Sign Officer containing such information including Material sample photographs,plans and scale drawings, as he may require, and a permit Color sample for such erection,alteration, or enlargement has been issued by him. ire ora - in Such permit shall be issued only of the Sign Officer determines that the Jbrawings of proposed sign sign complies or will comply with all applicable provisions of the By- 4 Other, specify Law. Will sign overhang any public road or walkway Yes ( ) No . i If Yes, Name of Agency who will provide liability insurance: bY-VA a\(\'64 r AN iNobMPLETE APPLICATION WILL NOT BE ACCEPTED DATE FILED: � Receipt# : 23Y Check# :;;21_q Revised 10.31.2006 Form Sign Permit Application SIG E OF APPLICANT err _ r � 1 � -' »�mvrr .rnaz.�. •.:r,.�-c.,,,Y--h,..o-.;K.a, wk=•n.,,.rr.F. .`�...�„�.��,. 4 3 vE.—___.-__-... 1.:. -...-.'�...__. .. ::.. -. ': t .�.-.:....✓wr.m .. nw .:.,✓y..,. k4-"e,»:��'�e vi,W.�.aAY=:ti,•xn� .C'.9'M.•..nie. t+rowL.v.aaF,G k-rw n�we '�.. 11 1 5 F�: i .. 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Three-dimensional v" signs present a bold first impression for 9 P CAST NANATO.0 Custom fabricated any company or organization. With TAMCUCONIN CATO changeable copy board - W'SICORPORATRIN ;r:"HiDl j,aium;,,;:,, endless customization options, the TITANSTSUMS-AVERSTAR and:`ryi!c t';ements visual presentation is limited only by =` the Imagination. Whether hand carved, CNC routed or sandblasted, the esthetic beauty of dimensional signage will leave Ian enduring impact on all onlookers. Sand blasted Red Cedar with raised prismatic cross and 23kt. gold leaf lettering { it CUSTOM LETTER/NO - I 1-800-554-SIGN i • Quali Counts V-Carved Western Red Cerdar with 23kt. • gold leaf lettering and border t WesternRed cedar with raised P ' 23kt. gold leaf router cut HDU letters 36 Brushed stainless steel reverse channel letters Sandblasted Redwood with raised Sandblasted Redwood-with 231<t. _ Fabricated aluminum directory molding and 23kt. gold leaf lettering and border gold leaf lettering and natural border with acrylic tenant panels .�u r \ ' _' 483-485 W- L-LULELLA . IMMANL`EL WILDWOoo AVE. CHURCH WILIMA« ,S;. , INDUSTRIES NEW ENGLAND SERUM Sandblasted Redwood with raised 23kt. gold leaf router cut HDU letters Sandblasted Redwood with 23kt. gold leaf lettering and applied carved HDU banner Fabricated aluminum monument mount ZYC4 AVE CUSTOM LETTER/N6 1-800-554-SIGN