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HomeMy WebLinkAboutMiscellaneous - Exception (228)w O O F=4 s o' w o w° a cn o U z A � s � w° w°' U Cd w U a p' c�° � w w w W oo c9°4 cn w a ,� zco c�° w w a w m ° 2 cn v D o cn ,1 '•m c O H .;, c O V . d � d c O A o � co Z r CJ m (10 I `' v O 01: 5 rm mc N cc m � O�y ccm m abO : H c A H 1 co o CLCS m o 1 ? Q CLCACi Lm o� V h Z C>2 .:�►' c O = m O r=... LLJ O !E O y+ c r •h dZ� W C I... V 'E- v = f3 CD Q CL y d m� Oy H zi . am N z 0 U ui C U) ui W w w ui CD a� 0 Q L 0 o Z a� O � y C cm y Q � Q � U Q a 'E O O m m O i CL O CD O v G O L a ti O a O v�aC ca •C O !CC cs "FL OCR Z v o c. V W C O cc co 0 ui C U) ui W w w ui CD Location No. Date �/ (= /CU ,.ORTOI TOWN OF NORTH ANDOVER Oi t«•° '•,h00 L Certificate of Occupancy $ ��s',••°•,t�' s+cNus Building/Frame Permit Feq $ Foundation Permit Fee $ Other Permit Fee 3 $ r TOTAL $ Check # ea/ �, O Building Inspector TOWN OF NORTH ANDOVE'' BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR, RENOVATE, CHANGE 11&6 OSE OR OCCUPANCY OF, OR DEMOLISH ANY BUILDING OTHER THAN A ONE OR TWO FAMILY DWELLING r s,.,,. EF.3 -{S^ -st �on for Official Use Onl BUILDING PERMIT NUMBER: �� DATE ISSUED: 2 L/ 7 e SIGNATURE: y d 0 Q BuildingCommissioner/I or of Buildings Date 1.1 Property Address: 1.2 Assessors Map and Parcel Number: 1 iityt� S i ✓Lt�t` � ((�.4ctt�c� 1� � � 3 2S Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: t x r, f/ N G s /l/D CA1AI1GCS No CHgNGCCS Zoning District Proposed Use Lot Area Frontage ft 1.6 BUILDING SETBACKS (ft) Front Yard !!!Y h Side Yard }t Rear Yard }� Required Provide Required Provided Required Provided 1.7 Water E�pply M.G.L.C.40. 54) 1.5. Flood Zone Information: 1.8 Sewerage Disposal System: Public Private ❑ Zone Outside Flood Zone ❑ Municip-ILc On Site Disposal System ❑ Klla WIN 1` 2.1 Owner of Record 2.1 DNd to C � 1A VA Y. LCA- Qr`lcb [Ai,C K . LSU-ti'M A mwQ�, c.� — Name (Print) Address for Service: Signature Telephone 2.2 Authorized Agent Name Print Address for Service: Signature Telephone 3.1 Licensed Construction Supervisor Not Applicable ❑ f'617-40-tfry 1&.\m co93� (o -)011- Address License Number Licen n on S sor: 3/3/? -w ( V 178" ZSO - 1 R U0 V Expiration Date Siinature Telephone 3.2 Registered Home Improvement Contractor Not Applicable ❑ Company Name . Registration Number Address Expiration Date Signature Telephone .. ACTIONr! -W [!U©F1', Workers Compensation Insurance affidavit must be completed and submitt application. Failure to provide this affidavit will result in the denial of the issuance of the building permit. �. Signed affidavit Attached Yea .......❑ No ....... ❑ SECTION S - PROFESSIONAL Al<. >DE IGI+i Alvii COAT RUCTI«kI R'V>CC1 S t $; UI .DIlrtGS AND Si'Rii+ ISS Sia EC :TO CE NSTRTJCTIQN Ct3 l AUL Pill A) '1� T 116'(+ Ql'�TA G MQ � 35,lIU9:CT qlr ENCLOSE SCAM 5.1 Registered Architect: / 00 (] I Ll tAOA S. t�t�LV Name: Address Signature Telephone 3.2 Re,�isteaed.PrafeBsnali s � � � � �KI�CFI� ti t c'A L A r'1 , 2Q I l� LG V4A VA r Ob", Area of Responsibility Name: k, F. L (z, N z �o L --A Po Y ►- Registration Number Address: Expiration Date Signature Total Z �. h AgLd �C�C cwt t � Not applicable ❑ Name: 2 ` ( �� CQ ?,Q° y Y "� Registration Number Expiration Date Address Signature Telephone Area of Responsibility Registration Number Expiration Date Name Address Signature Telephone Area of Responsibility Registration Number Expiration Date Name Address Signature Telephone i As 4,11,1100POWr 't&A M (IQ t,\ CG Not Applicable ❑ Company Name: Jce r � z Responsible in Charge of Construction 110 FBF"O.4i 7T[liVlr New Construction ❑ Existing Building Repair(s) ❑ USE GROUP Check as applicable) Alterations(s) [Y Addition 0 Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify A-2 A-5 Brief Description of Proposed Work: CX%ST, t—t V 1A A(-(, S A CAk Oc Lr !SQW�--J k No c -t5TW t, Y -&J D't 1 w,o Lk W,[Y-L S CA/ -A, i !J M A%A t IZLZW C.4 3G cam( k 1 74 ctv �CLCi K.I�At� HU�L fttkL, ✓_1,,Ao Lift- tA\,-,,j L,4yv� 2A 2B 2C Independent Structural Engineering Structural Peer Review Required Yes ❑ No ❑ 1 SECTION 10a Owner Authorization - TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT Hereby authorize My behalf, in all Owner of the subject property matters relative two work authorized by this building permit application Signature of Owner Date to act on USE GROUP Check as applicable) CONSTRUCTION TYPE A Assembly ❑ A-1 0 A4 ❑ A-2 A-5 ❑ A-3 ❑ ❑ 1 1 B ❑ 0 B Business CY 2A 2B 2C ❑ ❑ ❑ C Educational ❑ F Factory ❑ F-1 ❑ F-2 ❑ H High Hazard ❑ 3A 3B ❑ 0 IInstitutional ❑ I-1 ❑ I-2 ❑ I-3 ❑ M Mercantile ❑ 4 0 R residential ❑ R-1 ❑ R-2 ❑ R-3 ❑ 5A 5B ❑ 0 S Storage ❑ S-1 ❑ S-2 ❑ 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:_,[, �' /�l!�a'v� Existing Hazard Index 780 CMR 34: 01 icc Proposed Use Group: S Z Proposed Hazard Index 780 CMR 34: Independent Structural Engineering Structural Peer Review Required Yes ❑ No ❑ 1 SECTION 10a Owner Authorization - TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT Hereby authorize My behalf, in all Owner of the subject property matters relative two work authorized by this building permit application Signature of Owner Date to act on as Own uthorized 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 Qva- <�-�-� 1 (3l SigriqGe of Owner/Agent Date Item Estimated Cost (Dollars) to be '( C�qrnpleted by applicant r permit 1. Building (a) Building Permit Fee 5 C, 'ZS dcia. W Multiplier ` 2 Electrical l (b) Estimated Total Cost of S �� 'N Z cyoo o 0 ® Construction from (6) 3 Plumbing Building Permit fee (:) X (b) I 4 Mechanical (HVAC) S a00 5 Fire Protection W (Do 6 Total (1+2+3+4+5)5 (. �d oc�o Check Number . } Pt ?T#j, }.3 6%�3?{.,.t ��s NO. OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TIMBERS 1 ST 2ND 30 SPAN DEMENSIONS OF SILLS DEMENSIONS OF POSTS DIMENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CBRANEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE a { � _ ��5� �-:. �Sr?T : � � � �' �.2.., �. �3 ~. ...: . ,,� : ....-' c. .y:;:. _ ✓„ Hz.-g�_ , ;?"' ft , � �' , [� r3.. - ..:..:... January 24, 2000 Mr. Robert Nicetta Building Commissioner Town of North Andover 27 Charles Street North Andover, MA 01845 Dear Mr. Nicetta, r� wil munio - " I L� This letter will serve as my approval as the representative of Yale Properties, Property Manager for North Andover Mills, that the attached construction documents as specified in this letter and marked Exhibit 1 for the demolition and new construction of R&D Office Area for our tenant — Quantum Bridge Communications, is hereby `approved' based on the scope of work indicated. Attached please find three sets of these documents along with the signed affidavits from the Architect and Engineers. The following construction documents have been reviewed and approved by this office: ARCHITECTURAL A101 DEMOLITION PLAN A201 PARTITION PLAN A501 PARTITION TYPES, SCHEDULE, DETAILS & DOOR TYPES ELECTRICAL E-1 LIGHTING PLAN E-2 POWER PLAN E-3 SYMBOLS, SPECIFICATIONS & DETAILS MECHANICAL M-1 HEATING, VENTILATING & AIR CONDITIONING M-2 MECHANICAL SPECIFICATIONS M-3 FIRE PROTECTION PLAN If you should have any questions, please do not hesitate to call either myself or my Building Engineer — Arthur Boujoukos, Yale Properties. Many thanks for your help and advice. Sincerely, W — 4-c4ax", David G. Cohan Property Manager North Andover Mills FEB 2 2cr0 k "-iViENii One High Street, North Andover, Massachusetts 01845 Tel.: (978) 682-8708 Fax: (978) 682-8713 AFFIDAVIT FOR ARCHITECT AN -D ENGINEER THE COMMONWEALTH OF MASSACHUSETTS COMMONWEALTH OF MASSACHUSETTS ) SS: COUNTY OF ESSEX ) O his 24th day of anuary, A.D. 2000, before me, robnc7rover Linda S. Smiley, who, being du y sworn, deposes and says that she will review the preparation of Quantum Bridge tenant fit -out work on the fourth floor of Buildings lA & 3, and the third floor of Building 1, at North Andover Mills in North Andover, Massachusetts; and that she will review and/or provide for the proper checking of all the working drawings and shop drawings for construction; and all modifications to the existing structures will be designed for construction in accordance with applicable provisions of Chapter 1, Section 116, Massachusetts State Building Code, and that such plans conform to all the applicable provisions of the Massachusetts State Building Code, and that all the materials used in the construction will be selected by specification by her or her registered professional Designee in accordance with the Controlled Materials Procedure therein defined. w Linda S. Smiley Su ribed and sworn to before me thisl;�! of IF Notary Public My commission expires on j ZaZ201:� \\Advfs0l\Projects\Projects\Atfidavits, Bldg. Insp. Letters\OUANTUM BRIDGE PH. 11 AFFIDAVIT.DOC FICH� H. F. LENZ COMPANY AFFIDAVIT FOR ARCHITECT & ENGINEER THE COMMONWEALTH OF MASSACHUSETTS COMMONWEALTH OF PENNSYLVANIA COUNTY OF CAMBRIA On this 21st day of January, A. D. 2000, before me, the undersigned notary public, personally appeared William R. McGhee, P.E. who being duly sworn, deposes and says that he has reviewed the preparation of the design plans on the attached drawing list for Quantum Bridge Communication, Inc. (Fourth Floor - Building IA & 3A, North Andover, Massachusetts), and that he will and/or provide for the proper checking of all the working drawings and shop drawings for construction; and all modifications to the existing structures will be designed for construction in accordance with applicable provisions Article I, Section 127, Massachusetts State Building Code, and that such plans conform to all the applicable provisions of the Massachusetts State Building Code, and that all the materials used in the construction will be selected by specification by him or his Registered Professional Designee, in accordance with the Controlled Materials Procedure therein defined. f -�N OF M4 SS'90 per' WILLIAM R. yGn � McGHEE �, p MECHANICAL 0 No.35320 William R. McGhee, P.E. A�'o G/STE�'``� �``� Massachusetts Certificate �Fss/ONALENG\� Number 35320 H.F. Lenz Company Subscribed and sworn to before me this 21st day of January, A. D. 2000. Notarial Seal Maryann L. Adams, Notary Public Paint Twp., Somerset County My Commission Expires Mar. 03, 2001 Member, Pennsylvania Association of Notaries FIC H.F. LENZ COMPANY AFFIDAVIT FOR ARCHITECT & ENGINEER THE COMMONWEALTH OF MASSACHUSETTS COMMONWEALTH OF PENNSYLVANIA COUNTY OF CAMBRIA On this 21st day of January, A. D. 2000, before me, the undersigned notary public, personally appeared Charles N. Neuhoff, P.E. who being duly sworn, deposes and says that he has reviewed the preparation of the design plans on the attached drawing list for Quantum Bridge Communication, Inc. (Fourth Floor - Building IA & 3A, North Andover, Massachusetts), and that he will and/or provide for the proper checking of all the working drawings and shop drawings for construction; and all modifications to the existing structures will be designed for construction in accordance with applicable provisions Article I, Section 127, Massachusetts State Building Code, and that such plans conform to all the applicable provisions of the Massachusetts State Building Code, and that all the materials used in the construction will be selected by specification by him or his Registered Professional Designee, in accordance with the Controlled Materials Procedure therein defined. yCHAALESJ. 14EUNOFF ELECTRICAL a Charles N. uhoff, P.E. W. 33M Massachusetts Certificate Number At. H.F. Lenz Company Subscribed and sworn to before me this 21st day of January, A. D. 2000. '--Notarial Seal Maryann L. Adams, Notary Public Paint Twp., Somerset County My Commission Expires Mar. 03, 2001 Member, Pennsylvania Association of Notaries FICH Quantum Bridge H. E LENZ Drawing List COMPANY 2000-0025.01 Drawing No. Title M-1 Fourth Floor - Partial Plan - HVAC M-2 Mechanical Specifications SP -1 Fourth Floor - Partial Plan - Fire Protection E-1 Fourth Floor - Partial Plan - Lighting E-2 Fourth Floor - Partial Plan - Power E-3 Electrical Symbols, Specifications and Schedules Drawlist:0121001 sab 7:7. 7 - BUILDING DEPARTMENT DEBRIS DISPOSAL FORM In accordance with the provisions of MGL c 40 S 54, a condition of Building Permit Number Is that the debris resulting form this work shall be disposed of in a properly licensed solid waste disposal facility as defined by MGL c 11, S 150A The debris will be disposed of in: Location of Facility T Sign-=VoTPermit Applicant Date NOTE: Demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector -,L�E—!ff The Commonwealth of Massac,�use:ts = I> Department of Industrrcl-=' ccrdenrs v GF, ice cf Jmiestiaatlons Eoston, Mass. 0211 i Ncrkers' Comcensarion lnsur�nce ,�', rC�vr Name ICn CIS / F- Cm I am c rcmecwrer Ferfc,-minC all Work myself. I am a scle .ompreter and nave no cne ,Ncr<ina in any capac;�,i �� I am an er picyer prwc.irc workers' compensation frcr v en1plC!/ees 'Ncrxirc Cr (viiia JCb. Ccr ^aniy ner I e: eArS `�J CVtAS k "GRQ,-k 'A fUA ✓ G&Wk1 * �k Insurance Co `IOLAO-us L\G N4 F^lic / T 1 RO R 16S:� Ib9s-)II8 Comcanv name: Add Phcre Insurance Cc. PCIIC•/ = _ Fs;!ure to se, -:,re coverage as reclarec incer Szc;:cn ZS-\ or \4Gi_ 15= can leac to the :mccsiticn of c.im;r.ai cenait;es cr a fine up to C1,5cC.CC anc'cr one years' ir,;crscnmer.t as ,ve;! as c:vii cena!ties in '.he crnn cr a STCF'r/CF.K CRCEF, anc wine c." (S' -CC -CC) a cay a,airs; me. I uncerstane that a cc::,/ or .`is sta-zement ma`/ ce fcr,varcec to the Ctficc of Invesccaucns c; :he Clr' for ccverace venrcancn. l co herecy certrry_titcar rhe Sign egL:C/ rar :he i.nrcrrraricn .orevlded accve is .',f:e and ccrrec:. cat- z/wI zdC3Q ✓ n p� Print name 1:G f l -i & 1'r tZ (C 2,���,1 F; cne ` `t3t c1- ((?86 C-ic:al use omy CO not wrrte ;n th;s area to i:e cornvete^ cy c:ty c ,c.m cr�c:a; Cay or Tc•.vn F=rm;t,'Lic rc C Buiidirc Cert [C`e .'r ,rirrrrediate respicrse is recuired G LcarsinC E.Card se!ec;rnar,'s �riice C.;nrac:,. c:;c;.p C r-,ealin DeNarrlTle�t ....., Gther L 11 ,.��ee �anz»zaruueal�-iz. a`'� lGawac�u�P,Ct`.i DEPARTMENT OF PUBLIC SAFETY CONSTRUCTION SUPERVISOR LICENSE Number: Expires: Birthdate: CS 069346 0310312001 0310311970 Restricted To: 00 JEFFREY P FERREIRA r, 2 SPRING COVE RD foll"'O NASHUA, NH 01.062 FORK! U - LOT RELEASE FORA INSTRUCTIONS: This form is used to vedfy that all necessary approvals/permits from' Eoards and Departments having jurisdiction have been obtained. This does not relieve the applicant and/or landowner from compliance.with any applicable or requirements. `-AFFL]CAJNT FILLS OUT THIS SLCT!CN**** ,**"` t < {* �n APFL!CANT 1(ZQMCQA 1 ►�STr(,�)LT(c��`E LCCATION: Assessors Map dumber SUEDIVISION 53 PHONE PARCE"L 05 LOT (S) STREET I I4t6y, S,n,&- r ST. NUMEER I * ** O F F I C 1A L U S L RECOMMENDATIONS OF TOWN AGENTS: CONSERVATION ADMINISTRATOR COMMENTS TOWN PLANNER COMMENTS FOOD INSPECTOR -HEALTH SEPTIC INSPECTOR -HEALTH COMMENTS DATE APPROVED DATE REJECTED DATE APPROVED DATE REJECTED DATE APPROVED DATE REJECTED DATE APPROVED DATE REJECTED PUELIC WORKS - SBVER/WA T ER CONNECT IONS DRIVEWAY PERMIT_ FIRE DEPARTMENT REc="iVED EY EUILDiNG iNISPECTCR Revised S�°; im DAT`