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HomeMy WebLinkAboutBuilding Permit #704 - 1160 GREAT POND ROAD 6/16/2009 BUILDING PERMITof"°DT bAti TOWN OF NORTH ANDOVERo -. Z. APPLICATION FOR PLAN EXAMINATION 7D Permit NO: / G Date Received •pq c« ��SSACHUS Date Issued: IMPORTANT:Applicant must complete all items on this page LOCATION It IU 0 �Y1{ PROPERTY OWNERrsoo ks runt Print MAP NO: PARCEL:)6 ZONING DISTRICT: - Historic District yes no Machine Shop Village yes no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential New Building One family Addition Two or more family Industrial Alteration No. of units: Commercial Repair, replacement Assessory Bldg Others: Demolition Other Septic well Floodplain ` Wetlands Watershed District ate r e DESCRIPTION OF WORK TO BE PREFORMED: Rew,e-.rp j 8-X,i S4-i )4 13A 1-iA knom, �a,uvenj-- S!ext Ce i A.I�Q OA1C,0— Identification Please Type or Print Clearly) G OWNER: Name: kS Szl�,no 1 (-7 ti" Tncvaae l Phone: Address: 1 (D Cr-A-e,,t�`1- 1Po tJd RA yA Urz-V H Y COAJ S = e- CONTRACTOR Name:'tBgz+°t- YVltjrz-ID}��1 Phoney � ' � ` 5'c 3 c � Addresso.13 la YV1r4Sd 311unAQn - olg570 : . Supervisor's Construction License: 344 3F0 Exp. Date: (d q Home Improvement License: Exp. Date:— ARCH ITECT/ENG ate:ARCHITECT/ENG INEER�,(�aoC m f4,�1 Ags6e., Phone: 979 q� Z 15Z,Z- Address: Zak)k -ek _ Z / ���� v� � 116¢ Reg. No. - FEE SCHEDULE.BOLDING PERMIT.$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ 170 , 0 00 FEE: $ 2O qU Check No.: Receipt No.: NOTE: Persons contractin 'rn unregistered contractors do not have access to the guaranty fund ignature of Agent/OwnSignature of contracto .e c A/.Di Y �r�►.?_ fru a 5�^/a�.�11s Building Department The following is a list of the required forms to be filled out for the appropriate permit to be obtained. Roofing, Siding, Interior Rehabilitation Permits 6 Building Permit Application pr Workers Comp Affidavit wr Photo Copy Of H.I.C. And/Or C.S.L. Licenses ❑ Copy of Contract o Floor Plan Or Proposed Interior Work d Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit Addition Or Decks ❑ Building Permit Application ❑ Certified Surveyed Plot Plan ❑ Workers Comp Affidavit ❑ Photo Copy of H.I.C. And C.S.L. Licenses ❑ Copy Of Contract ❑ Floor/Crossection/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Mass check Energy Compliance Report (If Applicable) ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit New Construction (Single and Two Family) ❑ Building Permit Application L Certified Proposed Plot Plan ❑ Photo of H.I.C. And C.S.L. Licenses ❑ Workers Comp Affidavit ❑ Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Copy of Contract ❑ Mass check Energy Compliance Report ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit In all cases if a variance or special permit was required the Town Clerks office must stamp the decision from the Board of Appeals that the appeal period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording must be submitted with the building application Doc:INSPECTIONAL SERVICES DEPARTMENT:BPFORM07 Revised 2.2008 Plans Submitted Plans Waived Certified Plot Plan Stamped Plans TYPE OF SEWERAGE DISPOSAL Public Sewer Tanning/Massage/Body Art Swimming Pools Well Tobacco Sales Food Packaging/Sales Private(septic tank,etc. Permanent Dumpster on Site THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM DATE REJECTED DATE APPROVED PLANNING & DEVELOPMENT COMMENTS CONSERVATION Reviewed on Signature COMMENTS HEALTH Reviewed on Signature COMMENTS Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments Conservation Decision: Comments Water & Sewer Connection/Signature& Date Driveway Permit DPW Town Engineer: Signature: Located 384 Osgood Street FIRE DEPARTMENT - Temp Dumpster on site yes no Located.at 124 Main Street Fire Department signature/date ' }, 2!2ra:a X--M-2dej9 COMMENTS 11 ern r Dimension Number of Stories: Total square feet of floor area, based on Exterior dimensions. SCS ' Total land area, sq. ft.: ELECTRICAL: Movement of Meter location, mast or service drop requires approval of Electrical Inspector Yes No V DANGER ZONE LITERATURE: Yes No MGL Chapter 166 Section 21A—F and G min.$100-$1000 fine NOTES and DATA— (For department use ❑ Notified for pickup - Date ---.......---- ------.._....._.........------—............_..__..........___..........._..— ----................_-.............._..._......__..__.._............__._...........................................---...._........._.._..........-----.. Doc.Building Permit Revised 2008 Location "74.4,� No. Date o NORTh TOWN OF NORTH ANDOVER Certificate of Occupancy .1sMus Building /Frame/Frame Permit Fee Mus Foundation Permit Fee $ Other Permit Fee $ S TOTAL $ a Check 2 21 24 Building Inspector CERTIFICATE OF USE & OCCUPANCY TOWN OF NORTH ANDOVER Permit# 704 (6/16/09) Date: September 2. 2009 THIS CERTIFIES THAT THE BUILDING LOCATED ON Brooks School OUitney Bldg, //6c MAY BE OCCUPIED AS Bath remodel & convert science lab into office saace ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. Certificate Issued to: Brooks School 1160 Great Pond Rd North Andover Ma 01845 fv Alf Building Inspector c40R T►y F ONM OfAndover Wi . No. 7 _ LAKE dover, Mass.,6 ' ' y COC HIC HE WICK ��� ADRATE D C2 S BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System L� BUILDING INSPECTOR THIS CERTIFIES THAT &.-Gatx.......9&6aL...... ........W.+". . . � J• F9ution has permission to arart....................... ............... buildings on .11foo........&1&^+...1P QI to be occupied as.P4 .�IA�..........C.��l�.*!�.�.....5�wl�!!���....4. ...1" 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 Con r4lon of Buildings In the Town of North Andover. ` PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. o h�, 7 2- 0 PERMIT EXPIRES IN 6 MONTHS `Fin l� G UNLESS CONSTRUCTION STARTS !� z,ELECTRICAL INSPECTOR ........................t,.................................. :.:,..,.........................:::............. Service BUILDING INSPECTOR � � 7 2 7-0, 11 �� � Occupancy Permit Required to Occupy Building GAS INSPECTo Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final No Lathing or Dry Wall To BeDone FIRE DEPAR ENT Until Inspected and Approved by the Building Inspector. Burner ,- ; • Street No. SEE REVERSE SIDE Smoke Det. Location No. �— Date No11,M TOWN OF NORTH ANDOVER �? • ' o 9 • i ; , Certificate of Occupancy $ O• Building/Frame Permit Fee $ s•►CHU Foundation Permit Fee $ Other Permit Fee/ $ TOTAL M4/ $ cro s� Check # a �7� 226o7 466ilding Inspector CERTIFICATE OF USE & OCCUPANCY TOWN OF NORTH ANDOVER Permit# 704 06/16/091 Date: September 2. 2009 THIS CERTIFIES THAT THE BUILDING LOCATED ON Brooks School 061itnev Bidg) MAY BE OCCUPIED AS Bath remodel & convert science lab into office mace ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. Certificate Issued to: Brooks School 1160 Great Pond Rd North Andover Ma 01845 &.Coo" Building Inspector ovm Of _ 4Andover 0 No. 70 dover, Mass., T O — LAKE ^ T— COCHICHEWICK.V 7,9 ADRATED S BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System BUILDING INSPECTOR THIS CERTIFIES THAT.....&-a-ats.......9co6a-L...... .......W. .............. Foundsion has permission to ct....................... ............... buildings on .1160.........&.4 ...!k"F....I .oi/., ......... Rout � - P a - to be occupied as "... . .... 604.�(.0.0*4......... .a�llt.!i!�.�.....5�wl�!!���....4. 1!!►� Chimney. . . .. . . . . . provided that the person accepting this permit shall in every respect conform to the terms of the application on file in Finai _ this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Consduclion of Buildings in the Town of North Andover. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. o hl 7 2- 0 11 Fin PERMIT EXPIRES IN 6 MONTHS ' UNLESS CONSTRUCTION STARTS Z ELECTRICAL INSPECT ,..................... :........ a.e ::i. Service BUILDING INSPECTOR 7-2 Occupancy Permit Required to Occupy Building GAS SPECTO 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 ,-�� I4<f q.:.11l Street No. -3 SEE REVERSE SIDE y Smoke Det. �-70/61 ORTH TOWN OF NORTH ANDOVER ro`RY�to a0 OFFICE OF 0 p BUILDING DEPARTMENT �o 1600 Osgood Street �qs �e5 Building 20 Suite 2-36 SACIMU C North Andover, Massachusetts 01845 Telephone(978)688-9545 Gerald A.Brown Fax (978)688-9542 Inspector of Buildings AFFIDAVIT FOR FINAL COST OF CONSTRUCTION 4 A In accordance with the provisions o the Massachusetts State Building Code, Article 1, Section 110.4 and 114.2, the total estimated cost of the construction including all related construction costs* of the building located at 1140 6-'e4--o17- ROs.d C> amounts to $ 2-1z 407. 00.. I, Joh o1 —7j;7-o&-4 1 6tZddKS SifY*04 being the person referred to as the owner identified below, do solemnly swear that the statements made herein are strictly true and correct and made in good faith. *Related construction costs included all work done with or concurrently with the work contemplated by the Building Permit including demolition, plumbing, heating, electrical, air conditioning, painting, carpentry, landscaping, site improvement, etc. Furnishings and portable equipment are not part of the total construction.costs. ignature of ner COMMONWEALTH OF MASSACHUSETTS I SS Se Y- S.S. 20 Q _. Then personally appeared the able named To h T/- 0 v0 L. N MUq Made an oath that the above statement is true. � 4 efo c-Ss-ex ss' � OFFICIAL USE: Final Cost: Original Estimate cost of general work: Cost Difference: Additional Fee Required: TO AMEND FEE UNDER PERMIT NO.: A�aa9 - 7v Inspectional services Department 2005 ,2,-2 � FAfinalcostaftidavitfonn Strict code enforcement makes the town safer Before burying, renting,leasing check zoning BOARD OF APPEALS 688-9541 CONSERVATION 688-9530 HEALTH 638-9540 PLANNING 688-9535 V40RTH 0 Of K 4Andover No. 70 ,. Z _ = dover, Mass., O LAKE COC HIC EWICK �A. ADRATED P?�V �5 `s BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System BUILDING INSPECTOR THIS CERTIFIES THAT.....&.Oalwc.......49106.a.L...... .......W.h..�.... .. .... ... 1� "�""""""" Foundation has permission to ct....................... ............... buildings on .1120........ T....JP ........ ......... Rough to be occU ied as .�....... b�l .1r1�.... '.....Ct�X�lII. .....��i�l !!��' i.... 1!!�� Chimney p 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 Consilluclion of Buildings in the Town of North Andover. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTION STARTS Rough ...................................... 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. I L_ 3'-6" 1'-0" 36 X 36 ACCESSIBLE _ TRANSFER SHOWER UNIT RECESSED INTO FLOOR to 36" X 48" U M CLEAR SPACE 3'-6" MIN. LO 3'-0" r 12" MIN. o —1/2' M 0 THRESH LD Nk - - _j --5-0" DIAMETER " z FLOOR DRAIN 1 I� — — — _j 30" X 48un 34"HIGH 0 Nk SHELVES CURTAIN ROD ABOVE 8'-10" e NOTE: REFER TO 527 CMR SECTIONS 31.7.1 THROUGH 31.7.8 AND 521 CMR 30.00 Woodman Architecture Project No.: 09004.00 Drawn by: CKN Drawing No. 0 y Associates Research Project Name: Brooks Academy Scale: 1/4"=1'-0" M 0 20 Inn Street Design Drawing Title: Date: 6/8/09 w Newburyport, MA Planning Proposed Accessible Bathroom SK#1 Revision No.: ,'pC1P, 01950 Land Use Planning Addendum No.: Tel.: 978-462-9522 Fax:978-462-8338 Woodman Associates Architects Architecture 13'-12 13'-14 Design z Planning C-D J Q 20 Inn Street OFFICE I OFFICE \ OFFICE OFFICE Newburyport,MA �N X 4'-01„ L \ 0 ot95o USA 0 2 I � �I 978-462-9522 978-462-8338 fax email @ WoodmanAssociates.com l II I Project: I— — — — — — — — — — — — — — BROOKS SCHOOL - CLASSROOM BUILDING ALTERATIONS _1 n Location: �� o 9 —14 1160 GREAT POND ROAD I ( NORTH ANDOVER, MA d WALLS AND DOORS TO BE as Dr I L_ Drawing Title: REMOVED SHOWN DASHED PROPOSED OMCE I OFFICE LAYOUT Scale: OPEN Date: OFFICE OFFICE 6/8/09 XX 0 Consultants: CONFERENCE II ROOM - Ll � II I I II II Project No: �N MECHANICAL CLOSET 09004.00 / 0 Drawn by: CKN 10'-2T" \ Checked by: 4 \ II PRINT 3 —14 \ ROOM/ Revisions: STORAGE OFFICE • EXISTING _U \ 0 X STAIR L EXISTING HALL - - - � �5��KgR�� 6� ONE HOUR RATED z INFILL WALL r, czi No.5731 —T BOSTONi Q ?� MA .� 0,9N� Ty OF SS 3 9� �T � sOCI P 2.1 Drawing No. I L 3'-6" 1'-0" 36 X 36 ACCESSIBLE TRANSFER SHOWER UNIT RECESSED INTO FLOOR _I J CD 36" X 48" r7 CLEAR SPACE 3'-6" MIN. 3'-0" r 12" MIN. CA] o —1/2' M n THRESH LD I -5'-0" DIAMETER I FLOOR DRAIN , — J X30" X 48 10 34"HIGH0 X" SHELVES 2'-0" CURTAIN ROD ABOVE 8'-10" NOTE: REFER TO 527 CMR SECTIONS 31.7.1 THROUGH 31.7.8 AND 521 CMR 30.00 Woodman Architecture Project No.: 09004.00 Drawn by: CKN Drawing No. 001950 y Associates Research Project Name: Brooks Academy Scale: 1/4"=1'-0" 20 Inn Street Design Drawing Title: Date: 68/09 J Newburyport, MA Planning Proposed Accessible Bathroom Revision No.: SK#1 d'pC�P 0 Land Use Planning Addendum No.: Tel.: 978-462-9522 Fax: 978-462-8338 Woodman Associates Architects Architecture 13'-12:. 13'-14 Design — _ =�j Planning Q ` 20 Inn Street OFFICE OFFICE \ OFFICE OFFICE Newburyport,MA �N X 4'-01" '-01 0 \ 01950 USA O 2 71 978-462-9522 978-462-8338 fax email @ W oodmanAssociatcsxom Project: — — — — BROOKS SCHOOL CLASSROOM BUILDING ALTERATIONS Location: �� O 9 —14 1160 GREAT POND ROAD I I NORTH ANDOVER, MA 01845 - I--WALLS AND DOORS TO BE Drawing Title: REMOVED SHOWN DASHED PROPOSED OMCE OFFICE LAYOUT Scale: cv 1/4•_1'_0• OPEN Date: OFFICE OFFICE 6/8/09 X ( I I 0 Consultants: CONFERENCE I ROOM IX I � II LlII II Project No: ^N MECHANICAL CLOSET ( 09004.00 � 0 / 0 IT Drawn by: CKN 10'—24 \ Checked by: 4 \ 3'-14 \ OOM31. T Revisions: STORAGE OFFICE EXISTING -U j \ OX X STAIR EXISTING — — — IX HALL IX A ONE HOUR RATED z IL INFILL WALL CD Q No.5731 ,mss eosTort� h o M 34 MA L1= F7 I IJ 3 92 J' w J�C1 10 2.1 Drawing No.