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
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0,9N� Ty OF SS 3 9�
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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
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Drawing No.