HomeMy WebLinkAboutBuilding Permit #144-11 - 15 CIDERPRESS WAY 8/20/2010 BUILDING PERMITo1* tkORoTH qq
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TOWN OF NORTH ANDOVER
APPLICATION FOR PLAN EXAMINATION
Permit NO: Date Received �, "�R,T.o'�P`�5
Date Issued: 5�;wvd �SSACHUS��
IMPORTANT:Applicant must complete all items on this page
LOCATION tSC� re Meed
Print
PROPERTY OWNER deeI A C" C,LC
Print
MAP 210 boy PARCEL: 3 1 ZONING DISTRICT: r Historic District yes no
Machine Shop Village yes no
TYPE OF IMPROVEMENT PROPOSED USE
Residential Non- Residential
ewBuil One family
Addition Two or more famil _ Industrial
Alteration No. of units: ; /tl+s Commercial
Repair, replacement Assessory Bldg Others:
Demolition Other
Septic Well Floodplain Wetlands Watershed District
Water
DESCRIPTION OF WORK TO BE PREFORMED:
Id tifcation Please Type or Print Clearly)
OWNER: Name: S L)_C Phone: c/79'-98714h'
Address: L5 6r J)' JJ. to L
CONTRACTOR Name: Lqrj, 4 • Phone: X178
Address: f` ��r � 1�/ 'L. A 4
Supervisor's Construction License: CS 3 S �! Exp. Date: y 12
Home Improvement License: N I A Exp. Date: J
ARCHITECT/ENGINEER elS�7MIn Arz l cj Phone: 78 1 —9:-n--�01 s;
Address:SF�Q1 Reamg� M4 6 W67 Reg. No. (,O Iy
FEE SCHEDULE:BULDING PERMIT.$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F.
Total Project Cost: $ 25�i- 6 2�. See v\dkes� FEE: $ .so koo.c-<)t.
Check No.: zZL(6 , IAO
Receipt No.: 'Jug,P
NOTE: Persons contracting with unregistere o tractors do not have access to the guaranty fun
Signature of Agent/Owner'� Signature of contractor az,6_A�
Location lS >e714 1�-/ � w
No. w Date
�oRT� TOWN OF NORTH ANDOVER
0a r
too
Certificate of Occupancy $
CN�S Building/Frame Permit Fee $
Foundation Permit Fee $ _
Other Permit Fee $
TOTAL $ �
Check #
2 � :J
Buil ing nspector
P s Submitted Plans Waived Certified Plot Plan Stamped Plans
TYPE OF SEWERAGE DISPOSAL
ublic 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 Jo
CONSERVATION Reviewed n Si natu\r
• � 1
COMMENTS \
f-'V)
HEALTH Re ie a 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
COMMENTS
tans Subm' d Plans Waived Certified Plot Plan ' Stamped Plans
TYPE OF SEWERAGE DISPOSAL
�ubficSewe Taming/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 AID PROVED
PLANNING & DEVELOPMENT O
-COMMENTS N 1,A- YOS
CONSERVATION Reviewed on -71Signature 4,�
COMMENTS V
HE LTH . 0 Reviewed on Si natu"
COMMENTS ph wa,�e��aewer
Zoning Board of Appeals:Variance, Petition No: Zoning Decision/receipt submitted yes
Planning Board Decision: Comments
Conservation Decision: Z�2—1�)Y Comments
Water& Sewer Connection/Si natur Da Drivewa Permit
DPW Town Engineer: Signature:
Located 384 Osgood Street
FIRE DEPARTMENT' Terry Duan er nn bite yes no
Located at ��1 ain Street
Freepartments'ignatur /date � � / -Z oto.
COMMENTS
Dimension
Number of Stories: Total square feet of floor area, based on Exterior dimensions.
Total land area, sq. ft.: - CO L-
ELECTRICAL: Movement of Meter location, mast or service drop requires approval of
Electrical Inspector Yes No
DANGER ZONE LITERATURE: Yes No
MGL Chapter 166 Section 21A—F and G min.$100-$1000 fine
NOTES and DATA— For department use)
64 Sy
f 061 SI u 1 zr 2 SJ7
Few' 1 3 O 1. Sv cM s
3 I CT 50
❑ Notified for pickup - Date
......_........._............_..................__._....._...................................._............................................_.._............._..........__..............................._.._._._.........................._............................_._.........................................................__..........................................._......_.._............................................----..................
Doc.Building Permit Revised 2010
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
❑ Building Permit Application
❑ Workers Comp Affidavit
❑ Photo Copy Of H.I.C. And/Or C.S.L. Licenses
❑ Copy of Contract
❑ Floor Plan Or Proposed Interior Work
❑ 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
❑ 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:Building Permit Revised 2008
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SSACHUS 1r
CER'T'IFICATE OF USE & OCCUPANCY
TOWN OF NORTH ANDOVER
Building Permit Number '
Date:
THIS CERTIFIES THAT
THE BUILDING LOCATED ON 'Z Ciderpress Way, North Andover, MA 01845,
MAY BE-OCCUPIED as single-family town house IN ACCORDANCE WITH THE
PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER
REGULATIONS AS MAY APPLY.
Certificate Issued to: Meetinghouse Commons,LLC
Building Inspector
Fee: 100.00
Receipt: -,,,9.333
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SSCNUr
CERTIFICATE OF USE & OCCUPANCY
TOWN OF NORTH ANDOVER
Building Permit NumberDate: '
THIS CERTIFIES THAT
THE BUILDING LOCATED ON 4L:!�Ciderpress Way, North Andover, MA 01845,
MAY BE.OCCUPIED as single-family town house IN ACCORDANCE WITH THE
PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER
REGULATIONS AS MAY APPLY. .
Certificate Issued to: Meetinghouse Commons,LLC
Building Inspector
Fee: 100.00
Receipt: .
G�
NO oTk
a
3s�cxu�4
CERTIFICATE OF USE & OCCUPANCY
TOWN OF NORTH ANDOVER
Building Permit Number_,/ �� Date:
y
THIS CERTIFIES THAT
THE BUILDING LOCATED ON Cidguress Way, North Andover, MA 01845,
MAY BE.OCCUPIED as single-family town house IN ACCORDANCE WITH THE
PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER
REGULATIONS AS MAY APPLY. .
Certificate Issued to: Meetinghouse Commons,LLC
Building Inspector
Fee: 100.00
Receipt: . ,����p
,f
ORTH
ovm o _ Andover
LAKover, Mass.,
� o �.
COCHICHEWICK V
7d ADRATE D �
S BOARD OF HEALTH
Food/Kitchen
-PERM IT T D Septic System NIA
�k.-4
LTHIS CERTIFIES THAT......... f_�I_e ... �° BDING INSPECTOR
ion
has permission to erect.................... buildings own ....,. ...... ......6-f)k `. Rou 4s �� d
to be occupied as......�f....a. .... .... .........!� d. 5......... ......'....................... ey
provided that the person ac ptmg this permit shall in every respect conform to the°terms of the application on file in inal
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. LUMBI INSPECTOR
VIOLATION of the Zoning or Building Regulations Voids this Permit.
in
K
;0
PERMIT EXPIRES IN 6 MONTHS
4 e-, a ELECTRICAL INSPECTOR
UNLESS CONSTRU N S T
347
.................. ....................................................................... .............. Service
BUILDING INSPE OR
Final
Occupancy Permit Required to Occupy Building GAS INSPECTO
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 SOIDE !�—��
�10RTh
Of��4a° °1ti0
� � 9
sin°�
�sSwC Set APPLICATION FOR CERTIFICATE OF OCCUPANCY/INSPECTION
Buildina Permit#
ADDRESS/LOCATION OF PROPERTY : (5 C t&=,Q— U\)Qv
Map 1p qC Parcel 3 Lot Number (TVLuNt�ovSE)
SUBDIVISION e"�rl Com mems
DATE REQUESTED FILED/READY FOR IN PE TI N �/2I1
�
CLOSING DATE ON PROPERTY: -C/13/11
FIVE (5) DAYS NOTICE PRIOR TO CLOSING DATE IS REQUIRED
ALL WORK AND SIGN-OFFS MUST BE COMPLETED WITHIN THIS TIME FRAME. A RE-
INSPECTION FEE OF TWENTY DOLLARS$20.00)WILL BE CHARGED IF THE STRUCTURE
DOES NOT MEET ALL APPLICABLE CODES.
Permit Issued to: 'n
Address l l 5 Cit 3 e r 5 %j% •
SIGNED
ROUTIN
CONSERVATION /
PLANNING 0 /A L0•4DB
DPW-WATER METER F,719: III
SEWERIWATER CONNECTION
NOTE
DPW MUST INDICATE THAT THE WATER METER HAS BEEN INSTALLED PRIOR TO
SUBMITTAL OF THE OCCUPANCYIINSPECTION REQUEST
DPW ti k
Signature
File: Application for OC form revised Jan 2007
ORTFy
Town of And
dover, Mass. '
COC MIC ME WICK y�.
ADRATED P'P�,�"`�
`S BOARD OF HEALTH
PERMIT T D Food/Kitchen
Septic System
BUILDING INSPECTOR
THIS CERTIFIES THAT.........
itkie–.a-'..rLiI.I.–t.. . .....6. .M.�04...... ..�.��°.......................................... Foundation
has permission to erect........................................ buildings on ... . .......Cud ..
......................... ............. Rough
to be occupied as....../......c �..... �( I D !�a.. ,.. .... !U.....'...................... Chimney
. . . . ......... ... ......
provided that the person ac pting this permit shall in every respect conform to th 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 Construction of
Buildings in the Town of North Andover. PLUMBING INSPECTOR
VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough
30q 1 _ Final
PERMIT EXPIRES IN 6 MONTHS
- /06
UNLESS CONSTRU N S T ELECTRICAL INSPECTOR
t3 Rough 1 �. .................. .................. , ............................ -.......... ....... Service
BUILDING INSPE
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.
� ORT1y
Town of _ oAndover
kk&
0
No.
0
}� C., �- - dover Mass. d
�.^ Q - LAKE 0, 1
COCKICMEWICK V
ADRATED
`SS BOARD OF HEALTH
PERMIT T D Food/Kitchen
Septic System
/\ �, BUILDING INSPECTOR
THIS CERTIFIES THAT.......... .....�i !........ ! ... 'v...... . :m4�1i .......: : .. ............................................
Foundation
has permission to erect. ................................ buildings
1on . J ........�. . ; .1........ e4-r.A�,t- ... Rough
Chimney
� 1
to be occupied as... e.....'�
..........................................................
provided that the pars n 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 Construction 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
UNLESS CONSTRUCVON � TS ELECTRICAL INSPECTOR
Rough
......... .................... ..................................................... Service
H*1FrHt1SPECTOR
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.