HomeMy WebLinkAboutBuilding Permit #170 - 175 CORTLAND DRIVE 9/1/2009 0
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BUILDING PERMIT of r10R0ORTh 11
TOWN OF NORTH ANDOVER 3? �`,., M °°
APPLICATION FOR PLAN EXAMINATION
Permit NO: 76 Date Received
g3 Arao
Date Issued: /
IM ORTANT:Applicant must complete all items on this page
LOCATION 7S" 6y I&AD .)nue bit t S) N• AJ,,e�r, / "
Print
PROPERTY OWNER e SMS UC
Print
MAP NO: LO PARCEL: _ZONING DISTRICT: )' Historic District yes no
Machine Shop Village yes
-TYPE OF IMPROVEMENT PROPOSED USE
Residential Non- Residential
Buil ' g On
Addition Two or more family Industrial
Alteration No. of units: Commercial
Repair, replacement Assessory Bldg Others:
Demolition Other
Septic Well Floodplain Wetlands Watershed District I
Water/Sewer
DESCRIPTION OF W RK TO BE PREFORMED:
s lrK Efsme-
Ild n ' ication Please Type or Print Clearly)
OWNER: Name: 6 LL Phone:Q
Address:
CONTRACTOR Name: kr,, ,� feLLC Phone: 179-49' 7''2 -?r
Address: //S" 6a
yff
Supervisor's Construction License: GS".S—`��� Exp, Date: /Zd1 e)
Home Improvement License: Exp. Date:
l/
ARCHITECT/ENGINEER Phone:
Address: Reg. No.
li FEE SCHEDULE.BOLDING PERMIT.$12.00 PER$100,0.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F.
tk �otC3Qu�.gyl � -i
♦ 4S32
Total Project Cost: $ _ ���� � 3�t,00��i«e r�2 - FEE: $4332.} iooPJ1-C �.lt toa c o=
lag Z Y ��3 `
Check No.: Receipt No.:
NOTE: Persons contracting with unre istered co actors do not have access to the g ara�n f d
gnature of Agent/Owner Signature of contractor
Location
No. Date / O/
,
TOWN OF NORTH ANDOVER
' Certificate of Occupancy $ b d
Building/Frame Permit Fee $ -3 3.2
GNUS
Foundation Permit Fee $
Other Permit Fee $
TOTAL $ / 'Z
Check # �2
a
225 '/ r/
rUil ing Inspector
tans Submitte Plans Waived Certified Plot Plan Stamped Plans I
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
1 DATE REJECTED DAT APPROVED
PLANNING & DEVELOPMENT
COMMENTS
c
f
CONSERVATION Reviewed on
Sign atu re
COMMENTS
Reviewed on Signature
HEALTH ,
COMMENTS
' P
tZonin Decision/receipt submitted yes
Zoning Board of Appeals:Variance, Petition No: 9
Planning Board Decision: Comments
f
fi
f Conservation Decision: Comments
Water & Sewer Connection/Signature&Date DrivewaV Permit
DPW Town Engineer: Signature: Located 384 Os ood Street
^W=„ARTMEIVT -Temp Dumpster on site yes no
Flt'i3c•;�Lc4 Main Street
�e Qpa�tment signatureidate
r-- e
COMIVIENTS
i
lans Submitted Plans Waived Certified Plot Plan Stamped Plans
TYPE OF SEWERAGE DISPOSAL
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 APPROVED
PLANNING & DEVELOPMENT
COMMENTS L�A " C�, OPS
CONSERVATION Reviewed on d S d Signature
COMMENTS
HEALTH Reviewed on Signature /j1/__
COMMENTSt
Zoning Board of Appeals:Variance, Petition No: N Zoning Decision/receipt submitted yes
Planning Board Decision: NIA Comments
Conservation Decision: Zt(Z_/l1�L Comments
Water&Sewer Connection/Si natur Date Driveway Permit
L
DPW Town Engineer: Signature
Located 384 Osgood Street
i FIREDEPiTMENT Temp Du �er�an site yes : � � no
Lova#ect a#`lt 1�lain Stree#
Dimension.
1
Number of Stories: /Z Total square feet of floor area based on Exterior dimensions.
Total land area, sq. ft.: 3 G: Z (< ,
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.s100-s1000 fine
NOTES and DATA— (For department use
❑ Notified for pickup - Date
Doc.Building Permit Revised 2008 `
lans Submitte
T
YPF OF SF pian
' ublic Sewer wERAGEDISPos s waived
well AL Certifi
a T ed Plot
pian
Pnv to Septic t� anning� yArta Sta
ssageBodmed e
Tobacco Sales Plans
Permanent Du Swin,'Ming Pools
mpster on Site Food p
INE FOLIO ackag'ng1Sales
P LATER pEPgRiN�SFCTI
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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
o Building Permit Application
❑ Workers Comp Affidavit
o Photo Copy Of H.I.C. And/Or C.S.L. Licenses
❑ Copy of Contract
❑ Floor Plan Or Proposed Interior Work
o 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
o Certified Surveyed Plot Plan
L3 Workers Comp Affidavit
E3 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)
Li 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
E3 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)
'} o Copy of Contract
>� o Mass check Energy Compliance Report
o 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
N0RTH
0" . 0 _ }._ 4 over
No. ! 10
�. CONo LA dover, Mass.,
If, COC MICMEWICK
AORATEO C2
`S BOARD OF HEALTH
PERMIT T D Food/Kitchen
Septic System
BUILDING INSPECTOR
THIS CERTIFIES THAT ��.... ...C.. ?.'��YI1 � .....................
�' ` Foundation
has permission to erect........................................ buildings on ... 7 ... a`` - ... .. .Cl tif'........ Rough
to be occupied as.................................. .. .4/.........'S'/`?'��4
....../��. .��.... ..................................................... Chimney
provided that the person accepting this permit shall in evpect conform to thorms 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
ELECTRICAL INSPECTOR
UNLESS CONSTRUCTION STARTS Rough
.. ............................ Service
UILDING PECTOR
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.
NORTH
own O
? And
over
0
C ., ,o o dower, Massz�
�- o - LAKE s
COCMICMEWICK y
RATED 9.P��,�S
BOARD OF HEALTH
PERMIT T D Food/Kitchen
Septic System WA
o BUILDING.INSPECTOR
THIS CERTIFIES THAT...... . ,....... `''1� `� �7.G� ' : .... C ?'r.? !° �a....'�� .. ....................
N. ,1 Foundation
has permission to erect.............................. buildings on ..,,r!.`..r`5��..�.� �� - ... , .,•. c......`..!.. !.....5 Rough
#o be occupied as..................: :�.'. �.<!........6...t�s' '`.1..1 �' !.....0 .jC�... Cr!....`d ........... .. .. ,......... ... Chimney
provided that the person accepting this permit shall in every respect conform to the terms of the application on file m 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
ELECTRICAL INSPECTOR
UNLESS CONSTRUCTION ST TS Rough
� °'... '...':..:�'..�
............................... ........... ... ................... Service
B DING 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 Wail To Be Done FIRE DEPARTMENT
Until Inspected and Approved' by the Building Inspector. Burner
Street No.
SEE REVERSE SIDE Smoke Det.
��„ �ae�aaorruu o�,✓�.cxoatic/u�o�tld
�Bonrd:of Buiid40 gw.1 'tong and Staednrd�:
Construction Supervisor License f
licens'a' CS ,.551.7
Expiration' 4!51201:0 Tr# 20721
€ Restriction
THQMAS Q:ZAHORUlKO r ''
N ANDOVER,MA t?1t345 IN'.isSlona f
i
7
The Commonwealth of Massachusetts
Department of Industrial Accidents
f' Office of Investigations
Im .111U 600 Washington Street
z;u-, Boston,MA 02111
r www.massgov/dia
Workers'Compensation_ Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Applicant Information Please Print Le ibl
r
Name(Business/Otganizationtindividduual):
MA 4, 1.,:
Address: 1
City/State/Zip: yld!�LSC�i� l�� � Phone#:04-)tT- g
Are you an employer?Check the appropriate box: Type of project(required):
1.0 I am a employer with 4. 0 I am a general contractor and l 6. New construction
employees(full and/or part-time).* have hired the sub-contractors
2.A i am a sole proprietor or partner- listed on the attached sheet * 7. Remodeling
ship and have no employees These sub-contractors have 8. ❑ Demolition
working for me in any capacity. workers'comp.insurance. 9. ❑ Building addition
[No workers'comp.insurance 5. (] We are a corporation and its 10.❑ Electrical repairs or additions
required-] officers have exercised their
3.El i am a homeowner doing all-work right of exemption per MGL I LE] Plumbing repairs or additions
myself.[No workers'comp. c. 152,§1(4),and we have no 12.0 Roof repairs
insurance required.]t employees.[No workers' 13.0 Other
comp.insurance required.]
*Any applicant that checks box#1 must also'Ml out the section below showing their workers'compensation policy information.
t homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such.
Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information.
/am an employer that is providing workers'compensation insurance for my employees Below is the policy and job site .
information.
Insurance Company Name:
Policy#or Self-ins.Lic.#: . Expiration Date:
Job Site Address: City/State/Zip:
Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiraation date).
Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a
fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine
of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of
Investigations of the DIA for insurance coverage>P fication.
[do hereby certify under th ains and peva of perjury that lite information provided a v5,is true and correct.
Si azure: Date: l
Phone it. L
7v
Oficial use only. Do not write in this area,to be completed by city or town official
City or Town: Permit/License#
Issuing Authority(circle one):
1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical inspector 5.Plumbing Inspector
6.Other.
Contact Person: Phone#=
REScheck Software Version 4.2.1
Compliance Certificate
Project Title: Meetinghouse Commons
Energy Code: 20061ECC
Location: North Andover,Massachusetts
Construction Type: Single Family
Building Orientation: Bldg.faces 135 deg.from North
Conditioned Floor Area: 2428 ft2
Glazing Area Percentage: 16%
Heating Degree Days: 6322
Climate Zone: 5
Construction Site: Owner/Agent: Designer/Contractor:
Unit 5 Meetinghouse Commons LLC Meetinghouse Commons LLC
175 Cortland Drive 115 Carter Field Road 115 Carter Field Road
North Andover,MA 01845 North Andover,MA 01845 North Andover,MA 01845
Permit#tba 978-687-2635 978-687-2635
Permit Date:00-00-09 tzeke@comcast.net tzake@comcast.net q
Compliance:0.3%Better Than Code
or b..
Ceiling 1:Flat Ceiling or Scissor Truss 1196 0.0 38.0 30
Ceiling 2:Cathedral Ceiling(no attic) 512 0.0 30.0 16
Wall 1:Wood Frame,16"o.c. 444 0.0 13.0 43
Orientation:Front
Wall 2:Wood Frame,16"o.c. 198 0.0 19.0 8
Orientation:Front
Window 1:Vinyl Frame:Double Pane with Low-E 81 0.330 27
SHGC:0.30
Orientation:Front
Door 1:Solid 21 0.340 7
Orientation:Front
Wall 3:Wood Frame,16"o.c. 436 0.0 13.0 35
Orientation:Left Side
Window 2:Vinyl Frame:Double Pane with low-E 69 0.330 23
SHGC:0.30
Orientation:Left Side
Wall 4:Wood Frame,16"o.c. 576 0.0 13.0 38
Orientation:Back
Window 3:Vinyl Frame:Double Pane with Low-E 163 0.330 54
SHGC:0.30
Orientation:Back
Door 2:Solid 21 0.340 7
Orientation:Back
Wall 5:Wood Frame,16"o.c. 306 0.0 13.0 29
Orientation:Right Side
Floor 1:All-Wood Joistfrruss:Over Unconditioned Space 1540 0.0 19.0 66
Floor 2:All-Wood Joist/Truss:Over Unconditioned Space 484 0.0 30.0 14
Furnace 1:Forced Hot Air 96 AFUE
Air Conditioner 1:Electric Central Air 13 SEER
Compliance Statement: The proposed building design described here is consistent with the building plans,specifications,and other
calculations submitted with the permit application.The proposed building has been designed to meet the 2006 IECC requirements in
REScheck Version 4.2.1 and to comply with the mandatory requirements listed in the REScheck Inspection Checklist.
Project Title: Meetinghouse Commons Report date:09/01/09
Data filename:C:\Program Files\Check\REScheck\Meetinghouse unit 5.rck Page 1 of 2
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LummbC II� TARA LEIGH DEVELOPMENT AT MEETINGHOUSE COMMONS
215 MARKET ST. JOB: lNew desi h
LAWRENCE, MA. OFF DALE ST.
JIM CLARK CELL 508-509-9598 NO.ANDOVER, MA
P.O.# ,DATE ORD: 10/24/08 SHIP DATE: 12101/08
PARADIGM WHITE VINYL WINDOWS STANDARD NEW CQNSTRUCTION _
CONTOUR EXTERIOR
ID, I QTY. MODEL I RO IGLASS GBG iSCREEN WALL TRIM
J 4 1 S01-12-3469 MULL 168 x 89 LOW-E 8/6 FULL 3/4 REC, 3.5 FLAT
K 3 SDH3-3469 TRIPLE 101 1/2 x 69 LOW-E 6/6 FULL 314 REC. 3.5 FLAT
L 2 SDI-12-3461 MULL 168 x 61 LOW-E 816FULL 3/4 REG. 3.5 FLAT
M 1 2G-4842 GLIDER 48 x 42 LOW-E 2W3H FULL 314 REC. 3.5 FLAT
S 1 SDH1-3049 SGL 30 1/4 x 49 LOW-E 816 1 FULL 3/4 REC. F 3.5 FLAT
P 2 A-3424 VENT 134 x 24 1 LOW-E 3W2H I FULL 314 REC. 1 3.5 FLAT
N 3 SDHI-3439 SGL 34114 x 39 -OW-E 6/6 FULL 3/4 REC. 3.5 FLAT
D2 1 CS262-9LT PVC 138112 X 83 LH I IG 91-T NA�5/8 3.5 FLAT
17 AIL UNITS WITH OFFSET FLAT CASING AND SILL NOSE
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