HomeMy WebLinkAboutBuilding Permit #660-11 - 19 CIDERPRESS WAY 4/4/2011TOWN OF NORTH ANDOVER
APPLICATION FOR PLAN EXAMINATION
Permit NO: �'
r Date Received
i
Date Issued: '
IMPORTANT: Applicant must complete all items on this page
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istrict yes 14�
MAP NO: /Z)PARCEL: ZONING DISTRICT: Macistorichine hop Village yes
TYPE OF IMPROVEMENT
PROPOSED USE
Residential
Non- Residential
klew Building
❑ Addition
❑ One family
A Two or more family
❑ Industrial
No. of units: �� I �^� c�•�
❑Commercial
❑Alteration
❑ Repair, replacement
❑ Assessory Bldg
❑ Others:
❑ Demolition
❑ Septic D Well
❑ Other
D Ftoodplain q Wetlands
D Watershed District
Water/Sewer
'J_% nr, nUDL`IIDA/TT.'Tl•
OWNER: Name: 1,QQN
Address:
CONTRACTOR Name:
Address: j) S' LrJlfr F''
Please Ty a or Print Clearly)
,A"Mi TLC
7-Z63�
�.� Phone: q'�9-4?7263
I �J , A-V ,,,& r, AA V1 eo
Supervisor's Construction License
D S `0 �� 7 Exp. Date:
�—
Home Improvement License: --- r Exp Date:
ARCHITECT/ENGINEER, �SL lI UWn 0444 4 Phone:
Address: sS i i �6 Reg. No. 60/U
FEE SCHEDULE: BULDING PERMIT: $12.00 PER $1000.00 OF THE TOTAL ESTIMATED COST BASED ON $ X5.00 PER S.F.
Total Project Cost: e hays l FEE: $dqJ �-� 1�•Cc�) } 1aah, �'� ,
_ "I
Check No.: L
NOTE: Persons
Sgnature_of Agent%Own
with unregistered
d
Receipt No.: c>'- YydJ!:: _
tractors do not have access to the guaranty
_ Signature of contractor - _- -
LocationA—et/* tw�� -
No. Date t4lzl&.
I "O*T#4 -4 TOWN OF NORTH ANDOVER
Certificate of Occupancy $ 42
Building/Frame Permit Fee $
Mu
Foundation Permit Fee $
Other Permit Fee
TOTAL
Check #
$
Building Inspector
Plans Sub itt•PI s VVkivq❑ Certified Plot Plan ❑ Stamped Plans El{' v� iC' rpe�S pe rMl
TYPE OF SEWERAGE DISPOSAL
Public Sewer
Tanning/Massage/Body Art F]
Swimming Pools El
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
PLANNING & DEVELOPMENT
COMMENTS
CONSERVATION
COMMENTS
HEALTH
COMMENTS
Reviewed
DATE REJECTED DATE APPROVED
❑ ❑
(k
V
Zoning Board of Ap eals: VarianmeyeYon No: Zoning Decision/receipt submitted yes _
1
Planning Board Depisio Comments
e
Conservatio asion: Comments
Water & Sevier Connection/Signature & Date Driveway Permit
DPW Town Engineer: Signa
Located 384 Osgood Street
FIRE DEPARTMENT - Temp Dumpster on site yes no
Located at 124 Main Street
Fire Department signature/date
COMMENTS
Dimension
Number of Stories:—Z Total square feet of floor area, based on Exterior dimensions.
Total land area, sq. ft.: 2t).Z A(-,
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)
T ezgs % 1 W7 sq+ 244 SS 4yj&L Z -W s'�- x 125 S — 'z S7 6ZS'.
Notified for pickup - Date
Doc:.Building Permit Revised 2008mi
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)
o 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)
Li Copy of Contract
❑ Mass check Energy Compliance Report
o Engineering Affidavits for Engineered products
DOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg .Permit
n all cases if a variance or special permit was required the Town Clerks office must stamp the decision from the Board of Appeals
hat the appeal period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording
lust be submitted with the building application
Doc: Doc.Building Permit Revised 2008mi
•a�c�K�
CERTIFICATE OF USE & OCCUPANCY
Building Permit Number 660-2011 Date: June 20, 2011
THIS CERTIFIES THAT
THE BUILDING LOCATED ON 19 CideMress Wqy, North Andover, MA 01845
MAY BE OCCUPIED AS 1 of 4 unit Town House condo IN ACCORDANCE WITH
THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH
OTHER REGULATIONS AS MAY APPLY.
Certificate Issued to:
Fee: 100.00 previously paid
Receipt: 24028
Meetinghouse Commons, LLC
115 Carter Field Road
North Andover, MA 01845
Building Inspector
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APPLICATION FOR CERTIFICATE OF OCCUPANCYIINSPECTION
Buildina Permit # ( i�r) - l 1
ADDRESS/LOCATION OF PROPERTY: Iq Cl -Ki r Jjq��)
Map 101 -IC Parcel 31 Lot Number l
SUBDIVISION )" re
tl
DATE REQUESTED FILED/READY FOR INSPECTION
CLOSING DATE ON PROPERTY: oj2yI I j
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: U I ee4ow- Ct'Ir,-►/ onY L
Address
CONSERVATION
PLANNING �j'fi
DPW - WATER METER
SEWERNMATER CONNECTION
NOTE
MN
0 ON,
E2"" cD1i (of
1�
DPW MUST INDICATE THAT THE WATER METER HAS BEEN INSTALLED PRIOR TO
SUBMITTAL OF THE OCCUPANCY/INSPECTION REQUEST
DPW
Signature
File: Application for OC form revised Jan 2007
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tans Sub d Plans Waived Certified Plot Plan' Stamped Plans
TYPE OF SEWERAGE DISPOSAL
�ublicSewe
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 DATEA PROVED
PLANNING & DEVELOPMENT d¢ D
COMMENTS N , U A Ck YaS
CONSERVATION Reviewed on
COMMENTS O h /W�r
Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes
Planning Board Decision:
Conservation Decision: ZqZ —111
Water & Sewer
DPW Town Engineer:
Comments
d(�
W*DrivewayPermit
"I
Located 384 Osgood Street
Ri=S-.�Pcr Sof tvare Version 4.3.1
�i
Compliance Certificate
p ce Cert�f�cate
Project Title: Meeting House Commons
Energy Code:
Location:
Construction Type:
Building Orientation:
Glazing Area Percentage:
Heating Degree Days:
Climate Zone:
Construction Site:
Building 3
Nath Andover, MA
2009 IECC
North Andover, Massachusetts
Multifamily
Bldg. orientation unspecified
13%
6322
5
Owner/Agent:
Tara Leigh Development, LLC
115 Carter Field Road
North Andover, MA
978-6876-2635
Compliance: 1.9% Better Than Code Ma)dmum UA: 784 Your UA. 769
The % Better or Worse Than code index reflects how dose to compliance the house is based on code tradeoff rules.
It DOES NOT provide an estimate of energy use or cost relative to a minimum -code home.
Designer/Contractor:
O'Sullivan Architects, Inc:
580 Main Street
Suite 204
Reading, MA 01867
781-439-6166
---. •- •..,-••wpm vw—u r----wver unwnumoneo space
3769
30.0
0.0
Ceiling 1: Flat Ceiling or Scissor Truss
3769
30.0
0.0
Front Walls: Wood Frame, 16" o.c.
1392
19.0
0.0
Orientation: Unspecified
Window 3: Vinyl Frame:Double Pane with Low -E
155
SHGC: 0.30
0.330
Orientation: Unspecified
Window 4: Vinyl Frame:Double Pane with Low -E
42
SHGC: 0.27
0.280
Orientation: Unspecified
Door 1: Solid
80
Orientation: Unspecified
0.160
Sides: Wood Frame, 16" o.c.
2052
19.0
0.0
Orientation: Unspecified
V' ndow 5: Vinyl Frame:Double Pane with Low -E
125
0.330
SHGC: 0.30
Orientation: Unspecified
Rear Walls: Wood Frame, 16" o.c.
1780
19.0
0.0
Orientation: Unspecified
Window 1: Vinyl Frame:Double Pane with Low -E
345
SHGC: 0.30
0.330
Orientation: Unspecified
Window 2: Vinyl Frame:Double Pane with Low -E
21
SHGC: 0.27
0.280
Orientation: Unspecified
Door 3: Solid
80
0.160
Orientation: Unspecified
Compliance Statement. The proposed building design described here is consistent with the building
calculations submitted with the permit application. The proposed building has been designed to mee
REScheck Version 4.3.1 and to comply With the mandatoryir 1 Irne i
listed nth RESch Ins
124
132
67
51
12
13
116
41
80
114
6
13
s, specifications, and other
2009 IECC requirements in
m Checklist.
Project Title: Meeting House Commons
Data filename: K:1ZahortdkolMeetinghouse Commons - No AndoverlMeeting House TownhousesliCUMBuilding
3\Building_3.rck
Report date: 07/28/10
Page 1 of 2
-.446— The Commonwera&h of Massachusetts
Department of rAdustritd Accidents
Office ofInvestigations
600 Washin�on Street
Boston, M4 OZIII
H'ww."iassgov/di¢
Workers' Compensation Insurance Affidavit: Builders/Coutraetors/FIe t iczaus/pinmb-
ppiicant Informationers
Name(Busin�iyationMdivicival):
Address:
City/State/Z p i
Phone #.
Are You an employer? Check the appropriate bow
snbmit�is
1. ❑ I am a employer with
-Pmt-time).*
4. 111 am a general cQuUmetor and I
employees (fail and/or
2. ® I am a sole
have hired the sub -contractors
proprietor or partner-
ship and have no employees
listed on the attached sheet t
These sub -contractors have
working for me in any capacity.
° Worms' comp. insurance
workers' comp• insurance.
5. ❑ We are a corpora#ion and its
3. ❑require&a
officers have exercised their
I am a homeowner doing an work
right of etc e�ti� per MGL
myself o workers'
[N comp.
c. 152, §1(4), and we have
� ) t
no
employees. [No *ort M,
`=.n}' zmhmm that cb=s bm#tl mm pi t, fill ort IL•c==ftm
H°moowa�r wL
CXXP' Inuirance required.]
brow wmm=°
Type of project (required):
6. XNew construction
7. ❑ Remodeling .
8. ❑ Demolition
9. ❑ Building addition
10.❑ Electrical repairs or additions
.11.0 plumbing repairs or additions
12.❑ Roof repairs
13.❑ Omer
° a vrt g mac' an: da*g alt w'* and
'C°mtntctots that ebecl this box mist attached an additional sheet° has twn ide cnnnactass mast
sh°wm&& mare of the � and 6cir rlcas a�davrt mdi mg.sach _ - - -
I am an employer that is providing workers' co �P• po�Y h6mmadm
information. �On �inwnce for my employees Below is dWPolfcy and job site
hmmance Company Name:
Policy # or Self --ins. Lic. #
Expiration Date:
Job Site Address:
Attach a copy of the workers' compensationCity/Siatcaip.
Policy declaration page (showing tate policy number and
Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the ' mon date).
fine up to S1,500.00 and/or one-year imprisomna �'O OII of cri�al penalties of a
of up to $250.00 a day api= the violator Be �' as well as civil penalties in time foam of a STOP WORK ORDER and a fine
Investigations of time DIA for' Akvised That a copy Of this stafcmelit may be fw wwded to the Office of
I do hereby cer&fy under pains ofPalmy tliartthe
ormarion / is true and correct
D}fuial use only. Do not write in this area, to be completed by d, or torten oficra1
City or Town: PertmWLieense
Issuing Authority (circle one). -
1. Board of Health 2. BwJdIng Department 3. City/Town Clerk 4. Electrical
6. Other Inspector 5. PIumb'
mtib Inspector
Contact Person:
Phone
Massachusetts - Department of Public SafetN-
Board of Building Re!ulations and Standards
COnstruction Su ervisor License
Expiration: 415=2
(`��tumieivne� Tr#: 21090