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HomeMy WebLinkAboutBuilding Permit #218-13 - 24 CIDERPRESS WAY 9/19/2012 TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit NO: f Date Received Date Issued: I P RTANT:Applicant must complete all items on this page LOCATION r�� Print QL PROPERTY OWNER GvmMcffis Print 100 Year Old Structure yes n MAP NO: 101 �,C PARCEL:� ZONING DISTRICT:- Historic District yes 0 Machine Shop Village yes TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential 'New Building ❑ One family ❑Addition XTwo or more family 1 - ❑ Industrial ❑Alteration No. of units:nWEu ❑ Commercial ❑ Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other El Septic El Well ❑ Floodplain El Wetlands 11 Watershed District ater/Sewer DESCRIPTION OF WORK TO BE PERFORMED: SER TaWN�Aoza5f FRFmAf s7R� clbl'kE O N& Of DAr (),ki 11 S I nti ication Pease Type or Print Clearly) OWNER: Name: Vfm m ik&LL Phone: Z6 Address: S � i N• '� CONTRACTOR Nametit �L Phone:'IZ�-d -7-Z6 .S" Address: �r is Construction License: d C (C Exp. Date:T�� Supervlso ) Home Improvement License: Exp. Date: ARCHITECT/ENGINEER( �SL�(, � U� Phone: Address: b �� d �6 Reg. No. x/51 FEE SCHEDULE:BULDING PERMIT:koo PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ Z S 7 �,2S.ub FEE: $ 31 q 1 .SD Check No.: �Z�q Receipt No.: NOTE: Persons contracting with unregistered c ntractors do not have access to the guar unci Signature of Agent/Owner Signature of contractor Plans Submitted, ans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ Location No. Date Z- • ' TOWN OF NORTH ANDOVER � e • . � Certificate of Occupancy $ /GJ • Building/Frame Permit Fee $� .,U Foundation Permit Fee $ Other Permit Fee TOTAL $��/ U Check# Y ' 25724 But ding Inspector Plans Submittedt Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ TYPE OF SEWERAGE DISPOSAL Public Sewer 4 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 vi w o WSignature COMME TS HEALTH i d on U Signature COMMEN 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 MainStreet Fire Departinerit signature/date COMMENTS Dimension Number of Stories: Total square feet of floor area, based on Exterior dimensions. Total land area, sq. ft.: 3t)1, ELECTRICAL: Movement 9f Meter location, mast or service drop requires approval of Electrical Inspector \- J/,/ j Yes No f DANGER ZONE LITERATURE: Yes No MGL Chapter 166 Section 21A—F and G min.$100-$1000 fine NOTES and DATA— (For department use + 7-64 Sq = Zobl SF x 1zs SF. El Notified for pickup - Date 2 I 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 o 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: Doc.Building Permit Revised 2012 NORTH own of ndover . - to No. - _ 7 � o h ver, Mass, / =z coc"Ic"I KR of jk?IPL s #ArED � BOARD OF HEALTH Food/Kitchen Septic System N/A PERMIT T LD THIS CERTIFIES THAT .... �s= BUILDING INSPECTOR L/ YJ Foun tion has permission to erect .......................... buildings on .�.. iIeloil ff .,�..�4a. �, =-.. / (Rough/;to be occupied as .........,�, � . ............................................... Chimnq provided that the person acceptidg this permit shin every respect conform to the terms of the application Finai on file in 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. PLAABING INSPECTOR Rough �L< .,/ Z Avil » VIOLATION of the Zoning or Building Regulations Voids this Permit. Final,,/,-,/,-7_- � PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTIO TARTS "ROUi�` n - /0.i J z ........... ... .� . 00Service'•�................................... Fina � �,_l!2_..-/C/� - BUILDING INSPECTOR GAS INSPECTOR Occupancy Permit Required to Occupy Building Rough Dis play p la 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. 6 %AORTH Town of 0 0 No. ph ver, Mass, / Z 'QA COCNIC Ntl WIC.f\��� U BOARD OF HEALTH Food/Kitchen PERMIT T LD Septic System N/A 1II.0THIS CERTIFIES THAT ....1..:/..0i.Y ((�' x6;....CO ui A. ................................. BUILDING INSPECTOR has permission to erect buildings on .. 1-11a� F°u tio�to be occupied as ..........,a,�ls�'!. :.4 ....t`:!r. :` ..... Qo A)v.h.QC�f:?`.�........................ ...................... �Chimn provided that the person accepting this permit sh in every respect conform to the terms of the application Final on file in 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 Rough 4L. /b--/j .� t2, VIOLATION of the Zoning or Building Regulations Voids this Permit. �&A"* Ala Final .7 PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CO NSTRUCTIO TARTSRough '..,,....... Service ........... ..... . .. .. ......................., Fin p/� /`.-Z2—/ BUILDING INSPECTOR GAS INSPECTOR Occupancy Permit Required to Occupy Buildin Rough ��� 11211 Display in a Conspicuous Place on the Premises — D o Remove Fina' 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 SIDE Oa;t0.7.1N r -r �SSAc"05f1 CERTIFICATE OF USE & OCCUPANCY TOWN OF NORTH ANDOVER Building Permit Number 218-13 on 9/19/2012 Date: November 26, 2012 THIS CERTIFIES THAT THE BUILDING LOCATED ON 24 Ciderpress Way MAY BE OCCUPIED AS a single family home IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. Certificate Issued to: Meetinghouse Commons 115 Carter Field Road North Andover,MA 01845 Building Inspector Fee: PrePaid Receipt: 25724 Check :3279 F NORrN q Q .f '6 .(. o APPLICATION FOR CERTIFICATE OF OCCUPANCY/INSPECTION � 2 ey ,fit 00, BUILDING PERMIT # SACHU`-+ ADDRESS/LOCATION OF PROPERTY: Map 1 0 C Parcel 3 Lot Number -- SUBDIVISION: M� �l 6C4mmms DATE REQUESTED FILED/READY FOR INSPECTION: CLOSING DATE ON PROPERTY: 1,` ze 112 FIVE (5)DAYS NOTICE PRIOR TO CLOSING DATE IS REQUIRED ALL WORK AND SIGN-OFFS MUST BE COMPLETED WITHIN THIS TIME FRAME. A REINSPECTION FEE OF TWENTY DOLLARS ($20.00) WILL BE CHARGED IF THE STRUCTURE DOES NOT MEET ALL APPLICABLE CODES. APPLICANT SIGNATURE Permit Issued to: Mee14, Lse, C&m Mmu L tc Address:�[1 S Car-1k.- IS 9Zoo, Nor,-tk Ahja &r g A ROUTING TOWN ENGINEER, SITE PLA -DRIVE-WAY REVIEW d 0 CONSERVATION Pkotst,w*to DZP PLANNING © N/h CIA 'A0 8 DPW-WATER METER -z-,It/ SEWER CONNECTION <.hV 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 2007/2011 NORTH Town of E : 1, Andover No. - O LAKE h ver, Mass, / 'QA COCKICKl WIC K S L1 BOARD OF HEALTH Food/Kitchen PERMI" T T LD Septic System THIS CERTIFIES THAT !` :'!..!�l�l:�l1.C,S.E.... i. I.�r. f.1.4c.................................. BUILDING INSPECTOR •i I/ Foundation has permission to erect .......................... buildings on .. . .: ...: .�: .�!:' .1�'�5..�..���. ..:................ .I � Rough / oc� r.. ...©c�. ................................... to be occupied as ......... .1�:�!1.f...�....r�.�-,�.:` .:... .. .... . ............. Chimney provided that the person acceptirtg this permit shin every respect conform to the terms of the application Final on file in 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 Rough VIOLATION of the Zoning or Building Regulations Voids this Permit. Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTIO TARTS Rough ....,.,..... Service ........... ..... .. .. `•":•—............... Final BUILDING INSPECTOR GAS INSPECTOR Occupancy Permit Required to Occupy Building 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. Smoke Det. SEE REVERSE SIDE