Loading...
HomeMy WebLinkAboutBuilding Permit #174-2012 - 25 CIDERPRESS WAY 8/31/2011 TOWN OF NORTH ANDOVER c� APPLICATION FOR PLAN EXAMINATION Permit NO: l ? C O�2-- Date Received Date Issued: IMPORTANT:Applicant must complete all items on this page LOCATION Z 6�L S VV d V 6U,6d Print PROPERTY OWNER ( LCC Unit# Z- Print MAP NO: D PARCEL ZONING DISTRICT: Historic District yes Machine Shop Village yes 100 year-old structure yes no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential New Building ❑ One family ❑Addition Two or more f mily 11 Industrial ElAlteration o. of units 1 µ ❑ Commercial ❑ Repair, replacement ❑Assessory Idg ❑ Others: ❑ Demolition ❑ Other ❑ Septic 0 Well 0 Floodplain 0 Wetlands ❑ Watershed District_ Water/Sewer DESCRIPTI OF WORK TO BE PERFORMED: -e, s1R de tification Please Type or Print Clearly) r OWNER: Name: LLC PhonO?I - S Address: CONTRACTOR Name:/Q 1Di�J� ,(i_ Phone: Q Address: `j A), Supervisor's Construction License: 312 Exp. Date: Home Improvement License: � Exp. Date: ARCH ITECT/ENGINEER(JI /i rri �a. �` c��� Phone: 7V– qV- )4_ Address: i kA I A4 Reg. No. bdo FEE SCHEDULE.BULDING PERMIT:$ 2.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ Z!�-7, 6ZS" FEE: do C—O) z: 31�j • Sb Check No.: Z3 Receipt No.: NOTE: Persons contracting with unrs.^=•-tPred c tractors do not have access to the guan nd ;Signature.of Agent/Owner . Signature of contractor Location No. /,��—�a1d Date al/, o ii "oft'rh TOWN. OF NORTH ANDOVER 0- 1.:0: ..w .•, 0 Certificate of Occupancy $ s''•°',tom Building/Frame Permit Fee $ ncNus Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # P 2 l�. r 8 , ;� y ding Inspector Plans Submitted Pk Plans Waived ❑ Certified Plot Plank 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 Review don Signature COMMENTS HEALTH Signature COMMENTS U 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 _ .ons Submitted [ - Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ TYPE OF SEWERAGE DISPOSAL Public Sewer ` Taiing/MassagdBody Art ❑ Swimming Pools 11 well ❑ Tobacco.Sales- . ❑ Food Packaging/Sales ❑ Private(septic tank,etc. ❑ Permanent Dempster on Site ❑ THE FOLLOVkgNG"SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF_-U-FORM DATE REJECTED DATE APPROVED PLANNING &.DEVELOPMENT ❑ COMMENTS • 2@ A- hl - CONSERVATION Reviewed on Signature COMMENTS M.A De& - 2 Z, fI 1 G HEALTH .Reviewed on _- Si~nature COMMENTS CSYI Gtr e�'� e,�r' bu 1 N 1A Zoning Board of Appeals:Variance, Peti ion-No: " Zoning Decision/receipt submitted yes Planning Board Decision: -- Comments Conservation Decision: 2 �ff Y Comments Water&Sewer Conneetion/a nature-�Date �rivewa Permit ---- DPW Town Engineer: Signature: - Located 384 Osgood Street FIRE DEPARTMENT Temp Dumpst on site yes no Located at 124 Main Street Fire Department.signatureldate �0 �, /� - COMNIENTS Dimension Number of Stories: Total square feet of floor area, based on Exterior dimensions.66 Total land area, sq. ft.:';6 2-) `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 664; 17-V SV t LOSS = Z041 SF 1 S1 7-V 7 ZS �z '�0I. fO L601S t D (--a) 3e7 • P ❑ Notified for pickup - Date Doc:.Building Permit Revised 2011 June/mi 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 (VOTE: 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 2008mi AORTH ToVM Of 0 � o , dover, Mass., Q LAKE COC MIC ME WICK � 7�AQRATED P'P¢��� `s BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System BUILDING INSPECTOR THIS CERTIFIES THAT.............�,...........e..............�-� �JPr/ ........................................................................ .................. . "" Foundation has permission to erect........................................ buildings on . �<..Gf<�', d'Fr ....../�)Ay.......................... Rough to be occupied as...1541_6...... v-1.T '� G!�// /..v,u/�/I'lU s .. �� Chimney provided that the person accepting this permit shall in every respect conform to the erms 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. 4e)Al d6 PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTW STARTS Rough c- ----................................................ 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 FIREE_DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. SEE REVERSE SIDE Smoke Det. NORroj q O STLED X67 tiO 3? ,� ° to �t APPLICATION FOR CERTIFICATE OF OCCUPANCYANSPECTION AERATED,'PPS t5 BUILDING PERMIT # �SSACHU`+�t ADDRESS/LOCATION OF PROPERTY: ZS CiderpxtZ �qX Map Parcel 3 Lot Number SUBDIVISION: M_e 1 (V\M-S DATE REQUESTED FILED/READY FOR INSPECTION: CLOSING DATE ON PROPERTY: 1'/2-4 /11 FIVE (5)DAYS NOTICE PRIOR TO CLOSING DATE IS REOUIRED ALL WORK AND SIGN-OFFS MUST BE COM ETED WITHIN THIS TIME FRAME. A REINSPECTION FEE OF TWENTY DOLLA 20.00) WILL BE CHARGED IF THE STRUCTURE DOES NOT MEET A AP LIC CO APPLICANT SIGNATURE Permit Issued to: 7 ^� Address:/f�rt-1 7'ie- R ., A) kdkk (j MA ROUTING TOWN ENGINEER, SITE PLAN—DRIVE-WAY REVIEW ❑ CONSERVATION M )A- PLANNING N 1_� ❑ Cki 40 B DPW-WATER METER SEWER CONNECTION ®� DPW MUST INDICATE THAT THE WATER METER HAS BEEN INSTALLED PRIOR TO SUBMITTAL OF THE OCCUPANCY/INSPECTION REQUEST DPW 'Q_ / SIGNATURE File:Application for OC form revised Jan 2007/2011 01%M� And � .`.',, .,,ti..,µ ;�'�;�Jx+i�'.� �� ��'• 77yyM:No. • i1��c..r� �,to'kF"Sir, r 01 ' over, Mass. ' � r � eoci iene��icw .' Q y J BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System WA , THIS CERTIFIES THAT.. eA......` �r���.... �'�/e��py�J��?.......... .... .............. B�h7ILDING 1' �gPECTOR .. .. .. ....... I'oun atio �r J op t. has permission to erect........................................ buildings on.�� ..�G.�: .�`'.,��.:�s:'�:'.�.: ��,� ............................ ou to be occupied as...-�1le....ll� .�.�....... .... !%, �W�.o KA44.aeinzihe `C- mney r...: ..provided that the person accepting this permit shall in every respect conform to the application on file in this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Aiteratloh and Construction of 1 BuNdings in'the Town of North Andover. e4 �1'aa PLUM ING IN3 .E R In Regulations Voids this Permit. Rough VIOLATION of the Zoningor Build Re at �� g g tin �\ f 6 ELECTRICAL INSPECTOR LNLESS CONS UCSTARTS Rough 0 1�1.. 5•..`zz Service .. . ..................... BUILDING INSPECTOR Fina Occupancy Permit Required t® Owupy Building GAS INSPECTOR Rough Display in a Conspicuous Place on the Premises -- Do Not Remove Cinal� � / �,1�� No Lathing of Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street N0 SEE REVERSE SIDE smoke Det. a� Massachusetts-Dep artment of Public Safcti Board of Building ' Rcgulations and Stand.u•ds Construction Supervisor License License: Cs 95417 Restnctedao 00 77- �„ THOMAS,D ZAHORUlKO 115 CART ERFIELD RD = N ANDOVER.Mi4 01845 `- o-- J Expiration: 4rv2012 �'+nanieinner Trm: 2109D Yl e Commonwealth of Maaachusetts Department of fndustrW A cidents Office of fnvestzgations 600 Washi b-in Street BosWz, X4 62III =rnassgav/dia Workers' Compensation Insurance Affida-,if:Buiiders/Contractors/El Applicant tafion ectrid�/pi�bers Tnfor Please Print Legibly Name(B=n=/ogmnizatim&dimdual): Address: / City/State/Zip: e{ f�l Phone#: g` Are you an employer?Check the appropriate bow 1.❑ I am a employer with_ 4. ❑ I am a general factor and I Type p�1ect(rel : PIdY (5rll and/orpartart time).* have hired the sub-contractors 6• XNew construction 2•® I am a sole proprietor or partner- listed on the attached sheet t 7. ❑Remodeling ship and have no employees These sub-contractors have working for me in any capacity. work=' 8. ❑Demolition o comp.insurance. [N workers'comp.insurance 5. ❑ We are a cion and its El9. El Building addition required') ° have 93 3. I am a homeowner doing all work their 14•0 Electrical repairs or additions MYselt � right of exemption exercised 11-13 Plumbing insurance°v+d1'�t ecmp. c. 152,§I(4),and we have no 12. reps or additions employees. [No workers' 12.0 Roof repairs COMP.ice ] I3.0 Other `�.3y EpgIicaat Chet chi b s'�?mus aiau im oat the senior is^ a �, 'Aomeownets who suhmiel;as affidavit• �F"'�"'^^r..�C; xcont mat cheek this box must attacn& g th-�damn aL'wu*and tam hue amdde coaascoo¢s must submit anew � sindarit iadi shit showk aameaf flee lois and their woA0o m,comp,p�j mfMM16M I am an employer dhgais pro, viding Workers 11 co information. nrMsafion kLSZVWwefm'my employem Below is the poticy and job site Insurance Company Name: Policy#or Self-ins.Lic.-P Expiration Date: Job Site Address. Attach a copy of the workers'coin Cm'/State0p: Fa pensation policy declaration Me(showing the policy number and ilure to secure cbv=ge as required under Section 25A ofM expiration date fine up to S1,500-00 and/or one-year imprisomn GL C. 152 can lead to$e imposition of criminal penalties of a Of up to$2;0.00 a da well as civ"penalties in the form of a STOP WORK ORDER and a fine y against the violator. Be that a-copy of this Investigations of rite DIA-for insurance stameat may be forwarded to the Office of on Ido leereliy cer&fp render pains and p nf*Oka y&mf tic informmion f Siis ince and carred o..�,,,•P• r Phone#: Official use only. Do not write in this area to be completed by C&j,m ya oiCial City or Town_ 1°'enndVLAcense# Issuing Authority(circle one): - L Board of Health 2.Bulb Department 3.CitylTown Clerk Q.Electrical Inspector s".Plmnbi�Inspector 6. Other Contact Person: Phone#r FORTH T0,1111,11111il;M 0 _ over No. over, Mass., AKE COCMIC HEW ICK �1 RATED P'?O, C2 U BOARD OF HEALTH Food/Kitchen Septic System L) BUILDING INSPECTOR THIS CERTIFIES THAT............ ... 1..©c� �........d. f�l!1!�0 1.... ........................................ Foundation has permission to erect........................................ buildings on...�`�-3..�............e... .. .. a 9.....�r..� h- . � 'ui�y Rough LL to be occupied as...I.........!.... .....Q.... ' .. / Chimney provided that the person accepting this permit shall in every re ect conform to the terms of the application on file in Final this office, and to the provisions of the Codes and By-Laws re sting to the Inspection, Aftetation and Construction of Buildings In rthe 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 CONSTRUC N STARTS Rough ............ .. ................ Service ................................................. BUILDING INSPECTOR Final Occupancy Permit Required to Occltipy 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. NOTES: Q / MAP 1040 1) THE BOUNDARY INFORMATION SHOWN HEREON WAS TAKEN FROM A PLAN ENTITLED "PLAN OF LAND, MEETINGHOUSE COMMONS AT LOT 28 SMOLAK FARMS, SOUTH BRADFORD STREET, NORTH ANDOVER, MASSACHUSETTS"; SCALE: 1" = 80'; DATE: JULY 20, 2001 BY THIS OFFICE. RECORDED AS PLAN #14828 IN THE ESSEX COUNTY NORTH DISTRICT REGISTRY OF DEEDS. 2) THE INTENT OF THIS PLAN IS TO SHOW THE AS—BUILT LOCATION C) / / OF THE FOUNDATION ONLY. U 1 u� 1 J�`ry 3) THE FOUNDATION SHOWN HEREON IS NOT WITHIN THE 100 YEAR FLOOD ZONE AS TAKEN FROM THE FLOOD INSURANCE RATE MAP v / ��� ��0i — FOR THE TOWN OF NORTH ANDOVER MASSACHUSETTS COMMUNITY �2 L PANEL NUMBER 250098 0007 C, MAP REVISED: 6/2/83. 0 4) THE CONCRETE FOUNDATION SHOWN HEREON HAVE BEEN INSTALLED & �OQO>x sem. SUBSTANTIALLY IN ACCORDANCE WITH THE 40B SITE PLAN AS �' APPROVED BY THE TOWN OF NORTH ANDOVER PLANNING BOARD. I HEREBY CERTIFY THAT THE LOCATION OF THE TOWNHOUSE UNIT &, �¢ \r z i�\ ss. NUMBERS 9-12 FOUNDATION SHOWN HEREON IS THE RESULT OF A FIELD SURVEY BY THIS OFFICE MADE ON JUNE 29, 2011. AIL Zo Oyu tN OF25' NO ,yt DISTURBANC \ \ % / o N / CFRER � ZONE i N N J � FRANCHEANCNER 4 NA 36116 It AL AL 7(��I1 LICENSED LAND SURVEYOR DATE E AL AL CERTIFIED FOUNDATION PLAN AL MEETINGHOUSE COMMONS TOWNHOUSE UNITS 9-12 k GRAPHIC SCALE CORTLAND DRIVE AIL 02 �ZZ 0 23 e0 too NORTH ANDOVER, MASSACHUSETTS <�G��O / PREPARED FOR u .� ,,� <� ,� MEETINGHOUSE COMMONS, LLC (IN FEET) 121 CARTER FIELD ROAD 8 / \ \ ' / 1 inch = 50 ft NORTH ANDOVER, MASSACHUSETTS Z, J ` 44 Stnu Road, S.H.one SMns •m,(E03)893-07120 0379 'U, IC 0J 1 1 MHF Design Consultant.. Inc. ENGINEERS•PLANNERS•SURVEYORS IICE�FlEO I \ SCALE: 1" = 50' DATE: JULY 6, 2011 DRAWING NO. DESCRIPTION BY DATE DRAWN BY: I CHECKED BY: I PROJECT NO. NAME REVISIONS ___ CMF1 250508 2505CFP.DWG