HomeMy WebLinkAboutBuilding Permit #297-13 - 26 MAIN STREET 10/15/2012 TOWN OF NORTH ANDOVER
APPLICATION FOR PLAN EXAMINATION
Permit NO: 6997-113 Date Received
Date Issued:
IMPO TANT! Applicant must complete all items on this page
LOCATION (o C;N /�W w S-}Y�e`�
Print�—
PROPERTY OWNER ��C�
Print 100 Year Old Structure yes
MAP NO: Yir, PARCEL: V3 ZONING DISTRICT: )S Historic District yes
Machine Shop Village yes no
TYPE OF IMPROVEMENT PROPOSED USE
Residential Non- Residential
ew Building ❑ One family
❑Addition UI<Wo or more family ❑ Industrial
❑Alteration No. of units: ❑ Commercial
❑ Repair, replacement ❑Assessory Bldg ❑ Others:
❑ Demolition ❑ Other
❑ Septic ❑Well ❑ Floodplain ❑Wetlands 0 Watershed District
❑Water/Sewer
DESCRIPTION OF WORK TO BE PERFORMED:
0QA/Siy0AIU ) QF- R DWI) I'LW e.S
Identcation Please Type or Print Clearly)
OWNER: Name: 'Te . 0 -i,vL Phone:
Address: -7 St YO 01�10
CONTRACTOR Name: V`xkeif ,/ Phone:
Address: (Lp (?y t� LP Oj 4' aPY( A-1- DIB( C)
Supervisor's Construction License: C S 31 3 Exp. Date: �)03
Home Improvement License: Exp. Date: u \
ARCHITECT/ENGINEER PSL A�IeS ftsx Phone: -7�C-
Addressy4o V S4 Lwet M& Reg. No.
FEE SCHEDULE:BULDING PERMIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F.
Total Project Cost: $ 1 ��,M FEE: $ a !"L+o----
Check No.: Receipt No.: L/lt�oy
NOTE: Persons contr cting with u registered contractors do not have access to the guaranty fund
d,ignature of Agent/Owner Signature of contractor
-"
Plans Submitted [I Plans aived ❑ Certified Plot Plan ❑ Stamp9d Plans ❑
Plans Submitted Plans Waived ❑ Certified Plot Plan ❑ 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 Reviewed on Signature
COMMENTS
HEALTH Reviewed 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
Dimension
Number of Stories: Total square feet of floor area, based on Exterior dimensions.
Total land area, sq. ft.:
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
® Notified for pickup - Date
E
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
o Building Permit Application
o Workers Comp Affidavit
a Photo Copy Of H.I.C. And/Or C.S.L. Licenses
o Copy of Contract
a 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
o Building Permit Application
L3 Certified Surveyed Plot Plan
L3 Workers Comp Affidavit
o Photo Copy of H.I.C. And C.S.L. Licenses
Li Copy Of Contract
o Floor/Crossection/Elevation Plan Of Proposed Work With Sprinkler Plan And
Hydraulic Calculations (If Applicable)
o Mass check Energy Compliance Report (If Applicable)
o 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
o Photo of H.I.C. And C.S.L. Licenses
o Workers Comp Affidavit
o Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And
Hydraulic Calculations (If Applicable)
o Copy of Contract
L3 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: Doe.Building Permit Revised 2012
Location ! 1
No.
/�-"{� Date
• - TOWN OF NORTH ANDOVER
e • Certificate of Occupancy
� Building/Frame Permit Fee $�
Foundation Permit Fee
Other Permit Fee $
TOTAL $ C'
Check# o
25822 uilding Inspector
N•°T�1
c c
• f#
�SS�cHuSEs
CERTIFICATE OF USE & OCCUPANCY
TOWN OF NORTH ANDOVER
Building Permit Number 297-13 on 10/15/2012 Date: May 22, 2013
THIS CERTIFIES THAT
THE BUILDING LOCATED ON 26 Main Street Unit #3
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: Jeffco Inc.
77 Andover Street
Andover,MA
BuilJing Insp ctor
Fee: Pre Paid
Receipt: 25822
Check : 13856
Final Construction Control Document
To be submitted at completion of construction by a
d Registered Design Professional
.'� for work per the 8'"edition of the
SY
Massachusetts State Building Code, 780 CMR, Section 107.6.4
Project Title: Eight Unit Condominium (Units 4 & 6) Date:May 22, 2013 Permit No.
Property Address: 26 Main St.,North Andover, MA
Project: Check(x)one or both as applicable: X New construction Existing Construction
Project description: Interior renovations per plans
I Paul L Davies, MA Registration Number: 3280, Expiration date: August 31,2013 , am a registered design professional,
and hereby certify that I have prepared or directly supervised the preparation of all design plans, computations and
specifications concerning':
Entire Project X Architectural X Structural Mechanical
Fire Protection Electrical Other:
for the above named project. I certify that I, or my designee,have performed the necessary professional services, in
accordance with the Professional Standard of Care, and was present at the construction site on a regular and periodic basis
to determine that the work proceeded in accordance with the requirements of 780 CMR and the design documents
prepared by me and approved as part of the building permit and that I or my designee:
1. Have reviewed, for conformance to this code and the design concept, shop drawings, samples and other submittals
by the contractor in accordance with the requirements of the construction documents. Such review shall not
diminish or relieve the Contractor of its submittal and other responsibilites.
2. Have performed the duties for registered design professionals in 780 CMR Chapter 17, as applicable.
3. Have been present at intervals appropriate to the stage of construction to become generally familiar with the
progress and quality of the work and to determine if the work was performed in a manner consistent with the
construction documents and this code. The Contractor is responsible for the performance of the work in
accordance with the contract documents and shall be exclusively responsible for i�NootW VV qn means,methods,
sequences and procedures, and for construction safety .�-,% 00 Aive,....
0
Enter in the space to the right a"wet" or
electronic signature and seal:
a
Phone number: 978-459-2154 Email: pdavies@pdaviesarc40 's:com ,
Complete except for cosmetic work(mirrors, accessories,etc)
Building Official Use Only
Building Official Name: Permit No.: Date:
Note 1.Indicate with an`x'project design plans,computations and specifications that you prepared or directly supervised.If`other'is chosen,
provide a description.
Trial Version 10 09 2012
�iORTy
OFT►.co IbgtiO
APPLICATION FOR CERTIFICATE OF OCCUPANCYIINSPECTION
BUILDING PERMIT # l ll -
Ss►cHusET . q 7/
� 3
ADDRESS/LOCATION OF PROPERTY: 7-
Map Parcel- Lot Number
SUBDIVISION:, �_C, V CkAj �C/��G 0 IN 10 VO
DATE REQUESTED F
ILED/READY FOR INSPECTION: d 2 G f
CLOSING DATE ON PROPERTY: /VV4 a 5 3
FIVE 5 DAYS NOTICE PRIOR TO CLOSING DATE IS RE UIRED
( 1 O
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
y..
Permit Issued to: QC® ei
Address:
ROUTING
TOWN ENGINEER, SITE PLAN , D -W- REVIEW
CONSERVATION -M � �V�
-
PLANNING
DPW-WATER METER CvY
SEWER CONNECTION
DPW MUST INDICATE THAT THE WATER METER HAS BEEN INSTALLED PRIOR TO
SUBMITTAL OF THE PANCY/INSPECTION REQUEST
DPW
SIGNATURE
File:Application for OC form revised Jan 2007/2011
NORTH
Town of �.. Andover
O - 0
No. _ - . : _
o h ver, Mass, f
COCKICKl WICK �-1 -�
S tI
BOARD OF HEALTH
Food/Kitchen
PERM .IT. T LD Septic System
THIS CERTIFIES THAT ...........� KC0 --�v C_ .,, , BUILDING INSPECTOR
.... ......................................................_............................. ..... ..
A
' � Foundation
has permission to erect .......................... buildings on ........1. ... : '°.�. .... !i..�.............. ....
oug
to be occupied as ... .���
provided that the person accepting this permit shall in every respect conform to the terms of the application ina
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
INSSP CTOR
Rough u` ' J ]>_ 13
VIOLATION of the Zoning or Building Regulations Voids this Permit.
Final " � � 41& 69 I/
PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR
UNLESS CONSTRUCTION STARTS Rough
Service
.............. ...... ....... .............................
BUILDING INSPECTOR"
<9:?o1z
GAS INSPECTORO
Occupancy Permit Required to Occupy Building Rough il��� u j J �
Display in a Conspicuous PI _ Finals
p y p cuous ace on the Premises Do Not Remove
No Lathing or Dry Wall To Be Done, FIRE DEPARTMENT
Until Inspected and Approved by the Building Inspector. Burner
Street No.
YV�
Smoke Det.
SEE REVERSE SIDE
Advanced.Building Analysis •
Duct Leakage Test Form for MA Code Compliance
Client Information Building Information
Name: JEFFCO Inc. Address: 26 N. Main St. Unit .�
Address: PO Box 802 City, State Zip: N. Andover, MA
City, State Zip: Andover, MA 01810 Test Date _�� �J F3
Phone: 978-475-8075 Test Time 111WK
E-mail: aputterl @g� l.com Point of Construction O Rough X Final
System#1 System#2
Location Basement-Whole House. Location
Type of test X Total/ O To Outside Type of test O Total/ O To Outside
Approx. Floor Area Served 1500 Approx. Floor Area Served
CFM Leakage at 25 pa 10 CFM Leakage at 25 pa
Approx% leakage for single system* Approx% leakage for single system*
System#3 System#4
Location Location
Type of test O Total/ O To Outside Type of test O Total O To Outside
Approx. Floor Area Served Approx. Floor Area Served
CFM Leakage at 25 pa CFM Leakage at 25 pa
Approx% leakage for single system* Approx% leakage for single system*
System#5 Combined Results
Location Total Conditioned floor area 1500 Sq. Ft.
Type of test O Total/ O To Outside Leakage limit O 6% 08% X 12%
Approx. Floor Area Served Leakage limit 180 cfm@25
CFM Leakage at 25 pa Combined Leakage" ( q cfm@25
Approx% leakage for single system" 2009 IECC Compliance APass O Fail
*Approximations for single systems are for diagnostic use only.
**Total combined duct leakage is required for 2009 IEEC Compliance.
I certify that this t was pe rmed in Compliance with applicable standards
51Z 2A,3
Tester's Signa Ke Date
HERS Rater Name: Dan Clark
HERS Rater Company: Advanced Building Analysis, LLC
HERS Rater Provider: Energy Raters of Massachusetts
10R7H
O �
• no 9
t a
'SSSCHU`'Et
CER'T'IFICATE OF USE & OCCUPANCY
TOWN OF NORTH ANDOVER �
Building Permit Number 297-13 on 10/15/2012 Date: May 22,2013
THIS CERTIFIES THAT
THE BUILDING LOCATED ON 26 Main Street Unit #3
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: Jeffco Inc.
77 Andover Street
Andover,MA
Buil ing Insi6etor
Fee: Pre Paid
Receipt: 25822
Check : 13856
NORTH
own of ` _. Andover
0
No.
o ijS*.-- h ver, Mass, o
COCHICHIWIC
pORAT E D
S U
BOARD OF HEALTH
PERMIT.. T LD Food/Kitchen
Septic System
THIS CERTIFIES THAT BUILDING INSPECTOR
............. .�. ...C�...................... .......................`:............................. ..... ..
3 Foundation
A
has permission to erect ........ .. g ... :�a'.�°. .......��1. !................. .
............... . buildings on ........
Rough
................................................................. Chimney
to be occupied as UU! V�c v
................. ....... ................
provided that the person accepting this permit shall 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
VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough
Final
PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR
UNLESS CONSTRUCTION STARTS 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
Enter construction cost for fee cal - North Andover Fee Calculation
Construction Cost
$ 195,000.00 m
$ - $ 2,340.00
Plumbing Fee $ 292.50
Gas Fee 100 comm. $ 100.00
Electrical Fee $ 292.50
Total fees collected $ 3,025.00
26 Main Street Unit 3
297-13 on 10/15/12
Unit 3 of 8 New Townhouses
,mac
NORTH
Town of t ndover
No.
ver, Mass,
Co LAK§ h o
coc NIc"IWICK y1'
S U
BOARD OF HEALTH
M . - T T D
Food/Kitchen
PER .1 Septic System
���L' / BUILDING INSPECTOR
.. ..........
THIS CERTIFIES THAT ............. ..................................................`............................. .....I .......
Foundation
has
has permission to erect .......................... buildings on ....... :e.e...jmh' .A .LVM!............ .
Rough
.................................................................. Chimney
to be occupied as ............. .UN.......v -:.................. v
provided that the person accepting this permit shall 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
I,
VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough
Final
PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR
UNLESS CONSTRUCTION STARTS Rough
j Service
.............. ...... ....... ................................. Final
BUILDING INSPECTOR
GAS INSPECTOR
I
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
f
+ - Massachusetts-.Department of Public SafetN
" Boai`d of 8uildin�;-Re-ulations and Standard!
Construction Supervisor License
License: CS 31830
DOUGLAS J AHERN
PO-BOX 802 -'
ANDOVER, MA 01810
Expiration: 9/21/2013
('uiiimissiuncr Tr#: 1609
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CONSTRUCTION CONTROL
PROJECT TITLE: Eight Unit Residential Condominium
PROJECT LOCATION: 26 Main St., North Andover, MA
OWNER: Jeffco, Inc
PROJECT DESCRIPTION: 20' x 28, 3 story, townhouse condominium
IN ACCORDANCE WITH SECTION 116.0 OF THE MASSACHUSETTS STATE BUILDING CODE,
I Paul L. Davies, REGISTRATION NO. 3280 BEING A REGISTERED ARCHITECT HEREBY
CERTIFY THAT I HAVE PREPARED OR DIRECTLY SUPERVISED THE PREPARATION
OF ALL DESIGN PLANS, COMPUTATIONS AND SPECIFICATIONS CONCERNING:
ENTIRE PROJECT ARCHITECTURAL X STRUCTURAL X
MECHANICAL FIRE PROTECTION ELECTRICAL
OTHER:
FOR THE ABOVE NAMED PROJECT AND THAT, TO THE BEST OF MY KNOWLEDGE, SUCH
PLANS, COMPUTATIONS AND SPECIFICATIONS MEET THE APPLICABLE PROVISIONS
OF THE MASSACHUSETTS STATE BUILDING CODE, ALL ACCEPTABLE ENGINEERING
PRACTICES AND ALL APPLICABLE LAWS AND ORDINANCES FOR THE PROPOSED
USE AND OCCUPANCY.
I FURTHER CERTIFY THAT I SHALL PERFORM THE NECESSARY PROFESSIONAL
SERVICES AND BE PRESENT ON THE CONSTRUCTION SITE ON A PERIODIC BASIS TO
DETERMINE GENERALLY, THAT THE WORK IS PROCEEDING IN ACCORDANCE
WITH THE DOCUMENTS APPROVED FOR THE BUILDING PERMIT AND SHALL BE
RESPONSIBLE FOR THE FOLLOWING AS SPECIFIED IN SECTION 116.2.2
1. Review for conformance to the design concept, shop drawings, samples and other
submittals, which are submitted by the contractor in accordance with the requirements
of the construction documents
2. Review and approval of the quality control procedures for all code-
required controlled materials.
3. Be present at intervals appropriate to the stage of construction to become, generally, familiar
with the progress and quality of the work and to determine, in general, if the
work is being performed in a manner consistent with the construction documents
January 10, 2012
Paul Davies, #380 DATE