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Building Permit #298-13 - 26 MAIN STREET 10/15/2012
TOWN OF NORTH ANDOVER p APPLICATION FOR PLAN EXAMINATION Permit NO: �a Date Received Date Issued t N4 / IMPORTANT: Applicant must complete all items on this page LOCATION a� Y��l 'li"t(fU - —�rint PROPERTY OWNER t��Flrlo ,�c, Print 100 Year Old Structure yes MAP NO: a PARCEL: ZONING DISTRICT: I S Historic District yes C Machine Shop Village yes (tee TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential New Building ❑ One family 13 Addition YTwo or more family ❑ Industrial El Alteration No. of units: ❑ Commercial ❑ Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other ❑ Septic ❑Well ❑ Floodplain ❑Wetlands ❑ Watershed District El Water/Sewer DESCRIPTION OF WORK TO BE PERFORMED: (2CI.NS4'YUcJtQiV 0 —70WA-,+�O M(--S Identification Please Type or Print Clearly) OWNER: Name: � c0 `-Tk.-,L Phone: Address: 7? �Y- /7A CONTRACTOR Name: A y1??//Phone: S-7 3"L Address: ► Supervisor's Construction License: 3y Exp. Date: G a �a 1� 3 Home Improvement License: (-1' Exp. Date: ARCHITECT/ENGINEER, JAWS f �n T-C'M.6 Phone: Address: 3S �U S4' �PJU,I?1 Reg. No. FEE SCHEDULE:BOLDING PERMIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ ���r� FEE: $ 74L40 r Check No.: e7 � Receipt No.: �2 NOTE: Persons contracting with unregistered contractors do not have access to the guarantyfund Signature of Agent/Owner Signature of contractor Plans Submitted ❑ Plans aived ❑ Certified Plot Plan 0 Stam d 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 24 Main Street Fire Department•signatdrbldate ' 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 LJ 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 o Photo Copy Of H.I.C. And/Or C.S.L. Licenses o Copy of Contract o 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 o Certified Surveyed Plot Plan o Workers Comp Affidavit o Photo Copy of H.I.C. And C.S.L. Licenses o 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) 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) o Building Permit Application o Certified Proposed Plot Plan Li 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 Li 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: Doc.Building Permit Revised 2012 Location U ry J 4(j+ No. �c�"'/3 Date Id • ' TOWN OF NORTH ANDOVER 4 t Certificate of Occupancy $ Building/Frame/Frame Permit Fee $ �V* , 9 �. Foundation Permit Fee Other Permit Fee $ "' TOTAL s-z440 Check#� 25823 Building Inspector `NORTM 4 y M e� �SSSCHVSEt4 CERTIFICATE OF USE & OCCUPANCY TOWN OF NORTH ANDOVER Building Permit Number 298-13 on 10/15/2012 Date: May 22, 2013 THIS CERTIFIES THAT THE BUILDING LOCATED ON 26 Main Street Unit#4 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 Building Inspector Fee: Pre Paid Receipt: 25823 Check : 13856 Final Construction Control Document To be submitted at completion of construction by a Registered Design Professional wr for work per the 8th edition of the 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 its 0amtm4• ex W* n means,methods, sequences and procedures, and for construction safety wV,y Amo,yr*� Enter in the space to the right a"wet"or electronic signature and seal: Phone number: 978-459-2154 Email: pdavies@pdaviesardi, es:com .3 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 ttORT/i D�,CS►.6D "A�� APPLICATION FOR CERTIFICATE OF OCCUPANCY/INSPECTION BUILDING PERNIIT # (/"l ��SSACHU a' /�/� ADDRESS/LOCATION OF PROPERTY:, ��p / < SAI, S� - Map Parcel__113 3 Lot Number 1 SUBDIVISION: DATE REQUESTED FILED/READY FOR INSPECTION: CLOSING DATE ON PROPERTY: T Cj 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: Address: �� ' ►T`�� '� ROUTING TOWN ENGINEER, SITE PLAN—D E-WAY REVIEW 9&p CONSERVATION �� 3 - PLANNING DPW-{WATER METER 5— i SEWER CONNECTION C DPW MUST INDICATE THAT THE WATER METER HAS BEEN INSTALLED PRIOR TO SUBMITTAL OF THE 0 UPANCY/INSPECTION REQUEST DPW 5p 113 SIGNATURE File:Application for OC form revised Jan 2007/2011 NORTH oven o � t ndover 0 . - No. AIR 4 - h ver, Mass, C0C"1C"2WICK 7.e A04A TE D I'P��,`'�y u BOARD OF HEALTH Food/Kitchen PERMIT T LD Septic System �_/lJ ,., BUILDING INSPECTOR THIS CERTIFIES THAT ............. , ...........................C..................................................................... � Foundation has permission to erect .......................... buildings on ........e ..... h�..� :!............. .... /� h gh d" 1 to be occupied as l`:�N.......vS� Chimney provided that the person accepting this permit shall In every respect conform to the terms of the application 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 I SPECTO JR Rough /:(J'e� 12 Li!) VIOLATION of the Zoning or Building Regulations Voids this Permit. J Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTION STARTS Service ..............P....... .. !/ :. .... ....... .................. ina,��� BUILDING INSPECTOR `S ' GAS INSPECTQDR Occupancy Permit Required to Occupy Building Rough �� I� Final � Display in a Conspicuous Place on the Premises — Do Not Remove j- S z 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. � 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 1: Phone: 978-475-8075 Test Time Awe, E-mail: aputter1 Cc___aol.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 I L7 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** cfm@25 Approx% leakage for single system* 20091ECC Compliance O Fail *Approximations for single systems are for diagnostic use only. **Total combined duct leakage is required for 2009 IEEC Compliance. � c I certify tht this test was performed in Compliance with applicable standards f� 1AL 2L Tester's 5 ature Date HERS Rater Name: Dan Clark HERS Rater Company: Advanced Building Analysis, LLC HERS Rater Provider: Energy Raters of Massachusetts iV _ of AORTh 9 �`TSS CHOSEtr CERTIFICATE OF USE & OCCUPANCY TOWN OF NORTH ANDOVER Building Permit Number 298-13 on 10/15/2012 Date: May 22, 2013 THIS CERTIFIES THAT THE BUILDING LOCATED ON 26 Main Street Unit #4 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 Building Inspector Fee: Pre Paid Receipt: 25823 Check : 13856 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 4 298-13 on 10/15/12 Unit 4 of 8 New Townhouses NORTH oven of � . t E ndover 0 &A- I No. AIR0 h ver, Mass, cocNlchtw'C. y1. S V BOARD OF HEALTH Food/Kitchen Septic System P .ERM T T LD THIS CERTIFIES THAT ........� ©........... . ............................. ...................................... ... BUILDING INSPECTOR Foundation has permission to erect .......................... buildings on ....... ...., i^../......... tJ.� ..!/" �. ..!/�/�............. .... Rough t0 be occupied asUl/N l��/S .......................................................................... Chimney p' ................ ................... ............ 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 oService ..............p....... .�,G�lrr �7 ................... Final BUILDING INSPECTOR GAS INSPECTOR Occupancy Permit Required to Occupy Building Rough Display in a Conspicuous Place on the Premises — Do Not 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 NORTH oven of � � E : ., ndover 0 AIRrh ver, Mass, ° COC L^K6 S U BOARD OF HEALTH P ..ERMIT T LD Food/Kitchen Septic System � THIS CERTIFIES THAT ........ BUILDING INSPECTOR ........... .............................:...................................... ... Foundation has permission to erect ... buildings on ...... . � l Rough to be occupied as t vlUl�l.�US� .......................................................................... Chimney p' ................ ..... ................. . 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 ..............p....... .�.Gil.rlr .....:: ...*r:................... 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 N. Massachusetts-:Department of Public Safet-. NU Boai'dof Buildit�--Re!-ulations and Standard! Construction Supervisor License License: CS 31830 _4,_.s DOUGLAS J AHERN ; PO BOX 802, ANDOVER, MA 01810 Expiration: 9/21/2013 ('ui�imissiuiicr Tr#: 1609 G l ti 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 MASSACHUSET'T'S 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 P' cz'v)/�u January 10, 2012 Paul Davies, #3 80 DATE {1r v