HomeMy WebLinkAboutBuilding Permit #295-13 - 26 MAIN STREET 10/15/2012 TOWN OF NORTH ANDOVER
APPLICATION FOR PLAN EXAMINATION
Permit NO:
q.�, Date Received
Date Issued:
IMPORTANT: Applicant must complete all items on this page
LOCATION l l,� I A [N S
Print
PROPERTY OWNER rS '� -ti C-,
1 Print 100 Year Old Structure yes
MAP NO: DE� PARCEL:3 ZONING DISTRICT: J - Historic District yes
Machine Shop Village yes
TYPE OF IMPROVEMENT PROPOSED USE
Residential Non- Residential
New Building ❑ One family
Addition Two or more family ❑ Industrial
❑Alteration YNo. of units: lz� ❑ Commercial
❑ Repair, replacement ❑Assessory Bldg ❑ Others:
❑ Demolition ❑ Other
❑ Septic ❑Well ❑ Floodplain ❑Wetlands ❑ Watershed District
❑Water/Sewer
DESCRIPTION OF WORK TO BE PERFORMED:
Identification Please Type or Print Clearly) �it
OWNER: Name: � C Phone: "t �—WT 7J—
Address: -7 S� �
CONTRACTOR Name: =�J u`L� tq Phone:. I ?
((�, 1l o
Address: JY I C kj�cVey A11A
Supervisor's Construction License:C 'I 3y Exp. Date: a I -Car
Home Improvement License: 'f Exp. Date:
ARCHITECT/ENGINEER P0.1� bAM1?1 f SS Phone:
Address: 63 (4-N-S, S-4- Reg. No.
FEE SCHEDULE:BULDING PERMIT:$12.00 ER$9000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F.
Total Project Cost: $ Z$12.00 ER
0®� FEE: $
Check No.: Z��✓,� Receipt No.: ,ZD
NOTE: Persons contracting with unre istered contractors do not have access to the guarantyfund
Slgnature_of Agent/Qwner Signature-of contractor
Plans Submitted ❑ Plan ived ❑ Certified Plot Plan 11 Stamped Plans ❑
Plans Submitted Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑
TYPE OF SEWERAGE DISPOSAL
Public Sewer Tanning/Massage/BodyArt Elmm
Swiing Pools 11
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
EI Notified for pickup - Date
f �
E
Doe.Building Permit Revised 2010
i
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
o 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
Location
No.
Date f Z—
• • TOWN OF NORTH ANDOVER
Certificate of Occupancy $ /Q Q
• ' •
Building/Frame Permit Fee $
�t = .
Foundation Permit Fee $ ,
,� �••: � � Other Permit Fee $ d
TOTAL $gip
Check# "
A7
25820 Building Inspector
O,,tORTN try
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CERTIFICATE OF USE & OCCUPANCY
TOWN OF NORTH ANDOVER
Building Permit Number 295-13 on 10/15/2012 Date: April 12, 2013
THIS CERTIFIES THAT
THE BUILDING LOCATED ON 26 Main Street Unit #1
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 Main Street
North Andover,MA
01845
l�
Building Inspector
Fee: PrePaid
Receipt: 25820
Check : 13856
1
NORTH
own of . 2 t ndover
0
No. I I. - y � �-
' h ver, Mass,
coc"Ic"awX. %'
ORATED
S U
BOARD OF HEALTH
PE.. RMI� T T LD Food/Kitchen
Septic System
THIS CERTIFIES THAT ��i ��' .���v ................................................... BUILDING INSPECTOR
........... .............. ........... . ...................... ........
r� .... J �` ` oun 'on
has permission to erect ........................... buildings on .�.6Fd
....��yf. rr?1...W.......... . ............... ..... -
o gh
tobe occupied as ...................... ......... I..�U.S. ................................................
9;0
provided that the person accepting this permit shall in every respect conform to the terms of the application 1121'5
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 INSPECT R
VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough / l �
Finalo" 4,.
PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR
UNLESS CONSTRUCTION STARTS /11;�' ,ae_s
Service
...... .... .. . .........................
BUILDING INSPECTOR
GAS INSPECTOR
Occupancy Permit Required to Occupy Building Rough
Fin 1� �.
Display in a Conspicuo-us Place on the Premises — Do Not Remove Q
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 ��
J
NORTy
OF,t�ao e'9y
0 .
i" p APPLICATION FOR CERTIFICATE OF OCCUPANCY/INSPECTION
JK
Coe
Ao+Areo,°P',�y BUILDING PERMIT #
ADDRESS/LOCATION OF PROPERTY:
MaP J- Parcel �l Lot Number
v
SUBDIVISION: �� v
DATE REQUESTED FILED/READY FOR INSPECTION:
CLOSING DATE ON PROPERTY:
FIVE(5)DAYS NOTICE PRIOR TO CLOSING DATE IS REOUIRED
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: _Ie Fc
Address: St U)(
CkA 1, /VSA G(�
ROUTING � •
TOWN ENGINEER SITE PL N— RIVE-WAY REVIEW
CONSERVATION /
PLANNING y I,, !►3
DPW-WATER METER
SEWER CONNECTION
DPW MUST INDICATE THAT THE WATER METER HAS BEEN INSTALLED PRIOR TO
SUBMITTAL OF THE 0 PANCY/INSPECTION REQUEST
4�
DPW
SIGNATURE
File:Application for OC form revised Jan 2007/2011
o
pORry
o�,SllD l6�N
yyp APPLICATION FOR CERTIFICATE OF OCCUPANCYANSPEC/TION
yti T jt d
l
3 °?Are°^pP ty BUILDING PERMIT #
�SSACHU5��
ADDRESS/LOCATION OF PROPERTY:
Map ~' Parcel �� Lot Number
v
SUBDIVISION: COk) VJ
DATE REQUESTED FILED/READY FOR INSPECTION: a`
CLOSING DATE ON PROPERTY:
FIVE(5)DAYS NOTICE PRIOR TO CLOSING DATE IS REOUIRED
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: T�_FC(3
Address: mpr 5t ` L/ ► � U' U�- .
cue L MA Gl U
ROUTING � •
TOWN ENGINEER SITE PL N-` RIVE-WAY REVIEW
CONSERVATION
PLANNING y
DPW-WATER METER
SEWER CONNECTION -
DPW MUST INDICATE THAT THE WATER METER HAS BEEN INSTALLED PRIOR TO _
SUBMITTAL OF THE 0 PANCYANSPECTION REQUEST
/C'
DPW
- 4�
SIGNATURE
File:Application for OC form revised Jan 2007/2011
oMO oTM�+y
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CERTIFICATE OF USE & OCCUPANCY
TOWN OF NORTH ANDOVER
Building Permit Number 295-13 on 10/15/2012 Date: April 12, 2013
THIS CERTIFIES THAT
THE BUILDING LOCATED ON 26 Main Street Unit #1
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 Main Street
North Andover,MA
01845
C�
Building Inspector
Fee: PrePaid
Receipt: 25820
Check : 13856
APR-12-2013 12:43 PAUL DAVIES ASSOCIATES 978 654 5135 P.01i01
Final Construction Control Document
To be submitted at completion of construction by a
x Registered Design Professional
for work per the 8th edition of the
J�
Massachusetts State Building Code, 780 CMR, Section 107.6.4
Project Title: Eight-Unit Condominium (Unit#1 Only) Date: April 12,2013 Permit No.
Property Address: 26 Main Street,North Andover,MA (Unit 1 Only)
Project: Check(x)one or both as applicable: (X)New construction ( ) Existing Construction
Project description:New residential townhouses.
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 construction means,methods,
sequences and procedures,and for construction�� '►IditP�
�: EREt1 �.
Enter in the space to the right a"wet"or e� �`��,........ cS/''�
v�
L. p'9!%`
electronic signature and seal:
Phone number: (978)459-2154
Email: pdavies@pdaviesarchitects.com
Off
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
TOTAL P.01
O�µORT N7N
3r• e�.. � GL
,SSgCH�SEi
CERTIFICATE OF USE & OCCUPANCY
TOWN OF NORTH ANDOVER
Building Permit Number 295-13 on 10/15/2012 Date: April 12, 2013
THIS CERTIFIES THAT
THE-BUILDING LOCATED ON 26 Main Street Unit#1
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 Main Street
North Andover,MA
01845
i
Building Inspector
Fee: PrePaid
Receipt: 25820
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 1
295-13 on 10/15/12
Unit 1 of 8 new Townhouses
NORTH
Town of 2 ndover
O - 0
No.
h ver, Mass,
COC NIC Nl WICK y�.
�d p�RATE0
S U
BOARD OF HEALTH
Food/Kitchen
PERMIT T LD Septic System
�rr_c_�, � V BUILDING INSPECTOR
THISCERTIFIES THAT ........... ......... ....s~....:............................................. ...................... ........
l � Foundation
has permission to erect .......................... buildings on . ... f�l. /r?1... .Q.�....... .. /..�1. �:�". .... ......
Rough
tobe occupied as ...................... ....® �`'�. 7 QU�IS' ........................................................................ Chimney
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
.......... ....... ... ...v......................... Final
BUILDING INSPECTOR
GAS INSPECTOR
Occupancy Permit Required to Occupy Building Rough
Display in a Conspicuo-us 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
NORTH
Town of . tAndover
0
No. )411*196 - 13
h ver, Mass,
COCNICNl WIC. y1.
�d A0R�TED
S U
BOARD OF HEALTH
PERMIT T LD Food/Kitchen
Septic System
�i11 BUILDING INSPECTOR
THISCERTIFIES THAT .. .... .....................................`........... ...................... ........
Foundation
has permission to erect
.............,............ buildings on . ... j . ir?1. ..... ..a/t� .......... ......
Rough
tobe occupied as ...................... ... ..�r.. 7.. ? ' ........................................................................ Chimney
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
i
- Massachusetts-;Dcpat-tntcnt of Public Safct%
Boar(I of Ruildin,, Reoulations and Standard!
Construction Supervisor License
License: CS 31830
DOUGLAS J AHERN ,, `,'
PO..BOX 802_'
ANDOVER, MA 01810
�-�•- �`.��� Expiration: 9/21/2013
('itimtisviutict Tr#: 1609
=`1
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r
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i
'- Massachusetts-:Department of Public SafetN
Board"of Buildin -Re-dations and Standard!
Construction Supervisor License
License: CS 31830
. f �
DOUGLAS J AHERN
F
PO._BOX 802. .'
ANDOVER, MA 01810
Expiration: 9/21/2013
('inimisiiuricr 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
�jj January 10, 2012
Paul d,: Davies, #3280 DATE
�i