HomeMy WebLinkAboutBuilding Permit #175-2012 - 29 CIDERPRESS WAY 8/31/2011 TOWN OF NORTH ANDOVER
APPLICATION FOR PLAN EXAMINATION
Permit NO: A15-
Date Received
Date Issued:
IMPORTANT:Applicant must complete all items on this page
LOCATION 2 C FAV)�=a buov
int
PROPERTY OWNER `�A- ^S LIC Unit# Z
Print
MAP NO: PARCEL:ZONING DISTRICT:R Historic District yes n
Machine Shop Village yes
100 year-old structure yes
TYPE OF IMPROVEMENT PROPOSED USE
Residential Non- Residential
New Building ❑ One family
❑Addition Lewo or mor famil ❑ Industrial
❑Alteration No. of unit . 1„ / ❑ Commercial
❑ Repair, replacement ❑Assessory Bldg ❑ Others:
❑ Demolition ❑ Other
❑ Septic 0 Well ❑Floodplain 0 Wetlands ❑ Watershed District_
Water/Sewer
_ PERFORMED:
DESCRIPTION OF WORK TO BE� 1-4074
s
I en 'fication Please Type or Print Clearly)
OWNER: Name: Phonel?F-47
Address: !1 S— P�G�Az Amaxx, M yf e IF-A
CONTRACTOR Name: P% . 14 G Phone:l7,F"10 — �8�����
Address: A6.
Supervisor's Construction License: Q �/�, Exp. Date:
Home Improvement License: Exp. Date:
ARCH ITECT/ENGINEE R()1, vw, ALrcilM Phone:7Yl-qW- (�f
Address: 5-ED 2- (5/-N-7 Reg. No. 46/6
FEE SCHEDULE.BULDING PERMIT.•$12. PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER
Total Project Cost: $�S�� E,Z S (S-M 4� l FEE: $309/3'0 I'_ ��G� 3. j q S�
Check No.: "Z--�� Receipt No.:
NOTE: Persons contracting with registered ntractors Flo not have access to the gu my
_ ...
Signature of Agent/Owne Signature of contractor
Location �
No. aoil Dater 31�JO//
U
NORTH TOWN OF NORTH ANDOVER
Certificate of Occupancy $
CNus<�' Building/Frame Permit Fee $
Foundation Permit Fee $
Other Permit Fee $
TOTAL $
Check # =ate
AP
245 ` 9
L / Building inspector
Plans Submitted-9 Plans Waived ❑ Certified Plot Plan Stamped Plans ❑
TYPE OF SEWERAGE DISPOSAL
Public Sewer C 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
ell
CONSERVATION Reviewed Sin Lure
COMMENTS
HEALTH Reviewed on ligna'tre
COMN6I
l
Zoning Board of Appea s: ance etition No: Zoning Decision/receipt submitted yes
Planning Board Decisiol: o nts
Conservation De ion: 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
Ans Submitted LS- Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑
TYPE OF SEWERAGE DISPOSAL
Public Sewer TanningW=sagp/Body Art ❑ Swimming Pools ❑
Well ❑ Tobacco-Sales- ❑ Food Packagmg/Sales ❑
Private(septic tank,etc. ❑ Pemamnt DumpsW on Site ❑
THE FOLLOWING=SECTIONS FOR OFFICE USE ONLY
INTERDEPARTMENTAL SIGN OFF U.FORM
DATE REJECTED DATE APPROVED
PLANNING & DEVELOPMENT ❑
COMMENTS `Z$ C , �0$ n n k-,1 . JAAf
CONSERVATION Reviewed on Si nature /
- l
COMMENTS MA J)qP -292, .111 1y1 _ f w
HEALTH Reviewed
on Signature
COMMENTS 6-)l CuQC o � _NJA
Zoning Board of Appeals:Variance,:Peti ion.No: Zoning Decision/receipt submitted yes
Planning Board Decision: -- Comments
Conservation Decision: 2 �111 Comments
Water&Sewer Connection/Si nature-&Date ; Drivewa Permit �
DPW Towr4 Engineer: Signature: -
Located 384 Osgood Street
FIRE DEPARTMENT' -Temp Dumpst r on site yes no
Located at 124 Main Street r
Fire D.9artiment signature/date 1 4 l
COMMENTS
Dimension
Number of Stories: Z Total square feet of floor area, based on Exterior dimensions. ��
Total land area, sq. ft.: 3b ,Z-A�-
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
7 sIF-t ZO sr- sok z S'7
CZ 5%
r,'t Jud ; X30 '�-b an
❑ Notified for pickup - Date
L—
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 Permi'
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
❑ Flo or/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
o 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
F NORTy q
O zc° <p ti
O
a ti r.. •,'r T
APPLICATION FOR CERTIFICATE OF OCCUPANCY/INSPECTION
°R,r.° BUILDING PERMIT # 17--5-ZO t 2
9SSACHUS��
ADDRESS/LOCATION OF PROPERTY:_Zdl C1
Map Oq C Parcel 31 Lot Number Zq
SUBDIVISION: O-eems; L
DATE REQUESTED FILED/READY FOR INSPECTION: TO 13 (11, // "A/11
CLOSING DATE ON PROPERTY: 111-7111
FIVE (5) DAYS NOTICE PRIOR TO CLOSING DATE IS REQUIRED
ALL WORK AND SIGN-OFFS MUST BE COMPLEfED WITHIN THIS TIME FRAME. A
REINSPECTION FEE OF TWENTY DOLLARS 00) WILL BE CHARGED IF THE STRUCTURE
DOES NOT MEET A APP ICABLE COD
APPLICANT SIGNATURE
Permit Issued to: r e, J-e) Lv
Address: N QZre r m,4
ROUTING
TOWN ENGINEER, SITE PLAN—DRIVE-WAY REVIEW ❑
CONSERVATION 14 d*
PLANNING NIA ❑ �0�0$
DPW-WATER METER ❑�w
SEWER CONNECTION 011/
DPW MUST INDICATE THAT THE WATER METER HAS BEEN INSTALLED PRIOR TO
SUBMITTAL OF THE OCCUPANCY/INSPECTION REQUEST
DPW ����
SIGNAT
File:Application for OC form revised Jan 2007/2011
OroMN
O
F s
•9 a
CERTIFICATE OF USE & OCCUPANCY
TOWN OF NORTH ANDOVER
Building Permit Number 175-2012 Date:November 3,2411
THIS CERTIFIES THAT
THE BUILDING LOCATED ON 29 Ciderpress Way, North Andover-, N1A
01845.
Meetinghouse Commons
MAY BE-OCCUPIED AS one-.unit-of 4-unit--town-house- IN ACCORDANCE-WITH--
THE PROVISIONS OF THE-MASSACHUSETTS STATE BUILDING CODE AND SUCH
OTHER REGULATIONS AS MAY APPLY.
Certificate Issued-to: Torn Zahoruiko
115 Carterfield Road
North Andover,MA 01845
Building Inspector
Fee: 100.00 previously paid
Receipt: 24529
AORTH
TOANM
of oAndover
� �w1
N,. cly
O ~ - To dover, Mass.
' Y �='- LAKE � '
COCHICHEWIC"
ATSD P ,�C,
BOARD OF HEALTH
PERMIT T D Food/Kitchen Q
Septic System
/ ��./GLQ ����.-- BUILDING ECTOR
THIS CERTIFIES THAT...../".f�. �
............... . 1.....................1�.... ....................... .................................. F undation
has permission to erect........................................ buildings on... �.... iG�eof' .... ............................. oto g `y
_ �
to be occupied as.�'�6,°...4e&'r..Pt'4/........ U' :...:1..�I � �h „S/ e
provided that the person accepting this permit shall in every respect conform to the terms of the application on file in in
this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of I� •.�
Buildings in the Town of North Andover. �td/� PLUM IN/G INSP
Rough GqO
•�l• �l �t
VIOLATION of the Zoning or Building Regulations Voids this Permit. g
Final
PERMIT EXPIRES IN 6 MONTHS
ELECTRICAL INSPECTOR
UNLESS CONSTRUCTIO TART 0 Cough,-
et,< .,1y
5--
-,z
........ ....... .................................� .
BUILDING INSPECTOR ot /
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 FIRE DEPARTMENT
Until Inspected and Approved by the Building Inspector. Burner
Street No.
SEE REVERSE SIDE Smoke Det.
F NORrM q
O StED !6
• O
l ' APPLICATION FOR CERTIFICATE OF OCCUPANCY/INSPECTION
�.yssCOreo °��(5 BUILDING PERMIT
AHU`�
ADDRESS/LOCATION OF PROPERTY:
Map Parcel d 0 3/ Lot Number,
SUBDIVISION: G�ti�� �i�;i �f A '7` U,v 72) ju �alC_PL
DATE REQUESTED FILED/READY FOR INSPECTION:
CLOSING DATE ON PROPERTY: GR
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: 240oec14
Address: ( <IPe OgCFsg alb
ROUTING
TOWN ENGINEER, SITE PLAN—DRIVE-WAY REVIEW ❑
CONSERVATION N �G
PLANNING �0;/' ifro q �'�r`1�vh /�L� �,ra✓C
DPW-WATER METER ❑
SEWER CONNECTION ❑
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
/e'><r,�f/ �-h�s �v l✓Z�1 �' p�i /Z, G ►�i'1�• �la a ��"
NORTMa
TONAM Of
0 No. _
o , dover, Mass.,
Q LAKE
COCHIC EWICK
RATED o'P�'�.(5
77 BOARD OF HEALTH
Food/Kitchen
PERMIT T D Septic System
BUILDING INSPECTOR
y/ P�/a
THIS CERTIFIES THAT...../...t.�.�4'!Q..............� . ..........-........ ..../l7ev�............................................................ Foundation
'
has permission to erect......................................`... buildings on .. ................... ...V............. ............................... Rough
p' l� .!/% �' �U/ rJN lyvll S G s/� �ICRG� Chimney
to be occupied as.&14....Gl&. .......... ...................... ........... .............:... .............A .. ...............................
provided that the person accepting this permit shall in every respect conform to the terms 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. 6O111d/v PLUMBING INSPECTOR
VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough
Final
PERMIT EXPIRES IN 6 MONTHS
ELECTRICAL INSPECTOR
UNLESS CONSTRUCTIO TART Rough
ti...............................................
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 FIRE DEPARTMENT
Until Inspected and Approved by the Building Inspector. Burner
Street No.
SEE REVERSE SIDE Smoke Det.
Massachusetts-Department of Public Safetti-
Board of Building Regulations and Standard's
Construction Supervisor License
License: CS 55417
Restricted_to 00._
TRONAS D ZAHORUIKO �
115 CARTERFIELD f2D
N ANDOVER"MA 1845-
Expiration: 4/5=12
.ma�isxiuner' Tr#: 21090
1l a Commonwealth of Massachusem
Department-ofrndustrW A,,idents
Office ofrnvesligations
.600 Washin-lon Street
Boston, M4 02III
ki Workers' Compensation Itusurance Affidavit:Builders/
Ao licant Information Contracfors/Electriciaus/plumbers
Please Print LM-biv
Name(Busines oganizationAndividual):
Address: J
City/State/Zip: e,( .A/l f�1"tr Phone#. g`
Are you an employer?Check the appropriate box:
1.❑ I am a employer with 4. ❑ I am a contractor and I Type of project(required):
employees{fail and/or part ttme).* have hired the 6. Neuf construction
2.® I am a sole proprietor orpanner- listed on the attached sheet t 7. ❑Remodeling
ship and have no employe= These sub-contractors have
working for me in any capacity work.Mrs, g ❑Demolition
°�'O 'comp.msurauce 5. ❑ We are a pomp.insurance. g, E3 Building addition
xaquire4] orpvration and its
officers have wised their 10.0 Electrical repairs or additions
3.❑ I am 111
homeowner doing all work rightof
myself[NO w �, ex�tiOn Per MGL 11.❑Plumbing repairs or additions
insurance f comp. c. 132,§1(4),and we have no 12.
') emPloYess. [No workers, ❑Roof repairs
comp-ice required.) 13.❑Other
`HO xP*e,Iicent thst M �a vrt 6g cart the seek i H:s me¢>wss'ct�mF—.�,;......;:....
Homeowttas who mdieatmg 8tey a r --
- 'C.onttactoa mat check this bnx must �aIi wad;and*ZQ-h-1-oatside
- - attached an adcii6onal.shtet oAriog rbc-aameaf lite COauaetms
-=submit a new affidavit indi=tiag.,d, --
ebnis dorts•comp.ply inf'vtmation.
I aur an employer dial isprov&hrg workers'compmzmaon and ffiea wo
in.fonuadon. �e fm'my employees Below is Ste pokcj'and job site
Insurance Company Name:
Policy#or Self-ins.Lir.#
Expiration Date:
Job Site Address:
Attach a copy of the workers'con CdY/S�T..rp•
pensation policy declaration pap(showing the policy number and
Failure to secrue coverage as required under Section 25A ofMGL c. 132 can lead in�e �u'ation date
fine tip WS 1,500.00 and/or one-year t weIl as civil imposition of criminal p��of a
Of up to$250.00 a day against the violator Be penalties in Bre foam of a STOP WORK ORDER and a fine
a_co sta#ement mai,be forwarded to the Office of
Investigations of the DIA for instuantx ,� -PY of this .
I do hereby cerlifp render pain and o.fPidwy fat the inforddon
Siis true and correct
m: � �
Phone W.
Official use only- DO+rot write in dus area, to be comp
leW cir or torn ofjzcia(
City or Tows:
peMWLicense#
Issuing Authority(circle one): -
L Board of Health L Bur7tirnd Department
6. Other 3.City/Tovvn Clerk 4.Electrical Inspector S.Plumbr'rzrte Inspector
Contact Person
Phone#f:
�AM
ORT
0VV`n Of
No49a
....,�f w' ,
:r _ .
doves, Mass.,
O -- LAKe 1,
COC MIC ME WICK
/9S RATED P`P�t��
v u ` BOARD OF HEALTH
Food/Kitchen
Septic System
BUILDING INSPECTOR
/ DcJ..iE ..till o ... �^
THIS CERTIFIES THAT..... .. . ... ................ ....... . ................................................... ....... ............./.�............................. ,+// Foundation
has permission to erect........ .... buildings on...�� 3..i..?.. ,r... ..�c... 9..... � `.. 'G�cy Rough
to be occupied as............. .........................c2...../OrV.. M/,. 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 ating to the Inspection, Aftetation 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 CONSTRUC N STARTS Rough
............ ................ .........................................
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 FIRE DEPARTMENT
Until Inspected and Approved by the Building Inspector. Burner
Street No.
SEE REVERSE SIDE Smoke Det.
Womw
Q / NOTES:
MAP 104C 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.
`Jr
2) THE INTENT OF THIS PLAN IS TO SHOW THE AS—BUILT LOCATION
U l UNo Nino l / OF THE FOUNDATION ONLY.
3) THE FOUNDATION SHOWN HEREON IS NOT WITHIN THE 100 YEAR
FLOOD ZONE AS TAKEN FROM THE FLOOD INSURANCE RATE MAP
JTC,q1 — FOR THE TOWN OF NORTH ANDOVER MASSACHUSETTS COMMUNITY
C, Qy a / PANEL NUMBER 250098 0007 C, MAP REVISED: 6/2/83.
� �y0.
4) THE CONCRETE FOUNDATION SHOWN HEREON HAVE BEEN INSTALLED
SUBSTANTIALLY IN ACCORDANCE WITH THE 40B SITE PLAN AS
APPROVED BY THE TOWN OF NORTH ANDOVER PLANNING BOARD.
s
1 HEREBY CERTIFY THAT THE LOCATION OF THE TOWNHOUSE UNIT
NUMBERS 9-12 FOUNDATION SHOWN HEREON IS THE RESULT OF A
L / moi iNprs i4 / FIELD SURVEY BY THIS OFFICE MADE ON JUNE 29, 2011.
AL
4.
OO oof 1N OF
bq
25' NO \ u, < � +`� 8�9Sy
DISTUR&4NC CHRISTOPHER w
ZONE u, <� / FRANCHER
i NA 38118
AL AL
LICENSED LAND SURVEYOR DATE
, CERTIFIED FOUNDATION PLAN
R MEETINGHOUSE COMMONS TOWNHOUSE UNITS 9-12
GRAPHIC SCALE CORTLAND DRIVE
'�` o�y` �• o zs 50 100 NORTH ANDOVER, MASSACHUSETTS
PREPARED FOR
0r AIL AIL y1�n
MEETINGHOUSE COMMONS, LLC
(IN FEET) 121 CARTER FIELD ROAD
\ \ / 1 inch = 50 ft. NORTH ANDOVER, MASSACHUSETTS
M Srna Rood,Suit*One
l
I IFp N�WIT ( \ \ Sal•m,X803)893-0720
03079
4 pRNC ,\ MHF Design Consultants,Inc. ENGINEERS•PLANNERS•SURVEYORS
AL \ SCALE: 1" = 50' DATE: JULY 6, 20
WN 11 DRAWING
r / NO. DESCRIPTION BY DATE DRABY: CHECKED BY: PROJECT N0. NAME
REVISIONS ___ CMF 250508 1 2505CFP.DWG