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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