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HomeMy WebLinkAboutBuilding Permit #412-12 - 35 CIDERPRESS WAY 11/14/2011 TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit NO: yea ' �2— Date Received Date Issued: IMPORTANT:Applicant must complete all items on this age LOCATION 3 S CC� 1reS �/v n/� IcJ rin PROPERTY OWNER J" ' ei' C Unit# 3 Print MAP NO:Ll�t CPARCEL:3_ZONING DISTRICT: R) Historic District yes no Machine Shop Village yes o 100 year-old structure yes TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential T( New Building ❑ One family ❑Addition VTwo or more family ❑ Industrial ❑Alteration No. of units: 0)oN IT av 3 0 Commercial ❑ Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other D Septie- 0 Well 111Floodplai i p�Wetlands Watershed0istrict Jj Water/Sewer E RIPTION OF WORK TO E PERFORMED: 4f)qLQaol 6Ta -(�N 1 I dt�un ac,�;� rg�4. 5C fl A den kation Please Type o �r/ant Clearly) OWNER: Name:J"`'e C� Phone:9 78'6 r?Z 6 3 r Address: S < ► 1, d 1 r CONTRACTOR Name: Zd c Phone: Address: ( l Supervisor's Construction License: a S�iS�`7 Exp. Date: I Z� Home Improvement License: Exp. Date: ARCHITECT/ENGINEER(� �s�/I U�iH �tG�j Phone:-2:?/- Address: hone:-2:?/"Address: 5-YO ir,_ i d Reg. No. 6(0I 0 FEE SCHEDULE:BULDING PERMIT:$12.00 R$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$925.00 PER S.F. - �1 Total Project Cost: $ZS7 6Z S• (.Sec 3�!ndki) FEE: $ .s'a + /OD(<-o)! 319�>SU Check No.: 2.Sq I Receipt No.: NOTE: Perso contracting wit unregistered contractors don thave access he guaranty fund _.- ... nrn� lanant/ 1ninar : : ati rP o'f.cnnfirar. nr- Location No. a - °?G�z Date NaRTM TOWN OF NORTH ANDOVER • ' • � ; , Certificate of Occupancy $ �o�•.(-' ss�cHust< Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ •SD Check # 2 V 1 3 /tuilding Inspector 1 Location 3��, ✓� _��4 r^�"S"� GGA y No. 2 66,,--,- ro"`,Z 2— Date ,,oR,►, TOWN OF NORTH ANDOVER F � 9 Certificate of Occupancy $ �M�s t� Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # f '; ullding Inspector 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 Pa lc'ging/Sales ❑ Private(septic tank,etc. ❑ Permanent Dumpster on Site ❑ THE FOLLOWING SEC ION R FF E USE ONLY INTERDEPART TA N F FORM A EREJ CTED D APPROVED PLANNING & DEVELOPMENT COMMENTS V:;; L/2 C-"\ or" N CONSERVATION Reviewed on Signature COMMENTS HEALTH Reviewed on Siture 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 Drivewa�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: Move me t 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 7S t S 7-661 S? Z ZS, 3 o ,5r) C�e64, 6-u. c- 3 Notified for pickup - Date L t 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 o 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 ❑ 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 VOTE: 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 :rust be submitted with the building application Doc: Doc.Building Permit Revised 2008mi NORTH Of Town 1 . 11 QAndover ., ----------- 01- dover, Mass., Q - LAKE +1, COCMIC}EWICK ,y �SDRArED BOARD OF HEALTH Food/Kitchen PERMITSeptic System -1 BUILDING INSPECTOR L✓di�lii �a!v�3........................................................ Foundation CERTIFIES THAT......... .. - . . ............ ................ ................. . ............ THIS ��� .3s-c/�.9,�✓�. St Rough • . buildin son •••••••••••���� has permission to erect........................................ g Chimney tobe occupied as..................................... ................... ... ..... 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 PLUMBING INSPECTOR Buildings in the Town of North Andover. Rough VIOLATION of the Zoning or Building Regulations Voids this Permit. Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR. UNLESS CONSTRUCTION STARTS Rough ..................................... Service ...................................... BUILDING INSPECTOR Final GAS INSPECTOR Occupancy Permit Required to Occupy Building Rough g 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. I FBurnerNo. Smoke Det. IF SEE REVERSE SIDE Plans Submitted I Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ TYPE OF SEWERAGE DISPOSAL Public Sewer Tannin.WnsageBody 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 ��A�C , V� r\ l4rni ' t CONSERVATION Reviewed on Signature Aw C"K— COMMENTS-8Kbe, �� � HEALTH Reviewed on Signature COMMENTS ®n C �P�t�, 'r ho 1,4u K Zoning Board of Appeals:Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments Conservation Decision:- � 1 t Comments Water&Sewer Connectionisi nature&Date Driveway Permit DPW Town Engineer: Signafiare: . Z7-/r Located 384 Osgood Street FIRE DEPARTMENT -Temp Dumpster on site yes no Located at 124 Main Street Fire Department signature/date COMIVffi'NTS / MOR M • CERTIFICATE OF USE & OCCUPANCY TOWN OF WORTH ANDOVER Building Permit Number #412-2012 Date: January 10, 2012 THIS CERTIFIES THAT THE BUILDING LOCATED ON 35 CideWress Way Meeting House Commons . North Andover, MA 01845 MAY BE OCCUPIED ASOne Unit Townhouse IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY, Certificate Issued to: Meetinghouse Commons LLC NORTH ANDOVER,MA 01845 Building Insp ctor Fee: 100.00 PREVIOUSLY PAID Receipt#24813 NORTH Town of � Q Andover ,, . . No. - �� o �[ over, 1Vlass., O - LAKE Ap COCMICKEWICK %A°`4ATED S BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System N I A BUILDING INSPECTOR THIS CERTIFIES THAT.......... -�G.l.:.. . ............................©� .� a s.. �` C Foundation has permission to erect.............:.......................... buildings on ..!474..... ... ................... .................................. co UP ,,s 4 / �x `l f oV( 4i!'�l�'�, .. / v'Gc/�Y Y-re ney to be occupied as ....................�..... .... . ....................................................................................................... provided that the person accepting this permit shall in every respect conform to the terms of the application on file in ina 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. P ING &-ECTOR Voids this Permit. RoughC' /P/, VIOLATION of the Zoning or Building Regulations o /� Finalctz PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTO UNLESS CONSTRUCTION STARTSRou � ' j2-/3 Service .......................................... ............. ��................................................ BUILDING INSPECTOR Occupancy ,Permit Required to Occupy Building GAS INSPECTOR Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final GZc /ij ojo�� 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: ���,,� IAORrN ,• ?00�-" ED 0616 66r� l APPLICATION FOR CERTIFICATE OF OCCUPANCY/INSPECTION �9SSACHUs���� BUILDING PERMIT ADDRESS/LOCATION OF PROPERTY: .3� Map Parcel Lot Number UP IT 3 5 SUBDIVISION: M e M.t/ s DATE REQUESTED FILED/READY FOR INSPECTION: ' SOI 1 Z. Y, 1 Z CLOSING DATE ON PROPERTY: rA Y 2 FIVE (5) DAYS NOTICE PRIOR TO CLOSING DATE IS REOUIRED ALL WORK AND SIGN-OFFS MUST BE COMPLETED WHIN THIS TIME FRAME. A REINSPECTION FEE OF TWENTY DOLLARS ($20.00 L BE CHARGED IF THE STRUCTURE DOES NOT MEET ALL APPLICABL ODES. APPUCAW SIGNATURE Permit Issued to: 'e" 40L4C cgvt-"�n4m I.-LL Address: t S ca r r C��C R0 4� ROUTING TOWN ENGINEER, SITE PLAN- RIVE-WAY REVIEW ►a CONSERVATION PLANNING N ❑ C N .4 o? DPW-WATER METER SEWER CONNECTION DPW MUST INDICATE THAT THE WATER METER HAS BEEN INSTALLED PRIOR TO SUBMITTAL OF THE OCCUPANCYANSPECTION REQUEST DPW �-- SIG AT File:Application for OC form revised Jan 2007/2011 Ewe- 7 % NOTES: 1) THE BOUNDARY INFORMATION SHOWN HEREON WAS TAKEN FROM A PLAN ENTITLED "PLAN OF LAND, MEETINGHOUSE COMMONS AT / 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. 2) THE INTENT OF THIS PLAN IS TO SHOW THE AS-BUILT LOCATION / MAP 104C OF THE FOUNDATION ONLY. 1 i / 3) THE FOUNDATION SHOWN HEREON IS NOT WITHIN THE 100 YEAR LOT 28 FLOOD ZONE AS TAKEN FROM THE FLOOD INSURANCE RATE MAP FOR THE TOWN OF NORTH ANDOVER MASSACHUSETTS COMMUNITY ( PANEL NUMBER 250098 0007 C, MAP REVISED: 6/2/83. V 9 / 4) THE CONCRETE FOUNDATION SHOWN HEREON HAVE BEEN INSTALLED SUBSTANTIALLY IN ACCORDANCE WITH THE 40B SITE PLAN AS !� 33 �� APPROVED BY THE TOWN OF NORTH ANDOVER PLANNING BOARD. r-- /_ � I HEREBY CERTIFY THAT THE LOCATION OF THE TOWNHOUSE UNIT rq`8uur Q �021� 6� /' l NUMBERS 13-15 FOUNDATION SHOWN HEREON IS THE RESULT OF A U��Jae �y —J �S FIELD SURVEY BY THIS OFFICE MADE ON OCTOBER 12, 2011. °E�neOY '' / jo "�aCFRANSCHER / AL 36718 get LICENSED LAND SURVEYOR DATE O iij '� m / \ CERTIFIED FOUNDATION PLAN / oaR ; , j c yds. fllw / P o MEETINGHOUSE COMMONS TOWNHOUSE UNITS 13-15 °�; OV k, / GRAPHIC SCALE 1 25' NO pc^ CIDERPRESS LANE / c �� 0 2e e0 too NORTH ANDOVER, MASSACHUSETTS -� t / ' / / DISTURBANC � �'^ ��' PREPARED FOR ZONE ' a 2`� /� MEETINGHOUSE COMMONS, LLC (IN FEET) 121 CARTER FIELD ROAD NORTH ANDOVER, MASSACHUSETTS 1 inch 50 fL �i l* .No Road,Su7b Om 4AAL ,4/Z0 i ��� I �_ Salim,(603)883-0720 03079 OC fENGINEERS•PLANNERS•SURVEYORS MHF Design Consultant..Inc. SCALE. 1" � 50' DATE: OCTOBER 13, 2011 1 DRAWING �-^�^-�-'•�-..� // / NO. DESCRIPTION BY DATE DRAWN BY: CHECKED BY: PROJECT N0. NAME O / REVISIONS _- CMF 250508 1 2505CFP.DWG 'Niassachusetts-Department of Public Safetv Board of Building � ' Rc„Juiations and Stantlartis Construction Supervisor License License: CS 55417 Restricted.-to:, QO., THOMAS EX ZAHORUIKO 115 CARTERFIELD RD N ANDOVER, MA 01.845 Expiration: 4/52012 [`nfilm ktitmer Tr#• 21090 The Commonwealth of Massachusetts Department of Industrial Accidents Office Of Lnvestigations 600 W'ashinbton Street Bostora, M4 02111 :tnasS.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electri An licaut cians/Plumbers Information PIeasePrint Le6ibly Nagle(Business/ � Organization/Individuai): Address: / City/State/Zip:b), Phone#: Are you an employer?Check the appropriate box: L❑ I am a employer with 4. ❑ I am aType of project(required): general contractor and I employees(full and/or part time).* have hired the sub-contractors 6. XNew construction 2.0 I am a sole proprietor or partner- listed on the:attached sheet 1 7. ❑Remodeling ship and have no employees These sub-.contractors have working for me in anY c aci workers co 8• ❑Demolition " aP �'• mp.insurance. [No workers'comp.insurance 5• ❑ We are a corporation and its 9• ❑Building addition 3.❑ reluired•l officers have exercised their 10•❑Electrical repairs or additions I am a homeowner doing all work right of ex cmPtion per MGL 11.❑Plumbing repairs or additions myself[No workers'comp. c. 152,§1(4),and we have no insurance required.]t employees. [No workers' 12-El Roof repairs comp.inc„rance required.] 13 E3 Other `_at'a Iicaat that check.-box"#1 must also fel out the sectio.es=oQ•sh s:. 'homeowners who submit this affidavit indicating they d ' mO4'n -orl and rhm o'orhem oom,^=„�=Po'—e=fczmian. 'Contractors that chccl this box must attached an additional sheet sh hitt outside conuaarors must submit a new affidavit indieating such. owing the name of the sub-conuactots and their workers comp.poliram Y information. in foormation.an employer that is providing workers'compensation insurance for my employees Below is the policy and job site Insurance Company Name: Policy#f or Self-ins.Lie.# Expiration Date: Job Site Address: Attach a copy of the workers'compensation policy declarationa City/State/Zip: pace(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of finpenalties e up to$1,500.00 and/or one-year imprisonment,as well as civil �° mal penalties of a y garnet the violater. Be of up to$250.00 a da a form of a STOP WORK ORDER and a fine wised that a copy of this Investigations of the DIA ins statement may be forwarded to the Office of "for un-ance cow ge - cation. I do hereby certify under a pains and p ofPerithat the information provrded is true and correct Sitmature: Phone#: Offtcuil use only. Do not write in this area, to be completed by city,or town ofciaL City or Town: PermitUcense# Issuing Authority(circle one): 1.Board of Health 2.Building,Department 3-City/ToWn Clerk 4.Electrical Inspector 5.PIumb' R 6. Other uab Inspector Contact"Person: Phone;? �aORTk. Town Of . . No. 4 o dower, Mass., �Plael COCMICMEWICK Al RATED S BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System . /'� ....................................... � BUILDING INSPECTOR THIS CERTIFIES THAT........... �,. . .?tW- g.:$ . Foundation has permission to erect................................. ...... buildings on ...F z.'... Rough . /P Chimney to be occupied as �l �G ,r........4...d`r!i . y ................................................................. .. provided that the person accepting this permit shall in every respect c form 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. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES IN 6 MONTHS UNLESS T ELECTRICAL INSPECTOR U 1�1 LESS CONSTRUCTION CTION ST Rough ........................................... ..'� ... .... !..` ''-�-,.............. . Service BUILDING INSPECTOR Fina! 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 BeDone FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. SEE REVERSE SIDE Smoke Det.