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HomeMy WebLinkAboutBuilding Permit #14 - 51 MAYFLOWER DRIVE 7/6/2009 i BUILDING PERMIT °`"°oT"gtio TOWN OF NORTH ANDOVER 3? ° APPLICATION FOR PLAN EXAMINATION t Permit NO: Date Received /' �gSSAC0 Ar HUs��� Date Issued: 6 IMPORTANT:Applicant must complete all items on this page LOCATION g¢� ,t" �0 l .4 o2-2. �c� l +� 'IM'041o�- Print PROPERTY OWNERf k'04 9, - Print MAP NO:!a7 43 PARCEL:46/Co ZONING'DISTRICT: Historic District yes Machine Shop Village yes no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential New ne famil Addition Two.or more family Industrial Alteration No. of units: Commercial Repair, replacement Assessory Bldg Others: Demolition Other Septic Well Floodplain Wetlands Watershed District Water/Sewer DESCRIPTION OF WORK T BE PRE,F�RMED: Q,0 7 ,w,;1 � Gam•4'�i e#e 6!W,&W 6G1 Identification Please Type or Print Clearly) OWNER: Name: Phone: Address: l0 444A�- -Die JPORA 1�-Iatovec, CONTRACTOR Name: -epi C t09 moo&,D Phone: 15 D9-3; - 4(PS0 Address: Zip d 4 4 �a��4 Oe14 pfi'eet < Supervisor's Construction License: GyS -3 0;„ Exp. Date:__ /.;2ot0 Home Improvement License: Exp. Date: ARCHITECT/ENGINEER ©..s� �y�'� ,Pc�. ��'S �< Phone: Address: 4oO3. �� � IVIW 19'4WReg. No. 6010 FEE SCHEDULE:BOLDING PERMIT.$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ 2, S FEE: $ Check No.:---v-? / r Receipt No.: L NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund Signature of Agent/Own '-t Signature of contractor 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 NSERVATION Reviewed onSi nature/X-9- /A i "C,OMMENTS � A JjAlLftOli aJ 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/Si nature& Dat-e--- [`rve a Pe°� 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: ol Total square feet of floor area, based on Exterior dimensions. Total land area, sq. ft.:Co idp f J4 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) 3 ❑ Notified for pickup - Date Doc.Building Permit Revised 2008 J 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- r ❑ 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 o Floor/Crossection/Elevation Plan Of Proposed Work.With Sprinkler Plan And Hydraulic Calculations (If Applicable)'-- L3 pplicable)o 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 uy,*' 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 d"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:INSPECTIONAL SERVICES DEPARTMENT:BPFORM07 Revised 2.2008 s _ - Location 51 /77 `ovi/C7'L. Ga, L2 No. Date ' G TOWN OF NORTH ANDOVER O t w • ; ; Certificate of Occupancy $ ZQ0 Building/Frame Permit Fee $ s�CHus Foundation Permit Fee $ /00 Other Permit Fee $ TOTAL $ Check # 2 21 o � t, Building Inspector Location Sl AAy /'gw67 - Aa r 2-7-- No. "ZNo. Date d HpRTot TOWN OF NORTH ANDOVER + ; : Certificate of Occupancy $ °, ,>' • •E<�' Building/Frame Permit Fee $ 20 MU Foundation Permit Fee $ � """ Other Permit Fee $ TOTAL $ Check # 22 -i ,L2 -- , Building Inspector Key-Lime, Inc. 10 Hepatica Drive North Andover,MA 01845 978-683-3163 July 6, 2009 North Andover Building Department Building Inspector 1600 Osgood Street North Andover, MA 01845 Re: Additional payment for permit# 14 Dear Brian: Enclosed is the additional check for permit# 14 which was issued today. Yours truly, G• jamin C. Osgood I i � NORT►1 Town of Andover 0 No. YTy - 0 • • L A KE = dover, Mass., I� COCMICHEWICK 7,p ADRATED p �C) S BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System • BUILDING INSPECTOR THIS CERTIFIES THAT � .... .�...................... """"" Foundation has permission to erect........................................ buildings on ...T/...... � A ....t Rough to be occupied as....S4j#%%f4.....�!r!�!!. .... ... :.:6 .....Z... f�./�.... Chimn y erovided that the erson acce tin this permits all in every respect conform the terms of the ap icatio7AMOW file in P P accepting 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 y Z j PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR OV UNLESS CONSTRU TARTS Rough ' ..... ............... ....................................... ................... Service BUILDING PECTOR 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. G SEE REVERSE SIDE Smoke Det. REScheck Software Version 4.2.2 Compliance Certificate Project Title: Unit H Energy Code: 2006 IECC Location: Wakefield,Massachusetts Construction Type: Single Family Conditioned Floor Area: 2357 ft2 Glazing Area Percentage: 11% Heating Degree Days: 6573 Climate Zone: 5 Construction Site: Owner/Agent: Designer/Contractor: Old Salem Village Key-Lime,Inc. O'Sullivan Architects,Inc. Rte 114 1538 Turnpike St. 201 Edgewater Drive North Andover,MA 01845 North Andover,MA 01845 Suite 215 (978)683-3163 Wakefield,MA 01880 (781)246-1667 www.osullivanarchitects.com Compliance:2.5%Better Than Code Maximum UA:406 Your UA:396 Gross Cavity Cont. Glazing UA Assembly Area or R-Value R-Value or D.. Perimeter U-Factor Wall 1:Wood Frame,16"o.c. 3241 19.0 0.0 170 Window 1:Wood Frame:Double Pane with Low-E 320 0.280 90 SHGC:0.43 Door 1:Solid 44 0.060 3 Door 2:Glass 44 0.280 12 SHGC:0.43 Floor 1:All-Wood Joist/Truss:Over Unconditioned Space 1475 19.0 0.0 69 Ceiling 1:Flat Ceiling or Scissor Truss 1485 30.0 0.0 52 Compliance Statement: The proposed building design described here is consistent with the building plans,specifications,and other calculations submitted with the permit application.The proposed building has been designed to meet the 2006 IECC requirements in REScheck Version 4.2.2 and to comply with the mandatory requir];atfure lis d' the Scheck Inspection Checklist. Name-Title Date Project Title: Unit H Report date: 06/17/09 Data filename:K:\Osgood\RTE114\Construction Drawings\Unit H\04022_Unit H REScheck_2.rck Page 1 of 1 Massachusetts- Department of Public SafetN Board of Buildin!-, Re!-ulations and Standards Construction Supervisor License License: CS 75302 Restricted to: 00 BENJAMIN C OSGOOD 69 OLD VILLAGE LANE NO ANDOVER, MA 01845 Expiration: 12/4/2010 ( nuni..i mer Tr#: 6955 M.P. ROBERTS INSURANCE AGENCY, INC. 1060 OSG V STREET NORTH ANDOVER, MA 01845 EMAIL: MPRInsurancel@AOL.COM P(978) 683-8073 F (978) 683-3147 October 27, 2008 Key Lime Inc 10 Hepatica Drive North Andover Ma 01845 Re: Workers Compensation #WCC 5007581012008 Effective 9/15/2008 - 2009 I am pleased to enclose your Workers Compensation Insurance Policy issued by Associated Employers Insurance Company. The policy has been issued with the following coverages', limits and payroll exposures scheduled: Injury Y $1,000,000 - BodilyIn u b Accident, each accident $1,000,000 - Bodily Injury by Disease, policy limit $1,000,000 - Bodily Injury by Disease, each employee Carpentry-Detached 1 or 2 $32,660 Clerical Office $22,964 Please review the policy. If you have any questions or if revisions are required, please contact our office to ensure the policy is corrected. I would like to take this opportunity to thank you for letting our agency be of service. Thank you. n�tonovich Pa