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HomeMy WebLinkAboutBuilding Permit #547-12 - 56 CIDERPRESS WAY 1/12/2012TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit NO: L� 7 12- Date Received Date Issued: �2 MPORTANT: Applicant must comt)lete all items on this pane S Print it # S v Print MAP NO: PARCEL: ZONING DISTRICT:_R_L Historic District yesgno Machine Shop Village yes 100 year-old structure yes TYPE OF IMPROVEMENT PROPOSED USE Phone: 7F1'Lf39" /(p/44 Residential Non- Residential J(New Building ❑ One family Reg. No. ❑ Addition Q'Two or more family ❑ Industrial 0 Alteration No. of units: HI.X14% 1 oF. 4 ❑ Commercial 0 Repair, replacement 0 Assessory Bldg 0 ❑ Others: ❑ Demolition 0 Other (]Sept MT 70 ®loodplalnWetlands} R Wa%rsed ; stnct ®,Wafer/Sewers t . .�DES�CJRIPTION OFWORKTO BEP ORMED: 1 !J✓ A LI- i' KA- tobwk�tlU%_ �Ciy Please Type or Print Clearly) OWNER: N Address: //5 Cr(_fe r t--jgd Kdl , N _t4izy4,2 VOY- 687 - CONTRACTOR Name: Z—ra, feta vre mo,� �-LC Phone: `�7� 6g7-U3j Address: 115 a,4e c' rm4 d . _N -Av&&q AA j -&-V Supervisor's Construction License: 0 S',S-Y / Exp. Date: Home Improvement License: Exp. Date: ARCHITECT/ENGINEER O)Je,/�j/qh tme3 Phone: 7F1'Lf39" /(p/44 Address: SBo UJNA t, &±"t , M-4 a 1867- Reg. No. (o0/U FEE SCHEDULE: BULDING PERMIT. $92.00 PER $1000.00 OF THE TOTAL ESTIMATED COST BASED ON $925.00 PER S.F. Total Project Cost: $ :!�S 7 67-S• (see ode s) FEE: $ 30 9/• so %oA . (c -o) = 31� I S25 Check No.: -7-717 Receipt No.: o? �'l6 NOTE: Persons contracting with unregistered c t actors do not have access to the guaranty fun Signature offAgent/Ownerr` _ _Signature oficont�actorP tom- - Location ,S'6 (iG�'��'�o/'�st y No. '-y 7— /2 Date Z/27 NORTH TOWN OF NORTH ANDOVER OL 9 Certificate of Occupancy P Y $ CMUsE<�' Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # 9 712 2 f 24961 Building Inspector \PPns SubmittedX� Plans Waived ❑ 6u FiLE WITH VrN FeRMtT- Certified Plot Plan ❑ Stamped Plans, ❑ TYPE OF SEWERAGE DISPOSAL Public Sewer X 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 ❑ ❑ COMMEN CONSERVATION Reviewed COMMENTS HEALTH COMMENTS Reviewed o Zoning Board of Appeals: Variance, Petition No:(U1 V -C-/ Zoning Decision/receipt submitted yes Planning Board Decision: Conservation Decision: Comments 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.: -3a • Z 6C ELECTRICAL: Movement of Meter location, mast or service drop requires approval of Electrical Inspector tj/ � Yes No DANGER ZONE LITERATURE: Yes No MGL Chapter 166 Section 21A—F and G min.$100-$1000 fine MnTFS anti DATA — (For department use) R t -r CcST,S'- t 7qs►F 4 bgKT- = ZD 615 F x 1zS CT- = If ZS' 6 U. 305 1 -S-0 arse +MI6 c- d = 31 c( Z-6 'EV -P -DUE ❑ Notified for pickup - Date J 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 o Workers Comp Affidavit ❑ Photo Copy of H.I.C. And/Or C.S.L. Licenses o Copy of Contract ❑ Floor Plan Or Proposed Interior Work o Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit Addition or Decks o Building Permit Application o Certified Surveyed Plot Plan ❑ Workers Comp Affidavit o 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) o Engineering Affidavits for Engineered products VOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit New Construction (Single and Two Family) o Building Permit Application ❑ Certified Proposed Plot Plan ❑ Photo of H.I.C. And C.S.L. Licenses o Workers Comp Affidavit o Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Copy of Contract o Mass check Energy Compliance Report ❑ Engineering Affidavits for Engineered products TOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg .Permit n all cases if a variance or special permit was required the Town Clerks office must stamp the decision from the Board of Appeals -iat the appeal period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording trust be submitted with the building application Doc: Doc.Building Permit Revised 2008mi Itt E H Z y Go ClC m m ac m C 7 m O .m C •O N m Z O Z O ii F. 0 u z r0 V U O CD O Ci O Z � CL Cl y 0 G CD G cm C p� ■� O O .co)E m m O O m CL ~ �... 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W S� Q is w = O.p4- IDS C ca W c A_.. m_" 1= M CLJ Z acLU m m c C-3 m p a `.0 c co a m5o� . = W ..a`N= O E- z Sam O O O v Z o CL O h D O O CM I C C O •� (A Q 'p O M O '� m m CL CD }- 3 „a CD 0 eovToa a ca ca o *MP� c Cc ev JGo .� C Z m O C. V C c c RCL = y . CERTIFICATE OF USE & OCCUPANCY TOWN OF NORTH ANDOVER Building Permit Number 547-12 Date: 4/9/2012 Building Permit Date 1/12/2012 THIS CERTIFIES THAT THE BUILDING LOCATED ON 56 Ciderpress Way MAY BE OCCUPIED AS one unit of a 4 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 115 Carter Field Road North Andover, MA 01845 Building Inspector Fee: $100.00 prepaid Receipt: 24961 Check 2717