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HomeMy WebLinkAboutBuilding Permit #241-13 - 66 CIDERPRESS WAY 9/25/2012 TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit NO: Date Received Date Issued: IMPORTANT:Applicant must complete all items on this page LOCATION . - -Cli d R rtsS w wedt int PROPERTY OWNER tpA �--� • Print 100 Year Old Structure yes *no MAP NO: 109 CC PARCEL:_ZONING DISTRICT: R 1 Historic District yes Machine Shop Village yes TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ,kNew Building ❑ One family ❑Addition Two or more family ❑ Industrial ❑Alteration No. of units: L/-uh-it }Ovm ❑ Commercial ❑ Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other ❑ Septic ❑Well 11 Floodplain ❑Wetlands ❑ Watershed District .Water/Sewer DESCRIPTION OF WORK TO BE PERFORMED: �v rto� o N(--Y r-OR u W tT JAW) IH01)54 Identi cation Please Type or Print Clearly) OWNER: Name: LLC Phone:9 78-6 7--ZO Address: f l5 r`,er pl- Ro r CONTRACTOR Name-s 1 )-k Phone:ci 7- 5' Address: l S � 6" d� Rao R f Supervisor's Construction License: D ,��"yl - Exp. Date: y S 1j Home Improvement License: 01A Exp. Date: o ARCHITECT/ENGINEER ),�. 64; rAILA Phone: Address: 586 Qga`i r, S AAA d % Reg. No. 6010 FEE SCHEDULE:BOLDING PERMIT.$12. ER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. ll Total Project Cost: $ --- FEE: $ /00. 06 Check No.: 32-7 g Receipt No.: 9r-797 NOTE: Persons contractiEns registered co Tactors do not have access to the uaranty fun Signature of Aggnt/Owner Signature of contractor Plans Submitte ved ❑ Certified Plot Plan ❑ tamped Plans ❑ Location No. yz// — /3 Date I • TOWN OF NORTH ANDOVER s a .mak Certificate of Occupancy $ Building/Frame Permit Fee $ Foundation Permit Fee Other Permit Fee $ ' TOTAL $ Check# 6 25747 Buil 6 ing Inspector i 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 Z Lgh CI -40'9 (No Pt✓�1J Nl�r� 1 � CONSERVATION Reviewed on — Si q nature COMMENTS_M\P P0 ZqZ- II I i u o-o- w(OOC O��i-Q cts NcjjPg HEALTH Reviewed on Signature COMMENTSILA �- {� Ko j Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments Conservation Decision: 2 J Z-1 j Comments Water & Sewer Connectionlsi nature Driveway Permit DPW Town Engineer: Signature: Located 384 Osgood Street FIRE DEPARTMENT - Temp Dumpster ite yes no Located at'124.Main Street Fire Departmerit•signature/date -��.- i�/.Z .COMMENTS Dimension Number of Stories: 2 Total square feet of floor area, based on Exterior dimensions. 6b y ISF Total land area, sq. ft.: 3D -Z, h(- ELECTRICAL: Movement of Meter location, mast or service drop requires approval of Electrical Inspector N L A 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 ll l d 6 ),J C. I ® Notified for pickup - Date L � j Doc.Building Permit Revised 2010 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 o 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 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 2012 NORTH own of . t E �� ndover No. a4 r5 j �0 .rhA ver, Mass, Ial?leeo_ A- coc.uc"IWICK y1' S u BOARD OF HEALTH Food/Kitchen PERMI-LT T LD Septic System THIS CERTIFIES THAT -`"� �rdse � 'x K: � BUILDING INSPECTOR ................�........... ..........................+................... ... ............................. Foundation has permission to erect .......................... buildings onQ �m Rough tobe occupied as ................�(••• '•`•'`�4&9 .� ! ..................................................................... Chimney provided that the person accepting this permit shall in evewespect conform to the terms of the application Final on file in 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 ELECTRICAL INSPECTOR UNLESS CONSTRUCTION S RTS Rough Service ....................... lul .. ................ ..fLDING INSPECTOR Final GAS INSPECTOR Occupancy Permit Required to Occupy Building 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. Smoke Det. 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' ,n::;oc8 •+'• �ING7 �O 64 , (,4o 'c1DCRPk'' Wl�� VouN.DATtdN PLAN Ioy- o IS-0 IS-0 o k2--0 13-0 15-0 ' o x C) o r � 0 0 N O N Q t { ' 1 0 ' ! f -- -- 2- 12.-V t ,-o r t2-o 2-0 3- O O N cv N N N P ^'1 M Q' Q• ' 9-6 M q-6 t5-U Z6 .02-Ll^o 2$-0 104-6 -- M4\CCTMC., 60SI� CO W)AOIJ S I, Massachusetts -Department of Public Safety r Board of Building Regulations and Standards Construction Supervisor License: CS-OSU17 THOMAS D ZAH 115 CARTERF LDD RD r N ANDOVER MA 01m Corimissioner 04/05/2014 The Commonwe Ah o�f lifismCiur,m Dqmummoff .Ac O.S ofFnvea�igna ms - BOMOP4 MA 02III WwwJn4z=-vp1dw- _ Workers' �p oonasnrance AR[cv Ca►u - ADPficaut €racdu� pg�ers Name -ease Print imbly Adder CYfp Tap: e,r m-4y)� Aim Y ?t &eePPrepriate bo= 1-0 Ismacupbyvwj& ❑Imma�� aaaii 'Fn eofpmjea( :- empkvm(fig mar timed* haaehiasd ibe N tia� 2.® lam asoma ash hsbd an the ship and have no boy= T7a+ac sab_ a * Be,mod wig mrmeiaaay y_ =have 5. 0 -IN '�- Wcama aaandim! - offcx�� � 3_0 Iama - �oradftm L��r doing an wa& rwof pwmrL IL" 0 P c j r �t"0®'g- c-M EIC�,amd wehaveMo 12.0Ba�cf [210 viro� O&w . . ---------------- ' 8mte5es�8�ba��sta�da -_ �m7�raa� mnst�itaneara�—�. :�....x raw as - mmtnpgs �� Bde�var�rep�FanifjAsft kmanm yNamc Poiicy#or Selfis-Lac.W.- Job :Job SafeA,ddm= _ Ann&a cagy of lite wo&we conWensaam C�y/SfatrJZipc por a�en ( the Fai]mie to sowac cbvess�e����Seciioa2SA oi•I+gQ,�,y� ' and ��, fine aP to SI.SW.W an&cc G._yem• �ffi van CiQ ces EL Ofa Of Up m=5&00 a� � Be- Pees is fia farm ofa SUP WORK ORDIM and a fim 3 tiams pftheDIAramam _ eta Ofthis SWftne&naY m*eOgC df Da eeLtar m tbb mph to be by efty or Imm ofei.L t3iy or Tow=becing y(ch-ck On* - 6 OBeard of HeStth 2.Imidhe meat 3-Gty1r.. 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