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
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A- coc.uc"IWICK y1'
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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.
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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
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