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HomeMy WebLinkAboutBuilding Permit #494-13 - 62 CIDERPRESS WAY 1/4/2013TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION _/-3 Date Received Permit NO: Ll, Date LOCATIO 111 -IA -3 PORTANT:A k must complete all items on this � U PROPERTY OWNER `e vrr t Print 100 Year Old Structure yesno MAP NO: // y Z(C PARCEL:_ ZONING DISTRICT: Historic District yes Machine Shop Village yes /rS TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential New Building ❑ One family 11 Addition RTwo or more family ❑Industrial ❑ Alteration No. of units:Qh2gE QE E&t ddu ❑ Commercial ❑ Repair, replacement ❑ Assessory Bldg ❑ Others: ❑ Demolition ❑ Other D Septic D Well ❑ Floodplain D Wetlands ❑ Watershed District ater/Sewer DESCRIPTION OF WORK TO et NtKrurcmtU: S R T tv Na vii i R M R S ?R UMiRt, ri U G_ OP RZ/A QN-11( • CONTRACTOR Name: M Type o� Print Clearly) �S (mac Phone: 1�fZ-' 687' Supervisor's Construction License:_ S /_Exp. Date: Home Improvement License: &I A Exp. Date: ARCHITECT/ENGINEER 65J I-k)�` 7Phone: '7 k `��� Uq Address: S99 4)4 %— Reg. No. FEE SCHEDULE: BULDING PERMIT: $12. PER $1000.00 OF THE TOTAL ESTIMATED COST BASED ON $125.00 PER S.F. Total Project Cost: -$ ZS- 7 62S• eb FEE: $ Check No.: X ; I I NOTE: Persons contracting with Signature of Plans Submittea� Plans Waived El _Receipt No.: �' ° 6 4/,tractors do not have access to the 1 Signature, of contractor Certified Plot Plan ❑ Stamped Plans ❑ 11 LocationQ- No. Check #2.�7 % 26064 Date G %-e TOWN OF NORTH ANDOVER Certificate of Occupancy $ G Building/Frame Permit Fee $ y/. S U Foundation Permit Fee $ Other Permit Fee $ TOTAL X uilding Inspector Plans Submitted L -P) Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ TYPE OF SEWERAGE DISPOSAL Public Sewer K 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 REJE TED DATE APPROVED PLANNING & DEVELOPMENT ❑ COMMENTS CONSERVATION COM HEALTH y COMMENT re on Signature Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments Conservation Decision: Comments Water & Sewer Connection/Signature & Date Driveway Permit r DPW Town Engineer: Signature: Located 384 Osgood Street 'FIRE DEPARTMENT - Temp Dumpster on site yes no Located at '124.Main Street Fire Department signature/hate COMMENTS Dimension Number of Stories: 11 Total square feet of floor area, based on Exterior dimensions. Total land area, sq. ft.: (x.11 vv�) ELECTRICAL: Movement of [Meter location, mast or service drop requires approval of Electrical Inspector A Yes No \ DANGER ZONE LITERATURE: Yes MGL Chapter 166 Section 21A—F and G min.$100-$1000 fine NOTES and DATA — (For department use) No P( -z; 1 �5 �- 2��s- 2v�t s'�' x 12S S� eye, 3a 9. so S av �- 1 • �'v El Notified for pickup - Date E 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 ❑ 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 a 'Sg1CXU5E CERTIFICATE OF USE & OCCUPANCY TOWN OF NORTH ANDOVER Building Permit Number 494-13 on 1/4/2013 Date: May 15, 2013 THIS CERTIFIES THAT THE BUILDING LOCATED ON 62 Ciderpress Way MAY BE OCCUPIED AS a single family home_IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. Certificate Issued to: Meetinghouse LLC 115 Carter Field Road North Andover, MA 01845 Building Inspector Fee: PrePaid Receipt: 26064 Check: 3511 �i LU z VI O O v •Q W W � LU �\ Z `\ q{ a Z t \ 1 O a CA \ 75 �J Ea W LU ... m C G1 N m C J J - d LL LU �,I' {L °p to C �. • i c ea 0o C LL V) o LL K U o c CC LL 44�I m. (n �� °�° LL o c/� CD y (A r. I LU z co 2 Z CO uiw a. W LU a - O W :a C) 0 is m cn a G O V cn O 0 cn cn LU E � O Z O N ' c ^, W Q E m m 0 CD C � � O �+ d 0 0 O CL CL 0. �a O Cc Cc •CL O CD = Z O V CO) O O v •Q � o. as �J Ea 'C e L N `4 ''. • • m as E C �. • c ea r� N J CIO - LA LA > L 0 U) m � O-0 V c > U) d Q N C to \- OI•> O = Qnd -� a, Coi i-- c r c c c -O Q L L :C cam co = O t W ++ O Cc y C O W N CA p O co 2 Z CO uiw a. W LU a - O W :a C) 0 is m cn a G O V cn O 0 cn cn LU E � O Z O N ' c ^, W Q E m m 0 CD C � � O �+ d 0 0 O CL CL 0. �a O Cc Cc •CL O CD = Z O V CO) '6 °c t APPLICATION FOR CERTIFICATE OF OCCUPANCY/INSPECTION o41 �4A°R�rco ^pP� 5 BUILDING PERMIT # 4aw -13 4SSACHU`+�� ADDRESS/LOCATION OF PROPERTY: Me/ Map D Parcel 3 Lot Number SUBDIVISION: Ltc. V $/ DATE REQUESTED FILED/READY FOR INSPECTION: CLOSING DATE ON PROPERTY: 511 h 3 ALL WORK AND SIGN -OFFS MUST BE COMPLETED REINSPECTION FEE OF TWENTY DOLLARS ($20.00 DOES NOT MEET ALL APPLICABLE CODES. Permit Issued to: Address: / I s IN THIS TIME FRAME. A BE CHARGED IF THE STRUCTURE APPLICANT SIGNATURE ldhij, N. LLC A o1i-1s ROUTING TOWN ENGINEER, SITE PLAN --DRIVE-WAY REVIEW CONSERVATION p n i, 'lam lP 242- tU y ; ac coaQgh� ���pC �. ,,s ,►,,,� Q . PLANNING ❑ NIA cq.4o'3 DPW -WATER METER L]--- S%91t3 SEWER CONNECTION 10.0- DPW � DPW MUST INDICATE THAT THE WATER METER HAS BEEN INSTALLED PRIOR TO SUBMITTAL OF THE OCCUPANCY/INSPECTION REQUEST DPW File: Application for OC form revised Jan 2007/2011 17113 SIGNATURE