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
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'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