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Home My WebLink AboutBuilding Permit #702 - 90 MEETINGHOUSE ROAD 5/1/2007Permit NO: v Date Issued: LOCA PROP] TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Date Received IMPORTANT: Applicant must complete all items on this page I MAP NO.: 16q C PARCEL: TYPE AND USE OF BUILDING ZONING DISTRICT: V HISTORIC DISTRICT YES ❑ TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential New Building ❑ Addition ❑ Alteration ❑ One family ❑ Two or more family No. of units: ❑ Industrial ❑ Repair, replacement ❑ Demolition ❑ Assessory Bldg ❑ Commercial ❑ Moving (relocation) ❑ Other X Others: ❑ Foundation only G L &D.l\oUS4' DESCRIPTION OF WORK TO BE PREFORMED 9 V q 5; 1: RAN& STR 0 G7TLRf C,1,L 3 htlS6T �rAAwir,' T6 r-6�,rAI,A))bPA5 Identification Please Type or Print Clearly) OWNER: Name: ML�„1-! M h�,�2 QP2v► M t4S ( L(. Phone:' Address: 121 Qa c%e-fi' od W-, 1.), CONTRACTOR N Address: r: (\iekd �J . �J, Supervisor's Construction License: 6 -KK -07 Exp. $ate:_ AJ 6� Home Improvement License: &/A Exp. Date: ARCHITECT/ENGINEERJd�\ i�lSul' IV A Name: Phone: � ` Z q4 1 Address: 20) Reg. Nes (0 0 % d FEE SCHEDULE. BULDING PERMIT. $I2.OVER $1000.00 OF THE TOTAL ESTIM ED COST BASED ON $125.00 PER S.F. Total Project Cost :$�2Y} Si A 1Z 5 --6003,000 FEE:$ �'2 Z 3 (o . / u 1zI&r Check No.: `� �,/ C).3 �s Receipt No.: Page I of 4 TYPE OF SEWERAGE DISPOSAL Art ❑ Swimming Pools F]Tanning/Massage/Body g Public Sewer Well ❑ Tobacco Sales ❑ Food Packaging/Sales ❑ Private ❑ Permanent Dumpster on Site ❑ (septic tank, etc. Electric Meter location to I Z) project INV 1 r:: Persons contracting with registered on actors do not have access to the guara fund Signature of Agent/Owner Signature of contractor Plans Submitted ,� Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ THE FOLLOWING SECTIONS FOR OFFICE USE ONLY 1, INTERDEPARTMENTAL SIGN OFF - U FORM c J� I „ J �d U DATE REJECTED DATE APPROVED PLANNING & DEVELOPMENT ❑ ❑ COMMENTS DATE REJEC \�D TE APPROVED CONSERVATION ❑ _ j COMMENTS REJECTED DATE APPROVED HEALTH ❑ ❑ COMMENTS FIRE DEPAN - Temp Dumpster on site yes no Fire jepartmkqt�sftatOe/date CO Zoning Board of A eals Planning Board Decision: Variance, Petition No: Zoning Decision/receipt submitted yes Comments Conservation Decision: Comments Water & Sewer connection/Signature & Date �� Driveway Permit Building Setback (ft.) N IA - C� . �O 13 Front Yard Side Yard Rear Yard Reqhired I Provided R quir d Provides , Re fired Provided NM 1o 26 4 / (5-664 IV M SM -i-- Dimension Number of Stories: a Total square feet of floor area, based on Exterior dimensions. 2 -L - y2 Total land area, sq. ft.: 3 ( -I h - NOTES and DATA — (For department use) Page 3 01'4 Doc: INSPECTIONAL SERVICES DEPARTMENT:BPPORM05 Qeated .IMC. Jan.2006 s Jv"a 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 L3 -,.Photo Copy Of H.I.C. And/Or C.S.L. Licenses ❑ Copy of Contract ❑ Floor Plan Or Proposed Interior Work Addition Or Decks ❑ Building Permit Application ❑ 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) 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 a 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 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: INSPECTIONAL SERVICES DEPARTMENT:BPFORM05 Page 4 of 4 Location* -40 ef✓`b No. -� 6 7'e— Date „oR,M TOWN OF NORTH ANDOVER F + 9 Certificate of Occupancy $ U J �'�s''•^ ~7 •'<� JACNUSt Building/Frame Permit Fee $ Foundation Permit Fee $— Other Permit Fee $ % q'? �' TOTAL $ Check # 35� 2016 �'=Building Inspector t ti F -ORM U =LOT RELEASE FORM INSTRUCTIONS: This form is used to verify that all necessary approvals/permits from Boards and Departments having jurisdiction have been obtained. This does not relieve the applicant and/or landowner from compliance with any applicable or requirements. *****************************APPLICANT FILLS OUT THIS SECTION*********************** APPLICANT �I k,Ej. , (nUrTS LLC, PHONE q?s-C87 -Z 635 LOCATION: Assessor's Map Number /��C PARCEL 3 j SUBDIVISION lV 4 �oC. e LOT (S) l_ STREET , OAk ST. NUMBEF�-10 ***OFFICIAL USE ONLY ********* COMMENTS ( h.. t O II ENTS: DATE APPROVED DATE REJECTED DATE APPROVED DATE REJECTED OOD IN EGf R-LiLTH DATE APPROVED I DATE REJECTED SEPTIC INSPECTOR -HEALTH DATE APPROVED DATE REJECTED COMMENTS Off! S'i!VV E F PUBLIC WORKS - SEWER/WATER CONNECTIONS lD D� DRIVEWAY PER IT FIRE DEPARTMENT C 6 6 RECEIVED BY BUILDING INSPECTOR DATE Revised 9197 jm l� =11111 FAX N0. :7812461683 Feb. 16 2007 11:15AM P2 Permit q Penult Date RESCheck Software Version 3.7.3 Compliance Certificate Project Title: Meeting House Commons Clubhouse Report Date: 02/10107 Data filename: K:QahoruikolMeetinghouse Commons - No AndoveAClubhouselEnergy.rck Energy Code: Massachusetts Energy Coda Location: North Andover, Messachusatb Construction Type: 1 or 2 Family, Detached Heating Type: Other (Non"Elea t Resistance) Glazing Area Percentage: 21% Heating Degree Days: 6322 Construction Site: North Andover, MA 01845 Owner/Agent Meeting House Commons LLC 121 Carter Field Rd North Andover, MA 01845 97SM7-2835 -- VIl)11 A�ien�l�tV A.=;i Pcrui�et�� I� Calling 1: Flat Ceiling or Scissor Truss: 2412 Wali 2: Wood Frame, 16" o.c.: 1600 Window 3: Vinyl Frame:Double Pane with Low -E: 210 Window 4: Vinyl Frame:Double Pane with Low -E: 15 Door 2: Glass: 40 Floor 2: AJ�Wood JoWlTruss:Ovar Unconditioned Space: 469 Basement Well 1: Solid Concrete or Masonry: 74 Basement Wall 2: Wood Frame: 54 Wall 1: Wood Frame, 16" o.c.: 174 Window 1: Vinyl Frame:Double Pane with Low -E: 90 Window 2: Vinyl Frams:Doublo Pane with Low -E: 15 Door 1: Glass: 40 Floor 1: Slab-On-Grade:Heeted: , insulallon Depth: 4.0' 1875 Furnace 1: Forced Hot Air. 78 AFUE Designer/Contractor. 30.0 0.0 84 19.0 0.0 92 0.350 74 0.560 6 0.660 22 19.0 19.0 12 0.0 0.0 18 13.0 0.0 3 13.0 0.0 2 0.350 31 0.560 8 0.600 22 10,0 1283 Compliance Statement The proposed building design described here Is consistent with the building plane, specifications, and other calculations submitted with the permit application. The proposed building has baso designed to most the Massachusetts Energy Coda requirements In REScheck Version 3.7.3 and to comply with the mandatory requlrements listed In the REScheck Inspection Checklist. The heating bad for this building, and the coding load 9 appropriate, hes been determined using the applicable Standard Design Conditions found In the Code. The HVAC equipment selected to treat or Cool the building shall be no greater than 125% of the design load pedfled In Sections 780CMR 1310 and J4.4. G-- -- 0 30WuArJ q"ITe(TS 1f l(, i7 Bulider/Oeslgnar Company Name Date Meeting House Commons Clubhouse Page 1 of i FROM FAX NO. :7812461683 Feb. 16 2007 11:15AM P1 ,7 O'SULLIVAN ARCHITECTS FAX COVER SHEET TO: Thomas D. Zah.omiko From: Warren Putnam Pax: (978) 689-2310 pages: 2 (Including this one) Phone: (978) 687-2635 Date: 2/16/2007 Project: Meeting House Commons Clubhouse Pro). Na 06016 CC - 13 urgent ❑ For Revlew ❑ Please Comment ❑ Please Reply ❑ Pleeae Recycle 6 Comments: Here is the latest energy calculation. for the Meeting House Commons Clubhouse. Please notify us with any commcnts you may have. O'SULLIVAN ARCHITECTS, INC. • 201 EDGEwATER DRIVE, SUrm 216 • WAKEFIELD, MA 01880 VOICE: 781-246-1667 6 FAX: 781-246-1683 • WWW.OSULLIVANARCHFTECTS.COM The Commonwealth of Massachusetts 11 i 1Z; 4 1f Department of Industrial Accidents Office of Innestibations nl 600 Washington Street Boston, MA 02111 �~ JP C www.mays.g0v1dla Workers' Compensation Insurance Affidavit: Builders/Contractors/ i lectricians/Plumbers Applicant Information Please Print Le2ibl, Name (Business/Organization/individual): Address: City/State/Zip: & �}G�z P.� �f OJ �� Phone #: Are you an employer? Check the appropriate box: 1. ❑ I am a employer with 4. ❑ 1 am a general contractor and I employees (full and/or part-time).* have hired the sub -contractors 1 am a sole proprietor or partner- listed on the attached sheet. ship and have no employees These sub -contractors have working for me in any capacity. workers' comp. insurance. [No workers' comp. insurance 5. ❑ We are a corporation and its required.] officers have exercised their 3. ❑ 1 am a homeowner doing all work right of exemption per MGL myself. [No workers' comp. C. 152, § 1(4), and we have no insurance required.] t employees. [No workers' comp. insurance required.] Type of project (required): 6. New construction 7. ❑ Remodeling 8. ❑ Demolition 9. ❑ Building addition 10.❑ Electrical repairs or additions 1 l.❑ Plumbing repairs or additions 12.❑ Roof repairs 13_❑ Other _ - - -- -••--• n , ,n, out me secuon below showing their workers compensation policy information. ' Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. =Contractors that check this box must attached an additional sheet showing the name of the sub -contractors and their workers' comp. policy information. ant mr employer that is providing information. workers' compensation insurance for my employees. Below is the policy and job site Insurance Company Name: Policy # or Self -ins. Lic. #: Job Site Address: Expiration Date: City/State/Zip: Attach a copy of the workers' compensation policy declaration page (showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to $1,500.00 and/or one-year imprisonment, as well as civil penalties in the forni of a STOP WORK ORDER and a fine of up to $250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DiA for insurance coverag�rification. 1 do hereby certify under th ains and pe alties f perjure that the information provided rbove is true and correct. Signature: Z� Date: Phone #: -35� Official use only. Do not write in this area, to be completed by city or town official City or Town: Permit/License # Issuing Authority (circle one): 1. Board of Health 2. Building Department 3. City/Town Clerk 6. Other Contact Person: 4. Electrical Inspector 5. Plumbing inspector Phone #: ' H coa �. a9 9* m o c ,/ y Q _ O O J�i. : $ d U y V Ec 4. „r oo �N A: C,3 S c c • mm o 3 NJ � � m� C - m m h c Ce E� .00 mmID m m J$� o C 0 Q V, y yoOt"' L1 N Z 1-- n O N C = O m SL- p F.. : co .r CO mom~ W_ c W=N_ y.r • W .Eui44 �m�c+ w m am x a a`maoz � �- z. 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