HomeMy WebLinkAboutBuilding Permit #296-13 - Main Street 2 10/14/2012 i
TOWN OF NORTH ANDOVER
APPLICATION FOR PLAN EXAMINATION
Permit NO: Date Received
Date Issued: /2
IM ORTANT:Applicant must complete all items on this page
LOCATION oC �Q C)'/ /MW S-�-
Print
PROPERTY OWNER Pri
�� �"'�- -
Print 100 Year Old Structure yes
MAP NO: a� . PARCEL:� 1`,� ZONING DISTRICT: 1 S Historic District yes
Machine Shop Village yes
TYPE OF IMPROVEMENT PROPOSED USE
Residential Non- Residential
New Building ❑ One family
Addition 1,Two or more family ❑ Industrial
11 Alteration No. of units: ❑ Commercial
❑ Repair, replacement ❑Assessory Bldg ❑ Others:
❑ Demolition ❑ Other
❑ Septic ❑Well ❑ Floodplain ❑Wetlands ❑ Watershed District
❑Water/Sewer
DESCRIPTION OF WORK TO BE PERFORMED:
C v< UC+(rJA) der �uu,ti �s
IdentificatiogPlease Type or Print Clearly) a-7�_
OWNER: Name: tV r a 1N� ^nPhone: /
Address: -T? f t N S+ C )-Ac)u 'r / v 1 4
CONTRACTOR Name: � tS �eQ� Phone:
Address._
_ Ac �Pu�h �YJoUt
Supervisor's Construction License: C.- S 3103 y Exp. Date: 9
Home Improvement License: Exp. Date:
ARCHITECT/ENGINEER f6U� �/4'Uit�S 14SS. Phone:
Address: ! + 414 Reg. No.
FEE SCHEDULE:BOLDING PERMIT:$12..00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F.
Total Project Cost: $ / ��® FEE: $�i yy0
Check No.: Receipt No.:
NOTE: Persons contracting with unregi tered contractors do not have access to the uaranty fund
Signature of Agent/Owner Signature of contractor
Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan 11 Stamp d ans ❑
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
CONSERVATION Reviewed on Signature
COMMENTS
HEALTH Reviewed on Signature
COMMENTS
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
DPW'Town]Engineer: Signature:
Located 384 Osgood Street
FIRE DEPARTMENT - Temp Dumpster on site yes
no
Located at-124 Main Street
Fire Department-signature/date `
.COMMENTS
i
Dimension
Number of Stories: Total square feet of floor area, based on Exterior dimensions.
Total land area, sq. ft.:
ELECTRICAL: Movement of Meter location, mast or service drop requires approval of
Electrical Inspector Yes No
DANCER ZONE LITERATURE: Yes No
MGL Chapter 166 Section 21A—F and G min.$100-$1000 fine
NOTES and DATA— (For department use
® Notified for pickup - Date
E
Doe.Building Permit Revised 2010
i
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
o Building Permit Application
Li Workers Comp Affidavit
o Photo Copy Of H.I.C. And/Or C.S.L. Licenses
o Copy of Contract
Li Floor Plan Or Proposed Interior Work
o Engineering Affidavits for Engineered products
NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit
Addition Or Decks
Li Building Permit Application
o Certified Surveyed Plot Plan
o Workers Comp Affidavit
Li Photo Copy of H.I.C. And C.S.L. Licenses
L3 Copy Of Contract
o Floor/Crossection/Elevation Plan Of Proposed Work With Sprinkler Plan And
Hydraulic Calculations (If Applicable)
o Mass check Energy Compliance Report (If Applicable)
o 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)
L3 Building Permit Application
Li Certified Proposed Plot Plan
o Photo of H.I.C. And C.S.L. Licenses
o Workers Comp Affidavit
o Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And
Hydraulic Calculations (If Applicable)
o Copy of Contract
o Mass check Energy Compliance Report
o 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
Location 1 •-+ ti
� t
No. ( 1 Date ! 0
• • TOWN OF NORTH ANDOVER
Certifica3e of Occupancy $
�.
Building/Frame Permit Fee $ - 340
rV� � Foundation Permit Fee
Other Permit Fee
TOTAL $�
Check# ! fC fa
25821 Building Inspector
NORTH
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No. 19G — t -
T Z y r^
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BOARD OF HEALTH
Food/Kitchen
PERMI'T T LD Septic System
���C�U /V C BUILDING INSPECTOR
THIS CERTIFIES THAT .................................................................................5�........................... ......
has permission to erect buildings onCFoundation
Rough
.mm tz 1 t� �J 1
to be occupied as .............. ..................................................................................................................... Chimney
provided that the person accepting this permit shall in every respect 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
Rough
VIOLATION of the Zoning or Building Regulations Voids this Permit.
Final
PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR
UNLESS CONSTRUCTION STARTS Rough
� Service
......
............ ... .�.. .....................NG.. NSPE
.............. Final
BUILDIICTOR
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.
SEE REVERSE SIDE
NORT/i
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APPLICATION FOR CERTIFICATE OF OCCUPANCY/INSPECTION
"�R , wpa ty BUILDING PERMIT MZ_
9SSACHUS��
ADDRESS/LOCATION OF PROPERTY: PA/1 3 _ W
MaP Parcel `T Lot Number
SUBDIVISION: �A I�it� � �y -S
DATE REQUESTED FILED/READY FOR INSPECTION:
CLOSING DATE ON PROPERTY:
FIVE (5)DAYS NOTICE PRIOR TO CLOSING DATE IS REQUIRED
ALL WORK AND SIGN-OFFS MUST BE COMPLETED WITHIN THIS TIME FRAME. A
REINSPECTION FEE OF TWENTY DOLLARS ($20.00)WILL BE CHARGED IF THE STRUCTURE
DOES NOT MEET ALL APPLICABLE CODES.
APPLICANT SIGNATURE
Permit Issued to: J-e� tie'
Address: --
ROUTING
TOWN ENGINEER, SITE PLAN—DRIVE-WAY REVIEW ® +
CONSERVATION
PLANNING
DPW-WATER METER ❑ b V_ -rC-vJ
SEWER CONNECTION ❑ 0�- moi✓ ZS t
DPW MUST INDICATE THAT THE WATER METER HAS BEEN INSTALLED PRIOR TO
SUBMITTAL OF THE OCCUPANCY/INSPECTION REQUEST
DPW G ! . �Z�(
SIGNATURE
File:Application for OC form revised Jan 2007/2011
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(rev.1/06) v
177
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5- OF COMPLIANCE
3.G.L. CN�,�T,ER 1 8. ScCT�C3NS 26F 2£,�/,
City or Tamm0
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This Certines that the property located 2 ,2,1-- 72 � of
has been equipped with approved snake detector, and carbon monoxide alarms and was found to be in compliance with
Massachusetts General Law, Chapter 148 Sectians 26F, 26'r-'rz and 5 ' MR 31 et seq.
Insaeccianli"esting completed an: BY
' nsF�•ccr
Fee Paid;" Head ofFra e/ p �artnen'L. .
date:This ceriiiic2ta expir8s si;cty (60) days Etter date al issue, .
SELLS-I'S cap}'
1
O�NO.� 1y
3�sSA[HUSE4
CERTIFICATE OF USE & OCCUPANCY
TOWN OF NORTH ANDOVER
Building Permit Number 296-13 on 10/15/2012 Date: April 2, 2013
THIS CERTIFIES THAT
THE BUILDING LOCATED ON 26 Main Street Unit #2
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: Jeffco Inc.
77 Andover Street
Andover,MA
Building Inspector
Fee: Pre Paid
Receipt: 25821
Check : 13856 _
tkORTH
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A- COC NICNIWICK y1.
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BOARD OF HEALTH
: T T LD
Food/Kitchen
I
Septic System
PE,. RMI'
THIS CERTIFIES THAT ...........J..� .,,. BUILDING INSPECTOR
.................................................................................................. ..
r Foundation
has permission to erect ............. buildings on c�.. MRe
l..V�
tobe occupied as ............ �.....�!.!.`::.......`-........................................................................................... Chimney
provided that the person accepting this permit shall in every respect conform to the terms of the application , al el-1011
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 IN +SECTOR $ �
VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough
Final
PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR
UNLESS CONSTRUCTION STARTS L�oujOpl'c , -y
........................ Service
............ ... ..LtL..Ca:�'l.. ................... nal
BUILDING INSPECTOR
GAS INSPECTOR
Occupancy Permit Reguired to Occupy Building Rough
• � zJ �
Display in a Conspicuous Place on the Premises — Do Not Remove Final 13
No Lathing or Dry Wall To Be Done FIRE DEPARTMENT
Until Inspected and Approved by the Building Inspector. Burner
Street No.
Smoke Det.
SEE REVERSE SIDE ,u 3—�3
APR-01-2013 14 18 PAUL DAVIES ASSOCIATES 978 654 5135 P.01i01
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Project Title: Eight-Unit Condominium(Units#2  Only) Date:April 1,2013 Permit No.
Property Address: 26 Main Street,North Andover,MA (Units 2 &5 Only)
Project: Check(x)one or both as applicable:(X)New construction ( )Existing Construction
Project description:New residential townhouses.
I Paul L. Davies, MA Registration Number:3280,Expiration date: August 31,2013,am a registered design professional,
and hereby certify that I have prepared or directly supervised the preparation of all design plans,computations and
specifications concerning':
( )Entire Project (X) Architectural (X) Structural ( ) Mechanical
( )Fire Protection ( )Electrical ( } Other:
for the above named project. I certify that 1,or my designee,have performed the necessary professional services,in
accordance with the Professional Standard of Care,and was present at the construction site on a regular and periodic basis
to determine that the work proceeded in accordance with the requirements of 780 CMR and the design documents
prepared by me and approved as part of the building permit and that I or my designee:
I. Have reviewed,for conformance to this code and the design concept,shop drawings,samples and other submittals
by the contractor in accordance with the requirements of the construction documents. Such review shall not
diminish or relieve the Contractor of its submittal and other responsibilites.
2. Have performed the duties for registered design professionals in 780 CMR Chapter 17,as applicable.
3. Have been present at intervals appropriate to the stage of construction to become generally familiar with the
progress and quality of the work and to determine if the work was performed in a manner consistent with the
construction documents and this code. The Contractor is responsible for the performance of the work in
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Note 1.Indicate with an`x'project design plans,computations and specifications that you prepared or directly supervised.If`other'is chosen,
provide a description.
Trial Ve.minn In nQ )ni,)
TOTAL P.01
Enter construction cost for fee cal - North Andover Fee Cakulation
Construction Cost
195,000.00 m
$ - $ 2,340.00
Plumbing Fee $ 292.50
Gas Fee 100 comm. $ 100.00
Electrical Fee $ 292.50
Total fees collected $ 3,025.00
26 Main Street Unit 2
296-13 on 10/15/12
Unit 2 of 8 New Townhouses
NORTH
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No.
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coc Nuc l�I-OCK y1'
A�RATE0 P4�,�'�y
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BOARD OF HEALTH
Food/Kitchen
PERM11T T D Septic System
THIS CERTIFIES THAT ......... /VC.............................................................. ..... . .... BUILDING INSPECTOR
......
� � Foundation
has permission to erect .......................... buildings on ....c�.. ...M.A..................... :vl�. ........; ... .
Rough
�U�utivS�
tobe occupied as .............. ........................................:........................................................................... chimney
provided that the person accepting this permit shall in every respect 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 STARTS Rough
Service
............ ... .aGrL..lr:�L�......:.................................. final
BUILDING INSPECTOR
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.
SEE REVERSE SIDE
i
- - Massachusetts-:Department of Puhlic Safet'
Boaed"of Building;-Re�-Reand Standard!
Construction Supervisor License
License: CS 31830
• `r
DOUGLAS J AHERN
PO-BOX 802 .'
ANDOVER, MA 01810
Expiration: 9/21/2013
Tr#: 1609
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CONSTRUCTION CONTROL
PROJECT TITLE: Eight Unit Residential Condominium
PROJECT LOCATION: 26 Main St., North Andover, MA
OWNER: Jeffco, Inc
PROJECT DESCRIPTION: 20' x 28, 3 story, townhouse condominium
IN ACCORDANCE WITH SECTION 116.0 OF THE MASSACHUSETTS STATE BUILDING CODE,
I Paul L. Davies, REGISTRATION NO. 3280 BEING A REGISTERED ARCHITECT HEREBY
CERTIFY THAT I HAVE PREPARED OR DIRECTLY SUPERVISED THE PREPARATION
OF ALL DESIGN PLANS, COMPUTATIONS AND SPECIFICATIONS CONCERNING:
ENTIRE PROJECT ARCHITECTURAL X STRUCTURAL X
MECHANICAL FIRE PROTECTION ELECTRICAL
OTHER:
FOR THE ABOVE NAMED PROJECT AND THAT, TO THE BEST OF MY KNOWLEDGE, SUCH
PLANS, COMPUTATIONS AND SPECIFICATIONS MEET THE APPLICABLE PROVISIONS
OF THE MASSACHUSETTS STATE BUILDING CODE, ALL ACCEPTABLE ENGINEERING
PRACTICES AND ALL APPLICABLE LAWS AND ORDINANCES FOR THE PROPOSED
USE AND OCCUPANCY.
I FURTHER CERTIFY THAT I SHALL PERFORM THE NECESSARY PROFESSIONAL
SERVICES AND BE PRESENT ON THE CONSTRUCTION SITE ON A PERIODIC BASIS TO
DETERMINE GENERALLY, THAT THE WORK IS PROCEEDING IN ACCORDANCE
WITH THE DOCUMENTS APPROVED FOR THE BUILDING PERMIT AND SHALL BE
RESPONSIBLE FOR THE FOLLOWING AS SPECIFIED IN SECTION 116.2.2
1. Review for conformance to the design concept, shop drawings, samples and other
submittals, which are submitted by the contractor in accordance with the requirements
of the construction documents
2. Review and approval of the quality control procedures for all code-
required controlled materials.
3. Be present at intervals appropriate to the stage of construction to become, generally, familiar
with the progress and quality of the work and to determine, in general, if the
work is being performed in a manner consistent with the construction documents
)imii January 10, 2012
Paul' Davies, #380 DATE
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