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Home My WebLink AboutBuilding Permit # 3/4/2016 ................. .......................................................................................................... %AORTtl BUILDING PERMIT ,,,C D6'06 TOWN OF NORTH ANDOVER 0 APPLICATION FOR PLAN EXAMINATION Permit No#: Date Received US Date Issued: MPORTANT: Applicant must complete all items on this page LOCATION S Print PROPERTY OWNER Print 100 Year Structure yes rip r MAP 10S- " PARCEL a ZONING DISTRICT: Historic District estS Machine Shop Village yes ,nq, TYPE OF IMPROVEMENT PROPOSED SE Residential Non- Residential El New Building El One family El Industrial 0 Addition El Two or more family El Alteration No. of units: 0 commercial - El Repair, replacement Li Assessory Bldg El Others: 2Demolition 0 Other r r /i � / / Irk, r ,, �, ./r / /�/i/, � r i � � ,,, , / , ,�, , 1,fi ,r N/ ,,�nr .t Y,J //,,,,rr/„a ///-/� I�i,,,, �/,”��/� /Xr.,n r �/r /. // // /i/ f�/��,r ,,,/r�� Li�l„� / ,/, DESCRIRTION OF WORK TO BE PERFORMED: Identification- Please T e or Print Clearly OWNER: Name: Phone: V Address: �\J Contractor Name: t Phone: Email: Address: C Supervisor's Construction License: _,,)1, Exp. Date: I—Home Improvement License: Exp. Date: I ARCHITECT/ENGINEER Phone: Address: Reg.-No. FEE SCHEDULE.BULDING PERMIT.,$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. "J"', ClIzz) FEE: $• Z*” '2(` Total Project Cost: $ Check No.: Receipt No.: NOTE: Persons contracting with unregistered contractors(to not have access to the guaran nature of A- --- --------- wS t%®RTH Andover Town of ^� No. ss, — o IAKQ .�. COCKICHCWICK ,9 A°"�ATE® `� E] BOARD OF HEALTH Food/Kitchen PERMIT LD Septic System BUILDING INSPECTOR THIS CERTIFIES THAT .... .. .... j('.�1YJ.. :.£..................................................... .... .................... Foundation has permission to erect.... .................... buildings on .. .. ....... . .. ........... ...... Rough p� to be occupied as oem..... 1..... ......... .. . .....® .. ....... . .... .... Chimney provided that the person accepting this permit II in every respect c orm 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 EXPIRESPERMIT I 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTIO'" VARTS Rough Service ........... .... .. . . .. ... ..................................... Final B ILDING INSPECT®R GAS INSPECTOR Occupancy Permit Required t® Occupy Bualclinz Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final No Lathing allBe Done FIRE DEPARTMENT Until Inspected and Approvedthe Building Inspector. Burner Street No. Smoke Det. Town of North Andover %40 Mi B4,uilding Department .11 IFED P6 �A 1600 Osgood Street Bldg 20, Suite 2035 0 North Andover MA 01845 Tel: 978-688-9545 Fax: 978-688-9542 Cl LN b DEMOLITION OF BUILDING AFFIDAVIT A c0c.41cAia5wictc l OOA're 0 PIV DATE SS ACHU OWNER'S NAME &ADDRESS S A L V)oNsts, I LOCATION OF PROPERTY TO DEMOLISH DESCRIPTION cl CONTRACTOR'S NAME &ADDRESS G-))/_A4 IW1-b DEPARTMENT SIGN-OFFS DEPT. OF PUBLIC WORKS WATER. SEWER: ('to A V e 4W TREE WARDEN TOWN ENGINEER AA1411k DEPT. OF CONSERVATIOtt. �J �`W 1,811�-1- --I-,(,C,-,I,\.-....-..-- HEALTH DEPT. /SEPTIC ELL HISTORIC COMMISSION PLANNING 'hot k1a GAS ELECTRIC -'V" 'DIII & TELEPHONE Y, TAXES POLICE A FIRE EXTERMINATOR C _kk lo� �G D U M P S T E R— 0 WCQF�N�R E E T& 'I W fV DIG SAFE NUMBER BLDG. INSPECTOR Building Demolition Affidavit EEEMimumuuuunlmnoimunmmn uum�muuMmmMimn�mm� °"SEE - M 8,E R pl,"iimST CONT Dennis ttie mennis Pcs'I' J:)e.r,t Elkfjjv)ajioti Expeas 30 YPaf's No. 1555 .,t Street 29 LOC�J,i " Lynrl, MA 0,1�)04 781-592-0023 Fax 70-592-9513 MA 16197 oC'A5c5'T"" ........... EP ............... qAON SE - A ZWI oo .........oAet �0 f i M El .. ............ m t �y FIV; °",'G`s�FO BE(',U'A lkopj( tNSTf ........... -------- 576NOV11CP �MS A vkx corl(MrOnS, VI'aalsd pesis ill accor(,iance ofi terms wid 0,ltrot an(A maximun,safety 10(;Ontrd aj)0IJE tticient Pest apply ovide,iiie MUS, c GU4RJ\NTEE-* we�IgM,,e to t,,rn�she�J to pl, ERVICE,ce Agreemem, M UA)01'E'llci )e ()f t.-ti Sem ttqpQ I�iMIL ,o� umeFs either PWAY sjate,,,,ijId GRY �eguvWer)s' ,arld\NqI venevv Y 1(-deval, ar, mquu'ed b period c�j ne yec be for W! Pvml�oj,� ciaw This ,3gre(,,�rnenl R before any e EWAL: S� , uten�Jotl( SERVICE BEN' g, 't�j�rty day�5\N11 't by Ving ts �'01((lS this agmvnEW t A 4AV ANNUAL AGREEMEENT CHARGE coMPAl,ly AUJH(97E�L� — ��I�TW-SEI-'I-,j,CE cHARGE FIANNEN b ■ e IW, a, Zow�� Date: 2/11/16 From: MA/RI OSP Center 385 Miles Standish Blvd Taunton, MA 02780 1-866-686-1195 ma-ri.osp.center@one.verizon.com To: Bill Lumbard 978-265-8352 Re: Demolition This is to inform you that the Verizon facilities to 602 Boxford Street in North Andover,Ma have been disconnected and removed. Thankr you, Steve Lunetta MA/RI OSP Center 385 Miles Standish Blvd Taunton, MA 02780 1-866-686-1195 rna-ri.osp.center@one.verizon.com I nationalgrid 40 Sylvan Rd, Waltham,MA 02451 February 19,2016 Bill Lulnbard S &L Homes LLC 10 Middlesex Ave,Unit 1 Wilmington, MA 01887 RE: Service Removal for Building Demolition WR#21301204 Dear Bill Lumbard, This letter is a confirmation letter stating that you requested National Grid to remove the electrical services at 602 Boxford St,North Andover.National Grid has removed electrical service per your as of 2/19/2015. If you have any questions or need further assistance,please feel free to contact me at(508) 357-4982. Sincerely, sw/V 0,,-,* Sterling B. Ortiz Order Processing Rep A Customer Fulfillment national rid Ph#508-357-4982 Fax# 1-888-266-8094 Sterling.Ortiza nationalgrid.coin r'f ", "1 11 March 3, 2016 602 Boxford St North Andover, A01846 This letter is to notify you that the gas service located 602 Boxford St North Andover, MA 01845 was cut on 03/01/2016. If you have any questions, please feel free to contact me at 781-907-2924 Thank you, Kendra McAuliffe CKmAT NdaAuyerr ri,/,at r(:'w r I= I g r ii d Malden/Essex Customer Fulfillment Gas NE J 781.907.2924 VDAC I ace group WORKERS COMPENSATION AND EMPLOYERS LIABILITY POLICY TYPE AR INFORMATION PAGE WC 00 00 01 ( A) POLICY NUMBER: (GS62UB-0007681-1 -15) NEW-1 5 INSURER: ACE AMERICAN INSURANCE COMPANY NCCI CO CODE: 12165 1. INSURED: PRODUCER: S & L HOMES LLC WILMINGTON INS AGCY INC 10 MIDDLESEX AVENUE #1 PO BOX 1010 WILMINGTON MA 01887 WILMINGTON MA 01887 Insured Is A LIMITED LIABILITY COMPANY Other work places and identification numbers are shown In the schedule(s) attached. 2. The policy period is from 06-05-15 to 06-05-16 12:01 A.M. at the Insured's mailing address. 3. A. WORKERS COMPENSATION INSURANCE: Part One of the policy applies to the Workers Compensation Law of the state(s) listed here: MA B. EMPLOYERS LIABILITY INSURANCE: -Part Two of the policy applies to work in each state listed in item 3.A. The limits of our liability under Part Two are: Bodily Injury by Accident: $ 1000000 Each Accident o� Bodily Injury by Disease: $ 1000000 Policy Limit 0o Bodily Injury by Disease: $ 1000000 Each Employee C. OTHER STATES INSURANCE: Part Three of the policy applies to the states, if any, listed here: COVERAGE- REPLACED 8Y ENDORSEMENT WC 20 03 06B a� D. This policy includes these endorsements and schedules: o SEE LISTING OF ENDORSEMENTS - EXTENSION OF INFO PAGE o� 4. The premium for this policy will be determined by our Manuals of Rules, Classifications, Rates and Rating Plans. All required information Is subject to verification and change by audit to be made ANNUALLY. DATE OF ISSUE: 06-19-15 MS ST ASSIGN: MA OFFICE, ORLANDO DA ACE 24M PRODUCER: WILMINGTON INS AGCY INC 28PMK W5752 LOZ 17 2iHw<I M=0 woad Fax Cover Sheet TRITON CONSTRUCTION MANAGEMENT INC 10 Middlesex Avenue, Unit 1 Wilmington, MAO 1887 978-988-2343 Fax 978-657-8502 Send to: From: Town of North Andover RICHARD STUART RSTUART@TRITON MANAGEMENT.COM Attention: Date 3-4-16 Mora Fax Number: #Pages(including cover) 2 978-688-9542 ❑ Urgent ❑ Reply ASAP ❑ Please Review Cl For your Information Comments: Please see attached workman's comp policy for S&L home LLC Let me know if you need any other information Thanks Rich L �i ZF.L.L LSZ LE6'oN/9E:6 '1S/9E:6 9 LOZ b aaw( a�> W02i� . Massachusetts -Department of Public Safety Board of Building Regulations and Standards Construction,Nupel Visor License: CS-076124 r rs Ott ✓'� William H LumbarcY 14 Bemis Circle Tewksbury MA 6187& ` Expiration !Z2, 02118/2017 Commissioner