HomeMy WebLinkAboutBuilding Permit # 3/7/2016 " D OORTM .qa.
2D
BUILDING PERMIT
TOWN OF NORTH ANDOVER
APPLICATION FOR PLAN EXAMINATION -
Permit NO: �� Date Received q—.1-tea
Date Issued: CHU
INfPORTANT:A licant must com Tete all items on this a e
TYPE OF IMPROVEMENT PROPOSED USE
Residential / Non- Residential
❑ New Building Vone family
❑Addition ❑ Two or more family ❑ Industrial
❑Alteration No. of units: ❑ Commercial
epair, replacement ❑ Assessory Bldg ❑ Others:
❑ Demolition ❑ Other
11 Ilion=
REPLACE 3 WINDOWS &2 DOORS- NO STRUCTURAL CHANGE
Identification Please Type or Print Clearly)
OWNER: Name: SHARON MCCANN Phone: 978-655-1395
Address: 95 CANDLESTICK ROAD NORTH ANDOVER, MA 01845
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.
Total Project Cost: $ 17,419.00 FEE: $ I
Check No.: Receipt No.: L
NOTE: Persons contracting with unregistered contractors do no a access to the guaranty fund
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'Town ofF NORTH
'� : _ '' Andover
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• 94 14
4 Ver' Mass,
A_ COC MICNf WICK V
7,9S
04.rf D
U BOARD OF HEALTH
PERMIT L u Food/Kitchen
Septic System
THIS CERTIFIES THAT ............. ..... BUILDING INSPECTOR
................. ......... . . ......................................................
/��� Foundation
has permission to erect.......................... buildings on .... ....... l (4
l . .. .4t. .................
Rough
to be occupied as ........is...... I VIll4 ...3.........aAff..............................
Chimney
provided that the person accepting this permit shalNffi every respect conform to the terms of the applicationFinal
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
Funal
PERMITEXPIRES 16 MONTHS ELECTRICAL INSPECTOR
LESS CONSTRUCTI
Rough
Service
.................. ............................................................. Final
BUILDING INSPECTOR
GAS INSPECTOR
Occupancy Permit Required to Occupy Bulldzn,Q 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.
Re-neWal Agreement Document and ay Int Terms
I versen db.E 1(cw al IJ4 Andersen of C3astom "amn and Androw McCiAn
ON „
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�:iatl.trs'tit ;i i'+♦ine- Sharon McCann and Andrew McCann {.'iyitir:Ici Date. 02/13/16
CL11.1011%V1(A) Stied tidtlr._:,.*: 95 Candlestick Rd, North AndoVet, MA 01845
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ccon�sic Etini)reirii7ctrr'Arc�r C ownrI'�t:`.;tlr has C'{mp),ere it L�imik undef this Aglcr3r;.t"M
lay"iji jvhl)A13101MI: S17,419 By iirgntlt�rh1$agri'c nivrl"a'1tfl AAt 1113'iislxl'i�lq` I,lnri and ri'hv Ar ointr
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1�jijctcc Div:
$11,614 l.tirr;�3cn1�;t<fri: l=tilalxt�l{::xf.nttrws li�o-tt:
�rzrt ml tit E u:u3e 1: 8-11 weeks 1-2 days
l.r�isfJt�
(Ifli:l�'131C'lit: Credit Wv Y'.hy�&do Et,:S,:lII Iltptz5 1'.o4d Pra "'h tills'dpi the SEl;tttk Skmnirisa and sLco-966I'ti'Jia*
the-dau ul ,+ri,icll we ccalnitilctr tti:and—m ctrl incaiurvi"crlti '11w,.mlallation tl_tte Tkat
'utc,: Visa 4/18 R4'a:aJF.� w_t,tra�ll',I;at [liiti 1111! G`i a i lb �f!t5tlnl,Jit, �ie will coffnr11zJnkate an nivtsidid lige
113 Contradt 55$45 and tirttc mt e!,iter dalit. Rain and - trcirw•ra'eathcT are nuc.r1$�"st,01hulull trlc
113 start 55807 altl:tp
113 completions$5807
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f. '►�E`Il:l:'��}OWNER l':. i.ti ruSJ1!.i�(!.sl 11174.t.,alltSat.t i 7�tni..�1 OU 11V cntitic-d W A L4,JiTj of lilt't,iitlr:l�tl:1.1 dvi ti,t1C''t(Vt Sign.
YOU, B[IYER, ,N AY CANCEL THIS TRANSACTION AT ANY TIME PRIOR TO MIDNIGI-IT OF THE
T`H11W BUSINESS DAYAFTER.THE C7XFE OF TH1,5'1'ILAtNsAt't'IC}N.SEE THE NFLAC HED NOTICE OF
MEHi FOR AN 9~1VATION OF THIS DIGHT.
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Marc Festa Sharon M(C,ann Andrew McCann
3)atltt Name id 1alrti P r%un 1}t Ii la N"RMIC l'faia Kin
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Renewal Itemized Order Receipt
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Renewal 10 Jen`od!)cs Rki�Ld rNI'IssaLtalwa. 1115-12 MA 16,11tolo�
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FROM N.'%92 to#394 36XNO COLORMA"I'ClIll PIANO 11111SCE DARK BRONZE 11INGEON RIGHT C'1081 (11UTSIDE.N"O 0111-
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Nov.1,lep"Wiit kcvi-o"'d p S51I805,00 Credit Card
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Now l"4411-w&"c ChcvkA'tekfit Cvul
iii Lkia vtLd oL'mrj�/k!l�v-,m o(lob:$5,S07.00
It is agroed vW under%food by and betwun the Vanities IhAt 1his Amendment&M the MOW Agmenwat oatWittito tba endre undcMandmg bale
hmn ft parda,and*=are no valml un4ergardJAV chw%ft or modong may of the tom of No Anion4rwnt. 0 heTft ocknowl-
vdipas ilhwt BvowI(s)bas read this Amand mirM and has TtcMvW it omploW,sood,and d#W oM of ilds'Amendiumt onVdig)c vniftni below.
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AND-N-402
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Duet Noon Low-E4.
ProduotType: Casement
ENERGY PERFORMANCE WNGS
U-Factor ' Solar.Heat Gain Coaclent
0,29 1.65 0.28.
Us Im
ADDrnoNAL VSAFoSMANCE RATINGS
Vlslblm Tmna//milam
tYpance
0.48
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Workelrs' Compensation limulrance AfrWavft;Budders/C-ontraetom/Eleetrec [umbers
A iV ant Morwaf -€0460 P..rdtmLam
Name rliusfness/Ctrs$*.ixatiott1ttttliWictoa;j,' RENEWAL BY ANDERSEN
A(Ijrey,S: 30 FORBES ROAD
City/Statct7.ip NORTHBORO,MA 01532. �W phQwi.:, 508-351-2200
Aro,you an employer"Check rite appropriate box, Type of project(required):
l,VLjf 1 sun a employer with 30i. ❑ I am a Smm' l e'wwactor and I El New cot trtkrtion
mployees(tug anel wor past-time).`' have.hired the 46-rontraotors
2. 1 am a sole proprietor or pmutwr- Misted trot tfic attached.;herr-+ iffRtnnadeling
ship WNW w employees Acw sulrcuntttrt.wrs have S. ❑L)emolitltm
workingfor me in arae ewity. workers.'comp.insurance. 4. ❑Building addition
[Nti worke oi'tromp.insurance . ❑ VI'e:Yoe a earparstion and it~
required-] office-lx have:nea+cised dwir Iia.❑FMc:trieal repairs or additions
,. I am a homeowner.doing all wwk right cot`"'miction per Aril.. 11 ❑Plumbing repairs or additions
"-self,l No wAeft'comp, c.152,910#1,mW we have w 12.[3 Roof repairs
insurance requfttd.] omploves+s.[No workers'
i cotrrp.instumee re qt imll
+Aa1' ww that dr&-s fox 41 mutt 4%;Allow the v d=td4 w aw-1 pe tiny°mCurm; An
t l tw ww revs%ho%*Aaf this.amdavit Iia@ wwj r-;dorm all wotl lard Cheat Itiirt outer evnirdu zn muu stlbmtt x aP6iiLtVlt mii+atia}t a�u h
�'utitti=,a�ts t}t�tite:.k tt�rxx must t+ltect�dd au a�ldltsdral wheet;d'it v►ln,�ti►r•nmt��r tF�c!wb�,ca►tra��tt+t-And Nrau A`Orkeati':,arrnt<policy mtc�mstion
l am an en}ptoyar that ea proW&v wmiEen'cotrrosutloK law"nee,Jcor Ar tnoeyeaes. Netow&rice perllcy and job she
.ln/otrndlion.
tn.,W-.VM Comr>apy Name: OLD REPUBLIC INS. CO.
Pulley#or Self-ins.Lie.�;_ _!u11NS�3Q;��7QQ dixpirrat on mato; 10-01-16--_
Job Site Ad�Zess: 95 CANDLESTICK ROAD Ct'ty�StaWZip.._NORTH I.ANDOVER, MA 01845
Attach a cop. of the worlters'compensation polies declaration.peat(showing the policy number and tipWtlon dart),
Failure to secure toveiage asrequired under fiction 25A c4MG1,a. 152 can lad to the imposition ofiximinal pcnaKm of a
f=ine.top to$1,500.00 aridicor one-fear imprisottmedt,as well as civil petitias in the form'}f a STOP WORK ORDER and a fine
of up to WROta a day against the violator. He advised that a copy of this stateuneut arae be fiT warded to the Office:of
Inve."' attons of the INA for insurance coverage veiif ca#im,
I der hemby • n r dwpains andpenta k*s eof pedmoy tha the i0irmaWm pmride4abow A true acrd conwt
batt-;
P -351-2200
Uf khd aw only. to not write i4 thrs ama,to be cospkted by rift,of town e�'i*1
City or Town: �Permit/1.icanse#
I oufug Autaorily(00 csle ono):
1.Hoard of Hesitb ],Building Department 3.CitylTown Clerk 4.ElecUical Inspector S.Plumbing hispector
16.Other
Contact Person;_
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ANDECOR-01 YADAVYO
CERTIFICATE OF LIABILITY INSURANCE -F DATE(MMIDDIYYM
10/1/2015
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED
REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the pollcy(les)must be endorsed. If SUBROGATION IS WANED,subject to
the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the
certificate holder in lieu of such endorsement(s).
PRODUCER NAMEACT Willis Certificate Center
c/o2 of Minnesota Inc. (M.PHONo.E ;(877 945-7378 AM No): 888)467-2378
c/o 28 Century Blvr
P.O.Box 30591 AD�;Cerdficates@Wllla.com
Nashville,TN 37230-5191
INSURER(S)AFFORIXNG COVERAGE MAIC!
INSURERA;Old Republic Insurance Company 24147
INSURED INSURER B:
Renewal by Andersen LLC INSURER C;
30 Forbes Road INSURER D.
Northborough,MA 01632 INSURER E.
INSURER F:
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
LTR TYPE OF INSURANCE INSD WVD POLICYNUUBER MMID YID' PMLICYrNM (MlDD LIMBS
A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,00
CLAIMS-MADE TOCCUR MWZY 305040 10/0112016 10/011201$ DAMAGE TO RENTED—
PREMISES Ea occurrence $ 500,00
MED EXP om Peron $ 10,00
PERSONAL A ADV INJURY $ 1,000,00
GENLAGGREGATE UMITAPPLIESPER: GENERAL AGGREGATE S 4,000,NO
X POLICY❑JECT LOC PRODUCTS-COMPIOP AGG $ 4,000,
OTHER: $
COMBINED SI LIMIT 5,000,000
AUTOMOBILE LIABILITY $
Ee acrJdent
A X ANY AUTO MWTB305438 10/01/2015 10101=1$ BODILY INJURY(Par person) $
ALL OWNED SCHEDULED
AUTOS AUTOS BODILY INJURY(Per accident) $
NON-OWNED PROPERTY $
HIRED AUTOSAUTOS Pereccldenl
UMBRELLA UAB OCCUR EACH OCCURRENCE $
EXCESS UAB CLAIMS MADE AGGREGATE $
DED RETENTION$ $
WORKERS COMPENSATIONX STATUTE ER
AND EMPLOYERS'LIABILITY
TH
A ANY PROPRIETOR/PARTNER/EXECUTIVE YIN MWC30543700 10/01/2015 10/0112016 E L.EACH ACCIDENT $ 11,000,000
OFFICERIMEMBER EXCLUDED? N I A
(Mandatary In NH) EL DISEASE•EA EMPLOY $ 11000,0
DEESSCRtP describe OF OPERATIONS belay E.LDISEASE-POLICY LR411T $ 1,000,000
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORO 101,Additional Remarks Schedule,may be attached If more apace Is required)
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
0
AUTHORIZED REPRESENTATIVE
Evidence of Insurance
®1988-2014 ACORD CORPORATION. All rights reserved.
ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD
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