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HomeMy WebLinkAboutBuilding Permit # 4/28/2016 169 No L . _ BUILDING PERMIT TOWN OF NORTH ANDOVER I APPLICATION FOR PLAN EXAMINATION Permit NO: / .a� "' Date Received �gATRo pPR Date Issued: A�h IMPORTANT: Applicant must complete all items on this page LOCATION Print PROPERTY OWNER � tA/l Print MAP NO: PARCEL: ' 1 ZONING DISTRICT: Historic District yes no Machine Shop Village yes no TYPE OF IMPROVEMENT PROPOSED USE Non- Residential New Buildingn f5mily Addition wo or mo i y Industrial No. of units: Commercial Repair, replacement Assessory Bldg Others: emolition Other Septic ell Floodplain Wetlands Watershed District Water/Sewer � i CJ Identification Please Type or Print Clearly) OWNER: Name: >i , Phone: (0.9 Z _ - IcP Address: CONTRACTOR Name: one; cl'- 36 C .' Address Supervisor's Construction License: Exp. Date: 9 �, Home Improvement License: Exp. Date: ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE:BULDfNG PERMIT.$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$123.00 PER S.F. Total Project Cost: $ la-1b FEE: Check No.: Q Receipt No.: ?amu c NOTE: Persons contracting with u egistered tractors do not have access to the guaranty fund Signature of Agent/OwnerSignature of`contractor i _ µ Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan f mped Plans ❑ I TYPE OE SEWERAGE DISPOSAIublic Sewer ❑ Tanning/Massage/Body Art ❑ Swiinxning Pools ❑ Well ❑ Tobacco Sales ❑ IioodPackaging/Sales ❑ Private(septic tank, etc, ❑ Pennanent Dempster on Site ❑ THE FOLLOWING SECTIONS FOR. OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM PLANNING & DEVELOPMENT Reviewed On Signature_ COMMENT'S COMMENTS . . B C. ..tibp r HEALTH Reviewed on Signature COMMENTS. ` e e- e,f �c Uj i S C Al Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments Conservation Decision: Comments Water & Sewer Connection/Signature & Kato Driveway Permit DPW Town]Engineer Signature: 84 Located 3 Osgood Street FI, ErEA ^ MNT r rr D ///rr, /rr r T at d at124/ a r %/ / ✓ // / r ire ✓ / / ./i ce r ,,,,✓,r/rl/I/J/1/fr/r//i%/„/a, /1 r/ % i �,,/ ,,,. l ,. _ / ,ll,�✓,/ ii„.�.,//,r ,�,�/„ /r/;G„ 1 r' ,,,,,,, ,,.,,, ,,,r„/ rr, „r ' %�:/�r�/�,/ ,/ r///////r�f/�/r%,: ,, l( Iti ,.. a i`. [r r„r / ,,, ;:, /”G. //r r ✓i/ �/�iu�i��/�Jr Gli�f/��/////r ��/�i� �/u;`"_ ,,, '. a.`fU red �i,,..,, i / r -,,,; / r r_.✓..//!. � fi/ir/,1/% / //,� fI//l /,✓„i/ / /y,.r /ir,Gr//„ rr<+ , ..a/ ;,,; „/:./✓/.., ,,,. „//,r, r .,Gi �r ,fir/% /i rid/i/�%///%���o�ri//ii'�/%�i/ir/��/ir rr//�if /%r rr;<, , COMMEIT,S F OORTH Town of ,,, Anc'tover ® ® =� _ h . ver Mass, �p co1:is Q6^K y1. - ,9 ADRATED U BOARD OF HEALTH Food/Kitchen= R11r11T T Septic System BUILDING INSPECTOR THIS CERTIFIES THAT r���'�'� E 1� �� ......... ..................... .... .f...�. �!:............... .................................. .. . .F Foundation has permission to erect buildings on .... ©f� � P-aRough to be occupied as ...................... !`�.< .Ul .. C .�... ................... 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 EXPIRESIN 6 MONTHS ELECTRICAL INSPECTOR UNLESS TI ARTS Rough . Service 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 Approvedy the Building Inspector. Burner Street No. Smoke Det. .........� ;....... "";. ....... ......... .....e...,... B1,ujkd f Des,'qrr R,,r,,stoire 01111 911f) V8 I !)"id "99.)60 I'V8 OOW) cow Kevin Patterson April 12, 2016 951 Forest street Z%ndover, Ma. We propose to remove the existing 12'x12' deck, railings and enclosure. We will install 3] new 12"x48" footings. We will frame 2"x10" p.t., 16" o.c., double rimmed. Joist hangers at each"joist end. We will install8] 6" ledger locks to the ledger. We will support the frame with 6"x6' columns, ledger locked and blocked to the frame. Attached to galv.post cleats bolted to each footing. We will install 411x4" p.t. newel posts ledger locked and blocked to the frame. AZEK gray composite decking will be top screwed and bunged around the perimeter, Azek decking will be installed with hidden fasteners to the deck area. New RDI post sleeves,skirts and caps will be installed to all newel posts. We will install small square privacy lattice to all areas under the deck. 1 door will be custom made as is the existing. We will picture frame the deck frame with 1 "x10" Azek, band molding applied. We will remove the existing lattice under the screen porch. We will install the same privacy lattice and picture frame with 1 "x AZEK. New stairs will be installed. All Azek will be screwed and bunged. All debris will be removed from the site, All work will be performed in a professional manner. $12,000. $4,000 on commepc o, footings, $2,000 after frame and decking, $2,000 on completion. North Andover MIMAP April 28, 2016 105.�'►-ooi� 105.E1—MVVSJ �� �IY h � r ri 105.7-0075 i AI it i c i '�7GI�OFxF51"51 �,X71"Of5 D 0012 �j,/� 105.D 0008 r X75�c►���� T °� 105.D-007 105.0-0074 105,D-0058 105.D-005 (]MVPC Be Interstates Horizontal Datum:MA Stateplane Coordinate System,Datum NAD83, Meters Data Sources:The data for this map was produced by Merrimack --SR t0RT#j A Valley Planning Commission(MVPC)using data provided by the Town of North Andover.Additional data provided by the Executive Office of Roads tt4Eo `s�ti0 Environmental Affairs/MassGIS.The information depicted on this map is a�r Easements �x ab 0 for planning purposes only.It may not be adequate for legal boundary ParcelsO MA definition or regulatory interpretation.THE TOWN OF NORTH ANDOVER Appw_ p MAKES NO WARRANTIES,EXPRESSED OR IMPLIED,CONCERNING ,y THE ACCURACY,COMPLETENESS,RELIABILITY,OR SUITABILITY OF THESE DATA.THE TOWN OF NORTH ANDOVER DOES NOT yt, ao P p ASSUME ANY LIABILITY ASSOCIATED WITH THE USE OR MISUSE OF THIS INFORMATION so isS ACHU$�� 1"=76 ft3 ` The Commonwealth ofmassachusetts F Department of IndlustrialAceidents - 1 Congress Street,Suite 100 Boston,MA 02114.2017 www.mass.gov1dia Workers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE YMED WITH THE PERMITTING AUTHORITY. Applicant Information Please Print Lealb Name(Busin.ess/Organization/iridividual): � Addl:ess: z`�" t S City/State/Zip: ne#: I ® � Areyou ane oyer?Check&e xopriate box: Type of project()Vgquired): 1, a employer with employees(fall and/or part-time).* 7. Q New construction 2. 1 am a sole proprietor or partnership and have no employees working for me in $. Remo delirig any capacity,[No workers'comp.insurance required.] 9, ❑Demolition 3.Q 1 am a homeowner doing all work myself[No workers'comp..insuranec required,]t 10F Building addition 4.❑1 am a homeowner and will be hiring contractors to conduct all work on my property. I will ensure that all contractors either have workers'compensation insurance or are sole 11.❑Electrical repairs or additions proprietors with no employees. 12. ]Plumbing repairs or additions 5.❑I am a general contractor and I have hired the sub-contractors listed on the attached sheet. 1- .FJ Roof repairs These sub-contractors have employees and have workers'comp.insurance.t . 14.0 Other 6.Q We are a corporation and its,officers have exercised their right of exemption per MGL G. 152,§1(4),and we haye no.employees.[No workers'comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who sulimif#hisafLidavit indicating they are doing all work and then hire outside contractors niust s4bmit a new affidavit indicating such. tContractors that check this box must•atfached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have,employees,tliey must provide their workers'comp,policy number. fain an employer that is pr dvidirzg ivorlief s' ompensation insurance for-my employees.'Beloiv is the policy and job site information. Insurance Company Name: Policy#or Self-ins,Lie.#: • ® Z Q V1 C. b Expiration Date: 0 l 6 Job Site Address: � ` � /State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy numl.er and expiration date). Failure to secure coverage as required under MGL e. 152,§25A is a criminal violation punishable by a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORD ORDER and a fine of up to$250.00 a day against the violator.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verifi n. Ido hereby ce�tify r z pat s andpenaltles ofperjury tlaatthe it formationprovidedo-,bov is true andcorrect. Si afore: Date: Phone#: Official se only o not ivrite in this area,to be completed by city or torvn official. City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: A 'ABILITY DATE(MMlDD/YYYY) ,,, CERTIFICATE OF INSURANCE F04/07/2016 PRODUCER (978) 745-6464 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Rose Insurance ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 66 Loring Avenue ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. P.O, Box 958 Salem MA 01970- INSURERS AFFORDING COVERAGE NAIC# INSURED INSURERA:ESSEX INSURANCE COMPANY J. Serven dba Boston Porch and Deck INSURER B:Guard Insurance 367 Atlantic Avenue INSURER C: INSURER D: Marblehead MA 01945- INSURER E: COVERAGES 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. NSR ADD'L POLICY EFFECTIVE POLICY EXPIRATION LTR IINSRDI TYPE OF INSURANCE POLICY NUMBER DATE(MM/DDNY) DATE MM/DD/YY) LIMITS A GENERAL LIABILITY 3DU5402 05/19/2015 05/19/2016 EACH OCCURRENCE $ 1000000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED 100000 PREMISES Ea occurrence $ CLAIMS MADE OCCUR / / / / MED EXP An one ( y person) $ 5000 PERSONAL&ADV INJURY $ 1000000 GENERAL AGGREGATE $ 2000000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2000000 POLICY JECOT LOC I I I I NOWND AUTOMOBILE LIABILITY / / / / COMBINED SINGLE LIMIT ANY AUTO (Ea accident) $ ALL OWNED AUTOS / / / / BODILY INJURY SCHEDULED AUTOS (Per person) $ HIREDAUTOS / / / / BODILY INJURY NON-OWNED AUTOS (Per accident) S PROPERTY DAMAGE (Per accident) S GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO / / / / OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS/UMBRELLA LIABILITY / / / / EACH OCCURRENCE $ OCCUR EICLAIMS MADE AGGREGATE S S DEDUCTIBLE / / / / $ RETENTION S $ B FWORKERSOMPENSATION AND JOWC561905 09/30/2015 09/30/2016 X TORYLIMUOER'LIABILITYETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT S 100000 MBER EXCLUDED? — --- If yes,describe under / / E.L.DISEASE-EA EMPLOYEES 100000 SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT s 500000 OTHER DESCRIPTION OF OPERATIONSILOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE Kevin Patterson INSURER,ITS GENTS OR REPRESENTATIVES. 951 Forest Street AUTHORIZED REP ESENTATIVE N Andover MA ACORD 25(2001108) ©ACORD CORPORATION 1988 INS025(oto8).os Page 1 o;2 Office of Consumer Affairs&Bu i ess�R�e �U!/�[J?CCC/L�GJBCYJ I OME IMPROVEMENT CONT Regulation 'E, Z,, 82822 CONTRACTOR j Expiration 7 �2Q1� Type: DBA 1 BOSTON PORCH AND �Il i it JOHN SERVER f� 387 ATLANTIC AVE. � MARBLEHEAD,MA 01945 = - - I Undersecretary De- 7. Boma of Buildingaecoli a ,t gulations and 8 ucti;,,, 'U tandards Lica Pe,�rui nse: CS-074086 JO 14 GRWMW TERR 9 LYNN MA 019 p i�3 I _ S �A ' Co+nrnissioner LxPiratton 11/08/2016 I i