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Home My WebLink AboutBuilding Permit # 5/9/2016 %AORTII BUILDING PERMIT E D TOWN OF NORTH ANDOVER 0 APPLICATION FOR PLAN EXAMINATION Permit No#: Date Received US Date Issued: 4polhTANT: Applicant must complete all items on this page 3 LOCATION - h-e (Print PROPERTY OWNER Print 100 Year Structure Qyq,�/ n MAP PARCEL: ZONING DISTRICT: Historic District yes no Machine Shop Village yes no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential El New Building [] One family 11 Addition 0 Two or more family El Industrial El Iteration No. of units: k/Commercial --WRepair, replacement 1.1 Assessory Bldg El Others: ii Demolition El Other i if, f(ig DESCRIPTION OF WORK TO BE PERFORMED: C,�. r t...• 5, lo 2 11,7 IdentificatioilL- Please Type or Print Clearly OWNER: Name: Phone: Address: t.. I'ilea"J, 5 e�,>z Ezv ,5) 2 L/,L Contractor Name:`VJ 616: 61'/' ;,,, Phone: 215 t� 2-3- J, Email: Address: 1727aza. Supervisor's Construction License: Exp. Date:_ 7�P` J Home Improvement License: Exp. Date: L/1,V, ARCH ITECT/ENGINEER Phone: u. Address: Reg. No. /,)/-1 FEE SCHEDULE:BULDING PERMIT. $12,00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ 2, FEE: $ 3 Check No.: Receipt No.: NOTE: Persons contracting with miregistered contractors do no a ess guaranty,fund 7;w Plans Submitted ❑ dans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ TYPE OF SEWERAGE DISPOSAL Public Sewer nnin Swiimning Pools ❑ , Ta w g/Massage/Body Art ❑ Well ❑ Tobacco Sales ❑ Food Packaging/Sales ❑ Private(septic tank, etc, ❑ Pennanent Dwupster on Site ❑ THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN CUFF ® U FOR PLANNING & DEVELOPMENT Reviewed On / ,�� ) Signature ? , 4 CONSERVATION Reviewed an signature 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 FIREV D PARTIV EN Temp,Dump,5ter on site yes no, Located at 124 MainStreet Fire Depar�trr� nt signature/date COMMENTS ®RTH Town of � _ Andover. :.. . . L ;04-A! l h verm �.SS 1.Y Q LN CoCNICMEWICK 00ATED C) � U BOARD OF HEALTH Food/Kitchen Pt: RMI �T� T LD Septic System THIS CERTIFIES THAT BUILDING INSPECTOR .................... . .. . . .... ..... ...... ..... .................... ........... ....................... aAQ has permission to erect Uildin s on . Foundation Rough to be occupied as . ... .. .. ..+.m4...... .....w. %. ............................ .. . .. .. Chimney provided that the person accepting this permit shall in every respect confor 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 CONSTRUCTIONUNLESS STARTS Rough Service ..........{// 1�••y� �,•.•••�`9 ................................. Final BUILDING INSPECTOR GAS INSPECTOR Occupancy Pei it 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 Approvedthe Building Inspector. Burner Street No. Smoke Det. '7 Belmont Street North Andover,Ma 01845 Office: 978,-68 x.,.'°/447 Fax: 978-685-7446 tworr�eyaradlegare(, verizori.r�et Date 3/17/2016 Name of Owner Rolfs Pub 39 Main Street North Andover, MA 01845 NEW FRONT COVERED PORCH WITH STAIRS TO GRADE 10 x 8 PORCH PER PLAN PROVIDED BY DAN PARKER DATED 4/11/16 Demo existing concrete landing with steps and dispose of. Dig new sonotubes 4'-0" below grade as necessary to support new structure. Grade area with gravel as needed. :price does not include any rock larger then 1 cubic yard,any removal of ledge, any poured concrete footing. Framing to include: 2x8 pressure treated deck frame 6x6 post to concrete pier 4x4 posts to support roof 5/4 x 6 pressure treated decking Post sleeves and rails to be timber tech Color: KONA underside of soffit to be vinyl panels color: SABLE BROWN Rafters to be 2x8 Joists to be 2x8 Steel grabable handrail by owner Roofing specs: At Porch roof location, 24 gauge forest green 1 1/2"x 16"snap lock steel paneled roof. Wrapping of underside of porch to be white Azek vertical 1x4 . 1x8 azek risers. Any painting by owner. We hereby propose to furnish material and labor-complete in accordance with above specifications,for the sum of: Total Payment to be made as follows; Authorized Signatur NOTE: This proposal may be withdrawn by us if not accepted within days Acceptance of Proposal- The above prices, specifications and conditions are satisfactory and are hereby accepted. You are authorized to o th work as specified. Signature:— C41r"`-" . Payment will be made as outlin d ab e. g Date of Acceptance: S- "'° Signature: Page 1 Twomey & e Contracting, Inc. 7 Behnont Street North Andover,tea 01845 Office: 9'7 -68:5.."744°'/ Fax:978-68 57446 twoii"aeyar�icilegare@veri:ion.net Date 3/17/2016 Name of Owner Rolfs Pub 39 Main Street North Andover, MA 01845 Contractor to provide footing at base of stairs. Contractor to obtain building permit. Contractor to dispose of debris. Deposit on signing $4133.33 Completion of framing $4133.33 Completion of Porch $4133.33 We hereby propose to furnish material and labor-complete in accordance with above specifications,for the sum of: Total: Payment to be made as follows: Authorized Signature: NOTE: This proposal may be withdrawn by us if not accepted within days Acceptance of Proposal- The above prices, specifications and conditions are satisfactory and are hereby accepted. You are authorized to do the work as specified. Payment will be made as outlined above. Signature: Date of Acceptance: Signature: Page 2 Twomey & Legare Contracting, Inc. V Belmont Street oilh Andover,Ma 01845 Office:r 978-685 7447 Fax: 978-685-7446 two)r'neyaric;le C,'are ver`izoY`T.net ®ate 3/17/2016 Name of Owner Rolfs Pub 39 Main Street North Andover, MA 01845 We hereby propose to furnish material and labor-complete in accordance with above specifications,for the sum of: Total: $12,400.00 Payment to be made as follows: Authorized Signature: NOTE: This proposal may be withdrawn by us if not accepted within days Acceptance of Proposal- The above prices, specifications and conditions are satisfactory and are hereby accepted. You are authorized to do the work as specified. Payment will be made as outlined above. Signature: Date of Acceptance: Signature: Page 3 CERTIFIED PLOT PLAN Scott L. Giles R.P.L.S. LOCATED IN NORTH ANDOVER,MASS. Frank:S. Giles R.Road 50 Deer Meadow Road SCALE.1"=20" DATE,612212006 North Andover, Mass, MAY STREET 132.72` _ ASSESSORS MAP 18 PARCEL 1. PLAN 2934 MEAD. 9300 S.F.+/- `' Luu 19.5' EXISTING PROP. cy, _ 3 cc o_ DECK FND. 45' 1 C\1 LO + c N Ci 135.Q t+f PLAN. S I CERTIFY THAT OFFSETS SHOWN ARE FOR THE USE �«� 130`+1— THE OFFSETS OF THE BUILDING INSPECTOR ONLY SHOWN COMPLY AND SUCH USE IS FOR THE NOTE.THE ZONING DIST. IS WITH THE ZONING DETERMINATION OF ZONING GENERAL BUSINESS. 972 13 elf BYLAWS OF CONFORMITY OR NON-CONFORMITY �r `�I� AL L NQRTHANDOUER WHEN CONSTRUCTED. WHEN BUILT lrj ! The Commonwealth of,411assachusefts Department of Industrial A ceidents Of flee ofInvesHgations 600 Washington Street Boston, PIA 02111 wominass.gol'Idia Workers' Compensation Insurance Affidavit: Builders/Contractors[Electricialls/Plumbers �plicant Information Please Print LegibLy 4,1-elp,7 e�j V,) Name (Btisinesg/Organization/Indivi(],,,,11)- Address: 15 City/State/Zip.- Phone#: Are y an employer? Chech the appropriate box: Type of project(required). 1. �.T am a employer md, 4. E] I am a general contractor and 1 G. ❑New construction employees(full andlor part-time).* have hixed the sub-contractors 2.F1 I am a sole proprietor or partner- listed on the attached sheet. 7. []Remodeling ship and have no employees These sub-contractors have 8. E]Demolition employees and have workers' working for me in any capacity. 9. EJ Building addition [Na workers' comp.insurance comp•insurance.' required.] 5. We arc a corporation and its 10,F Electrical repairs or additions 1.0 1 am a homeowner doing all work officers have exercised their 1 LM Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12,M Roof repairs c. 152, §1(4),and we have no insurance required.]T employees. [No workers' 1311 other comp. insurance required.] J *,knv applicant tlint checks box#1 must also fill out the section below sbowing ibeirworkers'compensation policy information. t Homeowners who submit this affidavit iridicating they are doing all stork and then hire outside contractors must submit new affidavit indicating sucli. =contractors that clieck this box must attached an additional siieet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I ant an employer that is proi,iding ivoricers'compensation insurance far my employees. Beloit,is the policy and job site, information. Insurance Company Name: Policy#4 or Self-ins.Lic.,r: 6 14- 13' 6) rci` Expiration Date: Job Site Address: 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 form of a STOP WORK ORDERand a fine of up to$250.00 a day against jh�;w"Ior. Be advised t4at copy of this statement may be forwarded to the Office of Investigations of the DIA f" I,i a de coveraf,��catibbu. I do h areby cern fjKv;i de� fio ,;�fiains an 1'"' perjury that the in ii)ititioitproii(liilaboi,eisti�xieaii(lcorrect. Date: 2 Signature ...... Phone Official use on13,. Do noin,rite in this area, to be completed by city,or lon'll 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 G.Other Contact Person: Phone'1r: CERTIFICATE LIABILITY 1 DATEh`YYY) x3/1231223/2 016 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 policy(fes)must be endorsed. if SUBROGATION IS WAIVED,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 Ileu of such endorsement(s). CDiane LeBlanc PRODUCER NAME:AME: _ DOHERTY INSURANCE AGENCY INC PH( N owl: (978)475-0260 No: a d ESS: dieblancOdohertyinsurance.com P•O BOX 1985 INSURERIS)AFFORDING COVERAGE T7 NAIL q ANDOVER MA 01810 INSURERA: TRAVELERS INDEMNITY CO OF AMERICA(THE) 25666 INSURED — INSURER B: TWOMEY & LEGARE CONTRACTING INC INSURERC: INSURER D: _ 87 BELMONT STREET INSURER E NORTH ANDOVER MA 01845 1 INSURER F: COVERAGES CERTIFICATE NUMBER: 39155 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. smiK POLICY EFF POLICY EXP ALT R TYPE OF INSURANCE I POLICY NUMBER MM/DD/YYVY MMIDDNYY� LIMITS '.......... COMMERCIAL GENERAL LIABILITY I I EACH OCCURRENCE — 1`( TihTA�ET011ENTEtS-�--- CLAIMS-MADE OCCUR i PREMISES(Ea occurronco) $' _ t— MED EXP(Anyone person) S N/A PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: ; i GENERAL AGGREGATE $ ((( f PRO. --- POLICY U JECT Cl LOC PRODUCTS-COMPIOP AGG 5 OTHER; AUTOMOBILE LIABILITY I COEa.r A181WontSINGLELMIT $ — NE `ANY AUTO BODILY INJURY(Per poison) S AALL UTOS OWNED l AUTOSULED ! N/A I BODILY INJURY(Per accident) $ —_ NON-OWNED PROPERTY DAKAAGE $ HIRED AUTOS AUTOS Per accident S UMBRELLA LIAB OCCUR EACH OCCURRENCE $ I EXCESSLiAe i CLAIMS MADE N/A AGGREGATEI—T ��S DED RETENTION$ S WORKERS COMPENSATION S' N/ STATUTE_I�_SRH� AND EMPLOYERLIABILITY �'- ANYPROPRIETOR)PARTNEWEXECUTIVE YIN N IEACH 500,000 — ElACC,DENT 5 LIc OFFER/MEMBEREXCLUDED7 NIA NIA NIA 6HUS029OM99415 09/1612015109/18(2016, (Mandalory in NH) E.L.DISEASE•EA EMPLOYEE $ 500,000 It yes,describe under DESCRIPTION OF OPERATIONS below EL,DISEASE•POLICY LIMIT S .500,000 i NIA DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD IDI,Addhlonal Remarks SChodule,may be atlached It more apaco Is required) Workers'Compensation benefits will be paid to Massachusetts employees only.Pursuant to Endorsement WC 20 03 06 B,no authorization is given to pay Claims for benefits to employees in states other than Massachusetts if the insured hires,or has hired those employees outside of Massachusetts. This certificate of insurance shows the policy in force on the date that this certificate was issued(unless the expiration date on the above policy precedes the issue date of this certificate of insurance). The status of this coverage can be monitored daily by accessing the Proof of Coverage-Coverage Verification Search tool at www.mass.gov/lwd/workers-compensation/investigations/, 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. AUTHORIZED REPRESENTATIVE `'w.d L� C MA 01845 Daniel M-Cro y,CPCU,Vice President—Residual Market—VVCRIBMA 01988.2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD Client#:13208 TWC1h1EY6 I HIT I DATE(MWDDIYYYY) -- 6/29/2015 PRODUCER THIS CERTIF'ICA'TE IS ISSUED AS A MATTER CIF INFORMATION Doherty Insurance Agency,Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER,THIS CERTIFICATE DOES NOT AMEND,EXTEND OR P.O.Dox 1995 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW, 21 Elm Street Andover,MA 01810 INSURERS AFFORDING COVERAGE NAIL a INSURED INSURER A. Arbeila Protection ins Company Twomey&Legere Contracting,Inc. INSURER B: 87 Delmont Street INSURER 0: North Andover,MA 01845 INSURER D: INSURER I- COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TOTHE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH AS$PECTTO 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. rm 07 TfPEOPINSURANCE POLICY NUMBER POLlCYEFFEC7TVE POLICY EXPIRATION LIMNS Lyn NM A GENERAL LIABILITY 9520040230 06/22/15 06/22/16 EACH OCCURRENCE $1,000,()(10 }( COMMERCIAL GENERAL LIABILITY DAMAGETORENTI:D $100000 CLAM MADE ®OCCUR MED EXP(Arty Ono Form) $511360 PERSONALINJURY$ADV S1 000 000 GENERAL AGGREGATE $2.000,000 GEN'L AGGREGATE LIMIT APPLES PER: PRODUCTS-CCMP/OP AGG $2 000 000 i,v ,TK)ucr PRCk LOC AUTOM6IE LIABILITY' COMBINED SINGLE LIMIT (Ea acoldant) S ANY AUTO ALL OWNED AUTOS BODILY INJURY S SCHEDULED AUTOS (Por poruon) HIRED AUTOS BODILY INJURY S NON-OWNED AUTOS (Por uddonl) PROPERTY DAMAGE S (Por aWdent) GARAGE UABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO AUTO OEA ACC S N AGG s EXCESSAIMBRELLA LIABILITY EACH OCCURRENCE 3 OCCUR ®CLAIMS MADE AGGREGATE S S DEDUCTIBLE $ RETENTION S S WCSTA'iUOTH+ WORKERS COMPENSATION AND TOH)LLt EMPLOYERS`LIABILITY E.L.EACH ACCIDENT S ANY PROPRIETOR/PARTNERIEXECU7IVE OFFICEP/MEII.BER EXCLUDED? E.L.DISEASE-EA EMPLOYEES ,_ '........... 11Oa.da=u be under E.L.DISEASE-POLICY UMTI S SPECIAL PROVISIONS bdOw OTHER DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS Covering operations usual to Twomey&Legere Contracting,Inc... CERTIFICATE HOLDER CANCELLATION 10 Days for Non-Payment,, SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL JQ DAYS WRITTEN N0710E TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL IMPOSE NO OBUGA71ON OR LIABILITY OFANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPR NIA E d ACORD 2s(200'UDB)1 ap 2 ##S32196/M32132 DML ORD CORPORATION 1988 Office of Consumer Affairs&Business Regulation a OME IMPROVEMENT CONTRACTOR n° P= ��, tegistration: 136779 Type: Expiration: 8/26/2016 Partnership TWOMEY+LEGARE CONTRACTING INC. SHAWN TWOMEY 87 BELMONT ST. N.ANDOVER, MA 01845 --� iJndersecretary CS-067560 SHAUN MTWOMEY 61 PATROIT ST N ANDOVER MA 0184 J � 10/25/2015 INS Fv I,,_„r k.cifltii't"7&.:'tduifl "w"k'(1r°("�'L'�r!i' CS-055108 DOUGLAS J LEGARE 79 GARY AVE HAVERHILL MA 01830 09/02!2016