Loading...
HomeMy WebLinkAboutBuilding Permit # 5/11/2016 BUILDING PERMIT �§ �aRr�, .�Y 4@O f6 '�✓� TOWN OF NORTH ANDOVER 4a APPLICATION FOR PLAN EXAMINATION a _ Permit No#: �� - "� ' Date Received rev c�u����� Date Issued: IMPORTANT: Applicant must complete all items on this page LOCATION °<, . o Print a TY OWNER PROPERTY Print 100 Year Structure s no MAP PARCEL: �. • � ZONING DISTRICT: Historic District yes o Machine Shop Village yes <10 TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building ❑ One family CAddition ❑ Two or more family ❑ Industrial ❑ Alteration No. of units: FrCommercial ❑ Repair, replacement ❑ Assessory Bldg ❑ Others: ❑ Demolition ❑ Other N lllai',,��i; . � DESCRIPTION OF WORK TO BE PERFORMED: qL den ificati n- Please Type or Print Clearly OWNER: Name: Phone .Address: ° Contractor Name: 1 t Phone: "� a2 5 Email Address. 7 5 ° � �` a � , cl Supervisor's Construction License: Exp. Date: � t9 t Home.Improvement License:, —Exp. Date; � ARCHITECT/ENGINEER 6 Q Phone: Address: a,, + Reg. No.—j? FEE SCHEDULE:BULDING PERMIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. i Total Project Cost: $ FEE: $ Check No.: Receipt No.: NOTE: persons contracting with unregistered contractors do not have access to the guaranty fund r, ,i-T rI////�j F r /i�';.�,rD I //I r ,%/,' � �� /i•„i". r�,,�,,,,:�/r/ ,�/r;i//mJ///iil trilli�/i rG,�(f r,;r,. I ,.'%.� ^,./;�,",. �i �,1�//%% 1, r ////i/'//0/ %%%%l� � / ✓ro ,r r,//° �l � � i I ,�i�,��rr/i;, ,Gr,�/ur/ri PG�/Gid%� icYra �r �of0/Acrd —-- - --- ----- ---------------------- --—--------—------ ----------------------------- .......... --------------------------------------------------------------------------------------------------------------------------------------- ---------------- Plans Submitted ❑ Plans Waived F1 Certified Plot Plan ❑ Stamped Plans TYPE OF SEWERAGE, DISPOSAL Public Sewer ? ' Tanning/Mass age/Body Art ] SwDnlin g P0 01s 0 Well ❑ Tobacco Sales 1TFood PacIcaginng/Sales E Private(septic talc, etc. ❑E Permanent Durapster on Site THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM P LANNING & DEVELOPMENT Reviewed 0n ,.) �� COMMENTS ch no CONSERVATION CONSERVATION Reviewed on Signature COMMENTS q\4") HEALTH Reviewed on % L Si nature C MMENTSJU--C-05 5C, '�C—elO �)()c>T2, . ()/- /4-D21 6 0 PJers/J Zoning Board of Appeals: variance, Petition No: Zoning Decision/receipt submitted yes ?tanning Board Decision: Comments Conservation Decision: Comments Water & Sewer Conn ofiion/S.Ignature & Data Driveway Permit DPW Town Engineer: Signature: Located 384 Osgood Street 'I"........... OM EN' t%ORTH Town ofe ''. ndover - h ver, ass � ie ®�A cocN1c"e—c"\11 ®RATE® � u BOARD OF HEALTH Food/Kitchen PER IT T LD Septic System L THIS CERTIFIES THAT ......... BUILDING INSPECTOR % ............ ....... .... .......... / ...... ... ..... ................. ..... elAW . . . .. Foundation has permission to erect .......................... buildings on ... Z. ® Rough to be occupied as . .. .. ! .... ... .... .. .................................................. chimney provided that the person accepting this permit shall i eve rest conform to the terms of the application... p p p g p ry P pp 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 UNLESSCTI RTS Rough / Service ............... l.... ...... ,�............................ Final BUILDING INSPECTOR GAS INSPECTOR Occupancy Permit Required t® Occupy Bu Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final No Lathingor all ToBe one FIRE DEPARTMENT Until Inspected and Approvedthe Building Inspector. Burner Street No. Smoke Det. North Andover MIMAP May 6, 2016 071.0-0,001 ` t,i,I q� o .i,ll 085.0-00,02 085., ID-ap,45 /( 1,39 6 A ril P T `0-0 `.0-0 071.0-0047 Ii 1 071.0-0016 085.0-000 071.0-pals 55 C hdICE5YYP1Ca F7 085.0-0005 Z "� •fi L34 222 PLEASANT/ST 071.0-000,3522 6 T 'G{EFT:ICBta 80 522 GFfI4<EEIPCx [) 535 BVB[CWCE[TIG"dCa Fop 535 CkiIC@t�EECII`�Cal FP,G '�j 085.0-0017 31 I�FdAb"�&{LI ST 5:35 0h#ECECE6��Tl°�Tfa 8E1 ��+�`0� 228 PLEASANT 51" 71:0-pt112 �C� ti�ln rat 071.0-0033 �rr t�� 085.0-0047 G�'C� _EASA,NT ST 085.0-0030 avec 227 PLEASANT ST ararr,usru,�L rsruer��Fr;� 085.0-0046 till 0�/1,p-0026 $ 1,NG f�f) � ° 1, 235 PLEASANT ST su�a� 085.0-0043 071.0-0041 32 PARK ST 241 PLEASANTST 00-0006 /085.0-0041 85. � s 58 PARK ST �y 085.0-0050 R4 ~` ~—— park ,street 071.0-0038 -0043 FT Ca 39 AK ST 47 PARK ST 4,78 Cp-�TIC�iEFt•I�hiFT0 071.0 483 F4I4fE611iw16 X28,1 55 PARK ST 085.0-0051 071.0-o0zs 59 PARK ST 071.0-0046 a,71.a-0030 071.0-0044 , 085.0-0013 508 NBATN ST ger. 508 8A1h8 ST rV 071.0-0039 •MVPC Be Zoning Overlay 7-Ing •Municipal Boundary Adult Entertainment Dislric Busine s 1 District 1-),Machine Shop Village Ova Busines 2 Disiricl Horizontal Datum:MA Stateplane Coordinate System,Datum NAD83, Rail Line 173 Watershed Protection Dist Pig Busine s 3 District Meters Data Sources:The data for this map was produced by Merrimack Interstates 0 Historic Mill Area M Busing s 4 District HQR71y Valley Planning Commission(MVPC)using data provided by the Tmrr of ..__I rj Medical Marijuana 11 Gener Business District pQ Sao North Andover.Additional data provided by the Executive Office of R ri"j ._..SDowntown Overlay District df Plarme Commercial Dev `♦� r°'e C! Environmental Affairs/MassGIS.The information depicted on this map is d' Historic District Chad. Development Dist b OG for planning purposes only.It may not be adequate for legal boundary Roads Osgood Smart Growth(48 Garrido Development Dist Q 1Fl definition or regulatory interpretation.THE TOWN OF NORTH ANDOVER q,"p Easements [r Hydrographic Features Pd Corrido Development Dist f" 9 MAKES NO WARRANTIES,EXPRESSED OR IMPLIED,CONCERNING ❑Parcels Industri I 1 District ,K - * THE ACCURACY,COMPLETENESS,RELIABILITY,OR SUITABILITY Streams Industri 2 District 4L i ^ OF THESE DATA.THE TOWN OF NORTH ANDOVER DOES NOT Wetlands i71.Industri 1 3 District y.°o Y ASSUME ANY LIABILITY ASSOCIATED WITH THE USE OR MISUSE OF NI@ Industri I S District 4q ' THIS INFORMATION Exempt Lands Reside cel Disiricl X1„9 °q�nn 00. Reside ce 2 District SSACNUS�' P—lde ce 3 District da ce4 Disiricl �"=90 ft do ce 5 Disi cl pde Ca B Disiricl wage esidential Disiricl North Andover MIMAP May 6, 2016 r r! b Y yu �x�, y+aft C�gyS9�y �ry�G,AIC� ,f" , • 6' /rX�4a'4 � 7f / I %%r I i t ar (�MVPC Be Interstates Horizontal Datum:MA Stateplane Coordinate System,Datum NAD83, Meters Data Sources:The data for This map was produced by Merrimack SR p6R7H Valley Planning Commission(MVPC)using data provided by the Town of Roads North Andover.Additional data provided by the Executive Office of Via Easements ,�. 414Y rs py 4a Environmental Affairs/ManGIS.The information depicted on this map Is Parcels 3' L for planning purposes only.It may not be adequate for legal boundary 6 —• •"'' definition or regulatory interpretation.THE TOWN OF NORTH ANDOVER MAKES NO WARRANTIES,EXPRESSED OR IMPLIED,CONCERNING THE ACCURACY,COMPLETENESS,RELIABILITY,OR SUITABILITY OF THESE DATA.THE TOWN OF NORTH ANDOVER DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE USE OR MISUSE OF A. ppAT,dµ�Pp�y,�GJ THIS INFORMATION �'7SACNUS t 1"=90 ft e Page 1 of > RODDEN CONSTRUCTION License # 28538 47 Prescott Street Expires: 9/5/2016 North Andover, MA 01845 (978) 687-2934 PROPOSAL TODAY'S DATE JOB NAME 4/28/16 V.F.W. Post 2104 DATE OF PLANS/PAGE#'S JOB LOCATION 1/21/16 32 Park St. North Andover Ma. 01845 We propose hereby to furnish material and labor necessary for the completion of: Supply materials and labor for the construction of an addition to the existing structure.The materials used and the building practices followed will be as specified in the plans submitted and stamped by Lawrence Ogden, registered engineer in the state of Massachusetts .Any new roofing or siding that may be used will match the existing as nearly as possible.The interior of the structure will be left in an unfinished state with no finished ceiling or wall area.Any work involving the existing canopy is the responsibility of others and is not included.This agreement also does not include any electrical, plumbing or H.V.A.C.work . If the owners decide to hire and pay for a foundation and concrete slab, including excavation, rather than the sonar tubes and wood frame floor and decking as speced on the drawings,there will be a savings of 6500.00 deducted from the total of this proposal... We propose hereby to furnish material and labor-complete in accordance with above specifications for the sum of: twenty six thousand dollars ( $26,000.00 ) Payment as follows: 10,000.00 start, 10,000.00 roof tight, 6,000.00 completion All material is guaranteed to be as specified. All work to be completed In a substantial workmanlike manner according to specifications submitted,per standard practices. Any alteration or deviation from above specifications Involving extra costs will be executed only upon written orders, and will become an extra charge over and above the estimate. All agreements contingent upon strikes,accidents or delays beyond our control. Owner to carry fire,tornado and other necessary Insurance. Our workers are fully covered by Workmen's Compensation Insurance. If either party commences legal action to enforce its rights pursuant to this agreement,the prevailing party In said legal action shall be entitled to recover its reasonable attorney's fees and costs of litigation relating to said legal action,as determined by a co of competent jurisdiction. Authorized Note: this proposal may be ithdrawn by us Signature if not accepted wiin days. ACCEPTANCE OF PROPOSAL The above prices, Signature specifications and conditions are satisfactory and are hereby accepted. You are authorized to do the work as specified. Signature Payment will be made as outlined above. Date of Acceptanc eV 'PJWI,AJ.THECOiNTRACTORSGROUP.COCJ E Diane Dennis Enterprises 72004 PROP-001a do(;Rev 10-04 RDOFSUPPORT RAo�No Po6B RELWVEEx18 MCAMOPV. EXTM NM ROOFTO PROWIM EMRANCEALCOVE PROPOBEDADORION E)GUFMDOM CONCRETE- GUAM RAL i LANDSCAPES FOUNMMM BCItEBNO NW BIIOYIM. BEE REAR ELEVATION VM AID ODOR PLAN POSRIGHT ELEVATION VFWARKSTR X104 NORTH ANDOVER MA PROPOSED F"s- N0 HM ROOF. MA7CF1 DOaiND. R"M WOOC�IMMIERMq M4CWMF0tRM'FN """RDRAL REAR ELEVATION ROM GRADE(VAREM �„�•� VFW POST 2104 PARK STREET NORTH ANDOVER MA wsw•-w uaea.e NEW ROOF STRUCTURE: 2Xeaizaa RooF: ASPHALT N W4KES(MATCH FX1SIt10) ICFJWATFR SIWED M MMa SW COX PLYWOOD DECK FLASHING CONIW10U8 LEDGER. FRAMM CONNECTOR 2X_ MVwO�PL• SBCURE TO MUTING FRA MM WO M�CNa�p'lR70NA7 OWDIMER USE TASTMASTER!BOL78 CCHIWIaAQ1NiRv�Rl FRAIIXi CONNECTOR IRALDWvw ff ICaM1YA7�lI�D FINISH 2ND FLOOR HE1DHt E-2X0 BUPPOIiT P08T E7DBItRO WALL FRA6lSO LANDSCAPE llCRESN i RADNG MEYOND) GUARD RAL SVBNALL F ROSTP ROOF aPRON(LER HEM) FWBH GRADE COPIES) SKDPETO DRAM 4'OONCREIEBLAB X CMU WALL Fl_NI8H IST FLOOR 17:G ��},T GRAVa BABE !71, 7 ww��a1 PROPOSED + ElO8TIN0 POURED CONCRETE PDU!l01171ON VFW POST 2104 PARK STREET NORTH ANDOVER, MA TYPICAL CROSS SECTION I a�w,�k �� FIRST FLOOR PLAN STORAGE STORAGE OFFICE cEo) � 4M MEN •0..i BAR WO LOUNGE BOILER OIMB D�AT EXMTM CIN WML CLOO IACwTEPROPOEEDAOOfRON WIDOW lP` 0 p I � E)06Ii10 GOORsA � TO neMN KITCHEN STORAGE STORAGE I I RooP�Ueov4 � Poe � � L———————————————————————— ——— —— ——— ——— ——— ———— IaBOMTM HVAC EOUE%Wff. O 7 p—0ry NEW OUMD RALENORTH�A�NDOVEP, ST 2104 PARKM TO REMAM TREET EDaBTMR#W MA 7O RB" naive The Commonwealth of Massachusetts F Department oflndustrial.Accidents I Congress Street, Suite 100 Boston,MA 0214 2017 .� ...SJ�Y www mass.gov/dia Workers'Compensation Insurance Affidavit:Builders/Contractors/E4E lectricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information Please Print Lep-ibly Name(Business/Organization/Individual): Me Address: �A'7 fC'_,- Sr c��C � -,,k City/State/Zip:-�. • �.N � C, Phone#: :�'fi b a'"Jf Are you an employer?Check the ap0opriate box: Type Of project()required): 1. I am.a.employer with employees(full and/or part-time).* 7. Q New construction 2.�I am a sole proprietor or partnership and have no employees working for me in 8. EJ Remodeling any capacity.[No workers'comp.insurance required.] 9. El Demolition 3.Q I am a homeowner doing all work myself.[No workers'camp.insurance required.]t 10 []'Building addition 4.❑I am a homeowner and will be hiring contractors to conduct all work on my property. 1 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. 13 �Roof repairs These sub-contractors have employees and have workers'comp.insurance. 6.Q We are a corporation and its officers have exercised their right of exemption per MGL c. 14.El Other 152,§1(4),and we have no.employees.[No workers'comp.insurance required.] r: . ., *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. Homeowners who submif'this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. $Contractors that check this box must-attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-corifractors have employees,lliey must provide their workers'comp.policy number. T am an employer'that is pi'ovMing ivorkers'compensation insurance fol'my employees.•Below is the policy and job site information. Insurance Company Name: La :e,--�IA2AAS — '� 17 ExpirationDate: Policy#or Self-ins.Lic.#:i�L��" � �� �� Job Site Address: �� � City/State/Zip: . a�l Attach a copy of the workers'compensation policy declaration page(showing the policy number and exp'•ation date). Failure to secure coverage as required under MGL c. 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 WORK 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 verification. Y do hereby certify 1u/n�de(r�•th epalns�qq d penalties ofpeijuiy that the information provided above is true and correct. sign re: LA l �'l � Date Phone# -!� ?s d 74ci 3 If Official use only. Do not write in this area,to be completed by city or town 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#: OP ID: PS AC®R DATE(MM/DD/YYYY) CERTIFICATE F LIABILITY INSURANCE 05/0612016 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(ies) 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 lieu of such endorsement(s). PRODUCER CONTANAME:CT Pete Sullivan Foster Sullivan Insurance PHONE g78-686-2266 ac A/c No Ext No): 978-686-6410 163 Main St. North Andover, MA 01845 ADDE-MAIL psuilivan@fostersuilivangroup.com Stephen Sullivan PRODUCER RODDE-1 CUSTOMER ID#: INSURER(S)AFFORDING COVERAGE NAIC# INSURED Michael V. Rodden INSURERA:MERCHANTS INSURANCE GROUP 12775 dba Rodden Carpentry INSURERB:WESCO INSURANCE COMPANY 13188 47 Prescott Street North Andover, MA 01845 INSURER C: INSURER D: 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. INSR TYPE OF INSURANCE ADDL SUB POLICY NUMBER MWDD/YYYY MM/DD/YYYY POLICY EFF POLICY EXP LIMITS LTR GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 DAMAGE RETED A X COMMERCIAL GENERAL LIABILITY BOP1054995 02/01/2016 02/01/2017 PREMISES TO occurrence) $ 500,000 CLAIMS-MADE I—XI OCCUR MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,000 X POLICY PRO LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ (Ea accident) ANY AUTO BODILY INJURY(Per person) $ ALL OWNED AUTOS BODILY INJURY(Per accident) $ SCHEDULED AUTOS PROPERTY DAMAGE $ HIRED AUTOS (PER ACCIDENT) NON-OWNED AUTOS $ $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATIONX WC STATU- OTH- AND EMPLOYERS'LIABILITY TORY LIM TS ER B ANY PROPRIETOR/PARTNER/EXECUTIVE F— N/A WWC3176746 01/01/2016 01/01/2017 E.L.EACH ACCIDENT $ 100,000 OFFICER/MEMBER EXCLUDED? (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 100,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space Is required) ** INSURANCE EVIDENCE** CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN TOWN OF NORTH ANDOVER ACCORDANCE WITH THE POLICY PROVISIONS. BLDG. INSPECTOR 1600 OSGOOD STREET AUTHORIZED REPRESENTATIVE NORTH ANDOVER, MA 01845 ©1988-2009 ACORD CORPORATION. All rights reserved. ACORD 25(2009/09) The ACORD name and logo are registered marks of ACORD Massachusetts Department of Public Safety Board of Building Regulations and Standards License: CS-028538 Construction Supervisor MICHAEL V RODDEN 47 PRESCOTT STREET1yAN � NORTH ANDOVER MAQ18 a �kl1l 1.Y Expiration: Commissioner 09/05/2017 Office uf��� Consumer Affa..zc�e"���a �f ME IMPROVE s&Business Regulation`�GJ gistration 1 05903 MENT CONTRACTOR ®y ;expiration. 7/21%2016 Type: ire CVIAEL V. Individual RODDEN a lticija�l Rodden l!FrErsco.t Street A^o tz MA 01845 i Undersecretary i