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HomeMy WebLinkAboutBuilding Permit # 5/11/2016 OORTH BUILDING PERMIT TOWN OF NORTH ANDOVER ° � o APPLICATION FOR PLAN EXAMINATION Permit NO: Date Received A04qa1Al.o 1 S 9Teo PS��RS Date Issued: (� ' ACHu IMPORTANT: Ap2licant must complete all items on this page ' 2Q STAGE CQACH ROAD NORTH ANDOVER,,IVIA-01845 LOCATION °I PROPERTY OWNER KAREN,LUNNY P I nnf F�nnt MAP NO I 0$6� PARCEL 0151 ZONING D(3TRICT � `Hrstonc District yes no Shop�/r(lag� ye no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building One family ❑Addition ❑ Two or more family ❑ Industrial ❑Alteration No. of units: ❑ Commercial epair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other ❑ Septic ❑Well ❑ Floodplain Illlet(ands ❑`U1/atershed Risfricf a�orfSevirer REPLACE 20 WINDOWS & ONE DOOR - NO STRUCTURAL CHANGE Identification Please Type or Print Clearly) OWNER: Name: KAREN LUNNY Phone: 978-682-1583 Address: 20 STAGECOACH ROAD NORTH ANDOVER, MA 01845 caNTRAcrol� Name l: Pnone; 50s 35122fia I = RENEWAL BY ANDERSEN` Addrass ' 1 �(�JFOR�ES ROAD NORTHBORgU.GH,;MA;U1532. ; �u�er�rtsor's Construction Lre�nse Exp date 90,125 10 06 16 Fie lmprournenE Ltcensa Exp bate 17os�o h s,. 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 C st: $ 32,214.00 FEE: $ 387.00 Check No.: — 04 64 & Receipt No.: 2za11; NOTE: Persons contracting with unregistered contractors do not have access t the guaranty fund Signature ofi:Agent/OWhe c ee rce Signature of contract ®RTH Town of . , Andover n Ver, �SSy 2.61 NIC N@WIC ma BOARD OF HEALTH Food/Kitchen PERM T LD Septic System �.,, ,.. . THIS CERTIFIES THAT ...................... ..... ..... ... ... ..... ..... `� BUILDING INSPECTOR BUILDING,,. ,.. ... ... .. �..�. Foundation has permission to erect .......................... buildings on . ........... ....................'. ® �® Rough to be occupied as ... .... .. ... ...... ... ......kip..4.1!rRGI� .M1 t.......�.......D.tkoff. r........... Chimney provided that the persona epting 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 VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTIO TARTS Rough Service ................. :�:. ................................. Final BUILDING INSPECTOR GAS INSPECTOR ccu,2ancy Permit Required t® Occupy Bu Rough Display in a Conspicuous Place on the Premises - Do Not Remove Final No Lathing r Dry Wall To Be one FIRE DEPARTMENT Until Inspected and Approvedthe Building Inspector. Burner Street No. Smoke Det. UIEWAY Agreement Document ent and Payment Terms y%ni3ersern. � ax;lWnrWM°h4 A&rrup,�43tna5nn I{5ri:r3 3al6 Luhn't w���f•n� r+�iseat�lr,x 1„i,�e hk,Ih,��I�', ��,�.,,;I r�',f,1.f�,_ f 1-14�lil,,:�, 't,p: 'hour °il,i , ,.� i I y,r I'lloll 11111,_ 5 0 Ca �,I,Ittwo";.l,"Illr1 ( W!oh ,.'`? ('a.l,0m,;&&`4m,, Karen Lunny and John Lunny r.ar- 1. r. 04121/16 I,im,l,l,"A Nun I Ad to la Andovol, MA 611945 SronoWn Ild,Qafr,'°•lul1Ni: Pd., m lonak klun�y Ci71"4 cast.net r. r Secrin-1.3n.' 1`151LIAL it.l vA i heNhr i nindi and tfatf raKy Iw, .t 1.1irr1-, W r,7 �i=roll1�rt uns`h fr ,a-scs all Gnmal IrY,;Ar rid wn L.1_C.:d ;, Ifa •wal Iv,` nrh'rtf i4 Cit h1,I9C�11'i +r1uai:r.11Y' 1. ilt �,1?iL llda!$vWi it . lon is am epi,i114lI"" ii-,,t'111Jv1.'i ill ill f,.,'t�,,.,..a!it'll! 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BY ANDERSEN Adjre&,5: 30 FORBES ROAD City/St '7!p'-NORTHBORO,MA 01532. ��— phone ii: 508-351-2200 Are ou an employer°C°reck the appropriate Rio:.: F6, e of proem t required)! 1.t_i l am a etnpleyer with 30--_ 4. C3 1 am a goner l w�ultractor and I Ni:w co>istrtirrtion employees(full and;'or past•#imp).' haw hired the�ixb-contramors y.0 I am a soleprultrtrtor ilrpaitner- Isstdd on the attached short. '. Retnt3daliag ship and have w*mpinye~,s .fhew sub-,:o tttiijvtors have S, E];)emolitlon working for me.in any capaeity- workers'comp.insuranev. 4, [NRS korkets'comp.ins -ce 3, C3 Vl e are a caMora'ion.and it` El Building addition requked] <offim-)5 have mercised their 10.0 Flectricai repairs or additions 1.am a hameowner.doing all%%ork rigrtt o ex- 1p ion per Wit, 1 i .PtumbtAg repairs or additions niyself:1No workers'comp. C. 1521.4101,and w,:have no 12, Rout repairs inm it-ance requ(r d.j" turiployees [No workers! 13(�other-, t_ comp.insmaneci-equtrell —..__.. 'am jpp;im that ar&s art 4;must a:a:fdl.41914 w.titrnn 1whok-'bM%01jt timir»vT",.;upw'U:Sawn MIC):nwrmwvr 1 tomeintrrrm x1w h0tatt thio a1>ii W vit indwalt%gw &.;:doing ail swl wid then!Jilt maid a,Ornu x affidavit Indj4 Oji*ImIA t.Wtiwturs Ow'hed thts ho trust attar ltiap mr addiw-nW%Beet.oto- mae the.mma of tre eub-i-nwx %v,slid their workers-oomp Wavy Intaott wrl lam an en 4wr that is providing warners'coaWaadon insMM1We or a+1►'empbyrerr. helot,•itr the po icy alid jab she WOMMtion. Insumoc Compat'y Nacre- OLD REPUBLIC INS, CO. I'wlicw .ot`Sol%ins. Lie. 1?xpiiatun Date 10-01-16 Job Site address: 20 STAGE COACH ROAD--- NORTH ANDOVER, MA 01845 ---._._ _._._—.�.C`ity�Statc:`Gip:.__^T_ Attach a cop`of the workers'compensation policy deciamtlon page(shoring the poste}number rad expiration dare). .Failure to secure coveia$e as regi lord undo: Section 25.E of MGL c, l c'cad lead to the imposition of criminal N=W-j at a fine up to$1,500.00 andror one-year.itt+prwmneut,as wel l as c:yvil 11011111titl in the tu*m Of a 5:11)P WORK r RDER and a fins of up to 3250 00 a day against the violator. Be advised that a copy of this statement may be fomardad to the Office of Inv". attons of die DIA for insurance eo--mge verification I da hereby !fy k the pains andpenakies ref prriml F That the fn0r.7 don prvWded abo a it tip andt Ph ne: -351-2200 UVIcial use only. Do rat wMe in that urea,M be canWIeted by rj#i or town VA-101 City or Town: - �Permit/t cense P I<scuing Authority(00,cle one): 1.Board of Health x,Building Jepartraea# 3.iwity:rl'vvrn Clerk 4.Electrical Inspector.5.Plumbing bispector fS.Other 4 :OptaCt per"U" Phone#: ANDECOR-01 YADAVYO °%� CERTIFICATE 1'— LIABILITY 1 DATE,MwD7— F DN"Y) 1011!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 pol(cy((es)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 NAMES Willis Certificate Center Willis of Minnesota,Inc. PHONE 877 945-7378 F c/o 26 Century Blvd JE-MAIL Ext):( A/C No: 888)467-2378 P.O.Box 30691 ADDRESS:Certificates witlis.com Nashville,TN 37230-5191 INSURER(S)AFFORDING COVERAGE NAIC# INSURERA:Old Republic Insurance Company 24147 INSURED INSURER B Renewal by Andersen LLC INSURERC: 30 Forbes Road INSURERD: Northborough,MA 01532 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 P LICY EFF POLICY EXP LTR INSO WVD POLICYNUMBER MMIDDIYYYY MMIDD/YYY LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000. CLAIMS-MADE T OCCUR MIVZY 306440 10/01/2015 10/01/2016 DAMAGE TO KENTED PREMISES Ea occurrence) $ 500,000 MED EXP Any one person) $ 10,00 PERSONAL&ADV INJURY $ 1,000,00 GENT AGGREGATE LIMITAPPLIES PER: GENERAL AGGREGATE $ 4,000,00 X POLICY FIJ RCDT r LOC PRODUCTS-COMPIOP AGG $ 4,000,00 OTHER: $ AUTOMOBILE LIABILITY CEeM�B.I .1)SINGLE LIMIT $ 5,000,000 A X ANY AUTO MWTS305438 10/01/2015 10/01/2016 BODILY INJURY(Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY(Per accident) $ NON-OWNED PROPERTYDAMAGE $ HIRED AUTOSAUTOS Per accident UMBRELLA LIAR i i OCCUR EACH OCCURRENCE $ EXCESS LIAR CLAIMS-MADE AGGREGATE S DED I I RETENTION$ $ WORKERS COMPENSATION _ AND EMPLOYERS!LIABILITY YIN X STATUTE ER A ANYPROMEMBE�XCTNERIpXECUTIVE p NIA MWC30543700 10/0112015 10/01/2016 E.L.EACH ACCIDENT $ 1,000,0 (Mandatory In NH) eEL.DISEASE-EAEMPLOYE $ 11000,0 If yes describe undr DESdRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 11000,000 DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached It more space 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. AUTHORIZED REPRESENTATIVE Evidence of Insurance /- �'✓� ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 26(2014/01) The ACORD name and logo are registered marks of ACORD Mawr hueetts-Dep-2ttment of Public Ba Board at Building Regulations and Standard* Construction�Supenisor Iia 31"Ue Expir u Ce. ar3ano. 1 F z_ �us�om:maareu�ea.�a�r'�aeea�z+�efla t ice of Consumer Affairs&c Business Regulation ME IMPROVEMENT CONTRACTOR Reglsteation;:.41010 Type: Explratiq Supplement Gard RENEWAL BY ANDL 1dM— LkO JAIME MORIN 30 FORBES RD ;�••3 --- NORTHBOROUGH,MA 01532 Undersecretary I Renewal byAndersen, WINDOW- REPLACEMENT anArdetsen0nn))<t)y WoodNinyl Composite IF Dual Argon Low E4 SmartSun Double Hung 100-00473518-010 ENERGY PERFORMANCE RATINGS U-Factor(U.S)/I-P Solar Heat Gain Coefficient 0 119 29 m v ADDITIONAL PERFORMANCE RATINGS Visible Transmittance OA2 Manufacturarstipulatesthat Ihesa ratingsconlonn to appreahta NFHC procedures for datarmining Whota product padormanoe.NFRO ratings are daranuined fora Arad sat of anvironmentat conditions and a speogie product s¢a. NFRC door not racommand any product and doas not Warrant rha suhahBAyof any produm for any specfia usa. Consuh manulaoturor's learatura forothar product podomtanca Information. ssvnvw,nitc.org '. 0-AR �� 4 Thisproduulmoats Oraen ,,. RIM $6 Seasonvirontneatal Our, , rr standards go",minganargy at ,.2j_ eNiciancy,heavy ntota@in . •i'•Ihe lrame snit rash f?�,��� 3•G, ^{ matarksk packsging,and XgF eonsumeraducatbnal „ ,., �� nlalerak• rtirfiu.•yir ..+''�-..� .;::}.YdA .......................n :-:wO..Jiha.nvnnrJ.w DESIGN PRESSURE(PS F) t ratmthi°otra�cptpn 4°' Q RbA DE3 Sloped Sill DH IN TasGd tolUfg02r.VNAh'AFtAA,'C31f01ASrANe-0i htartlraG4lfCf et tacos OanformanOa tJ C799 firaUta sundards. '.. Boats or oxceads ALE.C.,C.E.C,6 LE.C.C.Air InIW ration raqu'vanants WOhIA NeVmark CanGgatbn Progmnt. I PRODUCT PERFORMAkE Andegsen'NFs C Cartified Total Unit Parlor- arca(continued) Andersen'Product Glass Type ll-Pactor SNGC' VP 200 Series. Clear Dual Pane 0.45 0.60 0.63 Clear Dual Pane lafth Grilles 0.•t5 0.54 0.56 _ Tlt-wash Law-E 0.30 0.32 0.55 %j Dauhle-Hung Window Low-E wish Grillay 0.30 0.29 0.49 NPlmv-E4SmanSun 0.30 021 0.49 HP l.mr{a 5man,Sun•x/.rules 0.31 0.19 0.43 _ Clear Dual Pane 0.45 0.61 0.64 Norrolihe' C:carOualPane iftGrilles 0.45 0.54 0.57 Double-Hung Window LD r E 0.30 032 0.56 tm'.�E'rdth Gnlles 0.31 029 0.50 Clear Dual Pane 0.44 0.&9 0.66 NarraOne, CI Ir Dual Pane with Grew 0.44 057 0.59 hansom Window LowE 0.27 0.34 0.58 ' LarwE w 81 Gnllas027 030 052 Clear Dual Pane 0.45 0,60 0.63 - Clear Dual Pane with Grilles 0.45 0.54 0.56 Gliding Window ow-E 0.30 03^ 0.55 ?� _ Low{vrith GriOes 0.30 D29 0.49 73 tmv4;SmattSun 0.30 021 0.49 23 _j -73 Law-£SmanSun with Grilles 0.31 0.19 0.43 Clear Oval Pane 0.43 0.61 0.65 - Clear Dual Pane rile Gnllas 0.43 0.55 0.58 _ Fixed,Transom, Low-E 0.28 033 0.56 Circle Tap'Window Imr E with Grilles US 030 0.50 Lmv-ESmartSun 027 022 Law{SmartSun with Gdllss 027 020 0.45 Clear Dual Pane 0.44 0.61 0.64 Clear Dual Pane eM Mes Lmv-E 0.29 032 0.56 - Narrollne' Low-Ewith GdOes 0.30 0.29 0.49 Gliding Patio Doors _ lmvE Sun 029 020 0.31 aj j ^- Law-E Sun wile Gnlles 0.31 0.18 027 _ _1= LSun 3ma tSuadllEs 0.28 021 0.50 -1 Law-E SmartSun with Grilles 0.30 0.19 0.44 „J Clear Dual Pane 0.43 0.61 0.64 - t Clear Deal Pane with Gnlles 0.43 054 0.56 } Low-E 0.28 0.32 0.56 _ CGIldl.g oW Low-E with Grilles 0.30 0.29 0.49 tio Doors Low{Sun 0.29 0.19 0.30 71 Law{Sun with Grilles 0.30 0.17 0.27 a Imv-ESmartSun 027 022 0.50 Low{SmartSun with Gnlles 029 0.19 0.44 Cle,rDual Pane 0.43 0.45 0.47 Gear Dual Pane with Grilles 0.43 039 0.40 - Lovr-E 0.32 024 0.41 Hinged-Inswing Low-E withGdiles 0.33 021 035 Patio Boom Low-E Sun 0.32 0.15 023 law{Sun with G611es 0.34 0.13 0.19 - Low-E SmartSun 0.32 016 0.37 Low{Smamun with Grilles 0.33 014 0.31 av r