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HomeMy WebLinkAboutBuilding Permit # 5/17/2016 -----— BUIII-DING PERMIT mIf I%ORTH TOWN OF NORTH ANDOVER 0 APPLICATION FOR PLAN EXAMINATION Permit No#*—)Je Date Received C US Date Issued. ........... ,n- complete all Items on this -age-- ............. F —--------- LOCATION PROPERTY OWNER 3_12i Print 100 Year Structure yes rhSo MAP PARCEL: ZONING DISTRICT: Machine isDistrict yes Machine Shop Village yes �n;,/ ........... —-------- _typoff F1M­PROV_E_MENT_____ PROPOSED USE .... ...... ....... ..... —-----------.......... Residential Non-Residential .......... ------------------ (.1 New Building [I One family i i Addition El Two or more family 11 Industrial 0 Alteration No.of units: F1 Commercial �TAssesso­ry Bldg- 0 Others: O'Repair,replacement [I Demolition F)Other "M a2,W6tbhM ',d s nCt/M F1'15odp a Wetlands --- ....... . ' ' Jrt/� at a /dg,/� p,, DESCRIPTION OF WORK TO BE PERFORMED: v, 4, Identification- leaseType or Print Clearly OWNER: Name: Phone: _2z Adclress: Contractor Name:yLe,,7 Phone- 5 Email: -,S4P !�e) 140:rt/t Address: �3,�L 9,`,.5 f,' .'" t Supervisor's Construction License: C,?66 Exp. Date: f A6, 2 Home Improvement License: Exp. Date: 't' ARCH ITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE:BULDING PERMIT.,$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost:$ ------ -FEE:$ Check No.: —Receipt No.: Nam Persons contracting with unregistered contractors(to not have access to the i ira .14nd 7 ___Sign4t4re__'of A ent1_0wn.e.r__.____..__ iariature _n Plans Submitted❑ Plans Waived❑ Certified Plot Plan 0 Stamped Plans ❑ T TYPE OF SEWE -—❑-—------------- Public Sewer Tanning(Massage/Body Art ❑ Swimming Pools 0 Well ❑ Tobacco Sales ❑ Food Packaging/Sales L1 Private(septic tank,etc. F] P01111-Ment Durapster on Site U THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF-U FORM PLANNING&DEVELOPMENT Reviewed On Signature ''l COMMENTS UW,r ...................................... -------------—------------------- CONSERVATION Reviewed on 7 In Si nature, 4� COMMENTS 0-fi) r-C3'j HEALTH Reviewed on�2 Z Si nature COMMENTS Zoning Board of Appeals:Variance,Petition No:........ Zoning Decision/receipt submitted yes Planning Board Decision: Conservation Decision: Comments Water&Sewer Connection/signature&Date Driveway Permit DPW,rown Engineer:Signature:—_ -—------------------------------------------- —-------- -—------------------------—--------------------------Located384Osgood Street ----------------- ------------I----------------------------------- FIRE DEPARTMENT -Temp,Dumpster on site yes ............ no, �X,., 2�4 ai. Street M, n Located at 1 Fire DepOilnient si' gniture/date-, COMMENTS Town of - - F NORTy L �nOe i OM ® .f i h ver,Mass, Ma A 1194 ll BOARD OF HEALTH F"k E R I T ILD Food/Kitchen j� �N1 Septic System THIS CERTIFIES THAT...........hk�a%. ti/� _a' '` BUILDING INSPECTOR �C�. ` w.. Foundation has permission to erect.........................buildings on iii MiM...........',:: 11,, 1�� `,�o ,� w'- �/� y� Rough to be occupied as.........L..G. �irl�...��f��.� .... �1 `.... .... �!LTr... .l�!� .. Chimney provided that the person accepting this permit shall in ever respect conform to the terms of the applic n 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 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 Approved by the Building Inspector. Burner Street No. Smoke Det. NNQLLy AS'pSGAPE / WFAI LA C® LAN N PNGS ME PLA 143.8 N O Q A.B. KENNETH LOP #21 A.B. r —50 A.B. y PLAN \ RIP-IAP Z 1H:it WFA2 i r /�\ AS-Bux T F ¢ r a O POOL o v _o � z ~ AS-BUILT POOL DECK 5 I -` CL � \`\ � � 49.3 ti :� 43.4 �' #15o b GA 7E A.B. ��" /:�2 nl is V NGftE1E SI AU ® 48 Q 10 LEJDGE 1 G�; �6 tit rt �- FV= 51. 0 =Z OVCROP _ — — 2 STORYr ` WOOD W�jOD WOOD FRAME _-`-� T /. STEPS ECK - ,,--- DWELLING � � WFA ® Ak f ,/ 1'1 45.8 / A.B. 43.8 /r L07-,f22 m FiN1S�E �S�O�D 2 AHi H ,'.A.B. AREA= 47,935E S.F. wFAs (j.117E ACRES) 14" HI KORY � / m o � O O ,- TREEUNE 1 S_.BUILT \ i L � RSHpLL RY SANORp MA � � l p�RfSTON & MAOT #1236 L PLAN # V� n Al North Andover MIMAP /// April 21,2016 106.A-0106 106.A-0105 / -VA ifl6.A-019y 106.A-0104 f j , 163 CANDLESTICK RD 106.A-0203/ 06.A-0203/ 2L2 / 106.A-0102 370 CANDLESTICK RD 375 CANDLESTICTRD 106.A-0227 105.A-0228 106.A-0207 206. 365 CANDLESTICK RD jC_-- - 106.A-0205 357 CANDLESTICK RD -wt10b.A-0229 at 295 CANDLESTICK RD 1t' 106.A-0233 273 C-DLESTICK RD w i06.A-0235 lO6.A-0226 _-'345 CANDLESTICK RD - 106.A-0230 - ` - R1 106.A-0203 0 106.A-0010 42 JERAD FL 106.A-0009 106.A-0231 y-' ce �eta�e\a 333 CANDLESTICK RD _ i � 106.A-0234 IIs• - - ....t.�r 285 CANDLESTICK RD a - _ { Ott 106,A-02321 - IAT 25 SERAD FL 336 CANDLESTICK RID 7 , p. 15 CANDLESTICK RD .. 106.A-02 4 jf a, NS 106.A-0250 j �- •F II P 6� 326 CANDLE RD 230, - 60 70' .=!c 106.A-0249 106.A-0246 106.A-0245 106.A-0248 106.A 0247 292 CANDLESTICK RD ^1O6.,A 0222 0. D es �M Of pQRiq iH -f � . d - Em s s�uia Feamss ar - 9 I aarce a.as � • s TxE Rccuuc ..aLEiENE55 ELwet TY ORS rABiL�-v 2ED .tVeiYae a 3 BI€l:icl y oo .�K A5 U IE k.4 LiAE l tt A55OLIAPEB WIiHTHE U9€ -1SU QF EzsmE�lan..s •!j�'=� oaf'",{j 1HIS INFOCMs1TlON - 4SSAtNU`+¢t 1'•=125 ft -' 'a _- 557 ; KEEN CONSTRUCTION CO. 1175 TURNPIKE STREET PROPOSAL NORTH ANDOVER,MA 01845 An name improvement r—tracba and subcontractors Tel:(978)691-5201 engaged in home improvement contracting.amass Fax:(978)682.3231 specifically exempt from registration by Provisions of (`l Chapter 442A of the general laws,most be registered Sm-hetl a -��. C.Vin!Ji }! with the Commonwealth of Massachusetts_ Inquiries TO about registration antl status should be made to the lt� �`E��rC k< L Director,Home Improvement Contract Registration,lQ Park Pl...,Room 5170,Boston,MA 02116 617-573- 8787 owners who secure their own ��A G1__ nslructi.n _ related permits or deal with unregistered o..tractors will be excluded from the Guaranty Pund Provision of MGL,.142A. Pkmuc I—E reefs Armp neln vo 1 r-{1 H f � r o MA.H.I.C.108383 46—3783401 CIS=Customer Supplied S+I=Supply+Install 1�See Attached Appendix A we narabv setrmif sweciticafans ana es:maYae for work fo be Redormed ana maYedam m be urea. I e E q4t1GIk f� CcnsYv.tion relaletl Dermilr —---------- WORK SCHEDULE ConUaclor wiM rw(tmgm lF.e Jar), b-IdematenalsbelareP!elhim.foSavin—signing Rl Ihis Agreement.unless sp11-Fere in wfifing_Conlracl(d.bb begin the work..er about___ (tlata}.eardng tlelay causes try circumslan<es beyavrtl Conlraclots conVol.Ina work will be wmpleted by (Caleb.The Owne Aes awations M Ihs Agm WARRANTY t The CDMraGarweranls that the worlfam�hed M1e l,rrersfrnlbelree lmm detects in ma@pals ami workmansF3p lorapefiM of ��k�Wlbwkng comµreliur and sMJ c—,r,ritM1 the requirements of Ihis Agreemenf.ln anyi.,b.inw.M1mann.,crmalerials.ordb"s—nbr the Conlraclo[M1is sudvnlrac..r,mRfoyees or agenls.is dlscoveretl apooneyear avercompletion ofany joh.Secluding neanaRt2ConYmctor Sal 1,al Nsownexpense.IcdRw:(h remedy.re replace.or emetl�ed repared w repacN,such tlamage of such CetecY in materiak cr workmanship The foregoing warranties sRad survive any inspecYicn padortnr ed in c°nnecYion with Ine agreedupan work. We Propose hereby to furnish material and labor complete in accordance with above specification,,for the sum of- �� n a .l Y L Its 4th �1 Ir�r dollars($ 9y9CJZ y Par ba m e a follow it )upon sig g contract; `�, ROBERT A.KEEN s 1$ � ,i�tiod of ___; 1175 TURNPIKE ST.s�^i yaC$ \}.poo completion of _; N r b ANDOVER MA 01845 ($ ) be made forthwith upon (978)691.5201 (978)682-3231 completion _ pletion of work under this contract �,� r. y � Notice: No agreement for home-arthmmment contracting work shall require a \(c, —�4,e >or wo payment(advance deposit)of more than one-third of the total Contract price 'br.6" or the total amount of all deposits or payments which the contractor must make,Ia "'/ 7 advance,to order andfor otherwise obtain dei;very of special order matedais and Atb sgsa- equipment,whichever amount is greater. _ Acceptance of Proposal-I nava read bosh sides of this document ana all...In.documents and accepl the from,Spec scats ns and conditions slated. I underslantl chat upon signing,This Rropasal becomes a binding contract.Vou are aulh.d�ztl t.do the work as specilietl.Payment will be made as outfinatl above. You,the Buyer,may cancel this transaction at any time prior to midnight of the third business day after the date of this transaction.Cancellation must be done in writing. DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES. IMPORTANT INFORMATION ON BACK 7�en GonsfrucHan Co. NkMC>U Kee nConsiructionCo.com DiNatale,Brett&Christy 345 Candlestick Ln. N.Andover,Ma 01845 Contract#5575;Appendix A April 14,2016 Rebuild deck: • Repair water damaged sheathing and framing of house,inclusive to visible damage only.Repairs to house include 8 man hours'labor and$200 materials.All other repairs will be charged separately at$90Jman hour plus additional materials. • Dig eight holes for cement footings • Supply&install pre-cast footings as needed • Supply&install deck framing to code to match existing footprint(16'x 21'lower deck&9'x 19' upper deck,less 2'x 7'jog)and 4"x 4"posts where needed.Existing posts will be used as needed and credited to customer. • Supply&install landing and stair stringers from upper deck to lower,and single steps at doors on upper deck to code,including temporary treads • Supply&install metal connectors as needed per code requirements • Supply&install flashing against house to code and siding to match existing Total Price:$9908(nine thousand nine hundred eight dollars) Price does not include cost of permits,decking,rails or repairs to any unusual,unsafe or non-code compliant existing conditions not addressed in this quote. Payment Schedule:$1000 due upon signing contract $3000 due the first day of work(plus permit fee) $3000 due when repairs are done and footings are i talle 1 $2908 due at completion of contracted work Customer Robert A Keen 15 /1.& Date Date PO Box 935 Page 1 of 1 P:978-691-5201 N.Andover,MA 01845 F:978-682-3231 CSL#076691 Sales@KeenConstructionCo.com HIC#108383 Massachusetts-Department of Public Safety Board of Building Regulations and Standards .^,-- on Saort,Boo License:CS-076691 i. orn ROBERT A KEE11j;-`s` 12EWATERST IMF North Andover AA 0 -)rlA" Expiration Commissioner 0811 612 01 7 _1 �;.ner....,rocafl f ��cmac zw-e t ja -rrs�e of Consumer Affairs&Business Regulation MEIMPROVEMENT CONTRACTOR l gistrahon 1083B3 Type: Expiratlop' SjJIMM8 Supplement Car KEEN CONSTRUCTION CO ROBERT KEEN 1175 TURNPIKE ST NO.ANDOVER,MA 01845 6`odersecretary ----I. _ 4�?D CERTIFICATE OF LIABILITY INSURANCE 10(123(20151 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. IMPth ORTANT:If e certificate holder Is an ADDITIONAL INSURED,the policy(tes)must Be endorsed.If SUBROGATION IS WAIVED,subject to the term.and condition.of the policy,certain po0cles may require an entlorsement.A statement on this cera ficate,does not confer rights to the oindfloam holder In Ileu of such endorsement(.). Fmonoce" `H Barbara McDonough Gilbert Znauranae Agency, Too. (7@1)942-2225 o,treil.dx-2x2. 137 Main Street s,bmodonough@gilbertinauran.. om FFORD.rG COVEMOE ¢ Reading NO, 01867-3922 RA Norfolk 6 Dedham Znauranae 23965 VRev a:3afet Znauranae Co 39454 -so Conatruation Company EBc!fravelara Zna. Co. 10031 483 Chickering Road North Andover !tA 01845 COVERAGES CERTIFICATENUMBER:6L1552101779uR REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAME.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_ 1 rNOM..R X Co RCIAI hitt �f 1,000,000 A MCWMatMCEa�X IaCCUR HCCCORRranve S 100.000 1 -f-OSo07e(Oo0 1./191x01519{19(x01. MED EXPrson) 5 5,000 dAW INJIwY 5 5,000,000 GEHL AGGI —T—E.PER: S 2,000,000 x —[—I JET El— IM StaC GG S 2,000,0°0 3 elle—UTY 000,000 g J,IRr(Re,ve•w) s eu'—' Fxj mos x¢svr cwa ox �slx5/zvxs slz9fzoia NJURv iRar®«ne�N S x wREOAUT x Rums EO s s ioo,00s u OCCUR —FE— A.—GATEILED SETS s no AN, larAucv rx' C ah m�yeBln NN)6xxu[fna nYt= NI os-s.eltlse-2-16 ,1atBtzO3s i '3 100 000 "c�s`c.R io{.Ixosa E rE s ooa 0 ovo -Do. .1—noNallocAironslvaxmiss tac Re r¢+,aaaawnaR.m.n.amww,a,.r n.•.ansa. w I.,.am,.al CERTIFICATE HOLDER CANCELLATION (976)623-5320 $No LDANYOFTHEABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Tawe of North And— THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. TxoRImD REVRESENSATIVE H Gilbert, CIC/BARBAR ©1988-2014 ACORD CORPORATION.All rights resemed. ACORD 25(2014!01) The ACORD name and logo are registered marks of ACORD INS025nv— The Contntonwealth of Massachusetts Departtnerit of Industrial Aeeidents I Congress Street,Suite 100 Boston,MA 02114-2017 wlvw.ntass.govldia 5vorkers'Compensation Insurance Affidavit:Builders/ContractorstElectricianslPlumbers. TO BE FILED WITH THE PERIYIITTING AUTHORITY. Applicant Information �// Please Print Legibly Name(Business(Orga ilza on Individual): C�L�Yl �(U1 5t o�- (t {� Address: CitylState(Zip: Phone#: 3 Are you an employer?Check the appropriate box: Type of project(required)'. l.[Z I con.employer with 2— employees ffidl mtV or part-time).. 7, New construction 2.Q I am a sole proprietor or partnership and have no employees working for me in 8. Remodeling any capacity.[No workers'comp.insurance required] 9. El Demolition 3.Q I am a homeowner doing all work myself[Ido workers'Comp.insurance required.]t 10 E]Building addition 4.❑I 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 11.0 Electrical repairs or additions proprietors with no emptoyees. 12.0 Plumbing repairs or additions 5.0 I am a general contractor and I have hired the sub-contractors listed on the attached sheet. 13.Q Roof repairs These sub-contractors have employees and have workers'e mp.in ammcat 14.0 Other 6.F]We are a corporation and its officers have exercised their right of'exemption per 1MGL c. 152,§1(4),and we have no employees.[No warkars'comp.insurancerequired.] 'Any applicant that checks boa,91 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and than hire outside contractors must submit a new affidavit indicating such. ,Contractors that check this box .at attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees.Ifthe sub-contractors have employees,they most provide their workers'comrs policy number. I an:an employer that is providing workers'compensation ursurance for my employees. Below is the policy and job site information. y-- Insurance Company Name:/ I trc,s�a�[terQ5c� lIn-5 / f Policy#or Self-ins.Lic.#:Cf' 14 0 IJ "'9/9 1 `�`,5S J 2' �i�Expiration Date:__LC) C) r" t Job Site Address. 1'0- `— yi CitytState Zip:T . Attach a copy of the workers'compensation policy declaration page(showing the policy number and eYpuatmn 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 maybe forwarded to the Office of Investigations of the DTA for insurance coverage verification. Ido hereby certify I-Imlef the..pains and penalties of perjury that the information provided above is true and carred Signature Date Phone m - Official use only.Do not sprite in this area,to be completed by city or toren official City or To}vu: PermiULicense# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.CityfTown Clerk 4.Electrical Inspector 5,Plumbing Inspector 6.Other Contact Person: Phone#: