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HomeMy WebLinkAboutBuilding Permit # 6/2/2016 �l N°RTy q BUILDING PERMIT ® �t,ILD ~° TOWN OF NORTH AN VE ® � � APPLICATION FOR PLAN EXAMINATION * - 1 ®l ®e Permit NO: Date Received �9SSgcaaus�4�� Date Issued: IM ORTANT: Applicant must complete all items on this page "'v nr � : DONALD CH15,PEIrL� , MAP N,O �'9`�'�AtPARGEL p 05 8 'ZOC��NG`E�ISTRIGT "'Htstar,�c rDi�trrcf,� ' yes no ;, % r Fine,Shop�Villag as rtc TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building ne family ❑Addition ❑ Two or more family ❑ Industrial ❑Alteration No. of units: ❑ Commercial epair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other Q Septic ❑Well777 ❑ Floodplain, ❑Wetlands ❑ Watershed District Water/Seriue`r r REPLACE 3 DOORS - NO STRUCTURAL CHANGE Identification Please Type or Print Clearly) OWNER: Name: DONALD CHAPELLE Phone: 781-254-4306 Address: 68 MILLPOND NORTH ANDOVER,MA 01845 CONTRACTOR Name ona, RENEWAL,BY ANDERSEN Ph 5�8 351 2�1� Address 30 PO�B�S ROpD NO�THBOROU�Ii, MA 01532 Superu�sor's Corist�uctlon License Exp Gate 90125 �, 0 0616 Hdrpe lLmprc��oment Ltcenae xp Q�te 70310 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 ost: $ 17, 7 3 9 . 0 0 FEE: $ 71 Check No.: I�p 64 \Y I,- Receipt No.: NOTE: Persons contracting with unregistered contractors do not have access o th guaranty fund Signature of Agent/Owner C��e Signature of contractor°. r t4OR T H E d _t own ofAndover ..... ® .i �. 0 • ® t ver, Mass, Lkj r, O l COC NIC c"t N@w1CK ORATED U BOARD OF HEALTH Food/Kitchen Septic System BUILDING INSPECTOR THIS CERTIFIES THAT .....PEr% Nl .. ....... ........... ............ ..... . ................................................. has permission to erect ............. ............ buildings on ... .......... ®..... . ............................... Foundation Rough tobe occupied as ......... ....... ... ..... ......... ..... I......................................................... Chimney provided that the person accep in g 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 PERMIT1 IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTION START Rough Service ............................... ... ........... ... ............ Final B ILDING INSPECTOR � GAS INSPECTOR ccupanci7 Permit Required to Occupy Bu Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final No Lathing r all To Be Done FIRE DEPARTMENT Until Inspected and Approvedthe Building Inspector. Burner Street No. Smoke Det. Renewal Agreement Document andrpt Terms, L db. . LF'r,��d� �d�t� �a� Ddxr;ald C�ia{�m�11,1 ��• �:�,i`r `�Fi,l it;i�Y,�aT�,l�Ti9_=4= � '4�se®ewr 'n F !E I l i'4lil„ iUt�tl a r"II 9,.�,,�q;1 __ =�ilfi.a r_jtTiti}li3 aE�.. .�3"'' �2=S,•L�ttf�.,�,h1!`: �aal'IX�e onald Chapelle a._d�ILIe:ILt ►ailF.4 �� � �.c1wal�rda�.1,:3,I - 68 Millpond, North Andover, MA 01945 LC11'I.11.11i21s`;�4::><crl$ �..V$11254—430 {k L�tj'17?6'r�,.. r'air9xar L':rillele idfather3:- verizon-net <aari r, m=aiy.0 r l tat i; i 1'trY4ity, dill'§Y�'p`.11 cti'%tx L ;s fi^P11,fcl 1-T'ttr. 15t,,'�1�JkT'v'"ll"Il l nY �Y'as �n� } I7C UtFI �if CYtJ1rs MmvF < . S�,' 4,x:1 L�a4tlt' LI �dv' , ,j 0. st r1 LSI tdtart to axe r ,lsaY S„e-ax f> : iElMA' ftVIL0. -vnP.i L td1a1 , � l ' FsE7� Xc'am,, N " cv t 'OV9Trally,Saks(:.157 ��i, LatF�crtd aeFtil L�a�'rr�ri2 art ay lli lr.' 1 ,X116 tE'i iY?L5 5ka,� T-. .}rt'al�)�.��l�k1111.r,.LCra 1LLr'`;�Ll'n_i,lttr_at[a�adr.LFTdx lts_t. 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YOU,11-IE B LT ER, MAY ` C I.'IT IS TMM'NSACTION AT ALNV TIME PRIOR TO MIDNIGHT OF THE THIRD BUSINESS i?AY"FER THE DATE OFT' S A rio r' SEETHE, AITACHED NO110E OF CANCELLATION FORM FOR ESI' F -Nam d C9R_mcw;d by An&rmm LIC: c'. _ U trii1 Vii'��ri>;._B d - "4z axg.,ltlrc of Sal::w PcTi It `�fti„[�atntr� �II�i2it1L1[ra Stege Dene Danald Chapelle d'®Y3Lt dNacti AASA 1.y L'cratl3>f �1ri17: --.a1 v6 C'rlaljt.Name `7.,,16 ReneWal Itemized Order Receipt '�.AMmen Donald chapella 101 Di o o,a r n 1�" id, I 1, Ji t i I l I I I. 31 S v I'd I. Ir '.d �klh I H a rd w a re A r _I In 102 hvinq PaVo Door; C 11"�"P 1�'l i A -11. ilii Y�" a'UTNIn' 5-t-!A'2l'ir"', 103 Living Fa t P o U-1 la.n r: r.'l I X IT 111 r: 11— Alk n ii H-a rd vs a r e A J11r RA i s c Sucen': VWNDOWS.0, PATIO DOORS.3 SPECIALTY'0 MISC: 0 TGUIL P D A r;'D. j-]i 3,r'T,1 i; 161 Me;j A7.4a' LaRaire, Fmm, Dam Steven Sent- Way, May 124,201fi 10:14 AM To: LaBaire, S 2W 4 u4jedi I : RE rlutlekliq in G8 nill1prind Att-achmptitc 4-fill") spuc 20 1 ----Ori heat lmve--- From Dona[d Otat�elte_JpWj����j Sent: Friday, May 13,2016 09.06 AM Ccntira I Staridad Tinitu T Mum, sie'lect!"; cla1,4�0'1111q, :L�L",t4.Iri.vi)lt,aril. Heff'o. Dana, This has been approved see attachment for Instillation pnd finish work per MPHR, Thanks Donald Chapelle C Dana,Stmnq��,,.Quiw Anda qqc x :,-WrCR g;ne, --pm-, HJ DonaW, N-4 .RA Is we-11, I VAR check tw7arrow and get Wk, sufto bent vMh Good L&LwWqpNLcrjn jj Wasage'-- From: tRxwA1 Ohap.-Ip 99"Uhlorri", May CO, 2010 12113 PM Otintral SPaw.0gri,Trnu Ira: Dana, Gt4-V1qn '%Nwaf (;Ntck�v'IFOA wjitljm�mj Hey Steve, Checking in to see what's up with a, timelitle for my sliders, Thanks Donalb Cha Il The Communwakk of Maysackweft _., D4pamwirp of 1'r dnt,-ialr:jccjdew-r + -Ar of 1iliealgadowe $00 T'Vo eingwo 1#t.wr B"ton,AM 0.".111 www ma v%govIdia 'Wor:cars' compensation Iabu_•auccers f m i1 st r Inku . a so 1'r't t I .t i . name t>sttsmess/iara�r.5tiwttllndirtctaa;r; RENEWAL BY ANDERSEN Addre&S: 30 FORBES ROAD City/St '7.ip-_NORTHBORO,MA 01532 ��— pl�pt it: 508-351-2200 Are ou an employer?Caeek!bc appropriate box:: 7y-pe ofpt*.ct frquire ft 1. l tun a etnpleyer with 30 __ •4. ❑ 1 am a gwers-I-&tractor and I hew canstt ticrtioxt I employees(full and,'orpa.,t-time),* inave hire4lthe��t1�-corttrap.,ors [6,1 1 1 am a soleproprirtor orpat tner listad on the attached sheet.� l . Remodeling ship acid have no Employees '11ie*esub-ixwtravtors have S, El Demolition working. for we in any capacity. workers'comp-insurance. v, 0 Building a(Wition [No workets'Comp.insum-tee -5, [1 Vire are a empura'ion and it~ 10.[x_,I+Iet tricai repairs or additions required.j officers have Cam"their ,. 1.am a humeoKner doing all work tight►�f ax;-:sipUon per�.ii11. -11.0 Pttrrtibin;repairs or additions ttryseif:1-No workers-'comp. c. I52,410),and wa have no 13. Roof repairs insurance tequirAj omplopee-s [No workers' : 13�]Other comp.maiiiance i-equired.l -_ !AV iewc that s trx a;must al-w fill�itS t}x v vtton tx lba�Itotng inerr wvr .n •vt!t ;csm;:m riic :a�'usm 'i 10MOMM''Alk)kiikM1 th1V afftw rit iudicaim'(;9*X-t.dwtn'a A 140tH End tltett Wic tNttezdt i Wtirdricu muu aab ntt u w%affidavit mdwda#wA 100wit x twrs Owe c11eC4 tht'l lu r-.must NttaGl w ail additar0 s Ar*mo aw.hitt&of tra.sub-L-onlract w,and their workari,,wilt pNtcy taitar�-1111111.111 11 ;lti4rl lam an entptovrrthat isproviding worlters'coaVemadon i'wwaneejarAV eraployrev. helot,,hr;heparley aW jvb,she he"A t" Insurance Company Naive! OLD REPUBLIC INS. CO. Police 4 of Sel-inY. Lie.?x _MW r Q;a437Q0.._ __ Iixpirdton I7ato- 10-01-16 Job Site Addi-ess-6 8 MILLPOND --_ __..,_._ _.__,,_.,� .�.C'i •Stat�li : NORTH ANDOVER,MA 01845 Attach a cap`of the worl►ers'compensation pulley dec art:tion;rage(shaving the pokey number and oplration date). .Failure to wcure coverage as requircxl ande: Section 25A of VIGL c: I$!can hied to the imposition of criminal pe aW.j3 of a fine up to S 1,1400.00 andior one-year ut+priwnment,as well as cavil petittltie in the form erf a STOP WORK ORDER and a fins of up to''150 00 a day against the violator. Be advised that a copy oft his statement may be forwarded tAt the Office of Inveatigattons of the INA for insurance co, ;mge verification. i do Hereby e -*or rhe pants undpenal#es of perjury that the irrinr> ma ptotit ed a4eie it lowe and can-at P ne 51-2200 Ofjleial oto only. nn nit WHO u1 this arm to he raxlpleYed by r1#1 or town o,Jlriel City-or Town: PertmitrLicense 3 Issuing Authority(circle onep 1.Board of Health 2.Building Department 3.City1own Cyerk 4.Electrical Inspector.S.Plumbing rupecbr 6.Other Contact Person., I'harre�: q ANDECOR-01 YADAVY O FDATE(RAWDDIMY)CERTIFICATE LIABILITY I 010/11215 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(les)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 COMEA'T Wiliis Certificate Center Willis of Minnesota,Inc. PHONEFAX c/o 26 Century Blvd VVC,N Ext):(877 945-7378 AIC No):(888 467-2378 P.O.Box 305191 E-MAIL Certificates willis.com Nashville,TN 37230-5191 ADDREss: INSURE II AFFORDING COVERAGE NAICN INSURERA-Old Republic Insurance Company 24147 INSURED INSURER B Renewal by Andersen LLC INSURER C; 30 Forbes Road INSURER D; Northborough,MA 01532 INSURER E. INSURER P: 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 INSURANCEADDLISUBR POLICY EFF POLICY EXP LTR INSD O POLICYNUMBER MMIODIYYYY MMIDDNYY LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCTO CURRENCE $ 1,000,000. CLAIMS-MADE T OCCUR MW44 ZY 3050 10/01/2015 10/01/2016 PREMISES occurrence) $ 500,000 MED EXP(Any one parson) $ 10,00 PERSONAL&ADV INJURY $ 1,000,00 GENLAGGREGATE UMITAPPLIESPER: GENERAL AGGREGATE $ 4,000,00 X POLICY a JECT r LOC PRODUCTS-COMPIOP AGG $ 4,000,00 OTHER: $ AUTOMOBILE LIABILITY _LFCOMaBINEDtSINGLE LIMIT $ 5,000,000 A X ANY AUTO MWTS305438 10/01/2015 10/01/2016 BODILY INJURY(Parperson) $ ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY(Per accident) $ NOM-OWNED PROPERTY DIV GE $ HIRED AUTOS AUTOS Perecddent UMBRELLA UAB OCCUR EACH OCCURRENCE $ EXCESS LIAR HCLAIMS-MADE AGGREGATE $ DED I I RETENTION$ $ WORKERS COMPENSATION X STATUTE ER AND EMPLOYERS'LIABILITY A ANY PRO RIETE�XCTNER/LUC 7 ECUTIVE Y� NIA MWC30543700 10/01/2015 10/01/2016 E.L.EACH ACCIDENT $ 1,000,0 00 (Mandatory In NH)and E.L.DISEASE-EA EMPLOYEE $ 1000,000 It yes describe under DESCRIFTIONOFOPERATIONS Wow E.L.DISEASE-POLICYLIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 181,Additional Remarks Schedule,may be attached If 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 25(2014101) The ACORD name and logo are registered marks of ACORD M wa husette-Oep artraent of Public Sam Board of Building ulation. and Standards Construction Super%jsoir . yy <; P i Expirafton ' ..y- V�ta• ((.'O'/)2iYlt4'!tU/¢CICGtL 0�(�`l�LadQa�d4?Gfb 4 ice of Consumer Affairs&Business Regulation ME IMPROVEMENT CONTRACTOR Registration,.:'ihsi0 Type: Explrat[(Ms;}meq Supplement Card RENEWAL BY AHDERWWLLZ JAIME MORIN 30 PORBES RD •3'�-- NORTHBOROUGH,MA 01532 Undersecretary I PRODUCT PERFORMANCE Andersen'NRC Carfified Total Unit Perfor-a-man.ce(continued) Andersen'Product Glass Type 1.1-Factor' SHGCI vv Zoe Series Clear Dual Pane 0.45 0.60 0.63 Clear Dual Pane with Grilles 0.54 0.56 Lm%,-E 0.30 0,32 0.55 1 Double-Hung Windnw Law-E With Grilles 0-30 0-29 0.49 HP Lmv-t4 MaOun 020 0.21 0.49 7? HP 1-I-E4 SmanSun INIGriltps 0.31 0.19 0.43 Clear Dual Pane 0.45-0.61 0.64 Narrallne, C!,+r Dual Pan...Grilles 0.45 0.54 0.57 Bouble-Hung Window LowE 0.30 032 0.56 0.29 0.50 Clear Dual Pane 0.44 0.0.3 0.66 Narralme' Mir Dual Pane with Grilles 0.44 0.57 0.59 Transom Mminiv - tow-E 0.27 0.34 0.58 0.52 Clear Dual Pane 0.45 0..60 0.63 Clear Dual Pane with Gd1les 0.45 0.54 0.56 Gilding Window Lc%-E 0.30 Low-E with Grilles 0.30 0-29 0.49 Lay,.e MBULM 0.30 021 0.49 Low-E smansun with Ginies 0.310-19 0.43 Clear Dual Pane 0.43 0.61 0.65 Clear Dual Pane,.-&h Gn1les 0.43 0-55 0.58 Faed,Transom,. '�10-1�1211 033 0.56 -1-lop mmmV Loly-t•;un Grilles O.-B 0.30 0.50 L(ov-E SmanSun 0.27 022 0.51 Low-E Sma rtS oil with Grilles 0.27 0.20 0.45 Clear Dual Pane 0.44 0.61 0.64 Clear Dual Pane with Grilles 0.45 0.53 0.56 4w-E 0.29 032 0.56 Narrollne* ) Low_E Ailh Gdlles 0.30 0.29 0.49 Gliding Patio onors LMVIE sun 0�29 0-20 0.31 low-E Sun with Gd1les 0.31 0.18 0.27 h. Lmv-E SmartSun 0.18 021 om W-L zmamun wfur Grilles 0.30 019 0.44 Gear mal Pane 0.43 063 0.64 UM Deal Pane with(cones 0.43 0.54 0.56 L.,-E 0.28 032 0.56 Low{with Grilles 030 029 0-49 Gilding Pad.Do.. Low{Sun 0.29 0.19 0.30 tow{Sun%vfth Gniles-0.30 O�17 0.27 lmv-Esmartsun 0.27 0.22 0.50 Low E SmartSun wfth Grilles 0.29 0.19 0.44 :41 _1 Cle,�rNal WPM 0.43�0�,450.47 - Clear Dual Pane with Golles 0.43 039 0.40 - Low{ 0.32 0-24 0.41 Hinged.Inswing L.-Euft Grill. 0.33 021 0.35 Patio Doom --------------- aun 0.32 0-15 0,23 Lmy-E Sun with GdllEs 0.34 0.13 0.19 _L21V-E SmsrtSOn 0.32 0.16-0.37 Lmy-ESmamun with Grilles 0-33 014 0.31 4