The URL can be used to link to this page

Home My WebLink AboutBuilding Permit # 7/22/2016 :ao�rN BUILDING PERMIT oF�TLE� Ie�M TOWN OF NORTH ANDOVER 3= g�``` 1 6 APPLICATION FOR PLAN EXAMINATION Permit No#: Date Received qs$H Cl111`-'fit Date Issued: IMPORTANT: Applicant must complete all items on this page LOCATION t Print PROPERTY OWNER R CuA UII &y— Print. 100 Year Structure yes no MAP PARCEL: ZONING DISTRICT. Historic District. . yes no Machine Shop Village yes no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building ❑ One family ❑Addition ❑ Two or more family ❑ Industrial ❑Alteration No. of units: ❑ Commercial X Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other :.,;, , rN x r r a.n' .�"'1s'.ti� .'=:• .it'.'""" '/G: ='r- ,,��,.-t".,.w r Flood a �1letla ,7ga&NO- �Iillaters ed D i �$ DESCRIPTION OF WORK TO BE PERFORMED: h h1a4idn C44ykts iAr s} n7 y ma Identification- Please Type or Print Clearly OWNER: Name: Wc"xU_ Wks.e_ Phone: (Ng l�-7q-GI 293 Address-.=.7z rte. Ckk' of Contractor Name: P-Wi\04A to Phone: (SbB� 382 70 Email. it Address 'I�oK (e�ill MAY1GVl�Ctir Supervisor's Construction License: CSS L-- I6(o3s Exp. Date-.......'I [l12d S Horne Improvement License: 182792 Exp. Date: 727 tZot1 ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE:BULDINC'r PERMIT.$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED QN$125.00 PER S.F. Total Project Cost: $ 3,9161. We FEE: $ - P,2-r Check No.: Receipt No.: �� NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund u txORriy own of zAndover 0 1 No. C, - LAKE h ver, Mass,go Zz %0/ A. LOCNEC Kl wELK yh rea LI BOARD OF HEALTH Food/Kitchen PERMIT T LD Septic System THIS CERTIFIES THAT ..... ... ...,..... ,f ......................................... .... BUILDING INSPECTOR has permission to erect .......................... buildings on .....4..�... .......,.. .....,........ Foundation Rough to be occupied as ...LVA . .01�'.,✓ r,�t� �!! ..1.# ^A. Chimney provided that the person accepting this permit shall in every respect conform to thifterms 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 CONSTR N Rough Service .. .. ..... . . ....,.... ... Final BUILDING IN CTO GAS INSPECTOR OccupancV Permit Re uired to Occupy Buildin 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. &.z Federal ID d 06-0405628 RISE Engineering RI Contractor Registration No 8188 MAContractor Regrstrattoli No 120979 A dIvision nf'llliclsch Fatginerriug MKISE ENGI EERING' Company Address,(.1ty, i,1 041111111 CONTRACT fp CT .1 4111-123-1234 FAX401-123-123 Page 1 1'RDGRAM 9;33 cOMACTE3 EHEREO IKF]6EAVEEn Ra3E ('a�EA-t)13S E!lGINEEPINOARo1H10U!1XMERMRWOnKAs a eeaenieEoaEttrx CUSTCNER FIEOME GATE CLIENTC WOBiK OReEP Michelle Wise (561)379-9293 06 4832 OM3 eERt1117§1211n6ET U411140 OVERT 72 Peachtree Line 72 Penclilree Lane sERviCE ctly,swa,nr - _ - Rluallo citr,avkv,zip North Andover,MA 01845- NortIt Andover,MA 01845_ fill JOB DESCRIff(ON HAZARD BARRIER:We have idwiilwd that there arc recessed lulus present in your home.unless the recessed lip}tisare cerin as IC-rated(Insulai ion Comacl Ruled)=still create a 3"CIOMVIce space ornalid the Iisture by using libergluss Ulunket insulation as n charming material,no insulation Hill be installed across the top andelosed cavities Wiieh contain recessed lights Nill not be insulated. 50.00 AIR SEAL INQ Provide labor and materials to seal areas at'your home against ssastcful,excess air leakage. This nark stillIx performed in conecrt Wilt the use of special tools and diagnostic tests to assume I11at your home hill be left ailh a healthful level of air cxchan_w and indoor nir quality.Materials is In used io seal your halve can inelude caulks,foams and tit her products. Primary art:as Itir seating incitide air leokagc to attics,basemcuts,allaclicd garages and other unheated areas(%%indoxs are not generally oddresecd,) This W11 require(12)iwrking holes,A rcductinn in cubic feet per minute(c Fin)of air infiltration sill occur,bid the actual number ofelm isnot giairantecd. Alihe corn pletfort of the%v at herizat ion lwrk>and at no additional cost to the homLnsincr,a final bloskcr door andlor combustion safety analysis skill be conducted by the sub•contraelor to ensure ilia safety of(lie indoor air quality. 51,020.00 DAMMING;Provide labor and materials it)instill a 12"layer of R-38 unlaced fiberglass hit is to(64)squarc No fair damming purposes. $131.20 ATTIC FLAT:Provide,labor and materials to install it 4"layer ofR-14 Class I Cellulose added to(692)square feet of open attic space.THESE AREAS IiAVE FGB. 10" .,Tt115INC LUIiDS(WER A4ASI'Elt BEDROOM+EXPOSED SLOPE. $781.96 KNEEWALL&Provide labor and materials to install 2" FSK faced wmi•rigid fiberglass board insufalion to(262)-Aluarc feet of kneew ll arca,OVER GARAGE ROOM AS%V ELI,AS OVER MASTER BATii...TH1S INCLUDES SKY LIGHT 51IAFT. 5917,00 ATTIC ACCESS Provide Rubor and materials to insulate(3) tuck of the knecivalt hatch math 2"rigid Thcrmax botird,and seal the edge of the hatch Will kieatherstripphtg. S180.00 .......... VENTILATION:Provide labor and materials to install(2)insulatedcxhaust hose iiilh roof mounted flapper vent to exhaw-t existing tuthroom fsm(sl. $237,50 VENTILATION:Provide labor and materials to insitElt vcntilmion chutes in(70)nificr txlys to maintain air flaw. S 140.00 COMMON WALLS:Provide labor and materials to install 2"[;SK faced semi-rigid filxrglusi Ixxird insulation to(100)square fret of common wait area.ABOVE MASTER BEDRMNI VAULT. 5560.00 Federal ID#06-D405629 DISC Engineering RI Contractor Raglstratlon No 8186 MAContractor Reglslratlon No 120979 A tlirisioH ltf"nricl3c4 P:tlgincering RISE CDInItuD}Addrest,Crit}',a\1r1,Ion°o CONTRACT ENGINEERING' 401-123-1234 1-*eIX 401-123-1234 Page 2 NIOGRA114 WS t..MIX-111'.5 E OWEERINGANDD 14E CLISIMER FOR WORK AS OESCRIDED DEWW CUSX)ER PHONE DAW CLIENTO WORKORDER ,tilichelic Wise (561)379-9293 0511012016 421832 OD003 SERVICE SINEET EIWNG SMIIET 72 Peachtree lane 72 Peachlrae L me SERVICE CITY.STAE,23P BILLING CIN,StAtE.7JP North Andover,MA 01845- North Andover,MA 01845- JOB DESCRIPTION Total: $3,967.66 Program Incentive: $3,110.00 Customer Total: $857.66 V1 E AGREE HEREBY TO FURNISH SERVICES-GOMPLrM IN ACCORDANCE WITH ABOVE SPECIFICATIONS FOR THE SUM OF **`Eight Hundred Fifty-Seven &661100 Dollars $857.66 U"FINAL ECACN AND APP AL BY RISE ENDntEERiNQ CU57GNRRMITOPS SDREWAMOUNTDUEIN RITC QF 1'K WDL BE CHARGED MCNTNIY Wi ANY UNPAID IIC AFIER300.4Y EaRAVERSRFORWFORTANTWFDMMT0NON CdARAIMES,RIOtRaOPREGI W,SC UlfNO,ANOCOHiRAC7SMiREOIS'RA110N. N TSIGN THIS CONTRACT IF THERE:AAE YSL SPICES OSIGNA E-RI548nulnf iER ACCEp C N1 'R CTRAYBEWIMURAWNBY US IPNOIE%ECUEOWML4 DAM OF AtCEPMCE ACCEPTANCE OFCO"IRACT•THE AS17V&PRICES.SPECIFICAVONS AND CONDR)ONS ARE 30DAYS. AS SPECIflLED PPAUYMENTWNlEE MADE EBY AS GMNEOA90VE YOU ARE AU1NCRtgOppO VIE WORN F / !! T��.ln RISE60 Shawnnut Road, Unit 21 Canton, MA 020211339-502-6335 ENGINEERING www-RISEengineering-corn OWNER AUTHORIZATION FORM I, L (Owner's Name) owner of the property located at: (Property Address) �� (Property Address) hereby authorize (Subcontractor) an authorized subcontractor for RISE Engineering, to act on my behalf to obtain a building permit and to perform work on my prop hi form is only valid with a signed contract. Owner's Signa ure Date {016 �� The t°:°tataa tcataraaeafth q1. r rts.y't�ac'httst-fts epttrI"ttttW qf 11(fus/1,10Ac'eidefrfs VIVO- Dosloii, MA 02114-2017 't a,tty[P.miafiss"901"Iefla N"o<"csMM'C'rsawwiAcaarraaHon tns nr°aance AMMH:t.ie Ovral d3wunasaam. I'tA tits�a"f3� "I1�'y i'F'lt"t'tif PE,ttl't4t'd'°d° NG'AUTI ft;MI i`V. Pfease PrAn is �taG :;/ trataorttti<arrP 4<ar7nriC City Energy Address:F10 Bcrx 641 1 (Ity/Stt.tte/Zip:1Vl rrr lac�mmtc i^ml_ll V 031()8 '}tcAlae r" 603-3914M aaa r ,you€o atmlA !Check the aappivp>yNte bumbumuMness"8"y�pe(reeinWed): �., oya IZ I B ]14ctaait If'�_� rra�Ianurt��time�).:��•aa�rth c.rnlrlaay r;c,s(Cull aaatc9� C Y� _ _. G_ IZ taauraaarCrl'3ata ti <atans I �t ahlisfiffle 7t :�7 0 t';ar7�a sol, pmpn-ie.traa an paamemlAp nml lmve no 7. 011-ice.atid/or Sales(iric 1."Cal c.ytate,slat(),etc-) employ cos working,for aarc in any r rapacity. s -profit [iv!tA a%rorlc+~ p. so. ca I E3 ","✓o nnw r-a cor}amMirm and is othcc,rs have exec awdd 9, E ante asainnmcnt thAr right orexon ption barer c. 1% §I(4),and vve have I O.[� ac;turing no a m>kr a°r , such,wvo w-s term p tins l-la f.erccptnaa�d� ^ with m uaar rlrryo cr„. [No workers' a irtld4 4. ty c am a n�n `s�rr�t�t<�uurdt” � I vc'aliarrte,cas, t'1.� � [Ir:altla Care, 1 Y 7 p 1�yA. tN( X- 1 ccas C0111 1). ansuraana,c,accL,) I�7.� (9tfari lit �trplic<tm tpa at uhcc4 1�ad,d,k errti.�,rlwen Iilf a.. ow s"a tura,t�t,lrn 1,t,� inr„flick��ari<«, c inlacea tint>r,t,trh,t inf,>rn,;aurna. It tpw rarr'par<de nlfl us h.avc eseinpwd ahenxaeit m bm to rar,-tmi5tAm lass aahi ottiaP acs, a wmLNI cxrrmpaaatiDn POLY CUOMOqswh au n ;inir rfitrro sIlotdd Check bcoa fl ,.af d6BaF dd'P8 C°/X8�X�4X r'N"P°�d(MP d'.0 'l�"Clhrl l�Ed'X9y 66^f7N're'r:B",9 LdIbYdy¢JC*PP S`fP�°IdYFP d6d.5dlVfSbNP.:C' IIB P88 r'a`?FAft�'t�d1y P4.'.'z, Below k filC'�ldi�`&4}"dFP AlY 67PlXl'1frfF. �__.._. tea C l;rrne:C I<arlc Insatrtance [v�surzaarr:c Colopally .. _....._ Iaanwev'... One Sunclial Aavc..rnue b.'3t.tite,,:30211 C':'iByFlt3taater' ip>: 1 Y sncl7c stir N1 1 031 Cbl IVVC9791F39C1 _. . ._..._._Expiration Daate:'/29120'17 policyi?car�;csl9:.iras.1 ic;.�r`."�____.____.____.._...._ _.m._.._.__ A'tfnma.ia as tarul7y a'st i&am wwetr icw a° ''ca;rnaiacaaaaa'tiern g a'r9at:j,da¢a lraatiarra g�aa�age(sho wing tine yaaa9icy mans➢,wer�at�ad cxgair�aaf¢eaar(9nt�e), Fakiuv to secure crag ct tge ars required under Seclio,>n 25A tof N46L,c. 152 can lead R)the irnpositiorl ok rinrinatl pr mastics ol'aa fille upa'to$1,500.00 and/or cans:-y.,aar itarp risoiln elo,ws woll as,eivil yac+r,ANK in Hw f Mil of"I`;T01' "a'a`C7RK i,""7p'tDF."R and a i'irre° rrFup to`li?50M0 as d W 'a:,atio%t Qe aricaiatr n Bc arch iasr'xd UNn <a<ut, raftA,,tato,mms mny Fra:: Anvarrd k tole t9f9icc,of Investigations of,the DIA tion'mastIrsanee creak€.;rage vearilie€ation. rlrr dac rraBvy r�rPi pa,rat rtaa,ti rratcf frr>rarr9dat�s r f�rc�r pttr.Y FBaraF dX¢ax zar/rnrserraRir�rr garr�+alar e-(yrr xrtc da Barre(aaaaP eors�ed. a. f'Itgr,ac.,=tn,603.0964520�y qpcfrrl rake rarQ0 Do rrroa Me gar tfrts tear,^ra,to be acraaaf)fetertf prt,r i�v trr traavra rsffic:araf. Cly or'3own. --— — •tlwr rnWI acr'nsr:9--__ tssrals g A,tuthority(rirvic asracr°: I. I3rraa d oTttaanith ?, t3¢aiiatiruC;Ftrp ataaau,aat, 3.C''i@yn/t"rwwara Q�:Ia m'tc 1. iicacersrtaait Ia3rrnroad i.:aalcc7rrsaas°'s CAt'iaco:° 6,CAfher Contact Paaaso": i'F ouv;k—". ..- Wt 4h'lw.ftYdw„�.LtaS X411i4 MILLCITY-1 AGOULD DATE{MMIDDIYYYYI CERTIFICATE OF LIABILITY INSURANCE 7/19/2016 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 License##AGR8150 CONTACT Clark Insurance PHONE 603 822 2855 FA1t 603 622-2854 One Sundial Ave Suite 302N {s~rc,rto,.ExE};.�__._ .........._'_.__......._. ...__.......__-----_—_-.. LArcLO):( } Manchester,NH 03102 E-MAIL ADDRESS: oa uld clarkinsurance.com INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:Arbella Mutual Insurance Co 17000 INSURED INSURER B:AmGuard Ins co 43290 ------... .. _... _. _..__..._ ..._.-- _ . _. ..... _....__....._...._._....... .. Mill City Energy INSURERC: 106 Joseph St PO Box 6411 INSURER D Manchester,NH 03102 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 - ADDL SUBR POLICY EFFPOLICY EXP M LTR TYPE OF INSURANCE INSD WVO POLICY NUMBER _ _ MfPD_ -_ MrAyRq YYYY] LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 X D AG£Ta TED CLAIMS-MAGE OCCUR 8500065735 04129/2016 04/29/2017 PREM€SE5 Ea occurrence) $__ 3_0 0 000 MED EXP(Anyone person) $ 5,000 PERSONAL&ADV INJURY _$ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY D PRO- JECT _ LOC AROOUCTS-COMPIOPAGG $ 2,000,000 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1 000,000 Ea accident , A X ANY AUTO 1020050919 04/2912016 04/2912017 BODILY INJURY(Per person) $ - ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS X HIRED AUTOS ...X AUTOS NON-OWNED _(Pe°ecddentJ_AGE $ X UMBRELLA LIAa X OCCUR EACH OCCURRENCE .$ 1,000,000 A EXCESS LIAB CLAIMS-MADE 4600065736 04/29/2016 04129/2017 AGGREGATE $ 1,000,000 DED X I RETENTION$ 10,000 $ WORKERS COMPENSATION X PER OTH- AND EMPLOYERS'LIABILITY STATUTE ER B ANY PROPRIETORIPARTNER/EXECUTIVE [-N NSA MIWC791896 04/2912016 04/29/2017 E.L. ACH ACCIDENT $, 500,000 OFFICERIMEMBER EXCLUDED? €" f __ ..-....... ................ - (Mandatory In NH) E_._LDISEASE EA EMPLOYEE $ 500,000 If yes,describe under 500 000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ , DESCRIPTION OF OPERATIONS I LOCATIONS t VEHICLES(AGGRO 1111,Additional Remarks Schedule,may be attached It more space Is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Town of North Andover MA THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 1600 Osgood St. ACCORDANCE WITH THE POLICY PROVISIONS. North Andover,MA 01845 AUTHORIZED REPRESENTATIVE ©19888-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD _................. Massachusetts Department of Public: Safety Board of Building Regulations and Standards License: SSL-105035 Construction sNzpervism, ^.apeciaRty MICHAEL JOY 106 JOSEPHSTREET_' MANCHESTER NH 0ffff1 %; Expiration: Cornmssioner 08/0712018 �qlI` Trrirlr//PPflt�+wr�A✓r [f �f l�:,Sur/l art<^!(J Office of C"ooauirMar Affairs 13nsif�er�Itepi�rls�tiou License or registration valid for inmlivit��Irel nwe 0111Yy ;. if iOMt.IMPROVEMENT CONTRACTOR before the,expiration elate. If found W eturn to: ?.a Office of Consumer Affairs and Business Regulation � egistratlora: 152792 Type j � xplratior�: 7127/2(717 LLC IO I'arlc Plaza-1711 Suite 5170 ,.; Boston,MA 02116 MILL CITY ENERGY,LLC, uui MICHAEL .JOY 106 JO 7EPH STREI r 11101e MANCHESTER,NH 03,102 (,lnelirye��ret:er7� - die s�aleont sip 'Y'it re