HomeMy WebLinkAboutBuilding Permit # 8/4/2016 yaRTry
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BUILDING PERMIT
TOWN OF NORTH ANDOVER � p
APPLICATION FOR PLAN EXAMINt
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Permit NO: 1 Date Received #
Date Issued:
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IMPORTANT:Ap licant must com Tete all items on this a e
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TYPEOF IMPROVEMENT PROPOSED USE
Residential Non-Residential
New Building One family
Addition Two or more family Industrial
Alteration j No.of units: Commercial
Repair,replacement Assessory Bldg Others:
i Demolition Other
Clatet
44
1A A-
Identification Please Type or Print Clearly)
OWNER: Name: t .
Address: G `
4
How
ARCHITECT/ENGINEERt- = Phone:
Address: l 1,�jg No.
FEE SCHEDULE:BULDING PERMIT:$12.Oo PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F.
f'
Total Project Cost:$ 6Z' FEE:$
Check No.: A -Receipt No.: '
NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund
Signature of Agent/€caner, _.�I_ Signature of contract R -- —
Plans Submitted❑ Plans Waiiv�od•❑. Certified Plot Plan ❑ Stamped Plans ❑
L
OF.SEWERAGE DISPOSALc Sevrer ❑ Tanning/MassagelBodyAirt ❑ SwumningPools ❑❑ Tobacco Sales Food Packaging(5ales ❑
e(sep is tank,etc. �f�f\\ pennanwtDumpster on Site ❑
THE FOLLOWING SECTIONS FOR OFFICE USE ONLY
INTERDEPARTMENTAL SIGN®FF-U FORM
PLANNING&DEVELOPMENT Reviewed On ��G Signature_ ku
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C�OIVItv1ENTS s ��� rL�S{ d j� 5� t��v
XI-1
CONSERVATION Reviewed an t�� Ila Signature t
i yy
COMMENTS_ u A I n O`
4 i
)""\HEALTH��Reviewe�don ��
Signature
COMMENTS
Zoning Board of Appeals:Variance,Petition No: Zoning Decision/receipt submitted yes
Planning Board Decision: Comments
Conservation Decision: Comments
Water&Sewer Connection/Signature Date Drivewv Permit
DPW Town Engineer:Signature:
Located 384 Osgood Street
FIRE DEPARTMENT Tern p;Dumpster on slte.: yes
Lfleated at 124 Marn Streaf
Fire Department signaturelclate
COMMENTS
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6rstary
Town of Andover
o m
o h ver, Mass, ''2 0¢ '2.0/
q <och.�»a..,c. n
46
,S V
BOARD OF HEALTH
Food/Kitchen
�rERmmmlT �1 0 ILD y+ Septic System
THIS CERTIFIES THAT.f ... .�ns.T .... BUILDING INSPECTOR
P g A60t#J� �,Iim.... Foundation
has permission to erect..........................buildings ..... ..... ....
Rough
tobe occupied as..... �'i ............................................................................................. Chimney
provided that the person accepting 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
LESS CONST TIO °.""
Rough
a Service
.... .. BUILD...IN SPE... ........ Final
C R
GAS INSPECTOR
OmWancy.Permit Reatuired to Occupy uiidhw 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.
PROPOSAL
MEISNER BREM CORPORATION AND
13 ENGINEERS PLANNERS - LAND SURVEYORS PROFESSIONAL
SERVICE AGREEMENT
CLIENT: Al Ferullo Date:July 20th,2016
Address: 30 Bruin Bill Road By: KDM
Twn/State: No.Andover Ma Proposal#:{Q-5241
Contact: Chris Paquette Merrimack Construction Reference:
Telephone: 978-512-9211 E-Mail: chris@vmcgl23.com
PROPERTY DESCRIPTION:
Same as above
Owner's Name/Address:
GENERAL TERMS AND CONDITIONS: See Attachment A
SCOPE OF SERVICES: ❑x Described Below D See Attachment B
A.Certified Plot Plan: MBC will inspect the property and locate the building and other improvements
on the site and prepare a plan showing the setbacks to said structures to the street and lot lines,and any
appurtenances. Fee: $950.00
B.Proposed Plot Plan: IvIBC will calculate and add the location of a proposed addition to the above
referenced plan for the purpose of.a obtaining a building permit Fee: $250.00
C.Stake Lot Lines Set Corners: MBC will place iron markets at the corners of the lot and wooden
stakes along the lines. Optional Fee: $900+s_
COMPENSATION SCHEDULE: El Estimated Fee ❑Time and Material Other
O Invoiced Monthly G,Invoiced at Completion ❑See Attachment C 21 See Below
Estimated Contract Amount:$1300.00 Retainer:650.00 Date Received:
IN WITNESS WHEREOF,the parties hereby execute this agreement upon the terms and the conditions stated above and on
the referenced attachments.The CLIENT hereby authorizes AIEISNER BREM C49RPORA TION to perform these services
and agrees to pay all invoices upon completion or delivery of said plan. A service charge will be applied to all bills 30 days
past due. The rate is 1.5%per month{used upon anannual percentage rate of I8°l. MBC also requires a 50%retainer
upon receipt of a signed proposal to begin work.
WISNER BREM CORPORATION: CLIENT:
By: By:
Vice-President
Signature Title Signature
Kurt Meisner 7/20/16 —
Print Name Date Print Name Date
THIS PROPOSAL IS NULL AND VOID IF NOT EXECUTED WITHIN 30 DAYS
El 202 Main Street—Salem,NH 03079 phone: (603)893-3301 fax: (603)893-1977
From nstophar Shanaha:Fax:(888)4657642 To:+19786889542 Fax:+19786889542 Page 5 of 5 07112t2016 1:14 PM
P it
AM
Licensed and Insured
Chris ShROARAn
1 Westech Drive unit 1
TyAgshoro,MIA 01879
978-5129211
AlFerrulo -
3D Bruin Hill Rd.
North Andover,I41A 03845
dune 3,2816
Proposal
Dig necessary footings in specified areas
s Fill with concrete
m Frame deck with pressure treated lumber-tying into existing-deck 13'x 26'
o Install necessary joist hangers and lag,bolts
Frame necessary opening towards left corner deck with necessary reinforcements to
support hottub
e Install new composite decking,matiching exis€iuggdeeking,best efforts-made
+ Install new vinyl post and rail and baluster system around perimeter,securing as
needed
a Add extra support as needed to existing deck
Hot tub pick up
Pick up and dispose of all debris
® permit included
Total Cost:$14,500.00
Provisions:
Y2 due at signing of contract
L due upon completion of job
Any changes or add-ons in contract will be dratam up and signed by bath parties
?ccepiauee of-Proposal
The above process,specifications and conditions are satisfactory and hereby aGcep�d.'You are authorized to do the work specified.
Wt1in
abov.Payment will � —f"'
Af3.4.._ck Construction C1roup,Tue. Ilomeowuer or Aufho' ed
(/f/ 1'6 / G //fl 7
;rate Oate
Thank you for choosing Merrimack Construction Group,Inc.
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(71POIV
From:Christopher ShanahmF—(088)465-7642 To:+19786889642 F.:.19786889142 Page 4 of 5 0711212016 1:14 PM
DATE IMMID—WI
AC�IZD� CERTIFICATE OF LIABILITY INSURANCE 6/30/2016
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED
REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER.
IMPORTANT: If'no
certificate haider Is an ADDITIONAL INSURED,the policy(ies)must be endorsed. if SUBROGATION IS WAIVED,subject to
the terms and conditions of the policy,certain policies may require an endorsement.A statement on this certificate does not confer rights to the
certificate holder in lieu of such endorsement(s).
PRODUCER NAMeC Patty Jensen
Tonry Insurance Group, Inc. PAHtoNE E (761)861-1800 etc (761)861-1804
238 Bedford Street nWREss;certs@tonry_ccm
INSURER(Sj AFFORDING COVERAGE NATO$
Lexington MA 02420 INSURER AEndurance American S ecialt 42718
INSURED INSURERB:COmmerCe Insurance .34754
Merrimack Construction Group, Inc. MSURERc Evanston Insurance Com an 35378
1 Westech Ar Ste 1 .MsuR=_RD:
'INSURER E:
Tyngsborogh MA 01879 INSURERF,
COVERAGES CERTI FICATE N U M BE R:QLI632212776
REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE h15URED 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.
Dan
POLICY EFF _POLICYEXP LIMITS
LTR TYPEOFINSURANCE INSD WYD POLICY NUMBER MMIDDIYYYY MMlDDlYYYY
X COMMERCIAL GENERAL LIABILITY ( EACH OCCURRENCE $ 1,000 000
,
A CLPIi1S-MAC �OCCUP. I .PREf 115.5-a occurrence $ 100,000
CBC10004160003 2/4/2016 214/2017 'ME FTF(R Yana par=o:.j 4 Sr000
j pERSGNAL S ACV I111UPY j$ 2,000,000
GENL AGGREGATE LIMIT APP:.:ES PER: I GENERtd.AGGREGATE $
2,000,000
O- ( PRODUCTS v CGMP{OP AGC $ 2,000,000
POLICY[K,PRJECT 0 LCC
OTHER: - u
$ 1,000,000
AUTOMOBILE LIABILITY E&a«idenij
I 30G'LY DJ "c'
$
B ANY AUTO
ALL CWNED IXj SCHEDULED 112069 4/23/2016 4123/2017 3CCYLY:Nt�RY'Pel acUtlen:1 $
AUTOS
�x:
RUTOSpRCP RTY DPMAGE $
NONGYNNED 11 Peraadenti
X HIREDAUTOS AUTOSX UMBRELLALIABXpCCUR EACH OCCURRENCE $ 2,000,000
C EXCESS LIAB CLAIMSMADEAGGREGA`E 4 2,000,000
DEG RET-NT:ON6 tXOBH6372216 2/412016 2/412017 $
WORXERSCOMPENSATIDN STATUTE ER
AND EMPLOYERSLIASILITY YfN,
Af,Y PROWIETOR-ARTNER/EXECUfl VE .EI.EACH ACCIDENT $
OrFICERINEM''ER EXCLUDED? ❑lN/A I E L.DISEASE EA FAIPLOYt 8
(10-d.t ry I NHI
Il vaseescibe- der E1.D ASE-POLGY LIMIT
D'eSCRIPTiON OF OPERATIONS beicw i
D Rented/Leased Eq.ipment I I4f8994422 8/18/2015'8/18/2016�R -t Cas; 200,000
Deductible 1,000
DESCRI
PTION OF OPERATIONS t LOCATIONS I VEHICLES(ACORD 10t,Additional RemazNs Schad�te,may be attached if more space is required)
Project: 30 Bruin Hill Korth Andover, MA 01845. Certificate Holder is an Additional Insured, when
required by written contract, but only to the extent Provided in the Additional Insured endorsement(s)
attached to the policy, a copy of which is available upon request.
CERTIFICATE HOLDER CANCELLATION
i
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
Town Of North Andover THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
1600 Osgood Street
Building 20 Suite 2035 AUTHORIZED REPRESENTATIVE
North Andover, MA 01845
L Tonry Sr.!?A'='TYJ
01988-2014 ACORD CORPORATION.All rights reserved.
ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD
INsnasr2mso„
From:Christopher ShanahaiFax:(888)465-7642 T.:+19786099542 Fax:+19786889542 Page 2&5 07tl 212016 1:14 PM
a-'u;, {office of Consumer Affairs and Business Regulation
y� 10 Park Plaza-Suite 5 176
Boston,!Massachusetts 02116
Home Improvement Contractor Registration
Registration: 172286
Type: Private Corporation
Expiration: 6!7/2018 Tr# 289375
MERRIMACK CONSTRUCTION GROCIR tN _ --
CHRISTOPHER SHANAHAN ;
1 WESTECH DR. .._-
TYNGSBORO,MA 02187 „F
PUpdate Address and return card.Mark reason for change.
Address ;"Renewal Employment Lost Card
SCA! ii W.WcSi11
r r License or registration valid for individual use only
�_ Offcc of Consum rAffai s&R s essRg Eatioa
=,;HOME IMPROVEMENT CONTRACTOR
before3he expiration date. if found return 20:
c
:- T A. Office of Consumer Affairs and Business Regulation
'- Registratrorr, 172286 YP 10 pork plaza-Suite 517'0
M -� Expirations 6(7/208 Private Corporation Boston,ID1A 02116
MERCK CON5TRUCTIgIg1,G OUR INC.
CHRISTOPHER SHANAIdAN
1 WESTECH DR.
TYNC,SBORO,MA 01879 u dcrs er wy of va id without signature
_ Massachusetts Department of public Safety
Board of Building Regulations and Standards
License:CS-023707
JOHN P SHANAHAN t
66 CHERYL LEE LANE
s
LOWELL MA.01864
Expiration:
Commissioner 1010612017
cPN 163g234'E
ONN A•Q�e
W�
84.96• K78 33` 200' WIDE \
S87'af53'E
NEW ENGLAND POWER F'
COMPANY EASEMENT
J f MAP 104—A —
f / BLOCK 9 �
LOT O
365.54'
87,122 5.F,
S86'37'28'W
a� PROP. 12'X20'
to EXISTING DECK DECD ADDITION
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DWELLING
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SCS 60.8
59.0'
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5.57 �1
PAVED
SIDEWALK
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CUP,R£NT 20A1t DISTRICT RI
0- MNIRLIV LOT AREA -= 87,120 S.F.
`�+l A9JNiMUht FRONTAGE- 17.5'
6, ,yAlN1MUAA PUILPING SE784OKS,•
t�J FRONT JO FEET
SIDE .= JO FEET
REAR 30 FEET
REFER NCE PLA/V'
PLAN OF LAND IN NORTH ANDOVER, YAS5:'
PROPOSED PL O T PLAN PREPARLCD FOR JEN—COR CONSTRUCTION CO:
INC. SURVEYED BY A7LANT/C ENGINEERING &
SURVEY CONSULTANTS INC. DATED JUNE 6 ,
MORWANDOPM MA 01845 1990 AND RECORDED IN THE E.N.R.L7 AS PLAN � !
#f 186.5 Y
PREPARE FOR. ORAmN
G1,ltCAT1QL1�
202 MAIN S'MEET,SALEM,NH 03079 (sus)59 3301
CK TR� ._ 142 UMUON RD.,sT 16, T� MA meas (axs 893-Ial 1 HER£UY CERTIFY THAT THE PROPOSED �
t9 DECK DOES CONFORM TO THE TOWN FBF
NORTH ANDOVER ZONING BY-LAWS
REGARDING SETBACKS TO STREET LINES`AND PM sEa[
ALBERT J. t�RULLO SI ELINES.a PM xAN is 7 �7Zr WITHOUT
3O BRUIN MILL RD.
NORTH ANL70lf£R, MA O7D 5 Q 8ar� u« SCALE J DA M- JULY JJCB NO.: 2577