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HomeMy WebLinkAboutBuilding Permit # 8/4/2016 yaRTry ae^.t•e e,kd BUILDING PERMIT TOWN OF NORTH ANDOVER � p APPLICATION FOR PLAN EXAMINt ♦' r ti Permit NO: 1 Date Received # Date Issued: 8+ C� � 1�� �4SSiCHUS�S~9 IMPORTANT:Ap licant must com Tete all items on this a e ;. P ,t - A {���- � � �O?d1NafIT1T ft �I'3rstrl�t= des �., late Iltage s ; .. 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 '�l'� / <' 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 .,�. 0.v.. 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:$14,500.00 Provisions: Y2 due at signing of contract L due upon completion of job Any changes or add-ons in contract will be dratam up and signed by bath parties ?ccepiauee of-Proposal The above process,specifications and conditions are satisfactory and hereby aGcep�d.'You are authorized to do the work specified. Wt1in abov.Payment will � —f"' Af3.4.._ck Construction C1roup,Tue. Ilomeowuer or Aufho' ed (/f/ 1'6 / G //fl 7 ;rate Oate Thank you for choosing Merrimack Construction Group,Inc. i � el aux 2 (71POIV From:Christopher ShanahmF—(088)465-7642 To:+19786889642 F.:.19786889142 Page 4 of 5 0711212016 1:14 PM DATE IMMID—WI AC�IZD� CERTIFICATE OF LIABILITY INSURANCE 6/30/2016 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If'no certificate haider Is an ADDITIONAL INSURED,the policy(ies)must be endorsed. if SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement.A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER NAMeC Patty Jensen Tonry Insurance Group, Inc. PAHtoNE E (761)861-1800 etc (761)861-1804 238 Bedford Street nWREss;certs@tonry_ccm INSURER(Sj AFFORDING COVERAGE NATO$ 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 � t DWELLING r� SCS 60.8 59.0' p \\31,x, 5.57 �1 PAVED SIDEWALK ��: �• � A��,���P•� � �` ice' 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