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Home My WebLink AboutBuilding Permit # 9/13/2016 IAORTH own of _ ndover p ,• to yah ver, Mass, 15,AN COC..IL nlw.CR �� pa RAY •Q " SATED � U BOARD OF HEALTH Food/Kitchen PER I Septic System THIS CERTIFIES THAT �� 1 ! BUILDING INSPECTOR ....... ......... T�.,�......,.,....�... ...,. ...., ...,....., .. ............ ti has permission t0 erect...... . ........... buildings on ...r�„ ,. �� .. DF......_.,.... Foundation ., ... Baugh t0 be occupied as ..... .. . �..,..W .� . ... �.� �.�`.jlt�4 ...ff . 1..... Chimney provided that the person accepting this pe�lnit shall in ever respect conform toe terms of the application Final on file in this office, and to the provisions of the Codes and By-Laws relating to the Inspection,Alt anon a d Construction of Buildings in the Town of North Andover. r�►, ► %4USt PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. rror Rough Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS C®NSTTI® S Rough j — — fi service . . . . ... . .... ....... .... Final BUILDING I ECT R GAS INSPECTOR Occupancy Permit Required to Occupy Puildin 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. Plans Submitted ❑ Plans Waived ❑ Certified Piot Plan ❑ Stamped Plans ❑ TYPE OF SEWERAGE DISPOSAL Public Sewer Taiir ngfMassage/Body Art ❑ Swiu mffig Pools ❑ Well k'El Tobacco Sales ❑ Food Packaging/Sales ❑ Private(septic tank, etc. ❑ Pennanent Du pster on Site ❑ THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF m U FORM PLANNING DEVELOPMENT Reviewed On' I ILSignature COMMENTS �, C� - ill k\1 cr' C CONSERVATION Reviewed on Signature COMMENTS Ute-® vJ oJAgL" HEALTH Reviewed on Signature COMMENTS Zoning Board of Appeals:Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments Conservation Decision: Comments Water & ewer Connection/Si nature& Date Driveway Permit DPW Town Engineer: Signature: Located 384 Osgood Street FIRE-DEPARTMENT"'; Temp Dempster on sfe ayes no Located at 124 Mam'_Street;_ Fire,Department signatureldate Dimension Number of Stories: Total square feet of floor area, based on Exterior dimensions. Total land area, sq, ft.: ELECTRICAL: Movement of Motor location, mast or service drop requires approval of Electrical Inspector Yes No DANGER ZONE LITERATURE: 'Yes -No MGL Chapter 166 Section 21A—F and G min.$100-$l000 fine NOTES and DATA (For department use) ' 6/1 ly ❑ Notified for pickup Call Email s Date Time Contact Name S Doc.Building Permit Revised 2014 A8 commonwealth of..ZVMussq, IIimsetts , M . Department of-rndusirial.Accadents -1 congress Street,Suite 100 f Boston,MA 0.21J4-201-7 = www.mass go-PIdxa Wo3kexs'Compe�asa-uo-a bmi auce.Affidavizt:Aur].dens/CozytractorsMlgetriczan..s/Pl mbexs. TQ Dl;FMFD'SR TII THS PMZVffrTMC A'01R"I' Please Irina; Ae ` l AUphcant or-wa-dQu Name, (B,,m ss/Drga=ation/lndividual): Z7(J N I 0 Address: 75q ra, t1-Plfl p' S If Citytsta-dzip: f<to Li- k"Q ph Are ou anernplayee? Ckr€cbt7ia appi•opxiate bax: Type of pxoJect ` employees( andTorparttlma) y. NB9SrCnx]StdilCt[nZ1 1. I am a employsrv�ifb . 2•�I atn a sole proprzetoraz parfuership anslhave na employees�Vnrlcirig forme in S. �RemodBlixig . any capacity-Wo-Wojkexs'comp.insurance required 9. Demolition e awori€exs'eo .;,,st7raneezecluired.]t 3,Qlam aharrten�erdoingallv�azl�mys 1�LN �- lQ ❑$uTldingaddffion 4.E]I ara a hoMoDVnera=d will behidng 0oIItractn0 tII ooaduot all vvoikm myproper�r. I-W ill II-E]Flr,,,tdrd x'epaiw or.additions th ensure at all.contractors either have warkers'co-pwaafiou ins"an"e or ara sole I—J proprietors with no eanplo ees. 12. C]Plmribing repairs or additions .�IaraagenexalMmkodorandIha:VahRvd-Fhasub-eoniractorslistedonfilha aohedslieet. 1, ,fjRo��xepairs Thesesuh-cot�izactorsti ve employees and.havaworkcrs'camp.insuranceJ I4 ptlteC 6.Fj We are a coxporatiga pnd ifs pffzcers have exercisea-the .in nt'exemption perMCrL o. aes owarkers'comp.insurancereq�red.] , 152,§2(A-),andvr�haYena.�nPXgy.{ .� t Auyapplicantthatcheo7ssbax lmnstalsc)Mouttl�sedanbelowshavringtheirworkers'compensaiionpolicyioomation Homeowners hns6liAiij'jwAdavitinffloengtheyarodoingallworkandthenhireoufsideconfraataxsuinswta-Whtanewaffidavrtindicatingsuch ?Cor�iractorsfhateJieckthisbo musia�€aehedanadditionalshertshowing 4nameofthesub-coutractorsand sEaevclretheroxnotrTtoseeniatieshave empIoyces. 7f the sob-ceras odors have,employees,Vieynrust pravidethsir vrorkers'comp.policy number I awn an erriployer fTi at zspr o-v aiizgworkC rs'compensation insr pw' ce for my employees.'Beloiu is tliepolicy cid job site infw7nadon. Trtsuxatxce Company Na_-ase: j} p� 0 D 7--0(09� Lxpi ratxarx Date: policy ax Self ins.Zic.#: � QV yob Site Address: City/stat'/zip: t4� ach a copy of the airl exs' caxnpezxs�1cioxr oIzcy dec ora oxr pale(silo zgtlzepolzcyzmuroabe�r axzd e�pi�ratxnnL date). e FaUxB to secure coverage as a equixed under MGL c. 152, §25A is a criminal violation.punishablo by a fine illi to$1,5Q0.00 andlox ane+yeat impronmevf,as well as civil penalties in tlxe inxm of STOP CORK C)RDIl� and a fine ofup to$21}_00 a day against the viela ar. copy ofthis siaiament may be i:'orsvarded to Abe OifccB ofSxivestigat ons of theD7A for ins rxaxxce cover Igo Veriftoatioxt. it—Lx ereby certify u r t]ie �xisandpena!desafperjzcTyA'atIh znforrraaitonfir ovzdecl move is rye and correctDate: De: Qficral zcse only. Ila not7vrite in this area,to lie completecTy city or tarn ofcral City or Towaa.- 1'ex�uiflJficeizse# Issuirx�A�atb�oxity (circle One): i 1.l3oaxd ni$ealt7€z 2.7BuildzngAepaxbnbext 3.Citg/Tn a Clexl? 4.EjectrjcajXuspeetor .3?173FtTbixrg7nspectoa 6.other' Tfa.oue 4. Contact Person: i "Junior G. Construction" Gener,ql Contrac toi- R.emodelig & Building 39 Carleton St.Methuen MA,01844 Cell:978-423-8158 Licensed and Insurance PROPOSAL Peter 68 Bear Hill North Andover MA 01845 05/04/16 Place of Work: Same as above Work Detail: • Excavation • Remove trees • Make 2 parking spaces using millstone pavers 20X20 • Make Patio 20'X18'using PA irregular Flagging • Install new drainage • Make new walkway using millstone pavers in the back and front of house • Make a new retaining wall in the front 2 feet tall and the back 3 feet tall using PA Fieldstone 3"to 5" pavers in both • Repair foundation crack • Make new stairs with Goshen Stone Natural Random Color *To initiate the job half money will be needed,one third when the work is half done and the remaining balance upon completion. Labor& Materials: �) 6) o OWNER SIGNATURE CONTACTOR SIGNATURE **IF any changes are made after the signing of this proposal, it will result in additional fees. ** ��••.1 JUNIGCO-01 SSIMOES '446.� CERTIFICATE 4F.LIABILITY INSURANCE DATE(MMI DN ) 16 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(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 CONTACT NAME; Durso&Jankowski Insurance Agency P0N Et (978)688-7000 we Na: (978)688-7001 11 Saunders Street EMAIL North Andover,MA 01845 ADORES,: INSURERS)AFFORDING COVERAGE NAIC# INSURER A.Preferred Mutual Insurance Co. 15024 INSURED INSURER B:MSA Group 14788 Santos Reyes DBA Junior Construction INSURER C:Travelers In$.Co. 19038 39 Carlenton Street Floor 1 INSURER D' Methuen,MA 01844 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 REQUIREMEN r, 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. ILTR TYPE OF INSURANCE INSD WVD POLICY NUMBER MMlDDIYYYY MMIDDIYYYY LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 500,000 DAMAGE TENTED CLAIMS-MADE N OCCUR BOP0100720690 1111912015 11119/2016 PREMISES Ea occurrence $ 100,000 MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY $ 500,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 1,000,000 � PRO- POLICY LOC PRODUCTS-COMPIOPAGG $ 7,000,000 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident B ANY AUTO M1 T5030M 01128/2016 01/2812017 BODILY INJURY(Per person) $ 100,000 ALL OWNED �( AUTOS SCHEDULED BODILY INJURY(Per accident) $ 300,000 AUTOX HIREDSAUTOS X AUTOS"OWNED Perraocideni ]AMAGE $ 100,000 UMBRELLA LIAR OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ ERTH- WORKERS COMPENSATION X AND EMPLOYERS'LIABILITY STATUTE FOR C ANY PROPRIETORIPARTNERIEXECUTIVE r— NIA 6HUB9F72835316 05125/2016 0512512017 E.L.EACH ACCIDENT $ '1,000,000 OFFICERIMEMBER EXCLUDED? (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 10f,Additional Remarks Schedule,may be attached if more space Is required) Masonry/carpentry Re:68 Bear Hill Road CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Town of North Andover THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Tow TowOsgood Street Ste 2043 ACCORDANCE WITH THE POLICY PROVISIONS. North Andover,MA 01845 AUTHORIZED REPRESENTATIVE i ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD a rtment of Public Safety Massachusetts Depa Board of Building Regulations and Standards License: CS-084037 Construction Supervisor 1 SANTOS REYES 39 CARLETON ST METHUEN MA 09844 (�..nn Expiration: 07115120'18 j Commissioner i Cf�an�:e»ro�truer�lf�o�C'h'r�ddrtc�a:fel!J License or registration valid for iudividul use only Office of Consumer Affairs&Business Regulation before the expiration date. If found return to: OME IMPROVEMENT CONTRACTOR Type. Office of Consumer Affairs and Business Regulation r10Paegistration 128600 rkPlaza-Suite 5170 1xpiration 4127120'l7 DBA Boston,MA 021.16 JUNIOR G.CONSTRUCTION SANTOS REYES 39 CARLETON ST. � r t s'rgnatur � METHUEN, MA 01844 Undersecretary