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HomeMy WebLinkAboutBuilding Permit # 10/19/2016 BUILDING PERMIT IAORTH.Vcr TOWN OF NORTH ANDOVER 0 APPL[CATION FOR PLAN EXAMINATION Date Received Permit No#-.-- -L- —— 0 Date Issued: 1 0 "1-7 ^�-6 IMPOWIAN"T: Applicant must complete all items on this page LOCATION,, Pant P]Rb'Piz �fy OWNER Printt . Fear " '6afStt cireyes ' no MAP PARCEL: ZONING DISTRICT. HisidriG District n o Machine Shop Village yes no TYPE OF IMPROVEMENT PROPOSED USE Resi intial Non- Residential F1 New Building One family Li Addition 11 Two or more family F-] Industrial D eiation No. of units: 1] Commercial Repair, replacement 1:1 Assessory Bldg 0 Others: F1 Demolition El Other D Septic 0 Well Li Floodplain 0 Wetlands El Watershed District 0 Water/Sewer ES RIPTION OF 'W RK TO BE PERFORMED: 4 OWNER: Name: Identification - lease Type or Print Clearly PlAone7- 7e Address: Contractor Name- I Phone-7'2-1 -9- v Email: <M J 2 IA Address, Supervisor's Construction License: —Exp. Date-. V'/ —a 7 Home Improvement Licepse. Exp. Date: 41'7 ARCHITECT/ENGINEER Phone: - Address-, Reg. No. __ FEE SCHEDULE:BULDING PERMIT;$92.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. 0 Total Project Cost: $__L FEE. $ Check No.: 17 Receipt No.---S-k NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund signature of Aqent/Owner SignatureAe of contractK, ......... F tk®RTI own of _ � � ndover 0 0 No. � _ - h ver, Mass, to A'riED C; COCNIC Nl W![M � S u BOARD OF HEALTH Food/Kitchen PERMIT T I LD Septic System " BUILDING INSPECTOR THIS CERTIFIES THAT5T ............... £ � Foundation has permission to erect .......................... buildings on ........: ......... :......................... .:..,.............,... Rough to be occupied as ...., . . ..: ..... .:.... ...........:...................................... fte .. ....,..... ... ........... 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 CO STRCTIART Rough ...... . . . .. ................. Service Final BUILDING INSPECTOR GASINSPECTOR Occupancy Permit Required to Occupy Building Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final YY No Lathing or Dry all To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. Smoke Det. TYPE OF SEWERAGE DISPOSAL Swimming Pools ❑ ❑ Tanning/Massage/Body Art ❑ Public Sewer Tobacco Sales Well ❑ Food Packaging/Sales ❑ ❑ ❑ ❑ Permanent Dumpster on Site Private(septic tank,etc. Electric Meter location to project NOTE: Persons contracting wills unregistered contractors do not have access to the guaranty fund Signature of Agent/Owner �vv`. Signature of contractor Pians Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF-U FORM DATE REJECTED DATE APPROVED PLANNING&DEVELOPMENT ❑ ❑ ❑Water Shed Special Permit ❑ Site Plan Special Permit ❑ Other COMMENTS DATE REJECTED DATE APPROVED CONSERVATION ❑ ❑ COMMENTS DATE REJECTED DATE APPROVED HEALTH ❑ ❑ COMMENTS Zoning Board of Appeals:Variance,Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments Conservation Decision: Comments Water&Sewer connection/Si pature&Date Drivewa Permit Temp Dumpster on site yes—no— Fire Department signature/date B M CONSTRUCTION LLC 161 School St Woburn,Ma 01801 781/820-5316 PROPOSAL/CONTRACT DATE: 9/29/2016 PROPOSAL SUBITT ED TO: Wilson Chan ADDRESS: 238 Rea St N. Andover PHONE: 978/685-1478 JOB NAME: Roofing and Window JOB LOCATION: We propose to furnish labor and materials for the following work at 238 Rea St N. Andover I. Strip and re-roofing Include shed $7,000.00 11. Replace 1 casement window and 19 Double Hung Windows $6,000.00 Diamond Windows 3 100 Series D/H Tilt Low E Glass with ARGOW GAS Full screen 6 over 6 Grid All materials are guaranteed to be specified. Any alteration or deviation from above specifications involving extra cost will be executed only upon written orders, and will become extra charge over the above estimate This proposal may be withdrawn by us if not accepted within (15) days -n—tma-do-r' Signature-- Homeowner's Signature Date do - Date n-� Xl BMCONST-01 CGOULET CERTIFICATE°OF LIABILITY INSURANCE DATE 9�JMMMD(MMIDDIYYYI� s 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 CONTACT NAME: Vivelros Insurance Agency Inc. PHONE (844 898-9151 FA Na; 50B 3244533 Commercial Insurance Center A/c Na Ext 375 Airport Road E-MAIL Fall River,MA 02720 INSURER(S)AFFORDING COVERAGE NAIC# INSURER A.,Graphic Arts Mutual Ins Co 25984 INSURED INSURER 8 BM Construction LLC INSURER 0: 161 School St INSURER 0: Woburn,MA 01001 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. ILTR TYPE OF INSURANCE IND WV0 POLICYNUMBER ADDLSUBR POLICY M%DrfyF POLICY MIO Y£XP LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS-MADE F OCCUR PREMISES Ea occurrence $ MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GENT AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY❑ PROJECT D LOC PRODUCTS-COMPIOP AGG $ OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS NON-OVNVEp PROPERTY pAMAGE $ HIRED AUTOS AUTOS Per accident UMBRELLA LIAB OCCUR EACH OCCURRENCE $ hl CESS LIAB CLAIMS•MADE AGGREGATE $ D RETENTION$ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY STATUTE ER I. A ANY PROPRtETOWPARTNERIEXECUTWE YIN 4655027 06/12/2016 06/12/2017 E.L.EACH ACCIDENT $ 100,000 OFFICERIMEMBEREXCLUDED? NIA (Mandatary in NH) E.L.DISEASE-EA EMPLOYE $ 100,000 If DEesSCdescribe under RIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more space is required) 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 120 Main St ACCORDANCE WITH THE POLICY PROVISIONS. North Andover,MA AUTHORIZED REPRESENTATIVE ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD d..,,> "on .i(,, `� I -_ 9.II nuc ;j rI tila CS-086620 , Steve B Mei 161 School Street Woburn MA 01801. 08113/2017 '��iie�rr��r��ta»racrr�l/r c/C l��r;�or�rr.;eiY. ,, a? Off-lee of Consumer Affairs&Business Regulation Via=_ �, � � a-HOME IMPROVEMENT CONTRACTOR Registration " 142511 Type: Expiration 4!712018;: Individual Steve B.Mei Steve Mei 161 SCHOOL ST WOBURN, MA 01801 Undersecretary