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Home My WebLink AboutBuilding Permit # 11/16/2016 �ORT/y O�,iti.co 6�N BUILDING PERMIT TOWN OF NORTH ANDOVER ° APPLICATION FOR PLAN EXAMI Permit NO: ea , Date Received !J U A•� =�..°' '` � _ --- �4SSACFIUS��y Date Issued: / °r IMPORTANT: A licant must complete all items on this page LOCATION rit. ;, Print PROPERTY OIt1NER: .. I L I1-� �. Print MA[' NO: PARCEL: ZONING DISTRICT: Historic District yes rta ... .. . . ...Machine:Shap: qyeso TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential New Building 7_ One family Ci Addition Two or more family [1 Industrial eration No. of units. Commercial Repair, replacement o Assessory Bldg ❑ Others. p Demolition --j Other Sep.1G L W 11 E 1=loodplain 0 Wetfands Ulfatersl ed District Water/sewer �f 0 'l CA i oLct ►l-c At li dt.0 R W l U' s n v Pf a PK_ clecll I7 Cit 1,5 +G cp(T Identification Please Type or Print Clearly) OWNER: Name: s Phone: Address: CONTRACTOR Name: J 't 3�PPhone r• Address Sup eivisorls Construction License Exp. Date: Home lmprovement License Exp date: ARCHITECTIENGINEER Phone: Address: Reg. No. FEE SCHEDULE:SULDING PERMIT.$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ �7U(^0, aQ __FEE: $ 5� Check No.: Receipt No.: it !S7 NOTE: Persons contracting with unregistered contractors do not have access to a guaranty fund Signature of Agent/Owner Signature of contractor Plans Submitted ❑ Plans Waived Certified Plot Plan ❑ Stamped Plans ❑ _ f zbF SEWERAGE DISPOS`&Sewer Elzanning/MassageBadyArt ❑ Sf �,�mingPaols ❑ Well ❑ Tobacco Sales ❑ Food Packaging/Sales ❑ Private(septic tank,etc. ❑ Permanent Dumpster on Site ❑ THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL. SIGN OFF - U FORM PLANNING & DEVELOPMENT Reviewed On Signature COMMENTS CONSERVATION Reviewed on Signature COMMENTS HEALTH Reviewed on "\ Si nature COMMENTS Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments Cnservation Decision: Comments Water &ewer ConnectionlSi n Lure&Date Drivewa Permit DPW To" Engineer: Signature: Located 384 Osgood Street FIRE DEPARTMENT' Temp Duimpster on site yes no Located at 124.Main Street Fire Department signatureldate T t%ORTH own of Andover ® 0 A- No. : L h ver, Mass, d01 (0 0 0 ATE 0 BOARD OF HEALTH Food/Kitchen PERMIT -T LD Septic System t qox 13*SCC"q*6 4-10— THIS CERTIFIES THAT .�P... P1 N, -sYV-Aw. Alf SFMX" 'BUILDING INSPECTOR has permission to erect ........... buildings on ....V ........................... Foundation Rough to be occupied as ...PKe4if.........1p.!.. ks............11...... ........................................................ 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 Rough VIOLATION of the Zoning or Building Regulations Voids this Permit. Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTION ST RTS Rough 4 & Service ...... P...... (�.- �......L................................ ........ Final BUILDING INSPECTOR ------- GAS INSPECTOR Occupancy Permit Required to Occupy Building Rou'gh 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. pDRT#1 BUILDING PERMIT 3� �` .`. .•- o� TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATI N c on ,* Permit NO: Date Received I 11/0& �4SSACHUS��Ay Date Issued: IMPORTANT: Lk2plicant must conn lete all items on this page LocAToN d it Gia r y a'rint PROPERIYQWNER .J` Print MAP NO: PARCEL: ,ZONING DISTRICT 'His#oris District yes no Machine Shop Village yes no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building ❑ One family ❑Addition L1 Two or more family �:� Industrial Ci Nteration No. of units: ❑ Commercial Repair, replacement (-7 Assessory Bldg ❑ Others: o Demolition ❑ Other ❑Septic ❑Well ❑ Floodplain wetlands ❑ IJllatershed District Li waerlSewer ptobjet- n du k td f be- ' Ur 5 >7 Pf i OPVC c cle Identification Please Type or Print Clearly) OWNER: Name: n ✓I Phone: Address: CONTRACTOR Name:. hone: Address L' Supervisor's Cortstr.uction License: Exp. Date: u Home..Improvement License Exp. Date. u ' ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE.SULDING PERMIT.$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$925.00 PER S.F. Total Project Cost: $ Of`]0. 00 _ FEE: $ Check No.: Receipt No.: NOTE: Persons contracting with rcnregistered contractors do not have access to the guaranty fund Signature of Agent/Owner Signature of contractor l I NORTH 6.BUILDING PERMIT TOWN OF NORTH ANDOVER w t APPLICATION FOR PLAN EXAMINATIO Permit NO: Date Received [lAYED �4SSACHUS Date Issued: IMPORTANT:Applicant must complete all items on this page LOCATION dr(1 +UQ l f n u�l6U::: Print PROPERTY OWNER—p2LC1 a` CerYi Print MAP NO: PARCEF ZONING DISTRICT Historic District yes no MachiFte Shop Village yes no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential 1=1 New Building ❑ One family I-1 Addition ❑Two or more family ❑ Industrial eration No_ of units: ❑ Commercial Repalr, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other p Septic ❑Well 0 Floodplain 0 Wetlands ❑ Watershed District p WaterlSewer de, Z td df— be f P+ P�� c �c1� n Identification Please Type or Print Clearly} OWNER: Name: C'� 6.-, nm6wc Phone: Address: CONTRACTOR Name: b'I-3ri -gI31 Phone: Address 43 Supervisor's Construction License Exp Date 3/Q Home Improe men i Llcerse: Ex.. Date 3(�[ ARCHITECT/ENGINEER Phone: Address: Reg. No, FEE SCNEDULE.BULDING PERMIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COSTBASED ON$125.00 PER S.F. Total Project Cost: $ UO FEE: $ Check No.: Receipt No.: NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund Signature of Agent/Owner Signature of contractor 6 NORTy O� -tutu 0"•N0 BUILDING PERMIT o� TOWN OF NORTH ANDOVER ° APPLICATION FOR PLAN EXAMINATION Permit NO: Date Received_ �•� - �.4gOA�Te° SSACHUS Date lssued: IMPORTANT: Applicant must complete all items on this page LOCATIONArc./i:.- Pe r '/ Print PROPERTY OWNER n ► Print MAP NO: 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 El Two or more family [I Industrial ❑41teration No. of units: ❑ Commercial Repair, replacement I:]Assessory Bldg ❑ Others: ❑ Demolition ❑ Other CI Sepfic D;We110 Flpodplain D Wetlands ❑ Watershed District Water/Sewer v 051ft vP Pt—po'sf' PVC cle c/l n ads +0 code Identification Please Type or Print Clearly) OWNER: Name: !n a Phone: Address: CJNTRACTOR Name ') 1 3y? �Phone: J ,A to c, i, - Address beA 46 Supervisor's Construction Llcense Exp. .Date CS ; 4�d 7V. o Home Improvement License Exp. 0.a e* ARCH ITECTIENGINEER Phone= Address: Reg. No. FEE SCHEDULE:BULDING PERMIT.$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ J4f'b. 00 _ FEE: $ Check No.: rReceipt No.: NOTE: Persons contracting with unregistered contractors do not have access to the guarantyfund Signature of Agent/Owner Signature of contractor * NOItTry A p 4Tyen 6 HO BUILDING PERMIT _ TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATIO Permit NO Date ReceivedIIA0 Ile �4SSAC HUS�~�y Date Issued: IMPORTANT: Applicant must complete all items on this page Pn f P R OW ER ► �l r, N1AP Nth � P.I�RGEt. _ ZON1N0 DSTRICT Htstor�� stn�t y�� no Ilachfre Shap ii�llage yes nig , TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building ❑ One family Ll Addition [7 Two or more family L] industrial D AJteration No. of units: [-1 Commercial F Repair, replacement [::l Assessory Bldg [-I Others: Demolition ❑ Other p Septic ❑Weil Floodpla�r CiWetlands D Watershed D�str�ct 0. }NateISeu�rsr e e n�( (Ac� �� I^J cue c Z Wdl U Q 5 UA t1 T r o f"V(— u u Identification Please Type or Print Clearly) OWNER: Name: PC, r c K_Ilrzntta►'t Phone: Address: C ?NT4CT0 Namelt-3i� gx Fhon Address L� r' �► 5uperu�sor`sonstrcction LJcense IN Exp Date, HomeIrr�proernent License Exp Dater 1 ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE:SULDING PERMIT:$12.00 PER$1000.00 OF THF TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ 54l`)0. 04 _FEE: $ Check No.: Receipt No,: NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund Signature of AgentlJwner SJgnature of'contractor SII Oakridge Village Maplewood Reserve Condominium`Frust I Pro,posalt 5443026 Pro er _Information Owner/Manai;inff Agent Property Name: Oakridge Village Contact Name: Tonya Petone Maplewood Reserve Condominium Trust Address: Harvest Drive, Turnpike Company Name: Mediate Management Inc. Street City, State,Zip: North Andover MA, Address: 1130 Lincoln Street, Suite 3 011345 Contact at Property: City, State,Zip: Boston MA, 02111 Contact Phone: (617) 316-3333 Contact Fax: Contact Email: tonya@mediatennanagement.com Project Description: Remove and replace decks at 5 locations, Notes & Miscellaneous Items: * Price to include labor and materials. Description of Warp Price 1, Remove and replace 5 decks.The units included are 601 Alder Way, 1304 CL) $45,000.00 1401,1402 and 1502 Basswood Circle.Decks to include PVC decking and PVC railings. Total Price for work to be performed: $459000.00 Acceptance of Proposal The undersigned, as authorized representative(s) of the property listed,have readAe term-stated herein and accept the terms as written, 11/10/16 SIONAI RE DATE. S9(i "Wlxl? DATE Chuck Hund Vice President T a Pc NAME Tuts. NAME TITLE Schernecker Property Services 1283 second Avenue,Waltltarn MA 02451 1 800.424.2468 I spsinconline.com. Page I of I r ® DATE(MM1DINYYYY) AC"R L7 CERTIFICATE OF LIABILITY INSURANCE 11/10/2016 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). CACT PRODUCER NAME: Claire Boutilier Cleary Insurance Inc PHONE (617)723-0700 FVC Nol: (617y723-7275 226 Causeway Street n"Ell. Uoutilier@clearyinsurance.com INSURERS)AFFORDING COVERAGE NAIC Boston MA 02114-2155 INSUReRA.Continental Western Insurance 10804 INSURED INSURER B Acadia Insurance Cam an 31325 Schernecker Property Services, Inc. INSURERC: _ 283 Second Avenue INSURER D: _ INSURER E: Waltham MA 02451 INSURER F: COVERAGES CERTIFICATE NUMBER:2015-16 Liability 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 EFF POLICY EXP LIMITS LTR TYPE;OF INSURANCE POLICY NUMBER MMIDDfYYYY MMIDDIYYYY X COMMERCIAL 05NEERAL LIABILITY EACH OCCURRENCE $ 1 r 000 r 000 IV�1I DAMAGE TO RENTED 300,000 A �CLAIMS-MADE U OCCUR PREMISES Ea occurrence $ X CPA 0183614-19 12/31/2015 12/31/2016MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY JE 0 LOC PRODUCTS-COMPIOP AGG $ 2,000,000 _... $ OTHEW AUTOMOBILE LIABILITY Es accc denISINGLE LIMIT $ 1,000,000 ANY AUTO BODILY INJURY(Per person) $ B ALL OWNED SCHEDULED AUTOS X AUTOS MAA 0183615-19 12/31/2015 32/31/2016 BODILY INJURY(Per accident) $ NON-OWNED PRQP£RTY DAMAGE $ X HIRED AUTOS X AUTOS (Per acc dent] $ X UMBRELLA LIAR X OCCUR EACH OCCURRENCE $ 5,000,000 B EXCESS LIAB CLAIMS-MADE AGGREGATE 4 5 r 000,000 DED RETENTION CUA 0183616-19 12/31/2015 12/31/2016 _ $ WORKERS COMPENSATION XSTATUTE ERH- AND EMPLOYERS'LIABILITY YIN ANY PROPRIETOEUPARTNERIEXECUTIVEE.L.EACH ACCIDENT $ _ 1 000 000 OFFICERIMEMBER EXCLUDED? � NI B (Mandatory In NH) WCA 5074780-13 12/31/2015 12/31/2016 E.L.DISEASE-EA EMPLOYEE.$ 1,000,000 If yea,describe under DESCExcludes MAE.L.DISEASE-POLICY LIMIT $ 1,000,000 RIPTION OF OPERATIONS below I . --[-I DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may he attached if more space Is required) The Town of North Andover is included as an additional insured for general liability per insurance coverage form CLCG0492 (02/12) when required by written contract. 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 Street ACCORDANCE WITH THE POLICY PROVISIONS. North Andover, MA 01845 AUTHORISED REPRESENTATIVE John Bernardin/CTB O 1988-2014ACORD CORPORATION. All rights reserved. ACORD 25(2014/09) The ACORD name and logo are registered marks of ACORD INS025 onum1 Client#: 1025557 SCHERPRO DATE(MMIDDIYYYY) ACORD,. CERTIFICATE OF LIABILITY INSURANCE 11/11/2016 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(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). NACT PRODUCER NAME. Kathy Wagner USI Insurance Solutions, LLC PHONE _ 413 750 4222 atc,NA 610 537 9481 A!C No,Ext}; 123 Interstate Drive E-MAIL Kathy.Wagner@usi.biz West Springfield,MA 01089-3600 INSURER(S)AFFORDING COVERAGE NAIC# 855 874-0123 INSURER A.ABC Mass Workers Comp Self-insu 99999 INSURED .._ - INSURER 8: Schernecker Property Services, INsuRER c 283 Second Avenue INSURER D, _ Waltham,MA 02451 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 CONTRACTOR 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. m, ADOLBUBR POLICY EFF POLICY EXP ILTRR TYPE OF INSURANCE !NSR WV D POLICY NUMBER {MMIDDIYYYY) MMIDDIYYYY) LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS-MADE OCCUR PREMISESOIEaEaNccu ante $ ,. MED EXP(Any one person} $ PERSONAL 8 ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER; GENERAL AGGREGATE $ POLICY❑dECOT []LOC PRODUCTS-COMPIOPAGG $ OTHER: - _ u" COMBINED SINGLE LIMIT AUTOMOBILE LIABILITY Ea accident) _ ... BODILY INJURY(Per person) $ ANY AUTO ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS QN OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS Peraccide"nt) __ UMBRELLA LIAB OCCUR EACH OCCURRENCE EXCESS LlAB CLAIMS-MRDE AGGREGATE $ DED RETENTION$ _ $ A WORKERS COMPENSATION ASCMA12000116 01/01/2016:01101/2017 X sE Tu OTR AND EMPLOYERS'LIABILITY ANY PROPRIETORIPARTNERlEXECUTIVE Y I N E.L.EACH ACCIDENT $1.000000 OFFICER/MEMBER EXCLUDED? N N I A (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $1,000,000 it yes,descrlbe under E.L.DISEASE-POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS below - -- DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space Is required) Proof of Massachusetts Workers Compensation Coverage 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 Street ACCORDANCE WITH THE POLICY PROVISIONS. North Andover, MA 01845 AUTHORIZED REPRESENTATIVE fes.... O 1988-2014 ACORD CORPORATION.All rights reserved. ACORD 25(2014101) 1 of 1 The ACORD name and logo are registered marks of ACORD PZBZP #S19266164IM17054616 I _ ftice-6f Consumer Affairs&Business Regulation OME IMPROVEMENT CONTRACTOR RegistratiOr Type: ype7 ExParb�on 3/i412077 Supplement Gard ScherneckerPropel Senrices Inc t KEVIN WINTER 283 Second Avenue Waltham,MA 02451 Undersecretary Massachusetts Department of Pul3lic Safety Board of Building Regulations and Standards Ucen e: CS-109007 c onstrwsct on, rrtrr^rvk,,,:>r KEVIN WINTER 13 LIBERTY STREET6 IPSWICH MA 01938 >% " Corm- i s s'ioner 03/1012015