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Home My WebLink AboutBuilding Permit # 12/30/2016 1 cAaRTy BUILDING PERMIT ,FD TOWN OF NORTH ANDOVER o APPLICATION FOR PLAN EXAMINATION41 �D permit No#: Date Received d �r ��,��D,pR' Date issued: - IMPORTANT:Applicant must complete all items on this page OCATiON PROPERTY OWNER - _.. Pnnt 100 Year Structure yes no MAP - PARCEL ZONING DISTRICT Historic District yes, no - Machine Shop 1lillag : ._yam _.pa: TYPE OF IMPROVEMENT PROPOSED USE Residential Non Residential ❑ New Building One family ❑Addition ❑ Two or more family ❑ Industrial ❑Alteration No. of units: ❑ Commercial epair, replacement ElAssessory Bldg El Others.- ❑ Demolition ❑ Other Septic D Well 1=loodplairi ❑Wetlands 11 V1laterstieci I�Istric'� Wafer/Sbwer- DESCRIPTION OF WORK TO DE PERFORMED: Identification- Please Type or Print Clearly OWNER: Name: F1t�+` J_ pr z Phone:gl/Y-5 ' el'7z1- Address: � �°4-FC t _S7— A414 Contractor Nariie /$ i2r! Pharte;: . ,_-?' Su<ervisor's Construction License .._ - .�_.�L _ Exp. Dates ARCHITECT/ENGINEER Phone: Address: Reg, No. SEE SCHEDULE.BULDING PERMIT.-$12.00 PER$-1000.00 OF THE TOTAL EsTwATED COST BASED ON$125.00 PER S.F. rFotal Projeot Cost: $ '6 FEE: $ Check No.: Receipt No..: � NOTE: -Persons contracting with rregistered contractors do not have:access to the g �ranty fund *44_ Sigr�aitre of:AgerilOw�Iler Signature of coiifractor r Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Pians ❑ TYPE OF SEWERAGE DISPOSAL Public Sewez ❑ Tanning/Massage/Body Art ❑ Swimming Pools ❑ WCH ❑ Tobacco Sales ❑ Food Packaging/Sales ❑ Private(septic tank, etc, ❑ permanent Dumpster on Site ❑ THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF d U FORM PLANNING & DEVELOPMENT Reviewed On ��L5 11 )(0 Signature_ COMMENTS .� 1 CONSERVATION Reviewed on La Si nature' ' COMMENTS 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 & Sewer Connection/Signature& Date Driveway Permit DPW Town Engineer: Signature: Located 384 Osgood Street FIRE DEPARTMENT' - Temp Dumpster on site yes no Located at 124 Main Street Fire Department signatureldate COMMENTS ....................................................... ...........,_._.____........... .................... .............................................- ........................... ...................... ............................ 'T ,AORTH own of Andover ® No. R. C, LAKE h ver, Mass, = W iI COL HIC"1w 'C' '?ATEV C5 BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System .90M. THIS CERTIFIES THAT .......PWO;...410.1.6c) . ......ML.jw .c BUILDING INSPECTOR has permission to erect .......................... buildings on ....A.(.?..... I.C . Foundation ................... Rough to be occupied as .......... 1C.oftc.....JN.ck................................. ........................... 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 UNLESS CONSTRUCTI TART Rough Service .......... ............................ Final BUILDING INSPECTOR GAS INSPECTOR Occupancy Permit Required to Occym BuMiw 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. ne commonwealth of-gassaehaseds Depa t ne of Industrial.Accideftis Congress,sh let,,5' &� 100 "' tl ooston,MA 02114-2017 s www mass go-v/dia .q'SIM Sy� 9 Copapen:sa-tionlusux•anc6.A.MdavzPBnlldeT�D$� ;�x•�cia�asl�'�wmbexs. Pleasek int Le 'Tol I�cant Information C)vk< Namo(Busin.essl(5zg�aizonfrndivil-u ac 1-21Z --C,� 0,011 Phone#: �d ., City/ te/Z7 : hype oizpxoact( eed} Are you an employer?Ckeel�tlie airpx°Priateb°x: , 7, Q Ne'&con�striictzon iam a employer v+lthempl03 ees(full audler part time)•" g, F]Ro �od6. ig 2.[]I am a sole proprietor or partuersship audbareno employees working Forma in 9. ❑Deraolitior€ any capacity.j1�Toozkers'comp.insurance required. Id Building addition. 3.�X am ahnirzeowuer doing all workmysel No workers'camp,insurancezegpired.7 i cnnfractDzst°condnccallworknumypraperty JCwill aixso�radditlgPs 4.01 am ahameowsrer a wig be bizin 11.0 Electrical ��, ensuretliat all aontractozs either bave workers'compensation iusurauee or are sole �j-�.4 �]3lig Ze]]a7Ts or ad[1t7[aI1S proprietors with nn epl6yees. 1—E 13'.[]Roof xeaaxs 5.[�]I am a gerzazal contractor and f bald] edthe sub-oon#rectors listed on the attached sheet These,sub-contmtorsbaveemployees audhavewaxkers'comp.insurances. QtheT . g,�'WeazeacorpazaYiop-arid,its,oilxcershavoexerDised#heisriP�tafe�campfionperl�llGLa. 1�2,§](4},and�ehayena�ployees.I�a�'vzkers'cnmp•insuraacerequired.� showin applicantthatohgaksbb�e#1 mus so g ftrshey rfion alaowll,Work mdthenhire011 ideo ntractorsmustsubmiit neWafidantindicatix�gsuah. i Ftorneowners-rho subi-ai- s of davi Coniract°zs that check this lion r us attarh A ii-oas,��rMist e v hde t ingeir vranrk n omP-palinY na'r�e1 d state vrhsthar orpattlsose entities have employees, ifthe sub-contractors hard► � y nx an ern foyer that is providing vorkers'compinformadon. _V1 ensation insurance for My enployees. 8elo�is the policy aradjo�site lam P Insurance Company Name: 1'oTicy#or Sefirrs•Lie. ' ('VIT city/State/zip JobSitoAddress: olic deClaxatlOnpage(sho-vimg11tePolieynUmlaer ande�natxoa� date}. Attach.a Copy'Of&e-�orkers cotn�ex�sa OR �' 500.00 fin -a failure to seouxe co�rexag e asrequzi'ed�andexMG a.X52,§25A is a c&Oi .al violatioxr-p>aDbhablo bya bop to , ear ixn rlsonmexxt,as moll as civil penalties lathe form of a STOP flnvRK OI�l3Eli oft and/ox aney -he DIA.fox inswan G a 1� day against the violator.A copy oft�is Statexnexct may be forwarded to the Office cavCxac vcxif[cation. under e pains andpenalties of perj'uyy tla t the info natiarr provide d ove true %orrect S do lierey certify 2 [� Date: �- S! atua- Phone#: official rise only. Do riot write in tills area,to he corrrpleted by city or town official • �'-ermYtl�icensa# City or To )tss'uingA.-of.oxjty(circle one); ectox i . 3oaxd ofS ealtla �_Bxrxldi�xgPepa7 exit 3.Cztyffown Clerk .Bi lectrzca Ins actor 5. lambing j 6.Other rhone#_ Contact Person: A NJ ra EA E it COME 040110F Chimne=ys Residential & Commercial Roofing CHIMNEYS POINTED-REBUILT-CAPPED All Types 4f Siding - — Expert Masonry Work Mass Toll Free R�vf �� Licensed & Insured Goca!!y O1vned&Operated Sirce 1976 �'" : 1-800-WAIT-4-US ��= License#034200 (924-8481) IKOO [-aPe 'l2oi or fzojisi We Work Year Round o , r NEED, W-/ ," .. . a ... ..., Proposal To: David Leibowitz Date 12/28/2016 Street: 217 Winter St. 978-505-7722 N.Andover, MA Deck proposal Davidleibowitz@oracle.com 1, Remove existing ledger board and bottom courses of vinyl siding. Total deck cost: $8,500.00 2. Install new 2x 10 pressure treated ledger board, counter flashed with ice and water shield and vinyl ledger flashing. Fastened to code. Balance due upon completion 3, Install (3) Goliath Tech galvanized steel 2-718" support pilings. References available upon request 4. Dig and pour new 4"thick cement pad to code to accept stair stringers. (Width determined at time of Highly rated member of the accredited BBB and installation) Angie's List 5. Construct new pressure treated 12'x14' deck with 4x4 railing and 2x10 frame construction, Thank you! 6. Install triple 2x10 PT support beam with 4x6 PT support posts. 7. Install new pressure treated 5-1/4" deck boards to entire floor and stairs. All deck boards will be Note: Price includes (1) day of labor for digging screwed with all weather fasteners. and installing footings. If any unforeseen interference 8. Construct(1) 5'set of pressure treated stairs to in the ground is found, it will be subject to additional code. labor costs. Any additional work needed will be 9. Construct pressure treated rail system for deck and discussed and confirmed with homeowner before any stairs. 4x4 support posts, 2x4 rails with square additional work is done. pressure treated balusters. 10. New deck will have open bottom. 11. All installation procedures, material, fasteners and *Any unforeseen damage or rot will be discussed metal connectors will be compliant with 2016 MA and confirmed with homeowner. Any damage or State codes, rot will be replaced at an additional cost of time 12. Building permit included. and material. No work resulting in extra costs will 13. No painting or staining included in proposal. be performed without homeowner consent. 14. Removal of all work related debris. 15, Contractor workmanship warranty: I year Acceptance of Proposal—The above prices, specifications and conditions are s tisfactory and are herby accepted. You are authorized to do the work as specifi d. Payment will be made outli ed above. Date of Acceptance;X �,� 2�l C �..�r Signature: nature:tL g LZ TT� ---------------- �4 ------------- MASSAGhG&Gtts .i:?e1:ARi7gr'1t Ot?,J;�i;►:�i"�: Board of 13ulicling Raguiationa.1t,tt Sra:•:ra .;;r C►►n,tructi►,n �u}ielli,i►r License; CS-069120 30 TEMPLE AR METHMNMA 01844 elf 04/03/2017 -1 Office of Consumer Affairs and Business Regulation ;.• _ ,,r 10 Park Plaza- Suite 5170 Boston, Massachusetts 02116 Home Improvement Contractor Registration Registration: 437057 Type: DBA Expiration: 10/212018 Tr# 291333 ALL UNDER ONE ROOF JOHN LANZAFAME 166 A MERRIMACK ST -- METHEUN, MA 01844 — Update Address and return card.Mark reason for change. SCA f 20M-05111 Address ❑ Renewal L] Employment L] Lost Card .? Office of Consumer Affairs&Busihess Regulation Registration valid for individual use only before the t°l xFIOME IMPROVEMENT CONTRACTOR expiration date. If found return to: Nr` Registration: 137057 Typo; Office of Consumer Affairs and Business Regulation F � ` Expiration: 1002018 DBA 10 Park Plaza-Suite 5170 Boston,MA 02116 ALL UNDER ONE ROOF JOHN I..ANZAFAME 166 A hAERRiMACK ST METHEUN,MA 01844 derseeretary lot valid wi o t signature DEC/30/2016/FRI 07:33 APS FAX No. P, 002 From:AlM 781 221 4660 12/29/2016 15,44 #640 P.001/001 r1aRr�� CERTIFICATE OF LIABILITY INSURANCE DATFIMMI°CIYYYY) 12129/2016 THIS CERTIFICATE 15 ISSUED AS A MATTER OF INFORMATION ONLY AND CONFER$NO RIGHTS UPON THE CERMFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND, OR ALTER THE COVERAGE AFFORDED BY THE POLICIES OELOW. 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 eertiflGdto holder Is an ADDITIONAL INSURED,the policy(ies)must 68 endorsed. If SU13ROGATION IS WAIVED,subject to the terms and condltlonc.O!the policy,certain polioie@ may raquire an endorsement. A statement on this certificate doe@ not confer rights to the certificate holder in lieu of such andorsement(s). PAOOUO£R D2051-001NcT taa~encn x051-1 Pe Insurance Agency LLC + ,No.EIII; 1878)695^7690 No,F (978)607-0149 622:Chickering Rd North Andover,MIA 01845 GF- A.1.M,Mutual Insurance Company INSURER 13, rNsuREa All Vndar One Roof 0/0 John LemzafAule 30 TO&P10 Drava INBU�ER 0; bimthtsen, MA 01.04a-0000 COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY Tf1AT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR TKE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY SE. ISSUED OR MAY P@RTAIN, THE INSURANCE AFFORIDED 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. 1 I TYPE OPINSLIRANCE F POUCYNUMBER PMIDp MMf6 LIMITS GENERALLIABILIYY 7.'P'REK41 OCOVFIRENCE $ COMMERCIAL GENERAL LIABILITY T I F. fE416 a UW CLAIFA$IYIADE OCCUR XP(Any°^opefeon] $ ONAL A ADV INJURY S RAL AGGREGATE i EN'L AOaGREGATE LIMIT APPLIES PSR; PRQOUCTS-COMP/OP AGG t OUCY Rp OC AUTOMO$1LE'LlAeILITY NamEO SINGLECIMIT -� ! i ANY AUTO BODILY INJURY(PwpgtooA) S ALL OWNED SCHE0ULE0 BODILY€NJURY IPE!mUdnnq S AUTOS AUTOS N0*OW4ED PR A E HIRED AUTOS AUTOA Purtide-All S I UN13RELLA LIAR OCCUR EACH OCCURRENCE 8 1 FFXCESSLIAO CLAIMSMADE AGGRFGATe S i �ORRFFDEeEF0F]gg��pp�� pRETEpNNlTIrO�fN 6 g I Attu EMPCOYIRPSS` ,Ae1LQri x ECUT#YE E,L,EACHACCIDEFJT 8 I A NAMMUMIUS v NIA AWC-400-7009464.2016A 11/8/2016 1919!2017 ((gMandetary� OF1pnpN�dQrNlEL DISEASE-EA EMPLOYEE S Da Vit VPERATIONS 6dow I PL,01$EA6E-POLICY Limit 8 1,000,000.00 I� 1� i 0r;80RIPRON OF OPERA'i10NS I LOCATIONS I VEmcLEy(Anach ACORO 101,AddiAannr Rvmerke Schedule,it more Pfacs Is reyvirad) j • I r • s Tha Worker@ compensation policy doe@ not provide coverage for John Lanzafame CERTIFICATE HOLDER CANCELLATION i Town of North Andover ; Attention:Building Department SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 120 Main Street THE EXPIRATION DATE THEREOF, NOTICE WILL 00 DELIVERED IN North Andovar,MA 01845 ACOOROANCE WITH THE POLICY PROVISIONS. AUTHORIZED AEPF7ESEN7ATIVP 1889-2010 RMWCURFORATION,All rights reserved. ACORD 29(2010105) The ACORD name and logo are reglatered marks of ACORD