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Home My WebLink AboutBuilding Permit #351 - 1 PETERS STREET 11/5/2007 BUILDING PERMIT of"°oT"q� TOWN OF NORTH ANDOVER ° ° ' APPLICATION FOR PLAN EXAMINATION -- Permit NO: S• Date Receivedp�R,*.o / SSACi4 Date Issued: IMPORTANT: Applicant must complete all items on this page t ,a/1� �x a ';,,, ., r 1 j •di^'S. �- r c r*r ti l ' r :x .4 ,r'.L �':' p : f� .rte:: 4 ? .r°v, $ ,iy+ 4SN P3�3fRT ' 01NER — � � s" ,,, �.s. ..a�. .rF X� :&T.�`'.�'•-�a`p.E a:. i#.fi rx, ntt..w. ..M�+�F'� 0`� }� ��rP,�►RCEL� �� {� � � n� � z�� ,�,�.{ ��a��, �k�� r� , , � �., TYPE OF IMPROVEMENT 'PROPOSED USE Residential Non- Residential New Building - One family Addition Two or more family industrial Alteration No. of units: Commercial Repair, replacement Assessory Bldg Others: Demolition Other Setic' lell fxE iFlaod�la�r ,, '; etlards A r s 1Naters#ed Distrrct DESCRIPTION OF WORK TO BE PREFORMED: A?Z) Identification Please Type or Print Clearly) OWNER: Name: Phone: Address: � r ..... NfCfl �RI t rc Address � "- + f xn< r- ar r tit r kA 3` f A rkr arcy„r „yt r s �+ ! r �� 3 ARCHITECT/ENGINEER 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: $ �s" 6D FEE: $ Check No.: Receipt No.: NOTE: Persons contracting with unregistered contractors do not have access to the guaranty f r Signature of Agent/Owner f Signature of contractor i Plans Submitted Plans Waived Certified Plot Plan Stamped Plans TYPE OF SEWERAGE DISPOSAL Public Sewer Tanning/Massage/Body Art Swimming Pools 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 DATE REJECTED DATE APPROVED PLANNING & DEVELOPMENT 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/Signature&Date Driveway Permit Located at 384 Osgood Street FIRE DEPARTMENT ?emp Dwmpster on site des no Located at 124 Main Street Fire}Department'"Jghature/date m `COMMENTS Dimension Number of Stories: Total square feet of floor area, based on Exterior dimensions. Total land area, sq. ft.: ELECTRICAL: Movement of Meter 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-$1000 fine NOTES and DATA— For department use) ❑ Notified for pickup - Date , Doc.Building Permit Revised 2007 Building Department The following is a list of the required forms to be filled out for the appropriate permit to be obtained. Roofing, Siding, Interior Rehabilitation Permits ❑ Building Permit Application ❑ Workers Comp Affidavit ❑ Photo Copy Of H.I.C. And/Or C.S.L. Licenses ❑ Copy of Contract ❑ Floor Plan Or Proposed Interior Work ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit Addition Or Decks ❑ Building Permit Application ❑ Certified Surveyed Plot Plan ❑ Workers Comp Affidavit ❑ Photo Copy of H.I.C. And C.S.L. Licenses ❑ Copy Of Contract ❑ Floor/Crossection/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Mass check Energy Compliance Report (If Applicable) ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit New Construction (Single and Two Family) ❑ Building Permit Application E3 Certified Proposed Plot Plan ❑ Photo of H.I.C. And C.S.L. Licenses ❑ Workers Comp Affidavit ❑ Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Copy of Contract ❑ Mass check Energy Compliance Report ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit In all cases if a variance or special permit was required the Town Clerks office must stamp the decision from the Board of Appeals that the appeal period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording must be submitted with the building application Doc:INSPECTIONAL SERVICES DEPARTMENT:BPFORM07 Revised 2.2007 /'re `ot�rr,nrcirrcer�!`��. r ,_i .r<•; .u.�rt'^C'' _ - _. :oard of Building Regulations and Standards „xx >^onstruction Supervisor License License:..CS_ 70882 Birthdate: .7/2811956 4 Expiration: 7/28/2009 Tr# 16025 Restriction: 00 RICHARD J SMITH PO BOX 1769 SALEM,NH 03079 Commissioner - t7he eowwwmv" 0 Board of Building Regulat ons and Standards One Ashburton Place - Room 1301 Boston, Massachusetts 02108 Construction Supervisor License License CS: 70882 Restriction: 00 Birthdate: 7/28/1956 Expiration: 7/28/2009 Tr# 16025 RICHARD J SMITH PO BOX 1769 SALEM, NH 03079 - Update Address and return card.Mark reason for change Address Renewal [] Lost Card DPS-CA1 is 5OM-05/06-PC8490 Sep 25 07 12: 35p p, 1 ATEACORD,, CERTIFICATE OF LIABILITY INSURANCE FOC9/25/20.07 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY_ AND CONFERS NO_RIGHTS_ UPON THE CERTIFICATE Matthews Insurance geric y HOLDER. THIS CERTIFICATE DOES A NOT MEND;-EXTEND--OR 182 Parker Street ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Lawrence, MA 01843 978-681-1112 INSURERS AFFORDING COVERAGE NAIC# INSURED AJ Wood Construction, Inc INSURER A. Liberty Mutual Ins INSURER B: P.0.BOX 1769 INSURER C: Salem, NH 03079 INSURER D: 1-603-235-7624 INSURER E COVERAGES 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.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS- INsrtHsan POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS LTp DATE MWDD DATE(MMIDDIM GENERAL LIABILITY EACH OCCURRENCE S I)AMAGETORFNTFD COMMERCIAL GENERAL LIABILITY PREMISES Ea aaurence $ CLAIMSMADE D OCCUR MED EXP(Anyone person) S PERSONAL&ADV INJURY 5 GENERAL AGGREGATE $ GEN'LAGGREGATELIMIT APPLIES PER PRODUCTS-COMP/OP AGG S POLICY PRO-JECT LOC AUTOMOBILEUABILITY COMBINED SINGLE LIMIT ANYAUTO (Eaamident) $ ALLOWNEDAUTOS BODILYINJURY SCHEDULED AUTOS (Perpelson) $ HIRED AUTOS BODILY INJURY NON-OWNEDAUTOS (Peraccident) S PROPERTY DAMAGE $ I (PerWZKf nt) I GE LIABILITY AUTO ONLY-EAACCIDENT $ f ANYAUTO OTHERTWW EAACC $ AUTOONLY: AGG $ EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE S OCCUR Q CLAIMSMADE AGGREGATE S S DEDUCTIBLE S RETENTION S $ V ORKERSCOMPENSATiONAND WCSTATU- 0TH_ EMPLOYERS*LIABILITY WC231S353819015 02/23/07 02/23/08 ANYPROPA1Er0RNMTWA1MCUrNE E L.EACH ACCIDEM $Z OO, 000 oUCERMAIDEER ExCLtOR E.L.DISEASE-EA EMPLOYEE $5 O 01000 Ifyes,desorbeunder SPECIALPROVISIONS below E.L.DISEASE-POLICY LIMIT S 1 O O,0 O O OTHER DESCRIPTION OF OPERATIONS ILOCATIONSIVEHICLES/EXCLUSIONSADDED BY ENDORSEMENT I SPECIAL PROVISIONS Job Location 34 Woodland Street Methuen, MA 01844 I CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION Methuen Housing Rehabilitation Program DATE THEREOF,THE ISSUING INSURER VALL ENDEAVOR TO MAIL DAYS VWUMN 41 Pleasant Street Suit 217 NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL Methuen, MA 01844 IMPOSE NO OBLJGATION OR LIABILITY OF ANY KIND UPON THE INSURER ITS AGENTS OR REPR ACORD25(2001108) �_� ©ACORDCORPORATION 1988 (603)898-4468 CONTRACT No. .: (800) 458-4468 -ell (603) 235-7624 A.J. WOOD CONSTRUCTION, INC. 5-7 Delaware Drive,Unit 3 ` Salem,New Hampshire 03079 Email:info@ajwoodconstruction.net Website:www.ajwoodconstruction.net ROOFING•SIDING•VINYL REPLACEMENT WINDOWS®DECKS Workmen's Compensation and Public Liability Carried on All Work u Date 2004 I (we), the undersigned, hereby accept your proposal to furnish Labor and Materials to perform the following work on premises located,at the following address: ` Ci (Street) ,,. t�-•' .; (City) (State) (Zipcode) Owner's Name �` f-' ` `'"�7 Tel. s Address <' r` f , kf . , `.tt �Rf In accordance with specifications given below: SPECIFICATIONS OF CONTRACT RECOVER THE FOLLOWING AREA ONLY: Strip of all existing roofing material. Install iFe and water shield on all roof edges,valleys and roofing protrusions. Install GAF Shinglemate roofing underlayment with 8"aluminum drip edge. Install 30 year roofing shingles with a Cobra ridge vent on peak. All permits and debris removal included For the sum of$ ' % , f�% "�. t� ... o,:rzz. - Additional work at _ Deposit k The undersi edroe agrees upon P P KY owner agr -� o... completion of said work,to pay cash(if any)$ " ZY and execute a promissory note for the balance of$ * t PLUS TIME DIFFERENTIAL OF Payable in equal monthly installments of$ Owner agrees that the title or equity in this property is his and is security for this contract. IN WITNESS WHEREOF the undersigned has(have)hereunto set his(their)hand(s)the day and year first above written. Buyer(s)Acknowledge Receiving a Completed Legible Copy of This Contract. Thisicontract may be voided by the Owners giving written notice to the Contractor by ordinary mail within i6ree full.business days following the date hereof. =(Legal owner of property to be improved) By , . ms's fir, �� "',,; L.S. . (Authorized Agent) (Husband or wife of legal owner) Sep 25 07 12: 35p p• 1 DATEACORDM CERTIFICATE OF LIABILITY INSURANCE 09/25/007 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Matthews Insurance Agency ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 182 Parker Street ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Lawrence, MA 01843 978-681-1112 INSURERS AFFORDING COVERAGE NAIC# INSURED AJ Wood Construction, Inc INSURERA Liberty Mutual Ins INSURER 8: P.0.BOX 1769 INSURER C: Salem, NH 43079 INSURER D: 1-603-235-7624 INSURER E: COVERAGES 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.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. 'N'R POLICY EFFECTIVE POLICY EXPIRATION LTR rrnm POLICY NUMBER DATE M D DATE MMI LIMITS GENERAL LIABILITY EACH OCCURRENCE E N $ CONIIVIERCIAL GENERAL LIABILITY PREMISES Ea ocwrence CLAIMSMIADE F7OCCUR MED EXP(Any—Person) $ PERSONALBADVINJURY S GENERAL AGGREGATE $ GENL AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOPAGG $ POLICY PRO-JECT LOC AVrOMOBILEUABIUTY COMBINED SINGLE LIMIT ANYAUTO (Eaaoeidern) S ALL OWNED AUTOS BODILY INJURY SCHEDULEDAUTOS (Perpefson) S HIRED AUTOS BODILYINJURY NON-OVJNEDAUTOS (Paraccicent) S PROPERTY DAMAGE $ (Paraccident) GARAGE LIABILITY AUTO ONLY-EAACCIDENT $ ANYAUTO OTHERTHAN EAACC $ AUTOONLY AGG S EXCESSIIIMBRELLA LIABILITY EACH OCCURRENCE S OCCUR. EICLAIMSMADE AGGREGATE S S DEDUCTIBLE S RETENTION S S WORKERSCOMPENSATIONAND WCSTATU- DTH- EMPLOYERS,LIABILITY WC231S353819015 02/23/07 02/23/08 E.L.EACH ACCIDENT $100, 000 ANY PROPRIETORRARTNERIMCUrW OFFICERAIEt,BER EXCLWFm E.L.DISEASE-EA EMPLOYEE S500,000 under SPECIALP OVIS ONS below E.L.DISEASE-POLICY LIMIT S100,000 OTHER DESCRIPTIONOF6PERA11ONSILOCATIONS IVEHICLIESI EXCLUSIONSAODED BY ENDORSEMENT I SPECIAL PROVISIONS Job Location 34 Woodland Street Methuen, MA 01844 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION Methuen Housing Rehabilitation Program DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL DAYS tWUMN 41 Pleasant Street Slut 217 NOTICE TO THE CERTIFICATE HOLDER NAMEOTOTHE LFFf,BUT FAILURE TODOSOSMALL Methuen, MA 01844 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER ITS AGENTS OR REPR A ACORD25(2001108) OACORD CORPORATION 1988 i sem- r Boardlo ilding egulat'ons an Stan ards One Ashburton Place - Room 1 ,301 Boston. Massachusetts 0210 Home Improvement-Contractor Registration Registration: 106603 Type: Private Corporation Expiration: 7/24/2008 AJ WOOD CONSTRUCTION, INC. Richard Smith --- 5-7 DELAWARE DR SALEM, NH 03079 Update Address and return card.Mark reason for change. ❑ Address! F-1 Renewal `_ Employment Lost C,rd )PS-CA1 _ 5OM-05106•PC6490 •.,� :�le 'v�o»z.�nQ�r.tve2ll�. o�'✓�hrevaatuvelCG4 � \ Board of Building Regulations and Standards License or registration valid for individul use only HOME IMPROVEMENT CONTRACTOR before the expiration date. It`found return to: Board of Building Regulatio s and Standards ~ _= Registration- 106603 One Ashburton Place Rm 1301 Expiation: .724/2008 Boston Ma.02108 Type: Private Corporation AJ WOOD CONSTRUCTION,INC.- Richard NC Richard Smith 5-7 DELAWARE DR —Q- JVA-j - - SALEM,NH 03079 Deputy Administrator Not valid without s,gnature I Location S^..r•- No. $�� Date / r � + NaRT� TOWN OF NORTH ANDOVER 041 A ' Certificate of Occupancy $ 4 b''•'°''c�' Building/Frame Permit Fee $ ,s"1ACMUSE Foundation Permit Fee $ —� Other Permit Fee $ TOTAL $ Check # �✓ 2076 Building Inspector NORTIy Town of And 0 No. o , '� dover, Mass,, /,/ .r', T O LAKE COCHICHEw ICK ORATED S BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System BUILDING INSPECTOR THIS CERTIFIES THAT....... ... ..t.. . . ............ ... . wry . ..W-W ...................................................................... Foundation has permission to erect........................................ uildings on .... ......... . .Gi..;z 40.....5 ...................... Rough to be occupied as.. .... Q. . . ._ Chimney .... .... ...... . . .. . ........ ........................................................................................ provided that the person ac pting this permit shall every respect conform to the terms of the application on file in Final 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 CONSTR STARTS Rough ......... .. .................................................................................................. Service BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR 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. SEE REVERSE SIDE Smoke Det.