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HomeMy WebLinkAboutBuilding Permit #421 - 10 ROBINSON COURT 12/12/2007 BUILDING PERMIT 01*"°pT b qti TOWN OF NORTH ANDOVER 3� '� ~ '° �0 G ` ., 9 APPLICATION FOR PLAN EXAMINATION Permit NO: Date Received *Ep v "SSAcaus�� Date Issued: IMPORTANT: Applicant must complete all items on this page LOCATION 0 6l N S-d N Print PROPERTY OWNERLUNN L e+e iV D12Q- 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 4/' Addition Two or more family Industrial Iteration No. of units: Commercial epair, replacement Assessory Bldg Others: Demolition Other Septic Well Floodplain Wetlands Watershed District Water/Sewer DESCRIPTION OF ORK O B P EFORMED: Identification Please Type or Print Clearly) OWNER: Name: P- Phone: Address: CONTRACTOR Name:_C lTe�Ji Phone: Address: Supervisor's Construction License: U � ��-3 Exp. Dategv�L Home Improvement License:—L-/ 9 P 3G Exp. Date: ay ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE:BOLDING PERMIT.$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ / % FEE: $ t Check No.: JS Receipt No.: �0 6 NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund �iignature of Agent/Owner Signature of contractor . 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 k 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 - Temp Dumpster on site yes no Located at 124 Main Street Fire Department signature/date 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 ❑ 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 Location Z z� d "7 G r No. Date M�RTM TOWN OF NORTH ANDOVER b •. Lp t Certificate of Occupancy $ s'„r, Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # _ 208 BuildingInspector i ■ ■ 11,16s$11,16s$i-'�ech Window 8c Sldw , Inc. �P ss89 gBMNM MA Reg,# 118836 i shington Street, Haverhill, A 01832 I- MA MA Lic,#'016201 �Jt� 1-800.851-0900 www.hitechcorp.bit Q'' L Consult � nth g-k q Date: J;L- 1-2-1-9-7-a-_ ) Job Name: s �r �l erns .�_�¢� Telephon Job Address /o Town: CONTRAC709 agrees to start described work orvor about weeks after final fittings a4 complete described+work in abcut working days, +� I CONTRACTOR snall not be held liable for delays due to cause beyond our control. Hi-Tech shat not be held liable for any damage to lawns or plants. j The following work includes all labor and materials needed to compl to your job in a workmanshiplike manner. LL rtLL 1 .11 ' ©!� � •� a 1 L� � Q.« - / r• o � Lr U % ^ — l THE-QWNER SHALL PAY FOR THE WORK ``r�. in Cash or Check Upon Completion ZI Hl ech Whi Make Bank Arrangements Z) By Bank Modernization Loan 0 OtA nor Will Make Bank Arrangements ; You may cancel this agreement if it has been signed by a party thereto at place other than the address of the seller, which maybe his main office or branch thereto,provided you notify the Is Iter in writings at his main office or branch by I ram sent or delivery, not later midnight f the third business day following the signing ordinarymail posted,b tee Y p y g of this agreement.See the attached notice of cancellation form for an explanation of this right. All material is guaranteed to be as scet died.All vrot.to be wmplet-d;n a%vodanonlike manner accadig-,Oslanrlmdprac11CC:.Any aitetahohso;oginratedeYiptleftfomabove specifications Authorized Signature involving extra tott will be ezecmed miy upon written orders and will becoma ar extra cria!ge aver Data and above the estimate.All agreements contingent upon;strikes,acadents or delays beyond our cortml,o vner to carr['fira,tomado and ester recea erp insaronta.Out wcrkets are fulNwverod tty NOTE:This,prop4el maybe withdrawn by us if of ao.epted witti days. Workman's Compensation I=raice An interest charge of 1 1/2% per month (18% per year)will be Date ofI Accep ce ja 10q 102 added to any amount unpaid after 30 days from invoice date, Signatute In the event of deteatt In payrnent of,hl*orde,or any pert thereof and the accoant is Warred to an ettornsy far oolleotion,the perchaser ogees M pay reasonable attorney te96. Slgnatuire-, L d 88LO0000SL'ne4/!Q0:9L 'LS/90:SL LOOZ OL 030<NON) YAOh=1 NORTH 0 T " of over .No. Z� _ o dover, Mass., /A )a• O 0 LAKE COCHICHEWICK %S RATED BOARD BOARD OF HEALTH Food/Kitchen . PERMIT T D Septic System t BUILDING INSPECTOR THIS CERTIFIES THAT............. .` .!'1 ............... - -,.,.,................. Foundation has permission to erec buildings on /� L p ........................................ g .....�.1.0....... �.... ........................ Rough to be occupied as..... ... ?�rv�a, -c ..... ...a.(.` -! ... d............... .. .N..l ...�... ..., H'!!1- —....t. Chimney provided that the person accepting this rmit shall in 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 MON S ELECTRICAL INSPECTOR. UNLESS CONSTRU T Rough :...:.............::INk...... Service BUILDING SPECTOR Final Occupancy Permit Required to Ocmpy 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. ti : - _ - - - - - .... - --I m 0 c� f0 O r a 0 3 MW DrdW la':rte I'Q;'a 09TGAGINSIPPPECTION PLAN14aE t ico for mot-Epave purposes only c y t,J? 2}ti GCT i..00ATI()P1 NORTH hW00`,rF.lt IAA city or Ism state +, 1995 1 !l1Cir'20 tEtt February . cr Owiilintkm is elcrAl aft to x STONEHAM CO--WERA71VE'SANK ti1'/a rA9m'RI MI tAu WIM ML a r� sck to rt r e lr Iwnlar 4yirae ;i'tar'e�'�l.w ° ilio eeorl°r�i:a.�`•1 i2.ru -ctr�ot.r p�ta�spf�ste»+p� - �� 71'o�e�Ml iNb� r 0 =� rich w ie w • e or twq last tttnor u �, ,�p?'3 r�aaptoa by t>br aaaafaritA o�`zDO 0 el�no+�a F' DEED AND PLAN REfEW-WE m �z ESSEX NORTH B9ST walstry of Dodds r t tJ. D046 8tnt 2 Plan eod Alun__ta2Bi____ t "' a � G►tlt ai t to 1ssRYy 1 tMt tl+rtatrvctu-e sham on �@ Arse� Y me lean th r cyan•IMr1o1''rziniss d fling E Jwa M de ansatad on the riu e} •� (Ptir:irn� ui clweili,x� - 3�a Col�iMt►bis- =50098-•C603G _ _ ---- � t Effaciltrr Crtat Junes-2, 1973 '• . iniot1rSa7tt/ta9n, r tYbow DwrelaFwat,t•fBs74it.0 UYBan -t•AnaA N W w r . x 0 MORTGAGE SURVEY CONSULTANTS. INC e l�sA P!ElaAIfT VMl�Y Sg.— :�11IYE 7 — 3kilEl. !!A 04844 0 n1 . SOB}s7 2700 G _� a 0912612007 14:30 WM.G. Sullivan Ins.Agency (FAX)197$3732251 P.00110(1d_ oAr6 pa7MID�� _C_QR_P,, CERTIFICATE OF LIABILITY INSURANCE 09/24/2007 � PP. 0 AS ODLCE+R (978)372-2790 FAX C9?8)373-2251 THIS�o"NLYCAtJRDICi NFERS NO RTE IS IGHTS UPON THE CERTIER OF I FICATEON Sullivan Insurance Agency, Inc. ER.THI CERTifiGATE DQES NOT AMEND,EXTEND OR 48' Groveland Street ALTER THE COVERAGE AFFORDED BY THE POLICIES EELOW. Haverhill , MA 01830 INSURERS AFF RDING COVERAGEMAIC 0 Kevin Sullivan Da ---er Insurance 22292 no, ItISuFED i ecF1 Wind,�v;&fit Tng nsta Iatlon, _nC. IN9jRF;Z„ anc 143 Washington Street IIUJJ�EP. Haverhill, MA 01.8?2 INSURER c INSJRER D 2JF.'E2 E' COVERAGES THE FOLICIEC OF IIJSUiAfdG=UCTED 6ElOJd H°.'JE Br'.EN iS:�JED TO THE INSURED NAA4EC A80'_EFOR THE POLICY PERIOD INDICATED.PE ISSUED JiSTANDI:•J�, AN'Y REOUIRekAE:T,-ERP6 OR CONDITICPi OF ANY CONTRACT OR OTHER,.00niNIENTWITH RES ECT TO UNiICH THIS CERTIFICATE EXCLUSIONS r D I ONSO OR MG.'e PERTAIN.THE V JRANCE AFFORDED BY TH E POLICIES DESCRIBED HEREIN 15 SUBJECTT9 ALL THE TERMS,E:(CLUSIONS AND CONDI i IONS 0=SU H POLICIES.AGGREGATE LRdITS SHOV\N MAY H,y,/E B=EN REDUCED BY PAID CLAIMS. -- POLICY EF FEC TIVS PD.ICY EYPIRATIQN UMIT9 INSR4 DC'LTYFE OP If•15+;Ra(4CE POLICY NUMBER � � GENERA uaelLJTr ODNO957719 09/24/2007 00/24/2008 EAcl;o:c-!FFtr.cE T 1,000,000 DOS,%QE TO PEIN'ED i 11 i0,OG- i I MEDE%JF(4yonePerson) I —�-- �� � pEP;GNnI.!' AD'i IN!L'Frr 14 i.000 00o A ;ENEP.r•.L n;GEEr.ATE j'F 2,000,OU . � �nnLrTc.�p!1Pi6u Aac.4, 2,000,00 ;:Er IL"J i'>FE+i!'TELliaiT^FFLEES'rEF i . X F� AU70td]eILE t!k 91'_I;Y ^OrAEibIED 511J6•I,_L11-AIT 1, ;Ea ecutlan!) aI I(,U_0 �1 ! i i.'LL C'a?IFG'.!T7: ;op,Prrsonl I-II�E{':•!Ili:' 1pe!ar.cic CJI Lert!:; IPiAi PR!1pERTY DPMAGE f I AUT(-GI.LI'-En,.K- ._IC!E,•,T GARA6ELIAGIL 1'i EA.A'—l'^I _ �,A HEF. JiidJ 8 Al Ir n.'J +; AUTO 0„4LY N'.L EACH OCCJRPEN'_E E �� E7.Cc5S1!!MER:Ll.A LiRB1ITY 3C•P,EO?.TE 1' � Vd ST.aTL 0tH. �I JL'Y_TTL, R 1 r1'ORYERSCOVIPEN£A olf?•NrJ ( cLEACI'�,C=IDEI•T EMPLOYERS'LIABILI"'; I I (I--� AIIrF'n':FY'EPif,Fr.P?II=P'c;'-.•;ir^"E ` SEA.SE-CAEMPL:)E >• - ?FfI'E'�fttEt✓6�=-'I:LlIL'ED' f I IEscn6eur,.>a j -_CxSE9oE•PvLIC''LI4T C OTHER i DESCRIPTION OF OPERA i IQNS t LO�AIIONSVEHIC IES f EYCLUS!ONS ADCED By ENDORSEMENT f SPEC IAL PPOV!SION' i arpentry Operations 8' Windw.,/Sid•ing Installation CERTIFICATE HOLCEP, CANCELLATIG SHOULD ANY Of 'HE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE QXPIRATIONDA 7HEREDF,THEISSUI;JCINSUREP WLLENLIEW!ORTO(VAIL 20 GAYS N' i'TEN NOTICE 7C THE CERTIFICATE HOLDUP NAIAED To THe-EFT, i _ B1,7 rA.IWR£TO aIL WcH DSOT10E"LL impose NO OBLIGATION OR LIABILITY I _ OF ANY I(INDUP(NTHE,NSURERITS AGEN-S ORREPRESENTATI'VES . `• AL:THOR+i.0;BPRE !JTATP/F` Kevin 5ulli n;/KP5 t @ACORD CORPORATION 1988 ACOR0 25 jMlio8;' FA'X (6031893-0194 - __. -o —-a l •I SZ 60:9 L ZOOZ 0 l 030("0")' F40,4-1 09}2'412Q0% AGOR ICATE OF UABILITY INSU ANCE _I CERTIF THIS CEF iFICATE IS ISSUED AS A rVATTEP OF INFCrWATi0N qTS UPON THE CERTIFICATE 137,�l--- E5 o7 CONFERS NO PIG, eXTEMD OR ONLY AN. I AMEND, R 15,KIMBALL INSURANCE AGENCY INC. HOLDER, TirtS CERT;fl'CATE DOES N'� T�.IE COVERAGE AFF�RQIE[) 6'f THE POLICIES BE'-C-VY- 41 P C)LAOX 1 39 0ALTER 14AVER41LL VA NAIL tl- INSURERS AFFORDING COVERAGE Am. rican Home AsurarcPCOrTV")y, SIDING INSTALLATION INC. c C(,:)ATTN,WILLIAM CHASE[I 143 IXA51-IING7014 STREET wSLR';R D 1INSL)REP.E clip NO 1) lo COVERAGES 70—TLI -rF--I-llreo �Jmw J�p ep ssj- ao, 'ES OF 11171!All-: ..........H=N or OTHE In'Is cell AND -014CITIO!'S TPF I R CF Atly :�ONTqA'l T�-, !11 Cr �7t HER- TAF 'vXIZIES • REr)klCf-f,' RY PAID CLWNIF gi�T BEF.;4 LIMITS po-:ry=FIECTIVE �01.-cy Exp(Rpllol E-11 CA-.E OF MSUFll%tI-E EACH OCCuRRP-lCC GENERAL LIOSILITv xME) EXP(my rine person;lAF W02! u v- I zURSONAL&AlYV INJUP, r,---,,,ERAL AGrREC-ATF ppoou AGOly - A(-�GR F I' F�' AOES PER. POLICY Ll IT Ea=-Iden!! I :,NY AUTO I I BCDILy IN,IIJRY �Pcr A'rs'on;4Ll--�OVMED'UTO-; AU BODILY INJURY OFIERTY I)04;'Ge I(Per acrld-m' ------- NLY- CCIDEN7 zA, AUTO 0 ..EA A-C Cjo*,AGE 04151 !TY C I" ""'."To OTHIFQ THAN AN)'AUTO 17LjTg OFILY, AG I EACI-I OCCURRENCE UMBRELLA LIADILI Ic I,-p, E[)UCTIK� ------ 07106JOB -?'.Yl, L 440RKLRS CrVPV4GA-i;rW A!ID VVCB947853 07106107 E L FAZk ACCIrEN1. 000,0, E�L CISE�,SF-CA EMPL111111. OY'75 A C.L.C118•'-A8-.POLICY UtAr OTHER -.S/EXCLUS'ONS ADDED NDL)RSEME�4T,!SPEC,.kLFROVI$IONS 1-00ATIONSiNV I'Lt- DES R GF TH 5HOWIP'ODN' Vjt4yL SIDING SALES AND C I P'TION C.F'o PER6'-Iot� AND DIRE C.AN OFF ICE M RELATED TO U MANUFACTURE:5 REPRESEtITA71VE CT SALES iNCLUDIN rl r,ETHER ASS:)CIATEC)PRCDUCTS AND CAP.PF 4C I WINCo%ftlS..000R$,DECKS AN PLA N !NSTALLAT�!01',REPLACEME L H OM ES ti, ) Sil)FNT(AL HOMES AND BW DINGS HEREIN CANC ELATION CERTIFICATE H 1. 3HUULUtl,e nP THE MCRIEED pCLjr.tEs SE Mf';EL: VVILL F-11 C�VOR T WP-I;.`3 )N DAT_} -IHEPEO�, r"5!jFZ F� 5,17 F g,ILLI 1� TF HO!DE' �JAMK, TO 7 E LE5T. I Al'f KIND U orl TH 0071cS TO 71-E CIEP"Fl— TO 00 SrSHALL NPOSE NO OSLICA-IOM CF,UABIOT-� ITS AGF ?OR PEP4 ENT-.TtVES AUP'OFIZED PEPFE•_KTATIVE C. Kimball Jr. Attention: ANNACORD ::OP;)CRA'411 ACORO 25 12001/08,:1 'LlSZ80-$411, ZOOZ OL 090(NOW) wr1211=1 i I I Board of Building Regulations and St®odsr& HOME IMPROVEMENT CONTRACTOR R.ePistra�lyl 118836 612009 Tr# 261617 r• :::_ 7 late Corporation HE TECH WINOQVl/ 1 �V3` A!L INC WILLIAM CHASEfr--; 143 WA5HINGTOl�'; Z. �, HA VERHILL,MA 0183 ``� Administrator Ll ease or registration valid for individul use only i before the expiration date. 1f found return to: B rd of Building Regulations and Standards O e Ashburton Place Rm 1301 I B stow,141a.02108 Not valid without signature j Z d SSt000OOS1_'�+N/SO:BL '1S1L0:9L LOOZ OL OMO(NON) WON-A ti Fb 08Lp W X71 u ; nyN1o���AbH Lg�SZ � ,N 1Nbl 9ZZ al 80 �O .paao��� SNS NHor �: a SN911b�n�3a ldpll���1SNUO Wl -5i J,�