Loading...
HomeMy WebLinkAboutBuilding Permit #644-13 - 10 SALEM STREET 4/4/2013 TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit NO: Date Received Date Issued: C yG-7 IMPORTANT:Applicant must complete all items on this page LOCATION le '(�4014rlrt SS1,��e� 1loel(A 11 PROPERTY OWNER( � �P- LI� !� �/� > . Print 100 Year Old'Structure es no MAP NO: PARCEL-L11 ZONING DISTRICT: 3 Historic.District es no Machine Shop Village yes (IL--) TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building kOne family ❑Addition ❑Two or more family ❑ Industrial R*AIteration No. of units: ❑ Commercial ❑ Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other ❑ Septic ❑Well. ❑ Floodplain 0 Wetlands ❑ Watershed District 0 Water/Sewer DESCRIPTION OF WORD�O PERFORMED: , r1iAe*y S.`.:r G-_ T%ar, 'a. ge' ��t,Q�ar� �cI&,a 714e4�✓D Am IQ/�lCrcPt. hla►� 1"•o�c, o� S-S 1�d Jo.s T d �oGG s -us .>r` ��'e ti�• _�!'I!5 �Gos',� .G s -/���/ ?�a7 ✓� / 'f/f°o s ,�4Sya0 �,11 N G le1Wr 7 7c;' Identification IeaseType or Print Clearly) OWNER: Names ��itr,� y� /�G5 Phone: Address: 177 .� 1�� sleec� CONTRACTOR Name:-FSA✓44o-,7,-? l�6�00� Phone: Address: 62d l� `Lys o� ,, /�/ot'1 A Supervisor's Construction License: Exp. Date: Home Improvement License: Exp. Date: ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE:BULD/NG RMIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Co., t: $ d QZV FEE: od Check No.: �SLi' Receipt No.: ��2�Q NOTE: Persons contracting with unregistered contrac rs do not have access to the guaranty fun Signature of Agent/Ow �i / _ignature of contracto Plans Submitted ❑ PI s Waiv d ❑ Certified Plot Plan ❑ St ped Plans ❑ Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ TYPE OF SEWERAGE DISPOSAL Public Sewer e Tanning/Massage/Body Art ❑ Swimming Pools 0 Well ❑ Tobacco Sales ❑ Food Packaging/Sales El 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 CONSERVATION Reviewed on Signature COMMENTS _ HEALTH Reviewed on Signature COMMENTS Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments I Conservation Decision: Comments x Water & Sewer Connection/Signature& Date Driveway Permit I� DPW'gown Engineer: Signature: Located 384 Os ood Street FIRE DEPARTMENT - Temp Dumpster on site yes no Located at 124 MainStreet Fire Department,signature/date ` COMMENTS i 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 I � Doc.Building Permit Revised 2010 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 Li Building Permit Application o Workers Comp Affidavit ❑ Photo Copy Of H.I.C. And/Or C.S.L. Licenses o 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 o Photo Copy of H.I.C. And C.S.L. Licenses L, 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) o Building Permit Application ❑ Certified Proposed Plot Plan ❑ Photo of H.I.C. And C.S.L. Licenses o 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 OTE: 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: Doc.Building Permit Revised 2012 Location& No. �D /- I.3 Date 4� 2 7� . - TOWN OF NORTH ANDOVER qL�b'j�get o � Certificate of Occupancy $ Building/Frame Permit Fee $ Foundation Permit Fee $ v Other Permit Fee $ irF o'k� TOTAL $ r Check# �J f 1 «( 2 l f Building Inspector ✓'^ O#NORTH ?r p549 ACNE5 CERTIFICATE OF USE & OCCUPANCY TOWN OF NORTH ANDOVER Building Permit Number 644-13 on 4/4/13 and 798-12 on 5/3/12 Date: June 23, 2014 THIS CERTIFIES THAT THE BUILDING LOCATED ON 10 Salem Street MAY BE OCCUPIED AS a single family home_IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. Certificate Issued to: Center Realty Trust 177 Salem Street North Andover,MA 01845 Building Inspector Fee: $100.00 Receipt: 27709 Check :8755 I i Town of :off Andover .. North .Andover, Mass., BOARD OF HEALTH Food/Kitchen IJERMIT To BUILU Septic System BUILDING INSPECTOR THISCERTIFIES ............................................................................................................ Foundation has permission to erect....//................................... buildings on ./ . ............ ....... ........................................ p4G6 G c a0or° L5 9 e f �� Chimney K to be occupied as. //Jy, ..F�- ...... .. ...................................1 A... ... ..................... ............................................................................. a.. ° provided that the person accepting this permit shall in every respect conform to the terms of the application on file in f '� � 6/eR 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 � �i �• ` -7 I ELECTRICAL° SPECTOR B LESS �. OIN ST}��. C 1 10 S T�.7c I.Rouph .... l! v................................................. Service BUILDING INSPECTOR final � Occupancy Permit Required to Ocotpy Building GAS INSPECT Rough Display in a Conspicuous Place on the Premises — Do Not Remove Fina, G No Lathing or Dry Wall To Be Done FIRE-DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street N S E E REVERSE SIDE Smoke Det •�~• NORTH own of aAndover 0 No. b 0 l*. 'h ver, Mass, COC NIC Nl WICK S U BOARD OF HEALTH Food/Kitchen PERMIT T LD Septic System THISCERTIFIES THAT ............ .� : .............. :. ' .... ... °.............................................................. BUILDING INSPECTOR .•: r - . ` Foundation has permission to erect ......... buildings on ...: ': � . `��' ................. r ................... ............................ ..... Rough to be occupied as .........:f.' .......:`::. .'':::.: : ,..l.r:...:.:.: .,...... a. . ..... .... : :::.. .'......r: : Chimney .�.... :' "gyp/ iy!••' 9 ! Y ... : :.4':.i..'.�....i'.•�...i.,j.•Y• provided that the person accepting this permit shall in every respect conform to the terms of the application 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 CONSTRUCTION STARTS Rough ,;, Service 0 ................. ..:.... .:;�w.r• '...... ............................ .F BUILDING INSPECTOR t GAS INSPECTOR Occupancy Required to OccupyBuildin�Permit Required to Occupy Building 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. Smoke Det. SEE REVERSE SIDE f NORTH 1 o N f s SSCNU`+f 4 CERTIFICATE OF USE & OCCUPANCY TOWN OF NORTH ANDOVER Building Permit Number 644-13 on 4/4/13 and 798-12 on 5/3/12 Date: June 23, 2014 THIS CERTIFIES THAT THE BUILDING LOCATED ON 10 Salem Street MAY BE OCCUPIED AS a single family home IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. Certificate Issued to: Center Realty Trust 177 Salem Street North Andover,MA 01845 Building Inspector Fee: $100.00 Receipt: 27709 Check :8755 Town of o over ., No. '' North Andover, 1Viass., III-aJ BOARD OF HEALTH Food/Kitchen PERMIT TO BUILD Septic System BUILDING INSPECTOR ��G ����4 THIS CERTIFIES THAT.... ..................................... . ............................................................................................................ Foundation has permission to erect........................................ buildings on ..................� ........................:............................ to be occupied oar- z �f���7 ...� p as. .,.�................................�. ............ , . .z.................................................................. . Chimney provided that the person accepting this permit shall in every respect conform to the terms of the application on file in Cinal'-' 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 t )y ���l�D ELECTRICAL SPECTOR ................................................. Service BUILDING INSPECTOR inal ) Occupancy Permit Required to Occupy Building GAS INSPECTOk Display in a Conspicuous Place on the Premises — Do Not Remove Rough Final t cs/� �•3 ' No Lathing or Dry Wall To Be Done FIRE-DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner street No.' SEE REVERSE S 1 D E smoke Det •�^• �yL " tAORTH own of t E 6Andover No. s }� h ver, Mass, Y COCfi1C Nl WIC ft y�. �d A04ATED /Pa�gS s � BOARD OF HEALTH Food/Kitchen PERMIT T LD Septic System THIS CERTIFIES THAT .......... :....................'. :.:.:..` .' ............................................................ BUILDING INSPECTOR fr t l Foundation has permission to erect buildings on ...:':.. ............ .................�....... ..... Rough eq to be occupied as .. ...`............... ' .............:.�,..1.............,.............;.....x.....:. .t..:...�..... ..:..,,,�..�:;.�",�- Chimney. provided that the person accepting this permit shall in every respect conform to the terms of the application 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 CONSTRUCTION STARTS Rough Service ................. .. .... .. w,1...ti ..l; :.,............................... BUILDING INSPECTOR GAS INSPECTOR Occupancy Permit Required to Occupy Building 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. Smoke Det. SEE REVERSE SIDE N h� An Town of 'Ort dover No. ''' North .Andover, Mass.,- BOARD OF HEALTH Food/Kitchen Septic System rERMIT TU B _UILD THIS CERTIFIES THAT....'"!!!.�.� �''�' ... � � BUILDING INSPECTOR ........................................................................................... Foundation has permission to erect........................................ buildings on . ��. '.Ag-- . .st .................................................... e occupied as. .......... ......... !. ................... ................................................`.� .......................... Chimney to b provided that the person accepting this permit shall in every respect conform to the terms of the application on file in Cinal*'� 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 INSPEC OR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough LP _'.. _ Final � 77gg 3^��^— °{�'.v,t S,d 6 J �",_r�IN 1 1 i1J C�LESS CONSTRUCTION _q'EAJ TS ELECTRI6A ' SPECTOR .............. ....' ,.'_ ................................................. Service BUILDING INSPECTOR anal � Occupancy Permit Required to Occupy Building GAS INSPECTOR' Display in a Conspicuous Place on the Premises — Do Not Remove Rough Final yps"/lels ° No Lathing or Dry Wall To Be Done FIRE-DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No.' %q S •� EE-REVERSE DE SISmoke Det •1� �, � NORTIy � Town o � _ 6Andover 1 ....... 1 h ver, Mass, Y,.�F o fj�Nf 1• COC NK NfwK.[ 7r,E0 S U BOARD OF HEALTH Food/Kitchen ..PERMIT T L D Septic System .,J•i.`. " . ' ••' ....... "i..-i BUILDING INSPECTOR ... ....................................................CERTIFIES THAT .......... • i ...........•i....:' if •• " .a .... '11 i Foundation J has permission to erect buildings on ...:......::.:...` .......................... ..... .. ....... ...... ..................... ..... Rough to be occupied as ......... ... . ............. :..a6�.. .'...%.'' : ....:.:......... :.:.. ::. .........`.':'. .:...: ::' s';: .� Chimney �i.• d provided that the person accepting this permit shall in every respect conform to the terms of the application anal ��/jam, 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 CONSTRUCTION STARTS Rough r Y Service ?....:..:...................... .................�,,:.....F; �,z .�..,, ...... F BUILDING INSPECTOR GAS INSPECTOR Occupancy Permit Required to Occupy Building 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. Smoke Det. SEE REVERSE SIDE NORTH own of _ ndover a � Zh Mass y ver, , ° coc"Ie: cv.cw p�R^TED 0"Pa`,�'�y S U BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System BUILDING INSPECTOR THIS CERTIFIES THAT � �I.'./��:^.........:�7.�... f� ....................................................... ............ .... . ... Foundation has permission to erect ..... buildings on ........................................................................... erect .......................... Rough 4 X ��.^' Chimney tobe occupied as ...................................... /............�r. .......... ... provided that the person accepting this per it 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 PLUMBING INSPECTOR Construction of Buildings in the Town of North Andover. Rough VIOLATION of the Zoning or Building Regulations Voids this Permit. Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTION ST RTS Rough Service .. . .�..,.,......................... .................. - Final BUILDING INSPECTOR GAS INSPECTOR Occupancy Permit Required to Occupy Building 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. Smoke Det. SEE REVERSE SIDE Enter construction cost for fee cal - North Andovigr Fee Calculation Construction Cost $ 203000.00 m $ - $ 240.00 Plumbing Fee $ 30.00 Gas Fee 100 comm. $ 100.00 Electrical Fee $ 30.00 Total fees collected $ 400.00 10 Salem Street 644-13 on 4/4/2013 Exterior Siding, Window Trim, Add 1/2 Bath Reframe Second Floor and Roof Rafters Ori inal Permit 798-12 this Permit adds to that one Massachusetts -Department of Public Safety Board of Building Regulations and Standards Construction Supervisor License: CS-075302 BENJAMIN C OSG-bOP 69 OLD VILLAGE LANE NO ANDOVER NIA Ol$ i f 92, Jy Al" Expiratior Commissioner 12/04/2011 i J' 1 j i �'� ► ' - CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 3/2/2012 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 endomemengs). PRODUCER NAME: M P ROBERTS INS AGCY INC PH EFAX 106Q Osgood Street AJC No,Ext: 978 683-8073 (AIC,No):(978)683-31 47 ADDRESS: mikelaIIlprobertsinsurance.4"om North Andover, MA 01845 INSURERS) AFFORDING COVERAGE NAICJI INSURER A: INSURED CENTER REALTY TRUST INSURER B: INSURER C: P.O. BOR 876 INSURER D: ZURICH NORTH ANDOVER, MA 0184'''5 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. TN—SR TYPE OF INSURANCE p POLICY NUMBER INSR (MM/DD/VYW) (MMfDD/YYW) LIMITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITYUAMAUt R PREMISES(Ea occurrence) $ CLAIMS-MADE C�OCCUR MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GENERAL AGGREGATE $ GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ POLICYLJ PRO- £ LOC $ AUTOMOBILE LIABILITY Ea exldent _ $ ANYAUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY(Per accident) $ HIRED AUTO$ NON-OWNED AUTOS PROPERTY(Per accident)DAMAGE $ ;EXCESS RELLA LIAB OCCUR UAB EACH OCCURRENCE $ CLAIMS-MADEAGGREGATE $ RETENTION $ WORKERS COMPENSATION $ AND EMPLOYERS'LIABILITYYf N X TORY LIMITS ER _ D OFFICPE'RIMEM ERRMARTNERIEEXCUCED?ECUIIVE F] NIA WC005095106 02/10/12 02/10/13 E.L.EACH ACCIDENT $ 500r000 (Mandatory in NH) If yes,describe under E,L.DISEASE-EA EMPLOYEE $ 5(0)0,0 b—ESC RIPTIONOFOPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS lLOCATIONS/VEHICLES (AttachACORD 101,Additlonel RemarkeScheduls,If more space is required) CERTIFICATE HOLDER CANCELLATION SAMPLE SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE 1 ACORD25(2010/05) ©1988-2010 ACORD CORPORATION.All rights reserved. The ACORD name and logo are registered marks Of ACORD Location No. /-/3 Date TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee Foundation Permit Fee $ Other Permit Fee $ TOTAL $ • Check# �1 26252 LB ilding Inspector