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HomeMy WebLinkAboutBuilding Permit #256 - 100 COURT STREET 10/4/2006 TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION pORTN o;<*tet° O Permit N05,k Date Received Date Issued: s,TED 9S ACHU t IMPORTANT: Applicant must complete all items on this page LOCATION OO Co--L i, � � r�3 a Print PROPERTY OWNER 0 MAP NO.: �� PARCEL: Print ZONING DISTRICT: 3 TYPE AND USE OF BUILDING HISTORIC DISTRICT YES ❑ TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑New Building e family ?IC,Additiotr--&t-J-y6�0, ❑ Two or more family ❑ Industrial ❑ Alteration No. of units: ❑ Repair, replacement ❑Assessory Bldg ❑ Commercial ❑ Demolition ❑ Moving(relocation) ❑ Other ❑ Others: ❑ Foundation only DESCRIPTIO OF WORK TO BE PREFORMED e r-0 A �� ! 11 Identification Please Type or Print Clearly) OWNER: Name: a �� h Phone: Address: LAQve� CONTRACTOR Name: C4 �Y�� f � Phone: ( �;(�q rl Address: E `�ActC, 1 Supervisor's Construction License: 9 LIE 3 � Exp. Date: Home Improvement License: Exp. Date: ARCHITECT/ENGINEER Name: Phone: I Address: Reg. No. FEE SCHEDULE:BULDING PERMIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost :$ G —FEES—3 0 a ®Q Check No.: Receipt No.: . Page I of 4 Location 10U '9 VZ, S I "— No. Date/�- NORTH TOWN OF NORTH ANDOVER 0 9 ` Certificate of Occupancy $ Nus c�' Building/Frame Permit Fee $ � . Foundation Permit Fee $ d,. Other Permit Fee $ A TOTAL $ Check # 19646 Building Inspector TYPE OF SEWERAGE DISPOSAL Tanning/Massage/Body Art ❑ Swimming Pools ❑ Public Sewer Well Tobacco Sales ❑ Food Packaging/Sales 11❑ Permanent Dumpster on Site Private(septic tank,etc. ❑ Electric Meter location to proj ect NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund Signature of Agent/Owner Signature of contractor Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF-U FORM DATE REJECTED DATE APPROVED PLANNING & DEVELOPMENT ❑ ❑ COMMENTS TE REJECTED DATE APPROVED CONSERVATION COMMENTS �ID MMtKKbM DEntz DATE REJECTED DATE APPROVED HEALTH ❑ ❑ COMMENTS FIRE DEPARTMENT - Temp Dumpster on site yes s 1 y no Fire Department signature/date 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 Building Setback(ft.) Front Yard Side Yard Rear Yard Required Provided Required Provides Required Provided Dimension Number of Stories: Total square feet of floor area, based on Exterior dimensions. Total land area, sq. ft.: NOTES and DATA— For department use Page 3 of 4 Doc:INSPECTIONAL SERVICES DEPARTMENT:BPFORM05 Created JMC.Jan.2006 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 Addition Or Decks ❑ Building Permit Application ❑ 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) 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 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:BPFORM05 Page 4 of 4 No�.� 0 0 tf 4 over dover, Mass., 10 ' • 0e, T COCMICMEWICK �ADRATED P"' '9S BOARD OF HEALTH PERMIT T D I Food/Kitchen Septic System BUILDING INSPECTOR THIS CERTIFIES THAT....40444............ C...&.4... .*7............................................................................... Foundation 0.. has permission to erect.. ...................... buildings on .Q�...{w. .�1 ... ........................... Rough 'to be occupied as........ .... ...I�. /aw.........6�........ 1.1�.. ..�. . .........�. Chimney provided that the pars n acceptgis permit shall in every respect conform fo the terms f 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 36PERMIT EXPIRES IN 6 MONTHS Final ELECTRICAL INSPECTOR UNLESS CONSTR ' N c TS 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. I F SEE REVERSE SIDE Smoke Det. CERTIFIED PLOT PLAN PREPARED FOR. ROBERT & JENNIFER MCMAHON AT 100 COURT STREET NORTH ANDOVER, MA. " NORTH ESSEX REGISTRY OF DEEDS: BK. 9367 PG. 52 z ASSESSOR'S MAP 58, LOT 21 ZONING. R-J a SCA LE:1"-50' DATE: SEPTEMBER 25, 2006 Q NOTE_- REFERENCED PLAN DOES NOT MA THEMA 77CALL Y CLOSE. LOT 2A Q _ N 197.37' O p � 9Ap i O A00R0� O 00 0 � Fl \� 77 p PROPOSED Z' O 7.5x3' ENTRY "o O' 'V LOT 3A �0 51,752 SF f OFA{,gss9c N 21 o•d0 NO. 35773 F /OVAL LAIN PREPARED B K JOHN ABAGIS & ASSOCIA TES, PROFESSIONAL LAND SURVEYORS 9 BARTLETT STREET, NO. 252, ANDOVER, MA. (978)-688-4899 JOB NO. 5429 E --� CHRisuAN� BviLDERs Design&Remodel CONTRACT. AGREEMENT ,1lemner: Robert& Jennifer McMahon August 10, 2006 National Kitchen&Bath Association 100 Court Street Cell (617) 877-7755 National Association of Home Builders North Andover, MA 01.845 Email bmemahon@necn.com Merrimack Valley Chamber of Commerce - - `uassachusetts Home Improvement FROJECT S'[T1VIiVTARY Supply labor and materials for the following project renovations: Contract Registration#119849 1. Garage Doors Panels: 62,500.00 2. Cupola Unit: (Credit Homeowner To Supply) <6 850.00 > Massachusetts Construction Supervisor 3. Exterior Trim: 622,100.00 4. Window Panels: $5,000.00 License#113726 5. Roofing Shingles: 626,000.00 6. Window Units: 520,687.00 Insurance Coverage: 7. Exterior Door Units: 510,000.00 Harleysville $. '���rnit: -J' 9. Custom Columns $6,880.00 We are proud to provide you with the 10. Painting: 620,000.00 foUmving services: Total Cost Exterior 5120,667.00 Custom Remodeling& Additions Custom Finish Work NOTE: Architectural Design Due to the wide range of conversations that are typical in the development of any project, only those specifications outlined in the final written contract Structural Engineering can be considered binding. cony perceived or recalled verbal agreement will not be considered binding. Interior Design 'I71 06 Lighting Design _ j� ohieci er natu. D 'te Landscape Design Homeow1 r Signature ' 6ate �6iitrktor-5ignat'u, Date E` i "<'tnistiau puiiders.fur. rwww.christianhuildersinc.com PO Box 652, Reading,Mas--gacliusetts 01867 Tel: 81 944-6124 Fax: 781 942-9327 i Te lOcnrirrtaracue��t.� py�.�l��,uvs�.c�ut , 30ARD OF BUILDING REGULATIONS i License: CONSTRUCTION SUPERVISOR Number: CS 094338 a•, Birthdate: 09/08/1962 ;xoires: 09/08/2009 Tr. no: 94338 Restricted"00- STEPHEN iMCCULL.00GFi, ' 90 ABBOTT STREET• ?OR H ANDOVER, MA 01845' Commissioner ACORDM CERTIFICATE OF LIABILITY INSURANCE 05/23/2 0' PRODUCER (781)942-2225 FAX (781)942-2226 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Gilbert Insurance Agency, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 137 Main Street HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Reading, MA 01867-3922 INSURERS AFFORDING COVERAGE NAIC# INSURED Christian Builders, Inc. INSURERA: HARLEYSVILLE/WORCESTER INS CO. 26182 30 Azalea Circle INSURER B: Reading, MA 01867 INSURER C: INSURER D: INSURER E' VERA E THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDIN 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. INSR OD' TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS GENERAL LIABILITY CB8E7436 05/19/2006 05/19/2007 EACH OCCURRENCE S 11000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $ loo o0 CLAIMS MADE �OCCUR MED EXP(Any one person) S 51000 A PERSONAL 8 ADV INJURY S 11000,000 GENERAL AGGREGATE $ 2,000,000 GEWL AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG S 2,000,000 POLICY PRO- JECT LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT S ANY AUTO (Ea accident) ALL OWNED AUTOS BODILY INJURY S SCHEDULED AUTOS (Per person) HIRED AUTOS BODILY INJURY S NON-OWNED AUTOS (Per acadent) PROPERTY DAMAGE S (Per acadent) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT S ANY AUTO OTHER THAN EA ACC S AUTO ONLY: AGG S EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE S OCCUR ❑CLAIMS MADE AGGREGATE S $ DEDUCTIBLE S RETENTION $ $ WORKERS COMPENSATION AND WC8E7436 05/19/2006 05/19/2007 X I WC STArU- OT.- EMPLOYERS'LIABILITY ER A ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT S 100,000 OFFICER/MEMBER EXCLUDED? E.L.DISEASE-EA EMPLOYEE $ 100,000 It yes,describe under SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT S S001000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PR 10 ,-'-u'. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGE OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE CHRISTINE C. AMENTA" ACORD 25(2001!08) FAX: (978)623-8320 OAC RD CORPORATION 1988