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