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HomeMy WebLinkAboutBuilding Permit #290-11 - 110 QUAIL RUN LANE 10/13/2010 L NORTH BUILDING PERMIT ItLE° TOWN OF NORTH ANDOVER o - APPLICATION FOR PLAN EXAMINATION (. O Permit NO: J Date Received 9SsATEDCH Date Issued: IMPORTANT: Applicant must complete all items on this page qq Y VI LOCATION r \Q Q �c� Print PROPERTY OWNERC'7 ,f�' / '� Print MAP,21 V PARCEL:��' LONING' blSTRICT:_ Historic Distric.t yes. no 't`- Machine Shop Village yes no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building EI`One family ❑Addition ❑Two or more family ❑ Industrial ❑Alteration No. of units: ❑ Commercial R(Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other Septic ❑Well ❑ Floodplain El Wetlands d Watershed District. ❑Water/Sewer DESCRIPTION OF WORK TO BE PERFORMED: C-1 VI tie Identification Please Type or Print Clearly) OWNER: Name: Po li a ,��.►{ / Phone: 97Y- 6Y5 - 0606 r Address: CONTRACTOR Name:i l)e- Phone- 7 Y Yi7- 5970 Address: ' A-3. .' 6o-5,10 ma► 5 T , P��; > l �l�Y. Supervisor's Construction License: G 5 SL 40.4--2 Exp. Date; Home Improvement License: 1 :54 3 Exp. Dater / 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. O� FEE: � � Project Cost: $ 3. `� � ' Total P � Check No.: Receipt No.. NOTE: Persons contracting with unregistered contractors do not have access to the6ganrid Signature of Agent/Owner �gture of contracto r 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 CONSERVATION Reviewed on Signature COMMENTS HEALTH Reviewed on Siqnature COMMENTS Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments f' Conservation Decision: . Comments Water& Sewer Connection/Signature& Date Driveway Permit i DPW Town Engineer: Signature: Located 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 LI Notified for pickup - Date L - - -� Doc.Building Permit Revised 2010/October Building Department The followingis 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 ❑ Flo or/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 t 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 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 Doe:Building Permit Revised 2008 Location dlslL No. Date — 3 — NCRTq TOWN OF NORTH ANDOVER f w A Certificate of Occupancy $ s'AcMustt� Building/Frame Permit Fee $ -A� — r Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # 3 235Q Building Inspector J �r ?AI`••Ob.YUUH Ut):9s ACI)RD CERTIFICATE OF LIABILI'T'Y INSURANCE DATE10612009 M. T PRODUCER Phone:(617)657-5110 FmC 1617)657.5112 THIS CERTIFICATE IS =UW AS A NATTER OF INFORMATION KNIGHT INTERNATIONAL INSURANCE GROUP ONLY AND CONFERS NO RIGH UPON THE CERTIFICATE- SOD VICTORY ROAD HOLDER, THIS CERTIFICATE DOES NOT AMEND, EXTEND OR MARINA 13AY ALTER THE COVERAGE AFFORDED BY THE POLJCIES BELOW. QUINCY MA 02471 INSURERS AFFORDING COVERAGE. NAIC# ' I INSURED Y .„ ,, E,INSURER A: Atlantic Charter insurance Com "n ALPINE PROPERTY SERVICES CO.,INC, INSURER B: DBA OLYMPIC INSURER C: 11 WILSON STREET SALEM MA 01970 1NSURERD: INSURER E: COVERAGES THE POLICIES OF INSURANCE OSTEO BELOW NAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED,NDTWfTHSTANOING ANY REOUIREMENT,TERM OR CONDMON 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 OP SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REOUCSO BY PAID CLAIMS, INSR AD TYPE OF INSURANCE POLICY NUMBER PDUCY TFFECTNE POLICY WIATION LIMITS LTR IIv3 DATE hVaG DATE vMly GENERAL LIABILITY EACH OCCURRENCE $ r15EeN1Lp7AGGRF-GATE MERCIAL GENERA.LIABILITY p4MAGETDFZVM 3 PREHIe 1 nx+ CLAIMS MADE❑OCCUR MED,OW,{AAy me po�soh) S ' PERSONALBADVINJURY S GENERAI.AGGREGATE S UMITAPPLIESPER; PRODULTS•COMPIOPAGG., 5 ICY JECT LOC AUTOMOBILE LtABUTY COMBINED SINGLE LIMIT , ANYAUTO (EsdodLInl) s . ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS (P-prion) S' HIRED AUTOS BODILY IWURY NON-OWNED AUTOS (Pare 5 PROPERTYOIUAA6E !; (PBrExIGen ' GARAGE LIABILITY AUTO ONLY-EA CCtDENT S ANY AUTO OTHERTHIW EAACC S AUTO ONLY: AGG IS ' EXCESS f UMBRELLA LABILITY EACH OCCURRENCE S OCCUR ❑CLAIMS MADE AGGREGATE $ 3 • DEDUCIBLE 3 RETErTnON s S' WORKERS COMPGNSATION AND WCV00754902 01/05108 01105110 Pff"Ir"41mil, 10THER E MLOYFAB'LABILITY A. GFIFICAcOU WMBERPEXCLUE110?JCUTTY2 El„EACH ACCIDENT S 5DO,ODO E.L.DISEASE-EA E14FLm•EE S 600,000 Qyo4 doncllEe under aPECIALAgpyIElGNB holav ,EL O15F15£.POLICY OMIT 6 • ,60U,000 OTHER DESCRIPTION OF OPERATIONSILOCATIONSNEHICLESIEXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORETHE EXPIRATION DATE THEREOF,THE ISSUING INSURER WWLLEHDFAVORTO MAIl10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER HANIED TO THE.LEFT.OUTFAILURE TO DO 80SHALL IMPOSE NOOBLIGATION ORLIABILITY OFANYMDUPONTIfEINSURER, TPS AGENTS OR REPRESENTATNES. AUTHORIZED REPRESENTATIVE Attentions ` Haroldighk` ACORD 25(2001108) Certificate 0 6149 O ACORD CORPORATION 4988 f NORTH ovm Of .t A. TO No. jo -o doer, 1Vlass., T Q t LAKE A- COCHICHEWICK '7,9 A°RATED S � U BOARD OF HEALTH Food/Kitchen .PERMIT T D Septic System BUILDING INSPECTOR THIS CERTIFIES THAT...... .... .... ............. ... Lm4e erl.'. • ...... Foundation has permission to erect. buildings on . � ........ .......... %W........... Rough I'* to be occupied.as......... ~ Chimney provided that the person accepting this permit shall every respect conform to a 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 ONTHS ELECTRICAL INSPECTOR UNLESS CONSTR N TART Rough .. . .. ....... ........ ............ Service BUILDING INSP 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. f, / at 19sa. 6 HIC#15432 Roofing • Siding • Painting EIN# 15432 8812 Rosalie Pulveranti Job#: 110 Quail Run Lane North Andover,MA 01845 (978)685-0606 Dear Rosalie, July 1,2010 I have prepared the following estimate for the installation of the vinyl siding at the above location. This will be a full coverage job with no maintenance required and lifetime warranty. All work will be performed to the manufacturer's specifications to ensure a lifetime warranty. Below is a brief description of the work that will be performed. Vinyl Siding: • Strip existing wood siding off the entire house • Install Tyvek or 3/8"fan fold insulation over all areas prior to vinyl 'nsta11 tion • Install CertainTeed MainStreet vinyl siding(COLOR- C ' • OPTION 1: Install CertainTeed Cedar Impressions • Install 3"outside corners • Install aluminum coverage on all fascia and rake boards • Install aluminum coverage around all window trims • Install center vented soffit • Replace any damaged or rotted fascia or rake boards a,$10.50/ft • You may choose to have us install vinyl shutters(this is an option and is not included in estimate) • Job will be started and completed without any interruption • Electrical permit must be must be obtained by a licensed electrician • OPTION 2: Clean gutters on the entire house Initial options you are ehoosine below Cost for Labor&Material for Vinyl Siding(MainStreet): $13,800.00 Cost for Labor&Material for Vinyl Siding(Cedar Impressions): $16,800.00 Cost for Labor&Material to Clean Gutters: $ 275.00 Cost for Electrical Permit& Building Permit: $ 500.00 Payment Terms: 1/3 deposit upon signing contract $ ,113 work in progress $ and 1/3 upon completion$ Remit to: Alpine Property Services Company,Inc.,P.O.Box 365, Topsfield,MA 01983 Total Amount Agreed To Be Paid: $ The following schedule will be adhered to unless circumstances beyond Alpine's control arise: Work Scheduled to Begin: TBD Expected Date of Completion: TBD Warranty: Alpine Property Services,Inc.guarantees all work performed for a period of one year. If any problems occur we will cover the cost of all labor and material to correct the problem and meet the customer's satisfaction. Do not sign this contract if there are any blank spaces. (additional provisions follow and are incorporated herein by this reference) zo n4PropertyServices anager Rosalie Pulveranti Alpiompany Inc., Homeowner d/b/a Olympic by(Name) Tel: (800)5354312 • Fax: (978) 887-5875 • 239 Boston Street • Topsfield,MA 01983 1-888-50LYNTIC • www.o!3microofing.com ,r CERTIFICATE OF LIABILITY INSURANCE ,RODUCER (617)471-1220 FAX: (617)479-5147 THIS CERTIFICATE IS ISSUED AS A MATTER OF.MWOE.;;MAT10N Amity Insurance Agency, Inc- ONLY AND CONFERS NO RIGHTS UPON 'DHE .CERTIFICATE HOLDER. THIS CER11FICATE DOES ' TD OR 500 Victory Rd. ALTER THE COVERAGE AFFORDED B THE POOLK:IEES BELOW . "carina Bay o . rth Quincy MA 02171 !INSURERS AFFORDING COVERAGE MAIC INSURED - INSURER A at Mercury rMsu=ance' Co. Alpine Property Services Co., Inc. , DHA: INSURER 8:Safety Insurance 11 Wilson Street INSURERcAtlantic Charter Ins. Group ,,. !INSURER O:Great Americas Salem Imo, 01970 INSURER E: _ COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTW7HSTANOING 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,EXCLUISIONS AND CONDITIONS OFSUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, INSR r DO •. PP EFFECTIVE POA TE Y EXPIRATION V L POLICY NUMBERAE MUS GENERALLIABILITY EACH OCCURRENCE S 1 000 000 X COMMERCIAL GENERAL LIABILITY OAMAGE TO REI " SES E S _ 50,000 A A I.CLANS MADE Cj OCCUR 01186-2 6/14/2009 6/14/2010 MEDExPwlyonex s Excluded X Ded $10,000 PERSONAL&ADV INJURY S 1,000,000 -� GENEMAOGREGAITE S ,2J 000 000 GENT_AGOREOATE LIMIT APPLIES PER: I PRODUCTS-COMPIOP AGO S 2,000,000 I X I POLICY 171 PRo- LOC - AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ANY AUTO (eaacclderlq $ 1,000,000 B I B ALL OV 4EDAUTOS 702651 1/9/2009 1/9/2010 BODILY INJURY ! !X SCHEOULED AUTOS (Ptr perms) s I X HIREDALrr05 ODILYYIINJJU'RY 1xx NON-OWNED AUTOS Coll Ded $1,000pROPERTYOANIAGE COMP Ded $1,000 (Per 0c;0ww, S I WURAGE LIABILITY AUTO ONLY-EA ACCIDENT• S _- r— ANY AUTO 1 OTHER THAN EAS' s.. AUTO ONLY. AOG $ �— A EXCESSIUMBRELLALIABILITY EACH OCCURRENCE S 51000 000 xOCCUR DCLAMSMDE 000117-3 16/14/2009 6/14/2010 AGGREGAT@ 51000,000 S DEDUCTIBLE .S X RETENTION S 10,00 S C wo"eRS CONPENSATIONI X VNC STATW- OTH AND EMPLOYERS'uA8ILIIY ANY PROPMETOPWARTNEReVECUTIVE OFFlCERrINEMBER EXCLUDED? YIN E_L EACH ACCIDENT f 500 000 ❑N j(MendabnInKH) NCV00754902 1/5/2009 1/5/2010 ELDISEASE-EA EMPLOYE S 500 000 tt yu,deeenbe unW _ SPECIAL PROVISIONS below EL DISEASE-POLICY LI69T S 500 000 OTHERInland Marine 1 D M13CG11ane0u8 T0018 114P367004801 2/28/2009 2/29/2010 $5,000 Ti,-it & Equipment Deductible DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES!EXCLUSIONS ADDED BY ENDORSEOIEN7/SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES Be CANCELJ.F�D BEFORE T.WE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICETO THE CERTIFICATE HOIAER NAMED TO THE LEFf.WT FAILURE TO co BO SHALL IMPOSE NO OBLIGATION OR LIABILI Y/oF ANY Kum UPON TILE INSURER.ITS AGENTS OR' REPRESENTATIVES. AUTaOR12ED REPRESENTATIVE � - ACORD 25(2009/01) ©1988-200 ACORD CO PORATiON,`•�►11 rigtus reserv4�d. INS025(2oo90,) The ACORD name and logo are registered marks of ACORD .. u tea:. _..... .. . iIVlassaehusetts- Delru-tmcnt of Pulflic Safct� -- Board or Building, Reat l,ttion.s and Standards ^_ Construction Supervisor Specialty License License or re SL License: CS gistration valid for individul use only 101003 Ibefore-the-expiration date. If found return to: Restricted.to:. RF WS I Board of Building Regulations and Standards STAVROS MOUTSOULAS l One Ashburton Place Rm 1301 11 WILSON STREET Boston SALEM, MA 01970 ' i ('nnrois�i,,,i�.,• Expiration: 12/14/2011 + Not v. without signature Tr#: 101003' n Boar o ui mg egul ions an an ar s b:. One Ashburton Place - Room 1301 Boston. Massachusetts 02108 Home Improvement':Contractor Registration Registration: 154326 Type: Private Corporation Expiration: 2/27/2011 Tr# 279846 ALPINE PROPERTY SERVICES"GO;_I [C STARROS MOUTSOULAS 11 WILSON STREET - - SALEM, MA 01970 Update Address and return card.Mark reason for change. Address [] Renewal n Employment E] Lost Card DPS-CA1 t'S SOM-07107-PC8490 lie '�anvma�zuiea.�l� o�,/�,riaurT/uaetYd Board of Building Regulati6ons and Standards License or registration valid for individul use only HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Board of Building Regulations and Standards Registration: 154326 One Ashburton Place Rin 1301 _ . Ex_piratiort.-2,27/2011 Tr# 279846 Boston,Ma.02108 Type. Pr"ate Corporation ALPINE PRO PE.,T,:1 SERVICES CO,INC. STARROS MOU7;fii�._t�•LAS I 1 WILSON STREET--" . Not valid without signature SALEM,MA 01970 Administrator _