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Home My WebLink AboutBuilding Permit #707-11 - 117 MILK STREET 4/21/2011 TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit NO: 21— Date Received Date Issued: IMPORTANT:Applicant must complete all items on this page LOCATION 11'711d"4X 3 Print PROPERTY OWNER SLC Z-167�Y � ' -'//L- Print '/f GPrint MAP NO: PARCEL: ZONING DISTRICT: Historic District yes GL--, Machine Shop g Y Village es i <M�, TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building 9-One family ❑Addition ❑Two or more family ❑ Industrial ❑Alteration No. of units: ❑ Commercial Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other p.'Septc, WellIfl Floodplain Wetlands ❑ 'WatershedtDstrrct ,p'Water/Sewer _ C- 2 �. -- - ----_ CRIPTION OF WORK TO BE PERFORMED: Identification Please Type or Print Clearly) OWNER: Name: Zle-/c' 7Ck21J77-q �''iN'�'w`�f Phone: D Address: .5-L4,bo-*�'G�Alc° ✓y �� CONTRACTOR Name: ! r2 Phone: a7u/� Address: l 25,77 a. Supervisor's Construction License: �S�7 Exp. Date: Home Improvement License: Exp. Date: ARCHITECT/ENGINEER _ Phone: Address: 1�v cS�' , �V�� r Reg. No. FEE SCHEDULE:BULDING PERMIT:$12.00 PER$9000.00 OF THE TOTAL ESTIMATED COST BASED ON$925.00 PER S.F. Total Project Cost: $ l /� FEE: $ � a�� Check No.: !DO Receipt No.: NOTE: Persons contracting with unregistered contractors do not have access to the g fund Signature ofAgent/Own Signature ofcontractor T - 1 l Building Department The following is a list of the required forms to be filled out for the appropriate permit to be obtained. i Roofing, Siding, Interior Rehabilitation Permits ❑ BuildingA li Permit pp catior� ❑ Workers Comp Affidavit ❑ Photo Copy Of H.I.C. And/Or C.S.L. Licenses ❑ Copy of Contract ❑ Floor Plan Or Proposed Interior Work/t� ❑ Engineering Affidavits for Engineered productstiA- NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit II 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 MOTE: 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 2008mi Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ TYPE OF SEWERAGE DISPOSAL -- Public Sewer ❑ Swimming.Pools _ , Q- well ❑ 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 Signature COMMENTS Zonpg 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 DPW Town Engineer': Signature: Located 384 Osgood Street FIRE DEPARTMENT i 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 i ® Notified for pickup - Date Doc:.Building Permit Revised 2008 I Location r No. " Date j NORTq TOWN OF NORTH ANDOVER 9 ' Certificate of Occupancy $ •e �a '� Buirdin /Frame Permit Fee $ s�NusE 9 Foundation Permit Fee $ Other Permit Fee $ TOTAL Check # 24Ui9 Building Inspector TRUCTURAL OLUTIONs STRUCTURAL ENGINEERING SERVICES Ilk 18 February 2011 Structural Engineering Design Report 117 Milk Street North Andover,MA 01845 Prepared for: LPG Designs, LLC 231 Sutton Street, Suite 1B North Andover,MA 01845 Andrew S. Bradshaw, PE of Structural Solutionserformed a structural review and design on the P � remodel at the above referenced address. The following beam schedule appends the sketch attached to this report. Beam 1: (3)— 1 3/4" x 11 1/4" LVL or(4)— 1 3/4" x 9 1/2" LVL Beam 2: (2)—2 x 10 SPF or(2)— 1 3/4 x 7 1/4 LVL If you have any questions, comments or concerns about the information presented in this report, please do not hesitate to contact me. incerely, pill S. � A G x i1i RRY,�uSHAIN STRucT RAL cn . Andrew S. Bradshaw PE ty Owner Structural Solutions 7- 1 Andrew S. Bradshaw,PE 107 King Street, Littleton,MA 01460 Cell(978) 877-0601 a 16'Ct±VERIFY IN FIELD 16'-q'±VERIFY IN FIELD 16'-Ct±VERIFY IN FIELD Ir ❑ D ❑ D ❑ D ❑ D ❑ ❑ ❑ ❑ 9 9 9 W LL W W LL � LL 4 i Z Z uy Z - - - - -�EAM1 - - - - - -� ''"'1= - W - - - BEAM 1 - - - - - - - _ - - - — - - - - - - - - - - - —t - - - - - - - - - - - — > 41 1 M :--t i ti i ti i r--- - --Tr-=it J i ---I�-''rr= -i---�---�_J 1 3'-0°t f----Tr- - (, _ i DW I--- -----I DW O O j ------ - --------------- ----- i li ii --- L J i ------ fi 1 0 O itO_O I� (;i I }ZDR ADS. L+JDR OPTION'A' $s..AM-L OPTION'A' $ M Z OPTION'C' SLAM Z ORTM - - 6 over TO" of F_ �.. No.- ato l - ? - -o LAK dover, Mass., . C Q� �. A- COC HICHEwICK � 7 ADRATED qS U BOARD OF HEALTH Food/Kitchen Septic System .PERMITBUILDING INSPECTOR THIS CERTIFIES THAT........L.o.+.L...: 'I...1..0w.......................... .................................................................. Foundation buildings on ......�.�. I n�. ...�i ....................................... Rough has permission to erect...............:................, 9 •••• �., �1r�.��...^,1��.f.� .�:... ��. . 1.I Chimney to be occupied as.......Uwn.L.�.....Sidj..✓i........ ....... ... -.................... provided that the person accepting this permit shal�in every respect conform to the�erms of the ap cation 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 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTARTS Rough - Service ...........................................BUILDING INSPECTOR Final Occupancy Permit Required t0 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. Smoke Det. SEE REVERSE SIDE Eastern Insurance September 20,2010 MINCO Development Corp. .231 Sutton Street, Unit 1 B North Andover, MA 01845 Re: Policy No.: VWC6009345012010 Policy Eff: 09/01/2010 to 09/01/2011 We are pleased to enclose the renewal of your Workers Compensation policy issued by the Associated Industries of Massachusetts Mutual Insurance Company. The company will bill you directly. Please review your policy to be sure all is in order. If you have any questions, please call anyone in the Select Department at 1-800-333-7234, ext 66807. Thank you for insuring with Eastern Insurance. We value your business and look forward to meeting your insurance needs in the coming year. Sincerely, Eastern Insurance Enclosure Eastern Insurance Group LLC 233 West Central Street• Natick, MA 01760 •(508)651-7700 •(800)333-7234•www.easterninsurance.com ---a WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY INFORMATION PAGE Associated Industries of Massachusetts Mutual Insurance Company Burlington, Massachusetts (800) 876-2765 NCCI NO 26158 POLICY NO. I VWC 6009345012010 ITEM PRIOR NO. LVWC 6009345012009 1. The Insured Minco Development Corp Mailing Address: 231 Sutton Street. Ste 1B North Andover MA 01845-1620 (No. Street Town or City County State Zip Code ❑ Individual ❑ Partnership ® Corporation ❑ Other FEIN 04-2758472 Other workplaces not shown above: 2. The policy period is from09/01/2010 to 09/01/2011 12:01 a.m.standard time at the insured's mailing address. 3. A. Workers Compensation Insurance: Part One of the policy applies to the Workers Compensation Law of the states listed here; MA B. Employers Liability Insurance: Part Two of the policy applies to work in each state listed in item 3.A. The limits of our liability under Part Two are: Bodily Injury by Accident$ 5 0 0,0 0 0 each accident Bodily Injury by Disease $ 500,000 policy limit Bodily Injury by Disease $ 5 0 0,0 0 0 each employee C. Other States Insurance:Coverage Replaced By Endorsement WC 20 03 06A D. This policy includes these endorsements and schedules: SEE SCHEDULE 4. The premium for this policy will be determined by our Manuals of Rules,Classifications,Rates and Rating plans. All information required below is subject to verification and change by audit. Classifications Premium Basis Rates Code Estimated Per$100 Estimated No. Total Annual of Annual Remuneration Remuneration Premium INTRA 181985 SEE EXT NSION OF INFOR 4ATION PAGE Minimum premium$ 308.00Total Estimated Annual Premium $ 2,138.00 As indicated,interim adjustments of premium shall be made: Deposit Premium $ 2,249.00 ® Annually ❑ Semi Annually ❑ Quarterly ❑ Monthly MA Assessment Chg. $1,625.45 x 6.8000% $111.00 This policy,including all endorsements,is hereby countersigned by �1/Q 08/05/2010 Authorized Signature Date GOV GOV KIND PLACING CLAIM NAME SAFETY STATE CLASS I AUDIT I OFFICE OFFICE CHECK GROUP Eastern Insurance Group LLC MA 9015 12 1605 233 West Central Street WC 00 00 01 A(11_-88) Natick,MA 01760 Includes copyrighted material of the National Council on Compensation Insurance, used with its permission. MINCO CORPORATION 117 Milk Street North Andover,MA 01845 We are pleased to furnish this proposal for construction services for your property located on Milk Street in North Andover. The work will consist primarily of installing vinyl siding on the exterior of the house,installing a"French Drain' system and replacing the kitchen and garage roofs. Services Included: Vinyl Siding $8500 Roofing $2900 (includes stripping roof,replacing broken boards) Perimeter Fench Drain $7400 Total $18,800* *All pricing excludes hazardous waste removal,if any. Real Estate Consultants Real Property Evaluation Planning And Development Sales and Leasing 231 Sutton Street, Suite 1 B • North Andover, MA 01845 • Tel(978)687-6200 • Fax(978)682-6473 102G State Street • Newburyport, MA 01950 • Tel(978)499-9700 • Fax(978)499-2187 E-Mail: minco@mincocorp,com • Web:www.mincocorp.com