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HomeMy WebLinkAboutBuilding Permit #770-2017 - 135 ACADEMY ROAD 2/14/2017 i i / p tT�to r6 N l�Il� BUILDING PERMIT o�s� . . �}I TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION `ea Permit NO: 720 — got —7 Date Received � i Z 1 �TED � • '' �` Date Issued: o� >r 4 �9SS�CH►15�� IMPORTANT: Applicant must complete all items on this page LOCATION 135 Academy Rd. North Andover, Ma Print PROPERTY OWNER KIM PICKUL Print MAP NO:IPARCELZONING DISTRICT: Historic District n Machine Shop Village yes no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential New Building One family Addition Two or more family Industrial Alteration No. of units: Commercial X Repair, replacement Assessory Bldg Others: Demolition Other X Septic Well Floodplain Wetlands a Watershed District, Water/Sewer Remove all cracked concrete floor on garagen prepare to add 3"cocrete floor 6000 PSI smooth finish.Dig 24" width to 1-Ft deep building wall 20' X9 FT high with Dig 24" width to 1-Ft deep building wall 20' X9 FT high with concrete block to reinforce old concrete ceiling and foundation. Identification Please Type or Print Clearly) OWNER: Name: Kim Pickul Phone: 978 689 4071 Address:' " Q L l- CONTRACTOR 'tJ. �j'Z C.t/ L Phone: ` Address: �I � �/i�Se�..v ec�UYL� c Eo. l r�S i e/"�, Al),V Supervisor's Construction License: Cs 0 /66 Exp. Date:©/_ `s'_AoLc Home Improvement License: Exp. Date: ` 4 ARCHITECT/ENGINEER Phone:_Address: Reg. No. FEE SCHEDULE:BULD/NG PERMIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED O_N//$,,125.00 PER S.F. Total Project Cost: $_FEE: $ � Check Ido.: Receipt No.: NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund ` r e � a r'Y h � NORT�y BUILDING PERMIT o tLED ' TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit No#: Date Received IQs RATED 1QR S9CHU Date Issued: - ENIPORTANT Applicant must complete all items on this page _ i ! r ... "�Lai ...^ ri��„ r .•_ '" 'u::FUY`Ta.y��.1�'{ ;i. Y"^�✓'.�� ..L� + t43 u Yw. i J C�, 3 - Pent ' "''tea',,-'.. x" - �`"' 4:.: .S Z ♦ • F ^i . � r d'~c"� s iy s r wp Z kr•,�a. L..i -+.��?c• �p��� ..�, 1 r. PROPERTY ®WNER� = r _ Zi ,.i'4. i r :.� - z'Y< r 4ry•r- '—r- `.a Pfim" 3' C£r1a4777f 0D YB tR tL1fE ; `�-+_t.. eyes ., 170 MAP r- ,- PARCEL' ZONING DISTRICTH�stortc Distract_ eyes no ` Wa'ine.Sho Village4, yes no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑New Building ❑ One family ❑Addition ❑Two or more family ❑ Industrial El Alteration No_ of units: ❑ Commercial ❑Repair, replacement 0 Assessory Bldg ❑ Others: ❑Demolition ❑ Other Se .tic+ p Well Ij-Floodplain E) et[ands Wafiersliec!D►sfrict ❑_1Nater/_Sewer.:_ - - - - - - - 'r= - - - -- r DESCRIPTION OF WORK TO BE PERFORMED: Identification- Please Type or Print Clearly OWNER: Name: Phone: Address: Contiactor Name::.. _ - Phone: Supeniispr's ConstructionExp DateF _ Home,Im=. ovement License= -- vs,.._. . . ..Pw.....r .t.« .. ,..--._._._. - - - - _ M - Date:=: ..._. _..- - -. . . .. - ... .��.per:. . .._�._. . ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE.BULDING PERMIT:$12.00 PER$9000,00 OF THE TOTAL ESTIMATED COST BASED ON$925.00 PER S.F. 1.___Notal Project Cost: $ FEE: $ Check No.: Receipt Na.: NOTE: Persons contraC_ting with unregistered contractoFs do not Piave:access to th fund Location 13 5 0 C A tl C. M V r No. 7 7 G ' Q 1 Date l / a o 17 • - TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $LI Foundation Permit Fee $ Other Permit Fee $J TOTAL $ Check# d 00 1 J -; VBuildind Inspector a ► Plans Submitted ❑ Plans Waived Certified Plot Plan ❑ Stamped Plans ❑ f. TYP '3 10F 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 PLANNING & DEVELOPMENT Reviewed On Signature_ .GOMMENTS CONSERVATION Reviewed on Si nater i &OJA-� COMMENTS J1 LL 4 J � HEAL Reviewd(q"on' Si ere COMMENTS Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes e Planning Board Decision: Comments Conservation Decision.- Comments Water & Sewer Connection/signature& Dafie Driveway Permit DPW Town Engineer: Signature: Located 384 Osgood Street FIRE DEPARTMENT" -.Temp Dumpster on site yes no Located at 124 Main Street Fire �� zr �*ent signatureldate y ` .-.nn nn nrw —rte dimension Number of Stories: Total square feet of floor area, based 6-n Exterior dimensions. Total land area, sq. ft.: ELECTRICAL: Movement of Meter location, mast or service drop eguires approval of Electrical Inspector lyes 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 Call Email ate Time Contact Name Doc.Building Permit Revised 2014 Building Department The following is a list of the required forms to be filled out for the appropriate permit to be obtained. r Roofing, Siding, Interior Rehabilitation Permits o Building Permit Application o Workers Comp Affidavit o Photo Copy Of H.I.C. And/Or C.S.L. Licenses o Copy of Contract o Floor Plan Or Proposed Interior Work o 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 o Workers Comp Affidavit o Photo Copy of H.I.C. And C.S.L. Licenses o Copy Of Contract o Floor/Cross Section/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 VOTE: All dumpster permits require sign off from Fire Department prior to issuance of BIdg Permit New Construction (Single and Two Family) o Building Permit Application o Certified Proposed Plot Plan o Photo of H.I.C. And C.S.L. Licenses o Workers Comp Affidavit o Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And f Hydraulic Calculations (if Applicable) o Copy of Contract act � o Mass check Energy Compliance Report o Engineering Affidavits for Engineered products 10TE: 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 i Doe:Building Permit Revised 2014 i � pORTl� q Town of ndover . No. 76..w 2o il soh ver, Mass, A-�A COCK ICKlWICK`y1' 7�ps RATED Of'P�,`�5 U BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System THIS CERTIFIES THAT ....1.11.4b.C.& BUILDING INSPECTOR L. ...............o �1!1.I ....................................... ..... .. .. ...•.' e�. ......... .I Foundation has permission to erect.......................... buildings on ..r....9.!q .... ... p' I. .. � i�0 A. � Rough to be occu led as .....RA .............................. ...... .......................................... .. ......... .. . .. Chimney provided that the person accepting this permit 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 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 CONSTRUCT ART 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. ,eco o® [__DATE(MM/DDIYYYY) CERTIFICATE OF LIABILITY INSURANCE `.� 01/13/2017 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(ies)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 endorsement(s). PRODUCER CONTACT NAME: Art Calvillo ONE FAMILY INSURANCE AGENCY LLC PH&ONE (978)621-5256 FAX. IC No: AE-MAIL acalvillo128@yahoo.com 63 FAIRMOUNT ST REAR INSURERS AFFORDING COVERAGE NAIC# FITCHBURG MA 01420 INSURER A: AIM MUTUAL INS CO 33758 INSURED INSURER B LAUDERLY G LIMA INSURER C: DELANIE CONSTRUCTION INSURER D: 11 CRIMSON CT INSURER E: LEOMINSTER MA 01453 INSURER F: COVERAGES CERTIFICATE NUMBER: 118297 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. INTR ADDLTYPE OF INSURANCE IVSD WVD SUER POLICY NUMBER MMLDDY EFF MMLDDY EXP LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS-MADE OCCUR DAMAGETO S(RENTED PREMISES Eaoccunence) $ MED EXP(Anyone person) $ N/A PERSONAL&ADV INJURY $ GENT AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ JECT F POLICY PRO LOC PRODUCTS-COMP/OP AGG $ OTHER. $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS N/A BODILY INJURY(Per accident) $ NON-OWNED PROP Eden DAMAGE $ HIRED AUTOS AUTOS $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE N/A AGGREGATE $ DED I I RETENTION$ $ WORKERS COMPENSATION X STATUTE OERH AND EMPLOYERS'LIABILITY Y/N ANYPROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 1,000,0 0 /M A OFFICEREMBEREXCLUDED? NIA N/A N/A AWC40070350452016A 11/12/2016 11/12/2017 (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000 N/A DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,maybe attached if more space is required) Workers'Compensation benefits will be paid to Massachusetts employees only.Pursuant to Endorsement WC 20 03 06 B,no authorization is given to pay claims for benefits to employees in states other than Massachusetts if the insured hires,or has hired those employees outside of Massachusetts. This certificate of insurance shows the policy in force on the date that this certificate was issued(unless the expiration date on the above policy precedes the issue date of this certificate of insurance). The status of this coverage can be monitored daily by accessing the Proof of Coverage-Coverage Verification Search tool at wv4w.mass.gov/lwdtworkers-compensation/investigations/. LAUDERLY LIMA has elected coverage effective 1212812016. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN TOWN OF N ANDOVER ACCORDANCE WITH THE POLICY PROVISIONS. 120 MAIN ST AUTHORIZED REPRESENTATIVE NORTH ANDOVER MA 01845 � C�_/a_ Daniel M.Crowley,CPCU,Vice President—Residual Market—WCRIBMA @ 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD The Commonwealth of massachusetts Depa-rMlent of IndustrialAccidents r I Congress Sheet,Suite 100 Boston,MA 02114-2017 �< www mass ga v/dia ensationXnsuxanceAf6tdavit:Bailder5lContxactoxs/Electricians/'lmoabers. 4P4 kers'Comp TO BE?RM)'rI�'�Tmu G AUTSOI3IT Y. PleasePrint Alicant fOrmation , • a�1oA�7ldtVl-�u°.y: r �� •�/I �d��, � -rte Nae(Business[Oig 17 Address: CitylstatlZip: /� �� ^" '`JS Phona e Type of project(required): Axeyon an employer?Che*tlie appropriafebox: em to es full.and/or parttime).�` 7. ❑Nevt constxacii0ll 1.❑I am a employer with P L�I an a solo proprietor or partnership andlve no employees vrorking forme i a Remo de. g any capacity.[Noworkers'comp.insurance required-] 9, ❑Demolition e oworkere comp. ^m„a^cerequired] 10 0 Building addition 3.Fj Yam ahomeowner doing all workmys If:[N behiiugcoutractarstoconduciallworkonmyproperty IwiI1 q..F(I am ahomeowner andwill. 11.[]Elecisicalrepairs or additions tors either have workers'compensation insmance or are sole , ensurethat all conizac. 12_[]glumbirigxepaixs or ad x os proprietors with no employees. 5.❑T am a general conuacte�and Ihave hnedthe sub-contractors listed onthe attached cheek 13. Roof repairs These sub-confractore have employees and have wormers'comp.insrsance.* 14-F Other b.��e are a corporaaov.and its.ofdoers hate exercisedtbeirrigbt Of exemptionperMQ>c. 152,§1(4),and we have no empldyees.[Noworkers'pomp.insurance requued] *Arryapplicantthatcheoks' ontrar jjmustslsofill.outthesectionbelowsbnwingtheirworkers'compensatlonpoIrcyinfomtaton i Homeowners who submit this h an additional hifieyarade etshowing the name of the sub call-workontractors and stattors,most ewhef3�ero-fid-Vit euEil?e �ec]i iCoutactors that eheekthvs comp.policy employees. Ifthesub-coniiactorshaveemployees,theymustprovidetheitworkers'co olic number. X am an ewployuP Mat ispxovzdj gWopkeVS'compensation insurmeefor my employees. Below is thepolicy and.oOh•site li informadon. Insurance Company Name: ExpirationDate:. policy#or Seri-f-ins.Lic.#:. City/state/Zip: lob Site dre Adss: 'Coanp e?isa�.on policy declaration page(slzowimg the policy number and exp Attach a copy of the-vvoxl?`exsixatxon date. failure to secure coverage as required under�M�nallaes in the form ofxaaSSTOT WORK bRDJMal Violation 1and a fm oLd6f up to $250.00 a and/or one-year imprisonment;as w P day against the violator.A COPY atemeat may be forwarded to the Office of Investigations oftha DIA fox insuxance coverage verification- ' d exzalties ofperjury that t72e information provided wave is ttve andcorrect X do Izereby certify 9-Ba n �' � Date: Si afore: Phone#: Official ztse only. Do rtot7vrite in t72is circa,to be co repleted by eyty of to offzeictl • Pexmit/License# City or To-wa- CstoingAnthoxity(circle one): ' x.Board of ff ealth 2.Building D epartm:ent 3.City/Town Clerk 4.Electrical Xuspectox 5.Plumbing Inspactor 6.Other Phone#: Contact Person Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. Pursuant to this statute,an employee is defined as"._.every person in the service of another under any contract of hire, express or implied,oral or written." An employer is'defined as"an individual;partnership,asso ciation,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiverbx trastde of an individual,partnership,association or other legal entity,employing employees.,However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because ofsuch employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the comm onwealth for any applicalat WIW has not,produced-acceptable evidence of compliance with the insurance coverage xequired." Additionally,MGL chapter 152,§25C(7)states`Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have b een presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-'contractor(S)name(s),addresses)andphonenumber(s)along with their certifcate(s)of insurance. Limited-Liability Companies(LLC)or Limited Liability Partnerships(LLP)withno employees otherthan the members or partners,are not required to carry workers'compensation insurance. If an LLC orLLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation ofinsurance coverage. Also be sure to sign and date the affidavit. The of davit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidenis. Should you have any questions regarding the law or if you are required to obtain a workers' compensatioripolicy,pleasecalltheDepartmentatthenumberlistedbelow. Self-insuredcoxripanies should enter their self insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space atthe bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as areference number. In addition,an applicant that:must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write fall locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town maybe provided to the applicant as proof that a valid aff davit is on file for futurd permits or licenses. A new affidavit must be filled out each year.Where a home owner or ci&en is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to burn-leaves etc_)said person is NOT required to complete this affidavit. The Department's address,telephone and fax num ex: The Commonwealth of Massachusetts Department of Industrial Accidents 1 Congress Street, Suite 1.00 Boston,MA 02114-2017 Tel.#6.17-727-4900 ext.7406 ox 1-877-MASSAFE Fax# 617.727-7749 Revised 02-23-15 www.mass.gov/dia Massachusetts Department of Public Safety Board of Building Regulations and Standards License: CS-091658 Construction Supervisor LAUDERLY G LIMA 11 CRIMSON COURT �. LEOMINSTER MA 01453 ���✓� Commissioner���L`L`-" Expiration: ' � 01/18/2019 CFI;e tpoamm4maea,`d 01- 66jacliewe4 i I Office of Cunsumcr'Affairs&Business Regula<+an License±e or registration valid for individual use on3v HOME IMPROVEMENT.CONTR/AbTOR ; hsf'3a e the expiration date. If found return to: a Registratiorr �igd187 ` #Type: f ffzce or Consumer Affairs and Business Regulation ; 10 Wk Plaza-Suite 5170 Expirat+on 7/2/2018 DBA Ty Boston,NIA 02116 DELANE CONSTRUCT 10 LAUDERLY LIMA r<* s 11 CRIMSON COURT":; aka. . M LEOMItdSTER,MA01453 • Undersecretary id without signature r i, + t F:t 1 HISTORIC DISTRICT COMMISSION Town of North Andover, Massachusetts APPLICATION FOR CERTIFICATE OF APPROPRIATENESS Application is hereby made for the issuance of a CERTIFICATE OF APPROPRIATENESS under Chapter 40C for proposed work as described below and on plans, drawings, or photographs accompanying this application. CHECK CATEGORIES THAT APPLY. 1. Exterior building construction: ( ) New Building ( ) Addition O Alteration Type of Building ( ) Home ( ) Garage ( ) Commercial (b) Other 2. Demolition or Removal of: 3. Signs or Billboards ( ) New Signs ( ) Existing Sign O Other 4. Structure: O Fence ( ) Wall ( ) Other TYPE OR PRINT LEGIBLY Address of Proposed Work:_ /3 S 4c.4 01-t Date: rte - O Owner Telephone# Home Address(if different from above): Agent or Contractor. G .o C�l��n G�/ Y 1 �l '4 Telephone#_ Address: -// ('!2 r-�.• Sr-.�.�/ GC�CJI/L� �F a.M l�--5/�'� /�� 4� yJ�.3 Assessors Map#: Assessors Lot#: Detailed Description of Proposed Work:-Give all particulars of work to be done(see#8 below),including materials to be used,if specifications do not accompany plans. In case of signs,give locations of existing signs and proposed locations of new signs. (Attached additional sheet if necessary.) North Andover MIMAP January 10, 2017 t'. C/��� �/�j�� s /,`✓/ fir '��f / "�f, flvl� R4 fort /, '-/ � ,��r.;. r'`r � r y,s/✓ , , Ile eketGMhewtt k: fly J / , f �-asan-S / ! ,fie /�,f oi R37 R2 Stevens Pond t�� ,� y •-r�'err •�,,, � ,� , i� R 1''',sr,� F r. is a�eei f_ y �f f ' ' tee' '�7`i•: �c 'f�`,!� � � r� � ✓ ,,� S.:treat -� .. .. ' ,,Jd,J�''s�''��,� #�,�" f. - '� ���t-; J',✓ �`�. fir,` yjfr:_:-:.• � �, ,r',� ,pr�ay,rr " ,/,✓', , �", CZ 1 Bo Zoning Overlay Zoning ©Adult Entertainment Distric !'� Busine a 1 District ®Municipal Boundary 0 Machine Shop Village Ove Q Busine s 2 District Horizontal Datum:MA Stateplane Coordinate System,Datum NA083, Rail Line 0 Watershed Protection Dist O Busine s 3 District Meters Data Sources:The data for this map was produced by Merrimack Interstates 0 Historic Mill Area t0 Busine s 4 District NORTH Valley Planning Commission(MVPC)using data provided by the Town of 6 Interstate ©Medical Marijuanato Gener Business District O Major Road 0 Downtown Overlay t „�° q� North Andover.Additional data provided by the Executive Office of District D Plann Commercial Dev ? 6�1 '•�6 OO Environmental AHairslMassGIS.The information depicted on this map is 0 Historic District C Conid Development Dist ; L for planning purposes only.It may not be adequate for legal boundary Roads 0 Osgood Smart Growth(40 11 Conidc Development Dist O —• tiw definition or regulatory interpretation.THE TOWN OF NORTH ANDOVER t Easements Hydrographic Features O Comd Development Dist f 'A MAKES NO WARRANTIES,EXPRESSED OR IMPLIED,CONCERNING ❑Parcels Induslri I 1 District « ♦ THE ACCURACY,COMPLETENESS,RELIABILITY,OR SUITABILITY Streams 12 Industri 12 District * i „ ♦ OF THESE DATA.THE TOWN OF NORTH ANDOVER DOES NOT Wetlands O IndusM 13 District i o •� • ASSUME ANY LIABILITY ASSOCIATED WITH THE USE OR MISUSE OF O IndusM S District 9q ' THIS INFORMATION C Exempt Lands Reside ce 1 Distinct '11,7 °����°��t.(°J Reside ce 2 Dil SSACMUSE C Reade ce 3 District de ce4 Dist, de ce s Dismcc ode ce 8 District ,a a esidential District �� \ haZ�OiQ��� ������� �`� �s - � �i�9s Delane Construction 11 Crimson Court Estimate Leominster.MA 978 833 7362 Number: E109 Date: January 06,2017 Bill To: Ship To: Kim Pickul Kim Pickul 135 Academy Rd 135 Academy Rd North Andover, MA North Andover, MA 978 689 4071 978 689 4071 Project Customer# Description Rate Amount Remove all crackd concrete floor on garage 0.00 Add 3" Concrete floor on garage smoth finish 0.00 Dig 24" width 1 Ft Deep for new foudation 0.00 building new wall 20' X 9' ft high with concrete block to 0.00 reinforce old foudation Remove all eletrical and pipes by eletrician and plumber finish ceiling and floor paint Labor and material will cost 32,000.00 32,000.00 All material will nr duplie by the Delane construction.All work to be completed in workmanlike,anners accpding tp standard pratices.Any alterations or deviation abpve s[ecoficatopms involveng extra cost will executede only upon written orders and will became an extra charge over and above the attimate.All agree,emts cpmtongents upon strikes,IF ANY HIDDEN OR SUBSURFECE CONDITION ARE SUBSTANDARD OR DEFECTIVE A CHARGE ORDER RESULT SO THA WORK CAN fBE COMPLETED PROPERLY AND CODE.. Authorized Signature: Nk IM I -_Ik j Date: the above prices specifications and conditions are satisfactory and are hereby accepted.You are authorized DELANE CONSTRUCTION to do the work as specified. Total $32,000.00 J ACOORL>® DATE(MM/DDIYYYY) AC� CERTIFICATE OF LIABILITY INSURANCE F12/13/2016 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(ies)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 endorsement(s). PRODUCER CONTACT Art Calvillo NAME: ONE FAMILY INSURANCE AGENCY LLC PHONE No..a: g78-345-1499 F Not: 978-345-7166 63 FAIRMOUNT ST E-MAIL ADDRESS: art Insurance.com C1famil Y INSURERIS)AFFORDING COVERAGE NAIC# FITCHBURG MA01420 INSURERA: ESSEX INSURANCE COMPANY INSURED INSURERS: LAUDERLY G LIMA INSURERC: DBA:DELANI CONSTRUCTION INSURERD: 189 WILLARD ST APT 307 INSURER E: LEOMINSTER,MA.01453 INSURERF: 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. ILTR ADSL UBR TYPE OF INSURANCE POLICY NUMBER MM DD EFF MM/DD POLICY EXP LIMITS ]( COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A CLAIMS-MADE ®OCCUR 3ED7450 02/19/2016 211PREMISES E 9/2017 D MAGE TO RENTED aoccurrence $ 100,000 MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY❑PO- JET F�LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY(Per accident) $ HIRED AUTOS NON-OWNED PROPERTY DAMAGE $ AUTOS Per accident UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAR HCLAIMS-MADE AGGREGATE $ DED I I RETENTION $ WORKERS COMPENSATION PER i I OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE I I ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? N/A (Mandatory In NH) E.L.DISEASE-EA EMPLOYE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT 1$ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached H more space is required) CERTIFICATE HOLDER CANCELLATION J` Michelle De Aquin SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN t ACCORDANCE WITH THE POLICY PROVISIONS. ` 515 Park \ AUTHORIZED REPRESENTATIVE ART CALVILLO chbur MA. 0 ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD 1/12/2017 Town of North Andover Mail-135 Academy Road Permit N0 OVER Massachusetts .. Maura Deems<m deem s@n orthand overm a.gov> 135 Academy Road Permit 1 message Harry Aznoian <haznoian@gmail.com> Wed, Jan 11, 2017 at 8:33 PM To: Maura Deems <mdeems@northandoverma.gov> Hi Maura, This e-mail is to document the conversation I had with Elias Nascimento. Mr. Nascimento indicated that he is the General Contractor representing the owners at 135 Academy Road, North Andover. He stated that the scope of his work he was seeking a permit for was to reinforce a basement wall under the garage and to resurface the interior floors of the garage located at 135 Academy Road. He estimated the size of the reinforcement wall to have a footing 24" wide by 12" deep and a 12" thick wall. Mr. Nascimento said that all of the work he would be performing would be performed in the interior of the house. Based on his conversation this applicant would not need to apply for a certificate of appropriateness from the North Andover Olde Center Historic Distinct Commission. Please feel free to contact me with any questions. Best Regards, Harry Aznoian Chairman Olde Center Historic District Commission https://mail.google.com/mail/ca/u/0/?ui=2&ik=aeO2b3b5c4&view=pt&search=inbox&th=159904ee7Ob7e2gc&siml=159904ee7Ob7e29c 1/1 North Andover MIMAP January 10, 2017 #,83' 05 SO-0065` 0960=.0036 096.040066 #3,71y :096:0=0002 059.0-0002 09610-0073`• 096:0=0081, #93' 096.0-008 59.0-0074 ' , - 096:00037 096A=0080 096.0=0035` . N #391 096.0'00.79- - R2 85 #740 #1*1;,4: 059 0 00991 096.0-0082 96.0.008 096.0,0034 #730 096 - - :0 0026 l -0 / ,#_'403; 059:0030; , r 096:0-0048 / #130 // J Z v 096 O 0078 059'0'0003 Al '096'0-0039 gni #56 #750 i" ✓- p N! 096:0,-0033 096:0-0077 0040 oi, i 096 0 00 w s9:o=0008 t�sq #soon. 00616=0005!, :.. 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V48- X54, 5..'_-0,025 096:0 0010 x.059:0;_0027' #10 _, ,. 059:0,=0095; 0911 0030 ! r - r#46' /0 59:0-0030 #h 059;0-002,4 w 096`:0 OOT2' 24 #�0 0.59.0-0028 #33' \\`� Sale -" 3. 096:0'0011 -_M trl #92 059:0=0026 096x0=0063 059 0=00323 #�4 �� / 0590=0043 096:0=0032 �� 0 0-0.062#39+ 059.0=0033 0960=0064 C� #.1001 #741 -r 096:0=003;1 09.6:0,-006 59 0-0034 059;0-0036; 0 MVPC Bo Zoning Overlay Zoning 0 Municipal Boundary ©Adult Entenalnmen[ Busine s 1 Distinct 0 Machine Shop VillagDistric a Ove 0 Busine s 2 District Horizontal Datum:MA Stateplane Coordinate System,Datum NAD83, —Rail Line 0 Watershed Protection Dist 0 Busine s 3 District Meters Data Sources:The data for this map was produced by Merrimack Interstates 0 Historic Mill Area 0 Busine s 4 District NORT►, Valley Planning Commission(MVPC)using data provided by the Town of Interstate C3 Medical Marijuana 0 Gene Business District at �`�a ��4North Andover.Additional data provided by the Executive Office of Major Road B Downtown Overlay District O Planne Commercial Dev ? et r,e O Environmental AHairs/MassGIS.The information depicted on this map is Roads 0 Historic DisNcl t': Comd Development Dist 3. a OL for planning purposes only.It may not be adequate for legal boundary 0 Osgood Smart Growth(40 a Comidc Development Dist O --• •" to definition or regulatory interpretation.THE TOWN OF NORTH ANDOVER lr Easements O Comd Development Dist F A O Hydrographic Features '� MAKES NO WARRANTIES,EXPRESSED OR IMPLIED,CONCERNING ❑Pamels Industn I 1 District ♦ * THE ACCURACY,COMPLETENESS,RELIABILITY,OR SUITABILITY Streams :2 Industn 12 District * y * OF THESE DATA.THE TOWN OF NORTH ANDOVER DOES NOT Wetlands 0 Industn 3 District ; o p f ASSUME ANY LIABILITY ASSOCIATED WITH THE USE OR MISUSE OF 0 Industn IS District eq ^•�»�• '' Brie�.e•`ty THIS INFORMATION O Exempt Lands Reside ce l DisMct 'li•� o t IIIReside ce 2 DisMct 'SSA�NUS� Re ide ice 3 Distna de ce 4 DisVici 1"=259ft » .t de YYY deL6 6 District �e a esidential District