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Home My WebLink AboutBuilding Permit #543 - 135 BRENTWOOD CIRCLE 3/9/2010 BUILDING PERMITo�"°oT"*°qti TOWN OF NORTH ANDOVER ° 04 � . � APPLICATION FOR PLAN EXAMINATION Permit NO: 510- Date Received Date Issued: �T �!/ gsSACHU`�E� IMPORTANT:Applicant must complete all items on this page " c7 11=AT . r - f ' f 2f :>�,� .:` t 'if � "+i,�A •s.,,,,,,�,...�'"i f'4,`3 J Pnnt a-.. '� s�r."4., ,F. i �; �PROPERTY°OWNER >� .. ;/�'l :��/ .k:- -: i� mor t5 .x' .�{ MAP 210:x, _... #` PARCEL ZONING DI=STRICTHistoric�Distnct eyesno "'' 9 '.a awp.. ,d. 'Yg 7 t Machine Shop �Ila9eYes `�no� TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential New Building ne famiJ Addition Two or more family Industrial Alteration No. of units: Commercial Repair, replacement Assessory Bldg Others: �Demol.itis Other °. �:; $^sw- "`C, , � r SepticUVell y. s a � Floodplain Wetlands t _. x�r VVatershedFDistnct t ..sy` -4.� �4e..ti. H + yc M erref i S 4 �� Wafiec/Sewery, xx n DESCRIPTION OF WORK TO BE PREFORMED: j Identificatidn Please Type or Print Clearly) OWNER: Name: J i�� s �;-2 �.� /,-, Phone E2� 73ot` i/ ;; � —23 Address: /3 � drA Pt _s1 s m a 4",j"'.w* F t d mar CO'NTRACTOR�°Name a� t � � }4 ' Phone i '� t �` r "1'a ^�. "x ev..S' - '- Ae -..f "'� xi Supervisors� onstruction�L cense _ , max !Ex4111 p s r 9a .• ' Y Y c .r .+€ Y':Y,� r t Ra 'f."' }� '-k.` d"+��`y37's �2: > �>x .a x ws afsa�# - R• Yy' a* ?; "t 'a ab_3ti *E: 9�z�a '� ks �'j � ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE:BULDING PERMIT:$12.000 PER$1000.00 OF THREE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ / ? �. T O FEE: $ Check No.: � ��— Receipt No.: gg J- NOTE: Persons contracting with unregistered contractors do not have access to the guara, fu d SI "natu - _ ,r - �_,,., g re of Agent/Qwner Signature of contractoa_ "ry --- ---- --- .d Location No. Date NORTH TOWN OF NORTH ANDOVER Of .eo , �¢O F 9 . ; . Certificate of Occupancy $ ys•,..o•E<�' Building/Frame Permit Fee $ S CHUB Foundation Permit Fee $ x Other Permit Fee $ TOTAL $ Check , Z t 22vj Building Inspector i 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 Signature COMMENTS koning 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 FiIRE DEP>ARTMtNT Terra Dum ster onsite es r o� ' � ;rte ' at scated rTs`5[,-?i, #�� p r YS .�-'7 +.'ay.°•g_4- " Z v ` '. `" .t.. R zE' 4A+.s- c^'i w -F' �� . Lo124:Main Street � � .. .`•, °'" s 9.r-. 'N`i ''yk..,ay 1 > w Fire De artment:slinature%date _{ r h •�G <. - �r x.-:a� R.^� � '-n 5 �-n��'''X '",.��_�.r w� �,��»~ '�T "• �N� . r,.x' .COMMENTS , ..,.;.�:: s �..�.:.ap.�... ;w,vc �t�Y ,c:,e.+�^^r,.. .'a,�v,TM m ,�'€t� •r''.�e.w w't -^z-,y� ,a�� . � z+ � �� :� 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) J ❑ Notified for pickup - Date L_..._... —._ Doc.Building Permit Revised 2010 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 ❑ 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 ❑ 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 NOTE: 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:Building Permit Revised 2008 p►►h1ic nt u1 ►►d; _p�1�.i►'ttnc � .►rid St�n � d' . ,ctt' �, R�.,u1,►t►o►►. `,�,►aa:tchU_ Supervisor L�ce�Se dot guildin� go`►tconstruct% 67(0913Uoer`5e' GS Restricted 00 M WH1�E 4 cHP Np,M 1N.1N p3p8� y2o12o12 w1N� Expiration• 163p5 ._ AUTHORIZATION TO PERFORM SERVICES and • ° DIRECTION OF PAYMENT (STANDARD) The undersigned client, being the building owner, owner's representative, or resident, authorizes the Provider identified below to perform any and all necessary cleaning and/or restoration services on Client's property located at the property address below, and with respect to items that need to be cleaned at a remote location to remove and clean such items as necessary. Client authorizes (/ fInsurance Company, herein referred to as "Insurance Company," to .pay Provider solely and directly for that portion of the work covered by Client's insurance policy. If, for any reason, Client receives a check from Insurance Company made payable to Client, Client agrees to pay Provider immediately upon receipt of the check. Client agrees to pay Client's deductible in the amount of $ that applies to this claim. If any amounts owing to Provider for Provider services are not covered by insurance, Client.agrees to pay those amounts to Provider within fifteen (15) days of Client's receipt of invoice. It is fully understood that Client and its agents, successors, assigns and heirs are personally responsible for any and all deductibles and any costs not covered by insurance. Interest and finance charges will be charged at the maximum allowable by law, or at 1.5% per month, whichever is less, on accounts over thirty (30) days past due. Time is of the essence. Client agrees that Provider is working for the Client and not Client's insurance company or any agent/adjuster. Remarks: Property Owned by: I have read this Authorization to Perform Services and Direction of Payment, including the Terms and Conditions of Service on the reverse sshereof, and agree to same. 4 .:�/ Cligilfs Signature Pr. idr's SignatureDate, Printed Name Franchi Legal Name 13,� lY��: 7 �1�,'/d � �� corporation, OLLC, Opartnership, OLLP, Osole proprietorship Address , ` :%2 d/b/a SERVPRO°of SERVPRO° Franchises are Independently Owned and Operated. 28001 05/07 White— SERVPRO° Yellow—Adjuster Pink—Customer Town of North Andover, MA- Building Department Page 1 of 2 Town of North Andover 120 MainStreet,north Ph(978)688-9500 Building Department Contact Gerald Brown, Inspector of Buildings Brian Leathe, Local Building Inspector Jeannine McEvoy, Department Assistant Address: 1600 Osgood Street, North Andover, MA 01845 Phone: 978-688-9545 Fax: 978-688-9542 Hours: Monday through Friday 8:30-4:30 Building Inspector office hours: 8:30-10:00, 1:00-2:00 or by appointment. Electrical, Plumbing, Gas Inspector office hours: 7:30-9:00 Frequently Asked Questions HELPFUL LINKS Building Department Personnel Name Title Office Hours Gerald Brown Inspector of Buildings 8:30-10:00 AM and 1:00-2:00 PM Brian Leathe Building Inspector 8:30-10:00 AM and 1:00-2:00 PM Jimmy Diozzi Plumbing Inspector 7:30-9:00 AM Peter Murphy Electrical Inspector 7:30-9:00 AM Jeannine McEvoy Department Assistant 8:30-4:30 AM Chapter 82 —Demolition Delay Bylaw SAFETY TIPS New Seventh Edition of the Code for Single and Two Family Dwellings & New License Requirements including grandfathered license procedures) The new Seventh Edition Building Code for One-and Two-Family Dwellings became effective on April 1,2007.Members of the Board of Building Regulations and Standards(Board)More... QVC 93 http://www.townofnorthandover.com/Pages/NAndoverMA Building/index?textPage=1 3/8/2010 1 SERVPRO of Lawrence PO Box 328 Lawrence,MA 01842 3/8/2010 Insured: LINCOLN,LTJU JAMES Home: (978) 738-4673 1 r Property: 35 BRENTWOOD CIR Cell: (978)771-9337 NORTH ANDOVER,MA 01845 Other: (978)771-9776 Home: 135 BRENTWOOD CIR NORTH ANDOVER,MA 01845 Member Number: 000479559 Policy Number: 000479559/93A L/R Number: 033 Type of Loss: WTR-SUM Cause of Loss: Coverage Deductible Policy Limit Dwelling $500.00 $380,000.00 Other Structures $0.00 $38,000.00 Contents $0.00 $362,710.00 Date of Loss: 2/25/2010 Date Received: 3/5/2010 Date Inspected: Date Entered: 3/8/2010 Price List: MAEM513MAR10 Restoration/Service/Remodel Summary for Dwelling Line Item Total 123.48 Replacement Cost Value $123.48 Less Deductible [Full Deductible=500.00] 12 4 3. 8 Net Claim $0.00 Please contact our adjuster if you believe a supplement to this estimate is needed.Before we will consider a supplement to this estimate,we must have the opportunity to re-inspect the damages prior to the supplemental work being done. S LINCOLN LTJG JAMES ERVPRO of Lawrence 3/8/2010 Page:2 LINCOLN LTJG JAMES Main Level Play Rm Ceiling Height: 8' 698.67 SF Walls 476.67 SF Ceiling .1175.33 SF Walls&Ceiling 476.67 SF Floor 52.96 SY Flooring 87.33 LF Floor Perimeter 87.33 LF Ceil. Perimeter L I CAT SEL DESCRIPTION CALC QNTY UNIT PRICE RCV DEPREC. ACV 2.WTR DRYWLF Tear out wet drywall,cleanup,bag,per LF-up to T tall 49. 49.00 LF 2.52 123.48 (0.00) 123.48 Totals: Play Rm 123.48 0.00 123.48 Total:Main Level 123.48 0.00 123.48 Line Item Totals:LINCOLN_LTJG_JAMES 123.48 0.00 123.48 Grand Total Areas: 698.67 SF Walls 476.67 SF Ceiling 1,175.33 SF Walls and Ceiling 476.67. SF Floor 52.96 SY Flooring 87.33 LF Floor Perimeter 0.00 SF Long Wall 0.00 SF Short Wall 87.33 LF Ceil.Perimeter 476.67 Floor Area 506.22 Total Area 698.67 Interior Wall Area 720.00 :Exterior Wall Area 90.00 Exterior Perimeter of Walls 0.00 Surface Area 0.00 Number of Squares 0.00 Total Perimeter Length 0.00 Total Ridge Length 0.00 Total Hip Length SERVPRO of Lawrence LINCOLN,LTJG JAMES 3/8/2010 Page: 3 Recap by Room Estimate:LINCOLN LTJG JAMES Area: Main Level Play Rm 123.48 100.00% Area Subtotal: Main Level 123.48 100.00% Subtotal of Areas 123.48 100.00% Total 123.48 100.00% a , SERVPRO of Lawrence LINCOLN,LTJG JAMES 3/8/2010 Page:4 Recap by Category Items Total Dollars % WATER EXTRACTION&REMEDIATION 123.48 100.00% Subtotal 123.48 100.00% I FORTH TO" of _ 4Andover . 0 No. XV3 dover, Mass., t'9') • of. �J�O CoCKIC EWICK '9S E BOARD OF HEALTH Food/Kitchen Septic System PERMIT T D , BUILDING INSPECTOR THIS CERTIFIES THAT.................��... .M ........ ...................................................................... Foundation, has permission to erect.............:.......................... buildings on .......I.�.5............. ...... ................... Rough v 7 waw .... t0 be occupied as....D'.. . ....... ........ .. . . ... ...............�...............................................................:.... Chimney provided that the person accepting this pe064 t shall in every respect conform to the 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 MONTHS ELECTRICAL INSPECTOR UNLESS CONS STARTS Rough ......... .....................-::::----: ,. ............................ Service BUILDIN 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 4