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Home My WebLink AboutBuilding Permit #336 - 14 BAY STATE ROAD 11/14/2008 NORT1t BUILDING PERMIT o`t,�o •bq'�o TOWN OF NORTH ANDOVER -40 APPLICATION FOR PLAN EXAMINATION41 # Permit NO: Date Received 9,p ��SSACHUS try Date Issued: �7 IMPORTANT:Applicant must complete all items on this page LOCATION 'AV. Print PROPERTY OWNER �`i �2 �Ct 1h`JL� Print MAP NO: PARCEL: 4 ZONING DISTRICT: Historic District yes no Machine Shop Village yes no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential New Building One famil Addition Two or more family Industrial Alteration No. of units: Commercial Re air, replacement Assessory Bldg Others: Demolition Other Septic Well Floodplain Wetlands Watershed District Water/Sewer DESCRIPTION OF WORK TO BE PREFORMED: Identification Please Type or Print Clearly) OWNER: Name: Phone: I Address: CONTRACTOR Name: �- tie,L "-tea Phone: Address: Superv'isor's Construction License: `t Exp. Date: 2(� 21 (3 :Home Improvement License: Exp. Date: ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE:BOLDING PERMIT.$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ _ FEE: $ 75�_ Check No.: / 2g90 Receipt No.: a J!�* NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund Signature of Agent/Owner Signatureof'contractot�,,,,. Location No. ate TOWN OF NORTH ANDOVER 3 • O ° O R Certificate of Occupancy $ �+s ^•''t�' Building/Frame/Frame Permit Fee $ s,K,wst 9 Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # J 2160 Building Inspector 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 6 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 DPW Town Engineer: Signature: Located 384 Osgood Street FIRE DEPARTMENT Temp Dum,pster 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 ❑ Notified for pickup - Date Doc.Building Permit Revised 2008 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:INSPECTIONAL SERVICES DEPARTMENT:BPFORM07 Revised 2.2008 DATE(YYtDQ1WYYl CERTIFICATE OF LIABILITY INSURANCE PROOVQEA O8 James TF9oS CBtrIRCATE 19 ISSUED AS A MATTER OF INFCmATIOPI O Connell Insurance Ar3�st ONLY AND CQNFWO NO �{rS V 1CI 0" THL TIMCATE 754 Boston Rd HOLE>t -rMS CERr'iFICATE DOES NOT AM ENq FXTEliD OR i Billerica, M& 02821 ALTRI TW COVWAGE AFFORDED By THE POLICIES amow. IMUW6 AFFUM K:CDVWA(;E WIC F O A MARCANTONIO --------- Merchants 48 ANDOVER RO INSIAeeR BILLBRICA, MA 01821 INsuRell c INSURER D. -- IIN9 R COV�'tAQ68 — U EhL: — — I THE POLICIES OP INSURANCE LISTED BELOW HAVE BEEN 155Ue7 TO THC INSURED NAMED ABOVE FOR TIDE DOUCY PERIOC INDICATED. NOTWI-H ANY REQUIREMENT. TERM OR CONDITION CE ANY CONTRACT OR OTHER DOCUMENT WITH RESPEC"*O WHICH I STAN— DO !NAY PERTAIN, THE INSURANCE AFFORDED$'Y THE POLICIES DESCRIBED HEREIN I THIS CIONS A0 MAY 3E SOF C POLICIES AGGREGATE LIMITS SHOWN M0 HAVE BEEN,ARWUCED&Y PAID CLAIMS S SV<3eEC "C ALL THE tERM�. EYLLUSICNS ANO CONDITIONS OF SUCH TYPEnri.2l�e.urs I POLICY NUMIER ! ECFECTTvs POl)CY E]iPtA/LTIOMi - ---y MMIMAL LIABILITY EMITS I ekCH00CLXLRENCE A �G iMME IAL GENERALLIABILRY ,CCP1036060 ! " CAIIM$MADE f, 4/10�;Jf31 4110/09 DaMAcEr„r Y€o �— `J Occult I r�^� E i 00.000 I IPE RSO HAL6ADY NJIpV § j i C0501.-09-0000 i4erePALAL�cx�WEZ,p{)0.POO CiEN'POLICY L A(1HREC3AT°LIMIT APPLIES PER PRa r� �LOIx,T$-CQAPOPq¢j+f 2.00C�.00G' ! � �LOC i ! _ _ I I AwToaOmE LN61LITr _. ANYAUTO I CQn3INEDSIN 0IEUNR I (EB l�rt; s ALL ONNI1)AUTOS i I I SCVEDULED AUTOB IR)W Y N.KIR Y ( j I lDrorpxonn l i HIREDAUTUS .I I - ! NON_OVJ,ED AUT03 (FDD6�NARY t I I ! I I�raaaU on)OWACE I — LTARACE I—ITY j �ANYALRO I PUTJJti'�-EAACCGBJT II I OlPtR WAN - -_ I ALIT64NLY: AGS 6 ' -&XCE88MWtRELLA LIABI7,ITY I r—n I E4CHbCCurtRENCE�_ s _ OCCUR CLAVAS 6iAUE MOUPIOLE ! RETENTION S I A ! WOEMSCOMPEN*ATIONAW® RNI j T AT ;OTFi-I EIIPLOYEA'S'LlAI1LITY I � AN PROPRI`TOWARTNERIEXECJTfuTI EL EACNAC(h( .1PT +9 OFFICEAlA�MyER EXCLUDED? fro uft gmPROVtmmDom cL-0!SEAg-EA EtmlOrEE,S I OTHER '-L.DISEASE•PeICYUMIT jS I I -i DE`ICNPT10NDFC?6RATIbW8;LOCATIONS IVEICLGZI EXCLUSION$ADDED By 12NOCYi3eMENT1 SPECL4LPROYI$pN9 lI BZDZATG WORK ALD WmDOWS CMTIFICATEHOLOR CANCELLATION SHOULD ANY OF THE AROM DESCR1111E0 POUCH BE CANCBL.LED 6FORE THE EXPIMT10N 14 BAYSTATE ST CAGY PAT”TNEAEOF,THE ISSUING INBUREtt YT RL ENDEAVOR TO MAIL 30 W DAYS RLTTEN ' 14 978^352-1264 NOTICE TO THE CERTIFICATE 1401-091kLEF NAMED TO THE T.BUT PAILURE TO DO SO SHALL RBP03L NO OBLlC1AT1ON OR LIABILITY OF,NNY KIND UADN TRI I8$L1AFR ITS AOENTD DR I NORTR AIJDOVER, MA +?IPgs;6E ITATMEB 1 AIJIMIDA11=DFURFMISENTATIVE ACORD 25(2041/09) ' _ AC FFWCORPORATION1888 I Board of B'u�iding Regulations and'Standards Ik Construction Su'pervis6r License li"'A's 0 58578 P E P r I 72672010 Tr# 16547 et -fq'c ion 0'(Y-i 1 pANIEL A MARC --F j 48 ANDOVER RD I BILLERICA,MA 01821 Commissioner !fie Loovrurea�uuea:�� Board of Building Regulations and Standards lugHOME IMPROVEMENT CONTRACTOR Registration; 109069 EzgmaJor-9!1/2010 Tr# 275797 Type: Pryvate Corporation y ' I D.A. MARCANTONIO Daniel Marcantonio 48 Andover Rd. Administrator Billerica,MA 01821 Liberty Mutual Group Liberty P.O.Box 9090 Mutual® Dover,NH 03821-9090 Telephone(800)653-7893 Fax(603)-245-5330 October 23,2008 MR&MRS CARNEY 14 BAYSTATE ROAD NORTH ANDOVER, MA 01845- RE: Certificate of Workers Compensation Insurance Insured: D A MARCANTONIO INC 48 ANDOVER RD BILLERICA, MA 01821 Policy Number: WC1-31S-368770-018 Effective: 9/16/2008 Expiration: 9/16/2009 Coverage afforded under Workers Compensation Law of the following state(s): MA Employers Liability(Limits): Sole Proprietor/Partner Coverage Election: Bodily Injury By Accident: $100,000 Each Accident Bodily Injury by Disease: $ 100,000 Each Person Bodily Injury by Disease: $ 500,000 Policy Limits As of this date,the above-referenced policyholder is insured by Liberty Mutual Insurance Company under the policy listed above. The insurance afforded by the listed policy is subject to all the terms,exclusions and conditions,and is not altered by any requirement,term or condition of any or other documents with respect to which this certificate may be issued. This certificate is issued as a matter of information only and confers no right upon you,the certificate holder. This certificate is not an insurance policy and does not amend,extend, Or alter the coverage afforded by the policy listed above. If this policy is cancelled before the stated expiration date,Liberty Mutual will endeavor to notify you of such cancellation. AUTHORIZED REPRESENTATIVE LIBERTY MUTUAL INSURANCE GROUP This Certificate is executed by LIBERTY MUTUAL INSURANCE GROUP as respects such insurance as is afforded by those companies. cc: Insured: Producer of Record: D A IAARCANTONIO INC MERRIMACK VALLEY INS AGCY INC 48 ANDOVER RD 655 BOSTON ROAD 41A BILLERICA, MA 01821 BILLERICA, MA 01821 10/23/2008 D.A. Marcantonio PROPOSAL General Contractor 48 Andover Rd. Billerica,MA 01821 (978)667-1955 Page No. of Pages PROPOSAL SUBMITTED TO PHONE DATE STREET JOB NAME t15` CITY STATE AND ZIP CODE JOB LOCATION v ARCHITECT DATE OF PLANS JOB PHONE We hereby propose to furnish materials and labor necessary for the completion of: ` r A �.��y'h'�1` f v'.\\�1 i`1t)r s a4 � � `»+k' a �f�.3: �Y\t"i �.�A.�["\. "'t1•n 4.7 .1 SJ��y,Si �ti �y � = a r v i ,: .i't's' f `-- rl � +L. -• 1 .•-- r.Y .s.. R'� O Y' r,CJ, �.'r 'ta,_ A Finance Charge of 11/2%per month will be made on accoun 30 days overdue. This is an Annual Percentage Rate of 18% WE PROPOSE hereby to furnish material and labor—complete in accordance with above specifications,for the sum of: dollars($ 1 Payment to be made as follows: All material is guaranteed to be as specified.All Work to be completed in a sub. stantial workmanlike manner according to specifications submitted, per standard Authorizdd practices. Any alteration or deviation from above specifications involving extra Signature costs will be executed only upon written orders,and will become an extra charge --- -- —over and above the estimate.All agreements contingent upon strikes,accidents or Note:This proposal may be delays beyond our control.Owner to carry fire, tornado and other necessary in- withdrawn b us if not accepted within days. w surance.Our workers are fully covered by Workmen's Compensation Insurance. Y D ACCEPTANCE OF PROPOSAL The above prices, specifications and condi- tions are satisfactory and are hereby accepted.You are authorized to do the work (, as specified.Payment will be made as,outline above. Signature i Date of Acceptance: �.� - +� ,r Signature t (` L �f D.A.Marcantonio PROPOSAL General Contractor 48 Andover Rd. Billerica,MA 01821 (978)667-1955 Page No. of Pages PROPOSAL SUBMITTED TO PHONE ( DATE �.•3. V1 r 4. STREET _ JOB NAME I -� IQ _ CITY.tTATE AND ZIP CODE JOB LOCATION o\ ARCHITECT I DATE OF PLANS JOB PHONE We hereby propose to furnish materials and labor necessary for the completion ot e -ZR X_ \j rV 0 - _N Q.. A Finance Charge of 11/2%per month will be made on accounts 30 days overdue. This is an Annual Percentage Rate of 18% WE PROPOSE hereby to furnish material and labor—complete in accordance with above specifications,for the sum of: o :4PD dollars($ li�i�(: H jiJ•�J� ) Payi16entftobZ0c1le as follows: ! T -- o )z Allaterial is guaranteed to be Als specified.All work to be pleted in a sub- �' ( 1) stant at workmanlike manner according to specifications Submitted,per standard Authori4 x practices. Any alteration or deviation from above specifications involving extra Signature costs will be executed only upon written orders,and will become an extra charge over and above the estimate.All agreements contingent upon strikes,accidents or .Note:This proposal may be delays beyond our control.owner to carry fire, tornado and other necessary in- surance.Our workers are fully covered by Workmen's Compensation Insurance. withdrawn by us if not accepted within days. ACCEPTANCE OF PROPOSAL The above prices, specifications and condi- tions are satisfactory and are hereby accepted.You are authorized to do the work ` as specified.Payment will be made as outline above. Signature t /' Date of Acceptance: f Signature �-� NORTIy t TONM of Andover No.33 -_ - * o dover, Mass., o COCMICH..CK y�. 7�AD'QATED F"VIL '9S E BOARD OF HEALTH Food/Kitchen PERMIT T Septic System BUILDING BUILDING.INSPECTOR THIS CERTIFIES THAT-1v ,� ......... � � .............�.................................................................................................... Foundation has permission to erect........................................ buildings on .4... ......S..a.l :.... .............................. Rough t0 be occupied as �� .... l ..{.`. �..... .�' :..a(�J�......... e� Chimney . . . . . .. . . . . . . . .... provided that the person accepting this permit shall in 6ery 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 CONSTRUCTION STARTS Rough ....................... ............................................................. ................... Service BUILDING INS ECTOR Final Occupancy Permit Required to Occl ipy 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.