HomeMy WebLinkAboutBuilding Permit #644 - 14 BEECH STREET 4/5/2007 p►ORTH
BUILDING PERMIT °` ��``� '°quo
TOWN OF NORTH ANDOVER F
APPLICATION FOR PLAN EXAMINATION
Permit NO: Cr' Date Received p0q^rev PP'y4`0
�SSAC Hl1`'�(
Date Issued: �
IMPORTANT Applicant must complete all items on this page
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TYPE OF IMPROVEMENT PROPOSED USE
Residential Non- Residential
❑ New Building )<One family
❑ Addition ❑ Two or more family ❑ Industrial
ElAlteration No. of units: ❑ Commercial
`Repair, replacement ElAssessory Bldg ❑ Others:
❑ Demolition ❑ Other
lSeMA
pti' V1(el1 k �� r ' ( 1=1 "alairt l �elsnds i 3ilterslaedDtrt '
1 WaterSewer,,
y
,•.:
DESCRIPTION OF WORK TO BE PREFORMED:
Identification ,,Plfase Type or Print Clearly)
OWNER: Name. l� Phone:�l lJ 1 t
Address:
,.- � � � � �, � � � 'tea � � �° � '� `� ° � •
s
COV "RACYO!R Name I'horie
AddressrW.
y v
ca m A.
�.
M �a,e:
Su eruisoCo
s nstruct b, License Exp `
. .� . .`
l1��md9'Imnrrw
vtr�en L► ese , xp: Data
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: $ 7`
Check No.:— Col 3 Receipt No.: 4h
NOTE: Persons contracting with unregistred contractors do not have access to the guaran .,fund
Si nature of contractor
Signature of Agent/Owner 9
Location i
No. G, (-/ Date t 0}
NORTF/ TOWN OF NORTH ANDOVER
3? � . 0JL
F S
+ ; : Certificate of Occupancy $
CMUSE,� Building/Frame Permit Fee $
Foundation Permit Fee $ �—
Other Permit Fee $
TOTAL $
Check #
20 1 UO
Building Inspector
J I
Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑
THE FOLLOWING SECTIONS FOR OFFICE USE ONLY
INTERDEPARTMENTAL SIGN OFF- U FORM
DATE REJECTED DATE APPROVED
PLANNING & DEVELOPMENT ❑
COMMENTS
DATE REJECTED DATE APPROVED
CONSERVATION ❑ ❑
COMMENTS
DATE REJECTED DATE APPROVED
HEALTH ❑ ❑
COMMENTS
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 ❑
I.
i
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
Located at 384 Osgood Street
IRE bEF'ARTMENT -TeM]p Umpst&;Ol slto yes 'n�
vacated at 124 Main Street
Fire Department signature/date
. �n
` � �kr
C�MMPNTS. ..
1
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 Pennit Revised 2007
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
—Btritdlffg—Permit Application
❑ Workers Comp Affidavit
❑ Photo Copy Of H.I.C. And/Or C.S.L. Licenses
-Q--Copy-of- antract
---.a---Ffo tinOr Proposed Interior Work
1;�ganeer4N-A#fd-avits 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)
o 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)
o Copy of Contract
a 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 2.2007
NORTH ANDOVER BUILDING DEPARTMENT
Tel: 978-688-9545
DEBRIS DISPOSAL FORM
In accordance with the provision of MGL c 40 S 54, a condition of Building Permit
at: Q( ,. is that the debris resulting from this work shall be
disposed of in a properly licensed solid waste disposal facility as defined by MGL
c 11, S 150 A.
Also, note Permits are required under Fire Prevention laws:Chapter 148 Section
I OA.
The debris will be disposed of in:
TX.,-O J ).J
(Location of Facility)
Signature of P t Applicant
Fire Department Sign off:
Dumpster Permit
Date
04/06/2007 03:35 FAX 3154588484 INSURANCE EXPRESS IA 001/001
ORS, CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDOnYYY)
PRODUCER (603)382-5959 FAX (603)382-1652 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Insurance Express.corn Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
MOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR
5 PI ai at ow Road ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW
Unit 047
PI ai st cvI; NH 03885 INSURERS AFFORDING COVERAGE NAIC 0
INSURED Mvi n Car r el r o dba K C Const r uct I on INSURER A: Preferred Mit ua I 15024
2 Sines Finad INSURER B:
KI n9ston, NH 03848 INSURERC.
INSURER 0
INSURIERE.-
COVERAGES
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING
ANY REOUIREMENT.TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WMCH THIS CERTIFICATE MAYBE ISSUED OR
MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH
POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
IfqgltWD TYPE OF INSURANCE POLICY NUMBER POLICY FECTIVE POLIO EXPIRATK7N LIMITS _
GENERAL LIABILITY CPP 0120576308 09/0112006 ! 09101/2007 EACMOCCURRENCE s 1, 000,000
X i COMMERCIAL GENERAL LIABILITY DAMAO E TO RENTED I S 501000
PREMISES(Ea occurence)
CLAIMS MADE I X'OCCUR MED EXP(Anyone parson) Is 5,000
A I PERSONAL&ADV INJURY t S 1,000,000
GENERALAGOREGATE Is 2,000,000
GE ML AGGREGATE LIMIT APPLIES PFA: PRODUCTS-COMPIOP AGG S 2,000,000
POLICY 'JPERC ; LOC
AUTOMOBILE uAEILRY COMBINED SINGLE LIMIT
ANY AUTO IEa eac,denl) _
ALL OWNED AUToS BODILY INJURY
i SCHEDULED AUTOS (Per person) S
HIRED AUTOS SOMLY INJURY E
NON OWNED AUTOS
(Peraaadent)
— PROPERTY DAMAGE 5
(Per gccidgm)
GARAGE LIABILITY AUTO ONLY-EA ACCIDENT S
ANY AUTO OTHER THAN EA ACC S
AUTO ONLY, AGO S
EXCESSIUMORELLA LIABILITY EACH OCCURRENCE ;
OCCUR I I CLAIMS MADE AGGREGATE 5
S
DEDUCTIBLE ' 4
RETENTION
Vv>r STATU- 0TH•
WORKERS COMPENSATION AND I TORY LIMITS ER
EMPLOYERS'LIABILITY EL EACH ACCIDENT 5
ANY PROPRIETORIPARTNEWEXECUTIVE I
OFFICERIMEMBER EXCLUDED? E L.DISEASE-EA EMPLOYEE S
If yes,dewdfie under
SPECIAL PROVISIONS be1� E L.DISEASE-POLICY LIMIT 5
OTHER .. ..
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS
CE ATE HOLDER CANCELLATIQN
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR 70 MAIL
OAVO WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT
BUT FAILURE TO MAIL SUCH NOTICE SMALL IMPOSE NO OBLIGATION OR LIABILITY
OF ANY KIND UP THE INSURER,ITS AGENTS OR REPRESENTATIVES.
AU ORIZ ES 7
ACORD 25(2001108) @ACORD CORPORATION 1988
NORTH
Town of
4Andover
0
No. y
A dower, Mass., ' {'
COCMICKEWICK V
7�S RA7E0 P'P �5
BOARD OF HEALTH
PERMIT T D Food/Kitchen
Septic System
BUILDING INSPECTOR
THISCERTIFIES THAT..... .. ��� ..............01i►.. ........... ....................................................................... Foundation
has permission to ere ..................................... buildings on ....... ..................�t9..G..���.........5'r'....... Rough
to be occupied as...... ................G,.&1 ,�L . !1■ ...............................................................• Chimney
provided that the person acce-ting this permit 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
PERMrr EXPIRES IN 6 MONTHS Final
UNLESS CONSTRU ON ELECTRICAL INSPECTOR
Rough
................... Service
. ... .. . ...............................................
BUILDING INSPECTOR
Final
Occupancy Permit Required to Occupy Building GAS INSPECTOR
Display in a Conspicuous Place on the Premises — Do Not Remove RoughFinal
No Lathing or Dry Wall To Be Done FIRE DEPARTMENT
Until Inspected and Approved by the Building Inspector. Burner
Street No. .
11 SEE REVERSE SIDE Smoke Det.
A' ndersen
f
* �;
Abbreviated Quote Report
Andersen Windows - Page 2 Of 4
Orniect Name D'ALESSANDRQ ,q7 0
Artder,en iQ Version:
n212212007 DALEY
� -^u AVE
MA 01845 USA Fax:
Andersen Dealer: Quote#: 00000 n wirldoWs _ Ext.Price
MOYNIHAN LUMg 4 Print D Protect Na Abbreviated n50.94
164 CHESTNUT ST R I N ate: 03/09/2007 me D'q�ESSANpRO to Repod
C AARONS LAPTOP r
NORTH READING MA 01864 Quote Date: J
Sales Rep 78-664-3310 02/22/2007
AARON ALLEN Customer: DALEY Q Version: fltldersert.
Billing ig7.0 t x
Item Address: NO CH AVE Page
Qty ItOf
e Phone: RTH AND
0009 1 Size(Operation) 1079 VER, MA 01845 USA
2 nN18210 Contact: 979-685_
RO Size= (AA) DAL 120/
1'10 1/8"WX
Unit, Equal Sash 3'0 7/8"H Fax:
White/PI Unit �ocati SEAN AND DEBBY'S HOUSE
Insect Screen White, Hi Size- 1 Lo i
(� n White 9h Pertorman 9 5/8"WX 3'p 7/8" (A) BREEZEWq
�1 2L J 0010 Ce w E4 H Y Unit Price 2.86
1 Glass (Each Sash) $ Ext.
RO Size= 18.pHP4242-18 199.44 Price
T 11 3/8"W X 4, (Aq-F.qA) $ 398.89
Composite 4 7/8"H
Glass, No Unit, White/P Unit Size=
71 10
Grille, Mulling L cation Fnished a tohite, High Performance L W X 4.4 7/8"H (B)DINING AREA
Insect Screen White 11 Factor (Direct TYpeLow-E4 p/Sotto 328.59
00 TW3U ). Mull Narrow Mull, M m*High Perfor $ 967.99
1 ull P mance Lo�y_E4*High Performance $
RO Size:= 210(4A) riority: Vertical 967.88
3'2 1/8"W rtical
Unit, Equal Sas X 3'0 7/8"H rmance Low- I
Insect Screen, White/PI White Unit Size=3'1 5/8, E4 Top/Bottom
1 n, White High Performance Low-EWGlass B..H (C) KITCHEN
0012 579.92
G43 (Each Sash) $ 251.27
RO SiZe=4,0' (AP) $
Unit, W X 3'0,,H 251.27
White/PI White Hi Unit Size
Insect Scree 9h Performance 3'11 1/4"W X
Handle n' White mance Low_E4 2'11 1/4"H (D)KITCH SINK
Rotating Sash Glass.
0013 1 GW, Metro Style- White $ 589
CN125(R) 80 $
RO Size= 589.80
1,9,I WX2�47/8"H
Unit, White Unit
Ins /White- Vinyl 7/ Size= 1.
Insect Screen, apped 8 1/2., y glass type
Hardware Pack, , R Handing, W X 2'4 3/8"H (E)MAST SHOWER
9� Dual pane Insulating Te
' PSC, Metro Style_ White $ r �
mpered Obscure Glass 208.10 $
208.10 --
*High Perforrnance Low-E4 glass willb
_ e available as a running change on Anders
en Architectural Specialty Windows,
—1-- ws. See order er acknowledgement to verify glass t
�_ Ype.
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Andersen. Andersen Windows - Abbreviated Quote Report Andersen.
" Project Name: D'ALESSANDRO ?
Quote#: 000004 Print Date: 03/09/2007 Quote Date: 02/22/2007 iQ Version: ig7.0 Page 1 Of 4 onw' GGY
Dealer: MOYNIHAN LUMBER INC AARONS LAPTOP Customer: DALEY
164 CHESTNUT ST Billing 9 BEECH AVE
NORTH READING MA 01864 Address: NORTH ANDOVER , MA 01845 USA
978-664-3310 Phone: 978-685-1079 Fax:
Sales Rep: AARON ALLEN Contact: DAL120/SEAN AND DEBBY'S HOUSE
Item Qty Item Size(Operation) Location Unit Price Ext. Price
❑ 0009 2 TW18210(AA) (A) BREEZEWAY $ 199.44 $ 398.88
RO Size= 1' 10 1/8"W x 3'0 7/8" H Unit Size= 1'9 5/8"W x 3'0 7/8" H
Unit, Equal Sash,White/PI White, High Performance Low-E4 Glass(Each Sash)
Insect Screen,White
❑ 0010 1 TW18-DHP4242-18(AA-F-AA) (B) DINING AREA $ 967.88 $ 967.88
RO Size=7' 11 3/8"W x 4'4 7/8" H Unit Size=7' 10 13/16"W x 4'4 7/8" H
Composite Unit,White/Pre-finished White, High Performance Low-E4 Top/Bottom*High Performance Low-E4*High Performance Low-E4 Top/Bottom
Glass, No Grille, Mulling Location: Factory (Direct), Mull Type: Narrow Mull, Mull Priority:Vertical
Insect Screen,White
0011 1 TW30210(AA) (C) KITCHEN $ 251.27 $ 251.27
RO Size=X2 1/8"W x 3'0 7/8" H Unit Size=T1 5/8"W x 3' 0 7/8" H
Unit, Equal Sash,White/PI White, High Performance Low-E4 Glass (Each Sash)
Insect Screen,White
0012 1 G43(AP) (D) KITCH SINK $ 589.80 $ 589.80
RO Size=4'0"W x 3' 0" H Unit Size=3' 11 1/4"W x 2' 11 1/4" H
Unit,White/PI White, High Performance Low-E4 Glass
Insect Screen,White
Handle, Rotating Sash, GW, Metro Style-White
0013 1 CN125(R) (E) MAST SHOWER $ 208.10 $ 208.10
RO Size= 1'9"Wx2'47/8" H UnitSize= 1'81/2"Wx2'43/8" H
Unit,White/White-Vinyl Wrapped, R Handing, Dual Pane Insulating Tempered Obscure Glass
LL j, Insect Screen,White
Hardware Pack, PSC, Metro Style-White
*High Performance Low-E4 glass will be available as a running change on Andersen Architectural Specialty Windows. See order acknowledgement to verify glass type.
Andersen. • Andersen Windows - Abbreviated Quote Report Andersen.
" Project Name: D'ALESSANDRO
Quote#: 000004 Print Date: 03/09/2007 Quote Date: 02/22/2007 iQ Version: ig7.0 Page 2 Of 4 „oaw GcflN
Dealer: MOYNIHAN LUMBER INC AARONS LAPTOP Customer: DALEY
164 CHESTNUT ST Billing 9 BEECH AVE
NORTH READING MA 01864 Address: NORTH ANDOVER, MA 01845 USA
978-664-3310 Phone: 978-685-1079 Fax:
Sales Rep: AARON ALLEN Contact: DAL120/SEAN AND DEBBY'S HOUSE
Item Qty Item Size(Operation) Location Unit Price Ext. Price
0014 1 TW20-DHP5642-20 (AA-F-AA) (F) MAST BED $ 1050.94 $ 1050.94
RO Size=9' 11 3/8"W x 4'4 7/8" H Unit Size=9' 10 13/16"W x 4'4 7/8" H
Composite Unit,White/Pre-finished White, High Performance Low-E4 Top/Bottom*High Performance Low-E4*High Performance Low-E4 Top/Bottom
Glass, No Grille, Mulling Location: Factory (Direct), Mull Type: Narrow Mull, Mull Priority:Vertical
Insect Screen,White
- 0015 1 TW3842 (AA) (G)MAST BED $ 328.59 $ 328.59
RO Size=3' 10 1/8"W x 4'4 7/8" H Unit Size=3'9 5/8"W x 4'4 7/8" H
Unit, Equal"Sash,White/PI White, High Performance Low-E4 Glass(Each Sash)
Insect Screen,White
0016 1 G32 (AP) (H)SHOWER $ 602.86 $ 602.86
ROSize=3' 0"WxV11" H Unit Size=2' 11 1/4"W x 1' 10 1/4" H
Unit,White/PI White, High Performance Low-E4 Tempered Obscure Glass
Insect Screen, White
Handle, Rotating Sash, GW, Metro Style-White
0017 1 TW3842(AA) (1)OFFICE $ 328.59 $ 328.59
RO Size=3' 10 1/8"W x 4'4 7/8" H Unit Size= 3'9 5/8"W x 4'4 7/8" H
Unit, Equal Sash,White/PI White, High Performance Low-E4 Glass(Each Sash)
Insect Screen,White
■ 0018 2 TW2842 (AA) (J)OFFICE $ 289.96 $ 579.92
RO Size=2' 10 1/8"W x 4'4 7/8" H Unit Size=2'9 5/8"W x 4'4 7/8" H
Unit, Equal Sash,White/PI White, High Performance Low-E4 Glass(Each Sash)
Insect Screen,White
*High Performance Low-E4 glass will be available as a running change on Andersen Architectural Specialty Windows. See order acknowledgement to verify glass type.
Andersen. Andersen Windows -Abbreviated Quote Report Andersen,
Project Name: D'ALESSANDRO
> » Quote#: 000004 Print Date: 03/09/2007 Quote Date: 02/22/2007 iQ Version: ig7.0 Page 4 Of 4 6Ow¢ GGN
Dealer: MOYNIHAN LUMBER INC AARONS LAPTOP Customer: DALEY
164 CHESTNUT ST Billing 9 BEECH AVE
NORTH READING MA 01864 Address: NORTH ANDOVER , MA 01845 USA
978-664-3310 Phone: 978-685-1079 Fax:
Sales Rep: AARON ALLEN Contact: DAL120/SEAN AND DEBBY'S HOUSE
Item Qty Item Size(Operation) Location Unit Price Ext. Price
Subtotal 7,674.32
Total Load Factor Tax(5.000%) 383.72
Customer Signature 1 4.756
Grand Total 8,058.04
Dealer Signature
** All graphics viewed from the exterior
Project Comments:
DAL120/VINCENT D'ALESSANDRO
SEAN AND DEBBY'S HOUSE
VAN ORDER 4-5 WKS
71AA78/PLAISTOW ORDER
A 4 WEEK LEAD IS REQUIRED AT THESE PRICES
SOME ANDERSEN WINDOWS ARE MADE TO ORDER AND CANNOT BE RETURNED FOR CREDIT
-z4/
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*High Performance Low-E4 glass will be available as a running change on Andersen Architectural Specialty Windows. See order acknowledgement to verify glass type.