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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 PrP Yom_ t 001 , ' 'hv — _ w IAT, 10 N � nrrt > PRtPER Y3WNER `d FRIT Of ICD1S . : : gMAF' I�fl: �I?AEtEL ZC?NING I3I�i'•R � 4 ne 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. i i 1 I 1 r pr- ------ -------------------- 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/ oD � *High Performance Low-E4 glass will be available as a running change on Andersen Architectural Specialty Windows. See order acknowledgement to verify glass type.