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Home My WebLink AboutBuilding Permit #772 - 140 VEST WAY 6/7/2006 10RT1{ Of 4« o, 7q.0 TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION CMUSE� Permit NO: Date Received: Date Issued: ' IMPORTANT: Applicant must complete all items on this page LOCATION ) 1q Ve"' �ct L Pant PROPERTY OWNER 1r I6Kca__=�� Print MAP NO.: PARCEL: lob ZONING DISTRICT: TYPE AND USE OF BUILDING HISTORIC DISTRICT YES ❑ TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑New Building ❑One family. ❑ Addition 0 Two or more family ❑ Industrial Alteration No. of units: Repair, replacement ❑ Assessory Bldg ❑ Commercial ❑ Demolition ❑ Moving(relocation) ❑Other ❑ Others: ❑ Foundation only DESCRIPTION OF WORK TO BE PREFORMED t Identification Please Type or Print Clearly) OWNER: Name: �� E F Phone: 7(LRC)5- Address: ( RC)5'Address: b '� CONTRACTOR Name: tip`�' oQlz�4�NPhone: 7 Address: I l t C �,,,r 5y�. �� r ` t-2 v► Cc, V ' ��' _ Supervisor's Construction License: Exp. Date: Home Improvement License: 1 Exp. Date: -zo-,;L? ARCHITECT/ENGINEER Name: Phone: Address: Reg. No. FEE SCHEDULE:BULDING PERMIT.$10.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$12,5.00 PER S.F. Total Project Cost S x10.00=FEE:$ Check No.: �� / Receipt No.: 3 Page I of 4 TYPE OF SEWARGE DISPOSAL Swimming Pools ❑ El Art ❑ Public Sewer Well InJ Tobacco Sales ❑ Food Packaging/Sales ❑ Permanent Dumpster on Site ❑ Private(septic tank, etc. F-1Permanent Meter location to project NOTE: Persons contracting with unregistered contractors do not have access to the gu anty fund Signature of Agent/Owner Signature of Contractor Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ A& ed Pla ❑ THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF- U FORM DATE REJECTED DATE APPROVED PLANNING & DEVELOPMENT ❑ ❑ ❑Water Shed Special Permit ❑ Site Plan Special Permit ❑ Other COMMENTS DATE REJECTED DATE APPROVED CONSERVATION ❑ ❑ COMMENTS DATE REJECTED DATE APPROVED HEALTH El ❑ COMMENTS e Z:oming Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments Conservation Decision: Comments Water& Sewer connection signature&date Temp Dumpster on site yes_no I Fire Department signature/date Building Permit Approved and Issued by: t vv" Page 2 ol'4 Building Setback (ft.) Front Yard Side Yard Rear Yard Required Provided Required Provides Required Provided DIMENSION Number of Stories: Total square feet of floor area, based on Exterior dimensions. Total land area,sq. ft.: NOTES and DATA—(For department use) Page 3 of 4 Doc:INSPECTIONAL SERVICES DEPARTMENT 13PFORM05 Created 1MC.1811.2006 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 Addition Or Decks ❑ Building Permit Application ❑ 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) 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 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 DF.PART\1ENTMFORN105 Page 4 of 4 Location �411� lOT Aa No. Date —7- � TOWN OF NdRTH ANDOVER 0 C9�� i :'; • . Certificate of Occupancy 9 Buildin (Frame Permit Fee $ IM4 r �Ss�c Foundation Permit Fee $ Other Permit Fee $ — TOTAL $ Check # Building Inspector NORTiy Town of _ w ;4 L Andover No. 77zo = E dover, Mass., • I� COCHICHEWICK %p ADRATED J"f S BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System y - BUILDING INSPECTOR THISCERTIFIES THAT................................../........................... ............................................................................................ Foundation has permission to erect........................................ buildings on -le.P�.........I/.�� 44 ..................... Rough to be occupied as .� ....... . e Chimney ........ .......provided that the person acceptihis permit shall 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 INSPEC'T'OR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR ti UNLESS CONSTRUC ARTS Rough .............. .. ..... ............t U"'. ........................... Service INSPECTOR Final Occupancy ,Permit Required to Ocaipy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove RoughFinal No Lathing or Dry Wall To BeDone FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. SEE REVERSE SIDE Smoke Det. Dempsey Construction & Roofing Specialists F�17 F."A. 7 Richardson Street Billerica, Ma 01821 978.670-8904 L- Name ustomer Mr Bob Katseff Date 4!2012006 Addr,E is 46 Vest%Wi' C Cy Order No, i ity North Andover 6fit-i--Ma -bp Rep ty .Ph FOB Strip Job —i UW, e --f0TAL IStrip existing I ' --- I . -- ayer down to roof deck 10SPect&renail where necessary. Any broker,or rotten �plywood/boards will be replaced at an additional cost Of :time&material. Install 3'ice&water underlayment along eves. Install I 61b felt on remainder. Install 8!'white aluminum edge around entire perimeter. Install 30 year roofing shingles(color&style determined by home owner). �Install either 3 new roof vents or eliminate them&install shingle over roof vent. I Install one 3"pipe flange. Remove all roofing debris. :Price includes materials, labor,dump and dump fees I Five year warrantee on all workmanship Payment Details SubTofil 0 > Shipping Handling Taxes State 0 Check - TOTALIL $6,260,O0 $2,260.00 down for materials Remainder due up'ori-c6m' pletion O1sOnly ........... Ed 1..!Hl T20 TOOL'- cLa 'Gad E226G2SB26 'ON Xtjj HSHM 6N3 3AIdN6FU Wodi E arrtntfiw `ryrt� d,. Fl�i,t crr./rra El�d \ Roaru of Building Regulations and Standards _f HOME IMPROVEMENT CONTRACTOR �f Registration:. 180272 Expiration: 3/21/2008 Type: Individual LEMPSEY CONST&ROOFING -rtlC DEMPSEY 'ICHARDSON ST .BiLLERICA, MA 01821 Deputy,administrator c 41! E i � 7 . 777 DA7E(MMID01YYj PRODUCER THIS CERTIFICATE IS ISSUED AS I/► MAT ER OF INFORMATION JOHN MCBRIDE JR INS AGCY ONLY AND CONFERS NO RIGHT:) UPC N THE CERTIFICATE MOLDER. THIS CERTIFICATE DOES NOT AMEND EXTEND OR i PO BOX 173 ALTER THE COVERAGE AFFORDED EY THE 'OLICIEi BELOW. ! NORTH BILLERICA MA 01862 COMPANIESAFFORUINCICOVEiAGE .72RJG COMPANY � -- INSURED — A CONTINENTA COMPANY CASUALTY (' MFANY i DEMPSEY, ERIC B 7 RICHARDSON ST BILLERTCAMA 011821-2514 COMPANY C COMPANY D -.9.ERAGE7777777777S THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED /,ROVE F )R THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WTH R SPECT TO WHICH THIS EXCLCERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN 19 SU8JE ;T TO ALL THE TERMS, USIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. C-I TYPE Of INSURANCE POLICY EFFECTIVE POLICY EXPIRATION ^ LTR POLICY NUMBER DATE(MMOMYY) DATE(MMU))tYY) LIMITS GENERAL UABIUTY GENERALAGt,REGA,-_I; -. COMMERCIAL GENERAL LIABILITY -- r--1 PRODUCTS-COMP/OP GG., $ CLAIMS MADE L OCCUR. PERSONAL&4DV.INJL IY— $ OWNER'S&CONTRACTOR'S PROT. LFE -CUFRENCE _ $ MAGE(Any one 'ire) $ I MED. !:1ENS-.(Any on person) $ kAUTOMOBILE LIABILITY -- — ! I I ANY AUTO COMBINED SINGLE $ LIMIT ALL OWNED AUTOS BODILY INJUFY SCHEDULED AUTOS j (Per Person) — $ 11,A20 AUTOS BODILY INJUFY NON-OWNED AUTOS � $ (Per Accident) 1 �t PROPERTY akVIAGE g OILRAOE LIABILITY i AJTO ONLY-EA ACC )ENT $ ANY AUTO OTHER THAN AUTO 01 LY; i E4CH ACC )ENT $ AGGRE TATE $ E EXCESS LIABILITY —' UMBRELLA FORMEACH OCCURRENCE _ $ AGGREGATE $ OTHER THAN UMBRELLA FORM WORKER'S COMPENSATION AND A EMPLOYER'S LIABILITY (UB-665X918-0-05) 08-27-05 08-27-06 SIATUTJRYLIMI- i N/A THE PROPRIETOR/ EACH ACCIDE JT $ PARTNERS/EXECUTIVEI—XI INCL I DISEASE—POI1CY LIMIT Y S;. ( OFFICERS ARE: EXCL r DISEASE—EA(H EMPLC fEE $ OTHER + —, 100,000 I I I DESCRIPTION OF OPERATIONS)LOCATIONS/VEHICLES/RESTRICTIONS/SPECIAL ITEMS ( THIS REPLACES ANY PRIOR CERTIFICATE ISSUED TO THE CERTIFICATE HOLDER AFFECTING WORKERS COMP COVERAGE CEfiTIf�GATE`HMDER> _ CANULLA1`IOAI SHOULD ANY OF THE ABOVE DESCRIBED POUIaES BE CAWCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPA! I WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO 1111E C ERTIFICI 1E HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NO710E SHALL IMF )SE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY,ITS u GENTS C R REPRESENTATIVES. AUTHORIZED REPRESENTATIVE —4 _ yCIP `I1 1993 ACORDT, CERTIFICATE OF LIABILITY INSURANCE i U04 / _ /25/225/200606 PRODUCER 978 851 2727 THIS CERTIFICATE IS ISSUED AS A OTTER )_ 04F INFORMATION SCHAFFNER INSURANCE AGENCY ONLY AND CONFERS NO RIGHT'S UPON ' HE CERTIFICATE 1147 MAIN ST #201 HOLDER. THIS CERTIFICATE DOE,3 NOT AM ;ND, EXTEND OR PO BOX 777 ALTER THE COVERAGE AFFORDEI} BY THE 'OLICIES BELOW, TEWKSBURY,MA 01876 4 —._.. --- I INSURERS AFFORDING COVERAGE �NAIC# /INSURED ...---- DEMPSEY CONSTRUCTION INSURERA_NAUTILUS INS-COMP --I--- ROOFING SPECIALIST,INC INSURER 13 -- - - - -- --- -. 7 RICHARDSON ST NSURERC: BILLERICA MA 01821 F iusuR£R D: INSURERE COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INC ICATEC 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 C )NDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. jfNSRDD'4 -T--- — -- -- ""-`"" - POLICY EFFECTIVE POLICY EXPIRATION' LTR POLICYNUMBER _ Llh TS GENERAL LIABILITY EACHOCC0REN:E S 1,000,000 A I X�COMMERCIALGENERALLIIABILITY NC381714 913105 9/3/06 PREMISES(lRmE_eE�__ 50,0_00 _J M_ y person) D EXP(Ar one S 1,000 CLAIMS MADE I OCCUR I c 1 PERSONAL 6 ADV GENERAL AGGRE;ATE EN'LAGGREGATELIMI RY- 1,000,000 2,000 000 �OTAPPLIESPER: PRODUCTS COMDlOPAGC Is 1,000,000 r�POLICY PROS 1 !• I I_JECT i LOC - —AUTOMOBILE LIABILITY COMBINEDSINGLi:LIM1T ANYAUTO (Eaaccidant) 15 ALL OWNED AUTOS -- BODILY INJURY i SCHEDULEDAUTOS i I (Perpereon) — S I HIREDAUTOS BODILYINJLRY NON>OWNEDAUTOS j I (Pereccldenl; S I — PROPERTYOAMA;E (Per accident �QAMLIABILITYAGEj AUTO ONLY.EAAJCiDENT S - - ANY AUTO EAACI OTHERTHAIJ S _ -- AUTOONLY: AG 5 EXCESSIUMBRELLA LIABILITY I EACH OCCURRENCE 5 1 OCCUR CJ CLAIMS MADE AGGREG AT1: $ ( DEDUCTIBLE I 5 RETENTION $ Is WORKERS COMPENSATION AND WCSTATU , �.OT ; 1 EMPLDYERS'LIABiLITY � L_ i TgRY LIMITS .� _r_—_ -------_--.- ANYPROPRIETORIPARTNERlEXECUTIVE i £,L.EACHACCIDENT 5 If yes,de!MEMBER EXCLUDED4 es,describe under E.L.DISEASE)EA EMPLOYI ° S _ - - O -- h_.............. ...._---.. 4 Y SPECIAL PROVISIONS below I E.L.DISEASI:,PO.ICY LIMI' ,S OTHER iDESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS CARPENTRY AND ROOFING LISTED AS ADDITIONAL INSURED CERTIFICATE HOLDER CANCELLATION ------ ----- SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE C/;NCELLEI BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDIMVOI TO MAi __ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO'rHE L SFT,BUT 'AILURE TO DO SO SHALL i IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UI'ON T NSUREJ ITS AGENTS OR REPRESENTATIVES. AUTHORIZEDREPRESENTATIVE1 At� :ORD t tOORATION 1888 U I