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HomeMy WebLinkAboutBuilding Permit #513 - 156 PLEASANT STREET 1/3/2012 NO R T►{ BUILDING PERMIT OF�zLEo TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION yTy0Ty y T ' y 1 Permit NO: 1' Date Received 3�S RATEo SACHUS@ Date Issued: j IMPORTANT Applicant must complete all items on this page ` I .t '"'oi#t.•nw-}.sem •�r,�n:�.• :ate<��•� i- � _ �Y"F' .� t•S,•.Q.,+�y�a,'+..�" - t lt®CATION AHI�(o -C. �C'GtSQ r�_f- �� ►- e e fy �� PR®PER�,TY' Q,�WNER 6: 'gy •�c-- -�7 7 =777-7- rte I Pant . -& .z: i r fixer � ;�MA�P N®r _ �PARCE�Z®NIN ®ISATRI.CT� �� .��Historic ®istnctf4 � � ' �"ye.;• rn .§ `�. 1 1 IS TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential - El New Building ❑ One family y_ ❑Addition - ❑Two or more family ❑ Industrial "Iteration No. of units: "ommercial ❑ Repair, replacement. _ ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other L Sep it c` ®►lNell ® Floodplan; 0�1Netlands �® V1/atershed District � ❑Water/Sewer '� � 1 DESCRIPTION OF WORK TO BE PREFORMED: ?CA t l d G G-� �- $e u u �-, Scr CU �P ryrei Vb O n4i LA 0/ ll acid - C kv 3 wii Ll Identification Please Type or Print Clearly) 4 OWNER: Name:_ Joseoh G Lp „ ,-S Phone: C1 7e- /,�� SG 5, Address: I ioid Pleas' f,f S� `zd c)v P l7 z_ _ C�ONTtRACT®R 4Name. �L v_ If?honef �dKdr k a Su nrisor s Construa ction. License 1 ` s G G � _7.� Homlmprovemenfi Lice se” _ ]Q.- . 7 -I ' ExpDate + o ARCHITECT/ENGINEER Phone: Address: Reg. No. I FEE SCHEDULE:BULDING PERMIT:$92.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ o 0 C' FEE: $ � tI Check No.: Receipt No.: NOTE: Persons Persons contracting with unregistered contractors do not have access to the guaranty fund Signatur_eofrAgent/®caner " lF_: Signatur`efofcontractor� Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ TYPE OF SEWERAGE DISPOSAL Public Sewer Tanning/Massage/Body Art ❑ Swimming Pools '` Er-- Well r'Well ❑ Tobacco Sales ❑ Food Packaging/Saleg 'In 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 ❑ ❑ E f COMMENTS /l�✓1 �EU!divc2 i-J/G' CONSERVATION Reviewed on Signature COMMENTS a r HEALTH Reviewed on Signature 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 Os ood Street IRE DEPAR ENTT °�' r tempDumpste on site� y ocatecl at124 Maih Street' ° 4 k 4 �Deartment�igr�ateId "ate, - �.+®. q, ur .L .. . k Dimension Number of Stories: Total square feet of floor area, based on Exterior dimensions. N Total land area, sq. ft.: ELECTRICAL: Movement of Meter location, mast or service drop requires approval of Electrical Inspector Yes No i DANGER ZONE LITERATURE: Yes No MGL Chapter 166 Section 21A—F and G min.$10041000 fine I' NOTES and DATA — For department use LJ 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 E3 Workers Comp Affidavit a Photo Copy Of H.I.C. And/Or C.S.L. Licenses ❑ Copy of Contract o Floor Plan Or Proposed Interior Work o Engineering Affidavits for Engineered products { NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit Addition Or Decks I o Building Permit Application o Certified Surveyed Plot Plan o Workers Comp Affidavit ❑ Photo Copy of H.I.C. And C.S.L. Licenses o. Copy Of Contract o Floor/Crossection/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (If Applicable) o 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 o Certified Proposed Plot Plan o Photo of H.I.C. And C.S.L. Licenses o Workers Comp Affidavit o Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (If Applicable) o Copy of Contract E3 Mass check Energy Compliance Report o Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit Jerks office must stamp was required the Town C p the decision from the Board of Appeals In all cases if a variance•r special permit � 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 Location � � .d`���f Ly7r -s"o No. Date � S' MpRTM TOWN OF NORTH ANDOVER f a ' Certificate of Occupancy $ /fid CMU stBuilding/Frame Permit Fee $ 01 Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # l ,( t 2 Building Inspector } y �R�cxuS�� CERTIFICATE OF USE & OCCUPANCY TOWN OF NOR'T'H ANDOVER E G Building Permit Number 513 Date: January 5,2012 THIS CERTIFIES THAT I THE BUILDING LOCATED ON 156 Pleasant Street,North Andover, MA 01845, Richard Joseph Salon I I MAY BE OCCUPIED AS A BEAUTY SALON IN ACCORDANCE WITH THE PROVISIONS OF THE.MASSACHUSETTS STATE BUILDING CODE-AND SUCH OTHER. REGULATIONS AS-MAY APPLY. i Certificate Issued to: I£SJ Realty Trust k 156.Pleasant Street North Andover,NIA 10845- i l k Building.Inspector r E Pd Fee: 100.00 Receipt# 24922 I r i i tAORTH TO" Of No. J CNo o , dover, 1Vlass., - 12 COCHICHE C. ADRATED P'\' .S BOARD OF HEALTH Food/Kitchen PERM. IT T D Septic System _ BUILDING INSPECTOR THIS CERTIFIES THAT........... .�.�..........1`- ^•!� .. !r. ................ .QIC !' ...` ..5. °1'� Foundation has permission to erect. ...................................... buildings onn!.J�6........... ....... . .0... 1..........;T7............. Rough tobe occupied as......... �,?d ' . .:S -v ........0 `!,..4.�t,...0.. .�...................................................... i provided that the person accepting this permit shall in every respect conform to the terms of the application on file in / "Fin 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. PLUMBINGJNSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough er// 101MIl/ FinalWeerl"W f/���'PERMIT ExPn�s IN6 MONTHS g ELECTRICAL INSPECTOR `O() UNLESS �®� o V 1�ITLSS ®NS V CTI Rough Service BUILDING INSPECTOR Final Occupancy Permit Required to 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. SEE REVERSE SIDE Smoke Det. Dryer oil , i llct P1 L C.CA T v•cu6 y l t' V - I�.ew,o P �fao 61 � I 7 reG k wfv.dcw VVinduu/A FY.o..r '� ,n ov 0w ner 'Ooo r R f, 1�7 I r s f I &d plea-sanf 3� Por,4-k f7"JaO r R 1 CA arcA sq NORTH 0" 0 over No. - r 0 , dover, Mass.,t- LAKE - 12 O COC H I C HEWICK ^ AD�ATED P`P����J -PERMIT T D BOARD OF HEALTH Food/Kitchen Septic System ✓ BUILDING INSPECTOR THIS CERTIFIES THAT.......... ......... ... .... ..!C.r................ .. lC�t r ... ..b. n Foundation has permission to erect. ..................................... buildings on ..I..J.�..6..... ............. Rough to be occupied as........... u ,? ....5 ..��-v!'�.............V1.4. ...0.. .. ................... Chimney provided that the person accepting 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 Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR `0( V 1'V LESS CONSTR V CTI Rough Service BUILDING INSPECTOR Final Occupancy Permit Required to 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 n U til Inspected and Approved by the Building Inspector. �Burner Street No. SEE REVERSE SIDE Smoke Det. C��® CERTIFICATE OF LIABILITY INSURANCE PID MPP DATE(MMIDD/YYYY) 12/28/11 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Michaud, Rowe And Ruscak Ins. HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR P.O. Box 188 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. North Andover MA 01845 Phone: 978 688 8829 Fax:978 557 2130 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A: Safety Insurance Company 12808 INSURER B: Guard Insurance Group Levis Companies Inc. Joseph Levis INSURER C: Preferred Mutual insurance co. 15024 160 Pleasant Street INSURER D: North Andover MA 01845 INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.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 CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. POLICY EFFECTIVE POLICY EXPIRATION- LTRINSRE TYPE OF INSURANCE POLICY NUMBER DATE MM/DD/YYYY DATE MWDD/YYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1000000 C X COMMERCIAL GENERAL LIABILITY CPP0150589059 10/26/11 10/26/12 PREMISEs(Ea Turence) $ 50000 CLAIMS MADE a OCCUR MED EXP(Any one person) $5000 PERSONAL&ADV INJURY $ 1000000 GENERAL AGGREGATE $2000000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $2000000 POLICY PRO LOC JECT AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT A ANY AUTO 821254 01/01/11 01/01/12 (Ea accident) $ ALL OWNED AUTOS BODILY person) $ 500000 X SCHEDULED AUTOS (Per person) X HIRED AUTOS BODILY INJURY $500000 X NON-OWNED AUTOS (Per accident) PROPERTY DAMAGE $250000 (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO EA ACC $ OTHER THAN AUTO ONLY: AGG $ EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE $ DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATIONTY _ AND EMPLOYERS'LIABILITY Y/N X TORY LIMITS ER $ ANYPROPRIETOR/PARTNDED? CUTIV�— OFFICER/MEMBER EXCLUDED? u7 LEWC218019 02/27/11 02/27/12 E.L.EACH ACCIDENT $ 100000 (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 100000 If yes,describe under SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT $ 500000 OTHER DESCRIPTION OF OPERATIONS!LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION NORTAN2 DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR Town of North Andover REPRESENTATIVES. Sutton Street REPRESENTATIVES. TATI North Andover MA 01845 ACORD 25(2009/01) c A ION. All rights reserved. The ACORD name and logo are registered marks of ACORD North Andover MIMAP December 2,8, 2011 NA a � r � x < s ` .- . e T Interstates Interstate Major Roads - Horizontal Datum:MA Stateplane Coordinate System,Datum NAD83, Roads - - Meters Data Sources:The data for this map was produced by Merrimack L r Easements - t.NORTH.q - Valley Planning Commission using data provided by th .� e Town of p t��i p aO North Andover.Additional data provided by the Executive Office of MVPC Boundary tl a r �• Environmental Affairs/MassGIS.The information depicted on this map is Il ParcelsF_ F for planning purposes only.It may not be adequate for legal boundary definition or regulatory interpretation.THE TOWN OF NORTH ANDOVER • MAKES NO WARRANTIES,EXPRESSED OR IMPLIED,CONCERNING Y THE ACCURACY,COMPLETENESS,RELIABILITY,OR SUITABILITY ♦ i ;, OF THESE DATA,THE TOWN OF NORTH ANDOVER DOES NOT IF ASSUME ANY LIABILITY ASSOCIATED WITH THE USE OR MISUSE OF THIS INFORMATION .. 9SSA[Htls�� 1 =183 ft IIS k� Massachusetts - Department of PUhllc Safch Board of Building; Regulations and Standards Construction Supervisor License License: CS 30651 Restricted to: 00 JOSEPH G LEVIS 160 PLEASANT ST } N ANDOVER, MA 01845 c Expiration: 1/7/2012 Tr#: 14401 i office0 oumer airs tfsiness egu a o %THOME IMPROVEMENT CONTRACTOR_ Registration:,f,,,103772 Type: Expiration: /91012 Individual J ' . LEVIS M—' y- JOSEPH LE IS 160 PLEASANT STf - r NORTH ANDOVER, "� ,.a Undersecretary