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
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Permit NO: 1' Date Received 3�S RATEo
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Date Issued:
j IMPORTANT Applicant must complete all items on this page `
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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
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C�ONTtRACT®R 4Name. �L v_ If?honef
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Su nrisor s Construa
ction. License 1 `
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Homlmprovemenfi Lice se” _ ]Q.- . 7 -I ' ExpDate
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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: $
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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
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�Deartment�igr�ateId "ate,
- �.+®. q,
ur
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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
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CERTIFICATE OF USE & OCCUPANCY
TOWN OF NOR'T'H ANDOVER
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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-
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k Building.Inspector
r
E
Pd Fee: 100.00
Receipt# 24922
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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 ,
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llct P1 L C.CA
T v•cu6
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V -
I�.ew,o P �fao 61 � I 7
reG
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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
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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