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HomeMy WebLinkAboutBuilding Permit #755 - 1601 SALEM STREET 5/25/2010 AORTH BUILDING PERMIT 0f TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION 70 Permit NO: Date Received AC US Date Issued: IMPORTANT:Applicant must complete all items on this page LOCAA' IOPN , , r� + q, Pl�C3PTY 01�VNER � �� n t •L.� w " -//j6 _°�tin s.. k. _..,�$ 3x !* E - ;. "#': MAP 211-1D� PARC L ON1NG DISTRICT` . His#oric L�istric) m yesk s k Bio r * . c IaOh�r1C517C33jVl�lae VP rID TYPE OF IMPROVEMENT P OSED USE Residential- Non- Residential New Building ne family Addition --Two or more family Industrial Altaration No. of units: Commercial Re air, replace en Assessory Bldg Others: Demolition Other aptic Well 1 loodplaW etlands, tershe i Distr cewert a DESCRIPTION OF WORK TO BE PREFORMED: VdL OL C7 c3'bhJE7 6'cs A`V� /qWL%C!/j 10A/ OF lyeucl Identification Please Type or Print Clearly) OWNER: -Name: !7147WW 1Y1,t _PLt_ Phone: �Yl- Address: 1601 S?�taM 57 - COIF C O Name, C . .pf �P.hone Address Superulsor's Constructi© L de> se: �1 _ Epp date ? At Homme I prove en license / /;` k Y Exp" Dae r; - 01$411 k ; 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: $ ��.00 FEE: $ � OZ� Check No.: /��� Receipt No.: � ��' NOTE: Persons contracting with unregistered contractors do not have access to theuaranty fund Signature of.Agent/Owner. " S.i.gnature of contracto �: Y Plans Submitted Plans Waived Certified Plot Plan Stamped Plans 4 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 THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM DATE REJECTED DATE APPROVED PLANNING &'DEVELOPMENT COMMENTS CONSERVATION Reviewed on Signature COMMENTS 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 Osgood Street FIREDEPARTNII=NT =r't emp Dunapster on site yes 4o r located at 241V1am street" 1 "� =Fare Depar#mentsignaure/dale -_k. � w COMMENTS. �1 U k 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 4 PPrequires approval of - _ Electrical Inspector Yes . .No DANGER ZONE LITERATURE: Yes No , MGL Chapter 166 Section 21A-F and G min.$10041000 fine NOTES and DATA— (For department use) ❑ Notified for pickup - Date Doc.Building Permit Revised 2010 Building Department artment - 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 i ❑ Building Permit Application ❑ Workers Comp Affidavit ❑ Photo Copy Of H.I.C. And/Or C.S.L. Licenses E ❑ Copy of Contract ❑ Floor Plan Or Proposed Interior Work f ❑ Engineering Affidavits 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) ❑ 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) ❑ Copy of Contract ❑ 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 i Doc:Building Permit Revised 2008 ,x Location -&2 No. Date �aRT►, TOWN OF NORTH ANDOVER 3: OL ` Certificate of Occupancy $ • i + ; �ss�cHusE`� Building/Frame Permit Fee $ �Ol1 Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # - o 232' �' V 5 Building Inspector i ORT#q 0'" O 6Andover 0 No. dover, Mass., 0 LAKE COC WICK ICC K ORATED BOARD OF HEALTH Food/Kitchen PERMIT T/ D Septic System BUILDING INSPECTOR ............. THIS CERTIFIES THAT .......................................................................................... Foundation has permission to erect.................;...................... buildings on .../X-0. �r............................................ Rough tobe occupied as........ fp'. ..... A............................................................................... 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 UNLESS CONSTRUCTION STARTS ELECTRICAL INSPECTOR Rough ............. S"' BUIL ING 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 SIDEl Smoke Det. DATE(MM/oolYYYh i4COR,�, CERTIFICATE OF LIABILITY IN�U4�At+ICE 04/12/2010 PRODUCER 617.7$3.1160 FAX 617.783.2062 THIS CERTifiCATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Rapo & 7epsen Financial and Insurance Services HOLDER,THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 1103 CollnwnTreal tfi Ave ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Boston, MA 02215 INSURERS AFFORDING COVERAGE NAIC# HILL GENERAL CONTRACT INC NSURERA: Nautilus Insurance COMPanY INSURED WINTER INSURER e: SAVERS PROPERTY AND CASUALTY 36 FAIRHILL STREET #1 MAIDEN, MA 02148 INSURER D: INSURER D: INSURER E: NG COVERAGES Oil THE PE MiCoVIE".1410 ANY RELOUIREMENT TERM ORLCONDlTIQN F ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT WHIICQHLITHIS CERTIFICA E MAY BE ISSUED OR DCH POLI EAY S AG,THE INSURANCE E LIRANC SHOWN AFFORDED By THE HAVE BEEN REDUCED DESCRIBED H PAID EREIN IS CLAIMS.SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDPII®P)S OF SUCH LIMITS 111111111 TYPE OF(INSURANCE POLICY NUMBER LTR " NC9859ss 03/23/2010 03/23/2011 EACH OCCURRENCE a 1.000.00 GENERAL LIABILITY PREMISES ES NTIVr1a Is 100. X COMMERCIAL GENERAL LIABILITY MED EXP(Any Me person) $ 5.00 CLAIMS MADE X�OCCUR PERSONAL&ADV INJURY f 1.000.00 A GENERAL AGGREGATE $ 2.000.0 PRO DUC S•COMPIOPAGG f 2.000.00 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT f (Ea aoddant) ANY AUTO BODILY INJURY ALL OWNED AUTOS y (Per person) SCHEDULED AUTOS HIRED AUTOS BODILY INJURY y (PeraWdent) NON-OWNED AUTOS PROPERTY DAMAGE y (Per sodden) AUTO ONLY•EA ACCIDENT S 6ARAGELIABILRY EAACC y OTHER THAN ANY AUTO AUTO ONLY: AGO f EACH OCCURRENCE f EXCESS 1 UMBRELLA LIABILITY f AGGREGATE OCCUR CLAIMS MADE f DEDUCTIBLE y RETENTION f wwllcERsCOMPENSATKIN AR042653Z 03/26/2010 03/26/2011 TORYUMiTS ER AND EMPLOYERS'LIABILITY YIN E.L.EACH ACCIDENT f 1 000.0 ANY H 0 FF ICEMMEMBER EXC UDED9 C� E.L.DISEASE•EA EMPLO f 1.000 (Mandatory In NH) ayes.doWbe under E.L.DISEASE-POLlCV LIMIT 1.000. SPECtai PROVISIONS below OTHER i DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES t EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER MRL ENDEAVOR TO MAIL 30 DAYSWRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TA DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESNi1TATIVEB. AUTHORIZEDREPRESENTA TO WHOM IT MAY CONCERN. 30HN RAPD ACORD 2S(2009/09) ©1988-2 AC CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD fie �omameaizuiecrz a 0Jaaacze`;uael Board of Building Reg ulatietia=i�nd Sfmihrrd, HOME IMPROVEMENT CONTRACTOn Regi stratio n;. 161913 Eicpirat�on 12lgF7010 Tri Z.�� Type LLl„ L ANDS HOME ISERVILES, SERGIO SANTOSI 1-L RIN'GERD DERRY,NH 03038 Massachusetts- Department of Public Safetj Board of Building Regula#ionr,and Standards`'. Construction Supervisor License License: CS 101433 y Restricted to: 00 9 - SERGIO SANTOS 1.1 HAWKINS STREET NO 1 SOMERVILLE, MA 02143 o- Expiration: 8!3012012 •• (ummissiomer Tr#: 101433 ®S WINTER HILL GENERAL C®NTRACT®R,INC, 36 Fairmont st - Malden - MA 781-4549855 E v /Vt(-giw L L proposal submitted to address 17p Project address project phone date E SiX�OSE hereby to,furnish material and labor-complete in accordance with specifications below,for the sum of: �'�> ------ -Jr- dollars ($ Payment to be made as follows: ROOF WORK _Strip roof of layers of asphalt shingles, cover exterior walls and foliage with tarps to help prevent damage. Additional layers will be extra, see below. _Cover deck with underlayment paper. Install ice&water shield at leading edge, valleys and all roof penetrations. !Cover all perimeters with 8 inch aluminum drip edge, color: WHITE BROWN SILVER COPPER _Install ridge vent Cover soil pipes with new rubber flashing boots. —Counter flash chimney(s)with Aluminum flashing as needed. _Relead chimney. _Examine the integrity of the wood deck of the roof, any minor repairs free of charge. If there is any extensive problems we will discuss with you. In Cover roof surface with ' TDK , 6 Q� l� /yyhC t-w- 30 _If more layers are found than indicated above, an additional charge of will be added. _Clean all job related debris from outside work area. Obtain all permits. We cannot accept responsibility for debris falling into attic areas. Customer should cover valuables. Great care will be used to protect the structure and landscaping during the stripping, however, some marring could occur. WARRANTY-All work warranted to be free of installation qeJects for_years, limited to installed item and its repair only. Material warranteed by mfg. to be free of defects forears ,see warranty for exact warranty performance. Approved and accepted (owner) Approved and accepted (contractor) 4*t ( This proposal may tie withdrawn after days from Approved and accepted (owner) Date if not approved and signed by both parties)