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HomeMy WebLinkAboutBuilding Permit #841 - 161 BRIDGES LANE 6/5/2013 TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit NO:-.w Date Received Date Issued: IMPORTANT:Applicant must complete all items on this page r7„a a �• ' r ^rte, '.' .,� - � t � i .Je`.�k,. „ � r � yy �y y fFA' F-. ` bL�l 4Lla {'F:+�t d'a `€� TY ` `B• L®CATI®N � �.ft _ a1 5 �5fll �✓�;� % IM` f a t s t gra c +� a: mat Pflntcy F ; ,. r , �r *� .m�.® ....�yiiF� � w ��'Y PRPER4Y ©WNERt. (4 `C 1L �(i1 � � Pnnt'' N100—ear 01d trueture 'yes °_ o r ' � rMAPNC PARCEL f ZO INGDISTRICT Historic ®istnct - ; yes ; no' +-�!V! _ :[:s” T3'+ +9� 'y � '."+�,'�' ' '.;'� •ter '�`.y�.& "'s� �:;s� "" �.4 ��...;� ��`�,�..�-,�_-.:��:.���,�`���^.-�..,�"���� �� ��,Machine;Shop Village�..j•'�yes��.. n� r,+� TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building ,One family ❑Addition ❑Two or more family ❑ Industrial ❑Alteration No. of units: ❑ Commercial Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other ..h• .``� .4» f.- �. ,3 �[_ .E _ ..+t. -S. •� .iji._ y,,. "k.. T'�'-i"��.. ,.�... .a- s.�.-r •'aa`�tR.�;s�.<`, ❑,Se tic _®}Well 3 t, ®rFlood lam a®sWetlands. � :x� s 0 Watershed.iDlstrict , E r p `�& } ;•,¢� ' ". •a .� ;{z";°atp�: r.t` €.ai•' �.- ' �.tfF-a, ••6. + a rr{ "rt••-, '°-a ❑JWater ,-+...v _.____�_. DESCRIPTION OF WORK TO BE PERFORMED: A/ P, (,A/ r ��� ('E Z4 �D2c,ham6:&, Identification Please Type or Print Clearly) OWNER: Name: Ca Pc LT (l A/ Phone:6-� Address: k-sD (0-S Z- y�l �t '� p t 3'« slp+sr ,�.�-+1p ; ti +f z,,• F.e-i + .n ti;'C.{'�r� e e y.,,yy,ti"'�lgpr'y"`v` �q�" s�� rt. "[^ -`M :. M�AyC`� +: -.firp �9-+. i��gr . rt� +«i :ti `+iw$"n c£ t• �� # -:.s..` +a� C®NTRACT®�RName - � +� Iw ►2;� C � Phone..� � �' � 1�3t �Q'`# svt ".� .� -:�,, r-• � ��.�-� t'{",,�+� ��r �..rµ�►:fi"� ':�,'.�,� ,u�xs�+t °� �-f�- ..,.� "�' �{,.� �.4 � '} �'�'. � A i � 4 � ..� � W h wV'k .� �?rte g1�� »��/ •{'R4�'�•f 4-� '( 4 rM��F. Y.: e��� L >.�,. 9-a'M�� * r�, 4 Rv+" > +�,'i��'V s+,r.� x t`a i��•���� t,�`: �� a� 2 f " i4dd�ess r=. ,1'��= t`II;A-0. arl : c3 i..",x '#c`�r. y'�,.t 1Ss' -�,.:y� t+�& +n �a4_!� tf a - .p r P .+.,...y :.t;' t -- ,•.{*�•" �i�. r�' 'tr -- -� �a-,�:a x�:. �x ygF �' i x -w. vzc,�" �.r r�•7yv, v� d'L �-�r a�yc+S -4'�",.,.'R}'1, '3-'-� .. }'�"' x Y �" ffRR q�, �'#°+ �• 6 - S•t 3 � a.�`'C y�, r+;^t. - 'R'' 4�1 ! ?P '-�r+,� .rr'�sBc'4 �fi Hyl'S` 1.0 � ''` V. i �7 Y#^` � a f:`�-�4 .�"-€�"'�4 if �� +.yL'�y�•r..-z �g ;��''���,p,���� .�. � ���• �r s �; > � Exp �Date��� �:,:��� :,�:;`..��.-��`-�� ��` ARCHITECT/ENGINEER W ISc Phone: Address: Reg. No. FEE SCHEDULE:BULDING PERMIT.$92.00 PER$9000.00 OF THE TOTAL ESTIMATED COST BASED ON$925.00 PER S.F. 'Total Project Cost: $ FEE: $ �� i Check No.: Receipt No.: NOTE: Persons contracting with unregistered contractors do not have access to he ar unci Slgnetu�e of Agent/Ovvner Signature of corifiract_ Plane Ri ihmitfind n Plane 1/Vaivpd n C;Prtifipd Plot Plan n St aed Plans [] Locationl/e J e 14-1 No. Date X3 . • TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame.Permit Fee $ Foundation Permit Fee $ y Other Permit Fee �A/C $ TOTAL $ Check# q6 , 2648 Building Inspector Plans Submitted ❑ Plans Waived❑ Certified Plot Plan ❑ Stamped Plans ❑ TYPE OF-SEWERAGEDISPOSAL Public Sewer ❑ Tanning/MassageBodyArt ❑. . 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 & Seger Connection/Signature& Date Driveway Permit DPW ToivA2 ]Engineer: Signature: Located 384 Osgood-Street FIRE'DEPA1RtM►WT -Temp Dumpster on site yes no 'Locatea*at''124 Main Street Fire Dearrhe'it,sigiiature/date COMMENTS ... . L Dimension Number of Stories: Total square feet of floor area, based on Exterior dimensions, Total land area, sq. ft.: ELECTRICAL: Movement of rioter 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 B Notified for pickup - Date Doc.Building Permit Revised 2010 Building Department The following is a list of the required forms to be filled out for the appropriate.permit to be obtained. R.00fin,g, 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 ❑ Engineering Affidavits for Engineered products COTE: 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 IOTE: 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 ❑ 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 OTE: 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 aw al period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording rnust be subm:-tted with the building application Doc: Doc.Bui?ding Permit Revised 2012 NORTH own. of s E : ., Andover _T No. - ,� o h ver, Mass, 13 C 0 a .Ca RATEO I'Pa,`'(5 S IJ BOARD OF HEALTH Food/Kitchen PER IT LD Septic System THIS CERTIFIES THAT . ..14C W�►.. . ,,,,,,,,,,,,, BUILDING INSPECTOR ........... .. ....... . . ... ..... .................... ,.(P,r' .. Foundation has permission to erect .......................... buildings on ... J, ........ ...... .... Rough to be occupied as ........... .. .....'�....... ................ ........ Chimney provided that the person accepting is permit shall in every respect conform to terms of the application Final on file in 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 3� o PERMIT EXPIRES IN 6 MONTHP ELECTRICAL INSPECTOR 'Ns UNLESS CONSTRUC06N ST TS Rough Service ......... .. ......................... .............................. Final BUILDING INSPECTOR GAS INSPECTOR Occupancy Permit Required to Occupy Building 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. Smoke Det. SEE REVERSE SIDE NORTH own -ofAndover o . - .a 1 No. o h ver, Mass, S13 C0C"1C"1WIC/t ,_ U BOARD OF HEALTH Food/Kitchen PER IT LD Septic System THIS CERTIFIES THAT ........... .......W. ..... ..................... .............. BUILDING INSPECTOR f Foundation has permission to erect .......................... buildings on ... ..(P. ......... .:'.I........ . .... ..... Rough to be occupied as ........... .. .. ..... -Apt&Alk�....... ................ ..........�................... Chimney provided that the person accepting is permit shall in every respect conform to terms of the application Final on file in 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 3 o PERMIT EXPIRES IN 6 MIONTHP ELECTRICAL INSPECTOR i3 F400 UNLESS CONSTRUCXON ST TS Rough 000,11 Service ......... ... ........................ .............................. Final a� BUILDING INSPECTOR • GAS INSPECTOR Occupancy Permit Required to Occupy Building 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. Smoke Det. SEE REVERSE SIDE Proposal Afro.% s 0-� IF Lo•ti� Date: '�•�(� `�3 Prepared for: R;CA U'k -to r7 Address: G I 13t• 5 140,c �p�`�` du . Phone: �7�. �YI• 1,7y HOME SERVICES &SUPPLY Email: ?• d motto^ c ordre cas .fes �Y Proposed work area: Prepared by: Brian Rocha Exterior Home Services& Supply LLC agrees Company Info: Exterior Home Services& Supply LLC to perform work in Address: 382 Lowell Street, Suite 204A,Wakefield,Ma. 01880 PPO Office: 1-866-468-3339 Fax: 1-866-858-0276 Website: www.BangSomeNails.com The remainder of this quote refers to all said License No. 155755 buildings/structures. Scope of Work: 1. Prepare site for work,protect structure,protect landscaping as needed. 2. Strip off entire roof down to deck. 3. Inspect all plywood for damage upon removal of existing roof. 4. Ifl p ywood is needed,there will be an additional cost of$55.00P er 4 x 8 sheet. 5. Install drip edge around entire perimeter of roof. 6. Install ice and water shield in all necessary areas including roof to wall junctions, valleys,along all eaves, around chimneys, around skylights and all other high risk areas. G/HL' TeA.,f Vowed. 7. Install a premium underlayment on all remaining sections of roof deck where there will be no ice and water shield. bac,6 &(A0r- 8. Replace flashing around all soil pipes. 9. Install an architectural shingle to factory specification. - 10. Rework flashing at roof to wall junctions, chimneys and skylights as needed. 11. Grounds to be cleaned daily including a magnetic sweep. Final detailing upon completion. 12. Removal of all job related debris. 13. Price includes all labor and material. CA9 ,,,s> ►/ 7 by �+s• o k e o Install a ridge ventilation system. e o. Install counter flashing on chimney/s 411a ,"( JPS �9w� T �s Shingle Type: 4kF "hingle� Color Choice: Ili.e. � Additional Comments: fki S Stipp 4e. .. wovdV7 V443 • Sh in "I- / .. 'l (ISE (,'T S ,Gl v S s ,r► !vs w� Total Cost: / �S-D Notice of Cancellation: This is a contract You may cancel this transaction any time prior to midnight of the third business day after the date of this transaction. You may cancel this transaction without penalty of obligation if canceled within the time frame allowed. Acceptance of Proposal: The above prices,specifications and conditions are satisfactory and are hereby accepted. You are authorized to do work specified. Payments will be outlined above. Payment Terms: Skylights/Chimneys: Exterior Home Services&Supply LLC recommends that skylights be replaced and that new counter flashing be installed on all chimneys at time of roof replacement. Exterior Home `` Services&Supply LLC assumes no liability for damage that may occur as a result of skylights or r7D chimney/s if customer chooses not to replace skylights or counter flash chimney/s at time of roof 39 lS replacement. Exterior Home Services is not liable for any damage that may occur due to lightning,hurricane, tornado,ice damming,impact of foreign objects or other violent storms. Customer Tx2�norReiresentative U/l.G'.�Qi/7UJ7'0002L1X',2LC�Q�U/��j�CGC�LC6B�il F .v. y... Office of Consumer Affairs&Business Regulation License or registration valid for individul use only 430ME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: egistration 155755 Type: Office of Consumer Affairs and Business Regulation 'Expiration 5/7/2015 Ltd Liability Corpor.,-ti 10 Park Plaza-Suite 5170 Boston,MA 02116 EXTERIOR HOME SER-VICES;ANpSUPPLY LLC BRIAN ROCHA 30 EDWARD AVE.SOUTH...-. - _ 4 LYNNFIELD, MA 01940 Undersecretary � Not valid without signature n I I� a a sz_ =3'A.s�::. :. 3 ...:�: �a.-'e�r-ems •�st tea:_ate V)ED - �.�-h A.,.fi_s�r-r='�£=:-ss' -:Y�:.£'��vr�Y---'i:`i'�::_r=�= • GSSL-10x'}91- t > BRIAN J R HA_ N 3m IA M,ST slm1 ]lkal;e6eldMA 0188i1 E J'' , Sr O S� - U , x a 4�+ E� �a lON LO n c 3 I 4 79 - 6 S'� - a /y Yw Xq Low • :� .. ` . .'. 'Low/,-9�(�'�/,(_ , P putt -L k z 34 I b r XT tjo f5 0. �Iven too 01Y �lCl S-� f F o.rcn 7 �!1 9 k ru" � 4 �� CA (Ik 64,E Ls I `�Criin�, ine, `� rq vin Customer E >/0b/13 08 : OOAM EDT Exterior ,Home Services &. Supply LLC —> )786889542 Pg 2/4 CER FICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYYI T IFICATE IS ISSUED ASA MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICAT CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS THIS: OF INSURANCE'dOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVEPRODUGER.AND THE CERTIFICATE IMPORTANT:If the certificate holder Is an ADDITIONAL INSURED,the pollcy(les)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require and endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement b, PRODUCER CONTACT NAME: BGUVIER INS-CLARKY. PHONE FAX 29'N"MAYN S1 (AIC,No,Ext): (A1C,No): E-MAIL AdAN'CRESTER,CT 06107 ADDRESS: 77PTB INSURER(S)AFFORDING COVERAGE NAIC M INSURED INSURER A: M'AMnkS TNT MVINIi Y C 0Iv5'AN'Y OIT A)v1E1OCA EXTERIOR HOME SERVICES&SUPPLY LLC INSURER B: INSURER c: :382 L.(:WHIR, S'Cl2f:{1:ST SUITE 2()4AINSURER D:4A INSURER E: WAKEFILED,MA 01880 INSURER F; COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: 0 CERTIFY THAT THE POLICIES OF INSUCIME LISTED BELOW ISSUED TO I'll I ICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIPICATE 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. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADD SUB POLICY EFF DATE POLICY EXP DATE LTR TYPE OF INSURANCE L R POLICY NUMBER (MM1D01YYYY) (MMIDDIYYYY) LIMITS GENERAL LIABILITY ""ACH OCCURRENCE COMMERCIAL C.FNFRAL.LJA811.ITY DAMAGE TO RENTED 3 t^.I,AIM9 MADE G5'J�.UR, :5REMISE'$(Eel woumnva,) MED EXP(Any one person) F.,RSONAL,&ADV INJURY S GERL AGGREGATE LIMIT APPLIES PER; ,kNERAL Ar:GHkGAT E S POLICY [:]PROJECT LOC RODUCTS-COMP/OP AGG S AUTOMOBILE LIABILITY COMBINED SINGLE ANY AUT0 LIMIT(Ea ae::ident) ALL OWNED AUTOS BODILY INJURY SCHK)ULF AUTO$ (Stir parson) HIRED AUTOS BODILY INJURY Per seoldont NUN-UWNE:U AU 105 PROPERTY DAMAGE 8 (Far arrldent) UMBRELLA LIAIdOCCUR EACH OCCURRENCE 0 FXCF.SSLIAM CLAIMS-MADF 713RFOATF." g DEDUCTIBLE RETENTIONA WORKER'S 2 2 COMPENSATIONTAND Y/N UB-58257870-13 05108!2013 05/082014 X UNITS ATUORY EMPLOYER SLIABILITY OTHER ANY PROPRRn,OR/PARTVERIFXFCt rr'IVF NIA E.L.EACH ACCIDENT $ OFFICER/MEoM66R InXCLUDRD? 100 000 (Mandalory In NH) E,L DISEASE-EA EMPLOYEE 3 100,000 IrviDES II"TI N endear E.L DISEASE-POLICY LIMIT `b `00,000 DFPCRIf'TION OF OPFRATIONB bE�luw DESCRIPTION OF OPERATIONS/LOCATIONS!VEHICLES/RESTRICTIONS/SPECIAL ITEMS THIS R.P_PI.ACPS ANY PRIOR CERTIFICATE ISSI]RE)TO THE CERTIFICATE HOLDER AFFBCTTNCi WORKERS COMP COVERAOP... CERTIFICATE HOLDER CANCELLATION .RTT.A PI-TT LAN SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED 42 L'If3BRT 'AVE BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS, AUTHORIZED REPRESENT VE -v r 9pNTP,RVILLT?;MA 0?144 e ACORD name and logo are registered mars of ACORDr g s reserve . ;/05/13 08 : OOAM EDT Exterior Home Services &, Supply LLC -> )786889542 Pg 3/4 lit �� ��I �• {�� :�'... 17;1 Cyt: ..•S.jill(III I w ILa ,,i� o cl• UI� i?; J y� __..__.-_._...........::.............................. .................................................................. .......................................