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Home My WebLink AboutBuilding Permit #322-15 - 165 GREENE STREET 9/29/2014 x �fly e NORrh ,J o� t�6O 16qh BUILDING PERMIT 3? 6 °� • TOWN OF NORTH ANDOVER ° APPLICATION FOR PLAN EXAMINATION - Permit N0: -- Date Received " 09 C �,9 g6A17!D'PP,�4`J Date Issued: / SSgCNUS IMPORTANT:A licant must complete all items on this page *& IvOCATION '7" C`..rant .,. PROISERTY6WNE t �, - �, y. nt , "N( MAP �fl RCEI � ONG DISTRICT �' h Astor District ,,,yes ,. lad,i,he 5� p Vflac e es' na TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building ]f One family ❑Addition ❑ Two or more family ❑ Industrial ❑Alteration No. of units: ❑ Commercial )(Repair, replacement ❑ Assessory Bldg ❑ Others: ❑ Demolition ❑ Other Sept► D We'll �� D I�laodplair � We ands � at ed flsstrict * i Water/SerNer --' �._. A �; '� TC�IGCC� VlNyl S,�+rJ6 W� VINyI Jah �rJs pN 7.�} tl� hW� any Identification Please Type or Print Clearly) OWNER: Name: PAVa+� 4. " SVA Phone: q-1,Y lr75= Vq , Address: ((05' 6,,Cv� -. N. ANdQv�+ 'CONT "ACT N me. uon _� �_ �' -�" A, a u Address 5uperor' nStficton,L1/ey{Sc H Af EcpIt� ome l'mproVemer� L*e eDat+w �< ARCHITECT/ENGINEER NIA Phone: Address: Reg. No. FEE SCHEDULE:BULDING PERMIT.$12.00 PER$1000.00 OF THE TOTAL ESTIMA(T� OST 8 SED N$125.00 PER S.F. Total Project Cost: $ 16 o09 — FEE: $_< �/ Check No.: 1--) Receipt No.: NOTE: Persons c1 trac in, with unregistered contractors do not have access to the gu ranty funny gnKa1ue ofgent�dwner, c � .= Signature of contractor _v p- _. �. __- BUILDING PERMIT o`"O o�6��•0 �., TOWN OF NORTH ANDOVER O - APPLICATION FOR PLAN EXAMINATION Permit No#: Date OArED Date Issued: IMPORTANT:Applicant must complete all items on this page LOCATION Print PROPERTY OWNER Print 100 Year Structure yes no MAP PARCEL: ZONING DISTRICT: Historic District yes no Machine Shop Village yes no 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 ❑ Septic ❑Well ❑ Floodplain ❑Wetlands ❑ Watershed District ❑Water/Sewer DESCRIPTION OF WORK TO BE PERFORMED: Identification- Please Type or Print Clearly OWNER: Name: Phone: Address: Contractor Name: Phone: Address: Supervisor's Construction License: Exp. Date: Home Improvement License: Exp. Date: ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE.BULDING PERMIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ FEE: $ ' Check,No.: Receipt No.: NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund .Signature of Agent/owner Signature of contractor J H c Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ TYPE'OF SEWERAGE DISPOSAL Public Sewer ❑ Tanning/Massage/Body Art ❑ Swinuning 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 PLANNING & DEVELOPMENT Reviewed On Signature_ COMMENTS CONSERVATION Reviewed onnature i �i � S COMMENTS HEALTH Reviewed on Signature Y o 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 !!'own Engineer: Signature: Located 384 Osgood Street FIRIE DEPARTMENT - Temp Dumpster on site yes no Located at 124 Main Street a Fire Department signatureldate COMMENTS 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 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) ❑ Notified for pickup Call Email Date Time Contact Name Doc.Building Pennit Revised 2014 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 ❑ 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/Cross Section/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 Doc:Building Permit Revised 2014 Location J �� No. 500— Date ! . - TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Feed` $ f - Foundation Permit Fee J$= Other Permit Fee $ TOTAL $ Check# Building Inspector NORTH - c W. ` . . : :. .c ve. No. 0005 - ,� oh ver, Mass, COCMKntwtCK A0R�TEO PPa`,`'�5 S U BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System THIS CERTIFIES THAT . Q.it►.. .......... ...................................... BUILDING INSPECTOR - has permission to erect .......................... buildings on J ....... .....�,�"T�. Foundation Rough to be occupied as . ......... ..� .,.....s�.kJ!!5.......(A j�.... .l. A .........!t .....A. 4A Chimney provided that the person a cepting this permit shall in every respect conform to the 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 PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUC RTS Rough Service ............ .... .... .........,......................................... BUILDING INSPECTOR Final 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. PLAN OF LANDNORTH ANDOVER BOARD OF APPEALS LOCATED IN NORTH ANDOVER, MA. ---------_-----_------ --_ --- OWNED BY ----- — ------------- --- DAVID BO U D READ --------------_--- _--- - SCALE:1"= 20' DATE- 12/3/97 -- ---- ----- - — ---- DATE OF FILING: Scott L. Giles R.P.L.S. DATE OF HEARINGS Frank S. Giles DATE OF APPROVAL: 50 Deermeadow Rd. --- — North Andover, Ma. See Plan #1584,1619,1657,1780 AT THE N.E.R.D. Assessors Map 45a / Parcel 31 Exist. Build. Hse. #106 Zoning District R-4 N/F 23'+l- Silva 2I3'+/- I Iron RodIron Rod •Set 97.48' Set Ali Of 0 Proposed Addition - a LOT 1 I 24' 18_5' - `� crStEKE� ,ti{ 9,900+/- S.F. + + �t CAV Q O Plan #1780 N.E.R.D. �I � l � � IZ 4-(q7 Tetr+oved • Cf) +(- 0 16.5' 32 - 0 28'+/- Q w 16' N/F EE Z 20' o HaskellExist. Hse. Fnd. a- 35'*1_ — Hse. #165 `�-- ��- I + 4X6 R=21.75 Iron Rod L=35.19 Set • ' R=1077.83' L=79.21' GREENE STREET THIS IS TO CERTIFY THAT I HAVE CONFORMED . WITH THE RULES AND REGULATIONS OF THE REGISTERS OF DEEDS IN PREPARING THIS PLAN. THE PROPERTY LINES SHOWN ARE THE ` -LINES DIVIDING EXISTING OWNERSHIPS, AND THE LINES OF STREETS AND WAYS SHOWN ARE THOSE OF PUBLIC OR PRIVATE STREETS OR WAYS ALREADY ESTABLISHED, AND NO NEW LINES FOR DIVISION OF EXISTING OWNERSHIP OR NEW WAYS ARE SHOWN. a 15133-AM ZURICH ePHR Invitation Letter PREMIUM AUDIT www.e hr.com P.o Box 2927 Tem ora User ID 1198V2139 HARTFORD,CT 06104-2927 ry PIN 144607949 CP 01 6640 66640POS 14175 15133 P1 JFH CONTRACTING LLC SECOND AND FINAL REMINDER 114 E MAIN STREET Date of Notice: 06/24/2014 MERRIMAC MA 01860 Policy Period: 06/01/2013 to 06/0112014 Policy Numbers: UB-56411536 Customer Service: 800-842-4271 Dear Policyholder, Thank you for doing business with the Travelers. Your policy provisions include an audit of certain information to ensure the appropriateness of the premium you are charged, and it is now time for that audit of the policy numbers listed above. Our method of collecting that information is through the Electronic Policyholder Report(ePHR which is an on- line, easy and accurate way for clients to complete the audit. If you have previously used ePHR, you will find the enhanced ePHR product allows easier registration, better navigation and faster completion. ePHR allows you to save or print a copy of your completed report and directly upload the required supporting documentation. Best of all, report questions are customized for your business. In order to complete the ePHR you will need access to payroll information such as payroll summaries or journals, and the last four quarters of Federal Form 941 or state wage reports. Some types of businesses may be required to provide subcontractor information and/or certificates of insurance, To access ePHR, go to www.ephr.com. Select the"New User? Register Now>>"link. Enter the Temporary User Id and PIN found at the top of this letter for ePHR Registration. ing the ePHR, and allow you to delegate access to additional I Massachusetts -Department of?ubiic sa yet; ployee, an accountant or a bookkeeper provide the informatior R--gulations and Construction supcnvisur We are available to assist you with questions. If you should ne, License:CS-061070 Internet, please call Customer Service at 800-842-4271. 1 JOSEPH F HIGGVS Y— Please assist us by responding within 15 days of the Date of Ni 11.4 E MAIN ST Merrimac MA 01$60 Thank you again for your business, The Zurich Insurance Dort: ^air' has ueeii asci• lief] as the serv.. 09/2112016 � Y_ �_.......__. .._..._ Commissioner 92, el �`. Office of onsamer fairs taws a uiahon �c •.. 4 3 u;; << .din: ?-J:u; -:o-.s --.. ..,..:.��.-= H05! IMPROVEMENT CONTRACTOR ::n.trl3:ri:n Sui!rr. Registration, -.173362 Type: - J1 Expiration: 1019/2074 LLC CS-061070 ^:t IM � Ex no ��' JOSEPK F IRGGINS rec J.F FI.CONTRACTINGLLC: 1 w cul orN 114 E MAIN ST by MERRIMAC MA'01960 = JOESPH HIGGINS.. 114 EAST MAIN ST MENNIMAC,MA 01860.' `: Undersecretary 0912112014 CLAUIL03 I.'d £LL89t£gL61, 01l bulloeiluoo Off jfh contracting LLC 19783468773 p,1 J.F.H. Contracting,LLC Estimate 114 East Main Street ,'Merrimac, MA 01860-1612 Date Estimate# 9124./1014 170 Name/Address Dave Boud%Rq Item Description Total Deck Install front landing and steps to match existing steps on side of house. 6,000.00 Replace siding on front of house with new vinle siding and get rid of all waste generated from work. Job includes labor and materials. 1 Total S6,000.00 Phone# Fax# E-mail 978-346-8773 978-346-4714 jfhbuild@aol.com