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HomeMy WebLinkAboutBuilding Permit #065-13 - 171 KARA DRIVE 7/26/2012 BUILDING PERMIT Ot NORTH TOWN OF NORTH ANDOVER 3� 4`..'`- ,..,.• �6 �� APPLICATION FOR PLAN EXAMINATION Permit NO: /� Date Received w7E° �SSACHUS�� Date Issued: I PORTANT:Applicant must complete all items on this page LOCATION; PROPERTY OWNER LA\&1& t \L LICL&d I' i,Ati Print =MAP NO: PARCEL i . ZONING DISTRICT. Historic District yes. no MachineShop 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 W6IF Floodplain Wetland's Watershed District Water/Sewed DESCRIPTION OF WORK TO BE PREFORMED: 0 of a o P.k&z- b EZ4- C6& . R.e_nLa , 1 `Urn .cam_ W rt h l cS Cz �. t-tyV1 $ Zi li� Identification Please Type or Print Clearly) OWNER: Name: ��.sz.�5 S„L. Phone: Address: M�( OP,A bZrV r �. �o✓?,di CONTRACTOR- Name:jpt&L Ipf?J-Arl([- Phdhe: Address.: X131 ta awja� R t5lr�t Supervisor's Construction License: 4C5 bL S U7 Exp. .Datet S!-2 � t, Home Improvement License:_15d;S S _ Exp:`.Date - ( � I_le I ARCHITECT/ENGINEER Phone: Address: Reg. No. f FEE SCHEDULE:BULDING PERMIT.$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ JrQ�� ay FEE: $ /1�2- Check No.: � � Receipt No.: NOTE: Persons contracting with unregistered contractors do not have access to the guarantyfund of Agent/OwnerM/7 ,(.�.�.G, ignature of contractor' 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/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 Doc:INSPECTIONAL SERVICES DEPARTMENTMFORM07 Revised 2.2008 Plans Submitted Plans Waived Certified Plot Plan Stamped Plans TYPE OF SEWERAGE DISPOSAL Public Sewer Tanning/Massage/Body Art Swimming Pools Well Tobacco Sales Food Packaging/Sales i 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 j COMMENTS CONSERVATION Reviewed on To L - 0--- Si nature �-40/L COMMENTS AIMV\ HEALTH Reviewed on Signature COMMENTS Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments a Conservation Decision: Comments j Water & Sewer Connection/Signature&Date Driveway Permit DPW Town Engineer: Signature: Located 384 Osgood Street FIRE bE PARTMENT -Temp Dumpster on site 'yes . no Located at 124 Main--Street r Fire-Department.signature/date ..COMMENTS.., _ - . i 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 - Date i Doc.Building Permit Revised 2008 I 1 Location No. Date 7Z-- I • • TOWN OF NORTH ANDOVER p • o Certificate of Occupancy $ Building/Frame Permit Fee $ W--2-- Foundation Permit Fee $ � �. Other Permit Fee $ IM TOTAL $ Check# � 25545 Bil6ing'Inspector NORTH -own of s ,, Andover No. 4N--rw Z-0 Th )*1 *i 262 2_012. O LAKE h ver, Mass, COCKICKf WICK ��• A�R^TEo PP���S S U BOARD OF HEALTH PERMIT T LD Food/Kitchen Septic System R0611CACIS1.5 ,����• •• BUILDING INSPECTOR THIS CERTIFIES THAT ... .. ...... .... V gel • Foundation h ermission to erect .............. ...... ...... buildings on .... ........ ......I ... .. �•.••••• Rough t0 e� U�Id�S . .. ....tj � !��.�'... ......... .. ... Chimney provided that the person accepting this permit shall in every respect conform to t e terms of the application Final p 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 CONSTRUCTION STARTS Rough i/ ................................. Service .......:... �......... Final BUILDING INSPECTOR GAS INSPECTOR Occupancy Permit Required to Occupy Buildinz 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 AC�® DATE(MM/DD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 7/23/2012 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: M P Roberts Insurance Agency Inc PHONE 978-683-8073 -683-3147A/c No EX : Ao: 1060 Osgood Street ADDRIE North Andover Ma 01845 ss:Paula@mprobertsinsurance.com INSURER(S) AFFORDING COVERAGE NAICk INSURER A:MERCHANTS INSURANCE GROUP INSURED BACKRIVER DEVELOPMENT, LLC. INSURER B:MERCHANTS INSURANCE GROUP INSURER C: 231 NORTH END BLVD INSURER D:CHARTIS INSURANCE SALISBURY, MA 01952 INSURER E (978) 804-9383 INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT 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.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDL SUBR LTR TYPE OF INSURANCE INSR WVD POLICY NUMBER MMO/DD POLICY LIMITS GENERAL LIABILITY EACH OCCURRENCE $$1,000,000 X COMMERCIAL GENERAL LIABILITY PREMISES Ea occurrence $ $100,000 CLAIMS-MADE C OCCUR MED EXP(Any one person) $ $5,000 A X PRIMARY & NONCONTRIBUTORYY BOPI056701 04/28/12 04/28/13 PERSONAL&ADV INJURY $$1,000,000 GENERAL AGGREGATE s$2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OPAGG $$2,000,000 POLICY X PRO- T LOC $ AUTOMOBILE LIABILITY COMBINED SINGLELIMIT- Ea accident $ 1,000,000 ANYAUTO BODILY INJURY(Per person) $ ALL OWNEDSCHEDULED BOP1056701 04/28/12 04/28/13 B AUTOS AUTOS BODILY INJURY(Per accident) $ X HIRED AUTOS X NON-OWNED PROPERTY DAMAGE AUTOS Per accident $ $ UMBRELLA LIAB HOCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED I I RETENTION$ $ WORKERS COMPENSATIONWCSTATU- OTH- AND EMPLOYERS'LIABILITY YIN X TORY LIMITS ER ANY PROPRIETOR/PARTNER/EXECUTIVE WC 051-757-101 08/15/11 08/15/12 E.L.EACH ACCIDENT $ 5OO 000 D OFFICER/MEMBER EXCLUDED? CI N/A 08/15/12 08/15/13 (Mandatory in NH) WC 051-757-101 E.L.DISEASE-EA EMPLOYE $ 500,000 yes,describe und DESCRIPTION OFeOPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space is required) CERTIFICATE HOLDER CANCELLATION TOWN OF NORTH ANDOVER SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 1600 OSGOOD STREET THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN NORTH ANDOVER MA 01845 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD25(2010/05) The ACORD name and logo are registered marks of ACORD I I 9 Massachusetts -Department of Public Safety Board of Building Regulations and Standards C witi-iictiun Super%is„i• License: CS-065674 WILLIAM.1 FERRIS, ''• 28 BACK RIVERAD AMESBURY MA7-0191395/1 - Expiration '4" Commissioner 03/23/2014 ke _V Office of Consumer Affairs andBusiness Regulation 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improvement Contractor Registration Registration: 158385 Type: Individual Expiration: 1/16/2012 Tr# 292172 BUILT TO LAST CUSTOM CAREPENTRY WILLIAM FERRIS 231 N. END BLVD SALISBURY, MA 01952 Update Address and return card.Mark reason for change. JPS-CA1 50M-04104-G101216 Address Renewal Employment Lost Card %r Back River Development L.L.C. 231 North End Boulevard Salisbury, MA 01952 (978) 852-3733 contract To: Chris Sullivan Date: July 22, 2012 Re: Construction of new rear deck Scope of services for Deck construction Remove and dispose of existing deck and rails Rebuild deck with additional 6 feet extending into back yard Construct stairway and landing off rear of deck turning to land on patio Add footings as necessary to accommodate new structure All framing will be Pressure treated All decking will be Latitudes composite decking Inspiration 36"composite rail system will be installed on deck and stairs Engineering and permitting if applicable have not been included in this estimate Some of the existing footings may have to be utilized to support the new framing Azec trim will wrap deck and stair framing but not support posts TOTAL COST $ 8,500.00 Terms and Conditions 1. Contractor shall provide copies of a valid builder's license and proof of liability and workers' compensation insurance prior to commencement of any work. 2. Contractor agrees to complete the Scope of Services in a timely, professional manner, and in compliance with state and local building regulations. 3. Contractor agrees to remove all debris from above listed scope of services only and to keep job site in a clean and workable condition at all times 4. Any materials, products, or labor not specifically mentioned in scope of services is not covered under contract 5. Product warrantees are supplied and Y upheld b the manufacturers P 6. Uncontracted labor or any work outside of scope of services will be billed @$50/man hour 7. Contract will include permit fee but not engineering fees should they be required PROJECT COST $8,500.00 • PAYMENT SCHEDULE: • $4,000 upon commencement of services • $4,500 upon completion of scope and siding I Chris Sullivan, omeowner William J.Fe is,Back River Dev.L.L.C. it Page 1 of 1 PRODUCED BY AN AUTODESK EDUCATIONAL I O Q 7- 0 0 EXISTING STRUCTURE w2" x 1.0" cr,16"O.C. to 11 cn }w}y Irk 611 "�j 1� 611 lJ �- SIMPSON XB66 ca POST CONNECTI( W C3 http://web.mail.comcast.net/service/home/-/side%20scan.JPG?auth=co&loc=en US&id=3... 7/23/2012 Page 1 of 1 ui C� LU w a F MWO I Fr I }� k i k�1 LU http://web.mail.comcast.net/service/home/—/plan%20scan.JPG?auth=co&loc=en_US&id=... 7/23/2012 I Page 1 of 1 I PRODUCED BY AN AUTODESK EDUCATIONAL 1 M v 0 W 0 �Lu r /rr i f W r a 0 lol/ r � r fir/ �MM w 0 - _ D Oft FF I I I I http://web.mail.comcast.net/service/home/—/front%20scan.JPG?auth=co&loc=en QTS&id=... 7/23/2012 �I TEL : Jun 26 96 11 :52 No .003 P .02 R�, !NORTHERN ASSOCiATF-S, INC. ?42 N.MAIN STREET' ANDOVER MA 01810 TEL: (508J 474-4410 FAX., (509J 474--5057 t0RrvAav .' GHRISTOF"ER & BECKY SULLIVAN DMW IMF'. 4125 / 137 LOD4Tx01k / 71 PLAN RM . FLaI ta3B7rry. 3TArw j7A M MAY 22,x 996 �AL�: ?� 4 • .fpB � 96/ 24$ /1//F GarAf10 7'7�7LC9T 87L9.tilD'• �.SIB 25441 SFr•-- Lar RA ti aerk 26�-�1� 2 story woc)-9 , x ]71 LOT 4 FW 0 a wovr •�' "MMMY FAso .. s�eor.vo• - ... KARA OR.rvE- aWrAWMAW ra* CHASE MM1ATPEN MDRTGAGE Titin mortyago Snnpovtion wan prepared At, avcoraanua wits. tho T4ohnlral Rtandard* run- nnrtgegm I-an tTCx 77i1u ggrt a a ri Inaspuotivus as aalo.tod h the Nai.aochururtts Board of y q puution wop prolrarod aAA�; lte tgirat son at t•roruvaioual twoiiluelly for mortajeriq pnrpoaae only and D� 't.� 4 sIngir.eoro and land I not to star rolled upon as a. land of property '' ! 3urvnyorw 28n nom 66b. na survey. intilding looativn and nrlurotu y ~�at��S� qF J�.��► I turthbr ,aLnt•e that. in my proteaafrrnal al.inioh that own nra apeol.IlUally for boning determination �• sem. tha atrur:agrvr ahaawn ountoam with .ly ar.4 not i lu upgd to epLpbliab o 0 M�LC�Ii thu`-ae"nl kuning horir-antol dlni.nalonai sotianok ewe. Th laud shown hot—is in bases Un .�� 1P requllpsonts at the.Lime of C. -tion or are fornnaed ir.rarm-tian noLed a"A may I- Isw-i rot < b �� 2r exempt Ulldnr pravlalana u! H.6.i.. tall. 4A-1► Bob. y, farthor takluya and earmontu. Norlhurn .1•ao tart bouiatoo, ino. a000pto no roaponaibility for i y/noteae is not in a Flood Hazard. ea9oe resulting from weld rolionoe say anyone A I.ptulrorty/IlouBe Sa In o 1'7aOtl llat:Ora Aroa. hue than the bal4 mortgagee and its abwi.lrs is. A �h,��SS\ _.Q. A Inlorm 1-10la InoUrtl-601-t to dstoroiau nuaoLlen wlth ita s proposed mortgago rillanulnq ��•U s Odd rloud ltbard. Bald aortgogor- �. ii Flood Hasota datormir.uy tram lotbpL• roal-ral Flood #� fteArango Irato Mop I+an01�,• �. ���, - �P G