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HomeMy WebLinkAboutBuilding Permit #902-12 - 175 WEBSTER WOODS 6/15/2012Permit N0: Z — J'L Date Issued: // BUILDING PERMIT TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Date Received �6' �yO� a �L ,p 7. 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 PREFORMED: I entificati n Please Type or Pr' t C OWNER: Name: C` G Address:J==-2 (I e&S- UjceW5 I� CONTRACTOR _Name: Address: _ A SUPervisor.s•Construction License Home Improvement License: 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: $ 6/,p FEE: $ y� Check No.:Receipt No.: NOTE: Persons contracting with unregistered contractors do not have access t he guaranty fund Signature of Agent/Owner Signature_of contractor _ 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 Private (septic tank, etc. Permanent Dumpster on Site THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM PLANNING & DEVELOPMENT COMMENTS CONSERVATION COMMENTS HEALTH COMMENTS DATE REJECTED DATE APPROVED Reviewed on Signature Reviewed on Signature Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments Conservation Decision: Comments a. Water & Sewer Connection/Signature & Date Driveway Permit DPW Town Engineer: Signature: t_ocatea 6t54 usg000 oireet FIRE DEPARTMENT = Temp Dumpster on site yes no Located 1124 Main Sttreet Fire Department,signature/date , _� 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 2 1 A —F and G min.$100-$1000 fine NU I hs and UAI A - (for department use ❑ Notified for pickup - Date Doe.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 ❑ 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 Location No. Date TOWN OF NORTH ANDOVER Certificate of Occupancy Building/Frame Permit Fee $ el. Foundation Permit Fee —4r—, Other Permit Fee TOTAL Check # 25416 Btuilding Inspector EE 0: L 0 J W 2 U. O m v u Y O LLL N a N O H Z z Q m C O C � LL CD o E r U <0 Il o V W N Z Z m d 7 o LL o W Z Q v W W j> o K U v N f0 C LL O U o. Z Q to 7 O d' f9 C lL W Q W W LL i co O Z i+ v ,� N D v -14 0 E N _ O • _ v .moo-, •Q. L Q r d Q • s = ©: ECD Q. t' O _ V L ci rn IN D o �i:�-0o O = cnv .n Eoo a, z o_(n4 N C O H v Q' Q- as .«.. � � c c as CD o Q' 0 m 4.0 CD W - O O U- c .N ,Q sO F- L �. ui .E O dL U G1 0-0 N ++ co '> :r' r_N1 -0 O O F- t � QOV Fa cn 2 z 0 Z ujw I. W H W 0- 2 W LLI W W OG W N 175 Webster Woods Rd. North Andover Roof Contract ROOF -Removal of existing roof shingles -Install ice & water shield 3' up from drip edge -Install 15 lb felt paper -Install vent pipe boots -Install ridge vent -Install new drip edge -Flash as required -Install 30 year architectural GAF roof shingles in desired color 6/2/2012 A dumpster will be in the driveway. We propose to fiunish material and labor complete in accordance with the above specifications for the sum of $11,800. Please sign below to accept contract: Date: (-o L3 Thank You, Lemonias Development Co. Inc. Peter Lemonias 508-878-8825 John Lemonias 617-962-2170 06/11/2012 13:54 6179260912 H&K INSURANCE PAGE 01/01 woRd CERTIFICATE OF LIABILITY INSURANCE r.'....__. 6/1111 THs CERTIFICATE IS ISSUED AA A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NFaATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POIJOES BELOW. THS CERTIFICATE OF INSURANCE DQE$ NOT CONSTRUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND 111E CERnFICATE HOLbER. IM ANT: If the certificate hoWer fs an ONAL IAS R , the policy(es) moat ban orsed. if SUBROGATION 13 W VED, subject to the torms and conditions of the policy, certain policies may Mwire an endorsement. A statement on this certificate does not confer eights to the H 6 X Ina. Agency, Inc. P.O. Box 344 182 Main Street Watertown, MA 02472 INSURED LQmoniaa DevelopMent CO InC 11 Angela False Watertown, MA 02472 COVERAGES CERTIFICATE N UMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICES OF INSURANCE LISTED SELOVV WIVE BEEN ISSUED TO THE INSURED NAMED ABOVE FQR THE POLIKUT rtaavu INDICATM. NOTVNTHSTANDNG ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS OERTIFICwTE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALJ. THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LWIS SIOM M MAY HAVE BEEN REDUCED BY PAIDCI-Ala LTR TYPE NSURANDE POYCYNDIUMBPIIIWIY tAMIP� UIS - A mOtALUABILITY X cDNMERCIAL13EIfRAI.LOS141TY CLAW -MADE Ez OCCUR THE EXPIRATION DAIS THEREOF, NOTICE WILL SE DELIVERED M Town of North Andover 2000100043 12/23/11 12/23/12 EACHO CURRENcti s 1 00Q,_000 DAN �n8 S 50 000 NED EXP (Arbram Dorset) s 5,000 PERSDWL&WVINJURY $1,000,000 T— %NERAL ACCFtEGATE 92 00 000 GEWL AGGREGATE LW APPLIES PER PRODUCTS-COAPIOPAGG S 0 (-00 000 6 POLICY AraPRO-LOC AUTONOOLPLIMUTY eaeeleek L tr s BODILY INJURY (Per persen) $ ANYAUTO 8 EMILY INJURY (Pa e+ddo++)RUT03 ALLOWNED SOKOULED AUTOS NONQMED mtEDAUTOs _ AUTOS PERTY D/W4 E S UMBREUALMa OCCUR EACHOOCURRSHCE b AGGREGATE 9 001198LIAM CLAIµg,,,yvpE DEb RET 5 $ MIORKOM 55NIMENSATION AND 00PLOYERS' LIABILITY Y I N MTfPROPRtETORIPARTNER/EXEiIfTME "on" AVI to NMI ExCLLDHD7 (wtana.ny to NN) N I A 6S59M-046IM9-3-11 10/14/11 10/16/12 STA w EL. AC 100,000 E.L. DISEASE -EA ENIP&WEA,:..,.. 100.000 Weund 25mmm pE$CdiP O I I EL DISEASE •POLICY LIMIT I s 500,000 DESOPIP7K)N OF OPERAIWK8I LCOATKINS I VEMO E5 lANadl ACORA 101, AddltlalW ilemlrk� 9d>edula, ttngre aplae b required) L'CRTICII`ATC MAI nor! PALI Pee I ATIAW V IVW-2070 AGVI D UVIAVONATION. AN ngllts re9era60. ACORD 25 (209 BIRDS) The AC ORD name and logo are registered marks of ACORD Phone: Fax: E -Mail- 1'. SHOULD ANY OF 7HE ABOVE DE SCEIRSO POI.X0 W LANCE A&D BEFORE THE EXPIRATION DAIS THEREOF, NOTICE WILL SE DELIVERED M Town of North Andover ACCORDANCE W17H THE POLICY PROVISIONS. aUINORr�o REPRE9ENTA'nVE Jagm Soon V IVW-2070 AGVI D UVIAVONATION. AN ngllts re9era60. ACORD 25 (209 BIRDS) The AC ORD name and logo are registered marks of ACORD Phone: Fax: E -Mail- 1'. .. s j r ` �. _ . , , ,� .. , i h ,. Massachusetts - Depat-tim-rit of Public Safeti 13 , o,'n'd of Building Regulations and Standards Construction Supervisor License License:. CS. 70019 PETER J LEMONIAS 154 ROCKYBROOK RD N ANDOVER, MA 01845 Expiration: 2%i512013 Tr#: 10333 (L"'. Office of Consumer Affairs & Business Regulation HOME IMPROVEMENT CONTRACTOR Registration: 1.4 2572 Type: Expiration: ,A:12%2014 Private Corpora L IAS DEVELORMENT�-.Q , 0 INC. -- -------- ------- PETER LEMONIA8 154 ROCKY BROOK RD ", N.X.ND6'VER, MA 01845. Undersecretary