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Home My WebLink AboutBuilding Permit #555-11 - 185 BOSTON STREET 2/8/2011 TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit NO,: Date Received Date Issued: _ -d IMPORTANT: licant must complete all items on this age LOCATION S rint - PROPERTY OWNER �i PYi��` � � � Print MAP NO/��J PARCEL: ZONING DISTRICT: Historic District yes n 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 11 Repair, replacement [IAssessory Bldg 11 Others: ❑ Demolition ❑ Other ,p welly l7�Bloodplam� W�etlands t� ,® 'Water h�ed�District U � - DESCRIPTION OF WORK TO BE PERFORMED: Identification Please Type or Print Clearly) OWNER: Name: ,�7�0� ��cC- `� C Phone: Address: - - ' 6 -13 CONTRACTOR Name: -� .`7� Phone: kG o 7 o-s Address: Supervisor's Construction License: J G O Exp. Date: 2 /* Z Home Improvement License: / �— Exp. Date: ARCHITECT/ENGINEER Phone: Address: Reg. No. 00 OF THE TOTAL ESTIMATED C T BASED ON$125.00 PER S.F. •MOO PER 1000. FEE SCHEDULE:BOLDING PERMIT.$ $ Tota! Project Cost: $ �� •� FEE: $ Check No.: Receipt No.: Via' a 36 NOTE: Persons con ratting with unregistered contractors do not have access to the guaranty fund e - = :tSi nature•of'contracfor_':::��:' - � � = -4� 9.— Location �T No. Date NORTH TOWN OF NORTH ANDOVER F w P • i Certificate of Occupancy $ s�CM�s<�' BuildinglFrame Permit Fee $ A . d f Foundation Permit Fee $ Other Permit Fee $ TOTAL $ R Check # 238 Building Inspector Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ I 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 ❑ I THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM i DATE REJECTED DATE APPROVED PLANNING & DEVELOPMENT ❑ ❑ COMMENTS CONSERVATION Reviewed on Si9 nature I COMMENTS t HEALTH Reviewed on Signature i 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 FIRE DEPARTMENT - Temp Dumpster on site yes no Located at 124 Main Street Fire Department signature/date COAV MENTS 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 l 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 ❑ Ph oto 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 DOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit n all cases if a variance or special permit was required the Town Clerks office must stamp the decision from the Board of Appeals iat the appeal period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording - tust be submitted with the building application Doc: Doc.Building Permit Revised 2008mi llaNsarhu.rtt. - Department it' Public 9 13(lard of Building and �'wildar(IN License: CS SL 100468 — Restricted to: SF <„— b. STEPHEN BRISSETTE 291 WEST ERIE ST MANCHESTER, NH 03102 Expiration: 4/2312012 i n ui••i•my ?-: 100468 ._.........._..... ........... . ..................... $� Office ofC n�merr�A rs&gu�ines�don License or registration valid for individul use only HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Registration: .;-1.52802 Type: Office of Consumer Affairs and Business Regulation Expiration: :.10/212012 Individual 10 Park Plaza-Suite 5170 - Boston,MA 02116 S EN BRISSETf :`' = ;: STEPHEN BRISStTT 291 WEST ERIE ST;i ' MANCHESTER,NH 0�:1�2<•�,..;``� �' Undersecretary of valid without signature 02/03/2011 14:53 FAX 603 623 2170 FOY INS MANCHESTER X1001 ACORIQ CERTIFICATE OF LIABILITY INSURANCE 02/03/2011 PRODUCER 603.641.8111 FAX 603.641.9849 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Foy Insurance - Manchester ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 1889 Elm St HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Manchester, NH 03104 AAI, CTC, Beverly Fussell INSURERS AFFORDING COVERAGE NAIC 9 INSURED Brissette, Stephen INSURERA: Merchants Mutual Insurance 23329 291 West Erie S'tree't INSURER a: Travelers Indemnity Co of IL 25674 Manchester, NH 03102 INSURER C; INSURER D: INSURER E; COVERAGE$ THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED NOTWITHSTANDING ANY REOUIREMENT,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,OCCLUSIONS AND CO 4DITIONS OF SUCH POLICIES,AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED SY PAID CLAIMS. rA DDR TYPE 0E INSURANCE i'OLfCY NUR78ER POLICY EFFECTIVE POLICY EXP1RA110N DATE IMMIDQ= DATE(MMMDIYY) umns GENMLLIABILITY BOP90997148 07/11/2010 07/11/2011 EACHOCCURRENCE $ 11000,000 )( COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $ 100,000 k� CLAIMS MADE �OCCUR MED EXP(Any one Pehon) g —51-00-0 PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ Z.0001000 GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS-COMNOP AGC S 2,000,000 POLICY JE LOC AUTOMOBILE LIABILITY CAPI040224 10/21/2010 3,0/21/2011 COMBINED SINGLE LIMIT ANY AUTO (En occidont) $ 500,000 ALL OWNED AUTO$ BODILY INJURY $ A X SCHEDULED AUTOS (Par person) X HIRED AUTOS BODILY INJURY $ X NON-OWNED AUTOS (Per accident) PROPERTYDAMACE $ (For accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDEN7 S ANY AUTO OTHER THAN EAACC $ AUTO ONLY: qGG $ EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR D CLAIMS MADE AGGREGATE $ 3 DEDUCTIBLE RETENTION S s WORKERS COMPENSATION AND U88684MI66 11/14/2010 11/14/2011 X I we sTATIJ OTH- EMPLOYBRS'LIABILITY STEPHEN BRISSETTE EXCLUDED B ANY PROPRIETORlPARTNERlEXECUTNE E.L.EACH ACCIDENT $ 100,000 OFF ICERIMEMSER EXCLUDED? El,DISEASE-EA EMPLOYEE $om.do: 1001000 SPECIAL PROvISIONsbeow 3A. NH E.L.DISEASE-POLICY LIMIT I 500100 OTHER DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT!SPECIAL PROVISIONS CIERTIFICAIE H-QLQER CANCLELLMION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEA'IOR TO MAIL 10 DAYS WRITTEN NOTICE TOT CERTIFICATE HOI.PER NAMED TO THE LEFT, Steve Dinning BUT F U YO MAIL SUCH N CE SHALL IMPOSE NO OBLIGATION OR LIABILITY 18S Boston Street OP Kt PON INSU R,ITS 69ftyS OR REPRESENTAI'IVES. N. Andover, MA 01845 ALITHo E sE vE ACORD 25(2001108) FAX: 978,250.9474 ©ACORD CORPORATION 1988 Feb 04 11 12:04p P.1 CHELMSFORD FIREPLACE CENTER, LLC (1Z711 Ec_= U 73 Summer Street F), CHELMSFORD, MAC 1824 TEL (978) 256-6328 C,R-D E R NO. FAX (9781250-9474 To I 5HIP TO ........... ----------�/< 5; lel� jot MEN WHOW,*_AWEL ia�"WARMawfim W t.! 6i 4 w m ;J7 ........... 4 ................ ... .... ..... -----------------......... ................ All Permit Fees Additional. ................ ........ No Refunds on special orders.No refunds after 3,0 ....... ....... Balance due upon pickup or installation of Materials. ............. I I ....... All dimensions given by customer are not the responsibility of C.FC. ... ....... ....... .......... Any additional offsets or pipe M11 be extra. ....... ............. Fireplace Width: . Height pth: De re: . . Customer Signatu .... C NORTI-� � TO" of 4Andover . , . 55' — 2 o o lover, IVMass., :g��- 1 COCHICHEWICK SRATED P'1, BOARD OF HEALTH Food/Kitchen .PERM, IT T D Septic System BUILDING INSPECTOR THIS CERTIFIES THAT ................ J.1.1..!1.1.!1�1 .................................................................. Foundation has permission to erect........................................ buildings on ......1.8.57......6oc n 4...................I........... Rough to be occU led.aS 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 ELECTRICAL INSPECTOR UNLESS CONSTRUC T S Rough ............................. Service BUILDING 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 SIDE Smoke Det.