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Home My WebLink AboutBuilding Permit #357-11 - 19 STACY DRIVE 10/28/2010 TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit NO: W- ki Date Received Date Issued: -0 to IMPORTANT:Applicant must complete all items on this page LOCATION 19 sfacv "Drive Nortk Andayer MA MUS Print PROPERTYOWNER Presroik ViorAqe Assoc Print MAP NO: y OPARCEL: C'W.5 ZONING DISTRICT: Historic District yes no Machine Shop Village yes no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building W One family ❑Addition Ll Two or more family ❑ Industrial ❑Alteration No. of units: ❑ Commercial ® Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other [] Septic q`Well [I Floodplain qaVetla>ids ®�tWatershed,,D stnef ,q Water/Sewer --- '_ DESCRIPTION OF WORK TO BE PERFORMED: t'Zeplaee exis}inq siding and install vie-) alar haard Cedar siding Identification Please Type or Print Clearly) OWNER: Name: Pr e s co++ v i i c4 e Phone: e Address: s+aLv Drive Noir-+h Andover CONTRACTOR Name: Tohnston Construction Co., Tnc, Phone: 418535-3128 Address: 2 Rea Rain Peabody MA 01960 Supervisor's Construction License: 2 1J61, Exp. Date: 9 -30 -1 l Home Improvement License: ! 2 3 1 2 4 Exp. Date: 12.- l 2- i o 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: $ re Gcis, - FEE: $ Check N _ Receipt No.: NOTE: Persons contracting with unregistered contractors do not have access to the guaranty nd Signature of Aent/Ovvn' nature oficontractor Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ TYPE OF SEWERAGE DISPOSAL Public Sewer Tanning/MassageBody Art ❑ ; �= 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 E 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 DEP Ma':-',Temp Dumpster on site yes no Located at 124 Main Street ` Fire Department signature/date 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 - Date Doc:.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) ❑ Muss 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: Doc.Building Permit Revised 2008mi Location No. - Date 29 ( U &ORTh TOWN OF NORTH ANDOVER D Certificate of Occupancy $ � •tsirs4 ' Building/Frame Permit Fee $ _ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # _ 23617 Building Inspector "� $oa0r'd�of�� i jam, ,��ho nt��nasi s • License or registration valid for individul use only _K= HOME IMPROVEMENT CONTRACTOR before the expiration date. Iif found return to: Reg'ts6ation: 123124 Board of Building Regulations and Standards 'F L� One Ashburton Place Rm 1301 Ex ion=12/122010 Tr# 278545 Boston,Ma.02108 Type: Private Corporation JOHNSTON CONST CO,INC. DAVID JOHNSTON 2 REO RD ,.�Q.r,.,.` PEABODY,MA 01966 Administrator Not valid without signature I)Cpa11111ent of Public �t Boarti of BaiIdin« Re;tilatifsn� anti �tantTattt� '`--� Conatruction Supervisor License' . License: 'Cs 21906 t.. Restricteo to. 00 I DAVID E JOHNSTON 2 REO RD PEABODY, MA 01960 r Expiration: 9/30/2011 1 ( ,inr+i..ionrr 10/24/2002 11 :31 FAX 17815985412 CANON 14001/001 allll�:Il. CERTIFICATE OF INSURANCE. UAIF IUTAUL „ 10/28/10 �I+ooucEA CERTIFICATETHIS IS ISSUED A A MATTEOF INFORMAI'Ibh THE DOUGLAS INSURANCE AGENCY ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE LYNNFIELD WOODS OFFICE PARK HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND ON ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW 220 BROADWAY SUITE # 381 COMPANIES AFFORDING COVERAGE LYNNFIELD, MA. 819+40 - __.._._.._.�...... . 1 CDMPANY A COMMERCE INSURNCE CO. IIMNSTON CONSTRUCTION CO., INC. CO BANY `— 2 REO ROAD THE TRAVELERS INDEMNITY CO. PEABODY, MA. 01960 COMPANY _ C COMPANY r D COVERAGES LIPS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOWHAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLIC Y PERP,', hDICATEO.NOTWITHSTANDING ANY REOUIREMENT,TERM OR CONDITt N OF ANY CONTRACT OR OTHER DOCUMENT WITH RE5PECT TO WHICn I,-,• :_aTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFF ADED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALJ, I•IE -t'+- :ACLUSlONS AND CONDITIONS OF SUCH POLICIES,LIMITS SHOWN MAY AVE BEEN REDUCED BY PAID CLAIMS CO ryPE OF INSURANCE I POUCY NUYOER POLICY urto IY! POLICY eUPIRATgN 1 UMf/S iH_ GATE)NMIDWTY) DATE(PA{WDCM) GEaEAALLIAOiUTY ; GENERA AGOAEaATE 11,000,000 XCO-1WEACLAL GENERAL LUBILWY PRODUCTS•COMPOOP AGG 11.000,000 A CLAIMsMAoE occuRI JN9125 8/20/10 8/20/11 PERS0N44A0YnuURY 11,000,000 O•+NER'S 6 CONT PROP I EACH OCCURRENCE 1,000,000 fft0AlklOfIAnroft Nal I SQ•888 MeD BxP,AA,dv 0~1 AInowalAE UABILITY ANY AUTO COMBINED SINGLE LIMIT L A BOOILY II�IuRT NEDULEDAVY05 OOMMT16128 1/i/10 1/1/11 IPvpwwA) ' 2S0,000 nIAED AUTOS 0001L miuRY 500,000 NON-0WNE0 AUTOS IPU boogoAli 1 PROPERTY DAJAADE I 100,000 GARAGE UA80.1Tti AUTO ONLY-EA ACC IDE MI 1 AAY AUTO OTHER THAN AUTO ONL r EACH ACCIOENI I AGGREGATE I I asCESO UA&ILM EACH OCCURRENCE 1 UMBRELLA FORM AGGREGATE i DrHEA THAN UMBRELLA FORM - W ORIF ERS COiWEMAT*"AND B WKovERS'UABILT EAC XHUB-3307T43-4-09 9/20/10 9/20/11 STATUTORY LIMITS H ACCIDENT , 500,000 THE pAOPRiETOw INCL DISEASE•POLICY LIMIT I 500,000 PAATNERyExECVTIvE • OFF,CEAS AAE 9 C DISEASE•EACH EMPLOYEE 1 500,000 OT>•ER DESCRIPnON OF DPERATIONNLOCA%=M—ENICLESISPECUI R _. CONSTRUCTION WORK AT VARIOUS LOCATIONS CERTIFICATE HOLDER CANCELLATION TOWN OF ANDOVER SHOULD ANY OF TME ABOVE DeSCRislo POLICIES It CAHCLLLCQ LILFank TOWN HALL ExPIRAr*m DATE THEREOF, THE ISSUING COMOAMY WILL ENOEAvOI4 to NORTH ANDOVER,MA. 01845 30 DAYB WWrTU NOT=YO ncATT H01.09I7 NAMED To rnt III 8 E TO NAIL SUCH NOYIC E N0 OAUGATlON pR UADILrl OF AN (IwoYHC C Y AOlNTJ OR RFPM[�QrnAllaty —— ACORD 255-5(3/93) MICHAEL R. D U 1�0 0 CORPORATION 199 uct c-1 9 u V4:1 up uav,a Johnston 978 685-8194 p.1 JOHNSTON CONSTRUCTION CO., INC. Two Reo Road W. Peabody, Massachusetts 01960 (978) 535-3228 �Z�1�.if!)I.i toliconstrUctionillc.CU177 October 17,2010 Great North Property Mgmt. c%Prescott Village Assoc. 3 Holland Way,Suite 201 Exeter,NH 03833 Description of work:Carpentry& Painting Gable end on Unit 19. Remove old existing clapboard and replace with 6"Cedar Clapboard. Install Tyvex wrap on gable end where needed. Install new comer boards on the gable end of the umi t. Apply two coats of exterior paint Permit&Rubbish.fees included. Labor&Material: ................................................................................$6.695.00 Carpentry repair work will be performed at a rate of$85.00 per hour for two men on necessary work pertaining to trim and window sills where weeded. Note: Fully insured with Liability and Workman's Compensation. Certificates are on file and can be provided upon request. The payment schedule is a third to start the project,a third halfway thry hthe project and the final payment upon the completion. • _;�—•^-tet � v _. �, ti David E.Johns Date Vogtorner Signature ate Jobnstou Construction Co.,Inc. J NORTH Town of No.. 3,T 7-a2.o It _'- LAKE O dover, Mass., C� -ag- • I t) COC HICHEWICK y�. C 7,ps RAT E O 'P"? 7 S BOARD OF HEALTH Food/Kitchen PERM .1 T T D Septic System BUILDING INSPECTOR THIS CERTIFIES THAT.......... r ..h. ...... .\��.r ......I .... ........................................................ Foundation has permission to erect ....................................... buildings on ........1�......... ......... ...e........................ Rough Ia..a boP -� •+ to be occupied as.... Chimney ............................. 'Ib. .............................................. 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 TARTS Rough ............ ................................................................. . Service BUILDING PECTOR 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.