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HomeMy WebLinkAboutBuilding Permit #811 - 190 PRESCOTT STREET 5/1/2018 Of NORTH,N TOWN OF NORTH ANDOVER 3 APPLICATION FOR PLAN EXAMINATION «y�SS�CHU t�'r Permit NO: I Date Received Date Issued: IMPORTANT: Applicant must complete all items on this page LOCATION e1 o PjLf SCU'iT Print PROPERTY OWNER S7�I�I>F�0�1 A • /�-DY'C��lS Print MAP NO.:_// Ll PARCEL: 41 ZONING DISTRICT: TYPE AND USE OF BUILDING HISTORIC DISTRICT YES ❑ TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑New Building ne family 0 Addition ❑Two or more family ❑ Industrial 0 AI -ration No. of units: 01�epair, replacement ❑Assessory Bldg 0 Commercial ❑ Demolition ❑ Moving(relocation) 0 Other 0 Others: ❑ Foundation only DESCRIPTION OF WORK TO BE PREFORMED t P 19rv0 ke&ov f 0 , � Identification Please Type or Print Clearly) OWNER: Name: 5V96h) A A-P�Cc)K)ZS Phone: 979, MV !Y6 17 Address: ! SO enfCo T'l' S7' /1Ao4-7-74 /W00-yrf— WA 0191i- CONTRACTOR Name: A 9,,d-$ Pi int e•6 Phone: Y 7f--y a 3 Address: cc m 5--r, V0 X-771 &,f dl D.01 Supervisor's Construction License: Exp. Date: J Home Improvement License: 1A6 2 7 e Exp. Date: Sr'�I 7/D ARCHITECT/ENGINEER -A) ,4 Name: Phone: Address: /0 � Reg. No. FEE SCHEDULE:BOLDING PERMIT.$10.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost :$ VIS-00. 00 x10.00=FEE:$ Sr Check No.: Receipt No.: �3S' Page I of 4 TYPE OF SEWARGE DISPOSAL Swimming Pools ❑ Tanning/Massage/Body Art E] g Public Sewer ❑ Tobacco Sales Food Packaging/Sales ❑ Well ❑ El Dumpster on Site Private(septic tank,etc. ❑ Electric Meter location to proj ect NOTE: Persons contracting with unregistered contractors do not have access to the guaranty,_/'u�d v Signature of Agent/Owner� 6-----Signature of,-- � �i Nei Contractor 0, Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF-U FORM DATE REJECTED DATE APPROVED PLANNING & DEVELOPMENT ❑ ❑ ❑Water Shed Special Permit ❑ Site Plan Special Permit ❑ Other COMMENTS DATE REJECTED DATE APPROVED CONSERVATION ❑ ❑ COMMENTS DATE REJECTED DATE APPROVED HEALTH ❑ ❑ 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 Temp Dumpster on site yes_no v Fire Department signature/date Building Setback (ft.) Front Yard Side Yard Rear Yard Required Provided Required Provides Required Provided DIM ENS ION Number of Stories: Total square feet of floor area,based on Exterior dimensions. Total land area,sq. ft.: NOTES and DATA—(For department use Page 3 of 4 , Doc:INSPECTIONAL SERVICES DEPARTMENT:BPFORM05 Created JMC.Jan.2006 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 Addition Or Decks ❑ Building Permit Application ❑ 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) 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 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 DEPARTMENT:BPFORM05 Page 4 of 4 Location No. 6Ct Date TOWN OF NORTH ANDOVER`1 Certificate of Occupancy $ ;,SSACMUSE�� Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # i t 19435 Bu di Inspector NORTH Town of tAndover 0 No. r - Jaz- z- �A E dover, Mass., ` W COCMICNEMCK 0RATED AY, i BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System BUILDING INSPECTOR THIS CERTIFIES THAT.............1..T�i�r.�1.*i/ .................. ..�.. �i.M�.1...=............. Foundation has permission to erect........................................ buildings on....I.g.Q.........ff9404111.4..T.7.................... Rough $0 be occupied as.... �....f�4j ..... Chimney ......3 . ................................................................. provided that the person accepting this permit shall in ev 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 b MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRU N TARTS- '00e Rough �S 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. i 5Tt1(' hafl P.Csuuv6LC (y, pcmevC e)Xlsil�j- «ble 7)Zt✓N . �3a,4r<os wr-f � 2���s tPS` ALL, 6 ' 0�" 1 cC � w f}7�- 5��rt o V,,j o,e/L Shf rbcs 4 �4tc V¢FALeY S vD clfi k wACLS C S�7q�L W*le✓t S 4rCL p 3 &! f}Lt Ake s _ s,v ane_ 204F is OVEn- "c)F aAlA WALL CV,-?PLr;M 1") xcc--� w4ter, .57Ffs&-LO — S7YFtL 4 anwh a r ISA4 W eJ 4 LUs4l j.Vv vy D R�P 'J trE C� it Bnr 711 Lr ivT7fL. Pelztme-rm OF �£- Hc>jrc, (�� 51A/s77KL Ff9EIZlr445S v��n-u�yvne Civ �6 1=�zr P� �•��t�x�3T�F T 'ira A9 �CWS-rftj- New AWF FtA7*J6S o u v6�Ll—j p/P s. ® Sryrcc Cs►an Fs�/�✓lr o.j c>f rvn�✓e?° �AsE��3ic 11s/oe3 447'/.-0 / LZ- 9071tW AWP l3aAl os- Lp Ta sa eivo C�i/�/tG�j 7,SZIII - RP FT DA t, ?.3r pe.- SQ Fr 112- " 6,0 !' J jC iF Af✓/114 FL JQ7,G Gd01� jLDi7/� Y vAfL/J S Go vin- Nz7�sF � S ��,�S cv/ ? �PAu[to�1 Go�2 /2 GQE D REMdvE AZ[. 0&--,g AIJ64 /lEp7dile AZ4 DQQR�f f�io q X- i�� fJ' !MA&,veT7c,w �LF4-iv'vp FOX QUA I CS . 0 ✓e7•iT t toTlcrJ ,!sT u— --� �Ko C` �p2 tOlrE Alz- 30 Y/L, t+lzcH s ff o S�cd�a.2 D/1fFTwaac� J2 ov c� -ta ��F w A fCr rag wn � r"x6`t 1 i2�r US/ t IX 31O'1K A Sec�iLt✓ ���rr IF 1 `t 1r a /tdvf `fv /tom»F wf�u &d#jto S ,uvi Re uSet� L kp,oj fzev.cot to,, Apo t rraw)fL ,�lov Fd�,��f n e"! a= `� o� A�K 4o�o s, �uSta e�- P/t2U"vTpE S�f?4OU� 6vS• F01- ,Ci9 K �bGE3AA 9,r4 �NnS --Cc stn clvx- ro �s-rs�io C� 6 75.0 r 7- PY+e e -tv G 2AZ E .SCC f wAIC2 57416-LID 0-OL) 2 U PC/ir4�� D 2e� /1�,�►c7i�-T G er Dom/ 6- Z-ye::: Fel� '4-01)`•d.w. ':�^..,4_�-+a. r .. dw'/}�'?. tea• v.- -` . �+n. �. .. r , .. .r. ... ... .. _.. ' , ,;, ----------------------------Proposal-------------------------- Gregory J. Pineo, Inc. DBA 1. 366 Greg's Construction North Reading,MA phone: (978)664-3016 fax:(978)207-0067 Proposal Submitted To Phone ��A1~W o-Ttr o evi-5 'W) y 7k- z /d 7k— 75 ,;4 37 Street Job Name t -� I `/L, {rnr<Src S1 City,State,Zip Code Job Location m,x- /� ,_).o-- mA v r B US_ We hereby submit specifications and estimates for: /b , /`J ' 1. Stn and reshin le St 2. Install 6' of ice and water shield under shingles at all gutter edges,valleys,and cheek walls. 3. Install a white/brown aluminum drip edge. 4. Install fiberglass underlayment. 5. Reflash dormers and wall areas. 6. Weave all valleys. 7. Install new roof flanges on vent pipes. 8. Install new counter base flashing on chimney base. 9. Replace all rotten roof boards up to 50' no charge, per ft after 50' or per square ft 1/2'%CDX overlay. 10. Renail all`loose roofboards. 11. Cover house and shrutis.with tarpaulins for their protection. 12. Clean and remove all debris . 13. ****Magnetic clean up for nails**** 14. Chimney lead reflashing if necessary. ($250 per flue). 15. Ventilation 30 Year manufacturers warranty on materials* 10 Year Craftsmanship on installation. Certain teed-GAF-ELK-IKO -Fiberglass and organic shingles available *We take no responsibility for dust and debris in your attic.* *Please remove or cover valuables.* All material is guaranteed to be specified, and the above work to be performed in accordance with the drawings and specifications submitted for above work and completed in a substantial workmanlike manner for the sum of Dollars($ )with payments to be made as follows: 50% due at start of job($ ) Balance due upon job completion ($ ) Payment will be accepted in either cash, personal check or money orders ayablp*Gregory J. Pineo. Respectfully submitted Per Gregory J. Pineo, Inc: -Note-This proposal May be.withdrawn from us i not accepted within_days. C✓/ ,Any alteration or deviation from above specifications involving extra costs will be executed only upon written order, and will become an extra charge over and above the estimate. All agreement contingent u �strikes,accidents,or delays beyond our control. Accseptaace of Prapasal F 5x K.t S#►e Above'prlot:s,�sptraflCa ns 1 contiittons ti sstisfactary aitd are hereby areepied Yon ate aitihans�+d�Ptty ?ht �1C ae.aprrcit"tul and.liayments will bE ffiAdC 3S:trutlitled above 3 Sgnttture Cwq y 7r Yom : C 3 h PharmaPros 978-207-0067 p. 1 DATE(MU)DDfYYTM ACQ D,. CERTIFICATE OF LIABILITY INSURANCE 6/15106 Tlil9 CMTIFIC ATE IS ISSI�D AS A MATTER OF(SRM AT ION PRODDCER Inc. ONLYAND CONMNO FUGWS UPONTHECERTIFICATE U.ited Insurance AgencY, NOLDERTHISCERTIRCATEOOESNO TMEEND E T 8 80 OR 199 main Straet ALTER THEc�IvERAGEAFPDRD� OW P,O. Box 1013 NAIC0 Buzzards Hay, MA 02532 ( (�i5 AF'FOFVh COVERAGE INSUAEAN Commerce Ins Co. R® +Ns,rREa a Granite St>;.te Grog Pineo dbal, Greg I a Construction uusuReR C. 38 Elm Street INSURER North Reading, MA 01864 INSURERI- COV 62AGBS _ OD INDICATED,NOTW AgOVE ANY RETHE .ICIES OF IE INSUItA OR COTE BELO%AT10N OF ANY ONiRIACT ORO ER DOCUMENSSUED To THE INSURED IT W TDT7 RESECOTO CH THIS CERTIFICATE MAY BE ISSUE OR 1IMSTANOIN MAY PERTAIN,THE INSURANCE AfFORDEO BY THE 90UCIE5 DESCRIBEO HEREIN IS SUBJECTTO ALL THE TERMS.F_7QCLUSION3 AND CONDITIONR THE POLICY PERI S OF SUCH poLICI.S.AGGREGATE LIMIT&ShOWN NIAY HAVE BEEN REDUCED 8Y PAPC ID C ���� IOUCY F][ raon LtRllt6 N POLICYdUfABER EACH OCCURRENCE I 500 000 OFNERALLUMILITV 10/9/06 10/9/07 PREMISEG fseeeul 3 50 DOC A X COMMERCV1GENERALIJAMLny XQ6947 MECE)CP AP,OM f 5 000 CLAMS MAD f D OCCUR OFA SCHALd ADV INJURY t 500 000 . _ -- GENERALAOOREGATE � S,OOO..QQO . PRODUCTS-COMPIOP AOG s 1,000,000 GFN'LAOGREOATE LWT APPLIES PEA: )[ POUCY JG LOC COMB®SINGLELIMIT � AUTOMOVnE UABIUTY IEsuccIdWO ANV AUTO EODILY INJURY � ALLOWNED AUTOS (FIV FSA") SCHEOU LED AUTOS BODILY IN JURY = HIRED AU105 -(Per accidwal NON-OWNED AUTOS 9ROPEFTY OAMAAE f, IPor ecodwo AUTO OWV-6A ACCIDENT f GiWAGEl1ABM.IT/ T��{{ AUTO CA EAACC s pNV AUTO AGG f FACI,IOCCUARENCE s OCCEMUMBR6LLAUA 1141TV AOOAEGATE OCCUR CLAMSMADE s . s OEDUCTOLE s RETENTION i A7V- OIr wOVXERS COMPENSATION ANoWC8730760 12/20/05 12/20/06 K EACHAccoENT s 100,000 A EMPLOYERS'LIA9LfTY 500.000 AOFFICERAAEMBERIPARTWEECUTNE ELO�SE-FAEMPUEIYEE 3 I/y� ae.eeo.unser E?LO.0 DED? X EL DISEASE-FOUCYUMTT s 100,000 SPEtIAI PPCVI90Y6bobw' OTNFR O®GRIPTIO N OF OP2AATION5 ILOC ASONS!VENCLE3 f EXCL U90N5 AODM BY END OILSEIiElIY f SPECIAL F'ROTASIDN6 Carpentxy CEWIFICATE HOLDER CANC9.LATION SHOULD ANY OF THE ABOVE DESCRI BED MLMaEBBE CANCELLED BEFORE TN 6 EYPIRAi10M WILTHERGOC,TNEUMIIG TNSURER WILLEMOBAYOR TO MAIL 10 OAWWRITTEN (/7 C MOTICETOTHECMTIFICATEHOLDMHAtAEDTOTHELEFT.BUT FAILURE Tp00906NALl IMPOSENO OBL=ATWN OR LUIBTLRYGF AMY KOM UPON THE I4UMrzR.FM ACEMTSOA ✓ •� ` I / 0.EPR TAMIM AUT ¢Ev R TATA V ACORD CORPORATION 1"S JgAC W 2S(2007108) �CQ 7 l !r © G exp � t 5