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Home My WebLink AboutBuilding Permit #720 - 226 GREENE STREET 5/11/2006f VkORTN 7 CMU`�e4 Permit NO: Date Issued: TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Date Received -' I IMPORTANT: Applicant must complete all items on this page LOCATION ;;� O G r-�" k `e— + PROPERTY OWNER MAP NO.: eAvL– PARCEL: TVPF AND ITSF. OF RITUMING Print 1 d ZONING DISTRICT. HISTORIC DISTRICT YES ❑ TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building ❑ Addition )MAlteration 9 One family ❑ Two or more family No. of units: ❑ Industrial X Repair, lacemen ❑ Demolition ! Assessory Bldg ❑ Commercial ❑ Moving (relocation) ❑ Other ❑ Others: ❑ Foundation only DESCRIPTION OF WORK TO BE PREFORMED na Identification Please Type or Print Clearly) OWNER: Name: Address: 2.eh 2 `7 %S ' &9oz CONTRACTOR Name:—Phone: v Address: 315 C��p 5�, lA %tco S4C'i - Supervisor's Construction License: Exp. Date: Home Improvement License: (/2 9 Exp. Date: a 3 ARCHITECT/ENGINEER Name: Phone: Address: Reg. No. FEE SCHEDULE: BULDING PER; T. $10.00 PER $1000.00 OF THE TOT4L ESTIMATED COST BASED ON $115.00 PER S.F. Total Project Cost :$ �.(2X) x10.00=FEE:$ U Check No. Page I of 4 I �x�, 30 Receipt No.:1. q a TYPE OF SEWARGE DISPOSAL Public Sewer 11 Well Private (septic tank, etc. ❑ Tanning/Massage/Body Art Tobacco Sales Permanent Dumpster on Site Swimming Pools Food Packaging/Sales Eil Electric Meter location to project NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fiend Signature of Agent/Owner Signature of Contractor Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM DATE REJECTED PLANNING- & DEVELOPMENT - -0 - COMMENTS CONSERVATION COMMENTS HEALTH COMMENTS Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted ,yes Planning Board Decision: Conservation Decision: Water & Sewer connection signature & date DATE APPROVED []Water Shed Special Permit ❑ Site Plan Special Permit ❑ Other DATE REJECTED 11 DATE REJECTED ❑0 Comments Comments Temp Dumpster on site yes no Fire Department signature/date Building Permit Approved and Issued by: Page 2 of 4 U U DATE APPROVED DATE APPROVED Building Setback (ft.) Front Yard • Side Yard Rear Yard Required Provided Required Provides Required Provided DIMENSION Number of Stories: Total square feet of floor area, based on Exterior dimensions. Total land area, sq. ft.: Nu I bJ ana UA I A — Page 103M w zi iTlrej=ff]aim aVA Crcaled 1 MC. Jan 'nub 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) o Copy of Contract o 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 Dor: INSPECTIONAL SERVICES DF.PAR'rN1EN'RnPF0RS105 Page 4 of 4 Location�'�-�"��G- C' r No. Date TOWN OF NORTH ANDOVER s � a Certificate of Occupancy $ Building/Frame Permit Fee $ �ss._....ab Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # 'f 13030ing Inspector MARSH CERTIFICATE OF INSURANCE CERTIFICATE NUMBER ATL -000915907-11 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS MARSH USA, INC. NO RIGHTS UPON THE CERTIFICATE HOLDER OTHER THAN THOSE PROVIDED IN THE ATTN: BRENDA BOOKER (404)995-2594 POLICY. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE MAYA MCCLUR E(404)995-3206 OR AFFORDED BY THE POLICIES DESCRIBED HEREIN. TAM[ ROUSE (404)995-3430 FAX (404)760-5663 COMPANIES AFFORDING COVERAGE 3475 PIEDMONT ROAD, SUITE 1200 ATLANTA, GA 30305 COMPANY 00492-IPUSA-GWA-03/04 A STEADFAST INSURANCE COMPANY INSURED COMPANY THD AT - HOME SERVICES INC. B ZURICH AMERICAN INSURANCE COMPANY DBA THE HOME DEPOTAT- HOME SERVICES. INC. COMPANY HOME DEPOT USA, INC. 2455 PACES FERRY ROAD NW C NEW HAMPSHIRE INS COMPANY BUILDING C-8 COMPANY ATLANTA. GA 30339 D AMERICAN HOME ASSURANCE COMPANY COVERAGES This certificate supersedes and replaces any previously issued certificate for the policy period noted below. 3 THIS IS TO CERTIFY THAT POLICIES OF INSURANCE DESCRIBED HEREIN HAVE BEEN ISSUED TO THE INSURED NAMED HEREIN FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THE CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, CONDITIONS AND EXCLUSIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE(MMIDD/YY) POLICY EXPIRATION DATE(MM/DD/YY) LIMITS A GENERAL LIABILITY IPR 3757 608-01 03/01/06 03/01/07 GENERAL AGGREGATE $ 4.000,000 X COMMERCIAL GENERAL LIABILITY 'LIMITS OF POLICY ARE EXCESS' PRODUCTS -COMPIOPAGG $ 4,000.000 CLAIMS MADE II OCCUR 'OF SIR: $1,000,000 PER OCC' PERSONAL&ADV INJURY $ 4,000.000 EACH OCCURRENCE $ 4,000,000 OWNER'S & CONTRACTCR'S PROT FIRE DAMAGE (Any one fire) $ 1.000,000 MED EXP (Arty oneperson) $ EXCLUDED B AUTOMOBILE LIABILITY BAP 2938863-03 AOS 03/01106 03/01/07 COMBINED SINGLE LIMB $ 1.000,000 X ANY AUTO BODILY INJURY $ (Per person) ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY $ (Per accident) HIRED AUTOS NON -OWNED AUTOS PROPERTY DAMAGE $ X ELF -INSURED AUTO PHYSICAL DAMAGE GARAGE LIABILITY AUTO ONLY -EA ACCIDENT $ OTHER THAN AUTO ONLY: ANY AUTO EACH ACCIDENT $ AGGREGATE $ EXCESS LIABILITY EACH OCCURRENCE $ AGGREGATE $ UMBRELLAFORM $ OTHER THAN UMBRELLA FORM G C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY 6610998 AZ. ID, MD, VA ( ) 6610995 (AOS) 03101 /06 03/01/06 03/01/07 03/01/07 WC STA OTH X TORY LIMITS ER EL EACH ACCIDENT $ 1.000.000 G E THE PROPRIETOR/X INCL PARTNERSIEXECUTNE OFFICERSARE: EXCL 6611326 (OR) 6610999 NY.W ( 03/01/06 03/01/06 03/01/07 03101/07 EL DISEASE -POLICY LIMrr $ 1.000,000 EL DISEASE -EACH EMPLOYEE $ 1,000.000 OTHER WORKERS E COMPENSATION CONTINUED 6610997 (FL) 03101/06 03/01/07 D 16610996 (CA) 03/01106 03/01/07 DESCRIPTION OF OPERATIONS/LOCATIONSIVEHICLES/SPECIAL ITEMS CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE POLICIES DESCRIBED HEREIN BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE INSURER AFFORDING COVERAGE WILL ENDEAVOR TO MAL 'An DAYS WRITTEN NOTICE TO THE FOR INSURANCE PURPOSES ONLY CERTIFICATE HOLDER NAMED HEREIN, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABLDY OF ANY KIND UPON THE INSURER AFFORDING COVERAGE, ITS AGENTS OR REPRESENTATIVES, OR THE ISSUER OF THIS CERTIFICATE. MARSH USA INC. BY: Walter Gilstrap� frt-<EA MM1(8/02) VALID AS OF: 02/27/06 %�' AT-HOMIE E SM, 7_ Installed Siding and Windows 1, 'Vom��!/ o�./�iaaoac�uoeQ2 Board of Building Regulations and Standards HOME IMPROVEMENT CONTRACTOR Reg istraBon� 126893 ,TXpfrationr 1!3/2006 _supplement Card THE Home Depo!YAt Hpme S rvi 9UNROEUN CHHOUY-tiafyi 3200 COBB GALLERf(, I?IS1iV �#20 ALTANTA, GA 30339 Administrator Proudly sold, furnished and installed by RMA Home Services, Inc., a Home Depot authorized contractor. 345 Greenwood St. Unit 2 • Worcester, MA 01607.508-756-6686 • Fax 508-756-2859 • Toll Free 800-657-5182 wMBER c 026640699 CLASS REST HEIGHT SEX DATEOFBIRTH 5-0i M r 06-04-1981 EXPIRES - y 06-04-2008 CHtiouy BUNROEUN 33 BURNSIDE STuaxsi LOWELL,MA 01851-1609 6JxMA44A— FROM,: KIMBLY FAX NO. : 6033629679 Apr. 21 2006 07:58RM P4 a� HOME IMPROVEMENT CONTRACT Sold, Furnished and Installed by: Branch Name: �ES,� Date: THD At -Home Services, Inc. d/b/a The home Depot At-Ilome Services z (` 345A Greenwood Street, Worcester, MA 01607 Branch Number. i Job #: 2% Toll Free (800) 657-5182; Fax: 508-756-2859 Federal ID it 75.2698460 MP, T.ic 4 C 02439 RI Cunt. Lic# 16427 t; I' Lie a 565522; MA Home Improvemeat Contractor Rag. tit 26993 Installation Address:°�a by 1 �u a s I� 6 1'Df " � : — On City a.City State Zip (If different from Installation Address) City State Zip E-mail Address (to receive updates and promotions from The Home Depot): Proiect Information: I/We/You ("Purchaser"), the owners of the property located at the above installation address, offer to contract witb Home Depot U.S.A., Inc. ("Home Depot") to furnish, deliver and arrange for the installation of all materials as described on the attached Spec Sheet #: incorporated herein by reference and made a pan hereof. Home Depot reserves the right to cancel this contract if, upon re -inspection of the ,job, Rome Depot deteroiinea that it cannot perforin its obligations due to a structural problem with the home, pricing errors or because work required to complete the job was not included in the Spec Sheet or Contract. DEPOSIT PAYMENT OPTIONS (Subjoct to fund vorifiauion attd/nr crodit a)proval.) 1. Check, Cashiers Chock or US postalServicr Money Order (Made payable W?ho Holnc DcPot). 2. Credit Card" and/or other payment options . Cede Ono Behm Visa Mastercard Discover Anlorioan Expicss The Home Improvement Loan The Ilume Depot Credit Card n New Account n } vting Account ( 1411. & HD(Y' ONLY) AwilaWa Credits, $ ®SC600 (1111, & HDCC ONLY) Ascot: �5 NO1te+MIS7l exp - D= Nanwhsitappaxtsnncard: (� ///C �f/1 *By my/our signature below, We agree to allow Home Depot to charge the above refere ced credit card for the deposit indicated, a holder's Sig [ere' a e K[1, or HDCC Authorization Codec Deposit Final Payment # ollbbl&q # d -i.(: _? -7 Purchaser agrees that, immediately upon satisfactory completion of the work, Purchaser will execute a Completion Certificate and pay any balance due. Purchaser also agrees to bejointly and severally obligated and liable hereunder. Entire A meet: This. agreement and i attachments, including any financing agreement, contain the complete agreement etwcen,t a panics and can not be amend d or modified unless in writing a separate agreem t si c h bo pa les. sir ��c , XC(�� M HA 1E y cas ; ! 7 u�; 011 IISJ TO ,FGA Do not sign,tbis contra[! before you. read it. You are entitled'to completely filled -In copy the contract sst the time vuu sign, Keep it to protect your tights. 00 not sign a Cumplction Certificate before this project is complete. Law prnhihifs home repair contractors from requesting or accepting a Completion Certificate signed by the owner P. to the actual completion of the work to be performed under the conh•act. You Jnay cancel chic n•an%action at ally time prior to midnight of the third business day -after the date of this contract. See Notice of Cancellationfor An explanation of this right. There will be a service charge equal to 25% of the contract amount if the lob is cancelled by Purchaser AFTER the third business day. BY .MY/OUR SIGNIVIURE BELOW, I/WE AGREE TO BE BOUND BY.THE TERMS OF THIS CONTRACT. OWL• ACIC�OWLEDOE RECEIPT OF A COPY OF THIS CONTRACT AND TWO COMPLETED COPIES OF THE NOTICE OF CANCELLATION. BY MY/OUR SIGNATIIRR BF,I<OW, I/Wr, UNDF.,RSTAND THAT THP. ACRFF.Mf:NT IS SU131IsCT 'r0 Rnvii3w OF MY/01111 CREDIT' HISTCkY AND VWIE AUTIIORPLL' HOME DEPOT TO VERILY AND RLVIBW MY/OUR CREDIT R17CORD WI1'II AN INDEPENDENT CREDIT EPORTTNC AGENCY AND RELEASE THEM FROM ALL LIABILITY INCURRED FROM rNADVERTF.NT OMIS IO O ROR O NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES. SUBMITTED BY: Date: $slasC;nn�ikin ACCEPTED BY; ) Date: 6 Io Homcouncr NOTICE; ADDITIONAL TERMS, CONDTIIONS AND WARRANTIES ARE STATED ON THE REVERSE SIDE ANT) A:tt: PARTOr Tn LIS CO.`rrRACT Whft .11—hFile Yu11ew-0.-t—r Pink-Soirn ConMtW 12-5-05 C -SC ;�1760 CONT"RACTAMOUNT S "LESS DEPOSIT BALANCE DOE ON COMPLETION $_ ^h1illimuin 25% of Contract Amount due upon execution f the contract ., Indicate Payment Method For BALANCE DUE ON COMPLETION: DEPOSIT PAYMENT OPTIONS (Subjoct to fund vorifiauion attd/nr crodit a)proval.) 1. Check, Cashiers Chock or US postalServicr Money Order (Made payable W?ho Holnc DcPot). 2. Credit Card" and/or other payment options . Cede Ono Behm Visa Mastercard Discover Anlorioan Expicss The Home Improvement Loan The Ilume Depot Credit Card n New Account n } vting Account ( 1411. & HD(Y' ONLY) AwilaWa Credits, $ ®SC600 (1111, & HDCC ONLY) Ascot: �5 NO1te+MIS7l exp - D= Nanwhsitappaxtsnncard: (� ///C �f/1 *By my/our signature below, We agree to allow Home Depot to charge the above refere ced credit card for the deposit indicated, a holder's Sig [ere' a e K[1, or HDCC Authorization Codec Deposit Final Payment # ollbbl&q # d -i.(: _? -7 Purchaser agrees that, immediately upon satisfactory completion of the work, Purchaser will execute a Completion Certificate and pay any balance due. Purchaser also agrees to bejointly and severally obligated and liable hereunder. Entire A meet: This. agreement and i attachments, including any financing agreement, contain the complete agreement etwcen,t a panics and can not be amend d or modified unless in writing a separate agreem t si c h bo pa les. sir ��c , XC(�� M HA 1E y cas ; ! 7 u�; 011 IISJ TO ,FGA Do not sign,tbis contra[! before you. read it. You are entitled'to completely filled -In copy the contract sst the time vuu sign, Keep it to protect your tights. 00 not sign a Cumplction Certificate before this project is complete. Law prnhihifs home repair contractors from requesting or accepting a Completion Certificate signed by the owner P. to the actual completion of the work to be performed under the conh•act. You Jnay cancel chic n•an%action at ally time prior to midnight of the third business day -after the date of this contract. See Notice of Cancellationfor An explanation of this right. There will be a service charge equal to 25% of the contract amount if the lob is cancelled by Purchaser AFTER the third business day. BY .MY/OUR SIGNIVIURE BELOW, I/WE AGREE TO BE BOUND BY.THE TERMS OF THIS CONTRACT. OWL• ACIC�OWLEDOE RECEIPT OF A COPY OF THIS CONTRACT AND TWO COMPLETED COPIES OF THE NOTICE OF CANCELLATION. BY MY/OUR SIGNATIIRR BF,I<OW, I/Wr, UNDF.,RSTAND THAT THP. ACRFF.Mf:NT IS SU131IsCT 'r0 Rnvii3w OF MY/01111 CREDIT' HISTCkY AND VWIE AUTIIORPLL' HOME DEPOT TO VERILY AND RLVIBW MY/OUR CREDIT R17CORD WI1'II AN INDEPENDENT CREDIT EPORTTNC AGENCY AND RELEASE THEM FROM ALL LIABILITY INCURRED FROM rNADVERTF.NT OMIS IO O ROR O NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES. SUBMITTED BY: Date: $slasC;nn�ikin ACCEPTED BY; ) Date: 6 Io Homcouncr NOTICE; ADDITIONAL TERMS, CONDTIIONS AND WARRANTIES ARE STATED ON THE REVERSE SIDE ANT) A:tt: PARTOr Tn LIS CO.`rrRACT Whft .11—hFile Yu11ew-0.-t—r Pink-Soirn ConMtW 12-5-05 C -SC z V_ a ty W p N Z Q U a U lL 0. N s H a Td WULS:Z0 9002 ZZ 'add 6Z96Z92209 : 'ON Xbd A-19WIA : WMJ EMEENNEENMEM m 0 r L O MEN 00 ME MMEME a m T w N 0 L � Y y U tl no MmMMmMMmM � — s C =° 0w > w QN Q m N Lnv � i � o iiiiiiiiiiii m m c . J FLIJ _. t'- . a... Q Q a C ci s N v, N i L � v e � 7 � U t O MEMEMMEM MEN MMEMMEMEMMEM EMEMEMMEMEME =m■■■■.■era■ iiiiENiiiiiii �iiiii�■iiiiii NMMMMMMMMMMM ME-linsi ii�l��1 mil ii�llll onI mallemmommosoll 111 sm z V_ a ty W p N Z Q U a U lL 0. N s H a Td WULS:Z0 9002 ZZ 'add 6Z96Z92209 : 'ON Xbd A-19WIA : WMJ m 0 r L O 00 a m T w N 0 L � Y y U tl � c � — s C =° 0w > w QN Q m N Lnv � i � o Z LU m m c . J FLIJ _. t'- . a... Q Q a C ci s N v, z V_ a ty W p N Z Q U a U lL 0. N s H a Td WULS:Z0 9002 ZZ 'add 6Z96Z92209 : 'ON Xbd A-19WIA : WMJ N N T 0 C N i L � v e � 7 � U t O z V_ a ty W p N Z Q U a U lL 0. 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