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Building Permit #785-2016 - 24 DEER MEADOW ROAD 1/6/2016
BUILDING PERMIT TOWN OF NORTH ANDOVER APPLICATION I ICATION FOR PLAN EXAMINATION Permit No#:Date Received Date Issued: RTANT: Applicant must complete all items on this LOCATION IA .J EV I, "A"EK w 144� - �s M�a- im PROPERTY OWNER k MAP d 8 PARCEL: Print 100 Year Structure yes no ZONING DISTRICT: Historic District yes no Machine Shop Village yes no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building )kOne family ❑ Addition ❑ Two or more family ❑ Industrial ❑ Alteration No. of units: ❑ Commercial ❑ Repair, replacement ❑ Assessory Bldg ❑ Others: ❑ Demolition ❑ Other Septic ®�U11ell y - ❑ Floodplain ;*§ Mil na ds M v.v tears. t _Y €'0-o_fix;' ,ater/Sewer' ,. DESCRIPTION OF WORK TO BE PERFUKMEU: \ q` SY-x -o' A, S OWNER: Name: Address: Contractor Name: Identification - Please Type or Print Clearly Supervisor's Construction License: �-S -% Exp. Date: �D • Jayj Home Improvement License: ARCHITECT/ENGINEER Date: Phone: Address: Reg. No. FEE SCHEDULE: BULDIN PERMIT: $12.00 PER $1000.00 OF THE TOTAL ESTIMATED COST BASED ON $125.00 PER S.F. Total Project Cost: FEE: Check No.: Receipt No.: NOTE: Persons contracting with unregistered contractors do not have accesgo the guaranty fund Locati n L/ 2%wr pl? t ®i U �z No. ) Date /4//4�� Check r TOWN OF NORTH ANDOVER Certificate of Occupancy . $ Building/Frame Permit Fee �, Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Building Inspector 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. ❑ Pennanent Dumpster on Site ❑ THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF m U FORM PLANNING & DEVELOPMENT Reviewed On COMMENTS Signature, CONSERVATION Reviewed on Signature COMMENTS HEALTH COMMENTS Reviewed on Signature Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes P, Planning Board Decision: Comments a; Conservation Decision: Comments Water & Sewer Connection/Signature &Date Driveway Permit DPW Town Engineer: Signature: Located 384 Street 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 ®ANGER ZONE LITERATURE: yes No MGL Chapter 166 Section 21A—F and G min.$1oo-$1000 fine Doc.Building Permit Revised 2014 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 TOTE: 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/Cross Section/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 . IOTE: 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 2012 IECC Energy code 4� Engineering Affidavits for Engineered products TE: 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 Doe: Building Permit Revised 2014 Enter construction cost for fee cal - North Andover Fee Cakulation Construction Cost $ 2493753.00 m $ - $ 2,997.04 Plumbing Fee $ 374.63 Gas Fee 100 comm. $ 100.00 Electrical Fee $ 374.63 Total fees collected $ 3,846.30 24 Deer Meadow Road 785-2016 on 1/6/2016 Interior/Exterior Rehab 0 H W, rA O r� C O N O - > O c o� Q. O. °' d .0 a •U) tm Q x � Wa = LL O in C9 co Q) U Y \ O LL N U O_ N O v z z o = m O O O LL OQE O d' L U N O LL O I- uV.) `^ Z Z co J C -C bb 3> O -FU O LL O a ? Q V Cf. J W to O d' u N NLA- f6 C cc O0 W a Z a � .07Q' O W C LL F - z LLI Qa w D ui LL L 7 m Z �,,, Q) N v E V) r� Q a z z . o /� {co Cf) d t Z ` m U) W w/ C x Z O O V c W J CL Z m 0 C •C N d t O Z O O" Y QI C O N O - > O c o� Q. O. °' d .0 O 0__ •U) tm Q NC L cc v = d = Q F- O tO o O O m O W C 'a w O LLd .y A N C EL A 3 r r LV � v O co N =>= c t, 0 c0-00 Q a z z . o /� {co Cf) d t Z ` m U) W w/ C x Z O O V c W J CL Z m 0 C •C N d t O Z O O" Y QI Renovation Plans for 24 Deer Meadow Rd North Andover, MA 01845 existing Ist floor plan NOTE: Measurements are to be verified by contractor on site prior to construction Scale: 1/4" =1'0" Barbara Taormina remodeling plans Date :8/12/15 24 Deer Meadow R By: Alan J. Maki North Andover Ma. proposed Ist floor plan FLOOR PLAN GENERAL NOTES: 1. Smoke detector systems shall be Type III. 2. Ventilation: Kitchens and bathrooms shall have mechanical venting systems that provide 20 cfm/occupant. 3. Light and Ventilation: All habitable rooms shall be provided with aggregateglazing area of not less than eight (8) per cent of the floor area of such rooms. One-half (1 /2) of the required area of glazing shall be openable. (R303.1) 4. Hall and stairway widths shall be a minimum of 3 feet clear. Handrails may project no more than 31/2" into the required width. footing Allan 1p wraeeies eP Mkrx gNe ui..me eAea � �mwarm - ath to N stM M"A De e<eME. liar �') N"""il M�NVReE� SA � 6 eeeleE hcMng covered porch plan sectional (no scale) a10 -1c o<. m r qa1 ^rig rubberm ay— e &4 3/9 dge Abse 1 17 m"ueog — 212•m"utWg — 3le Cki — — IOISA bNgeB 8' Y pave vim, feet eMAr brdticet teaz— o Wend .k 13'2"X13'0" KITCHEN � 0 E -- 14'2"X1 1 W DINING ROOM 9'4"X13'0" BREAKFAST 18'0"X12'0" PORCH 9A NG �i 1 amen ® — 5'0"X10'2" LAUNDRY 157X13'1" FAMILY ROOM 21'5"X137" LIVING ROOM NOTE: Measurements are to be verified by contractor on site orior to construction remodel ng plans Scale: 1/4" 11b" Barbara Taormina 1t Date :8!/12/15 24 Deer Meadow R By: Alan J. Maki North Andover Ma ,u,-,,,xlstI'ng 2nd floor plan proposed 2nd floor NOTE: Measurements are to be verified by contractor on site prior to construction �[' Scale: 14' = 1'0" I Barbara Taorn remodeling plans Date :8!12/15 24 Deer Meadot By: Alan J. Maki North Andover Merrimack Construction Group -Mr. James Licari 9/23/2015 Page:I CAT Total APP APPLIANCES 17,450.00 CAB CABINETRY 30,701.84 CNC CONCRETE & ASPHALT 255.90 DOR DOORS 13,600.00 DRY DRYWALL 33,020.78 ELE ELECTRICAL 10,033.54 FCT FLOOR COVERING - CERAMIC TILE 1,462.48 FCW FLOOR COVERING - WOOD 6,774.78 FNC FINISH CARPENTRY / TRIMWORK 29,721.44 FRM FRAMING & ROUGH CARPENTRY 13,424.51 HVC HEAT, VENT & AIR CONDITIONING 3,141.27 LIT LIGHT FIXTURES 3,187.24 MAS MASONRY 12,350.00 PLM PLUMBING 6,860.23 PNT PAINTING 8,795.59 RFG ROOFING 5,700.00 SDG SIDING 4,473.84 TIL TILE 5,326.44 Subtotal 206,279.88 Material Sales Tax 1,848.22 Overhead 20,812.82 Profit 20,812.82 Total 249,753.74 *4 ACORO® CERTIFICATE OF LIABILITY INSURANCE `..� DATE(MWDD/YYYY) 10/20/2015 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Patty Jensen NAME: Y CCN o . (781) 861-1800 PJC No: (781)861-1804 Tonry Northwest Insurance Agency, Inc. 238 Bedford Street E-MAILADDRESS: �• certs@ton com INSURERS AFFORDING COVERAGE NAIC # INSURER A Endurance American Specialty 41718 Lexington MA 02420 INSURED INSURERB:Commerce Insurance 34754 INSURER CEvanston Insurance Company 35378 Merrimack Construction Group, Inc. INSURERD:Peerless Insurance Company 24198 1 Westech Dr Ste 1 INSURER E : INSURER F: Tyngsborogh MA 01879 COVERAGES CERTIFICATE NUMBER-CL15101611657 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, 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, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDL S BR POLICY NUMBER POLICY EFF MM/DD POLICY EXP MM/DD LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE ❑X OCCUR EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED 100 000 PREMISES Ea occurrence $ � MED EXP (Any one person) $ 5,000 CBC10001460002 2/4/2015 2/4/2016 &ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY I JECT 1-1 LOC -PERSONAL GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OP AGG $ 2,000,000 $ OTHER: AUTOMOBILE LIABILITY Ea BIKEDaccidenSINGLE LIMIT $ 1,000,000 BODILY INJURY (Per person) $ B ANY AUTO ALL OWNEDX SCHEDULED AUTOS AUTOS LT2069 4/23/2015 4/23/2016 BODILY INJURY (Per accident $ ) • HIRED AUTOS X NON -OWNED AUTOS PROPERTY DAMAGE $ Per accident X UMBRELLA LIAB X t OCCUR EACH OCCURRENCE $ 2,000,000 AGGREGATE' $ 2, 000, @00 C EXCESS LIAB CLAIMS -MADE DED I I RETENTION$ $ XOBW5747315 2/25/2015 2/4/2016 WORKERS COMPENSATION PER OTH- AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? r N /A STATUTE ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYE $ (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ D Rented/Leased Equipment IM8994422 8/18/2015 8/18/2016 Replacement Cost 200,000 Deductible 1,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Job location: 24 Deer Meadow Rd, North Andover, MA 01845. Certificate Holder is an Additional Insured, when required by written contract, but only to the extent provided in the Additional Insured endorsement(s) attached to the policy, a copy of which is available upon request. (978)688-9542 Town of North Andover 1600 Osgood St Building 20 Suite 2035 North Andover, MA 01845 ACORD 25 (2014/01) 1 NS025 1901 401 i SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Tonry Jr./PATTY) �" X. ©1988-2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD O ACCME) CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 10/20/2015 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terns and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER NAcOME:Nrncr Patty Jensen TONRY NORTHWEST INSURANCE AGENCY, INC. PN"�"N Ext: (781)861-1800 ac No: E-MAIL ADDRESS: Gerts@tonry.com INSURERS AFFORDING COVERAGE NAIC# 238 Bedford Street INSURER A: LIBERTY MUTUAL FIRE INS CO 23035 Lexington MA 02420 INSURED INSURER B MERRIMACK CONSTRUCTION GROUP INC INSURER C: INSURER D: INSURERE: 1 WESTECH DR STE 1 INSURER F: TYNGSBOROUGH MA 01879 COVERAGES CERTIFICATE NUMBER: 6748 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, 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, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. I TR TYPE OF INSURANCE ADDL SUBR NUMBER POLICPOLICY MWDDY EFF IPIM/DD EXP LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS -MADE 1-1OCCURDAMAGEORENTED PREMISES Ea occurrence $ MED EXP (Any one person) $ PERSONAL &ADV INJURY $ N/A GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY LI JET M LOC PRODUCTS - COMP/OP AGG $ $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea acc dent BODILY INJURY (Per person) $ ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS N/A BODILY INJURY (Per accident) $ HIRED AUTOS NON -OWNED AUTOS PROPERTY DAMAGE $ Per accident UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE N/A DED I I RETENTION $ $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANYPROPRIETOR/PARTNER/EXECUTIVEE.L. OFFICER/MEMBEREXCLUDED? NIA N/A NIA WC231 S38086301 5 02/09/2015 02/09/2016 X ER STATUTE ETH - EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 1,000,000 N/A DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space Is required) Workers' Compensation benefits will be paid to Massachusetts employees only. Pursuant to Endorsement WC 20 03 06 B, no authorization is given to pay claims for benefits to employees in states other than Massachusetts if the insured hires, or has hired those employees outside of Massachusetts. This certificate of insurance shows the policy in force on the date that this certificate was issued (unless the expiration date on the above policy precedes the issue date of this certificate of insurance). The status of this coverage can be monitored daily by accessing the Proof of Coverage - Coverage Verification Search tool at www.mass.gov/lwd/workers-compensation/investigations/. 1:tK 111-1-A 1 t rIVLUCK Town of North Andover 1600 Osgood St. Building 20 Suite 2035 North Andover SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE MA 01845 � _ { L, Daniel M. CrcW*y, CPCU, Vice President — Residual Market — WCRIBMA ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD Pile (�lvJl/?iFIl77!!IC!(l�ll C11 n��t<Li;i((C�lliCl�� _ `^��'� Office of Consumer Affairs & Business Regulation .@TOME IMPROVEMENT CONTRACTOR V'Registration: : ;x72286 Type: --= 3 Expiration 6/7J2{i16^; Private Corporation MERRIMACK CONS_ R, TI¢i ROUP, INC. CHRISTOPHER 1 WESTECH DR. TYNGSBORO, MA 01879 Undersecretary License or registration valid for individul use only before the expiration date. if found return to: Office of Consumer Affairs and Business Regulation 10 Park Plaza - Suite 5170 Boston, MA 02116 of valid wit ou signature J I� 0 G7 N V ma O t N to �A 0 oogw� �Q �g a� v rn rn (Am0 m vo W �9.�iS 3 ° PROPOSED PROPANE TANK 5Z Co �. o ° location Flan 0 (a o o o °' 24 Deer Meadow Road o North Andover, MA SCALE: As Shown DATE: April 4, 2016 Prepared for: Chris Shanahan. 1 Westech Drive Tyngsborough, MA 01879 p� m r- ' —� — Z M NDv �J -D ar mo O C1m N� NoC—I mm7Do�D"T1 Z 61 Main St. - P.O. Box 657 - Pepperell, MA 01463 - (978) 433-8100 col z m co 90 a o m m M m� �o N -o Czo Opzo O7 LO,. mN(D N`U7) c) CD -I c (?p �D c o CD m0 >C c o m° D m CD o -4m Q a) rn 7 0 In n. 0 D O O N y. O m (D c iv o 011,00 (p N 0 7 N 3 (D N OCD 7CD N (D a N "' v a U (n O C1 o X• N rt o W (D cn Z m W a T Z3 `j c:, a CD • M gCD ° w nz M o o -4 O o m m Cr `D �• � m Z m o ° n m o o mo- o :3 y 90 cn o CD CD n CORNERSTONE Design by KML Survey by Land Consultants, Inc. *'Civil Engineering - Land Surveying - Land Planning Draft by —` KML 61 Main St. - P.O. Box 657 - Pepperell, MA 01463 - (978) 433-8100 1794 Bridge St. - Unit 17B - Dracut, MA 01826 - (978) 937-2455 Check by www.cornerstoneland.net JAv