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Home My WebLink AboutBuilding Permit #280 - 24 EDMANDS ROAD 10/17/2008 L f,►ORT#t BUILDING PERMIT 0`S'CURD *6 Ati TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION 7D Permit NO: QY10 Date Received /� �SSACHUS Date Issued: d` �o IMPORTANT: Applicant must complete all items on this page LOCATION ,�� a��J Print PROPERTYOWNER Print MAP-NO: PARCEL: ZONING DISTRICT: Historic District yes 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 Repair, replacement Assessory Bldg Others: Demolition Other Septic Well Floodplain Wetlands Watershed District Water/Sewer DESCRIPTION OF WORK TO BE PREFORMED: Or Identi ftation Please Type or Print Clearly) OWNER: Name: !2 w Phone: Address: CONTRACTOR Name: Phone: Address: Supervisor's Construction -License: Exp. Date: Home Improvement License: Exp. Date: ARCHITECT/ENGINEER 10 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: $ ,3,, �d •� FEE: $ Check No.: Receipt No.: NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund Signature of Agent/Owner Signature of contracto Location No. Date A0-/2 'd TOWN OF NORTH ANDOVER Or°• •• ods 9 i Certificate of Occupancy $ Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # 21613 v 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. 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 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 Fare`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 foricku - Date P P 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) ❑ 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 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:INSPECTIONAL SERVICES DEPARTMENT:BPFORM07 Revised 2.2008 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 Pa P Plan Or Proposed Interior Work o 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 a 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) ❑ 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 Q 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 Fire Department prior to issuance of Bldg Permit NOTE: All dumpster permits require sign off from p 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:INSPECTIONAL SERVICES DEPARTMENT:BPFORM07 Revised 2.2007 NORTH TO" of Andover , No. 2. 8 0 C% dower, Mass., /0�1 _4 0 110. COCHICHEWIT 11' OOATED \ C, '9S ti BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System BUILDING INSPECTOR ....................................................................... THIS CERTIFIES THAT......f.��......."rr....... ............. Foundation .......... ..... ................... has permission to erect........................................ buildings on .�4............................... ................................................. Rough s I.D (ZAL�� Chimney to be occupied a . ...........I......... 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 0-)6 PERMITEMPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTI STARTS Rough ......................... ...................... Service. ....... ...... BUILDING IN R 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. •-�ACORDr� CERTIFICATE OF LIABILITY INSURANCE DATEIMM/DD/YYYY) 06!25/2008 10:29 PRODUCER (800)225-1865 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Fred C.Church,Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 40 Kenoza Avenue ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Haverhill,MA 01830 800-225-1865 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A: Arbella Protection Insurance Company Twomey&Legare Contracting Inc INSURER B: P.O.Box 366 North Andover,MA 01845 INSURER C: INSURER D: INSURER E: COVERAGES 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.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADD'L POLICYEFFECTWE POLICY EXPIRATION LTR INSR TYPE OF INSURANCE POU CY NUMBER LIMITS GENERAL LIABILITY EACH OCCURRENCE S 1,000,000.00 DAMAGE TO RNTED --X1 COMMERCIAL GENERAL LIABILITY PREMISES (EaEoccurence S 100,000.00 CLAIMS MADE a OCCUR MED EXP(Any one person) S5,000.00 - A 8500012700 6/22/2008 I 6/22/2009 PERSONAL&ADV INJURY S 1,000,000.00 i GENERAL AGGREGATE S 2,000,000.00 GEN'L AGGREGATE LIMIT APPLIES PER: I I PRODUCTS-COMP/OP AGG 5 2,000.000.00 POLICY PRC LOC AUTOMOBILE UABIUTY COMBINED SINGLE LIMIT ANY AUTO I (Ea accident) S ALL OWNED AUTOS BODILY INJURY SCHEDULEDAUTOS (Per person) S HIRED AUTOS BODILY INJURY NON-OWNED AUTOS (Per accident) S PROPERTY DAMAGE S I I (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT S ANY AUTO OTHER THAN EA ACC S AUTO ONLY: AGG S EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE S OCCUR FICLAIMS MADE AGGREGATE S 5 DEDUCTIBLE S RETENTION S S WORKERS COMPENSATION AND WC STALIMTU- OTH- DRYI ER EMPLOYERS'LIABIUTY ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT S OFFICER/MEMBER EXCLUDED? E.L.DISEASE-EA EMPLOYEE $ If yes,describe under SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT S OTHER DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS GL Cert CERTIFICATE HOLDER CANCELLATION Town of North Andover SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION 27 Charles Street DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN North Andover,MA O 1845 NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE ACORD 25(2001/08) Client# 5458 Mst# 08/09 Cert# ©ACORD CORPORATION 1988 RightFax H2-2 - 11!6!2007 8:40:12 AM PAGE 003/003 Fax Server ACORCD. CERTIFICATE OF INSURANCE DATE(MMWDIYY) 11-06-07 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE DOHER TY NS AGENCY HOLDER. THIS CERTIFICATE DOES NOT AMEND,EXTEND OR ELM S"!Rr"L•T ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. PO ROX 1985 COMPANIES AFFORDING COVERAGE ANDOVER,MA WJ Iti COMPANY "-„YmX A T'RAVEI.ERS WRECT ASSIGNMENT I INSURED COMPANY B � ?WOMIEY&LE.GARE-CONTRACTING INC COMPANY PO BOX 366 C N0RTT-I ANDOVER,MIP. Oi$45 COMPANY D COVERAGE TMS ISTO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN+SSUED TO THE INSURED NAMED ABOVE FOR THE POLICY P ERIOD INDICATED,NOTVAT'HSTAWN G ANY REQUIREMENT,TERMOR CONDITION OF ANY CONTRACT OF OTHER.DOCUMENT WITH RESPECTTO WHICH T'FIS CERT.FICATE MAY BE ISSUED OR MAY PERTAIN.THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS EXCLUSIONS AND CONDITIONS OP SUCH POLICIES. IJWTSSHOW'N MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO POLICY EFF POLICY EXP LTR TYPE OF INSURANCE POLICY NUMBER DATE(MMIDDIYY) DATE(MMIDDWY) LIMITS GENERAL LIABILITY GENERAL AGGREGATE s COMMERCIAL GENERAL LIABILITY RRODUCT3-COMPIOP AGS. 5 CLAIMS MADE OCCL:R. PERSONAL&&ADV INJURY $ OWNER'S&&CONTRACTORS PROT. EACH OCCURRENCE S FIRE DAMAGE(Ani one dire) MED.EXPENSE Any one person) S AUTOMOBILE UABILITY ANY AUTO COMINNEO SINGLE LIMIT s ALL OWNJECAUTCS F;ODILYIN?URY-'PerPer.,or) 5 SCHEDULE AUTO: 3OD!LY iNJURY,PcrAcdcler,t; 5 HIREDAUTO^a UROPERTYCAMAGE $ NON-OWNEC AUTOS GARAGE LIABILITY ANY AUTOS ALTO ONLY-EA ACCIDENT $ OTHER THAN AUTO 01%Y EACH ACCIDENT 5 AGREGATE S EXCESS LIABILITY UMBRELL.A FORM EACH OCCURRENCE S OTHER THAN UMBRELLA FORM AGGREGATE 5 WORKER'S COMPENSATION AND A EMPOLYFR'S UABLIT'Y U2-5647C422-07 05 1£-C7 t1J•18-OQ STATUTORY LIMITS THE PROPRIETOR/ EACH ACCIDENT s SG0.000 FARTNEPSEXECUTIVE INCL DISEASE-POLICY LIMIT Y 500.000 OFFICERS ARE: X EXCL DISEASE-EACH EMPLOYEE 50G.000 OTHER DESCRIPTION OF OPERATION&tLOCATIONSNEHICLESIRESTRICT10NSi.SPECIAL ITEMS IHiS REPLACES ANY PRI0'RCERTW1C TIE ISSIND TO THE CI:'RT111CATE HOLDER AFFECTING IVORK RS COI,i?CUvEkaGE. CERTIFICATE HOLDER CANCELLATION CHOLLD AN`.'JP-H'c ABOti:DE3.^.P:'3�P`LiCIE3�C?lCEta5D 8'c�.^.RE TH5 ?'OWN OF NORTH i,IUC)JVl'R EXFIRA-ION CATE THEREO=t-IE f` ;;NG COM VANY WIC,.ENDSAvCR T”,MAIL 50 DxaS YJ:2ti—E'!!e^_:^CE TO THE CcnTroICATE HOLDER NX PC IC'THE LEP- BJT J(i Cki OSCrfUD ST FALLRE T06tA'L=.0 C%I kOT'CESR%v_L!41P03E NC CE'GStfCN 7R L�A>•,L1t',OPANY KIND L;PCNTHEcvr P XN.TSAGENTSORR_PRESEN':ATT-J-C. NORTH ANDOVER,IVIA (;!M, 5 AUTHORIZED REPRESENTATIVE Charles J Clark ACORO 25.5(3193) �T1e �iamvnw�uueal o �/�iiaaaalusoetla _ hM' Board of Building Regulatio and Standards } Construction Supervisor License License: CS 67560 Birthd-ee'-10/25/1966 10/25/2009 Tr# 6403 Rdstadtiot 00 ' SHAUN M TWOMEY 61 PATROIT ST N ANDOVER,MA 01845' Commissioner Tk Board of Build i 1 n u atio sand Standards g� HOME IMPROVEMENT CONTRACTOR .-Regis"tion;_;136779 Expiration: -.8/26/2008 tType. Partnership TWOMEY,+LEGARE CONTRACTING INC. SHAWN TWOMEY 61 PATRIOT ST. N.ANDOVER,MA'01845 Deputy Administrator i t Proposal TWOMEY& LEamw CojffjwcTrNaArNc. Professional Building /Remodeling P.O.Box 366 OFFICE No.Andover,MA 01845 FAX 878-885-7447 078-005-7440 878-550-1547 NAME OF OWNER ADDRESS OF JOB �. TEL. !�C� ' C��" ��a Q DATE: �� 4 We hereby submit estimates for: ,/ `' Lr/ !/''- ✓� We Propose hereby to furnish material and labor-complete in accordance with above specifications,for the sum of: a' dollars Payment to be made as follows: '..-/L 11/7 Authorized Signature NOTE:This proposal may be withdrawn by us if not accepted within days. Acceptance of Proposal - The above prices, specifications and conditions are satisfactory and are hereby accepted.You are authorized to do the work as specified.Payment will be made as outlined above. Signature Date of Acceptance: U Signature p f . i �lze-�iomvnwouuea/! o ✓�aoaac�ivaeka Board of Building Regulation and Standards {Construction Supervisor License License: CS 67560 Birthdkei'_10/25/1966 t Expbir �t lora 10/25/2009 Tr# 6403 Restriction 0'0 SHAUN M TWOMtY 61 PATROIT ST N ANDOVER,MA 01845 Commissioner � � ✓die T�omvmtaiuoea� °�✓�,cuacu,�u�bef�d Board of Building Regulati ns and Standards HOME IMPROVEMENT CONTRACTOR Registration: 136779 Expiration -;8/2612010 Tr# 272934 Type::partnership TWOMEY+LEGARE'•CONTRACTING INC- SHAWN TWOMEY. � 61 PATRIOT ST. N.ANDOVER,MA 01845 Administrator