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HomeMy WebLinkAboutBuilding Permit #553 - 245 CHESTNUT STREET 2/20/2007 BUILDING PERMIT NORTF/ TOWN OF NORTH ANDOVER F APPLICATION FOR PLAN EXAMINATION * ,� Permit NO: Date Received �ysSgCHus���5 Date Issued: IMPORTANT: Applicant must complete all items on this page LOCATION SLIZA nU4 S4 .Print PROPERTY OWNER / d (;'1 0 L Print MAP NO: UPARCEL: ZONING DISTRICT: HISTORIC DISTRICT yes no TYPE OF IMPROVEMENT PROPOSED USE Resi entia Non- Residential New Building One famil A Two or more family Industrial Alteratio No. of units: Comercial Repair, replacement Assessory Bldg Demolition Water Sewer Well Other Others: DESCRIPTION OF WORK TO BE PREFORMED: IdentificationVease Type or Pr* t Clearly) OWNER: Name:O���n oc PA cM l"1£��1 Phone:g 3 Address: S CONTRACTOR Name:-/A Phone: (0� (000A3 Address: Supervisor's Construction License: Exp. Date: Home Improvement License: Exp. Date: g &,,A)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: $ FEE: $ e- Check No.: 3, y Receipt No.: NOTE: Persons contracting with unregistered contractors do not have access the gu anty fund Signature of A ent/Owner Signature of contracto Sig g Location,"? �z �/T r�%�u��✓�-f�� No. Date NGRTM TOWN OF NORTH ANDOVER 0 ` 9 + Certificate of Occupancy $ ssACMUS Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # e i i Building Inspector 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 ❑ ❑ COMMENTS DATE REJECTED DATE APPROVED CONSERVATION ❑ ❑ COMMENTS DATE REJECTED DATE APPROVED HEALTH ❑ ❑ COMMENTS 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 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 Located at 385 Osgood Street FIRE DEPARTMENT - 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 2 1 A—F and G min.$100-$1000 fine NOTES and DATA— For department use d ❑ Notified for pickup - Date ................................................ ............. .......................................................................... ................ ......................._. ................................................. ................ 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 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) ❑ JEngineering Affidavits for Engineered products 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 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 2.2007 q � 3 -3q? -SSMo Julien Dupont Roofing, Siding& Remodeling 22 Maylane.Dr Salem, NH 03079 603-893-4385 508-243-4191 Proposal Submitted to: Work to be performed at: Weichert Relocation Company 245 Chestnut St North Andover, MA We hereby propose to furnish the materials and perform the labor necessary for completion of: Strip all shingles off house. Install 6ft ice and water shield on bottom edges. Felt paper remainder. Strip flat roof over entry way. Install new rubber roof using 06 rubber. Install new 8" white aluminum drip edge. Will re:-roof house using 30 yr architect shingles color: Install new ridge vent where needed Install new vent pipe boots. Dispose of all debris. All material is guaranteed to be as 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.Nine Thousand Five Hundred Dollars.($9500.00) Wit yments to be made ac fallnw4L 50%_$4750.00 due upon start of iob. CCx 1 5c�{,(-- C�CJ B ana:of$4750.00 due on completion `{Z 1 -- CtVv1L�c�st1� . Respectfully Submitted: _2.-r>'�� Per:____ Any alteration or deviation from above specifications involving extra costs Note-This 1" Will be executed only upon written order.and will become an extra char e s proposal may be withdrawn Over and above the estimate.All agreements contingent upon strikes, g by, if not accepted within 7_days. Accidents,or delays beyond our control. \ Acceptance of Proposal \ The above prices.specifications and conditions are satisfactory and are hereby accepted. You are authorized to do the work specified.Payments will be made as outlined above. Signature: C C-L, t SignatureI : elchert Relocation Resources, Inc. NORTH ANDOVER BUILDING DEPARTMENT Tel: 978-688-9545 DEBRIS DISPOSAL FORM In accordance with th provision of MGL c 40 S 54, a condition of Building Permit at: zLklk Ilu is that the debris resulting from this work shall be disposed of in a properly licensed solid waste disposal facility as defined by MGL c 11, S 150 A. Also, note Permits are required under Fire Prevention laws Chapter 148 Section I OA. The debris will be disposed of in: (Location of Facility) Signature o ermit Applicant Fire Department Sign off: Dumpster Permit Date 02/20/2007 12:01 19786859460 HASBANY INSURANCY PAGE 01 ACORD M CERTIFICATE 4F LIABILITY INSURANCE - 02 20/2007 PfloDUCEP THIS CERTIFI ATE 19 ISSUED AS A MATTER 0 INFO MA nON ga�any xasvralNce Agency ONLY AND CONFERS NO RIGHTS UPON THS CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEN EXTEND OR 236 JtleaBint St ALTER THE COVERAGE AFFORDED BY THE P LICIES BELOW- Methuen, MIL 01844 I NAICII phone: 978-685-3188 Fax: 978-685-9460 INSURERS AFFORDING COVERAGE INSURED INSURER a pmm America Julian Dupont INSURER& Trav'Olars - St. Paul. 3ulien Dupont Contracting NeURERC; 20 May Lane Drive INSURER e. Salem, N8t 03079 INSURER EI COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWRMSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACY OR OTHER DOCUMENT wnH RESPECT TO WHICH THIS CERTIFICATE M BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN Is SUBJECT TO ALL THE TERMS, EXCLUSIONS AND DITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. AFFFECIryL PVT K IflATIOR L/ARA L NERD TYPE OF NSURAWt POLICY NUMBER OAT4 WOO DA OlYY) A QBRALLIABILIYV 1Rpp 1036601 05/23/2006 05/23/2007 EACH OCCURRENCE �t300 000 EN N7 COMMERCIAL GENERAL UARILITY PREMISES(E9�ri1 mm 50,000 CI.IIMgMADE 7OCCUR MEDEXP(Ay9noven]N 5,000 PERSONAL&AD VWAY 000,000 ppm A00REOTE 600,000 GENREGAYE LIMIT APPLIES PERI PRWUDTS-OOMW AMD 300,000 X POLICY I I jECT LOC AUTOMOBILE LIAMLITY COMBINED SINGLE LIMB' 'S (E9 AC.MM�R ANY AUTO ALL OWNED AUTOS BODILY INJURY S IPavelAoe} SCHEDULED AUTOS HIRED AUTOS BOOILY INJURY NON-OWNED AUTOS PROPERTY DAMAGE S - (Poe amm.0) AUTO Oh .En ACCIDENT +< OARAD!LIASLITT ANY AUTO OTHER TKAN EA ACC i AUTO ONLY: AQG t DXOlS9 NIBRELLAUABLISY EACMOCCURRbNCE S OCcuR CLAIMS MADE AGGREGATE S S DEDUCTIBLE S s RETENTION $ Ulm_ $ MMKIIIIS60HPENBATION AND 7PJCM-5176C51-9-06 05/26/2006 05/26/2007 1TORY MI' X I ER wPLOYER9•IAABLRY E.L.EACH ACCIDENT 41,000,001) ANY PROPACTORIPARTNERIEMPUTME OFTICEP&MASER EXCLUDEDt Exclude Owner E.L.OISUM-EA EMPLOYEE $1,000,000 ePyatliaaarovi�ivoN.eac.�Exclud Owner JUI.Jen Dupont E.L.DIWASE-POLICYLIMIT a 1,000,000 OTMPA p Ap'YIBH OP OPlNATiDN9JLOOA710,19/VRMICLim/&=WWONS ADDED BY ENOOR9EMOIT/SPECIAL PR9%"W M CERTIFICATE HOLDER CANCELLATION Town of North Andover SHOULD ANY OF THE A99m 9))9DRIBBD POLICIES BE CANOlLLB9 8EF9RE TNR EXPIRATION OATS THEREOF. MtNUINO NNINER WILL ENDEAVOR TO MA lO DAYS WHITTBN Building Peet NOTICE TO THE CBRTMATE HOLDER NAMED TO THE LEFT, Bos FMLUAll TO 00 90 ]MALA Osgood Street 9809E M9 OBLMA770N ON LIABILITY OR ANY K916 UPON 17SSMmumEm. RSI AGENTS OR North Andover, MMR ABpRBg11TATMt. [AMQREPR6NpTAl" ric Jansen ACORD 26(20MM) 1p AC I' CO POTATION 1988 i i t t I Board of Building Regulations and Standards l License or registration valid for individul ]� HOME IMPROVEMENT CONTRACTOR use only before the expiration date. 1f found return to: Registration: 137640 Board of Building Regulations and Standards s ,3 Expiration 12/13/2008 Tr# 124907 One Ashburton Place Rai 1301 I Type: Private Corporation Boston,Ma.02108 AC EXTERIORS INC. ANNA CURRAO 67 LOWELL BLVD 1 METHUEN, MA 01844C Administrator — Not v �d without signafure " NORTH Town of 19Andover 0 No. Y Z - dover, Mass., T Q — LAKE co MIC ME WICK 7� RATED OkV �C BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System • BUILDING INSPECTOR THIS CERTIFIES THAT40 0 ��..C ... .... ��.� �.� .. �....................... Foundation has permission to erect........................................ buildings on evor-7. .. V Rough to be occupied as.... �!;r�' �t......5'�i0• Chimney .............. . ... ..... .. ...... ... . .. . . .. .. . ......................................:.. provided that the person accepting this permit shaD in every r spect conform to t mf the application on file m 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 CONSTRUCTI TARTS Rouge, .... ... ... ................. . ......... ....... Service ffurww4k,INSP 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.