The URL can be used to link to this page

Home My WebLink AboutBuilding Permit #310 - 247 OSGOOD STREET 10/19/2006 TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION o* No DTh qti j ? ,t 6, o to Permit NO: pt Date Received �► _ e„ Date Issued: ��SSgCHUs�t 5 i IMPORTANT: Applicant must complete all items on this page LOCATION /SO�C�C� Print PROPERTY OWNER __�C `hh bmV\47> Print MAP NO.: tj PARCEL: q ZONING DISTRICT: TYPE AND USE OF BUILDING HISTORIC DISTRICT YES ❑ TYPE OF IMPROVEMENT PROPOSED USE Residential Non-Residential F New Building ❑ One family ❑ Addition ❑ Two or more family ❑ Industrial ❑ Alteration No. of units: Repa' , replacemen ❑ Assessory Bldg ❑ Commercial ❑ Demoh i ❑ Moving(relocation) ❑ Other ❑ Others: ❑ Foundation onl DESCRIPTION OF WORK TO BE PREFORMED \�Pi+D�GCy A Identification Please Type or Print Clearly) OWNER: Name: o�ry\Gj Phone: Address: Sam CONTRACTOR Name: V\(,mc_ �eotA� Phone: r Address: �J1.1� �2�Y _t 1A)(A-Ca-,Aer 00Ss- 4oR-57(v v Supervisor's Construction License: Exp. Date: Home Improvement License: ��.��j Exp. Date: ARCHITECT/ENGINEER Name: Phone: Address: Reg. No. FEE SCHEDULE:BULDING PER $12-00$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost :$_ ' , ��- -FEES 3�9 Check No.: � / � Receipt No.: 0 Page I of 4 TYPE OF SEWERAGE DISPOSAL � Swimming Pools T Well ❑ Tanning/Massage/Body Art L, Public Sewer ❑ Tobacco Sales Food Packaging/Sales ❑ ❑ Permanent Dumpster on Site Private(septic tank,etc. ❑ Electric Meter location to project NOTE: Persons contracting with unregistered contractors do not have access to the guaranty firnd Signature of Agent/Owner bc� 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 DATE APPROVED PLANNING& DEVELOPMENT ❑ ❑ COMMENTS DATE REJECTED DATE APPROVED CONSERVATION ❑ ❑ COMMENTS DATE REJECTED DATE APPROVED HEALTH ❑ ❑ COMMENTS i. FIRE DEPARTMENT - Temp Dumpster on site yes no Fire Department signature/date 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 I I I I Building Setback ft.) Front Yard Side Yard Rear Yard Required Provided Require Provides Required Provided Dimension Number of Stories: Total square feet of floor area,based on Exterior dimensions. Total land area, sq. ft.: I NOTES and DATA—(For department use) i I I Page 3 u1'4 Doc:INSPECTIONAL SERVICES DEPARTMENT:BPFORM05 Created TMC—Ian.'000 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 I ❑ 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 DE.PARTMENT:BPFORNt05 Page 4 44 Location eqk ? &,,G r No. Date D - �p NpRTh TOWN OF NORTH ANDOVER rp � 9 + ; ; Certificate of Occupancy $ �'7b''•°''<� c►ruBuilding/Frame/Frame Permit Fee $ r.�•- Ss�► sE 9 Foundation Permit Fee $ Other Permit Fee $ TOTAL $ r Check # .n—.X0� ! 9706 q _ ` Building Inspector 40RT#j Town of 11" - 191Andover No. 316 over, Mass. 0 LA E COCHICH W 004.r1E ATE BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System 0 BUILDING INSPECTOR THISCERTIFIES THAT-1Z.. .401%..... ...j............................................................................................... Foundation has permission to erect... .... b 'IdI S on .-9-Y0*--9 .. ......rl.7........ Rough , * , ""'s - - � . f6a to be occupied as.... Chimney shall ��-6i :�.........."... provided that the pe g this permit every respect conform to the terms of application''o'n,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 330000 PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRU ARTSRough Service PECTOR 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. Bumer Street No. IFSEE REVERSE SIDE j Smoke Det. /ze �a7�:,��zontuea�C� r��-"crurtc�«ae� Board of Building Regulations and Standards i HOME IMPROVEMENT CONTRACTOR Registration: 126893 Expiration: 8/3/2008 Type: Supplement Card THE Home Depot At-Home Servic 9TJNROEUN CHHOUY 3200 COBB GALLERIA PKWY#20 AtIANTA,GA 30339 Administrator 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 MCCLURE(404)995-3206 OR AFFORDED BY THE POLICIES DESCRIBED HEREIN. TAMI ROUSE(404)995-3430 FAX(404)760-5663 COMPANIES AFFORDING COVERAGE 3475 PIEDMONT ROAD,SUITE 1200 _......._.__ ATLANTA.GA 30305 COMPANY 100492-IPUSA-GWA-03/04 A STEADFAST INSURANCE COMPANY INSURED COMPANY -"----- THD AT-HOME SERVICES INC. B ZURICH AMERICAN INSURANCE COMPANY DBA THE HOME DEPOT AT-HOME SERVICES,INC. HOME DEPOT USA.INC. COMPANY 2455 PACES FERRY ROAD NW C NEW HAMPSHIRE INS COMPANY BUILDING C-8 ATLANTA.GA 30339 COMPANY D AMERICAN HOME ASSURANCE COMPANY COVERAGES This certificate supersedes and replaces any previously issued certificate for the policy period noted below:. 3 1141S 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 DESCR18ED HEREIN IS SUBJECT TO ALL THE TERMS,CONDITIONS AND EXCLUSIONS OF SUCH POLICIES,AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LTR DATE(MM/DDIYY) DATE(MWDDIYY) LIMITS A GENERAL LIABILITY IPR 3757 608-01 03/01/06 03/01107 GENERAL AGGREGATE $ 4.000,000 X COMMERCIAL GENERAL LIABILITY 'LIMITS OF POLICY ARE EXCESS' PRODUCTS-COMP/OPAGG $ 4.000.000 CLAIMS MADE I" I occuR 'OF SIR:$1,000.000 PER OCC' PERSONAL 8 ADV INJURY $ 4.000.000 OWNEWS 8 CONTRACTOR'S PROT EACH OCCURRENCE $ 4,000,000 FlRE DAMAGE(my one fire) $ 1.000,000 MED EXP(Anyoneperson) $ EXCLUDED B AUTOMOBILE LIABILITY BAP 2938863-03 AOS 03/01/06 03101/07 COMBINED SINGLE LIMIT $ 1.000.000 X ANY AUTO ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS (Per person) $ HIRED AUTOS BODILY INJURY NON-OWNED AUTOS (Per accident) $ X ELF-INSURED AUTO HYSICAL DAMAGE PROPERTY DAMAGE $ GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN AUTO ONLY: —._. EACH ACCIDENT $ AGGREGATE $ EXCESS LIABILITY EACH OCCURRENCE $ UMBRELLA FORM AGGREGATE $ OTHER THAN UMBRELLA FORM $ G WORKERS COMPENSATION AND 6610998(AZ,ID.MD,VA) 03/01/06 03101/07 X T YSTA rL EMPLOYERS'LIABILITY C _ 6610995(AOS) 03101/06 03/01/07 EL EACH ACCIDENT $ 1.000.000 G THE PROPRIETOR/ X INCL 6611326(OR) 03101106 03/01107 EL DISEASE-POLICY LIMIT $ 1.000.000 E PARTNERSIEXECUTIVE 6610999 OFFICERS ARE: (NY.WI)( W I) 03/01/06 03/01/07 EL DISEASE-EACH EMPLOYEE $ 1,000.000 OTHER WORKERS E COMPENSATION CONTINUED 6610997(FL) 03/01/06 03101/07 D 1 6610996(CA) 03/01/06 03/01/07 DESCRIPTION OF OPERATIONSfLOCATIONSIVEMCLESISPECIAL 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 'I0.DAYS WRITTEN NOTICE TO THE FOR INSURANCE PURPOSES ONLY CERTft-ATE'HOLDER NAMED HEREIN,BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER AFFORDING COVERAGE ITS AGENTS OR REPRESENTATIVES.NT E AlYJES,OR THE ISSUER OF THIS CERTIFICATE. MARSH USA INC. Y: Walter Gilstrapg faC �n MM1(3IO2) VALID AS OF: 02/27/06 e FROM : KIMBLY FAX NO. : 6033629679 Oct. 13 2006 09:59PM P4 HOME 1MPROVEMi'NT CONTRACT J acrid,Furnished and Installed by: �� Date: l Branch Name: 5 4(r- '/'IID At-dome Services,Inc. t d/b/a The Home Depot At-Home Services c� 145A Greenwood Street,Worcester,MA 01607 Branch Number: _fob#: ��y _) 1 'toll Free(800)657-5182; Fax:508-756-2859 Fedcrat ID 8 75-2698460 MF Liu It C 02434 RI Cont.Lial1 16427 (,`T I scc#5665522; MA11 C Impruvemcm Contractor R 126893 Installation Address: •.•_ City State Zip P h qer s• L , Last 4 Melts of Driver's Lic.#&Exp.Mo/Yr: Work Phone: Home Phone: 4) ( ) •, Home Address: (If different frum Installation Address) City State Zip E-mail Address(to receive updates and promotions from The Home Depot): P o act Information: I/Wc/You("Purchaser"),the owners of the property located at the above installation address,offer to contract with Home Depot U.S.A.,Inc.("Home Depof)to famish,deliver and arrange for the installation of all materials as described on the attached Spec Sheet ff —,incorporated herein by reference and made a part hereof. Home Depot reserves the right to cancel this contract if,upon re-inspection of the job,Home Depot determines that it cannot perform 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 (Subject to fund verification umUw credit approval) CONTRACT AMOUNT $ � 1. `M�CashiersChale U3 Postal Service Money Order ( payablek to TUc Hamc Depot). "LESS DEPOSIT $ 2. Credit Canl"and/or other payment options•Circle One Below Visa MastwCerd Discover American Fxpmn BALANCE DUE rh• omc Depot Home Improvement Loan Tho Homo Depot Credit Card ON COMPLETION $ ✓ _ 0 New Account Il Exis//tlag Acrnont (IQL d4 HDCC ONLY) 'Minimum 25%of Contract Amount due upon Available Credit6 -$ SI 006 (HIL&HDCC ONLY) execution bf this cbtitract. tt 7 Acct#:Pl Exp.Da . Name as it appears on cant: Indicate Payment Method For •13y sty/slur e be w,UyJc agree to allow Horne.Dop9t to BALANCE DUE ON COMPLETION: charge the above ref c credit card for the deposit mdi ted V a4 NCC C d s Signaw. I etc /- HIL or HDCC Authorization Codes Deposit Final Payment Purchaser agrees that immediately upon completion of the work,Purchaser will execute a Completion Certificate and pay any balance due. Purchaser also agrees to be jointly and severalty obl igated and liable hereunder. Entire Agreement:This agreement and its attachments,including any financing agreement,contain the complete agreement between the parties and can not be amended or modified unless in writing in a separate abtreernmi signed by both parties. 'NOTICE TO PURCHASER Do not sign this contract before you read it. You are entitled to a completely filled-in copy of the contract at the time you sign. Keep it to protect your rights. Do not sign a Completion Certificate before this project is complete- Law prohibits home repair contractors from requesting or accepting a Completion Certificate signed by the owner prior to the actual completion of the work to be performed under the contract. You may cancel this transaction at any time prior to midnight of the third business day after the date of this contract. See Notice of Cancellation for an explanation of this right There will be a service charge equal to 25%of the contract amount if the job is cancelled by Purchaser AFTER the third business day. BY MY/OUR SIGNATUR.F. BELOW, 1/WE AGREE TO 13E BOUND BY THE TERMS OF PHIS CONTRACT. UWE ACKNOWLEDGE RECEIPT OF,A COPY OP THIS CONTRACT AND TWO COMPLFTED'COPTES'OF°TRETTOTICE'"`= - OF CANCELLATION. RY MY/OUR SIGNATURE BELOW,WE UNDERSTAND THAT THE AGREEMENT IS SUBJECT TO REVIEW OF MY/OUR CREDIT HISTORY AND I/WE AUTHORIZE.HOME DEPOT TO VERIFY AND REVIEW MY/OUR CREDIT RECORD W rli AN 1NDEPENDEN71'CRED'1'RLPORTING AGENCY AND RELEASE THEM FROM ALL LIABILITY INCURRED FROM IN O S ONS OR ERRORS. SUBMITTED BY: 7MDate: 0 I 'Ics s Itant ACCEPTED BY: Date: Icmeuwner ' _. Date: Homeowner —.—._......._..... _... NOTICE:ADDITIONAL TERMS AND CONDITIONS ARE STATED ON THE REVERSE SIDE AND ARE PART OF THIS CONTRACT 7-18-06 CSC White–Branch File Yellow–Customer Pink–Sales Consultant