The URL can be used to link to this page

Home My WebLink AboutBuilding Permit #044 - 25 MAIN STREET 7/27/2006 TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION o`No oT a o � t � Permit NO: Date Received Date Issued: 7J2 SACHUS�� IMPORTANT: Applicant must complete all items on this page LOCATION 001,/ �//� y�'u. /��t�.�✓' PROPERTY OWNER LS //,:¢� Print Print MAP NO.: PARCEL:/.5--- ARCEL:/. ZONING DISTRICT: TYPE AND USE OF BUILDING HISTORIC DISTRICT YES ❑ TYPE OF IMPROVEMENT PROPOSED USE Residential Non-Residential ❑New Building ❑One family ❑Addition �wo or more family ❑ Industrial ❑Al eration No. of units: epair, replacement ❑Assessory Bldg ❑ Commercial ❑Demolition ❑Moving(relocation) ❑ Other ❑ Others: ❑Foundation only DESCRIPTION OF WORK TO BE PREFORMED Identification Please Type or Print Clearly) OWNER: Name: i-L., �,f ln Phone: Address: CONTRACTOR Name: v �i1>o 44-/ Phone: Address: �� /c�� Exp. Date: / zrg�ed Supervisor's Construction License:/ Home Improvement License: / �� Exp. Date: 26 O ARCHITECT/ENGINEER ✓ Name: Phone: Address: Reg. No. / FEE SCHEDULE:BULDING PERMIT.$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED OWN$125.00 PER S.F. Total Project Cost :$ %1 ,:Dp 1.12 x12.00=FEE:$ Check No.: Receipt No.: Page 1 of 4 i TYPE OF SEWERAGE DISPO Swimming Pools ❑ Tanning/Massage/Body Art ❑ Public Sewer Well Tobacco Sales ❑ Food Packaging/Sales El❑ ❑ Permanent Dumpster on Site Private(septic tank,etc. El Permanent Meter location to project NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund Signature of Agent/Owner Signature of contractor '-O/� Plans Submitted ❑ Plans Waived ll' Certified Plot Plan Stamped Plans ❑ THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF-U FORM DATE REJECTED DATE APPROVED PLANNING& DEVELOPMENT ❑ ❑ ❑Water Shed Special Permit ❑ Site Plan Special Permit ❑ Other COMMENTS DATE REJECTED DATE APPROVED CONSERVATION ❑ ❑ COMMENTS r DATE REJECTED DATE APPROVED HEALTH ❑ ❑ COMMENTS Zoning Board of Appeals:Variance,Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments Conservation Decision: Comments Water&Sewer connection/Siinature&Date Drivewav Pen-nit Date Drivewav Permit Temp Dumpster on site yes'!no Fire Department signature/date 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.: NOTES and DATA— For department use) Page 3 of 4 Doc:INSPECTIONAL SERVICES DEPARTMENT:BPFORM05 Created JMC.Jan.2006 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 g1uilding Permit Application Workers Comp Affidavit �jhoto Copy Of H.I.C. And/Or C.S.L. Licenses Q/Cop Contract ❑ oor 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 DEPARTMENT:BPFORM05 Pape 4 of 4 Location �' 2 7 No. Date Z 7 NORTIy TOWN OF NORTH ANDOVER Of t .ao ,•,h� 3: i • O + ; , Certificate of Occupancy $ CHus t� Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # �Q 7 t � 1 e' Building Inspector The Commonwealth of Massachusetts Department of Fire Services Office of the State Fire Marshal P.O.Box 1025 State Road,Stow,MA 01775 PERMIT Date: North Andover 1ermitNo (City of Town) (If Applicable) Dig Safe Number In accordance with the provisions of M.G.L.14 8 Chapters 0 as provided in section S 7 7 f:M R 34 Start Date / This Permit is granted to: GWLt✓Q ddL�d� Full name ofperson,Firm or Corporation Permissionto locate dumpster for construction/re.novation/demolition of building. Comments: dumpster must be 25 ' from structure if unable to place with required Restrictions:clearance dum.pster must be covered with plywood or tarp end of work ,day at 2��1_7 t;4 S (Give location by street and no.,or desqrtbc in su h anner as to provied adequate identification of location) FeePaids 50.00 Fire Chief This Permit will espirea t/ Q(p (Signa tur offical ftanting permit) Offrcal granting permit (Title) Twomey&Legare Contracting, Inc. Estimate PO Box 366 North Andover,Ma 01845 Date Estimate# 7/25/2006 17 Name/Address Lesley Carlson Main ST. No.Andover Ma.01845 Project Description Qty Rate Total Roofing,Flashing 11,600.00 11,600.00 30 YEAR SHINGLE ICE AND WATER SHIELD IN VALLEYS AND 3 FEET UP ROOF. TOTAL MATERIAL AND LABOR. DEPOSIT OF$6,000.00 AND$5,600.0 ON COMPLETION. Your deposit 'I be pli to th billing. Total $11,600.00 MRY 04 2006 8:27 878 556 0285 P. 1 HightFax Hartford 5/4/2008 9:07 PACE 003/012 Fax Server i 00i ------- '- HEOT PO"iNWlitDAVIS Davis MOODY INS ER- THIS CERTIVaTwla A % OR 40 RENom AVE ALTER THE COVERAGE AFFop aVImE PCISELOw! JMVEMLII FA 02830 M COMPANY COM IES AFFORnm c*vERAGE 29v= A TRR TRAMALrgs; TNRM,lTy MwrANy INSURED COMPANY TWOHEY, SERVO & LXGARE, DOUG 0 OBA, TwOmy & LEG M COMPANY P C 80% 3622 SORTS ANDOVER MA 01845 COWARY -my BEEN IME D TO THE ML/IE D NWW AME MR 7HE pQUCy pEROO AW C011TA=Oil OTNO DOCUMD"WIM FIEGPIXF TO WHICH TW BY T�m 081CROW HEREN 13 3119JIMT TO ALL THE TOM, RGDtKX-09yPAIDcLAM UM=Vll POM EMM710A LINTS WGRAL ASWWAIE CON'COMMMIAL aem'�Lmsm PRODUCTS-COWYOPAGM cuoswar7occm PERSONAL a AM-IMAHW P. OWNERS ACOM MWWRIFFIX. EACH OODURIJEw- RRE DAUAGE(AiV njw fire) I.MmIlLITY COMBINEDSME ANYAUM LKT ALL OWICOAUT03 SOUILYMUURT SORMLEDALIMS (Per Perm) KNEDAUT09 EootLvtNarRY 14MOWWO AlrMS 3 PFAmmy DAMW GARUMUAMM AMD ONLY-FAACWW S AWAM TRANAUTO CWW. EACH AOGIOEW _q ACCIRW40E EWHOOCURRENCE UIMUFMAFORM AGGREGATEP07HERIMUMGREUAFCRM A WORKMOMPSISMONAIIIII MKOYERS UAmur, (UB-939XI65-0-05) 09-18-05 09-10-06 WAj=RY LAM IKEPROPREW F"AWDENT 1c;nnn PARtIJE 7iWEDs:L GOLUE-roucyumff OFF12MARE Rx or.L 80LOM DE&OU174ON OF aIS lrQjL%j QrOR C&RTrF4= ZSSMD TO THE Ir"liM JMDEA Ag=ING _M COW C00MGE. y 11 "MIT MMW MY OF TNI AWE IF POLRM BE CamaLm save 7m CITY Op No ANDUM EKFIRAJM M THEODF, 7116 IMM COMAKrINILL MIMMq To VAIL BLDG INSPECTOR 10 DAYS WNMEN OOnCE rO 7MCERMICATEHOLVER NANO To THE 27 CHARLES Si LEFT. OUT FAILURE TO WL SU(M ROTICE SHALL IMPOSE 140 OBLIGATION OR No ANDOWIM HA 02845 'VJMM Of ANT N=WMIN WWWT.fM AGEMOR qEP=EmrxnVM AU11DOZE11 REPRESIXOMWE-� RUG 01 2005 10:53 978 556 0285 P. 9 ORD. CERTIFICATE OF LIABILITY INSURANC"om "g;os,2 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFQRNIATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Davis, Davis & Moody HOLDER.THIS CERTIFICATE DOES NOT AMEND.EXTEND OR 40 Kenoza Avenue ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Haverhill Mh 01830- INSURERS AFFORDING COVERAQE Dhono:978-373-1347 Sax:978-556-0285 INSURED INSURERA: Arbella Protection Insurance INSURER B: 'Por 6 Legare Contracting INSURERC: P.V. ox 365 INSURER 0_ North Andover HA 01845 INSURERE_'__ COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMEDABOVE F03 THE POLICY PERIOD INDICATED.NOTVAIHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER OCCUMENT YNSTH RESPECT TO VtMICH THIS CERTIFr.ATE MAT BE tmUE0 OR MAY PERTAIN THE INSURANCE AFFORDED BY THE POLICES DESCRIBED HEREIN 16 SUBJECT TO ALL TI£TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES AGGREGATE LIMITS SNOtMt MAY HAVE BEEN REDUCED BY PAID CLAIMS. INISR LTR TYPE OF INSURANCE POLICY N UMBER TE Y DD GATE UNITS GENIERALUANUff EACH OCCURRENCE 51,000;000 A X CommERCIALGENEPALLIABIUTY 8500012700 06/22/05 06/22/06 -FIRE DAMAGE(A-Vox(ias) S 100 000 CLAIMS MAGE �OCCUR EYED EXP(Ally Drepwson) S5,006 PERSONAL6AOVINJURY 81,000,000 GENEM AGGREGATE 1;2,000,000 "I'LAUGREGATE LIMIT APPLIES PER: PRODUCTS-CONPIOP AGG s2,000,000 POLICYECT LOC AUTONOBILE LIABILITY COMBINED SINGLE LMR S ANY AUTO (Ea aa:ddedl ALL OIAIINED AUTOS I BODILY INJURY SCHEDULED AUTOS (P-p—n) HIRED AUTOS BODILY INJURY NON4WNEDAUTOS I (pwaody°ma i PROPERTY DAMAGE i owaoaelfl>.J GARAGELIlBILITV AUTO ONLY-EAACCIDENT $ ANYA.UTO OTHER THAN EA ACC S AUTO ONLY: AGG S EXCESS LIABILITY EACH OCCURRENCE S OCCUR FICLANKS WADE AGGREGATE $ s DEDUCIBLE S RETENTION 5 S WORKERS COMPENSATION AND TOR MIS ER ENPLOYEW UABLITY j EL EACH ACCIDENT S EL DISEASE-EAEMPLO $ E.L.DISEASE-POLICY LIMIT S oTNea 06SCRIPTION OF OPE RATIOIISILOCATIONS ADD®BY ENDORSENENICSPECIAL PROVISIONS Carpentry - 3 stories or loss CQR'TIRCA.TG HOLDER K woonwwna.mswam j omwow NrMn. CALNCLZL^TION NORTH A 5HOILOANYOF THE ABOVE 00CM80 POLICIES BE GAAIGELLED BEFORE THE IMRA DATE TRERIWF,THE II.SUNG INSURER WILL ENDEAVOR TO MAIL _19 -.DAYS WRITTEN. NOTICE TO RCATEHOLDER NAMED TOTHE LEFLBUT FAILURE TODO30SHALL 27 CHARLES ST CITY OF HORST REET ANDOVER o n-am TION OR LIABILITY OF ANY KIND UPON THE INSURER ITS AGENTS OR NORTH ANDOVER MA A EPaESENT ACORD 26-5(T/87) CACORD CORPORATION 1989 ✓1ze-&"monawald BOARD OF BUILDING R License: CONSTRUCTION S Number: CS 067560 Birthdate: 10/25/1966 Expires: 10/25/2007 Restricted: 00 .SHAUN M TWOMEY 61 PATROIT ST G— N ANDOVER, MA 01845 . Commissioner ✓1ze-�omr�nonaeald o�✓�aaaac�u�aelt Board of Building Regulations and Standards HOME IMPROVEMENT CONTRACTOR Registration: 136779 Expiration: 8/26/2008 Type: Partnership TWOMEY+LEGARE CONTRACTING INC. SHAWN TWOMEY 61 PATRIOT ST. ,UaGLa N.ANDOVER,MA 01845 Deputy Administrator Y Town of s � �� 4 � Andover : _ A. No. Q - - _ -7/1 _- A dover, Mass., COCHICMEWICK AORA TE D '9S E BOARD OF HEALTH Food/Kitchen PERMIT -T D - Septic System BUILDING INSPECTOR THIS CERTIFIES THAT..... . !S./. ........05.00./SlAv. ............................................... ................. Foundation • has permission to erect.................. ..................... buildings on ...pre. ....J .................... Rough to be occupied as t. ..#txffirm .................................. Chimney ................. . provided that the person accepting this permit shall in every respea 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 PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTION � TS Rough ........................ ............ . Service LD G 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.