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HomeMy WebLinkAboutBuilding Permit #743 - 265 APPLETON STREET 6/16/2008Ub aJ i 110Parsona St. *Georgetown, MA 0 1833 Email: spada4co@aol.com pORTFt BUILDING PERMIT Ott�no P6'q•�•� OL TOWN OF NORTH ANDOVER 01 p APPLICATION FOR PLAN -,EXAMINATION * _ Permit NO: Date rgd &//0/00 Date Issued: &4 ` I- Residential MPORTANT: Applicant must complete`2�s on this page New Building LOCATION Addition ts ss Alteration No. of units: Commercial PROPERTY OWNER 9° `.�/ftNG— ' Demolition MAP NO: PARCEL ZONIN&DISTRICT 'Historic District yes noY3. Floodplain 111/etlands �. MachineShop Viilae `_yes o 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 111/etlands Watershed Distract i1/ater/Sewet, ji,_ .. �. , . P N OF WORK TO BE PREFORMED: r IdentificatiW Please Type or Print Clearly) OWNER: Name: Phone: Address: ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE: BOLDING PERMIT: $12.00 PER $1000.00 OF THE TOTAL ESTIMATED COST BASED ON $125.00 PER S.F. Total Project Cost: $_ FEE: $ Check No.: oufj Receipt No.: NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund 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 Location awJC�/'� ✓ No. 7k3 Date 40RTPI - TOWN OF NORTH ANDOVER _ • OL 9 Certificate of Occupancy $ •,SSACMUSEt� Building/Frame Permit Fee $ _ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # .31J�o 2 2 4 5 4B61 ing Inspector 0 1=0 co �2 o. cin U z zcz; c w° m w°' v U r. w U ��.+ Cd w° w GG W w "� W m 2 ' chi c w p P4 w W w c = z rj cn o cn � c c it ^O C h 'a p Q w_ t3 m=J •ac ev � c CD o = v W Om CL CO 14 0 Q h o m 1 * �# ': s c O•,� LE E ID m d N �} y 3 c m y Co S co Cl m cr- cm ® ( Z co S { O p m V V! O O W `Z cm C� 00 d O C �C -1 = m :m,3 N p� O COD 4- 4D 0uiC oZ �. . y a O c c O y V .O p m. c zely x co li= o z S a$m -T, u 0 coz u cn a ,T 2 O co O O � O v Z co d O H O � O O! ICO 'C CD 0 M O �O Cc m CD G O CD c_vv o a y C o � O O V J 'W C C CD V H C CL C CO2 D ul 0 U) U) W W ujW U) U�iie �-rrvnsatuue�cl(/z oard of Building Regulations ad S ndards�j� :onstruction Supervisor License sem. License: CS 35106 4. Expiration: 5/23/2010 Tr# 25061 Restriction: 00 PAULA SPADAFORE 10 PARSONAGE STJy GEORGETOWN, MA 01833 �L Commissioner ^_ (;s\ �itl,' i'Cl)lirXflrdfUCCZ�CIL C�L, (lflkSLlCiillfiG�ti% '--• " \ Board of Building Regulations and Standards HOME IMPROVEMENT CONTRACTOR ' Registration: 110137 Expiration: 10/9/2008 Type: DESA PAUL A SPADAFORE BUILDING REMO CO. PAUL SPADAFORE 10 PARSONAGE ST GEORGETOWN, MA 01833 Deputy Administrator i d M F.rwPERRY 'NSURANCE AGENCY 9786870149 05/08/2008 09.24 #124 P.0021002 AC"K" %.PCm i trmrA i I- wi M_. i�%oo1mi N v i6vouismim%o IG k' DATE (MM/DDNYYY) 1 05108/2.008. PRODUCER � INTERNET 1lV5URANCE AGENCY 522 CHICKERING ROAD FORTH ANDOVER, MA 01845 THIS Cf RTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER- THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. _ INSURERS AFFORDING COVERAGE NAAIC y INSURED - SPADAFORE CONSTRUCTION 10 PARSONAGE STREETGEORGFTOWN MA 01833 INSURER F; ZURICH AMERICA NOTICE TO THE CERTIFICATE HCLDER NAMED TO THE LEFT, BUT FAILURE TO DO $0 SHALL GENERAL LIABILITY LSU INSURER f. THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN (SSUEC TO THE INSURED NAMED ABOVE FOR THE POL ICY PERIOD INDICATED. NOTVVI T HSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOC:J'VENT VVIT4 RESPECT TO WHICH THIS CERTIFICATE MAYBE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE ?OLICIFS DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS ANTI CONDITIONS OF SUCH POLICES. AGGREGATE LIMITS SHOWN IA'>Y HAVE BEEN ^!FUCKED B`: PAID CLAIMS. _.�_. —.--- -- I ---'-----...---..-- - -CT Ir p y ---------------- - - LTR INSrID TYPE OF iNSURAUCE. POLI Y NUAIBEN D' A7E (NFM;D rY ; DAI ( ®1 IY LIV1T5 y(.')RTH ANDOVER, IMA Cl 845 NOTICE TO THE CERTIFICATE HCLDER NAMED TO THE LEFT, BUT FAILURE TO DO $0 SHALL GENERAL LIABILITY IMPOSE NO OBLIGATION OR LIABILITY OP ANY KIND UPON THE INSURER. ITS AGENTS OR F.ACH CCCIJ RENCF oR°_MISE Ncj`w COMMERCiAl.GENFRA:.LAUIL.f,Y CLAIMS MADE G OCCUR j MEG EXP (Any une uo-son) I $ �— PERSONAL & ADV INJURY S _ _ 3ENFRAL AGGREGATE $ AGGREG=ATE LIMIT APPLIES PER. PRODUCTS - COMPlOP AGG $ 1rGEN'I. ! i POLICY PROJECT LOC AUTOMOBILE LIABILITY ! COMBINED DINGLE LIMIT y ANY AUTO i (Ea accrientj ` BODILY INJURY $ ALL OWNED AUTCS - ,CHEDULEC AU"O$ (Per oars -or) HiRED AUTOS 3001LY INJURY i $ "ION-(!WNEVAVTOS %Per accident) (+ PROPERTY DAMAGE $ GARAGE LIABILITY j 4 AUTO ONLY - FA ACCIDENT $_—_--,_._......__.._._. OTMER THAN- . EA ACC $ .ANY AW -0 I AUTO ONLY. qGG FXCESSIUMBRELLA LIABILITY EACH CCCURRENCE $ ;)(,CUR C7 CLAIMS MADE AGGRFGATF $ DEDUCTIBLE I $ RETENTION $ I A 9ZZUB583;'G82107 ; 10129/2007 10/28/2008 a% TORY LIMITS ER EMPLOYEMWLIABILIYTIDNANC _ E L. EACH ACC;GENT $ 'uO,LOUtiO ANY PROPRIETOR/PARTNER.rEXECUTIVE I S �OU,OUD DO _— OFFICFRMAEMBER EXCLUDED? Ayes deacriCe underD'6EASE-EFHWLOYE SPECIAL PROVISIONS De!dvlI F. L D'.SEASE - POLIMIT$ 5CO3 Coo W' OTHER �... �.._....� � «lt i I VEStRIFT110A OFa CIEWTIFI+CAT1. HOLDEIR CANCELLATION ACORD 26 1, 001108) \j tP ACORD CORPORATION 1988 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DIANE AND N I r L BA S S ET T 255 APPLETON ST DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN y(.')RTH ANDOVER, IMA Cl 845 NOTICE TO THE CERTIFICATE HCLDER NAMED TO THE LEFT, BUT FAILURE TO DO $0 SHALL IMPOSE NO OBLIGATION OR LIABILITY OP ANY KIND UPON THE INSURER. ITS AGENTS OR REPRESENTATIVES. AUTHORIZED RE+RESE STATtVf. T._ —�--•� - Ll`G ACORD 26 1, 001108) \j tP ACORD CORPORATION 1988 FIrm:Uenrgetawn Insllydnce 979 352 1719 06/10/2009 14:55 #403 P.001/002 ACQ&D CERTIFICATE OF LIABILITY INSURANCE DATE I 06/IO/200 I PRODUCER Georgetown It1� t axaGi� Agency, Inc.ONLY S cy, 10 Went Main Street Georaatawn tom. 01833- INSURED _•Y_...-. _ .._.-• Pahl Spall affone 10 Parsonage Street lGeorao own Mh 01833- THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORNAT*N AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDEM THIS CERTIFICATE DOES NOT Al IID, EXTEND OR ALTER THE C:OVfELRAGE AFFORDED BYTHE POLICIES BELOW. INSURERS AFFORDING COVERAGEi _ wsuRE:fi A CrDIIl3Dwrce Insurance Company ;;USURER B: -_10 --o --- INSURER C: MUREX R D: INSPIRE E. t'n%fFRAf.';:S THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERIW OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE. MAY SE 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 VAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE DP HMURANC° POLICY NUMBER POLICY EFFIEC9IVE .DP.P POLICY EXPIRATION DATE MWNDDtYY _ LIMITS A OFNNERALILUMILITr MS4705 10/31/2007 10/31/2008 EACNOCCURRENCB $ 300,000 _ FIRE DLMAGERAf&Oraiifn 8 - 300,000 x i COMMERCIAL GENERAL LIABILITY CLAWS MADE OCCUR I / / / / MED EXP (Any one arson 8 1 0,000 PERSONAL &AOV INJURY $ 300,000 GENERAL A3(3REOATE 8 600,000 GEN'LAGOREGATELIMITAPFLIEBPER: PRODUCTS-COMP/OP AGO S 600,000 I Pot.tCY PFSCT F7 I.GC- AUTOMOiALE LIARILITY / / / / CONMINED SINGLE UM)T ANY AUTO tEs fi +t) $ BODILY INJURY ALL OWNED AUTOS I I I / SCHEDULEDAJTCS (Perpmorl) 3 HIIAIEDAUTOS ff / I f f� { f / B=LYINJURY NON•OWNEDAU-06 (Peramidont) PROPERTY DAMAGE (Per.en)$ "RACE LIABILITY AIir0ONLY -EAACCIOENT $ ANY AUTO 3 OTH.rR. THAN „ EA ACC S _��r AUTO ONLY: AGO 8 --- kG m uAB)urr,-- ! I I / FAN CURRENCE $ Atr, GATF $ OCCUR L_ -j CLA'TAB MAGE �. 8 DEDUCTIBLE / / / / S RETENTION 1 $ O EMCOMPSNMRV.ITY QA11ONANO i % ; / / T __ ' B — R I E.t_ EACH ACCIDENT I E L. UWAUE . EA E-MPLOYEEI $ E.L. DISEASE • POLI^Y LIMIT 8 OTHER DESC,31piI0N OF OPPRA1'KMILt]CA1I0E1SNEN)CLESUEXCLUSIONS ADDED HY ONiadR8E.1R>?FUT!$PECIAL pROV1EkIDNB Lot: K I'rIL:sY, I r- nUL.IJ CIR 1 1 ADDITIONAL INSURED: INSURER L,ETIMR: GAM;5LIL.ATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION .DATE THZRWF, THE 13BUING IN'UUREPt WILL ENDEAVOR TO MAIL 20 DAYS h'RrMN NOTICE TO TNI: CERTIFICATE HOLDER NAMED m THE LEFT, BUT l+f �srill S Risme Bae ®ett FAILURE TO DO SO "LL kUPOIIE NO OBLIGATION OR LIABILITY OP ANY KIND UPON THE 265 Appleton St INSURER ITS AGENTS ORREPREIRENW VE8. AUhSORIYED ylPr-. . North Andover O1i345- c/L"7 ACORD 25-S (alai) - - CORt3 CCIRPOROlTION 1986 XtiRONCtSERFCRM3,1 8N86253 (s?o)C86327 D5d9 Page i of 2 ■ � 0 \`4��) ' .� :£ R � • � 2� I�•d�� ��� 7' ;6 > AfN �,i AC. ,� moi': ave, �`y i�l� � '�fn`►,�J ��.>f11'� *' - �';! t� 4 �}