HomeMy WebLinkAboutBuilding Permit #743 - 265 APPLETON STREET 6/16/2008Ub
aJ i 110Parsona St. *Georgetown, MA 0
1833
Email: spada4co@aol.com
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BUILDING PERMIT Ott�no P6'q•�•�
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TOWN OF NORTH ANDOVER 01
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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
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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
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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
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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
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(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 �... �.._....�
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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,--
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FAN CURRENCE $
Atr, GATF $
OCCUR L_ -j CLA'TAB MAGE
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8
DEDUCTIBLE
/ /
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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
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