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Home My WebLink AboutBuilding Permit #928 - 27 BUNKERHILL STREET 6/25/2012 BUILDING UILDING PERMIT 0* NORTH 716 TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit NO: Date Received o Arco Date Issueck.4 IMPORTANT:Applicant must complete all items on this page S�r p "LOCATION _ 4 M xr 5cz .N R "9P z 'PF OWNER��C7�1 -7 PROPERTY 77 ,Punts- �xr MAP�fNO PARCEL '. "'ZONINGDISTRICT ` Historic Distract "! z yes ac :no M pVilla gd" 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 Flood Flam Wetlands Watershed- e-d - ,,District V rO, DESCRIPTION OF WORK TO BE PREFORMED: Identification Please Type or Print Clearly) OWNER: Name: C-MrUS71,A L14//10 Phone: 7JO 409/ Address: 27 15'11,V/�'0XIIIZ-L JY Ph666-:'V 44 'CONTRA �e V Nx V.- J.,I 0 1 1 64 z _ZU,47 M-N '19R,Rif 0 D M77 77= 44 RE Home.Improvement License k� :Exp Date ^y Q� 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: $ 20 Check No.: Receipt No.: NOTE: Persons concting with unregistered contractors do not have access to the guaranty fund d A' :`V0vvner_... contractor:'Signature c,i.,.,- gen Location n � DateNo. Dat , • TOWN OF NORTH ANDOVER P,yFy, ,R1Mr Certificate of Occupancy /1 Building/Frame Permit Fee . � �.�, Foundation Permit Fee` $ i uec Vy: Other Permit Fee a ?r $ TOTAL Check# 25452 uilding Inspector Plans Submitted Plans Waived Certified Plot Plan Stamped Plans 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 THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM DATE REJECTED DATE APPROVED PLANNING & DEVELOPMENT COMMENTS CONSERVATION Reviewed on Signature COMMENTS HEALTH Reviewed on Siqnature COMMENTS >t 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 DPW Town Engineer: Signature: Located 384 Osgood Street FIRE DEPARTMENT Temp. , um ster on site yes no" P Locateaiat1124MainStreet ,L;; re/d�;.,_, `Fire Department ignatu .ate r �.��, � � s �" ., � zt; .�� c ; Un- F v aa�`a ,x �r�'44 �r �' COMMENTS u b ,r '.s?s"!=n . ..,s. 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 21A—F and G min.s100-$1000 fine NOTES and DATA— (For department use) ❑ Notified for pickup - Date i Doc.Building Permit Revised 2008 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 n 9 tr �rf r ' Q '`C�F ,*W S.' p+�' lrMi - A\ AN 'INSULAfi A' 1C:AND VIIAL'Lwmber: '427$ :DATE .'16-May USING:BLOWN EL Lt SE= Cued:: CHRISTINA CATALANO 978-681-8363: :. .JOB TOTALS: address 2713UNKERHILL•STREET cKyltown' NORTH ANDOVER.MA 01845 -. contractor 1: EATNERSTWPPING/CAUE[aNG : QUANTITY . TOTAL 3 6 OTE Door lets Q-Con br.Equiv. 0 . 0.00 Door Sweeps:{Regular) 1 15.75 REAR TO OUT Door Sweeps(Automatic) 0 . 0:00 Reglaze Windows fln.inch 0. 0.00 Window.Weathstr Schtegal per side -0 0.00 - Tenrnat Recessed Can Cover 0 0.00 Aft oMasemen#bypass searjr4.rianllir 1.5 . -90-00- 0 BATH'AND xi-rcHEN W FINISHED BASEMINY Atticsealingwith2-partfoanmmarilhr. ..,- 1;5 112.50 - -SUBTOTALS 218.25 2&INFILTRAMON/iNSULATtON DomesticpipeHotWaterTank1st, : .0 0.00 Sill.Insulation R49 CF 0 0.00 Sill TWO Part,Foam wfFiherglass Batt . 0 - 0.00 FINISHED BASEMENT Drape Perimeter:R b.Arldi;Sq.fL 0 0.00 Perimeter 2"T naic or equivalent foam Board sq.1t. 0 0.00 Drape DOOR R-5 or T-max or equivalent on door. D 0.00' Tape Joints{Aluma Grip,onlo.per hr. 0 0.00 Duct insulation&Tape sq.tt.R-5 . • 0 0.00 Rigid F"._11366 Anch.•1"per board 0 0.00 Hydropic ppe__uisuia0onto.1°14-5 0 - 0.00 Hydfonic pipe Ins 125°1.5°R-5 0 - 0.00 Steampipe Ins.tol.25"iron pipe R-5 Ow a 0.00 - Steampipe lns:1:5'=.2"iron pipe R-5 0 0.00 Steampipe ins.3 iron pipe R-$ . 0 0.00 Air Conditioner Meeting Rall 0 _ 0.00 Air Condtuoriercover < .0 0.00 Air Conditioner Cover Special Order. 0 0.00 SUBTOTALS_ 0.00 29.INSULATION "g22f, q -- - Open Unrestricted.R 49 0 0.00 Open Unrestricted.R38 1302 191394 r3 O n Unrestricted R 30 - 0 0A0 r pa r•t ,,,,r '~k Open Unrestricted.R 20 0 Open Unrestricted,R;10t 0 000 ,s<• a Restrict FL/Sloped R 30: ® 4 2 s s Restricted FUSloped R 20 t3 FUStoped RIO i Resfnct : s. ': ; of NORTH own tAndover O •�-�-' Y+ to No. h ver, Mass, coc.acMew�cx ��' S V BOARD OF HEALTH Food/Kitchen PERMIT T LD Septic System 1Ic6i THISCERTIFIES THAT ... .I_ f: BUILDING INSPECTOR . Foundation has permission to erect . ...................... buildings on .&.':.....eoylaQit—.�...... .............. Rough to be occupied as ......, „l�!!!��l!I�..... cS.V.L� on............�!oa!1. ... ...... ..... G........ Chimney provided that the person accepting this permit shall in every respect conform to the terms of the application Final on file in 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 CONSTRUCTIO STARTS Rough Service ................ .......................................................... Final BUILDING INSPECTOR GAS INSPECTOR Occupancy Permit Required to Occupy Building 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. r Smoke Det. SEE REVERSE SIDE CERTIFICATE, OF LIABILITY INSURANCE a1�05 r TE IS ISSUED AS A.MATTER OF NATION,ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CATS D09S`NNOT AFFIRMATIVELY OR NEGATIVELY AMEND EXTEND OR ALTER THE,COVERAGE AFFORDED BY THE POLICIES N: THIS CERTIRCATE OF INSURANCE DOES NOTCONS'fIME A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED g RESENTATiVE OR:PRODUCER,AND THE CERTIFICATE HOLDER: " ORTANT..If the cemcate holder Is an ADDITIONAL INSURED,the potigr(�)must be endorsed. If SUBROGATION IS WAiV®,subject to terms and com.Mons of the policy,certain polmles may.require an endorsment A statement on this certificate does not corder rights to the certificate holder n.l eu of such eadorsement(s). Pi�DUCER HAM. Duffy Insurance Agency,:Inc- P 781:593.2200 ,x,.781.593.7260 317 Broadway ADDRESS: Wyoma Square WSIREIWAFFORDINGCOVERAGE ruuca Lynn, KA 019WZ602 MISURERA: Arbellia Nfutuai Insurance:Group 17000 INSURED Danetti insulation INSURERS: Safety Insurance ttliltllarly' 39434 c% Edward Champigny InSuRERC: Comerce & industry insurance'Go 362 Eastern Avenue INSURERD: Lynn, MA 01902-1626 V9VJRERE: INSURER F: COVERAGES CERTIFICATE NUMBER:40 REVISION NUMBER: , . : THIS is-To CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NiillilED ABQVE FOR:THE POLICY PERIOD ; INDICATED. NOTWITHSTANDiNGANY REQUIREMENT.TERM OR CONDITION OFANY CONTRACT OR OTHER li RESPECT 1'O,WHlCFi THIS DOCUMENT,"- CERTIFICATE MAYBE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN 1S SU &&TO Alai THETERMS EXCLUSIONS AND CONDITIONS OF SUCH POLICIES_LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS IlmLTR eff TYPEOFINSURANCE �VOID POLICYNUMBER (NI menFUMMUMN PoLr-ynim GENERAL LIABILITY 850004041 06/2212011 06(22!2012 EACHOCCURRS[CE s: 1,;000; X -COW0tCIAt&NERALUAIRLRY PRENnsEs`Eeaodataeice). $:' IfiO,� CIAgHSb1ADE OCCUR mFbE>g►tAnlia�ePes«,? S:, 5, A PERSONaI sAwuLlilRr s i000� GENERALAGG'R£C� GEM AGGREGATE MIT APPL�ESPER fRODUC S.-COMFIOPAGG S. 2��Oa X POL= P LOC S AUTOMOIKELUMLITY 50221 t!7l�/2011 07/08/2012 1 s: 1,fl00, BDDRYftaIURY(Papamnj s: mi:AUTO B . AUTOS X AUTOS S An owNEO scam ED 80DILYrtJItIRY(Peraoa�d) s X HIREDAttros X AUTOS IPerU s: UNBRELLA LIARHCLANS41ADE OCCUR EA IMCCURRENCE S EXCESSUM AGGREGATE $ 1 DED RETBITIONS 5' uvow�s COIAPEI J A IU 160 72 01!04=12 &M... 013 x' 0 S pNp�MpLOYERS'LIA�LriY�. Wt� ,: TORYLBO[rrS St ; ANY PROPRIETOR/PARrtiER/DIECUTMY j O j C OFFICER1MEMBEREXCLUDED? L� NIA Et ►CHACC ENT` 5 IID, (MandetoryhtNH) ELDrSEA$E-EA $' so# UESCRIPTIDN of OPHtASI INS below E L OLSEASE POLIC1lLiM(r 5 SQQ,, DESCRWTIONOFOPERAITONSILOCATIONSrV®iICAES(AI AWFWIOI.AdatanalRe�R�de,Ume- SOaces ady nsulation Contractor CERTIFICATE HOLDER CANCELLATION ANYOFTHEABOVED BECANCv l BEPDRE J/ T10N DATE TIIEItEOF, 7tCE BE DEENERED IN ACCO ANCEWITHTHEPOUT YP OWSION . tx T_he-Commonwealth of Mvssachuset r Deparbnent of Industrial Acci Wz& - Office of Inva*ations I Congress Sfre4 Suite 100 Boston,MA 02114-2017 _ www.mass gowdia Workers' Compensation Insurance.Affidavit: Bullus/Contmctors/Blectricians/Plumbers AnDUCBllt bllormation _ Please Print LegiblyID AMM } N2mL`(Busiaeas%O an zationllndiviaual): !��TtON Co. . LYNN,MA 01902 Ad&ess: City/State/Zip- - Phone#: Are you an employer?Check the-appropriate box: * Type of project(required): 1.0J mn a employer with_ a genera - 4. ❑ I am l contractor and I employees(full and/or part-time).* have hired the subcontractors 6._E]New construction 2.E3 I am a sole proprietor or partner listed on the attached shceL 7. ❑ Remodeling ship and have no employees These sub-contractors have S. ❑Demolition working for-me in-any capacity- employees and have workers' 9. ❑ Building addition [No workers'comp-insurance -comp.insurance 10. Electrical airs or additions 5. e ❑ �P required.] . ❑ -W are a corporation and lts 3.❑ I am a homeowner doing all work. officers have exercised their 11.0 Plumbing repairs or additions myself[No workers'comp. right of exemption per MGL 12x0 Roof repairs insurance required.]t _ c. I52,§1(4),and we have no ` employees.[No workers' 13.0"Othel1�St/��y'EdN comp.insurance required.] "Any apphice3l that checks box#1 must also fill out the searon bdow•showimg thanwod=rs'.compenmon policy k. kmnatim t Homommas who submadus;aff davit indicamg they are daimg all work mid theti hire outside txumactots maistsnlnriiianew sAww t indicating scch- $Comraetnts that deck this box an additiormi sheet showing tie num of the sub-amtrutm amd suii� rifler or not tose auieies imam employm. if the sub-cantraciors have employees,they imist provide their wu.1m 'comp-policy nmaba: !atm an empi0yerthat is providing workers'Conre=afiM insz�nuieefor mY emP1 0 3'eeL Beloit/is ilie policy and job site - infornmtion. Insurance Company Name: !} 7�! V d Policy#or Self-ins.Lic.#: 0 (p OSy Expiration Date:.O/ o l L Job Site Address: 7 d()Nr City/StatelZip` �lvl Attach a copy of workers.compensation Odi4 ration page(showing the policy nonrber-and expiration dstq Failure to secure coverage as required under Section 25A of MGL c. 152 can lead.to,the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this.statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. !da hereby cerkfp ander the mins and enables o that the}nformradon provided above is true a"d correet Sitniature: Erma% ]DateFG 57-7 Phone#: Yj Q fid use only. Do not write in this area,to be completed by a ty or town off daL City or Town: PermidLicense# -Issuing Authority(circle one): 1.Board of Health 2.Binding Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: C;� Office of Consumer Affairs and Business Regulation 10 Park Plaza.- Suite 5170 Boston,Massachusetts 02116 Home Improvement Contractor Registration Registration: 135956 Type: DBA Expiration: 6/28/2014 Tr# 223334 DANETTI INSULATION CO. EDWARD CHAMPIGNY 362 EASTERN AVE. LYNN, MA 01902 %Update Address and return card.Mark reason for change. - Address [] Renewal Employment E] Lost Card SCA t LS 2O M-05/1 1 �Q�a�n»zn�rcoetil�a C�/l�ix:t�acicruel� ' 1 Office of Consumer Affairs&Bosi�ess Regulation License or registration valid for individul use only -- CTORME IMPROVEMENT CONTRA before the expiration date. If found return to: Business Regulation _Le�istration: 135956 Type: Office of Consumer Affairs and Bus egul - 10 Park Plaza-Suite 5I70 " iration: "..5128/2014._..;: DBA Boston,MA 02116 DANETTI INSULATION Co' EDWARD CHAMPIGNY /v 362 EASTERN AVE. LYNN,MA 01902 Undersecretary Not valid without signature i u