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Home My WebLink AboutBuilding Permit #237 - 3 JOHNSON STREET 9/26/2006 TOWN OF NORTH ANDOVER t►ORTh APPLICATION FOR PLAN EXAMINATION o t Permit NO: Date Received d �9 AS `�� Date Issued: s�- � s ACHU IMPORTANT: Applicant must complete all items on this page LOCATION—The �( ��'2, �1�' fMfO �)t, PrintQh h PROPERTY OWNER 5ic�,2. Mx1M No e-�5 T--ounCb+ r)- hlp, r _ Print MAP NO.: 9(0 PARCEL: ZONING DISTRICT: TYPE AND USE OF BUILDING HISTORIC DISTRICT YES !(�1 TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑New Building ❑One family ❑ Addition ❑Two or more family ❑ Industrial ❑ Alteration No. of units: X Repair, replacement ❑ Assessory Bldg '�l Commercial ❑ Demolition ❑ Moving(relocation) ❑ Other ❑ Others: ❑ Foundation only D SCRIPTION OF WORK TO BE PREFORMED id I i'1 (V (If -PFOn+ c(' Identification Please Type or Print Clearly) OWNER: Name: T G�. `� �l�PhonkR9) �oZ% I;L I Address: �Oh11`jQ� ��. �� • PpdwQr- W(` o t W5 CONTRACTOR Name: _l`f C�[(1Cf1(l L \!d►tq ��C Phonet �? ��o S' �J� Address: I OO Faakr S+/ No .-.- kdaity- MA- o i 2�q�- Supervisor's Construction License: © 3 0 �3�Exp. Date: Home Improvement License: Exp. Date: ARCHITECT/ENGINEER Name: Phone: Address: Reg. No. b' IU FEE SCHEDULE:BULD/NG PER $12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.0 F. R S. Total Project Cost :$ :Z.1t = Q© FEES 36 Check No.: 10 !� Receipt No.: Page I of 4 TYPE OF SEWERAGE DISPOSAL i wmmn SiPools ❑ F1Tanning/Massage/Body Art ❑ g Public Sewer Well L1Tobacco Sales ❑ Food Packaging/Sales Ll ❑ Permanent Dumpster on Site ❑ Private(septic tank,etc. Electric Meter location to project NOTE: Persons contracting with unregistered contractors do not have access to t4guarmyfSignature of Agent/Owner Signature of contracPlans Submitted L1Plans Waived 11Certified Plot Plan El 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 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 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 ❑ 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 DEPARTMENT:BPFORM05 Page 4 of 4 /771�f 7VAft 4L So 7,�2 Location _��,f Ob t2i O n S--n No. Date NpRTM TOWN OF NORTH ANDOVER F p Certificate of Occupancy $ �'�s •E<�' Building/Frame Permit Fee $ —." ! 4CMU5 Foundation Permit Fee $ f Other Permit Fee $ TOTAL $ k Check # — i ` 9620 0 Building Inspector c NORTM q Town of tAndover No. C)37 o F_= Ax o dover, Mass., A- COCHICHEWICK �� 7�ADRA7ED PPS\ SCC) `s BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System BUILDING INSPECTOR THIS CERTIFIES THAT... ..41 4.....s� .C.......eo.'o............................................................................. Foundation 3O .ns...ar�....... .. has permission to erect.................. ..........hm-siall ... buildings on . ..... .. ..................... Rough to be occupied as ...................................................................................... Chimney p provided that the person accepting this p in eveFj respect conform to the terms of the application on file in Final EE this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of I Buildings in the Town of North Andover. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough 3v __ Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRU ST S Rough ........N.............................................. Service . .. ... . ... ....... . BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove RoughFinal 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. i 4 6 8 10 12 14 16 c) C) \ m R. .. j E , i 4 � 4.4 S.M. 0.2 5.M. � I i t { 4 6 8 10 12 14 16 c� 0 m XN _..._ ._ �.�...._.�._._._.ice...................... _ _ __....�...�_......._ __...__._....«._._._,....,.._ _. ' ....__._.. _......_...__.._..._ _. i Commercial Property Record Card PARCEL_ID:210/096.0-0025-0000.0 MAP:096.0 BLOCK:0025 LOT:0000.0 PARCEL ADDRESS:3-5-JOHNSON STREET PARCEL INFORMATION Use-Code: 325 Sale Price: .0 Book: ' 00714 Road Type: T Inspect Date 10/07/1997 Tax Class: T Sale Date: 12/31/2047 Page: 003.81 , Rd Condition: P Meas Date: 10/07/1997 Owner: STORE CO Tot Fin Area: 4608 Sale Type: _ Cert/Doc: � Traffic: M Entrance:" G BRICK C/O STT S FOUNDATION Tot Land Area: 0.26 Sale Valid: N Water: Collect Id: JEL Grantor: Sewers InspectReas: R' Address: PO BOX 111 Exempt-B/L% / Resid-B/L% 0/0 Comm-B/LW0/100 Indust-B/L% 0/0 Open Sp-B/L% 0/0 NORTH ANDOVER MA 01845 COMMERCIAL SECTIONS/GROUPS LAND INFORMATION Section: ID: 101 Use-Code:325 NBHD CODE: 35 NBHD CLASS: 5 ZONE: 61 Category Grnd-FI Area Story Height Bldg-Class Yr-Built Eff-Yr-Built Cost Bldg Seg Type. ' Code Method 'Sq-Ft Acres Infiu Y/N Value Class 2 2304 2 C 1842 1975 266,460 1 P 325 S 11370 0.26 154,859 Groups: DETACHED STRUCTURE INFORMATION Id Cd B-FL-A Firs Unt 1 325 1320 1 0 Sir Unit_ Msr-1 Msr=2 E-YR-Bit Grade Cond%Good a/FfE/R .Cost Class 2 325 2304 1 0 AS S 3000 1980 A A ///86 4,700 3 3 325 984 1 0 VALUATION INFORMATION 4 325 2304 1 0 Current Total: 433,600 Bldg: 278,700 Land: 154,900 MktLnd: 154,900 Prior Total: 433,600 Bldg: 278,700 Land: 154,900 MktLnd: 154,900 SKETCH PHOTO �y 'y a4 3~ 5 JOHNSON STREET " M 1k 4 Parcel ID:210/096.0-0025-0000.0 as of 7/6/06 Page 1 of 1 FROM :M.P. Roberts Insurance FAX NO. :19786833147 Sep. 18 2006 10:10AM P1/1 ARD- ; CERTIFICATE OF LIABILITY INSURANCE oA/15/20 Y) PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION M.P.ROHERTS. INSURANCE AGENCY INC. ONLY AND CONFERS NO RIGHITS UPON THE CERTIFICATE MOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 1060 OSGOOD STREET ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW, NORTH ANDOVER MA 01645 978-683-807'3 _ INSURERS AFFORDING COVERAGE NAIL# INSURED TYulk NMOE IJMSCAPE INSURER A! ZURICH^�- CONTRACTOR INC. INSURER B: _ 100 i*STER STREET INeuREA C: __....., NORTH ANDOVER, MR 01845 INSURER 0: AMR_ICAN HOME ASSURANCE CO INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTEb BELOW HAVE SEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT;TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE 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 MAY HAVE BEEN REDUCED BY PAID CLAIMS. R '^ O ICV E ECTNE POL Y LIMITS 9N E POLICY NUMBER OATS D MMIOWYY GENERAL LL48ILITY EACH OCCURRENCE 1 1,000,000 X COMMERCIAL GENERAL LIABILITY PREMISES ES OCCARW , 12,000,000 CLAIMSMAOE ®OCCUR MEOEXP(ArV9MperPm) s 10 000 A SCP 00659757 02/28/06 02/28/07 PERSONAL a ADV INJURY 6 .1,000,000 GENERAL AGGREGATE _6 2,000.000 OEML AGGREGATE LMT APPLIES PER PRODUCTS-COMPIOP A00 = 2,000,O0O-. POLICY I I T&" 71 LOC r AUTOMOBILELIABILITY COMBINED SINGLE LIMB ANVAUTO (Esecaidenl) a M ALL OWNED AUTOS DODILY INJURY SCHEDULED AUTOS (Pe1 peraan) 1 HIRED AUTOS BODILY INJURY NON-OWNEDAUTOS (Parauddenl) a _ M PROPERTY DAMAGE (Pereockw") GARAGE LMILITY AUTO ONLY-EA ACCIDENT 1 - .�A14YAUTO OTHERTHAN EAACC S AUTOONLY: AGG / FXCESSWO.RELLA LIA91UTY EACH OCCURRENCE a OCCUR: ED CLANNSMAOE AGORF„„OATS Ja DEDUCIBLE a RETENTioN s a WORKERSCOMPENSATIONAND IT ATU R RB LIABILITY AW PROPRIETCWA47M 1P—TVE WC 670-10-24 05/04/06 05/04/07 E.L•EACH ACCIDENT 50.0-S-00 C D OFFICER11�ER EICUiOEOt F.L.DISEASE-EA EMPLOYE 1 Y. D 000 SPEC IR�demVISIONSbelow E.LDISEASE,POLICY LIMIT 1 5001000- OTHER . DESCRIPTION OF OPERATION8I LOCATIONS IVEHICLES I EXCLUSIONS ADDED BY ENOORSEMENTI SPECIAL PROVISIONS 8' 970-607-1942 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION BRICK STORE CO DATE THEREOF.THE 1SWNG INSURER WILL ENDEAVOR TO MAIL 10 OAYS WRITTEN C/O STEVENS FOUNDATION NOTrcE To rile CERTIFICATE HOLDER NAMED TO THF.LEFT,BUT FAILURE TO OO SO SHALL 3 JOHNSON STREET IMPOSE.NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER.ITS AGENTS OR NORTH ANDOVER NA 01845 REPRESENTATIVES. AUYH I EPREB ACORD25(3001108) RD CORPORATION 1000 FROM :M.P. Roberts Insurance FAX NO. :19786833147 Sep. 15 2006 03:00PM P1i1 DAM(MMIDDIYYYY) AGORM. CERTIFICATE OF LIABILITY INSURANCE 9 5 .106 1 RODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION M.P.ROBERTS INSURANCE AGENCY INC. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 1060 OSGOOD STREET ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW, NORTH ANDOVER MA 01845 978-683-8073 - INSURERS AFFORDING COVERAGE NAZCA ISUREDTYLER MUNROE LANDSCAPE INSURER A: ZURICH_ CONTRACTOR INC. INSURER p. 100 FOSTER STREET INSURER C:..-.. _ _ -- NORTH ANDOVER, MA 01845 INsuRER D. AMERICAN HOM ASSURANCE CO �6 —3 INSURER E: "OVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN 13 SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE OMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. PRNUNTF CTIV PSLICY E(P T10N LIMITS TYPEOrINSURMCE POLICY NUMBER DATEI ATE IYY FACH OCCURRENCE $-1-10 OL000 GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY PREMISES E S 1109010M 10,. 00 CLAIM8MAOE L.l OCCUR MFDF�tP(ArWnra+Petreanl i . A SCP 00659757 02/28/06 02/28/07 PERSONALSADVINJURY s 1,000,900 GENERAL AGGREGATE_ s 2,00 0 Al-009 009 GEWL AGOREGATE LIMIT APPLIES PER' PRODUCTS-COMPIOP AGO i 2.000. OOQ Pot ICV 0JE LOC ACOMBINED SINGLE LIMIT UTOMOBILE LIARILITY i (Ea�cddeni) ANYAUTO _ lINJURY ALLOWNEDAUTOS fi'er W90n) I SCHEDULED AUTOS HIRED AUTOS BOOII.YINJURY I (PerecGd�M) NON.OWNEOAUTOS ' PROPERTY DAMAGE i (Petmddent) AUTO ONLY•EAACCIDFNT i GARAOF.LIABILITY ANYAUTOOTHER THIAN ACC i AUTOONLY: AGG I EACH OCCURRENCE i EXCESBAJWRELLA LIABILITY _ AGGREGATE OCCUR CI CLAIMSMADE i DEDUCTIBLE s RETENTION i WORKERSCOMPENSATIONAND TORYLIMTCB X EF♦ EMPLOYEAWLIABILITY WC 670-10-24 05/04/06 05/04/07 E.LEACHACCIDENTi 5500,000 AW MWRIETORPARTNER*MCUTIVE E.L•DISEASE"FA EMPLOYRI I 500 D C FFICEPNFJA13ER&O-U0007 IIyee dWMbaunOeT E.L.DISEASE-POLICY LIMIT 6 §00.000 SPECIALPROVISIONSwl w OTHER DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDF"D BY ENDORSEMENT I SPECIAL PROVISIONS rAx 97@-687-1942 CERTIFICATE HOLDER CANCELLATION SHOI)LD ANY OF THE ABOVE DESCRIBED POLICIES DE CANCELLFO BEFORE THE EXPIRATION BRICK STORE CO DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN C/O BTEVENS FOUNDATION N(MCC TO THE CERTIFICATE HOLDER NAMFn TO THE LEFT,OUT FAILURE TO DO SO SHALL 3 JOHNSON STREET IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THF,INSURER,ITS AGENTS OR NORTH ANDOVER MA 01845 REP BE ATIVES, Al 'MPEPRIkA ACORD2$(2001f08) G OROCORPORATION1988 ry LS OPO V .. >h+r'.i�A, .n.,..,.r q+w, •.+•...<:,, .^-,w. t'�`, ."••w M J E H • f• ��'�.. � ,ar...f <,';•^`,}` --�`.,. .� x f ,.-=.• to � ��" O `� co' ; PR -,.GRAN. PROP. C CONC. SIDEWALK � . { o M-� r �-0 ' 0 CIV PROP. TACTILE WAN I N G T Y P �,-- bNA GRADE TO�,STEPS , AS NECESS.; gat � �.>/ '� �� '� , .. . . .�.. . . • . , . - `ta RET. E IS 1. - " {, (/,N JOHNSON PR DGE 'fi .J 71 Cis HEOU-24 TE-8 � }= � NA/L—SET . EL=60 98 65 raj lb 7 t , z '� CR H'ED {� ` " — STONE BU ER 27 W STRIP. 1.0 ;`WIDE J Q mQ�QIn' � y-�f� }, r= s, ,.`.. y� x 0.3m DE ` 96 �o TOWN OF PROP. I=IJLL DEPTH CTI "?NORTH ANDD — 120 MAIN 5 f N/F.