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Home My WebLink AboutBuilding Permit #031 - 3 MASSACHUSETTS AVENUE 7/25/2006 TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION 0 1 DrH 0 OL O A M Permit NO: o3/ Date Received -� � i � '► ro ( Date Issued: 5 '"0 ` ,SSgCNUS�.( IMPORTANT: Applicant mist complete all items on this page LOCATION 3 X, Print PROPERTY OWNER —5V9<1—c Print MAP NO.: PARCEL: ZONING DISTRICT: TYPE AND USE OF BUILDING HISTORIC DISTRICT YES ❑ TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential New Building F One family .- Addition - Two or more family Industrial I! 415*k"lteration No. of units: epair, replacement 7, Assessory Bldg 460mmercial Demolition I Moviniz(relocation) u Other -i Others: Foundation only DESCRIPTION OF WORK TO BE PREFORMED Identification Please Type or Print Clearly) OWNER: Name: S'Ustm� a Br�'S'� Phone: ��-Q 3.31 Address: 3 lrtkY5 c/t /y.AN,00(,� 4 CONTRACTOR Name:,- r, Phone:l-/`'7d' '4/�S��v��a'� Z address: � ✓ C 411* .'Supervisor"s Construction License: G ® ! 7" Date: 0�►' uine I4nprovanent License: —// (0-d ,,�p. Uate: Z�' 0 ,\RCI III-ECT, ENGINEER Na ne: Phone: E Wdress: Rig. No. FEESCHEDULE:BULDING PERMIT:510.00 PER$1200.00 OF THE TOTAL ESTIMATED COST BASED OA 5125.00 PE.R S.F. Total Project Cost :$ �1 !�G xl2.00=FEE:$ 1 Check No.: /(jl,� -��a�di �. Receipt No.:_ /12417 � Pa!-,e 144 i 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 a Surveyed Plot Plan ❑ Workers Comp Affidavit o 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 ConstructionSin le and Two Family) ( g Y) a 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 ❑ ;�1ass 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.SEIRN RTS DEPARl'N1EN'r:11PFOR\1115 Im i TYPE OF SEWERAGE DISPOSAL, Swimming Pools �� Tanniny'Massager"Body Art Public Sewer Tobacco Sales Food Packaging Sales Well — Permanent Dumpster on Site Private(septic tank,etc. _ Electric deter location to project NOTE: Persons contracting with unregistererl contractors do not hcV&aCuessxto--the gJ111 113". Signature of Agent'Ownet ' �WSiE-natu g..Oft coiitr" for Plans Submitted Plans Waived 'J Certified Plot Plan ❑ St rope 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 + IJ Other COMMENTS DATE REJECTED DATE APPROVED CONSERVATION ;'_) COMMENTS 4 DATE REJECTED DATE APPROVED HEALTH � 4 CONINIENTS i Zoning Board ot'Appeals: Variance. Petition No: /oninv Decision;receipt submitted }cs Plannimty Board Decision: Comments Conservation Decision:_ Comments �\-ater& Sewer connection,Signature& Date Driveway Permit Temp Dempster on site yes_no Fire Department signature:date Building Setback (ft.) Front Yard Side Yard Rear Yard Required Prov ided Required Provides Required Provided Dimension Number of Stories: Total square feet of floor area, based on Exterior dimensions. Total land area, sq. II.: NOTES and DA rid—(For department use) P:I,"C3 of I C: ;'-AI I(LS!)I:PAR I"ALN 1:1;111 Location No. 6 -2 Date NaRT� TOWN OF NORTH ANDOVER f - p • Certificate of Occupancy $ sACNUs t�' Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ t Check # ood D,97"�V� _�� t Building Inspector FROM :C&G Associates, Inc. FAX NO. :19784582676 Jul. 21 2006 02:49PM P2 it .16 ASSOCIATES, INC. GENERAL COWRACTOR 7 CHUCK DRIVE • UNIT C+ DRACUT, MA 01826 TEL; (978)458-2026 FAX- (978)458-2675 Proposal To. Merrimack Valley Oil C®. I �,'t a 3 Mass Ave. } ` «. .r North Andover, MA 01845 9�� 1' •T 43 7/12/2006 Interior Renovations 06-10015 4.� }'y I 0, °rk 9ij. y l.T� 4�n:; .M ji �s•�r. I ; �� . We will supply labor, materials&equipment to do Interior renovations to offices according to site visit& conversation with Tom. 1.insulate exterior walls with 6" insulation. 2.Shim walls were needed for new sheetrock. 3.Supply& install 1/2"firecode sheetrock on exterior&interior walls, &extra layer between office &garage. +.Supply& install insulated panel for exterior glass wall. 6.Supply& install{9)new doors {7)doors will be 6 panel hollow core masonite with prime jams(2)doors will be metal. 6.Apply(1)coat of primer&(2)coats of finish paint to all new walls&doors. 7.Spray paint ceiling. {8.Remove all debris from site. f 21,000.00 I We propose hereby to furnish material and labor-complete in accordance with the above specifications,for the sum of: $21,000.00 Payment to be made as follows: Upon Completion All material Is guaranteed to be as specified. All work to be completed In a Authorized Signature 12 professional manner according to standard practices. Any alteration or deviation from above spaeifivations involving extra costs will be oxomdod only upon written orders,and will become en extra charge over end above the estimate. Ail agreements contigent upon strikes,accidents or delays {Veto; This proposal may be withdrawn beyond our control. Owner to carry fire,tomado,and other necessary Insurance. Our workers are fully covered by Worker's compensation by us if not accepted within 30 days. insurance. Acceptance of Proposal-The above prices,specifications and conditions are satlstactery and am hereby accepted. YoU era aUthorized to do the Signature work as specified. Pa)mtent will he made as outlined above, Date of Acceptance Signature � NOR1',H � Town of � , over o dover, Mass.,�2• /fesCOCMICMEWICK %ADRATED i`P�\ c-' S � BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System �� BUILDING INSPECTOR. THISCERTIFIES THAT..*3....................... a.................. ....................................................... Foundation has permission to erect........................................ buildings on .,3......nA*.�....0,/.A..................... .......... Rough to be occupied as....S"6dT� A.&.�........�oo�.�.`...... ... .. �.�...�. 'II'4............ Chimney cce tin this permit shall in eve respe conf m to the terms of t?ea��116tlon on file inprovided that the person a p g p ry PFinal 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. IVFicoadePL UMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PENT EXPIRES IN 6 MONTHS UNLESS CCJNS N STARTS , ELECTRICAL INSPECTOR Rough ................................... Service �''"'BZ7ILDI�'iNSPECTOR 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. Jul 25 06 07: 56a Susane M. O 'Brien 978-957-0347 p. 1 Aq✓OR, CERTIFICATE OF LIABILITY INSURANCE OP ID C4 DATE(MMiOD1YYYY) I PRODUCER CGASSO1 07/21/06 CHARLES J COUGHLIN THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION INSURANCE AGENCY ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 14 DINLEY ST. P.O.BOX 10 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. DRACUT MA 01826-0010 Phone_978-957-3588 Fax:978-957-6612 INSURERS AFFORDING COVERAGE NAIC9 (INSURED ^- INSURERA: National Grange Ins Co 14788 INSURER B: Liberty mutual Insurance Co. ' _15628 C & G Associates, Inc. —_--_—.. _ ...— Richard Charette INSURER C: -----_ P. 0. BOX 637 INSURER D: —.-- — — - Dracut MA 01826 _ INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD tNDICATED.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, NS DD L- P�FXPIRA N LTR NSRD TYPE OF INSURANCE POLICY NUMBER POU CY- CDATE V.WDDIY IVE DATE MMJDDIYY LIMITS j G ENERAL LIABILITY EACH OCCURRENCE S110001000. - AA AMLlrt L7FB48499 04/19/06 04 19 07 ��_REN -- — — — / / DREW(SES Ea occurence) 5500,000. CLAIMS MADE c OCCUR — MED EXP(Any one person) S10,000 —` PERSONAL&ADV INJURY S110001000. GENERAL AGGREGATE S 2,000,000. GEN'L AGGREGATE LIMIT APPLIES PER: —— �'— i IPOLICY PRO- PRODUCTS-COPAP!OP AGO S 2,0 0 0.,0 0 0_- JECT LOC — — AUTOMOBILE LIABILITY � COMBINED SINGLE LIMIT J ANY AUTO M9B48499 07/24/06 07/24/07 (Ea accident) S 11000,000 ALL OWNED AUTOS I BODILY INJURY +� X�SCHEDULED AUTOS (Per person) S X�HIRED AUTOS - ---- BODILY INJURY _X NON-OWNED AUTOS (Per accident) I S PROPERTY DAMAGE S _ _i---------' (Per accident) j GARAGE LIABILITY AUTO ONLY•EA ACCIDENT S -_ ANY AUTO EA ACC S OTHER THAN —�-- _ AUTO ONLY: _.AGG S - - EXCESS!UMBRELLALIABILITY EACH OCCURRENCE 5 2,OOO,OOO A P7X OCCUk ct.AllvsNUDE CUB48499 04/19/06 04/19/07 AGGREGATE 1$2,000,000 DEDUCTIBLE ---.._—j_$. ."---- — i �S RETENTION $Q - I WORKERS COMPENSATION ANDWC STATU- H-1 TORY LIPAITS,�_ER EMPLOYERS'LIABILITY J ANY PROPRIETOR/PARTNER/EXECUTIVE C-5-31$-347260-013 08/20/05_, 08/217/06 1 E,L.EACH ACCIDENT ;S1,000,000 ` B UFFlCER!MEMBEREXCLUDED? IWC-5-31S-347260-013 08/20/05 08/20/06 1 E.L.DISEASE-EA EMPLOYEE S_1,000,000 If yes,describe under SPECIAL PROVISIONS below j E.L.DISEASE-POLICY LI OTHER IdiT S 1,0 C 0,C 0 0 A , Fire Insurance MPB484991 04/19/06 04/19/07 Installat $50,000.00 A Equipment Floater MPB48499 04/19/06 04/19/07 Floater - DESCRIPTION OF OPERATIONS P LOCATIONS P VEHICLES!EXCLUSIONS ADDED BY ENDORSEMENT 1 SPECIAL PROVISIONS Carpentry, I CERTIFICATE HOLDER CANCELLATION MERVALO SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE SUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE RTI CATE HOLDER NAMED THE LEFT,BLIT FAILURE TO DO SO SHALL Merrimack Valley Oil Company IMPOSE NO OB GA710jN OR IL OF w I UPON TH INSURER,ITS AGENTS OR 3 Mass Avenue North Andover, MA 01845 REPRESENT IVES. AUTHORIZED EPRE TA ACORD 25(2001108) -6 , ORD CORPORATION 1988