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Home My WebLink AboutBuilding Permit #115-2017 - 30 BRUIN HILL ROAD 8/4/2016 _ I NORTH pf wt�ao ,6 qN W4L� f BUILDING PERMIT TOWN OF NORTH ANUOVER ° APPLICATION FOR PLAN EXAMIN Permit NO: 1 Date Received �9 w°gwteo Date lssued:eA Olt �j SSACHusE IMPORTANT:. licant must complete all items on this page LOCATION / Print PROPERTY OWNER � -W,1A r4ylf Print MAP NO/6 PARCEL: ZONING DISTRICT: Historic District yes no Machine Shop Village yes no \XIIJ TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building 0 One family ❑Addition ❑ Two or more family ❑ Industrial ❑Alteration No. of units: ❑ Commercial ❑ Repair, replacement 0 Assessory Bldg ❑ Others: ❑ Demolition ❑ Other 0,Septic n Well t' Floodplain ;Wetlands i7, Watershed District U Water/Sewer '7J 12A4 Ole Identification Please Type or Print Clearly) r OWNER: Name: Address: l CONTRACTOR Name: _Phone: Address: - Supervisor's Construction/License. Ex p. Date: Home Improvement License: Exp. Date: / ) 7o .._ l ARCHITECT/ENGINEER Phone: Address: g. 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: $ f Pio �Z FEE: $ xkz? — Check No.: a 7 3i Receipt No.: NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund i I S g ature of Agent/Ownert,�� Signature of contract BUILDING PERMIT 0 NORTH qA- TOWN OF NORTHANDOVER APPLICATION FOR PLAN EXAMINATION w y 4 Permit No#: Date Received �SSgCH�1`��'t Date Issued: IldPORTANT: Applicant must complete all items on this page LOCATION Print PROPERTY OWNER Print 100 Year Structure yes no MAP PARCEL: ZONING DISTRICT: Historic District yes no Machine Shop Village yes no 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 m �'Septic ❑Wella �I]'FI`ood lame ❑`Weflands�f � �` Watershed�Distnct DESCRIPTION OF WORK TO BE PERFORMED: Identification- Please Type or Print Clearly OWNER: Name: Phone: Address: Contractor Name: Phone: Email: Address: Supervisor's Construction License: Exp. Date: Home Improvement License: Exp. Date: ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE:BOLDING PERMIT.$92.00 PER$9000.00 OF THE TOTAL ESTIMATED COST BASED ON$925.00 PER S.F. Total Project Cost: $ FEE: $ Check No.: Receipt No.: NOTE: Persons contracting with unregistered contractors do not have access to the guarantyfund Sariature oficoritra � Location �-�.r�L 1 Al/�/ No. Date • - TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL41 $ Check# r - Building Inspector ' :.t f V� U i Pians Submitted ❑ Plans Waived,F1, 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 m U FORM { PLANNING M DEVELOPMENT Reviewed On �� Signature_ C MMENTS_ N� �t��-9 (aJ S��dy CONSERVATION Reviewed on 3 Si nature COMMENTS I I \/ HEALTH Reviewed ori Signature COMMENTS Zoning Board of Appeals:Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments Conservation Decision: Comments n Water&. Severer Connection/signature&Date Driveway Permit DPW Town Engineer: Signature: Located 384 Osgood Street FIDEPARMENT,empDumpster on;sitex.,yes.;.,4 ,, , �, no� ``' Located at,1124tMain;Street 'F L1.0 artm nature/Cdate_�y\`t 4�yr•5�r ,pts�~1axrpts<at r�.��"('cr � u•y fir+ :r.k.,„• ," .rb `..w.{w}S•� �'.,\!{ ii ft..-t,tt'`ti• �✓.zy. ^1�',.r"tt 't ;`�-Rh.., .+'PYr i r f COM MENTS•' Plans Submitted ❑ Plans Waivtdr Or. Certified Plot Plan ❑ Stamped Flans ❑ TYPE OF SEWERAGE DISPOSAL Public Sewer ❑ Tanning/MassageBody Art ❑ Swimming pools ❑ Well ❑ Tobacco Sales ❑ Food Packaging/Sales ❑ Private(septic tank, eta Permanent Dumpster onsite ❑ THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM 4 PLANNING & DEVELOPMENT Reviewed On f�� Signature_ C'UMMENTS CONSERVATION Reviewed on � I k-0 Signature COMMENTS t--tj CID r- Q O As We V k HEALTH d � Reviewed on_ _ Signature COMMENTS Zoning Board of Appeals:Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments Conservation Decision: Comments i Water & Sewer Connection/signature &Date Driveway Permit DPW Town Engineer: Signature: FIR -)AE E-- N,T e • .�Located 384ozO-sgoo_� Street koqr iiE DPARrT 60 W Located at 1-24 Mam,Street i" rY#�:�? _ - - P F re pa m nn g ature%dItWl ate ,COMMENTS-f', Dimension Number of Stories: Total square feet of floor area, based on Exterior dimensions. r Total land area, sq. ft.: ELECTRIGAL: 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.$100-$1000 fine NOTES and DATA— (For department use) L ` -� L 1)y 0 4T, L.1__ �P 4b C_ ❑ Notified for pickup Call Email Date Time Contact Name Doc.Building Permit Revised 2014 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 OTE: 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 i Copy Of Contract Floor/Cross Section/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 OTE: All dump ster 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 2012 IECC Energy code Engineering Affidavits for Engineered products OTE: 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:Building Permit Revised 2014 NORT1i Town of 2 t I, s ndover M No. so "1" h ver, Mass, 'LO COC NIC Nl WI[M y1. TIE S U BOARD OF HEALTH Food/Kitchen PERMIT T LD Septic System THIS CERTIFIES THAT .! .. ..... ... BUILDING INSPECTOR . ................................................ .. . g ....7� ZAA10.1 �,�,4.... Foundation has permission to erect .......................... buildings ...... Rough tobe occupied as ..... 1�!e.*=................................................................................................. 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 CONSTjPGTION Rough Service . . .... . .. ... . ... ........ ..... Final BUILDIN SPEC R 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. Smoke Det. j F PROPOSAL MEISNER BREM CORPORATION AND ENGINEERS PLANNERS LAND SURVEYORS PROFESSIONAL SERVICE AGREEMENT CLIENT: Al Ferullo Date: July 20th , 2016 Address: 30 Bruin Hill Road By: KDM Twn/State: No. Andover Ma Proposal #:{Q-5241 Contact: Chris Paquette Merrimack Construction Reference: Telephone: 978-512-9211 E-Mail: chris@mcgl23.com PROPERTY DESCRIPTION: Same as above Owner's Name/Address: GENERAL TERMS AND CONDITIONS: See Attachment A SCOPE OF SERVICES: ❑x Described Below E See Attachment B A. Certified Plot Plan: MBC will inspect the property and locate the building and other improvements on the site and prepare a plan showing the setbacks to said structures to the street and lot lines, and any appurtenances. Fee: $950.00 B. Proposed Plot Plan: MBC will calculate and add the location of a proposed addition to the above referenced plan for the purpose of.a obtaining a building permit Fee: $250.00 C. Stake Lot Lines Set-Comers: MBC will place iron markers at the corners of the lot and wooden stakes along the lines. Optional Fee: $900+/- COMPENSATION SCHEDULE: D Estimated Fee ❑ Time and Material ❑Other ❑x Invoiced Monthly ❑Invoiced at Completion 0 See Attachment C ❑x See Below Estimated Contract Amount: $1300.00 Retainer: 650.00 Date Received: IN WITNESS WHEREOF,the parties hereby execute this agreement upon the terms and the conditions stated above and on the referenced attachments.The CLIENT hereby authorizes MEISNER BREM CORPORATION to perform these services and agrees to pay all invoices upon completion or delivery of said plan. A service charge will be applied to all bills 30 days past due. The rate is 1.5%-per month based upon an annual percentage rate of 18%. MBC also requires a 50%retainer upon receipt of a signed proposal to begin work. MEISNER BREM CORPORATION: CLIENT: By: By: Vice-President Signature Title Signature Kurt Meisner 7/20/16 Print Name Date Print Name Date THIS PROPOSAL IS NULL AND VOID IF NOT EXECUTED WITHIN 30 DAYS ❑x 202 Main Street—Salem,NH 03079 phone: (603) 893-3301 fax: (603)893-1977 �y From 1:ristopher ShanahaiFax:(888)465-7642 To: +19786889542 Fax: +19786889542 Page 5 of 5 07/12/2016 1:14 PM y' Licensed and Insured clarig shawhan a Westech Drive Iln k 1 ' `3' gsoo,MA 0179 978-512-9211 A]Fero 30 Bruin MU Ind. Forth Andover, MA 01845 June 3, 2016 Proposal ® Dig Necessary footings in specified areas a Fill with concrete a Frame deck with pressure treated lumber.tying into existing deck 13'x 26' ® Install necessary joist hangers and lag.bolts. . a Frame necessary opening towards left comer deck with necessary reinforoemeNts to support hot tub 0 - tall new cOmWsite deet g;matehing-existingdeckina,best effbrft made a Install new vinyl post and rail and baluster system around perimeter,securing as needed a Add extra support as needed to exisfingdeck ® Hot tub pick up m ' a .dick up and dispose of all debris 0 Permit included Total Cost:$14,500.04 d b'(9illSloffis: Vi-due at signing of contract 7/due upon completion of job Amy changes or add-ons in contract ill be drain up and signed by both parties Acceptance of Proposal The above process,specifications and conditions are satisfactory and hereby aecepfgd.,You are authorizer}to do the work specified. Payment will o in abo%� .- Cirttup,Inc. Homeowner or Autho ' ed 13te Date Thank you for choosing.Menimack Construction Group,Inc. 77 / 10 \L- I, �0 From:Christopher ShanahalFax:(888)465-7642 To:+19786889542 Fax: +19786889542 Page 4 of 5 07/12/2016 1:14 PM AC-�® DATE(MMIDDIYYYY) AC" CERTIFICATE OF LIABILITY INSURANCE 6/30/2016 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT PattyJensen NAME: Tonry Insurance Group, Inc. gHCNNo Ext): (781)861-1800 FAC No:(781)861-1804 238 Bedford Street E-MAIL ADDRESS: y'certs@tonr com INSURER(S)AFFORDING COVERAGE NAIC# Lexington MA 02420 INSURERAEndurance American Specialty 41718 INSURED INSURER B Commerce Insurance 34754 Merrimack Construction Group, Inc. INSURER C Evanston Insurance Company 35378 1 Westech Dr Ste 1 INSURERD: INSURER E Tyngsborogh MA 01879 INSURERF COVERAGES CERTIFICATE NUMBER:CL1632212776 REVISION NUMBER: THIS IS TO CERTIFY THAT 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 IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. S TYPE OF INSURANCE POLICY EFF POLICY EXP LIMITS LTR INSD WVD POLICY NUMBER MMIDD/YYYY MMIDDIYYYY X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 AMAGE IQ HEN A CLAIMS-MADE 111 OCCUR PREMISES Ea occurrence $ 100,000 CEC10004160003 2/4/2016 2/4/2017 MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GFEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY LOC PRODUCTS-COMP/OPAGG $ 2,000,000 OTHER: $ AUTOMOBILE LIABILITYOMB? ED SINGLE L7MTT-- $ 1,000,000 B ANY AUTO BODILY INJURY(Per person) $ ALL OWNEDX SCHEDULED LJ2069 4/23/2016 4/23/2017 BODILY INJURY(Per accident) $ AUTOS AUTOS NON-OWNED PROPERTY DAMAGE X HIRED AUTOS X AUTOS Per accident) $ X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 2,000,000 C EXCESS LIAB CLAIMS-MADE AGGREGATE $ 2,000,000 DED I I RETENTION$ XOBW6372216 2/4/2016 2/4/2017 F $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y/N ISTATUTE I JER ANY PROPRIETOR/PARTNERIEXECUTIVEE.L.EACH ACCIDENT $ OFFICERIMEMBER EXCLUDED? F-1 N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ D Rented/Leased Equipment IM8994422 8/18/2015 8/18/2016 Replacement Cost 200,000 Deductible 1,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,maybe attached if more space is required) Project: 30 Bruin Hill North Andover, MA 01845. Certificate Holder is an Additional Insured, when required by written contract, but only to the extent provided in the Additional Insured endorsement(s) attached to the policy, a copy of which is available upon request. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Town of North Andover THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 1600 Osgood Street ACCORDANCE WITH THE POLICY PROVISIONS. Building 20 Suite 2035 North Andover, MA 01845 AUTHORIZED REPRESENTATIVE L Tonry Jr./PATTY) ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD INS095 nmann From:Christopher ShanahaiFax:(888)465-7642 To: +19786889542 Fax: +19786889542 Page 2 of 5 07/12/2016 1:14 PM Office of Consumer Affairs and Business Regulation WIM10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improvement Contractor Registration _ w7 Registration: 172286 - Type: Private Corporation k= Expiration: 6/7/2018 Tr# 289375 MERRIMACK CONSTRUCTION GROUP ',IN_,vu :A%:"✓., CHRISTOPHER SHANAHAN 1.. -. _-__.................... ........_. 1 WESTECH DR. -- ---- — _. TYNGSBORO, MA 02187 _._.:..:.;: < ;w' .........._...._........................._......--..................... ......... . . . ..........._..._..-.._......--_-.__ .........._..-.-- .=%'f Update Address and.return card.Mark reason for change. Address ,.... Renewal Employment ? ':, Lost Card SCA 1 :5 2OM-05!11 Con �'C=T1247k irlO&Bu mess Regulation nfLr License or registration valid for individual use only Office of Consumer Affairs&Bus ness Regulation g y HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: = x s Registration-,% x.72286 Type: Office of Consumer Affairs and Business Regulation 10 Park Plaza-Suite 5170 Expiration:._6(II2018 Private Corporation Boston,MA 02116 MERRIMACK CONSTRUCTfON GRQUP, INC. CHRISTOPHER SHANAHAt[:`:'::;: WESTECH DR. TYNGSBORO, MA 01879. :. .. ...,. �Vaid� --......_.—..........................L'ndersecretary hout signature Massachusetts Department of public Safety Uf Board or BuildingRegulations g latiors ant!Standards License: CS-023707 1tPt5riiC vi. L3 �'Tfis ;.t JOHM13 P SHAAIAHAiV 66 CHERYL LEE LANE LOWELL MA 04854 �^^ l Expiration: Commissioner 10/06/2017 r N cr N 163 9Z 3p,E. w� 64.=96' 1 N78°33/p5200' WIDE . / s87 �5 E 1�kW ENGLANI PUW]99 <" _ COMPANY EASEMENT MAP 104- - ss� / BLOCK 96 LOT 0 F 1 87,122 S.P.± s8365.54'365.54'6? 65.54' 6°371 b PROF. 12'X20' �DEC AADITION EX- EXISTING DECK Q' DWELLIN C . �C} / 60.8 // 59.0' A�'ti 1 ) w 30f L N6.6 ul 5.57 WAVED 1�- : 1, 2ti �'"`-� I♦ t SIDEWALK 'N EDGg; C! PlIVIi U4f Li7f AWtA 87,120 .S F, k/ll/mum FRoNAGE — 175' Mik#LD/NG $E7940M Jo 'EET S/QE -V FEET REAR -I0 FEST Rc`�0- CE PLAN, 'PLA1V OF LAND /N 1V,0.R1N ANDOVER, UA 7$. PROPO'S'ED PLOT PLAN PREPARED FOR ✓EN COR CONSTRUMIOIu �oJ / 0 Q INO ..SURVEYED BY ATZAAN71C ENG/N�ER41 O & VO WIN/ A / /D. SURV Y CONSULTAIV75 INC. DATED JUNE 6, IVOf�11r A NIW I , 4 1990 AND RECORDED //V THE E.N.R v A..S PLAN s OF PREP KE1.� FOR.- ME IER BREVA CORPORA 1'1_ON 1-f"86 KU s °y l CART/F AT/ON.• M N y ME I CM C MUC202 MAIN 5111�EET, SALEM, NH.03079 ( `- 7 HEREBY CERTIFY 75YAr THE PROPOSED .� 142 UYXr t3N RD., STE. 16, NI W MA 01886 (978�j 602-1313 J D,&CA° DOLS CONFORM TO THE TOWN OF �s� O E 'S NORTH ANDOVER Z©N O BY—LAWS R,&GARi9ING SETBAC 5 ;10 STREET LINE,' AND ALBERT J I RULLO PLAN / wrrHoUr � 30 BRUIN HILL RD. si EuN REo su/avEroR s sE41 NOR1H AWOVER, MA 01845 c avre w O SCALE 1» = 60FT. SHEEN• 1 OF 1 A TF JULY 1 , 201E JOB NO.: 2577