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Home My WebLink AboutBuilding Permit #716 - 30 PENNI LANE 4/5/2007)1b Permit NO: Date Issued: s '0 BUILDING PERMIT TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Date Received /�2 PROPOSED USE Residential Non- Residential 0 New Building J< One family 9 tocnrt a �' TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential 0 New Building J< One family ❑ Addition ❑ Two or more family ❑ Industrial ❑ Alteration No. of units: ❑ Commercial Repair, replacement ❑ Assessory Bldg ❑ Others: ❑ Demolition ❑ Other DESCRIPTION OF WORK TO BE PREFORMED: identification Please Type or Print Clearly) OWNER: Name: l o e> -5 , � Phone: -7F/` Z 3 -!! L 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: $ -71 / ?q- w FEE: $ b-( Check No.: 2,'� 01 Receipt No.: 2o NOTE: Persons contracting with unregistered contractors do not have access to the g arar. and aturdf Agent/Owner Signature `of cod' ragctor �b. 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 o 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 2.2007 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 PLANNING & DEVELOPMENT ❑ COMMENTS DATE APPROVED DATE REJECTED DATE APPROVED CONSERVATION ❑ ❑ COMMENTS . • DATE REJECTED DATE _APPROVED HEALTH ❑ ❑ COMMENTS i 3 0 Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Conservation Decision: Comments Comments Water & Sewer Connection/Signature & Date Driveway Permit Located at 384 Osgood Street ; Dimension Number of Stories: Total land area, sq. ft.: Total square feet of floor area, based on Exterior dimensions. ELECTRICAL: Movement of Meter location, mast or service drop requires approval of Electrical Inspector Yes DANGER ZONE LITERATURE: Yes MGL Chapter 166 Section 21A —F and G min.$100-$1000 fine No It Doe.Building Permit Revised 2007 Location :?- / �� ' C*1e- No. M41-4, v Date " i of 14ORYN TOWN OF NORTH ANDOVER Certificate of Occupancy $ 'sJ�cMust` Building/Frame Permit Fee $= Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # 20174 ----' Building Inspector PnvCO A etc e v 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. AGGREGATE LIMITS SHOWN MAY HAVE -SEEN REDUCED BY PAID CLAIMS. INSR D' POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION UMRS �- GENERALLIABRRY X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $1,000,000 DAMAGE TO RENT 0— $ 500,000 MED EXP (Any Wo parson). S'10,000 CLAIMS MADE 5_1 OCCUR PERSONAL& ADV INJURY $ 1,000,000 B ZBN8161407 7/1/2006 7/I/2007 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPUES PER: PRODUCTS - COMP/OP AGG S 2,00.000 POLICY PRO LOC AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT (Ea .odd.nt) S 1,000,000.00 BODILY INJURY (Pet Person) : C X ALL OWNED AUTOS SCHEDULEO AUTOS X HIRED AUTOS X NON -OWNED AUTOS ADN8162169 7/1/2006 7/1/2007 BODILY INJURY $ (Prrr aocIcI nt) PROPERTYDAMAGE _' (Pu rrocldrrnQ GARAGE L MBILRY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC _ ANY AUTO 'AUTO ONLY: AGO $ EXCESSIUMBREL ALu1BIL(TY EACH OCCURRENCE (.9,000,000 AGGREGATE S 9,000,000 X OCCUR D CLAIMS MADE J = B UHNS167305 7/1/2006 7/1/2007 $ DEDUCTIBLE r $ X RETENTION S WORKERS COMPENSATION AND WC STATU- OT IMITS E.L. EACH ACCIDENT = 500,000.00 A EMPLOYERS' Ll"UTY CUTIVE ANY PROPRIETORIPARTNER/EXEBNL5742 OFFICERIMEMBER EXCLUOEO? 08W 7/1/2006 7/1/2007 E.L. DISEASE - EA EMPLOYEE $ 500,000.00 E.L. DISEASE- POLICY LIMIT $ 500,000.00 If y9S. d0SCr6 r undrrr SPECIAL PROVISIONS below OTHER Blanket Building & Contents B Property ZBN8161407 7/1/2006 7/1/2007 S5,540,OOODeductible$1,000B1ankctButioess Income $4,500,000 DESCRIPTION OF OPERATIONS / LOCATIONS /VEHICLES I EXCLUSIONS ADDEO Illy ENDORSEMENT/ SPECIAL PROVISIONS t Ili v England Window & Door; Inc. Pella Windows & Doors, Inc. ,oudi Road, ,erhill,' MA 61830 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES GE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING USURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE To THE CERTIFICATE HOLDER NAMED TO THE LER, BUT FAILURE TO DO SO SHALL .. IMPOSE NO OBLIGATION OR LU181LITY of ANY KW. WON THE INSURER. ITS AGENTS OR Aumlt=D REPRESENTATIVE . fA �W O t'" AV) v o CZ 00 b N 0 Ua�3� i w �O o� M 0 0 L: a WWa� C� 'd W w vas a b 4 0 o o a 0o aha OW00 o� �. o� o o� o° Ucov v v y z y o ZA w d a H - ZZ w Aaw�� .0 w w � PO � Z rA19 Aa O'OZ aw OG7aaaUv� w CE ao bv ca � ti as o ti .,v, O Z O A b V td w EI tn oCl) m �NN O H W a�iW cu x o 00 ao 0o y w N v 00 ° y � b Vl 3 W o a a W "> Q O ° cn w o " cd F.' +-� Cd � H N � CQ n a � v� 3■ M zw aoa�x )-5 aaaw U L: a 1 O U cd o O U 4 cd -- ce '0 v� cd C O O O 0 3 U��' o o 1-0 4-4 o; a, U 3 �' as •� O •� N CdId U -- a Ld awe= cd C'sCd u ~ 4-4 0,0 p11-40O O U ° r4 C.O N r N 11-4 -. m N " Q V O N U O- 3 O b cd ° tin "'o ° o d O b O v, O N Cod 04 a; `" Cd oco cn M c 0 ° -d o ° cd a ami o 0 jj• O O I�1 C.) V w+ td 0414- C13 oo ff. M o cd Cd -dm �• o b o w an° a� O p0 b 5 Cd c� vii 0 rte.+ C13 1 O U D I V I S I O N (978) 521-7100 (978) 373-8084 Fax 45 Fondi Road Haverhill, Massachusetts 01832 VIEWED TO BE THE BEST 1 � Pella.CorporationArchitect Series DH— Precision Fitt- 0NFRC Vet n Low I Argon Filled National l imim idon Hating Councile - ------ -- ENERGY PERFORMANCE RATINGS ENERGY - t-- 1 - f - U -Factor (U.SJI-P) 0.33 Solar Heat Gain Coefficient— 0.32 --� -_ ADORIONAL PERFORMANCE RATINGS -- (-- - ' - - -- �— - - --- - _ I i - - - - )_ - Visible Transmittance 0.55 -- �— Manufacturer st palates that these ratings conform to applicable NFRC procedures for determining WWI. produa pedornarrce. NERC ratings are determined fore fixed set of environmental corMidons and a specHic product size. NFRC does not recbmmend any products and does not warrant the suRability of any product for any specific use. Fpr more information, call (641) 621-3114 or visit Pella's web site at www. Ila.crom or visit NFRC'.. web site at www.nfro.o — i I - - i WINDOW AND DOOREll .MANUFACTURERS ASSOCIATION I H 7" R30 45x77 1 I J - — ' —r —!-- - CONFORMS T ANSIZAAM"MCIA 101/1-S. 2.97 Complies with HUD UM t11(Pella, IA) li VIEWED TO BE THE BEST 0 IVP -1, O FM4 4 O z E t N O N C O ch • m co c m o Co I m z 0 Z 0 5 0 F. 1 %D da 0 / U 0 i.7 Z o. O H D � I �cm C O•� CD y 0 � h O O •E m m 0 L Cc o a CM< c ev as c Z m �..� N! O C _ C•— •� E c CLCO2 Cl W 0 U) oC W W C9 W N a o o � a C O N a CJ C3 CL C A ea mCAJC o w a cii z o w o c�4 x U a x o nG a x o w a ca Eo � ir. a o r�4 ca a x 94 ° cn vi O FM4 4 O z E t N O N C O ch • m co c m o Co I m z 0 Z 0 5 0 F. 1 %D da 0 / U 0 i.7 Z o. O H D � I �cm C O•� CD y 0 � h O O •E m m 0 L Cc o a CM< c ev as c Z m �..� N! O C _ C•— •� E c CLCO2 Cl W 0 U) oC W W C9 W N o o � C O N C CJ C3 CL C A ea mCAJC O O Ea m C a ca Eo 0� O FM4 4 O z E t N O N C O ch • m co c m o Co I m z 0 Z 0 5 0 F. 1 %D da 0 / U 0 i.7 Z o. 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