HomeMy WebLinkAboutBuilding Permit #706 - 31 HEWITT AVENUE 5/23/2006Permit NO: L
Date Issued:*�19A
TOWN OF NORTH ANDOVER
,APPLICATION FOR PLAN EXA, InATION
INIPORT:ALNT:.lpplicant must
Date Received:
all items on this
LOCATION 31
Print
PROPERTY O\k'N'ER f
Print
MAP NO.: PARCEL:
ZONING DISTRICT:
TYPE AND USE OF BUILDING HISTORIC DISTRICT
TYPgDemolition
VEMENT PROPOSED USE
Residential
= - One family
- -Two or more family
.- No. of units:
__ ement Assessory Bldg
iu�ic
T- Movin (relocation) - Other
= Foundation onl
DESCRIPTION OF WORK TO BE PREFORMED
Identification Please Type or Print Clearly)
OVb'NER: '.name:
YES ❑
Non- Residential
- Industrial
Commercial
Others:
Address: �-
CONTF—\CTOR Name: L --
Address: iS� �, ��� ii'�- f—N 6� ('�c� YVL4 b W(" 2
of Super,, isor's Construction License: C !�7 �1 y%� Exp'
nd
Home Improvement License: Exp'
�RCI-II-1,[-C f [;tiCENL ER \:,imc:: I'hcnc::.-
\cidress:
Reg. No.
Date: � 13
Date: �� 2! I Q 1
FEEE SCHEDL LE: BL LDIAG PERMIT: .510.(10 FE'R S;900.000F THE TUT I L E'STIM I C TED OST 19ASED D:1 S125-0# PERS F.
Total Project Cost :$_—
p a x10.00= F'EE:$_ �_
c:r.ecl: ti<,.: /,� / Receipt No.:��
11:1-;w 10, 4
TYPE OF SE\VARGE DISPOSAL
Public Seiner _
well _
PriNate (septic tank, etc.
Tanning'blassage Bode Art
Tobacco Sales
Permanent Dumpster on Site _
Skimming Pools
Food Packaeiniz Sales
Electric Meter location to
project
NOTE: Persons contracting with unregistered contractors do not have access to the guaranty•Jund
Signature of .Agent; Owner Signature of Contractor
Plans Submitted Plans Waived Certified Plot Plan Stamped Plans
THE FOLLOWING SECTIONS FOR OFFICE USE ONLY
INTERDEPARTMENTAL SIGN OFF - U FORM
PLANNING & DEVELOPMENT
CONINIENTS
CONSERVATION
COMMENTS
4�
HEALTH
CO�IMEN TS
toning Board of appeals: � ariance. Petition No:
%oning Decision receipt submitted \ es
DATE REJECTED
❑ �i
❑Water Shed Special Permit
Site Plan Special Permit
Other
DATE REJECTED
DATE REJECTED
i'!annin;; t3 �,ird (-�ccisiun: Comments
isen,uicn Doer ion: Comments
V,,k:r u Se;.er 'crnection ;i ,naturc & mate
�rnp I:nunpster cn �itc ,,cs— no — .-ire Dgairtment :nature Jatc
Building Pcrmit Approic;d and Issued by: _`1
DATE APPROVED
DATE APPROVED
El
DATE APPROVED
Building Setback (tt.)
Front Yard
Side Yard
Rear Yard
E]
Required
ProN ided
Required
Provides
Required
Provided
DIMENSION
Number of Stories: Total square feet of floor area, based on Exterior dimensions.
Total land area, sq. ft.:
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
j Workers Comp Affidavit
J Photo Copy Of H.I.C. And/Or C.S.L. Licenses
j Copy of Contract
:I 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
o Floor/Crossection/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydn
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
kppeals that the appeal period is over. The applicant must then get this recorded at the Registry of Decds. One copy a
proof of recording must be submitted with the building application
1\1<I'F("1'11)\ \I ',I: RN I('F".; DFT `.It'I1IF' 1':iI1'1r)14'
I'.i"� 4 1 1 1
Location,
No. 0 Date �/ 3
NORTH TOWN OF NORTH ANDOVER
L
e ; . Certificate of Occupancy $
Building/Frame Permit Fee $ 5
Foundation Permit Fee $ ,
Other Permit Fee
! (� TOTAL
Check # i d
I M9
wilding Inspector
PPO
pOSAt
L.E. Morgan Construction Company We Accept:
0 86 Billerica Avenue, Unit #7I
VISA'
N. Billerica, MA 01862
Office: (978) 670-4747 / Fax: (978) 670-6477 ,
FNUVUJALJUHMI I I LU r0
CIN, STATE, AND ZIP CODE �
1 t `
CONTACT 'CELLPHONE
PHONE
t�
JOB NAME
JOB LOCATION
OTHER
DATE
We hereby submit specifications and estimates for:
Strip down to the wood deck, i tr L% .1r layers of shingles:
r. r t
Install t r 4 r !. , ,. `'�., r L • ' .., ..t feet of Ice & water Shield in Valleys.
J�
Install 8" aluminum drip edge on all perimeters, color choices: '�J White, ❑ Mill, ❑ Brown, ❑ Copper.
Install , j ';.::,t �; ; , ; } / lb. Felt Paper on theAShgles,
er of the wood decking.
ear
Install z � , Year ; Ir-- 1 , r. - t Ir Architfctura� Aspha and Hurricane Nail.
Install Ridge Vent Manufactured by 1 to all ridges and dormers.
Install 0 New Skylight Flashing Kits Mfg. By
Flash all Cheek Walls, Pipes, Skylights, and penetrations to manufactures specifications.
Remove existing lead flashing on A/L % I — t,,) 10 t� t,� Chimneys and Install New Lead Flashing.
Install Matching Cap Shingles to all Ridges, Hips, and Dormers.
Disposal of all Roofing related debris to a licensed Recycling Facility.
F
WE PROPOSE hereby to furnish material and labor -complete in accordance with above specifications, for the sum of:
dollars ($ t 4r t ).
All material is guaranteed to be as specified. All work to be completed in a workmanlike
manner according to standard practices. Any alteration or deviation from above
specifications involving extra costs will be executed only upon written orders, and will
become an extra charge over and above the estimate. Our workers are fully covered by
Workmen's Compensation Insurance and Liability Insurance.
Authorized Signature:
Note: This proposal may be withdrawn ,,.. �
by us if not accepted within days.
S
ACCEPTANCE OF PROPOSAL - The above prices, Date of acceptance:
specifications and conditions are satisfactory and are hereby
accepted. You are authorized to do the work as specified. Authorized Signature:
Payment will be made as outlined above. Authorized Signature:
Additional Remarks:
THANK YOU FOR CHOOSING L.E. MORGAN CONSTRUCTION
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APR -27-2006 10:40 A&K FOWLER INSURANCE LLC 9786642209 P.01
ACORP,.. CERTIFICATE OF LIABILITY INSURANCE °84/2 /066
PRODUCER THIS CERTI FIC ATE IS ISSUED AS A MATTER OF INFORMATION
A & K Fowler Insurance, LLC ONLY AND CONFERS NO RIGHTS UPON T HE C ERTIF ICATE
200 Park Street HOLDER THIS CERTIFICATEDOES NOT AMEND, EXTEND OR
North Reading, MA 01864 ALTER THECOV ERAGEAFFDRDED BY THE POLICIES BROW.
INS UR®
L. E. Morgan Construction
13 Michael Rd.
Billerica, MA 01862
COVERAGES
INSURERS AFFORDING COVERAGE ' NAIC #
INSURER A. Western 'World Insurance CO_ID_pa I
NSURER B'. Sa:!oty Insurance Company
'NSURERC: Granite State Insurance Com d
{ INSURER D:
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED 70 THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING
ANY REOUIREMENT, TERM OR CONDITION OF ANY CCNTRACTOR OTHER DOCUMENT WITH RESPECTTO WHICH THIS CERTIFICATE MAY BE ISSUED
OR
MAY P' RTAIN, THE INSURANCE AFFORDED BY THE POL!C E.S DESCRIBED HEREIN
IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS
OF SJCH
POLICIS$. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
Q*Ur � p�
IN RD PE C POLICY NUMBER &ATE(6EAM/DDInYY DATE A1SNDN N LIMITS
---
GENERAL LIABILITY
EACH OCCURRENCE
1,0001000
A i
IX COMMERCIAL GENERAL LIABILITY {!Ran #NPP925488 I
_IS
4/13/06 4/13/07�—PRAEMSETORZurcrzr+
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50,000
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CLAMS MADE L� OCCUR I
npeo &P (A ony P..)
6
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PRODUCTS - CCMP/OPAGG
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POLICY I _., PRS ` I
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AUTOMOBILE LIABILITY
ANY AUTO 11803366
{COMBINED SINGLE LIMIT
10/21/05 10/21/061(Ea 'CCdem)
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ALL OWNED AUTOSBODII
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12/14/05
12/14/061-"'
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100,000 00,000
ANY MOPP IETORIPAR TNER9XECUTNE
OFFICERMEMBER EXC�UDED?
E.L. DISEASE fJi • EMPLOYEE
$
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SPECIAL PROVISON6DeDW
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E.L. DISEASE• POLICYLIMIT
;E
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Insurance verifioation
WL I rIWM I a 17V6W&M UAWk:LLATIVN
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CAN GELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUINGINSURER WILL ENDEAVOR TOMAIL 10 DAYSWRITTEN
TOWS of Tewksbury NOTIC ETO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO 80 $HALL
Tewkmbury, MA 01876 IMP06EN00%IISM)110NORLIABILITYOF/WYKINDUPONTHEINSURER,ITSAGENTSOR
AUTHORZED
ACORD 25 (2001108) (J ACORD CORPORATION 1988