HomeMy WebLinkAboutBuilding Permit #249-14 - 31 ROYAL CREST DRIVE 9/20/2013 TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit NO:P9 `,q Date Received - q I h�1� Date Issued: IMPORTANT: Applicant must complete all items on this page LOCATION ✓1- rfi= t �r� Y �1 Print PROPERTY OWNER J"C 0 le l" bh 1 L Print 100 Year Old Structure yes 4 MAP NO: s PARCEL: ZONING DISTRICT: Historic District yes dD Machine Shop Village yes Q TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building ❑ One family ❑Addition irwo or more family El Industrial ❑Alteration o. of units: VA-P-,i5S ❑ Commercial �2epair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other ❑ Septic ❑Well ❑ Floodplain ❑Wetlands ❑ Watershed District ❑Water/Sewer DESCRIPTION OF WORK TO BE PERFORMED: Identification Please ZhC or Print Clearly) OWNER: Name: A-(lid M ( �Z. L� Phone• lo!-7 Address: V VO �6✓� CONTRACTOR Name: � D ti N Phone: qa 4as b(nD Address: �l ,A 1.f YV X { QP�tZ c 1 I� C)( z r Supervisor's Construction License: [b14U5 Exp. Date: Home Improvement License: Exp. Date: L ARCHITECT/ENGINEER �2t��t2-��NC Phone: n 9 Address: DI LA" o 5� V'd �6k �2�� Re No. P,5 FEE SCHEDULE:BULDING PERMIT.$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ 6 FEE: $ Check No.: w Receipt No.: NOTE: Persons contracting with unregistered contractors do not have access to the guarantyf nd Si nature of A ent/Owner v Sign ture of contractor �r .9 --g- - - -w -a — _ Plans Submitted� Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans Plans Submitted❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ -TYPE OF::SEWERAGEDiSPOSAL Public Sewer ❑ Tanning/Massage/BodyArt ❑ 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: DATE APPROVED PLANNING & DEVELOPMENT ❑ ❑ COMMENTS .CONSERVATION Reviewed on Signature COMMENTS HEALTH Reviewed on Signature p rL,OMMENTS re +� Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments Conservation Decision: Comments Water & Sealer Connection/Signature& Date Driveway Permit DPW Town Engineer: Signature: Located 384 Osgood Street FIREDIEP,ATMENT - Temp bumpster on site yes -no . Located at 124 Mair Street Fire Dbpartine►it signature/date`' a � COMMENTS Dimension Number of Stories: Total square feet of floor area, based on Exterior dimensions. .Total land area, sq. ft.: ELECTRICAL: Movement of Meter location mast or service droprequires q s 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 ® Notified for pickup - Date s E Doc.Building Permit Revised 2010 Building Department The foKswing is'a list of the required.forms to be filled out for the appropriate.permit to be obtained. Roofivg, 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 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 cascs if a variance or special permit was required the Town Clerks office must stamp the decision from the Board of Appeals that the apn,,al period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording must be subm.tted with the building application Doc: Doc.Building Permit Revised 2012 NORTH own of EAndover / 1 h y h ver, Mass T OLAN5 COC NICNl WICK V� �•9 A°a4rEo ►•0�,��5 S U BOARD OF HEALTH Food/Kitchen PERMIT T LD WW �1 , Septic System THIS CERTIFIES THAT`"" �164eA LLt-- BUILDING INSPECTOR .......... .................... ......... ..... ..........:........................ ....................................... has permission to erect ........ g ....................................... Foundation .................. buildln s on .-5...1....... ��... 1_ - Rough to be occupied as .�X: . ..�l.!?� ll.e .. .. .�..!` 1.. .�J....... ..!r.!A:!.I.! 5........ Chimney provided that the person accepting this permit shall in every respect conform to the terms of the ap�cation 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 CONSTRUCTIO TARTS Rough Service ............ .... . .t/.f .:�•r,,.�n:B r.-::,............................ Final BUILDING INSPECTOR 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. SEE REVERSE SIDE NORTH Town of t E : . Andover kt O - " .""k No. h ver, Mass S COCHICKIWICw �'►• �,ds RATED /..Pp��S 1 V BOARD OF HEALTH Food/Kitchen PERMIT T LD Septic System THIS CERTIFIES THAT ... BUILDING INSPECTOR .�. .. . . Foundation has permission to erect .......................... buildings on-5...1...... x... ...................................... gh to be occupied as .� ..�/.! J4 .. .... . .. �J.. . 1rr41 I•n1 ......... Chimney .... ........ ................ ou e provided that the person accepting this permit shall in every reslpect conform to the terms of the aation 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 CONSTRUCTIO TARTS Rough Service BUILDING INSPECTOR Final 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. SEE REVERSE SIDE f ,A0RTy BUILDING PERMIT ,��°� `� '�•"°off TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit NO: Date Received `« Date Issued: SS�IC�iUSk IMPORTANT. A licant.rriust complete all items on this pqge "'tsar " �'� yb f Gret� fate lei.. IrClsfDr # t Z S'�'� ^ 4 ,., . T�FSv 'i i. j6t4: P ?PEI� W�♦N"3�1=R --A PR Oft ' IOIe �' 1P N3 '2,5. PARCE�. Z{ IIGi�IS, RIFT RDIsori: : ;., TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential D New Building 0 One family o Addition y,.Two or more family ❑ Industrial Cf Alteration No.of units: Varies 0 Commercial X1 Repair, replacement ❑Assessory Bldg 0 Others: CI Demolition X1 Other Waterproofing, Stairs& Rails odp"nlra POO '" R}�11(ateg�tt`rlat, _- Provide exterior foundation waterproofing and replace stairwells with railings as necessary at Bldg. #'s 35, 37, 39 &40 Identification Please Type or Print Clearly) Dan Millanazzo OWNER: Name: AIMCO North Andover, LLC Phone: (617) 639-6052 Address: 50 Royal Crest Dr.; N. Andover MA � t° 'rCorne�ston`e�Lrrisltart s ' iii c t :, 6.7' Bo�+�65��;,�Peppri�11.MA 0143 5ueirls�ir' °CgnstfuCiot ,� Se. .�lotatl +,tUisnr� -0ate / p j � �`yqg i 014' "w3„"C."... N.1. -41 Cornerstone Land Consultants, Inc. ARCHITECT/E:NGINEER John A. Visniewski. PE Phare:. (978) 433-8100 Address: 61 Main St.: P.O. Box 657: Pepperell MA 01463 Reg.. No.Mass- PF 29775 FEE SCHEDULE:BOLDING PERMIT:$12.00 PER$1000.00'0F THE TOTAL ESTIMATED COST BASED ON$115.00 PER S.F. Total Project Cost: $ 25,000.00 FEE: $ 300.00 Check No.: Receipt No.: NOTE: Persons contracting with unregistered contractors de not hove access to the guuranty rend Plans Submitted Pians Waived ❑ Certified Plot Plan ❑ Stamped Plans TYPE OF SEWERAGE DCS'POSAL Public Sewer Tanning/Massage/Body Art ❑ Swimming Pools Cl Well ❑ Tobacco Sales ❑ Food Packaging/Sales 0 .Private{septic tank,etc. ❑ Permanent Dumpster on Site ❑ THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF -U FORM DATE REJECTED DATE APPROVED PLANNING & DEVELOPMENT ❑ ❑ COMENTS CONSERVATION ❑ `�� 3 � � � - 1�� � fi/��1C'� COMMENTS-ALL / til IATR�- Ut -41 s � ( ` DATE REJECTED DATE APPROVED HEALTH ❑ ❑ COMMENTS Zoning Board of Appeals:Variance; Petition No: Zoning Decision/receipt submitted�yes��� Planning Board Decision; Comments Conservation De.cisiow. Comments Water& Sewer Connection/signature&Date Driveway Permit Located at 384 Osgood Street R 'DER�MF, �w STP.bu�r► statie' s Y w 7-7 .L f a ? y yxr'�F3 `4 «e.; � 4 �.t r+s. a.:a.r.. `"g_ onrrr TOWN OF NORTH ANDOVER ° " ''• ° OFFICE OF BUILDING DEPARTMENT " 400 Osgood Street North Andover,Massachusetts 01845 D.Robert Nleetta, Telephone(978)688-95454 Building Commissioner Fax (978)688-9542 CONTROL CONSTRUCTION— SECTION 116.0 M.S.B.C. CERTIFICATE OF ENGINEERINGIARCDITECTURE BULDING INSPECTOR TOWN OF NORTH ANDOVER 400 OSGOOD STREET .NORTH ANDOVER MA 01845 I, John A. Visniewski HEREBY CERTIFY THAT THEBUILDING CONSTRUCTED AT Bldg. #'s 35, 37, 39 & 40 at 50 Royal Crest Dr. DOES CONFORM IN ALL RESPECTS TO THE MASSACHUSETTS STATE BUILDING CODE AND APPLICABLE FEDERAL REGULATIONS FOR THE FOLLOWING: Foundation waterproofing and s _ S mage piping at the specified s buildings. �`'� HN cy G AUTHORIZED SIGNATURE: o t� �Ss�a September 13, 2013 I REGISTRATION: Mass. PE # 29775 I , NOTE:ENGINEER"WET STAMP"MUST BE AFFIXED TO THIS FORM Comrol Conswaion Form revised 11.15.2004 BOARD OF APPEALS 688-9541 CONSERVATION 688-9530 HEALTH.688-9540 PLANNING 688-9535 I i I iviassachusetts - Depariment of Public Safety WV Board of Building Regulations and Standards C unstructioll Sutler\isur License: CS-014178 JOHN A VISN.94sl I 94 SBIRLEY T PEPPERELI�MA-013 Commissioner Banlration 11/21/2013 i i ACOORCERTIFICATE OF LIABILITY INSURANCE DATE(MM/°°"YYY' 6/14/2013 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 Ted Noyes W.E. Noyes & Son Insurance Agency, Inc. PHONE AIC. . (978)425-9595 FAXIC,No).(978)425-9160 73 Front St ADDRIESS:ted@wenoyes.com P.O. BOX 1248 INSURERS AFFORDING COVERAGE NAIC# Shirley MA 01464-1248 INSURERAHartford Ins Co 19682 INSURED INSURERB:Sentinel Insurance Company, LTD 11000 CORNERSTONE LAND CONSULTANTS, INC CORNERSTONE INSURERC:Twin City Fire Ins. Co. 29459 P 0 BOX 657 INSURER D:Hanover Insurance Company 2292 INSURER E: PEPPERELL MA 01463 INSURER F: COVERAGES CERTIFICATE NUMBER-CL136740677 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. INSPOLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSR ADD UBR POLICY NUMBER MM/DD/YYYY MM/DD/YYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO R E A CLAIMS-MADE a OCCUR X 8SEATN5795 /3/2013 /3/2014 PREMISES(Any occurrence) $ 300,000 MED EXP(Any one person) $ 10,000 PERSONAL&ADV INJURY $ 1,000,-000 GENERAL AGGREGATE $ 2,000,000 GEN'LAGGREGATELIMITAPPLIES PER: PRODUCTS-COMP/OPAGG $ 2,000,000 X I POLICY PRO LOC $ AUTOMOBILE LIABILITYEet EDSINGLE LIMIT accident) 1,000,000 B ANY AUTO BODILY INJURY(Per person) $ ALL OWNED F%_71 SCHEDULED 08UECZJM6 /3/2013 /3/2014 AUTOS AUTOS BODILY INJURY(Per accident) $ X HIRED AUTOS X NON-OWNED PROPERTY DAMAGE AUTOS Per accident $ TERR $ X UMBRELLA LIAR OCCUR EACH OCCURRENCE $ 5,000,000 A EXCESS LIAB CLAIMS-MADE AGGREGATE $ 5,000,000 DED I X RETENTION$ 10,000 X 8SEATN5795 /3/2013 /3/2014 $ C WORKERS COMPENSATION WC STATU- OTH- AND EMPLOYERS'LIABILITY Y/N DRY LIMI ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 1 QOQ QQQ OFFICERIMEMBER EXCLUDED? ❑ NIA (Mandatory In NH) 8WECCM4902 /5/2013 /5/2014 E.L.DISEASE-EA EMPLOYE $ 1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1 000,000 D PROFESSIONAL LIABILITY LHMA023436 6/8/2013 6/8/2014 PROFESSIONAL LIABILITY $1,000,000 DEDUCTIBLE $7,500 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,If more space Is required) Property Name: Royal Crest Estates (N. Andover) Contract #:15646-0000419087 - CP - 00001 Coverage includes owner as Additional Insured's as expressly nominated under the insurance provisions of the contract CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN AIMCO NORTH ANDOVER, LLC ACCORDANCE WITH THE POLICY PROVISIONS. 50 ROYAL CREST DRIVE NORTH ANDOVER, MA 01845 AUTHORIZED REPRESENTATIVE Ted Noyes/TNOYES ACORD 25(2010105) ©1988-2010 ACORD CORPORATION. All rights reserved. INS025 on1nnsi nt Thn ArnDn nmmg%and Innn aro runicYcrnrl mnrlrc of A('0117 1 Location No. �— ' Date 1, a . - TOWN OF NORTH ANDOVER • 5�,y���D Tay ' . • Certificate of Occupancy $ Building/Frame Permit Fee } Foundation Permit Fee $ Other Permit Fee $ ED k TOTAL $ Check#� 26uC, U Building Inspector