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HomeMy WebLinkAboutBuilding Permit #722 - 317 HILLSIDE ROAD 5/12/2006pORoT" % TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION ,SSACMU`t Permit NO: v Date Received: *-O—� Date Issued: IMPORTANT: Applicant must complete all items on this page LOCATION Print PROPERTY OWNER Print MAP NO.: ";).S_ PARCEL: 771T+ ♦ ATT TTQU "U IDITi7 T11PVC ZONING DISTRICT: HISTORIC DISTRICT YES ❑ A Irl.' 1 -til" U01: Vl' LV1LVal+v TYPE OF IMPROVEMENT --- - ----- ------ - PROPOSED USE Residential Non- Residential ❑ New Building ❑ One family ❑ Addition ❑ Two or more family ❑ Industrial ❑ AI eration Noof units: D Assessory Bldg epair, replacement U Commercial ❑ Demolition ❑ Moving (relocation) ❑ Other ❑ Others: ❑ Foundation only DESCRIPTION OF WORK TO BE PREF RMED Identification Please Type or Print Clearly) OWNER: Name: St���G� �i�Gdr`� Phone: Address: CONTRACTOR Name: /C�/a. - - iGi.�- %t`, Phone: C o // V Address: Ca� /✓.� �i�a >< ��a // ,�/�'�.��i ����i/�� Supervisor's Construction License: ! c�Il Exp. Date: a Home Improvement License: Exp. Date: Q4' ARCHITECT/ENGINEER Name: Phone: Address: Reg. No FEE SCHEDULE: BULDING PERMIT. S .00 PER 51000.00 OF THE TOTAL ESTIMATED COST BASED ON $125.00 PER S.F. Total Project Cost :$ ��6 x10.00=FEE:$l� Check No.: Zq z— Receipt No.: 1 "I 1 "l Page Iof4 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 ❑ 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) 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 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 DEPARTNIEN'rMFOR`105 I'oge 4 of'4 Building Setback (ft.) Front Yard Side Yard Rear Yard Required Provided Required Provides Required Provided DIMENSION Number of Stories: Total land area, sq. ft.: Total square feet of Floor area, based on Exterior dimensions. NOTES and DATA — (For department use) Page 3 oI'4 Doc: INSPECTIONAL SERVICES DI -PAR fMLNT:BKORM05 (* ca(cd AW..Ian 'qob TYPE OF SEWARGE DISPOSAL — Swimming Pools �I/ Tanning/Massage/Body Art 1_J Public Sewer To Sales Food Packaging!Sales -' Well Permanent Dumpster on Site Private (septic tank, etc. ❑ Electric Meter location to project NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund Signature of Agent/Owner Signature of Contractor '—'4g9 Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM PLANNING & DEVELOPMENT COMMENTS r r CONSERVATION COMMENTS HEALTH COMMENTS Zoning Board of Appeals: Variance, Petition N Zoning Decision/receipt submitted yes Planning Board Decision: Conservation Decision: Water & Sewer connection signature & date DATE REJECTED ❑ ❑ ❑Water Shed Special Permit ❑ Site Plan Special Permit ❑ Other DATE REJECTED DATE REJECTED Comments Comments Temp Dumpster on site yes_ no Fire Department signature/date Building Permit Approved and Issued by: n �'g'" 1 Page 2 of 4 DATE APPROVED DATE APPROVED 11 0 DATE APPROVED Location 5P- 4 � I d -z-- No. Date 5117—)Oc� Of TOWN OF NORTH ANDOVEk%-- Certificate of Occupancy $ Building/Frame Permit Fee s 92, Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # C, gz,- 1 3 Z!2 -Y� Muilding inspector PROPOSAL TWOMEY & LEGARE CONTRACTING, INC. Building & Remodeling SHAUN TWOMEY Kitchens - Baths - Custom Woodwork (978W6-7447 Complete Interior/Exterior Carpentry NAME OF OWNER: Chris & Susan Nobile ADDRESS OF JOB: 317 Hillside Road North Andover, MA 01845 TEL: (978)686-8814 DATE OF PLANS: NONE We hereby submit estimates for: Proposal #2 1. Remove old tub - shower 2. Remove vanity, toilet, & medicine cabinet 3. Demo walls as necessary - leave map walls 4. Install tile supplied by Owner 5. Install vanity and medicine cabinet supplied by Owner 6. Toilet and shower unit by Contractor 7. Bring plumbing to code for new shower unit & new shutoffs for toilet & sink 8. Electrical to code with four plug GFI - new fan light kit by Contractor 9. Shower door by other - not in project 10. Create some type of shelving next to shower 11. Blend ceiling as close as possible without disturbing map on walls 12. All painting by Owner 13. Permits and inspections by Contractor 14. Disposal of all waste by Contractor 15. Allowance for bath fixtures $1,400.00 Job Total - Material & Labor $9,200.00 Payments 1st Deposit on signing $4,000.00 2nd Completion of drywall $3,000.00 3rd Balance on completion $2,200.00 NO. P0606 DATE: DOUG LEGARE (978) 556-1547 We Propose hereby to finnish material and labor - complete in accordance with above specifications, for the sum of: ($9,200.00) dollars Payment to be made as follows. See above for payment schedule All material is guaranteed to be as specified All work to be completed in a workmanlike manner aocording to standard practices. Any alteration or Authorized deviation from above specifications involving extra costs will be executed Signature only upon written orders, and will become an extra charge over and above the estimate. All agreements contingent upon strikes, accidents, weather or delays beyond our control. Owner to carry fire, tornado and other necessary NOTE: This proposal may be withdrawn insurance. Our workers are fully covered by Workmen's Compensation by us ifnot accepted within 29 days. Insurance. Acceptance of Proposal - The above prices, specifications and conditions are satisfactory and are hereby accepted. You are authorized to do the work as specified. Payment will be made as outlined above. Date of Acceptance: J c? Signature Signature MRY 04 2006 8:27 978 556 0285 P.1 KightFax Hartford 5/4/2006 9:07 PAGE 003/011 Fax Server ��I•�I,o ��r�74���7faR ����. .,,_ ..,..... .......... ... .. x.a ......... PRaoucEa DAVIS DAVIS & MOODY INS 40 RENOZA .AVE :F.II, � �7?L yl;:r4 E (ul4(iDU�VV) s, � r ..f \I Si.�Y.� ( DAT ONLYCAND CONFERS NO RIQKrsUPON TTHE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT Ai{IIEND EXTEND DR ALTER THE COVERAGE AFFORDED EtYTHE POIIGIES� BELOW. COMPANIES AFFORDING COVERAGE HAVERRILi, MA 01830COMIPANY A THE TgAVF INSURED COMPANY TWOMEY, SHAUN & TZGARE, DOUG B DBA 'TWOME;Y & LEGARE P C BOX 3622 NORTH ANDOVER M.4 01845 COMPANY C COMPANY D THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD `f INDICATED, NOTWIT11137ANDNG ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTNEeR 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, LRMITS SHOWN MAY HAVE BEEN REOUCED BY PAID CLAIMS. LTR LT TYPE OF INSURANCE PC LICY NUMBER POLICYEPPECTIVE DATE (MM%CD%YY) POLICYEXPIRATION DATE(MMOMYY) LIMITS GENERAL LIABILITY COMMERCIAL GENERA'- UA81L(TY 7 CLAIMS MACE QOCCUR. GENERAL AGGREGATE $ PRODUCTS-CCNPiDP AGS, g PERSONAL S ADV. INJURY OWNER'S a CONTRACIORV FROT. EACH OCCURRENCE $ FRE DAMAGF_ (Any oM fire) y MEO. EXPENSE (Any one person) 4 AUTOMOBILE LIABIUTY ANY AUTO COMBINEDSIN6lE $ L#IVI{I ALL OWNED AUTOS BODILY INJURY SCHEDULEDAU708 (ParPeroonf $ HIRED AUT09 NON OWNED AUTOS BODILY INNRY (Per kcident) S L� PROPERTY DAMAGE S GARAGE LIABILITY AUTO ONLY . EAACCICENI S ANY AUTO OTHER 7HAN AUTO ONLY: 1's i,y';;,4.i'S''%:!':<'•fl;::i:, EACH ACCIDENT g AGGREGATE ; EXCESS LIABILITY EACH OCCURRENCE UMBRELLA FORM AGGREGATE T OTHER 7HAN UMMLLA FORM A WORKER'S COMPENSATION AN0 NM PLOYER'SURBILRY (UB -939x165-0-05) 09-18-05 09-18-06 STATUTORY LIMITS i; E: EACH ACCIDENT9r)rl 111111, THE PflOPRIETORI PARTNE%fEKECLl71VE IN'L OFFICERS ARE:Fx]EXCL 04EASE—POLICY LU17 $ O[SE0.SE— EACH EMPLOYEE g OTHER LCRIPT(ON OF IONS! ICLE B RIC C L Frims IS o Y PRIOR CBRTIFI ISSUED TO THE C 0.?IFICATyy'B HOLD R AFFECTING WRWR5 CObIP COVSpAGE. .n,. +,.., �..•..v...r• .. ,..., 7j .�... ai .: }n r. 2.IA.., i ......... .. _i.v .... ..-;` ......s ..d<> .. 2. .:... ... `s^:. ... .j �... .t ... S,t? ,l. ,..5.34.-. t, SHOULD ANY OF THE ABOVE DESCRIBED PCLICIES BE CANCELLED BEFORE THE CITY OF NO ANDDVSR BLDG INSPECTOR 27 CHARLES ST NO ANDOVER MA 02845 EKPIRATION DATE THEREOF, THE ISSUING COUPANYVYILL ENDEAVOR roMAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAIIE:DTOTHE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OSUGATION OR LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE yye�ttye�ay RUG 01 2005 10:42 978 556 0285 P.9 D -D CERTIFICATE OF LIABILITY INSURANC�zzaD D oAD6/2g 5 PRODUCER Davis, Davis a Moody 40 Kenoza Avenue THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED 9Y THE POLICIES BELOW. DATE MMlDD I Haverhill MA 01830- Phono:978-373-1347 Fax:978-556-0285 INSURERS AFFORDING COVERAGE INSURED INSURER A: Arbella Protection InrauranaO INSURER S: 06/22/06 INSURER G'. Twomey & Le are Contracting P.0 box 366 North Andover MA 01843 INSURER D: INSURER 5 vvrar«+vw 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 5E ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN tS SUBJECT 7O ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIA(ITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE POLICY NUMBER GENERAL LIABILITY p GATE MN/DD I E DATE MMlDD I LIMITS EACH OCCURRENCE 6 1 000 000 FIRE DAtaAGE(Anyone fire} A X COMMERCIAL GENERALLIABI-ITY850DO12700 06/22/05 06/22/06 MED EXP (My one person) $5,000 AUIZED RESENT I CLAIMS MADE 7 OCCUR PERSONAL S ADV INJURY S 1 000 ODO GENERAL AGGREGATE $2,00-0,000 DEN'LAOGREQATELIMIT APPLIES PER: PRODUCTS -COMPIOPAGG $2,000,000 POLICY PRO LOC JECT AUTOMOBILE LIABILITY ANYAUTO COMBINED SINGLE LMIT (Earzrotidanq S BODILY INJURY (Per person) 8 ALL OWNED AUTOS SCHEDULED AUTOS ODDLY INJURY S (Per accfdert) HIRED AUTOS NON -OINKED AUTOS PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTOONLY- EAACCIDENT $ OTHER THAN FAACC $ ANY AUTO AUTO ONLY: AGO $ EXCESS LIABILITY EACH OCCURRENCE$ AGGREGATE Ib OCCUR [] CLAIMS MADE f I $ DEDUCTIBLE I $ RETENTION S WORKERS COMPENSATION AND TORY LIR4IT9 ER EMPLOYIDW LAGILITY EL. EACH ACCIDENT $ E.L. DISEASE -EA EMPLOYEE $ E.L- DISEASE - POLICYLIMIT $ OTHER I DESCRIPTION OF OPERATIONSILOCATIONSNEHICLEStEXCLUSIONG ADDED BY ENDOMEMENTISPECUIL PROVISIONS Carpentry - 3 stories or less CERTIFICATE HOLDER I N i ADDITIONAL INSURED; INSURER LETTER: CANCELLATION NORTH A SHOULD ANY OF THEABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION GATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL -1Q— DAY8 WRITTHN NOTICE TO C TIFICATE HOLDER NAMED TD THE LEFT, BUT FAILURE TO DO SO SMALL CITY CF NORTH ANDOVER IMPOSE OBLt ATIONDRLIAEALITYOFANYKINDUPONTHEIN'URERIT9ABENT80R 27 CHARLES STREET NORTH ANDOVER MA REPRE NTA E6 AUIZED RESENT I ACORD 26-5 (7197) OACORD CORPORATION 1008 N. BOARD OF BUILDING R License: CONSTRUCTION S Number: CS 067560 Birthdate: '1012511966 Expires: 10/25/2007 Restricted: 00 SHAUN M TWOMEY 61 PATROIT ST t, N ANDOVER, MA 01845. Commissioner ' ' ✓fie "C�omvixa�uoea.�i o�./f�aaa-c/u�ee%I` Board of Building Regulations and Standards HOME IMPROVEMENT CONTRACTOR Registration:, 1.36779 Expiration 8126/2006 <type Partnership TWOMEY +,LEGARE`CONTRACTtING SHAWN TWOMEY 61 PATRIOT ST.' N. ANDOVER, MA 01845 Administrator N 7O z W Cd O ve x u o w° h V>)- .� a V) U Q "a q w° v C U G w a W a a o°G �, w a W w �a W d w p°G w W ao z cn o cn m c c� ;W N O C • o C3 CJ CL C G� y R /1 O C r~ -i Ea w: c Cf) :moi :tw : t r d H EL o C r O0 0 ts cm O C oc Ma 03 CM �m yin CD 0 act o C/) N Z t O cm rr1 Of p C O C m V*ay O Z ca :IN :C O cm 0 D. O.C Q y O C0 •O = m :oN y O o P' m t W G r -0 Z H 2S y.C Z v 'm w CCD C* d CD m* O10 S A 0 N O O O F- =.,. CL.'C.e m ? M O L CD 0. O CO) � C O Om iC -0 CD._ h O O Ca m L- CD CD I.— i CD CD o M o a CL CM< o c cc Q 'p .0 ' ; CD V0 CL Zy c C c •_ ' c CO) Y! U) W W 19 W U)