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HomeMy WebLinkAboutBuilding Permit #302 - 32 DEER MEADOW ROAD 10/17/2006 TOWN OF NORTH ANDOVER NORTW APPLICATION FOR PLAN EXAMINATION ��<s` 6 O F A Permit NO: �br Date Received /O� �9SSACHUS���y Date Issue( : IMPORTANT: Applicant must complete all items on this page LOCATION Print PROPERTY OWNER e Print MAP NO/V/0O 90•A PARCEL: -30 ZONING DISTRICT: TYPE AND USE OF BUILDING HISTORIC DISTRICT YES ❑ TYPE OF IMPROVEMENT PROPOSED USE Residential Non-Residential ❑New Building ' One family ❑ Addition '�❑Two or more family ❑Industrial Alteration No. of units: C Repair, replacement ❑ Assessory Bldg ❑ Commercial emolition ❑ Moving(relocation) ❑ Other ❑ Others: E Foundation only DESCRIPTION OF WORK TO BE PREFORMED l4 7 4274 d �✓,c crryr d c G�art r� Gfh?�i� i s G-t yr lQ Qlleu e Identification Please Type Wr Print Clearly) OWNER: Name: eI Phone: Address: 39 CONTRACTOR Name: �SeT1/�CeS Phone: Address: /v Supervisor's Construction Licensers 6�z 57st-h Exp. Date: Home Improvement License: Exp. Date: ARCHITECT/ENGINEER Name: Phone: 7�/_�� =67rO 7 Address: eY� Reg. No. FEE SCHEDULE:BULDING PERMIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST SED ON$125.00 PER S.P. Total Project Cost S r7 � — x12.00=FEE:$ YG ev Check No.: e3 7 5�� Receipt No.: Page I of 4 Location1')"1AAl./d d �V- No. " Date -6� NO0 TOWN OF NORTH ANDOVER I. 9 JI • • • � ; . Certificate of Occupancy $ Building/Frame/Frame Permit Fee $ ,.— s�cMust 9 Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # 1963' V Building Inspector 011 lb TYPE OF SEWERAGE DISPOSAL Swimming Pools 11❑ g Public Sewer Tanning/Massage/Body Art Well F1Tobacco Sales ❑ Food Packaging/Sales El ❑ Permanent Dumpster on Site ❑ Private(septic tank,etc. Electric Meter location to project Frn/ or Lip se NOTE: Persons contracting with unregistered contr ors do not have access to the guarantyfund Signature of Agent/Owne ,� ,e Signature of contractor-2404 ' Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF-U FORM DATE REJECTED DATE APPROVED PLANNING& DEVELOPMENT ❑ ❑ ❑Water Shed Special Permit ❑ Site Plan Special Permit ❑ Other COMMENTS DATE REJECTED DATE APPROVED CONSERVATION ❑ ❑ COMMENTS DATE REJECTED DATE APPROVED HEALTH ❑ ❑ COMMENTS Zoning Board of Appeals: Variance,Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments Conservation Decision: Comments Water& Sewer connection/Signature& Date Driveway Permit Temp Dumpster on site yes L- Fire Department signature/date r',� 4,)f 4 - -- -- Building Setback ( Front Yard Side Yard Rear Yard Re wired Provided Re uired Provides Required Provided Dimension Number of Stories: Total square feet of floor area,based on Exterior dimensions. Total land area,sq. ft.: NOTES and DATA—(For de artment use) Page 3 of 4 Doc:INSPECTIONAL SLRVICES DEPAR'IMENT:BPFORM05 Created JMC..Ian.'006 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 o l"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 DEPARTMENT:BPFORN105 /gy �,p Pn-t-a„r a ARCHITECTURE January 10, 2007 ENGINEERING G CONSTRUCTION TECHNOLOGIES COMPUTER&SCIENTIFIC ANALYSIS MATERIALS&SYSTEMS TESTING Mr. Gerald Brown Inspector of Buildings Town of North Andover 1600 Osgood Street North Andover, MA 01845 Re: Residence of Manny&Jennifer Rei 32 Deer Meadow Road Dear Mr. Brown, This letter is to inform you that I have inspected the structural framing of the garage re- construction at the Rei residence at 32 Deer Meadow Road in North Andover, MA. The pre-existing garage was recently destroyed by fire. Architectural drawings for the re-construction of the garage, showing the structural framing, were prepared by CCA, Construction Consulting Associates, LLC and dated 11- 16-06. The structural framing of the garage and room above the garage was constructed in accordance with these plans and appear to be of sound construction. Please feel free to contact me if you have any questions. Sincerely, Gregory C. Hoyt,PE Structural Engineer CCA, LLC H OF N1,gss�Gy o� GREGORY �G C. M. HOYT -{ STRUCTURAL co .e No.46485 s91, NALE��\� 19 CROSBY DRIVE SUITE 220 b 0-7 BEDFORD,MA 01730 TEL: 781.280.0660 FAX: 781.280.0111 E-MAIL:CCA@CCACO.COM _ o/✓ u '. IR of:a Ski oilsoll ' ,, ✓ BOAR1014 STRUCT i. `�a License' CON 091586 CS Numb " 7975 Tr no. g15a6 `18l girt�+ �; �0�pp8 E .1. ppVID R BAKER %AR T 7y2 �nm►ss►oner 1405� �uGNI 0 . MARLBOR • .�..,.K-..•- tom`""` and Standards C�,e �ji amvn�tio C.�OR B J d of Bull coNTRA ROVEMENT NOME IMA 138 Registration: 064p05 tion: 7r2312 t Card EXP'ra SuppieR`en Type• R S SERVICES INC pstor pV10 BAG1014ST Ad 612 R W N NEWTO Borgia Raneri At:LJM Insurance Agency FaxID: To:Heidi Date: 10/2/2006 02:30 PM Page:2 of 2 i / � AC D. CERTIFICATE OF LIABILITY INSURANCE OP ID G DATE(MM/DD/YYYY) ARSSE-1 10/02/06 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE LJM Insurance Agency, Inc. HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 327 Union Avenue ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Framingham MA 01702 Phone: 508-872-0662 Fax:508-879-5299 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A: Steadfast Insurance Company INSURER 8: StPaul Travelers Insurance 40282 A.R.S. Services Inc. INSURER C: Fireman's Fund 612R Washington Street INSURER D: Guard Insurance Group Newton MA 02158 INSURER E: COVERAGES 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 BEEN REDUCED BY PAID CLAIMS. LTR INSR TYPE OF INSURANCE POLICY NUMBER DATE(MM/DD/YY) DATE(MM/DD/YY) LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 3,000,000 A X COMMERCIAL GENERAL LIABILITY GPL 5860576 02 09/24/06 09/24/07 PREMIuASSu(ERcc aourence) $ 100,000 CLAIMS MADE FX] OCCUR MED EXP(Any one person) $ S,000 PERSONAL&ADV INJURY $ 3,000,000 X Pollution & Profe GENERAL AGGREGATE $ 4,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 4,000,000 POLICY j LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 B ANY AUTO BA 742SC571 09/24/06 09/24/07 (Ea accident) ALL OWNED AUTOS BODILY INJURY $ X SCHEDULED AUTOS (Per person) X HIREDAUTOS BODILY INJURY $ X NON-OWNED AUTOS (Per accident) PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS/UMBRELLALLABILITY EACH OCCURRENCE $ 5,000,000 C X OCCUR 71CLAIMSMADE XAE 98570591 09/24/06 09/24/07 AGGREGATE $ 5,000,000 $ DEDUCTIBLE $ X RETENTION $ $ WORKERS COMPENSATION AND X TORY LIMITS ER D EMPLOYERS'UABILITY ARWC600440 10/15/05 10/15/06 E.L.EACH ACCIDENT $ 1000000 ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? E.L.DISEASE-EA EMPLOYEE $ 1000000 If yes,describe under SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT $ 1000000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS *30 Days GL & UMB/20 Days AUTO/10 Days WC CERTIFICATE HOLDER CANCELLATION REIMANN SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL * DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL Manny Rei IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR 32 Deer Meadow Road North Andover MA 01845 REPRESENTATIVES. AUTHIORIZED0REPREjSE= 21_ ACORD 25(2001/08) = ACORD CORPORATION 1988 Received Time Oct. 2. 2: 29PM NORTH o M o Andover 0 J.- lima No. 3o2w. 0 LA dover, Mass., /D ME COCHI HEWICK 0 A7, pm BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System • THIS CERTIFIES THAT........ .........e BUILDING INSPECTOR Foundation has permission to erect....................................... buildings on .x.... Rough tobeeccupled as..... ..........1011EN" .......................................................................................... Chimney provided that the person accepting this p as ii i Z respect conform to the terms of the application on file in Final 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 CONSTRUM STARTS Rough ......... Service R 'Oki ......................... Final ........... ........... .... Occupancy Permit Required to Ocmpy Building GAS INSPECTOR 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. SEE REVERSE SIDE Smoke Det.