HomeMy WebLinkAboutBuilding Permit #302 - 32 DEER MEADOW ROAD 10/17/2006 TOWN OF NORTH ANDOVER NORTW
APPLICATION FOR PLAN EXAMINATION ��<s`
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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
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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
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C.
M. HOYT -{
STRUCTURAL co
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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
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Borgia Raneri At:LJM Insurance Agency FaxID: To:Heidi Date: 10/2/2006 02:30 PM Page:2 of 2
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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.