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HomeMy WebLinkAboutBuilding Permit #088-15 - 320 STEVENS STREET 7/25/2014 BUILDING PERMIT NORTH qti .r yb�t, ,..nb•y O TOWN OF NORTH ANDOVER i APPLICATION FOR PLAN EXAMINATION ' Permit No#: Date ReceivedAreo 0r Date Issued: ly MPO TANT:Applicant must complete all items on this page LOCATION Pin PROPERTY OWNER rm -100 Year Structure yes no MAP _- 5 PARCEL 7/ ZONING DISTRICT: Historic,bistrictyes no _ . .. . Machine Shop Village yes no TYPE OF IMPROVEMENT PROPOSED USE Res' ential Non- Residential ❑ New Building One family ❑Addition ❑ Two or more family ❑ Industrial ❑ ration No. of units: ❑ Commercial Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other ❑ Septic. El Well ❑ Floodplain 'E'l-Wetlands D Watershed District ❑Water/Sewer DESCRIPTION OF WORK TO BE PERFORMED: �Knf a tific - PlType o rint Clearly OWNER: Name: NZE Phone: " Address: Contractor Name: Address: , ' Su ervisors Construction License: Supervisor's ����_ ._.x. Exp. Date:_:__ Ilk Home lmprovement License Date ARCHITECT/ENGINEER Phone: r_ Address: Reg. No. FEE SCHEDULE:BULDING PERMIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ FEE: $_ � 3 �� Check No.: jig I Receipt No.: !;�?, 7J/ NOTE: Persons contracting with unregistered contractors do not have access oguara ty fund th Signature of Agent/Owner Signature of contracto Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ TYPE OF SEWERAGE DISPOSAL Public Sewer ❑ Tanning/Massage/Body Art ❑ Swinuning 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 PLANNING & DEVELOPMENT Reviewed On Signature_ COMMENTS CONSERVATION Reviewed on Signature COMMENTS i HEALTH Reviewed on Signature COMMENTS Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes 4 Planning Board Decision: Comments ,,onservation Decision: Comments Water & Sewer Connection/Signature & Date Driveway Permit DPW Town Engineer: Signature: Located 384 Osgood Street FIRE DEPARTMENT - Temp Dumpstor on site yes _ no Located at 124 Main Street Fire Department signature/date . COMMENTS __ _ Dimension Number of Stories: Total square feet of floor area, based on Exterior dimensions. Total land area, sq. ft.: I ELECTRICAL: Movement of Meter location, mast or service drop requires approval of Electrical Inspector Yes No DANGER ZONE LITERATURE: Yes No MGL Chapter 166 Section 21A—F and G min.$100-$1000 fine I 1 NOTES and DATA — (For department use) I ❑ Notified for pickup Call Email Date Time Contact Name Doc.Building Permit Revised 2014 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 I ❑ 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 1 ❑ Building Permit Application ❑ Certified Surveyed Plot Plan o Workers Comp Affidavit u Photo Copy of H.I.C. And C.S.L. Licenses ❑ Copy Of Contract o Floor/Cross Section/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 TE: All dumpster umpster permits require sign off from Fire Department prior to Issuance of Bldg Permit i 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 p p 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 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:Building Permit Revised 2014 Location f No. �% C�' Date 7./ /y • • TOWN OF NORTH ANDOVER e 1j, . ,�. Certificate of Occupancy $ Building/Frame Permit Fee $Z ov Foundation Permit Fee $ 4 Other Permit Fee $ TOTAL $ Check# �� ` 27815 Building Inspector NORTF{ Town of t E : 1j ndover No. , h ver, Mass, COCNICMt WICK %' X1.95°R�reo �pP��S U BOARD OF HEALTH Food/Kitchen PERMIT TSeptic System THIS CERTIFIES THAT ......�l..l. :::.. v� '. .................... .............................. ..................... BUILDING INSPECTOR . ... ...... . has permission to erect .......................... buildings on ................... ...... .................... ...................... Foundation Rough tobe occupied as .............`. ���:: .....` ....... ..1..`........ ..................................................................... Chimney provided that the person accepting this permit shall in every respect conform to the terms of the application 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 CONSTRUCTION ST RTS Rough /� Service ....................... ....... .. . ............ ............................. 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. NORTH Town of �.. E ., Andover No. , ver, Mass, 0 C.CNICA.C �1' U BOARD OF HEALTH Food/Kitchen PERMIT T _ LD Septic System THIS CERTIFIES THAT ......11..<. ::.. v.�. ` �`� BUILDING INSPECTOR 3.�?0 � ::.1 Foundation has permission to erect .......................... buildings on ................. .... ............................................... / Rough tobe occupied as ............ ¢r!l. '..... ... ..X00. .........................................................:........... Chimney provided that the person accepting this permit shall in every respect conform to the terms of the application 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 CONSTRUCTION ST RTS Rough Service ....................... ...... . . ............ ................................ 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. 11 DAYLILY DR NASHUA, NI-1 03062 PHONE. 603-704-7134 E wm w.AJCR00FlNG.cotn GAF License#AM,17845 MA C.SL4 96194 MA 1110 153131 RORoofing Contract Subsidiary of AJC Properties.LLC. _ F To: CHome Phone: Dare: Street: Cell Phone: B T;013 City,State Zip: Job Adddless:Same Gdz e' � 7 �] I (Vr7^Y� !✓7 f!,l a ! > rte' We propose to furnish material and labor.complete in accordance with specifications outlined below: EXISTING ROOF consists of #Comp Layers: . t }#Wood Layers; // L Metal Layers: ROOFING SYSTEM to INSTALL:Manufacturer&Type:GA/Z 0 :Tear Off: Comp: Woodshake: Metal: Apply Decking: ❑ 12"CDX ❑I/7"OSB ❑Other Leak Barrier: ❑StormGu rd VeatherWatch ❑Other 7 Feet wide along rakes,�eet wide along eaves Starter Strip Shingles: Pro-Start WeatherBlocker�( they rip Edge: olor:_ j�l 8" ❑Other Valleys: Closed Cut ❑Weave ❑Leak Barrior StormGuard Leak Barrior WeatherWatch #f 5 Felt #30 Pelt ❑Other -- stallDeck Protection: E]Deck ArmorA Shint,leMate ❑ ❑ ______ stall Pipe Boot(s): ❑ I"—T' .f 3"-4" Re-Mash chimncy(s)$ and wall abutment(s)$_ hingle Fasteners: Ir'4"Nails ❑Other ' Nails per shingle: l ttic Ventilation: Cobra Snow Country Cobra Exhaust Ridge Vent ❑Other J^' Ridge Caps: r_1TimberTex „Seal-A-Ridge ❑Other Magnetically sweep yard for nails/Clean up var�Gfndhaul away roofing debris �^ d v 'Zt 0 4 0 4 3�,D I*(-c "')–> f ,/1 For the sum of:Dollars:($ ) )includes labor/material/dumpster,excluding options. Instructions:Ll2 o L l G _ Fxi%ting„Roof Removal:No chargr 1—been made For removing additional layers of rooting,unless specificalt,stated nhove.If addilionat in)rorstsi of rooting:trc limnd during removal of existing roof that exceed I layer,the customer stall pay an additional charge of'Sto per 100 sit o for each additional IriyCr of neoiug removed.Addititmaf charge is due upon mmplehon of work. Deteriorated or Rotten Wood:No charee has been made fur replacing wood.unless specifically staled above.If rotted twod is discovered atter removing the existing roofing system.standard 4'x8'pbvvtod used is$65.00 and vvitl be applied each sheet.S800 per tinear ft up ur I"W6 $10.00 per linear 11 above"I"x6" for dimensional hood lurcher and s to per linear fl furls composite material. " f',rf y`}/ fty ti3 tp!1 X10 • 1 due at time of contract signing. Payment Terms. /3 Contract balance due upon completion of work. Stan Date: weather permitting ^""f"t"d , owwess End Date: weather permitting Estimate is valid until:_ Financing Options Warranty: Q � AF Manufacturer Warranty l "See brochure JC Roofing LaborWarrantyear(s) Acceptance of Contract:"file above prices.specifications.and conditions are satisfactory and are herby accepted.I/We agree to the contract provision on the back side of the contract.AJC Roofing is authorized to do the work as specified.Payment will be made per Payment Perms above. Owner: � /� Owner: DaG�/9 ate A.1C Roofing:Z —_ n4,,[- Date: WNG %7 '_ . CONTRACTORS f 8 Massachusetts -Department of Public Safety ' Board of Building Regulations and Sta ndards Construction SuPeniioir License: CS-096194 {ti, MARK FREEMAN= 'J, •"`• 11 DAYLILY DRM, Nashua NH 0. _ f � ; VW � �-' Expiration Commissioner 07/14/2016 I ' Office of�Con rr`UIM_1.1�l/t o�.�� an,Mr- �Bnslu atio❑ - HOME IMPROVEMENT CONTRACTOR nec� eg Registratlon: 153131 IFF z Expiration: 10/3G/2014 TYPe: AiN'' Ltd Liability Cocpes ROPERTIES DR. MARK FREEMiiAN 11 DAYL ILY DR. NASHUA,NH 03062 _ Undersecretar f 1 gl DATE(MM/DDIYYYY) ACC?R" CERTIFICATE OF LIABILITY INSURANCE 6/18/2014 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. i 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 NAME: Eaton&Berube Insurance Agency, Inc. PHONE F(.,AX C No - 11 Concord St E-MAIL 886-4230 Nashua NH 03064 ADDREss: r rdfa)eatontff_ub�0jD_ INSURERS AFFORDING COVERAGE MAIC tl INSURERA:Riyeroort In_syMnce Qgmpany _ INSURED AJCPR INSURERS: nsffw_ce _ AJC Properties LLC INSURER C:MMG insurance Go dba AJC Roofing INSURER D: c/o Mark&Shirley Freeman 11 Daylily Drive INSURER E Nashua NH 03062 1 INSURER F: COVERAGES CERTIFICATE NUMBER:1663964287 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. INSR TYPE OF INSURANCE ADL UBR POLICY EFF I POLICY EXP LIMITS LTR INSR WVD POLICY NUMBER MMIDD/YYYY MMIOD/YYYY B GENERAL LIABILITY GL001113600 /13/2014 4/13/2015 EACH OCCURRENCE _ $1,000,000 DA AGE TO RENTED I X COMMERCIAL GENERAL LIABILITY PREMISES Ea occurrence $100,000 _ CLAIMS-MADE D OCCUR MED EXP(Any oneperson) $10,000 X 500 PERSONAL&ADV INJURY 51,000,000 GENERAL AGGREGATE $2,000,000 _ GEN'L AGGREGATE LIMIT APPLIES PER: { PRODUCTS-COMP/OP AGG $2,000,000 X POLICV PRO jECT F__1 LOC $ C IMIT AUTOMOBILE LIABILITY KA0113773 512412014 6/24/2015 Ee accident $1,000,000 ANY AUTO BODILY INJURY(Per person) $ ALL OWNED X SCHEDULED BODILY INJURY(Por accident) S AUTOS AUTOS NON-OWNED PROPERTY DAMAGE $ X HIREDAUTOS X AUTOS Per accident 5 UMBRELLA LIAR OCCUR EACH OCCURRENCE S EXCESS LIAB CLAIMS-MADE I AGGREGATE 5 DED RETENTIONS $ A WORKERS COMPENSATION VVC288300204706 /2712014 /27/2015 X STATU- OTH- AND EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE YIN N E.L.EACH ACCIDENT $100,000 OFFICERIMEMBER EXCLUDE09 Y❑ N/A (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE_$100,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $500,000 i I DESCRIPTION OF OPERATIONS 1 LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,11 more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN For Informational Purposes Only ACCORDANCE WITH THE POLICY PROVISIONS. c/o AJC Properties LLC 11 Daylily Drive AUTHORIZED REPRESENTATIVE Nashua NH 03062 ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD