HomeMy WebLinkAboutBuilding Permit #089-15 - 336 OSGOOD STREET 7/24/2014 TF�
BUILDING PERMIT o� r10R&OR ,bgtio
TOWN OF NORTH ANDOVER �2� "``-
APPLICATION FOR PLAN EXAMINATION x
Permit No#: Date Received
�gSSACNUs���y
Date Issued: �`/ /5�
MPORTANT: Applicant must complete all items on this page
LOCATION
PQ
- -
PROPERTY OWNER
Print 100 Year Structure yes no
_ ,
MAP _ PARCEL: - ZONING DISTRICT: _ Historic District yes no
Machine Shop Villageyes no
4._
TYPE OF IMPROVEMENT PROPOSED USE
Residentia Non- Residential
❑ New Building e family
❑Addition ❑Two or more family ❑ Industrial
❑611eration No. of units: ❑ Commercial
epair, replacement ❑Assessory Bldg ❑ Others:
❑ Demolition ❑ Other
0 Septic ❑Well 11 floodplain ❑Wetlands ❑ Watershed District
0 Water•/Sewer
DES�C IP11A_ OF K TO E PERFORMED:
dlr)s
I tificati - lease yPe or Print Clearly
OWNER: Name: Phone:
Address: '
Gv
Contractor Name:
Address:
Su ervisor.S Lice Construction se:
P ._ =Exp. Date:
Home. Improvement License:,,-- � _ Exp. Date:_
ARCHITECT/ENGINEER Phone:
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:
Check No.: C�1 I�� Receipt No.: V7X-l'4
�Gn
NOTE: Persons contracting i'r wit� unregistered contractors do not have access t e ua my fund
t
Signature of Agent/Owner - Signature of contra r
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
❑ 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/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
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 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
4
i
Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑
TYPE OF SEWERAGE DISPOSAL
Public Sewer ❑ Tanning/Massage/Body Art ❑ Swunming Pools El
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
i
PLANNING & DEVELOPMENT Reviewed On Signature_
COMMENTS
I
CONSERVATION Reviewed on Signature j
c
COMMENTS
HEALTH Reviewed on Signature
60MMENTS
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
DPW Town Engineer: Signature:
Located 384 Osgood Street
FIRE DEPAR MENT Temp Dumpster 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.:
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
department use
NOTES and DATA — (For )
❑ Notified for pickup Call Email
Date _ Time ^ _ _ Contact Name
Doc.Building Pennit Revised 2014
7
Location 0�-9001 S
No. —
r Date 2��
. - TOWN OF NORTH ANDOVER
Certificate of Occupancy $
Building/Frame Permit Fee $
Foundation Permit Fee $
Other Permit Fee $
TOTAL $
Check# �
27810 �
Building Inspector
NOTH
R
own of
Y ndover
oh ver, Mass,
COC NIC Nl WICM ��
�i 1 q�OATE
aS U
BOARD OF HEALTH
Food/Kitchen
PERMIT D Septic System
THIS CERTIFIES THAT ........ .. .f.�... Gi /� BUILDING INSPECTOR
....�. ....- ................................ ... ....................
has permission to erect buildings on Y
C� Foundation
{J .......................... .. ............ �.�.................................... Rough
tobe occupied as ...................... .. ..... ' .............................................................. 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 STARTS 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.
Next Step Living, Inc. CT HIC.0629266•MA OCAOR N162111•At Contractor Reg.#37195
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Date of Conlract: Thursday,June 12,2014
Customer(s)Name(s): Abigail Chandler and James Riordan
Customer(s)Street Adre-ss: 336 Osgood St. City: North Andover State: MA Zip: 01845
Customer(s)Hone Phone,#-. 979-686-2950 Customer(s)Mobile Phone
Permit(s)Required: Permit Number(s):
City/County Issuing Permit(s): Scheduled Inspection Date:
Customer(s)jointly and severally agrees to purchase the products and/or services of Next Step Living,Inc.("Contractor")in accordance with the terms
and conditions described on the front and reverse of this Home Improvement Agreement("Agreement')and the attached specification shect(s).
Customers)hereby agrees to sign a completion certificate after Contractor has completed all work tinder this Agreement.
ESTIMATED STARTING DATF: Thursday,June 26,2014 ESTIMATED COMPIA11ON DATE: Thursday,July 10,2014
PAYMENT METHOD: (select one option) PURCHASE PRICE. 3,708
CashCredit Card DOWN PAYMENT: 371
Check MFinancing BALANCE DUE ON SUBSTANTIAL COMILETION: $ 3,337
I 3 Cuslonief(s)acknowledges receipt of"Renovate Right:Important Lead Hazard Information for Families,Child Care Providers,and Schools".
Customer(s)received this pamphlet on the date of this Agreement,before commencement of work. (Customer's Initials
(Rhode Island Custonters Ottly)Customer(s)acknowledges receipt of required Contractors'Registration and Licensing Board consumer education
materials. (Customer's Initials
(Rhode/slant Custoirierx Only)Notice to buycr-.(t)Do not sigu.this Agreement if any of the spaces intended for the agreed terms to the extent
of then available information are left blank.(2)You are entitled to a copy of this Agreement at the time you sign it.(3)You may at any time pqy
off the full unpaid balance dup under this Agreement,and in so doing you may be entitled to receive a partial rebate or the finance and
insurance charges.(4)The seller has no right to unlawfully enter your premises or commit any breach of the peace to repossess goods purchaW.d
under this Agreement.(5)You may cancel this Agreement if it has not been signed at the main office or a branch office of the seller,provided
you notify the seller at his or Tier main office or branch office shown in the Agreement by registered or certified mail,which shall be posted not
later than midnight of the third calendar day after the day on which the buyer signs the Agreement,excluding Sunday and any holiday on
which regular mail deliveries are not made.See the accompanying notice of cancellation form for an explanation of buyer's rights.
Customer(s)agrees and understands that this Agreement constitutes the entire understanding between the parties,and that there are no vei-bql
understandings changing any of the terms of this Agreement.Customer(s)acknowledges that Customer(s)(1)has read this Agreement,
understands the terms of this Agreement,and has received a completed,signed,and dated copy of this Agreement,including the two
accompanying Notices of Cancellation,on the date first written above and(2)was orally informed f Customer's right to cancel this Agreement.
DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES.
NEXT STEP LIVING,INC.
By: Pete Ladd 6/12/2014
Print Name Lic.# nat a Date
CUSTOMER(S)
Abigail Chandler and James Riordan 6/12/2014
Print Name Signature Date
Print Name Sigddture Date
it
YOU,THE BUYER(S),MAY CANCEL THIS TRANSACTION AT ANY TIME PRIOR TO MIDNIGHT OF THE THIRD
BUSINESS DAY AFTER THE DATE OF THIS TRANSACTION.SEE THE ACCOMPANYING NOTICE OF CANCELLATION
FORM FOR AN EXPLANATION OF THIS RIGHT. *BLLP2013.NSL.CTMARI
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9 PARK RIDGE DR.
HLJNTINCTON,.MA 01050 tfndcrsecrcta
ACORd CERTIFICATE OF LIABILITY INSURANCE 03-12.2014
THIS CERTIFICATE 19 ISSUED A8 A MATTER OF INFORh1AT1ON ONI.V AND CONFERS NO RtGHTS UPON THE CERTIFICATE
HOLDER, THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEQATIVELY AMEND, EXTEND OR ALTER THE COVERAGE
AFFORDED BY THE POLICIES BELOW. THIO CERTIFICATE OF INSURANCE DOES NOT CONSTRM.A CONTRACT BETWEEN
THE ISSUINQ INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER.
iMPORTANTt H the cerdfleats hOWw is an ADDITIONAL INSURED,thepolicy(ies)mustbe endorsed If 9UMOOAMON IS WAIVED,
sub(egt te,th term4 end condition pf.the policy,urtsbl policlee _._ tan endorsement A statement an this certificate does
not corder rights to the c"Icate holder in lieu of such endoraemes).
PPbOUCE� CCNTAcr
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CARELLAS INS AGCY ING PHONE
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20 PARK AVENUE -•Mk .
WEST SPRINGFIELD,MA 01085
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HUNTINGTON.MA 01050 NsuRER 6:
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COVERAGES CWTIFICATE NUMBER* RUISION NUMBER*
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED 8ELOW HAVE BEEN ISSUED.TO,THE INSURED NAMED
ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REOUIREMENT,.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 POUCIES.LIMITS SHOWN MAY HAVE.BEEN REDUCED BY PAID CLAIMS.
INSR TTPgOFINSURANC4
APUL SU POIJCYNUrdaEll POLICY OFF
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ANY PROPMETOIR,TAMillmeXECUTIV ,N E.L.EACH ACCIDENT S1OO,OOD
OFFICEPMEMEER S=UOXD9 Y NIA 7PJU8 03.15.2014 03-15.2015
i)Asr,dAtoY in NR 58877428 E L.D5EA9E-EA EAYPLOYEE ;500,000
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THE WCRKERS'COMPENSATION POUCY DOES NOT PROVIDE COVERAGE FOR CRAIG,RONALD
SHOULD ANY OF TIIE ABOVE DESCRIBED POLICIES BE
CANCELLED BEFORE THE EXPIRATION DATE THEREOF,
NOTICE WILL OR DELIVEFIED IN ACCORDANCE WITH THE
POLICY PROVISIONS.
AW11OH(M HEIPMSENTATTYE
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