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Home My WebLink AboutBuilding Permit #123 - 35 BOXFORD STREET 8/16/2006 TOWN OF NORTH ANDOVER pORTF/ APPLICATION FOR PLAN EXAMINATION Oftt�ao G o A !, Permit NO: Date Received Date Issued: _ SSAC HU IMPORTANT: Applicant must complete all items on this page LOCATION �Cn a �5/ Print 1. PROPERTY OWNER egD1 AM" III - Print � MAP NO.: PARCEL: ZONING DISTRICT: TYPE AND USE OF BUILDING HISTORIC DISTRICT YES ❑ TYPE OF IMPROVEMENT PROPOSED USE Residential Non-Residential ❑New Building family ❑ Addition ❑ Two or more family L Industrial ation No. of units: C epair, replacement ❑ Assessory Bldg ❑ Commercial =' Demolition � ❑ Moving(relocation) ❑ Other ❑ Others: 71 Foundation only I I I 3 DESCRIPTION OF WORK TO BE PREFORMED JL &�2 101 Id n ification Please pe or Print Clearly) OWNER: Name: D,AU 1 - ,>4 �� )� cl n/ Phone: Address: 3! gnxfcpo cST, CONTRACTOR Name: ai// /,ts r(-J u–' Phone: 274?-3, 97-2Zr Address: 7 i Supervisor's Construction License: Exp. Date: Home Improvement License: 43 me 7 Exp. Date: G' ARCHITECT/ENGINEER Name: Phone: Address: Reg. No. FEE SCHEDULE.BULDINGPIVRMIT.•$12.00 PER$1000.00 OF THE TOTAL EST/MATED COST BASED ON$125.00 PER S.F. Total Project Cost :$ fl-7 ex) x12.00=FEE:$ Co I— �f"> F,4 it Check No.: S Receipt No.: Page I of 4 Location No. Date NORTH TOWN OF NORTH ANDOVER 3?O� t`•o '�,�00 J Certificate of Occupancy $ f o� � • J s'••••'Eta Building/Frame Permit Fee $ �cMus Foundation Permit Fee $ Other Permit Fee $ _ TOTAL $ 6 Check # 19365 '9 Building Inspector i I i TYPE OF SEWERAGE DISPOSAL Tanning/Massage/Body Art ❑ Swimming Pools ❑ Public Sewer F1 Well ElTobacco Sales ElFood Packaging/Sales 11 Permanent Dumpster on Site ❑ Private(septic tank,etc. IJ Electric Meter location to project i. i NOTE: Persons contractin unregist ed co Ira tors do not have access to the guarantyfund Signature of Agent/OWn� Signature of contract r Plans Submitted Lam✓ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF-U FORM II i DATE REJECTED DATE APPROVED PLANNING& DEVELOPMENT ❑ ❑ ❑Water Shed Special Permit I ❑ Site Plan Special Permit ❑ Other COMMENTS t I � DATE REJECTED DATE APPROVED CONSERVATION ❑ ❑ COMMENTS i 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/Silznature&Date Driveway ,Permit Temp Dumpster on site yes no_ Fire Department signature/date I i Building Setback (ft.) Front Yard Side Yard Rear Yard Required Provided Required Provides Required Provided i Dimension I Number of Stories: Total square feet of floor area,based on Exterior dimensions. Total land area,sq. ft.: NOTES and DATA— For department use) I Page 3 oP4 Doc:INSPECTIONAL SERVICES DEPARTMEN FBPFORM05 Crewed IMC.)an.2000 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 •er Workers Comp Affidavit *a-Photo Copy Of H.I.C. And/Or C.S.L. Licenses j&—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:INSPEC'HONAL SERVICES DF.PARTMENT:RPFORN105 Pau.,4 nP4 VkORTH OANM Of 4Andove 0 No. o = A dover, Mass., D �� A COCMICMEWICK ADRATED CJ `s BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System f BUILDING INSPECTOR THIS CERTIFIES THAT.....�.�. �.. Av".1 -irer.1.1ft..... ............... Foundation has permission to e�eel...r �. .. .Q. ... building on....... ...... � ''1 ' .......s, /�� Rough I to be occupied as......... ....1.1/l� f"A!.. ... �!.��/.!� Chimney c . provided that the person accepti this permit shall in UP conform to the is 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. !06 91*4 A 5 PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUC N STARTS . Rough ...... Service ... . .. . Vd ................ .. ............. BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR DRoughisplay in a Conspicuous Place on the Premises — Do Not Remove Final No Lathing or Dry Wall To Be Done Until Inspected and Approved by the Building Inspector. Burner FlRE DEPARTMENT Street No. SEE REVERSE SIDE Smoke Det. Bill Ells Construction Company License # 139589 7 Celtic Avenue Billerica, MA 01821 978-387-8395 NAME: David Amiralian PROJECT NAME: Strip &Reroof ADDRESS: 35 Boxford Street LOCATION: N. Andover,MA 01845 N. Andover, MA 01845 DATE: July 10,2006 CONTACT: David Amiralian SUBMITTED BY: Bill Ells PHONE#: (H) 978-688-3611 FAX#: Bill Ells Construction Company will perform the following work and clean up and dispose of all debris in an on-site dumpster: 1. On the front of the main house only,measuring approximately 40'x25',will strip all shingles and paper down to the wood deck; 2. Will replace any wet or rotted wood at an additional cost of$6.00 per lineal foot; 3. Will install ice and water shield at the bottom 6' and 30 lb. felt paper the remainder; 4. Will install a drip edge metal on three (3) sides of perimeter; 5. Will cover the entire section using a 3-tab style shingle"Pewter wood"in color and then cap off. Bill Ells Construction Company proposes to furnish labor and materials, complete in accordance with the above specifications, for the sum of. $2,700.00. AUTHORIZED SIGNATURE: , _ Job Start: $ Upon Completion: $ Total Cost: $ (plus any wood cost) PROPOSAL ACCEPTANCE The specifications,prices and attached DATE: L t Conditions are satisfactory and hereby Accepted. BILL ELLS CONSTRUCTION SIGNATURE: CO. is authorized to perform work as Specified. Payment will be made as.outlined above. CADocuments and Settings\Compaq_Administrator\My Documents\13Ells Construction Co\Contracts\2006\Amiralian 7-13-06.doc The Commonwealth of Massachusetts 51 K, ff Department of Fire Services Office of the State Fire Marshal P.O.Box 1025 State Road,Stow,MA 01775 PERMIT / Date: North Andover Permit No (City of Town) (If Applicable) Dig Safe Num er In accordance with the provisions of M.G.L.14 8 Chaap^ter/�as provided in section-52-7—CMR- 34 Start Date This Permit is granted to: �f// e /�S 11-1),-7 �7fi Full name of person,Firm or Corporation Permissionto locate dumpster for construction/renovation/demolition of building. Comments: dumpster must . be 25 ' from structure if unable to place with required Restrictions: clearance dumpster must be covered with plywood or tarp end of work day at (Give location by street and no.,or describe in such manner�was trovied adequate identification of location} Fee Paid 50.00 / t/ h.�'i�✓ Fire Chief This Permit will expire, '/ (Signature of offical granting permit) Offical granting permit (Title) T1415Z PPPUIT MI ICT RF r-nm, PIr i inn 1C1 Y Pn-gTp:n I IPnt.J TNF PPPMICGC ♦� I I i i i Board of Building'Regulations and Standards 5, License or registration valid for individul use only HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Registration 120;89 Board of Building Regulations and Standards Erpiration 7/24./2007 ' Ong'"A`shburton Place Rm 1301 Type DBA Boston,Iola.02108 BILL ELLS CONSTRUCTION CO.:' € WILLIAM ELLS 7 CELTIC AVE. _ BILLERICA,MA 01821` Administrator iVot Valid without signature /A. CORD D81%M""mZr TM. CERTIFICATE OF LIABILITY INSURANCE ' 03/03/2006 �? PRODUCER Phone: (978)667-9031 Fax: 978-667-1018 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION BRAINERD INSURANCE,INC. ONLY AND CONFERS NO RIGHTS UPON THE dE TIR FICATE 1 A ANDOVER RD HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR P O BOX 1042 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. BILLERICA MA 01821-0742 INSURERS AFFORDING COVERAGE NAIC# Agency Liek 1781868 INSURED INSURER A: " AIM Mutual Insurance Co WILLIAM ELLS INSURER B: DBA BILL ELLS CONSTRUCTION INSURER C: 7 CELTIC AVE BILLERICA MA 01821 INSURER D: 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-'vVlTH 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. INSR ADDt! TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTNE POLICY EXPIRATION LIMITS LTR.INSRD DATE MMIDD DATE MMIDD GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY: DAMAGE TO RENTED $ PREMISES(Ea occurence) _- CLAIMS MADE! i OCCUR MED.EXP(Any one person) $ PERSONAL 8 ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG. $ _---- - PRO- ..--- -- POLICY JECT LOC: AUTOMOBILE LIABILITY j COMBINED SINGLE LIMIT ANY AUTO (Ea accident) $ ---- -- i ALL OWNED AUTOS BODILY INJURY - (Per person) SCHEDULED AUTOS - $ HIRED AUTOS BODILY INJURY NON-OWNED AUTOS (Per accident) $ — PROPERTY DAMAGE $ (Per acc denq GARAGE LIABILITY AUTO ONLY-EA ACCIDENT S _ ANY AUTO OTHER THAN EA ACG $ AUTO ONLY: AGG $ EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE $ DEDUCTIBLE !$ i RETENTION$ $ WC WORKERS COMPENSATION AND AWC 7013377012005 07/12/05 07112/06 1 TORY LIMITS OTHER ; EMPLOYERS'LIABILITY -- A ANY PROPRIETORIPARTNER/EXECUTIVE - •E.L.EACH ACCIDENT •$ 100,000 OFFICERIMEMBER EXCLUDED? !E.L.DISEASE-EA EMPLOYEE. $ 100,000 If yes,describe under -- to E.L.DISEASE-POLICY LIMIT $ SPECIAL PROVISIONS below 500,000 OTHER: i DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE IEFT,BUT FAILURE _ TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. - =- AUTHORIZED REPRESENTATIVE : �� Attention Gordon C Brainerd Jr, President •^^^^—1—.1^ 1 r ew s��e ft +a+a Cc)ACORD CORPORATION 1988