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HomeMy WebLinkAboutBuilding Permit #248-14 - 35 ROYAL CREST DRIVE 9/19/2013 I 1 i TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit N0: J' Date Received d Date Issued: 9 IMPORTANT: Applicant must complete all items on this page LOCATION - S &lt4- Q.E✓ST' - - Print PROPERTY OWNER_ M, OC O ._ � (C Am bC,aee , (_, �,,��� , Print 100 Year Old Structure yes MAP NO: `2�PARCEL:�(dn ZONING DISTRICT: �J�S Historic District yes �' Machine Shop Village yes n TYPE OF IMPROVEMENT. PROPOSED USE Residential Non- Residential ❑ New Building ❑ One family ❑Addition Two or more family ❑ Industrial ❑Alteration No. of units: yva 2i ES ❑ Commercial repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition 0 Other ❑ Septic ❑Well ❑ Floodplain ❑Wetlands ❑ Watershed District ❑Water/Sewer DESCRIPTION OF WORK TO BE PERFORMED: ��E6L-i02 INLI-�►2. i�i2.�(-�it.J�_ �I X4-1!� l�.l� 12A-1(__ll�l --z� Identification Please Type or Print Clearly} OWNER: Name: A-I %t CCS rJo2 P ANZ:` OVA LLC_' Phone: �aP (,307 60SL F Address: 15(� iZOV - be= ifG2--t-9 Awloa�,L- CONTRACTOR Name: 1�2rrE25t�N Phone: 9')& 433 ;I� Address: l 44-, ST , I'.0 • �X USS ���,��� (_� "A (3) Supervisor's Construction Licenser C�i. M ❑ Exp. Date: 1'21 113 Homer ptvdement License: Exp. Date: ARCHITECT/ENGINEER Phone: ole2b L8390(00 c— f Address: A-ins POID)( X57 Reg. No. 2-9-7 FEE SCHEDULE:BOLDING PERMIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ FEE: $ -75 Check No.: — Receipt No.: (k9 NOTE: Persons contracting with unregistered contractors do not have access to the guaran fund Signature of Ac eri�t//Owner Sig nature of contractor , i Plans Submitted Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans Plans Submittedg Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans TYPE:OF-:SEWERAGE DiSPOSAL Public Sewer ❑ Tanning/Massage/Body Art ❑ Swimming 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 . .DATE REJECTED DATE.APPROVED PLANNING & DEVELOPMENTS ❑ ❑ COMMENTS .CONSERVATION Reviewed on Siqnature COMMENTS HEALTH Reviewed on Signature d COMMENTS �jZoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes )Planning Board Decision: Comments Conservation Decision: Comments Water & Sevier Connection/Signature& Date Driveway Permit DPW'Ibw;e Engineer: Signature: Located 384 Osgood Street FIRE-DEPARTMENT Temp Dumpster on site yes no Located at 124 Mair Street Fire Departinerit 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.$10041000 fine NOTES and DATA— For department use El Notified for pickup - Date Doe.Building Permit Revised 2010 6 Building Department ` ' The following is-a-list of the required forms to be filled out for the appropriate.permit to be obtained. Roofiri,g, 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/Crossection/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 cas<s if a variance or special permit was required the Town Clerks office must stamp the decision from the Board of Appeals that the apo,-al period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording must be submAted with the building application Doc: Doc.Bui?ding Permit Revised 2012 I OO R T1� own of t E ndover 0 0 - : , h , ver, Mass, Se-pl Icl Z DIS COC MIC He W,c �d A�RATEO S U BOARD OF HEALTH Food/Kitchen PER IT T LD Septic System THIS CERTIFIES THAT =r' 1 &Nt BUILDING INSPECTOR ............ ................. .I. ....... ...............�..'C ............ ..................... . . .. .. .... .... has permission to erect..... buildings on Foundation ..................... buildin s on ..... ..... ;........�..................uG. Rough to be occupied as � ....5................. . 5..... Chimney provided that the person accepting this permit shall in every respect conform to the terms of the appliiction 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 Rough VIOLATION of the Zoning or Building Regulations Voids this Permit. 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. SEE REVERSE SIDE I � tiOiiTy;1 BUILDING PERMIT a�o�pjp�'••"°� TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION �` + rte, x Permit NO: Date Received Date Issued: �Ss�GNUS�i IMPORTANT:Applicantwust complete all items on this page w r '`"�µ '�,1�'R.S'�.s+;�•-.i"l,ks � "t^ 1'." :.f ``` L.k � °t'* �i..,(I.!j- }� r.$•'.^ °"�w+ �w Lt30�R� f Crest :states' 4'It Irs� PC?PELT1t �UylVEa AIMG0. IorC#caara ;~� ,,, �- .� - MAP NOS 2PAR EL:;,, -1' IIG tS ,R C�'> RDS I;tot� Tspd( I yes , nd X { :. .yMchi• _Sho ,Uifitag , es X� TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential P New Building D One family 0 Addition X,Two or more family ❑ Industrial 0 Alteration No.of units: Varies 0 Commercial X Repair, replacement 0 Assessory Bldg p Others: 0 cDemolition X Other Waterproofing, Stairs& Rails f� 'rWBtAI'aS�'1,8��$thbt, a, Provide exterior foundation waterproofing and replace stairwells with railings as necessary at Bldg. #'s 35, 37, 39 &40 Identification Please Type or Print Clearly) Dan Millanazzo OWNER: Name: AIMCO North Andover, LLC phone: (617) 639-6052 Address: 50 Royal Crest Dr.; N. Andover MA �- 43 -8 erst n, '' 6"L;Ma�rleSt P'OBox465 l?er, I.MA SUp'F "Viso ' CQnstru�tio i e .,John A Vts t ate, 21/13 1 �, ��fj v ,( a •gw;, f , 1 / .k. ^e�..,, r�, , ; Fu " �' .,. �":.a l".7C7"�1�f.'..—/ .�'9+r-+K •. '�. _f--• d. s �.r�a�w ensese twp 'ate.rt ni5�i."r .* s ��d}"? p i?• {N �i.�! .e.wr .t•.Wlwa'r{^ 'i•My:= {e� .: 1._ ,,�+ -3i'xr Cornerstone Land Consultants, Inc. ARCHITECT/ENGINEER John A. Visniewski. PE Phone:. (978) 433-8100 Address: 61 Main St.: P.O. Box 657: Pepperell MA 01463 Reg. No.MassPte, 7� FEE SCHEDULE BULDING PERMIT.$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cast: $ 25,000.00 FEE: $ 300.00 Check No.: Receipt No.: NOTE: Personscontracting with upregistered contractors do not have access'to the.guaranty. and eA ent �..,�: ..� -:�Siatur ofiraont�•a�cto� � "`'�- .'""�, f f Plans Submitted Plans Waived ❑ Certified Piot Plan ❑ Stamped Plans TYPE OF SEWERAGE DISPOSAL .Public Sewer ® Tanning/Massage/Body Art ❑ Switnming Pools ❑ Well ❑ Tobacco Sales ❑ Fond Packaging/Sales 0 .Private(septic tank,etc. ❑ Permanent Dumpster on Site ❑ THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF -U FORM DATE REJECTED DATE APPROVED PLANNING & DEVELOPMENT ❑ COMENTS CONSERVATION ❑ cc 1 1 3 COMMENTS iW_ � � / `t�'� �� 1 �'/ VelOP I q lw-nL ut 4U S iw ona&teA�i1 664 Aa�o 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 Cbrsnection/Sii nature&Date Driveway Permit Located at 384 Osgood Street FARE DE �j�°T� .Temp Durxlstr �lte� s��, �,„, tea.' t - S .7r. t -"ti^?a� ,w;,'i Tr "^a+t't ..: :.. T • � ',- g�'i�$>�� �4 � T ,.a�*t+a �' r h' 4 q €r r•z z. , r k '#�++I�w S ^C Y { Y `d V J t .r =g `F N i�Z Trt a#5r �`. K"* +►c y, oT, TOWN OF NORTH ANDOVER I OFFICE OF � r t n BUILDING DEPARTMENT �,,��,,, 400 Osgood Street � ,rr North Andover,Massachusetts 01845 D.Robert Niceita, Telephone(978)688-95454 Building Commissioner Fax (97$)688-9542 CONTROL CONSTRUCTION— SECTION 116.0 M.S.B.C. CERTIFICATE OF ENGINEERING/ARCHITECTURE BULDING INSPECTOR TOWN OF NORTH ANDOVER 400 OSGOOD STREET NORTH ANDOVER MA 01845 I, John A. Visniewski HEREBY CERTIFY THAT THE BUILDING CONSTRUCTED AT Bldg. #'s 35, 37, 39 & 40 at 50 Royal Crest Dr. DOES CONFORM IN ALL RESPECTS TO.THE MASSACHUSETTS STATE BUILDING CODE AND APPLICABLE FEDERAL REGULATIONS FOR THE FOLLOWING: Foundation waterproofing and s inage piping at the specified buildings. *` HNjp G AUTHORIZED SIGNATURE: yaw FSS/0 �t September 13, 2013 REGISTRATION: Mass. PE # 29775 NOTE: ENGINEER"WET STAMP"MUST BE AFFIXED TO THIS FORM Control Cons4uc6on Form revised 11,15.2004 i BOARD OF AFPL•A[S 688-9541 CONSERVATION 688-9530 HEALTH.588.9540 PLANNING 688-9535 f 'Massachusetts - Department cf Public Safety Board of Building Regulations'and Standards Construction Supers isur License: CS-014178 JOHN A VISN.IE"'ISHI 94 SBMLEYST PEPPERELI3MA,O.i463' r - ti.f'` !! Commissioner ExPiration 11/21/2013 4 AC40R oma® CERTIFICATE OF LIABILITY INSURANCEF6/14/2013 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. 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 CONTACT Ted Noyes W.E. Noyes & Son Insurance Agency, Inc. PHONE (978)425-9595 Fax No):(978)925-9160 73 Front St E-MAIL ted@wenoyes.com P.O. BOX 1248 INSURERS AFFORDING COVERAGE NAIC# Shirley MA 01464-1248 INSURER AXartford Ins Co 19682 INSURED INSURERB:Sentinel Insurance Company, LTD 11000 CORNERSTONE LAND CONSULTANTS, INC CORNERSTONE INSURERC:Twin CitV Fire Ins. Co. 29459 P 0 BOX 657 INSURER D:Hanover Insurance Company 2292 INSURER E: PEPPERELL MA 01463 INSURER F: COVERAGES CERTIFICATE NUMBERCL136740677 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 ADDL18SBATN5795 POLICY EFF POLICY EXP LTR TYPE OF INSURANCE POLICY NUMBER MM/DD/YYYY MM/DD/YYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY D AGE O RE TED PREMISES Ea occurrence $ 300,000 A CLAIMS-MADE FZ OCCUR X /3/2013 /3/2019 MED EXP(Any one person) $ 10,000 PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OPAGG $ 2,000,000 X POLICY PRO LOC $ AUTOMOBILE LIABILITY EOM�BIINdEeDtSINGLE LIMIT 1,000,000 B ANY AUTO BODILY INJURY(Per person) $ ALL OWNED X SCHEDULED 08UECZJ9456 /3/2013 /3/2019 AUTOS AUTOS BODILY INJURY(Per accident) $ X HIRED AUTOS X NON-OWNED PROPERTY DAMAGE AUTOS Per accident $ TERR $ XUMBRELLA LIAB OCCUR EACH OCCURRENCE $ 5,000,000 A EXCESS LIAB CLAIMS-MADE AGGREGATE $ 5,000,000 DED I R I RETENTION$ 10,00C X 08SBATN5795 /3/2013 /3/2014 $ C WORKERS COMPENSATIONWC STATU- OTH- AND EMPLOYERS'LIABILITY Y/NLIMITSFEL ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 1,000,000 OFFICER/MEMBEREXCLUDED? N/A (Mandatory in NH) 8WECCM4902 /5/2013 /5/2019 E.L.DISEASE-EA EMPLOYE11$ 1 000,000 It yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000 D PROFESSIONAL LIABILITY LHNA023436 6/8/2013 6/8/2014 PROFESSIONAL LIABILITY $1,000,000 DEDUCTIBLE $7,500 DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space Is required) Property Name: Royal Crest Estates (N. Andover) Contract #:15646-0000419087 - CP - 00001 Coverage includes owner as Additional Insured's as expressly nominated under the insurance provisions of the contract CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN AIMCO NORTH ANDOVER, LLC ACCORDANCE WITH THE POLICY PROVISIONS. 50 ROYAL CREST DRIVE AUTHORIZED REPRESENTATIVENORTH ANDOVER, MA 01845 Ted Noyes/TNOYES ACORD 25(2010/05) ©1988-2010 ACORD CORPORATION. All rights reserved. INS025(9ntnnsi nt Tho Aropn nnmo=nrl Inn^nro rcnietnrnrl mnrlre of Arnpin Location No. 24-v�t Date t / -, • '= TOWN OF NORTH ANDOVER . 4 Certificate of Occupancy $ Building/Frame Permit Fee $ 75 , ' Foundation Permit Fee $ S Other Permit Fee $ TOTAL $ � Check# 25 U 9 Building Inspector