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Home My WebLink AboutBuilding Permit #683 - 350 SUMMER STREET 5/20/2008BUILDING PERMIT o `- ttt�eo ',b q1'O TOWN.OF NORTH ANDOVER 02 APPLICATION FOR PLAN EXAMINATION Permit NO: �00 Date ReceivedaO �g ° / w•RATED I.frt.�5 Date Issued: IMPORTANT: Applicant must coir. ,LOCATION, .. . PT int PROPERTY OWiNtlR N�-,/t . Print MAP NO: PARCEL: ZONING DISTRICT plete all items on this page 77 Historic Distric# yes no Ma'-6hine Shop,Village yes r no, TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential New Building One family Addition Two or more family Industrial - Alteration No. of units: Commercial Repair, replacement Assessory Bldg Others-.- thers:Demolition Demolition Other �5e'ptic Well''. s.e Floodplain Wetlands Watershed Distnc#` `Wate'r/Sewer e DESCRIPTION OF WORK TO BE PREFORMED: Identification Please Type or Print Clearly) OWNER: Name: Phone: Address: ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE; BOLDING PERMIT: $12.00 PER $1000.00 OF THE TOTAL ESTIMATED COST BASED ON $125.00 PER S.F. Total Project Cost: $ '2 t 0 ® FEE: $ Check No.: Receipt No.: o?/�� % NOTE: Persons contracting ,#h unregist�red�oAnts^actors,do not have access to the guaranty fund Plans Submitted 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 & DEVELOPMENT COMMENTS CONSERVATION Reviewed on Signature COMMENTS R 2 HEALTH COMMENTS Reviewed on nature 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: 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 NOTES and DATA — (For department use ❑ Notified for pickup - Date Doc.Building Permit Revised 2008 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 o 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 e 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: INSPECTIONAL SERVICES DEPARTMENT:BPFORM07 Revised 2.2008 Location�0 J Date NORTH TOWN OF NORTH ANDOVER AL VP Z ' Certificate Occupancy of $ E<� wt MUS Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # 21 1 67 Building Inspector 6 z J V Cd W ° w° C/) a CO R w° n7o r x U c w R. w CL a w c w tL w W W v cn c ir, p U w `° ii w w aj r� z cin v o cn i fig] r! U 0 O CD O E co L O V Z CD O H Q CD tm O 'O 0 C •E CD m m CD CL � O � O O c O Cc o a CL cnQ c ca :c c O aw C CD CL V CO) c C C C _c CL COD0 Ck U) U) W W W U) o m c Q ' o � C y O C � O C C t • N � • i C C7 CA r: �: . .0S m c 1 N � �m3 C_ O E y k -v V• y ' D r •+ d 42 Ci y O CM3 Z • � C � O C. F = m :opo O. W Co 4::s'0LO.. LL •N C Ja -M O C oc E dt = •r CD L m C.2 om�s COD O. D O C 10 a = H eyp s � O a4 m i fig] r! U 0 O CD O E co L O V Z CD O H Q CD tm O 'O 0 C •E CD m m CD CL � O � O O c O Cc o a CL cnQ c ca :c c O aw C CD CL V CO) c C C C _c CL COD0 Ck U) U) W W W U) BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR Number .CS 094848 Birthdate 09103/1965 Expires 09/0312010 Tr. no: 94848 Restricted 00 GEORGE S 54 DELWOOD ROAD4,`- _ C/)'(, TEWKSBURY MA#11876 Commissioner aolulls!u!wpd 9L8L0 HW 'ALIf18S M31 ~ 'Ob OOOM130 tis 0dVM 398030 uo!;ejodjo0 alen!rd aan� I Z8£99Z #ji dx3' mm I, �-Iiib ;e-l;s! Bab 11010V81N001143MAOZIdW1 3WOH spiepue3S Pug suo!leinga-d %ulfing jo pisog d ACORD,M CERTIFICATE OF LIABILITY INSURANCE DATE (;MIDD ) PRODUCER Judith Pinney Insurance Agency 325 Main Street North Reading, MA 01864 INSR THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIC # INSURED G. W. Siding Inc 54 Delwood Road Tewksbury, MA 01876 POLICY EFFECTIVE INSURERA: Penn -America Insurance Co INSURERB: Assoc. Industries of Mass INSURER C: POLICY NUMBER INSURER D: DATE (MMIDD[YY) 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. INSR ADD' POLICY EFFECTIVE POLICY EXPIRATIONTYPE OF INSURANCE POLICY NUMBER DATE (MMIDDIYYI DATE (MMIDD[YY) LIMITS GENERAL LIABILITY EACH OCC UR RE NCE $ 1,000,000 A X COMMERCIAL GENERALLIABILITY PAC6603579 9/20/07 9/20/08 DAMAGE TORENTED $ 50,000 CLAIMS MADE 111 OCCUR MEDEXP(Ar —person) $ 5 000 PERSONAL& ADV INJURY $ 1,000,000 GENERALAGGREGATE $ 2,000,000 GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP,OPAGG $ 2,000,000 POLICY PRO LOC AUTOMOBILE LIABILITY COMBINED SN GLE U M rf $ ANY AUTO (Ea accident) BO DI LYNJURY $ ALL OWNED AUTOS SCHEDULED AUTOS (Per person) BD DILY NJURV $ HIRED AUTOS NON -OWNED AUTOS (Per acci dant) PROPERTY DAMAGE $ ( Per acci dant) GARAGE LIABILITY AITOONLY-EAACCDENT $ OTHE R THAN EA ACC $ ANY AUTO AITOONLY: AGG $ EXCESS/UMBRELLALIABILITY EACH OCC UR RE NCE $ AGGREGATE $ OCCUR CLAIMS MADE $ DEDUCTIBLE $ RETENTION $ WORKERS COMPENSATION AND X C STATUS H- TOWOT RY LIMITS ER EL. EACHACCIDENT $ 100,000 B EMPLOYERS' LIABILITY AWC7019738012006 9/24/07 9/24/08 ANY PROPRIETOR/PARTNERIEXECUTIVE EL.DISEAS=- EAEMPLGNEE $ 500,000 OFFICER/MEMBEREXCLUDED? Hdescribe under SP EC IAL PROVISIONS below EL.DISvASE- POLICYLMIT $ 100,000 OTHER DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION Town of North Andover DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN 1600 Osgood St., Suite 2-36 NOTICE TO THE CERTIFICATE HOLDER NAM THE LEFT, BUT FAILURE TO DO SO SHALL North Andover, MA 01845 IMPOSEAO OBLIGATION OR LIABILITY�(fF %N ND UPON THE INSURER, ITS AGENTS OR ACORD 25 (2001108) // I- X)kCORD CORPORATION 1988 r N t OD h cy M LO a O N i C 4V � _ _ \, Z d �a 0 `p V rn U. W W � Z o u> e°o W OD 00 N N: cD . b1 gLo o a C �. '` : O JG C d O O T IL co v oD W g � W L c O m W = r t Z 0 0 00 � _ _ W Q O W W � _ L A b1 "M U)E: 90 '` : d. Z.a co v U:. C~J o Lo o w rn , m Q O zco C) O U o o 11 0 \\o O d 05T m y L) ZW 'm Q 0 g a' 2 v, J m Of Q p> Z w 0w 0 W 0 m - r coQ L 4) W Y <n W Y pLli p 3 LLJ C7 WU n H G. W. SIDING C 0 54 Delwood Road Tewksbury, Ma 01876 TEL: (978) 658-3065 CELL: (978)804-4445 Te,-- NANCY � I'i � l job: Date: .350 Summer Street North Andover Mass. 5-1-08 Labor and materials to remove old siding and corner board trim on entire house except the new addition in the back. Cover the house with tyvek house wrap ano ihstall new'/2 by 6 primed cedar clapboards and 3/4 vinal azek trim for corner boards and garage door trim and trim for 3 windows and 1 door. Siding and trim will be nailed with stainless steel nails. All siding cuts will be primed and caulked. A dumpster will be provided by us for all old siding and scrap material then - removed at the end of the job. Any damage under the old siding requiring fixing will be extra. Water damage etc. $21,800.00 OV,' DP s 2 `lam