Loading...
HomeMy WebLinkAboutBuilding Permit #328 - 350 SUMMER STREET 10/30/2007 BUILDING PERMIT of pORTH, qti TOWN OF NORTH ANDOVER c 4; '- . _ o� APPLICATION FOR PLAN EXAMINATION `' Permit NO: Date Received 11 �gSSACH5 Date Issued: ' V' IMPORTANT: Applicant must complete all items on this page �k.y, ''•"` , :�-`sb - x u „aw=" a k c*. .tax,. , se"'1'C` YLOCA?ION � 4 ► 1 rv4Ae- T2-t � M x � Pt�lTtt PROPERTY 01UNEFt' 4 . ' ` �t✓� / �"'��a`a fir. 3`.�, .E.,a,'fr.s a.5^� 'ew. -rr. �' p '�!• R- '-t' .: y�..a.Y' t; �. 't.. tt w'r " ;` "'"a PrJf1t a ^.'" x+'. ,.aa avh+_•�' «xr +.a }� y+F' :.e.: r._._� �.._� r_ _,..��� �� ;� 7, ��� ,,� �, �:.��• ., ������., �� �s.��k achine Sliop Vallage Vires ����� M 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: Demolition Other "septic 1r'1le�l s dF1c�octpla�n �WetlandsrV1�atersiaed District a..s;6. - # t x?r DESCRIPTION OF WORK TO BE PREFORMED: ;g,efdys' e-Y XrING 0e*6 K :2�NT'T4!l /Z'X Identification Please Type or Print Clearly) %v OWNER: Name: f\N Ly fqL 18ND) Phone: -7$-(o$9 -UgLtE Address: 35C .sumn1C✓ &PW x.x.-r xtu `<- �, 'Vt't `3sEY:x "'C Inc s "y 3^ 'a.c. a '• Yx "s fit- Y tf F iCONTRACOR� larne f- 1 ;" ,. "'-.�.•. p a` "'' n,' m ,��, R ,�' � x �.n ,,,,," + -»'xu•-w xS F �-r' a.� r 3 sem' a 4 n- �! "'' "c.€ „ x rt: 3a. R, ` ' ;k'� �ca7 r - .' . A"Idress gA r 3 x " =- 17n k ;, ��� Su erv�sor s*Construction icense t EX} Date P - p rp � 7m, "^R'.�'+"""p H�rfi� Improuernent GJceMe� �3 ' ' P N R Phone: ARCHITECT/E GIN EE 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: $7, foo. o FEE: $ Check No.: Receipt No.: NOTE: Persons contracting with.unregistered contractors dd not have access to the guaranty fund nature'of AgenOwner l��i Signature of wcontractor ' 9.. Plans Submitted Plans Waived Certified Plot Plan Stamped Plans TYPE OF SEWERAGE DISPOSAL Public Sewer Tanning/Massage/Body Art Swimming Pools WellTobacco Sales 414 Food Packaging%Sales 1Private(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 DATE ECTED DATE APPROVED CONSERVATIO;;;�g COMMENTS DATE REJECTED DATE -; ROVED HEALTH ' _ ),C> COMMENTS ;" Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes 3 Planning Board Decision: Comments Conservation Decision: Comments Water & Sewer Connection/Signature & Date Driveway Permit Located at 384 Osgood Street �.:v*;..:r a = 'v #ginC a�- gyy`j� 's&t t+!' a .z FIRE DEPARTMENT Temp Durraps#er on sl#e� fires `" 4no � , d y ME x*'2` a- � �,.-S+s� 'a.x 4 " .ty4 f`,• `-x G."'�'�:r '�t _� 5 ^t+Y:i>`'^` 4�-..z. ra.._�,r�mr. i c Located at 7 24 Main Street "•Fv` w ,ty.` ..^+W"E'kyt' �f • r .: ,.i .",�, Fltre Deparrnenti gnatare/date „ n r F •+` w ,ax ,S:. -" ? *_- , """ .+ ��•jtrs5,,``t, F3.: ,�'z'.+... vF�, 4:, {� #:.+�, 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 p ❑ Notified for pickup - Date Doc.Building Permit Revised 2007 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 o 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 j. ❑ 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 ConstructionSin le and Two Family) � 9 Y) I, ❑ Building Permit Application ❑ Certified Proposed Plot Plan ❑ Photo of H.I.C. And C.S.L. Licenses ❑ Workers Comp Affidavit ❑ Two Sets of BuildingPlans One To Be Returned to Include Sprinkler Plan And �I ( ) P 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 2.2007 Location 2) - No. Date © `- `0 w N°RTM TOWN OF NORTH ANDOVER Certificate of Occupancy $ ss cNuS tBuilding/Frame Permit Fee $ �+ Foundation Permit Fee $ ` k Other Permit Fee $ TOTAL $ Check # l �J .j 2.073 Building Inspe&r NORTH Town of t 4 over C, = LA E i dover, Mass.,/D 44Da COCHICMEWICK �� 7�AORATE D P? `s BOARD OF HEALTH Food/Kitchen PERMIT T Septic System BUILDING INSPECTOR THIS CERTIFIES THAT........./ ..i �!1..Gr... ...........A... .............. .................................................... Foundation has permission to erect........................................ buildings on....3170......E M.. .r.U!W.%.+Lrk....ir.l..... Rough to be occupied as .. ......� . chimney ..... ...................................................................................................... provided that the person accepting this permit shall in every respect conform to the terms 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. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES IN .6 MONTHS ELECTRICAL INSPECTOR UNLESS .CONSTRU T Rough ..: -......... Service BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR 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. SEE REVERSE SIDE Smoke Det. PROPOSAL Desmond Construction, Inc. P. O. Box 41 North Andover, MA.01845 508-523-7258 Date: 10/18/07 Page 1 of 2 TO: Job Site: Nancy Alibrandi same 350 Summer Street North Andover, MA 01845 978-689-0848 DESCRIPTION TOTAL Deck Construction-12'x 16' Item 1 Demolition Remove existing deck.All construction debris to be removed from site. Item 2 Frame Install 7-4'in depth concrete footings . ji Frame deck with pressure treated= "stock. A VZa` Bolt plate to house. Item 3 Deck Finish Deck surface to be timber tech earth wood solid plank tropical teak color. Size: 5/4"x 6"x 16" Post and rails to be radiance white. Rail kit, post cover, post skirt, post cap. PVC trim board, PVC privacy lattice. Total $7,800.00 PROPOSAL, Desmond Construction, Inc. P.O. Box 41 North Andover,MA.01845 508.523-7258- Date: 10/18/07 Page 2 of 2 TO: Job Site: Nancy Alibrandi same 350 Summer Street North Andover, MA 01845 978-689-0848 F 777= All material is guaranteed to be as specified,and the above work to be performed in accordance with the drawings and specifications submitted for above work and completed in a substantial workmanlike manner for the sum of $7,800.00 with payments to be made as follows: 25%upon signing $1,950.00 25%upon start $1,950.00 50%upon completion $3,900.00 An interest charge of 1.5%per month will be applied to any balance due 30 days after completion of this project. Any alteration or deviation from above specifications involving extra costs will be executed only upon written orders, and will become an extra charge over an above the estimate.All agreements contingent upon strikes, accidents or delays beyond our control. Owner to carry fire,tornado and other necessary insurance upon above work. Workmen's Compensation and Public Liability Insurance on the above work to be taken out Desmond Construction, Inc. Respectfully submitted Per Matthew Desmond NOTE:T is proposal may be withdrawn by us if not accepted with days. ACCEPTANCE OF PROPOSAL The above prices, ications and ditions a satisfactory and are hereby accepted.You are authorized to do the work as sp a ment wil m e a outled above. Signature: Date: Signature: Date: f It l 10-4 �QDD LaT OAA. � cA iz t Lz LOCATION OF STRUCTURE(S) WED ON LINES OF OMUPATIM ONLY. AMORE ACCURATE LOCATIM WILL REQUIRE AN INSTRUMENT SURVEY. 1� y Fr 3371 Scale: Imm . il d�s��Q SOA ain K y,,. : �s AQprvX„nna'F��J o • zn oll, iT, Af lbvlJ QLM, 44 fH f g d x 9/t -� Board of Building Regulations and Standards One Ashburton Place - Room 1301 Boston. Massachusetts 02108 Home Improvement Contractor Registration Registration: 143109 Type: Private Corporation DESMOND CONST. INC. Expiration: 6/18/2008 MATTHEW DESMOND 19 UPLAND ST N. ANDOVER, MA 01845 OPS-CAI 50M-05/06-PC8490 Update Address and return card.Mark reason for ` change. [:] Address [] Renewal E] Employment Lost Card ✓lze -Panvnzoouueccl� a�./flaaaac�uzeelt -- --___._ _ Board of Building Regulations and Standards HOME IMPROVEMENT CONTRACTOR License or registration valid for Individul use only before the expiration date. If found return to: Registration: 143109 Board of Building Regulations and Standards Expiration: 6/18/2008 One Ashburton Place Rm 1301 Type Private Corporation Boston,Ma.02108 DESMOND CONST INC. MATTHEW DESMOND- 19 ESMOND19 UPLAND ST N.ANDOVER,MA 01845 Deputy Administrator Not va id w' itho ut sig nature BOARD OF BUILDING REGULATIONS • License: CONSTRUCTION SUPERVISOR e t .. Number: CS 072487 Birthdate: 03/22/1960 { Expires: 03/2' ?/2008 Tr,no: 19915 f i Restricted. 00. i MATTHEW F DESMOND 19 UPLAND ST i N ANDOVER, MA 0184.5 - i Commissio�� The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): 0 ' PY1Vya Address: r &,?,ra fT, City/State/Zip:,4VD. .A�votavcti ��. n>��S Phone #: 19 7Y ' (tee} 7).7 q Are you an employer? Check the appropriate box: Type of project(required): 1.0 I am a employer with / 4. ❑ I am a general contractor and I 6. ❑ New construction employees(full and/or part-time).* have hired the sub-contractors 2.El [ am a sole proprietor or partner- listed on the attached sheet. E] Remodeling ship and have no employees These sub-contractors have 8. ❑ Demolition working for me in any capacity. workers' comp. insurance. 9. ❑ Building addition [No workers' comp. insurance 5. ❑ We are a corporation and its officers have exercised their 10.0 Electrical repairs or additions required.] 3.❑ I am a homeowner doing all work right of exemption per MGL 11.0 Plumbing repairs or additions myself. [No workers' comp. c. 152, §](4),and we have no 12.❑ Roof repairs insurance required.] t employees. [No workers' 13.0 Other comp. insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. I Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. #Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: 191'e-f Grs. Policy#or Self-ins. Lic.#: At✓ c 7Q> 9-r9P Expiration Date: $AxVd Job Site Address: '3So Jry^ r^ S'r� City/State/Zip:&a. 4,ypo-w.,4 py4. a/,FYS Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to $1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under t! pains and penalties of perjury that the information provided above is true and correct. Signature: Date: Phone#: 97S' 23.7? Official use only. Do not write in this area,to be completed hv city or town official City or Town: Permit/License# Issuing Authority(circle one): 1. Board of Health 2. Building Department 3. City/Town Clerk 4.Electrical Inspector 5. Plumbing Inspector 6.Other Contact Person: Phone#: yORTH OF then e'9'd' O M h p T9 DR4iFD�P '(� S S SOCHU`�E CONSERVATION DEPARTMENT Community Develop ment Division � October 11, 2007 Nancy Alibrandi 350 Summer Street North Andover,MA 01845 350 Summer Street, North Andover Expansion of an Existing Deck Conservation Conditions of Approval,NACC #34 Pursuant to section 4.4.2 A of the North Andover Wetlands Protection Regulations,Nancy Alibrandi, applicant/homeowner, filed for a small project for work proposed at 350 Summer Street,North Andover. The work consists of expansion of an existing deck by approximately 170 s.f.including a staircase. Soil disruption for the work is limited to the installation of 6 new 12-inch sonotubes and 2 6-inch sonotubes resulting in approximately 7 s.f. of soil disruption. Installation of the sonotubes will be performed using hand equipment.Work will be conducted 72 feet from the edge of a Bordering Vegetated Wedand (BVW) at its closest point.The Conservation Department conducted a field inspection on October 4,2007 and agrees with the location of the wetland boundary. During the October 10,2007 public meeting,the North Andover Conservation Commission (NACC) voted unanimously to approve this project. The following conditions were hereby mandated: RECORD DOCUMENTS: Scaled Sketch prepared by the contractor Copy of a portion of the As-Built Plan for the site (242-1078) Letter of proposal/description of work prepared by Nancy Alibrandi CONDITIONS: 1. Due to the limited nature of soil disruption, the distance from the wetland to the approved work, and that the work is being completed by hand, erosion controls are not required. However,the NACC reserves the right to impose the use of erosion controls (hay bales & / or silt fence) if the site exhibits erosion, or any noticeable degradation of surface water quality discharging from the site. Should the erosion controls be required,they shall be installed vnithin 48 hours of the request. The erosion control barrier shall be properly installed (silt fence trenched 4—6-inches into the ground,backed by double-staked hay bales) and shall be inspected and approved by the Conservation Department. These temporary erosion control measures shall remain intact until all disturbed areas have been permanently stabilized to prevent erosion. All erosion prevention and sedimentation protection measures found necessary during construction shall be implemented at the direction of the Department or the NACC. 2. Accepted engineering and construction standards and procedures shall be followed in the completion of the project. 1600 Osgood Street,Building 20,Suite-9-36,North Andover,Massachusetts 01845 Phone 978.688.9530 Fax 978.688.9542 XX'eb -,vw,\v.http://-,y-\v%v.townofnortliandover.com/conservel.htm 3. Excess material shall be properly disposed of off site. 4. Upon completion of the approved project and site stabilization,please contact the Conservation Department for a final inspection. 5. This permit shall expire on December 31, 2007. Please do not hesitate to contact me should you have any further questions or concerns in this regard. Thank you in advance for your anticipated cooperation. Respectfully, NORTH ANDOVER CONSERVATION DEPARTMENT Alison E. McKay Conservation Administrator 1600 Osgood Street,Building 20,Suite 2-36,North Andover,Massachusetts 01845 Phone 978.688.9530 Fax 978.688.9542 Web www.http://w-w-\v.townofnorthando-.er.com/consenel.htm ACORDM CERTIFICATE OF LIABILITY INSURANCE 10/16/20o PRODUCER (978)372-2790 FAX (978)373-2281 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Sullivan Insurance Agency, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 487 Grovel and Street HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Haverhill , MA 01830 INSURERS AFFORDING COVERAGE NAIC# INSURED Desmond Construction, Inc. INSURER A: Commerce Insurance 34754 19 Upland Street INSURERB: AIM Mutual Insurance Company 33758 North Andover, MA 01845 INSURER C: 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 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'L TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS DAT TE(MM/DD/YY1 GENERAL LIABILITY ZS1282 07/07/2007 07/07/2008 EACH OCCURRENCE $ S00,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $ 50,000 CLAIMS MADE OCCUR MED EXP(Any one person) $ 5,000 A PERSONAL&ADV INJURY $ 500,000 GENERAL AGGREGATE $ 500,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ S00,000 X POLICY PROJECT LOC AUTOMOBILE LIABILITY T90224 09/12/2007 09/12/2008 COMBINED SINGLE LIMIT ANY AUTO (Ea accident) $ ALL OWNED AUTOS BODILY INJURY $ A X SCHEDULED AUTOS (Per person) 100,000 HIRED AUTOS BODILY INJURY NON-OWNED AUTOS Per accident) $ 300,000 PROPERTY DAMAGE $ (Per accident) 100,000 GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR FICLAIMS MADE AGGREGATE $ DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION AND AWC7019598 08/23/2007 08/23/2008 WC STATU- X 0TH- EMPLOYERS'LIABILITY TORY LIMITS I E.L.EACH ACCIDENT $ 100,00 B ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICERIMEMBER EXCLUDED? E.L.DISEASE-EA EMPLOYEE $ 100,000 If yes,describe under SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT S00,000 OTHER. II DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS Carpentry Operations Mathew Desmond, President excluded for WC CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 20 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, Town of North Andover BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY 1600 Osgood Street OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. North Andover, MA 01845 uT HORIZEDREPRESENTA at FCrawford ACORD 25(2001/08) ©ACORD CORPORATION 1988 IMPORTANT If the certificate holder is an ADDITIONAL INSURED,the policy(ies) must be endorsed.A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). 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). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. ACORD 25(2001/08)