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HomeMy WebLinkAboutBuilding Permit #023-2011 - 37 CARLTON LANE 7/1/2010 BUILDING PERMIT "°oT"gtio TOWN OF NORTH ANDOVER ►°3? 4`.,'' �p APPLICATION FOR PLAN EXAMINATION _/Y 01 �' �'Pq coCwrtW y1� Permit NO: VI (/• Date Received ��SSACHUS Date Issued: 7 �O IMPORTANT: Applicant must complete all items on this page LOCATIONY � PROPERTY OWNER C© ,. _ a 47t a n Print �-�,,'� f MAP NO: O PARCEL; C� U= ZONING DISTRICT:rNON s i�District yes no ` - j Machine Shop Village yes o TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential New Building One family Add[.' Two or more family Industrial Iteration No. of units: Commercial epair, replacement Assessory Bldg Others: Demolition Other Septic Well Floodplain Wetlands Watershed District Water/Sewer DESCRIPTION OF VYORK TO BE PREFORMED: �'1c Ce Yl 1 I►� •W S Identifica ion Please a or Print Cl77J..h0nPhone:Lq1?J) ) OWNER: Name: S VA612,%'2-17-(z2 Address: 2JrI l�caal��Z51�1 �O�lr1 rG CONTRACTOR NameML' l Phon __4 ))qqL­1 -+ its Address: U Y l H 14 Supervisor's Construction Licenser Exp. Date.: I - Home Improvement License: - Exp. Date: 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. r Total Project Cost: $ ij L0 4 9 � FEE: $ &F ov Check No.: -3,2 /0 Receipt No.: —23 6 63 NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund 'Signature of Agent/Owner 1 Signatureof contractor AORTH BUILDING PERMIT °� t�t� ,6'�ti TOWN OF NORTH ANDOVER ° O 0 APPLICATION FOR PLAN EXAMINATION '" '° Permit NO: ,_> ` Date Received �qss"7eO.5���h �CHU Date Issued: 71z bo IMPORTANT: Applicant must complete all items on this page LOCATION /M Coo � �y �R� "P.int �n ( `,, PROPERTY OIN:NER Su� Vy a('l`� �G� ► Y IC�C~C�. { i r A_ n - Print MAP NO: PARCELI0�1 ZONING yes eno - 1 Machine Shop Village yes . To TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential New Building One family Addi ' Two or more family Industrial Iteration No. of units: Commercial epair, replacement Assessory Bldg Others: Demolition Other Septic V11e11 _ Floodplain ' Wetlands 'Watershed District - W171,,pter./SeWer. DESCRIPTION OF WORK TO BE PREFORMED: 0 U,12IQCCr) I indows Identifica ion Please Type or Print Cl 1 ) OWNER: Nam e C(fit; W V- 66 (q-t_'JCAL� VIC)IrlPhone:�gln Address: 1�)rl. T hCQNTRACT(�R Name: i ( ,� i. ( S L. Phan . �J �J - . Addre ., �. _ ss 3 SU;pervisor's Ccynstr"uction�License-* Exp, Date.-! I {, Home I rn-provement-License--.. 1, nExp 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: $ yCl FEE: $ 6,g>, oz> Check No.: 3,210 Receipt No.: —23 6 63 NOTE: Persons contractin with unregistered contractors do not have access to the guaranty fund Signature of Ac�ent%awneI'I Si nn ture ofcoritractor. = M A ----y 9_._._. . _ _ Location No. (12 .?U// Date 2 / l� NORTH TOWN OF NORTH ANDOVER �? •. • OLS Certificate of Occupancy $ .«.:�:.. sACNUsE<� Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # �� D Auilding Inspector i i I Location Z 7 C Gr1-7406 Z,-- ,6e,4 No. x'12���ori Date ,40RT1y TOWN OF NORTH ANDOVER O 10 s .. 9 i Certificate of Occupancy $ � CH "IS US<� Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # 2 `; " wilding Inspector 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 Privatese tic tank etc. � p � 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 HEALTH Reviewed on Signature COMMENTS 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 DEPARTMENT Temp Dumpster on site yes no Located at 124 Main Street Eire Department signature/date COMMENTS 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 { HEALTH Reviewed on Signature COMMENTS 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 FARE DEPARTMENT -"T.empumpster on site yes no Located at X24 MainStreet Fire Department ei natureldate i 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.s10o-s1000 fine NOTES and DATA— For department use) i 4 i ❑ Notified for pickup - Date 1)0c-Building permit Revised 2008 I 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 i Building Department The following is a list of the required forms to be filled out for the appropriate permit to be obtained. I 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/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 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 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/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 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 i ORTM Andover TO" of _ 5 • ' 0 Q A+ LAK _o dover, Mass., /-ZO COC HICHEWICK �� 7�ADRATED S BOARD OF HEALTH Food/Kitchen Septic System .PERM IT T D • y� BUILDING INSPECTOR Sc 7 a�f C/' �-� THISCERTIFIES THAT........................................................................... .......//......�............................/......................................... Foundation / C:CP/' ©�...,fl.(.�iY E........:........... .... Rough has permission to erect........................................ buildings on ..... .......................... .... •-ast/� ,Q Chimney to be occupied as.... ............ �... 1/,I/mer............... ...C' s..`��(. 5.......................................................... 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 CONSTRUCTION STARTS Rough ��J Service �4�LDING 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. ACC)R"' CERTIFICATE 4F LIABILITY INSURANCE DATE(MMIDD/YYYY) Fo6117/2010 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Obrey Insurance Agency, Inc, ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 1E Commons Drive Unit 27 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. LondonderryNH 03053 _ INSURERS AFFORDING COVERAGE NAIC# INSURED MCNEIL BUILDERS, LLC INSURER A; NCCI 69 OLDS BRIDGE LANE INSURER B; INSURER C: EPPING NH 03042 F'?': SURER D: I SURER E' COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUEDTO THE INSURED NAMED ABOVE FOR THE POLICYPERIOD INDICATED.NOTW ITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACTOR 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. I TR INSRT D' 1 POLICY NUMBER FOUCY EFFECTIVE POLICYEXPIRATION DATE MD1YyYYI LIMITS GENERAL LIABILITY EACH OCCURRENCE I COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED CLAIMS MADE L-_J OCCURPREM (Ea oGcu[ S�__ __ MED EXPiAny ona person) S PERSONAL&ADV INJURY IS _ _ GENERALA_GGREGATE �S GEN'L AGGREGATE LIMIT APPLIES PER: PRGOUCTS-COI.IP.'OP AGG__� POLICY�...TI PRO- LOC I --- AUTOMOBILE LIABILITY COALBINED SINGLE LIMIT S ANY AUTO {Ea acoCent) ALL OWNED AUTOS BODILY IN.IURY _ — SCHEDULED AUTOS (Per person) I S HIRED AUTOS BODILY INJURY S NON-OWNED AUTOS (Per amdeni I - PROPERTY DAMAGE - (Per accident) GARAGE LIABILITY AUTO ONLY-EA AC S _ ANY AUTO OTHER THAN EA ACC I S AUTO ONLY AGG I S EXCESS I UMBRELLA LIABILITY EACH OCCURRENCE �S _ OCCURL� CLAIMS MADE AGGREGATE le_ DEDUCTIBLE w i -- - S - RETENTION $ iS WORKERS COMPENSATION LVC STATU. +DTH- .AND EM PLOYERS'LIABIUYIN XTY RY.LiMITS.� A ANY I'ROPRIETORIPARTNER/EXECUTiV4---I WC25028040 05/17/2010 0511712011 OFFICERIMEMBER EXCLUDED? E.L EACH ACCIDENT $ 100,000 (Mandatory In NH) If yas,describe under E.L.DISEASE_EA EMPLOYEE $100,000 SP VISIONS I w OTHER ER E L DISEASE-POLICY LIMIT S 500,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDEO BY ENDORSEMENT I SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION SHOULD ANY OFTHE ABOVE DESCRIBED POLICIES SE CANCELLED BEFORE THE EXPIRATION SCOTT&PATRICIA RELIHAN DATE THEREOF,THE ISSUING INSURER WALL ENDEAVOR TO MAIL 30 DAYS WRITTEN 37 CARLTO N LANE NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT.BUT FAILURE TO 00 SO SMALL IMPOSE NO OBLIGATION OR UABIUTY OF ANY KIND UPON THE INSURER,ITS AGENTS OR NORTH ANDOVER,MA 01845 Phone: [REPRESENTATIVES. IZED REPRESENTATIVE I Fax: ' ACORD 25(2009/01) 6 1988-2009 ORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD r Massachusetts- Department of Public Safety sa'No'0}oJBaWah 0 0 .9 H A ` Board of Building Regulations and Standards = 0/ ° Construction Supervisor License Q 3 _3 (n 3 3 03 License: CS 62654 V o t n o2! B' Restricted to: 00 g rn o w� r C -?, o na MIKE G MCNEIL r Z c �, 69 OLDE BRIDGE LANE ! n o EPPING, NH 03042 j r� Z c rn c Expiration: 1/12/2011 Fin ( niltill Tr#: 8837 Board of Building Regulatio sand Standards License or registration valid for individul use only WHOME IMPROVEMENT CONTRACTOR beforethe expiration date. If found return to: Registration: 124592 Board of Building Regulations and Standards Expiration: 7/23/2011 Tr# 285405 One Ashburton Place Rm 1301Boston,Ma.02108 ' Type: DBA McNeil Builders Mike McNeil i 69 OLD BRIDGE LN ...�_ EPPING, NH 03042Administrator Not valid without signature