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HomeMy WebLinkAboutBuilding Permit #843-14 - 379 BOXFORD STREET 5/21/2014 NORTH BUILDING PERMIT 3r '° �' °Z_ `... 9 TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINAT O • Date Received � �! reo Permit NO: �SSACNV`�� Date Issued: I ORTANT:A hcant must com Tete all items on this page „ LOCATION _ a Rr it PROPERTY OWNER' r esno NaAP NO` PARCELBMW_ZONING DISTR]CT ^H[stonc District y x. k �� r F f \tillage z;yes2_ Oil r „. r.Nl acfime Shop TYPE OF IMPROVEMENT PROPOSED USE Non-Residential Residential ❑New Building ❑One family ❑Addition ❑Two or more family ❑ Industrial ❑Alteration No.of units: ❑Commercial ''Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑Other 77 x }xFi©adpla�n �r i1lNetlands ❑ Watershed dlstr�ct , 4 �� d Septic X,❑V1fel1 G ❑tlVa#er/Sevier `� ' �f' z` ��� �, '*�_ � ' .;� - r �w r - €NIbNP+t 'mil N Nri W I✓ t' k , �1 l� \r+J i I U\ 3 C� D O cg Identification Please Type or Print Clearly) OWNER: Name: a-l� Ly�� Phoned Address CONTRACTOR_Narne` : s ♦r r? 1�-�� t7�7CJ �� �z�5� �dr '"' + e.y a8 a£ e2 r S �r�/5✓"tT i 17 F..� "'x F2��/�rR'T �" Si/ w"'./3.L f1 '-�� Y'N j '4F Y 3.t�%i' '� .4^ � �,,.i L-l+. 7► ''�{ 'y lam '.• Ys cava Supervisor s rr ConsfructtoLicense t _ r+.F 1 �fi4 p `� K - T 3' Z i1 1044 A_✓"`}'C'j y„ �F ' C'v }i l 3 ✓ 1 � �'• - Y..Y' H se,. riY �S .t�y:�r C �(1'1f Date 4$��'" t? S -G'S,] 4`C'4•,t-Yia't ,4�Si � y-r' Home Improvement L�iCe[1SE% //x¢• ° tk < f yy .ARCHITECT/ENGINEER �V �i� 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: $ 5, 9 50 - oa FEE: $ till Check No.: '�'a Receip � t No.: `Z . NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund Signature-of Agent/Owner Signaturef contractor. Location No. LA' ` Date . • TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $ � Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check# ' 27 59 3 '�"Bu'r ding 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 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 FIRE'DEPARTMENT­ Temp Du:mpster on sate yes r t no = Located at 124 TJlain`Str6et f ' Fre..Depa_rtmen#sig,nature1-date CO'MM:E.NTS`- . _ ®ipnension- 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 Z®NE LITERATURE: Yes No- MGL-Chapter.166.section-21A=F and G min.$100-$100o.:fine NOTES and DATA— For department use ® Notified for pickup - Date - E Doc.Building Permit Revised 2010 Building Department -The foo;�wing is'a list of the retluired..forms to be filled out for:the.appropriate.permit to.be obtained. Roofing, Siding, Interior Rehabilitation Permits o Building Permit Application o Workers Comp Affidavit ❑ Photo Copy Of H.I.C. And[Gr"C.S.L Licenses o Copy of Contract o Floor Plan Or Proposed Interior Work o Engineering Affidavits for Engineered products NOTE: All dumpster.permits require sign off from Fire Department prior to issuance of Bldg Permit Addition Or Decks o Building Permit Application o Certified Surveyed Plot Plan a Workers Comp Affidavit o Photo Copy of H.I.C. And C.S.L. Licenses ❑ Copy Of Contract a 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) o Building Permit Application ❑ Certified Proposed Plot Plan o Photo of H.I.C. And C.S.L. Licenses o Workers Comp Affidavit o Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (If Applicable) o Copy of Contract ❑ Mass check Energy Compliance Report o 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 apu•�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.Buil,ding Permit Revised 2012 . ?i Massac6etts Home-rm xovement Sa rn le Contract l7ns mmisatisfies all basic _ language to protect homcorvn �advice IItty. eta 7.ary(&iQ chapter 142A),but doer not iacindc standard MassachusettsOna Consumer Guide tdHame ImprOvMear bejo, Plmta ny home imgmvemcnts should first obtain a Copy of"A Officeof ConstanerAffaus and13 'rnen Regulations C g to say work on may obtain a fn e onstmrK Inf°mrati°n He fte at 617-973-8797 or 1-888-283-3757 or on our VM dT, . by Calling the Homeowner Iliformafion tame Contractor Information j I �panyName S1X=Addm3s(donotuseaPostOifrcb$oxaddtest) CD t 1 U ELI I 3`i Com,SalrsPasod owncNaam cRyrromn State c zip Code l { / C Mk A< ess(nutstiact$95$� udeastreetaddtegy) le YtimCPhoneFvdbgPhone NP Vs✓ Cicyrrown State Zip Corfu MoilmgAddnss(rcdiserenrfmmakove) J�1Z MA d l3usness Pkoae Federal �P1oSorID Nmb= 612e-0 �+=matn,mxmdeuR+ � ' °rnra ngutraaon"°mLn� The Contractor agrees to do the fbilowingworkfor the Mmeaw er 6 51- i S QJescribe in detmH Eu v+odcto tampleted,specifying%5 the type,brand.and grade of materiata to be'?rive,V Q j, �F S IU N FAug >M used,Me nddarormt ah"Ff, t-j—A-v lot; : 6g trr fhFo� ,�A?,c� Door ReHmrod Pormits-11e A llowi¢ and will be stared by the cpnlra� P�nits are requited Proposed Start and Coatpletloa Schedule- (Owners who secure their own homeowners t be adhered w rimless beyond the fol, erg schedule will excluded from the G PMMft�be s control arise MGI,eha nal�tnty Rand provisions of Detewhen Ater 142A.) contractor will bcgia contractedwo& _______Date when contracted work will be soh Totnl CantrrctPrice and PaymeuiiSchedule Y Wmgie�d The Contractor agrees to perfotmtbe wori�fitmish the material and labor specified above forthe total sum ot: Pa ym en tswill be made according to#m follOv&g schedule: (') Upon signing contract(not to exceed W ofthe trial S m contract price gI the cost of special order itern,whir3ever is greater) c,)upon completion of 5---- by/ !__ S _5 _ or Upon completion of --i-iyThe'=jfo(=1!)— n camgletioa'6ithe coahack (l awforbids demanding fullFuYmeatrmttl contrail is ordered egmPmedmustbain S Pl�edtoboth gattp'satisfaction) tomcet9te �a `°OL�b-'giaslnmdu tobepaidfor completioa schednie.(i°) NOUS. :- S to be paid for (°)lachaliogafliinaace (cz)Iaw Willa� Oel(a)-Hhird theetoIDl��atractprt<ncr >n'rheeoaEaetorbefotewmkbega, .,�ordered toadvaacetomaettLzcornPIcUoasehedule,e actual��� pmCOtoreasWromadereattuiat -s bein Subt ontractors-The rgnhactor awes to be solei e n .nor? ❑ o❑ es an Pllsubcontractor utilized theme �YTespons<bie for completion ofthe work descaffied wa to to the rnn ct d contractor further agrees to be solei regardless ofthe actions ofavy third To ymapotuiblc for all gaym�c to all subcontractors for cotnract A not' -U Portmgumg,thisdocument contrect "eroe itybefoscn 'mP(Ytbet a'yfien'or other secm*intetes<h.binding pig .&deal .Unless Otherwissnoted withinthis dawme�the Halog dtis arnna,x P1erx3 on the reddence.Ro,,;m.V,o roarnvta8 c�itons andnatices . Don't be pressured into yg�g the o contruct-Tatm time to Lead and lhn the contractorhas a datid A'ome L Y undid it Ask dons if someti>m subConfractors to be regrstered�aaththc Dy g is unclear; meson vmtmg to the D�i{ectOr at 10O Paricp Home Traprovereeor Connector Remotion.res u may-ate impro'emcmt coUtrac[or;and ° Does the co at mst Cc?Astr the �'r f o h s. 'Boston,l�A 02116 m by calling 617-973-87S7 abouter8comtraCtDr 8 2g� ? see a copy ofn�rOof ofinsm�tice^do morhLs insurance ° I{a. Your, �msPonsibilfHes.Read the PaU9 atron so teat You can conform coverage,or ask to n,ride to the Home Imps over t Contractor I �01tantFafaQnation on the reverse side ofthis fOffi and get a copy ofthe Ctmsnmer coonmaycancel �Ugathislher agremClItifithzsbeensignedare thmi to contractor isthis Place other third bosiness fD]l �'�officeorbranchofficebyanlingaymmlposte esmmm—]`91=ofbusines„ nptifYthe owingthesigtiing this agreement See the attached noficoofan f rbydofi ',n ofthe ONO SI ONTRg ARE for an explanation ofthis right eye THERE r��r� Md�r,om°c,, NYBLAIVI�SPACES,fel . ////GelY Gadd by 5p�"yW°°py�ypNG Centt'aCtei Signa Data / _Date i • New Harvey Vinyl slider with new PVC exterior trim and new interior trim to match existing trim style. Grills between glass hftp://www.harveybp.com/patio-doors.aspx • Permit Fees Included • Paint and landscaping not included Total Estimated Cost: $13,950.00 The Owner agrees to pay BriCo Building and Remodeling $13,950.00, for doing the work outlined above. The following payments will be paid to the contractor in the following manner: Deposit of $6,000.00 is due at contract signing Final payment of 7,950.00 balance at the completion of contract. Items with a given allowance is an estimated cost if the cost of any allowance is not met a credit will be given on the final invoice. If the cost is exceeded the homeowner would be responsible for the difference. The contractor agrees to perform this work in a competent and skillful manner according to standard industry practices, and all work performed shall be subject to final approval by Owner. All work to be done incompliance with New Hampshire building code. BriCo takes on full responsibility of all necessary inspections. All Sub contractors must carry the appropriate licensing and insurance to perform work to there specific field. Any unforeseen work or necessary repairs found during this project to be brought to the home owners attention as soon as possible. Any extra work resulting from unforeseen problems will be priced accordingly on site and be done with written approval. BriCo is not responsible for anything that occurs on site that is not directly involved with the construction of this project. BriCo Building and Remodeling is a fully licensed and insured LLC company. License numbers are provided in the header above and current insurance documentation upon request. Dated: Signature of Owner: Signature of Contractor: __ e BriCo. Building&Remodeling e 110(IElnn1g 1 Adam Brien CSL 104428 417 Waverly Rd. HIC 168512 North Andover, MA 01845 LLC 978-479-1526 5/5/14 adambrico@gmail ESTIMATE#41514 Matt Lynch 379 Boxford St North Andover 01845 Job Description: Removal of existing sunroom, supply and install new 12'x16' Composite Deck with patio door. Deck to be built within the footprint of existing sunroom. • Demolition and disposal of sunroom. 30 yard dumpster to be placed in driveway for debris, for entire duration of project. Footings to be attempted to be removed. Once exposed the best appropriate course of action to be taken. Cost may be adjusted with the knowledge of the homeowners • Vinyl siding to be in filled with color and style to best match the existing house with the appropriate underlaY ment. • Construction of new deck using pressure treated I P umber, approx. 2 feet of grade height • 3 Sauna tubes to be dug to 4' depth and poured with concrete • Decking for to be "Latitudes" grey composite with hidden fasteners. hftp://www.latitudesdeck.com • Railing to be white PVC "TRX" rail systems with skirts and caps with one set of stairs with railings, and concrete footing at base • PVC skirt boards • Deck to have one outside waterproof plug supplied and install and one outside light fixture supplied by owner 0 Removal of existing patio door and trim /re�pa�n��w"nca¢tr�a�C./���:t.racicracJ�:i Office of Consumer Affairs&Business Regulation ME IMPROVEMENT CONTRACTOR. = egistration: 168512 Type: xpiration: --311/2015;_, LLC BRICO BUILDING AND REMODELING LLC ADAM BRIEN r 417 WAVERLY RD , NORTH ANDOVER,MA 01845 Undersecretary . . I Massachusetts-Department of Public Safety Board of Building Regulations and Standards Construction Supervisor License: CS-104428 . ADAM J BRIEN 417 WAVERLYROADI a s North Andover.N&► 0> r Expiration 05/12/2016 Commissioner 04/30/2014 12:49 9787945409 PAGE 01/01 ACCA& CERTIFICATE OF LIABILITY INSURANCE A/30/14 THS 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 CERMICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(&),AUTHOR1ZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INURED,tha polieypes) must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain pollcles may require an endorsement A stalamerd on this certificate does not confer rights to the certlflcate holder in lieu of such endorsement(s). PRODUCER N ACT Nancy Greenwood Zns. Agency P x 11 Haverhill Street �� (978 683-7676 �°j No: (978) 794-5409 Methuen, MA 01844 ADCR6s: Nan @NancyGreepwood.con INSURERS)AFFORDING COVERAGE LAIC Y INWReRA:Northland Insurance W URS INSURER e: &RICO Building S Remodeling LL INSURERC: Adam J Brien TNSURFR D 417 Waverley Rd INSURER E: N Andover, MA 01845 INSURERF: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISPED BELOW HAVE BEEN ISSUED TO THE:INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTNTHSTANDNG ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WrrH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN 15 SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POUCIES.LIMr(S SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. TtJ R +� TYPE 0FIN6URANCE ^_ POUCY NUMBER -�M Ntar—p�iDOfYYYY y IJN673 A GENERALLIAGILITY WS201172 4/13/14 4/13/15 EACµOCCUPAENCE S 1,000.000 COMMERCu1LGENER�A-L-L�w81UTD TY DA RE TED q 100 00 CIAUM-MADE !�1000VR MEDEP(Aroons w*m) f 51 000 . PERSONAL$ADV INJURY 1 1,200,000 GENERAL AOGREGATE S Q 000 000 GEN1AGGREOATELINRTAPPLISSPER PRODUCTS•-COMPIOPAGO S 2,000,000 POLICY PRO- LOC S AUTOMOBILEUAMLM CONSWP SIN RT Ea"Tjde rM $ ANYAUTO BODILY INJURY(Per pne0n) S ALLOWNEO SCHEDULED AUTOS AUTOS BODILY INJURY(Per Goddant) S NIREDAUTOS _AN7OI,OWNED P R1Y0 ' E E UMBFMU-A UA O UR EACH OCCURRENCE 8 EWESSLIAB CLAIMS-0 WE AGGREGATE S DEO RETENTION S WORKERS COMPENSATION VJC STATU• OrH- AND EMPLOYERS'LIABaJTY YIN ANY PROPRIETORIPARTNERM)SCUTNE NIA F. .BACHACgOlNi S OPFI =,M.w)UZLUDEO? (tAanddow Ire and E.L.D EME-EA EMPLOYE S rIfyes dasrrbeunder 8dRIPTIO N OF OPERATIONS beew E.L.DISEASE-POLICY LIMIT S DESCRIPTION OF OPERATIONS ILOCATIONS JVERCLEB WWhACORO107,AdMUDMIRefreft chedt,}e,IrmoraspscaNfVq,ired) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES 50 CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL Se DEUVEREO W Matt Lynch ACCORDANCE WITH THE POLICY PROVISION. 379 Boxford St: N Andover, MA 01845 AU7HORIZED REPRESENTATIVE 988,2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010105) The ACORD name and logo are registered marks of ACORD Phone: Fax: (978) 258-6953 E-Mail: The Commonwealth of Massachusetts Department of Industrial Accidents ► Office of Investigations 600 Washington Street Boston,MA 02111 www massgov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/Individual): i5`°I Cv '9 u 1 L D 1 N G w.n,Q—?EJ't'10 is r l ►1N 6 I-f—CC' Address: x-117 W6A r LY K n J�,N r_v tZT lA —atiDovc l; AnA ©O 25 City/State/Zip: Phone#: LI-71 152-6 Are you an employer?Check the appropriate box: Type of project(required): 1 OP I am a employer with 4. E] 6.I am a general contractor and I ❑ New construction employees(full and/or part-time).** have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. UVRemodeling ship and have no employees These sub-contractors have 8. ❑Demolition working for me in any capacity. employees and have workers' [No workers' comp.insurance comp.insurance 9. E]Building addition required.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.0 Plumbing repairs or additions myself. [No workers'comp. right of exemption per MGL 12.❑Roof repairs insurance required.]t c. 152,§1(4),and we have no 13. Other k employees. [No workers' comp.insurance required.] 'Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t 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 state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name:__ 1 J7A V1K-1 e& h 03 Policy#or Self-ins.Lic.#: `T P J t)R y 6 1 F 6 b-1 -I LI Expiration Date:— 4 � 15 Job Site Address: 37 � F Ok O R D S, --V City/State/Zip:Q NKTY4 6al�&V f 1;MA 01$y� 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 the pains and penalties ofperjury that the information provided above is true and correct: Signature: . � f Date• S 1711 Ll Phone#: `i 7 R L(7'� &2,6 Official use only. Do not write in this area,to be completed by city or town offaciaL 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#: ni�nz2aX tv�-1 5/1/2014 9:55:04 AM PAGE 2/002 Fax Server CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) TMI24ERTIFICATE 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 Q O HOLDER, IMPORTANT:If the certificate holder Is an ADDITIONAL INSURED,the policy(fes)must be endorsed. if SUBROGATION IS WAIVED,subject to the arms and conditions of the policy,certain policies may require and endorsement A statement on this certificate does not confer rights to the certificate holder in lieu Of such endorsemen s. PRODUCER CONTACT NAME: NANCY GREENWOOD SMITH 1 I HAVERHILL ST PHONE FAX (A/C,No,Ext): (A/C,No): METHUEN,MA 01844 E-MAIL 726KN ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC tt INSURED BRICO BUILDING&REMODELING LLC INSURER A: TRAVELERS PROPERTY CASUALTY COMPANY OF AMERICA INSURER B: INSURER C. 417 WAVERLEY RD INSURER D: N ANDOVER,MA 01845 INSURER E: IN F: COVERAGES CERTIFICATE NUMBER: TD CERTIFY THAT THE POLICES OF F ANY NCE LISTED ISION NUMBER: BELO HAVE BEEN ISSUED TO THE INSURED NAMED AB FOR THE POLICYVNERIOD NDIC TED.NOTWRHSTANDNG ANY REQUIRFJAENT,TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT W rH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN.THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HE G SUBJECT TO ALL THE TERMS EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAD CLAIMS. NSR ADD SUB LTR TYPE OF INSURANCEPOLICY EFF DATE POLICY EXP DATE L R POLICY NUMBER (MM\DMYYYY) (MMMD\YYYY) GENERAL LIABILITY LIMfTS COMMERCIAL GENERAL LIABILITY ACH OCCURRENCE $ CLAIMS MADE [3 OCCUR. AMAGE TO RENTED $ REMISES(Ea occurrence) ED EXP(Any one person) $ GEN'L AGGREGATE LIMIT APPLIES PER: ERSONAL a ADV INJURY $ POLICY O PROJECT❑LOC ENERAL AGGREGATE $ RODUCTS-COMP/OPAGG $ AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE $ ALL OWNED AUTOS LIMIT(Ea accident) SCHEDULE AUTOS BODILY INJURY $ HIRED AUTOS (Per person) BODILY INJURY $ NON-OWNED AUTOS Per accident) PROPERTY DAMAGE $ (Per accident) UMBRELLA LIAR OCCUR EXCESS LIAR CLAIMS-MADE EACH OCCURRENCE $ DEDUCTIBLE AGGREGATE $ RETENTION $ $ A WORKER'S COMPENSATION AND $ EMPLOYER'S LIABILITY Y/N UB-461BP507-14 04!192014 04/19(2015 X LIM�SATUTOAV OTHER ANY PROPERITORIPARTNER/EXECUTIVEOFFICI E (Mandatory In NMI EXCLUDED? O N/A E.L.EACH ACCIDENT (Mandalay h NH) $ 100,000 It yes,describe under E.L.DISEASE-EA EMPLOYEE $ 100,000 DESCRIPTION OF OPERATIONS below ICLES/RESTRICTIONS/SPECIAL ITEMS E.L.DISEASE-POLICY DESCRIPTION OF OPERATIONS!LOCATIONS/VEHUMIT $ 500,000 THIS REPLACES ANY PRIOR CERTIRCATE ISSUED TO THE CERTTFICATE HOLDER AFFECTING WORKERS COMP COVERAGE, CERTIFlCATE HOLDER CANCELLATION MATT LYNCH SHOULD ANY OF THE ABOVE DESCRIBED POLICIES Be CANCELLED 379 BOXFORD ST. BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. N.ANDOVER,MA 01845 AUTHORIZED REPRESENT,� ACORD 25(2010/OS) The ACORD name and logo are registered marks of ACORD 1988-2010 ACORD ORA ON. Ails g reserved, PROPOSED PLOT PLAN IN NORTH ANDOVER., NIA OWNER: PREPARED BY: MATTHEW &KATHLEEN LYNCH AQUEOUS CONSULTANTS, LLC 160Y 379 379 BOXFORD STREET 29 RIVER STREET NORTH ANDOVER, MA 01845 ANDOVER, MA 01810 STREET ESSEX NORTH DEED REGISTRY: DATE:4/29/2014 +PugL`C-66 WIDE 1938 LMOU11 BOOK 12595 PAGE 209 SCALE: 1"=40' N 81°5610 E R='00.00 105.33 = 150.00 P��� OF M.40L=44.67 FRONTp,GE �*`` sy h41CHAEL CyG 0 100 cn o CIVIL No. 486 1 s 1 ; 53.1; ,�;�,_---.•: ` + _ 0 20 `4( 80 120' � 34.3 0 21.3 . N Existing House o #379 o =E 20.3 16.0` — 19.3 t) }+7 5-4 �6.5 —'`— � b.5---- _ Y. 16.0 a LOT 1 6 ' i � $ 52. EXISTING 50,236 s.f. SEPTIC ;i m As Shown on Plan 9325 TANK Dated 8/10/83 N ? t Registered in the Essex North ' �I o + EXISTING Registry of Deeds o 3-SEASON ROOM &DECK STAIRS `z TO BE RAZED & is REPLACED WITH OPEN DECK &STAIRS 6 22 F ZONE: RD1 Front = 30' Side = 30' 1� - ZOZdr StTSACY Rear= 30' Area = 87,120 s.f. 243.14 Frontage = 175 ft. N 83°56'54"E PROPOSED PLOT PLAN IN NORTH ANDOVER, MA OWNER: PREPARED BY: MATTHEW &KATHLEEN LYNCH AQUEOUS CONSULTANTS, LLC 130XFORD 379 BOXFORD STREET 29 RIVER STREET NORTH T ESSEX NORTTHOVER, MA01845 DEED REGISTRY: DATDEO%4/29/2014 810 S1REE LAYOUT) BOOK 12595 PAGE 209 SCALE: 1"=40' (PUBLIC'bb'WIDE 1938 ._�----_`-"".�.------- N 810561U'E R=600.00 105.33 L=44.67 FRONTAGE_ 150.00 �F,P\�� OF �ASJy Ln per' MICHAEL CyG ,0( IGO N CIVIL I No. 486 i N -531 0 20' 80' 120' 34 3�.��r%�, r2 3, l J� fN xisting House i �o E #379 r o f r �! 20.3 ,,, 16.0' 0 6.5 175 — t 6.5 6.0 f 0 LOT 1 b S. 52. EXISTING 01 � 50,236 s.f. SEPTIC m As Shown on Plan 9325 ! TANK Dated 8/10/83 Z Registered in the Essex North woo EXISTING 1 Registry of Deeds ;i a �4 3-SEASON ROOM & DECK STAIRS t TO BE RAZED & ' �61>1.) REPLACED WITH 6 q? f OPEN DECK&STAIRS � �pfs\ \ �A•. �sro ZONE: RDI Front = 30' Side = 30' R_ �_ -- — _ zor�l s&Z Rear = 30' Area = 87,120 s.f. 243.14 Frontage = 175 ft. N s 305854"E BOXFORD STREET /05. 3 � .. 1-= 44. ?' DWELL I U G GOt�;SrRVC"rl f�lt.1 FLEV �^b \ 1500 GAL. 5EPTtC TAUK � \ Q 1 �t \ crit BDx 7Jryr'� x B \. IAJ LOT 0 SD, 236 S.F 0 � NORTly Town of ndover O 0 No. oLAKII A3. h over Mass, 2 a � COC NIC Nl WICK y1. S U BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System THIS CERTIFIES THAT %V"j..... 44A' �. . BUILDING INSPECTOR has permission to erect buildings on �...1 Foundation .......................... .... .... ......................................... 1 t Rough to be occupied as .......!MV..1.........�. ...ev4*00!:! �'! ll... keol-A.. .�-�. ..W* .................... Chimney provided that the person accepting this permit shall in every respect conform to the terms of the application 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 VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough 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. 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 Dempster on Site ❑ THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM DATE REJECTED DATE APPROVED LANNING & DEV LOPMENT F1 ❑ COMENTS �%J 6ff- NSERVATION ❑ ❑ COMMENTS–d— i1D0dxc--t) rQ-&-z at--n ct 1� �cilrc� (Wu /UUO'C)L)-% (C �Jf e/ S 1 r1 (�t�t ►-'� C M� ATE 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/Signature&Date Driveway Permit i Located at 384 Osgood Street FIRE DEPARTMENT -Temp Dumpster on site yes no Located at 124 Main Street Fire Department signature/dateor = y/ COMMENTS