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Home My WebLink AboutBuilding Permit #713 - 39 FARRWOOD AVENUE 5/7/2006Of MO oTH 1 ~ TOWN OF NORTH ANDOVER ' APPLICATION FOR PLAN EXAMINATION 1SgACHUSEt Permit NO: Date Received: Date Issued: J 6 IMPORTANT: Applicant must complete all items on this page LOCATION or) Mtn 6/1 / Print PROPERTY OWNER Akt?( 14 (91,'C I�eoll)d2m,, il Print MAP NO.: PARCEL: ZONING DISTRICT: TYPE AND iTSF, OF RIT11,DING 141QTn1D1r ' 717CT1311"T vL c n TYPE OF IMPROVEMENT PROPOSED USE _ Phone: l Si Address: , Q Residential Non- Residential ❑ New Building ❑tion Iteration ❑ One family 11 Two or more family No. of units: ❑ Assessory Bldg 11 Industrial ❑ Repair, replacement ❑ Demolition ❑ Commercial ❑ Moving (relocation) ❑ Other ❑ Others: ❑ Foundation only Address: R (�_ \l1 U-e(LV_a C; .F �J . Uh l mr I IUiN Ur W UK& I U tit✓ FKt 11 UKMh1J H 47 Identification Please Type of Print Clearly) � Jy i i �.. v - Vim,• OWNER: Name: ° v,.� � i ' � .�. _.. � J� vJ T �� _ Phone: l Si Address: , Q atu e i 7` J /?�r/i�i 5'- v1�r 611 S'o"K--S-7N-35�' CONTRACTOR Name: -T-(r- C.o. Coves _ I (U^I c.To ra.J Phone: Q) �- G (o % - 001-f Address: R (�_ \l1 U-e(LV_a C; .F �J . I t I E0,�i �,iIf o) -iU L- '7 g S-fI- Supervisor's Construction License: 0'7 IG I Exp. Date: 05'- O � - GL Home Improvement License: 12-1 Exp. Date: 11 - 1 Q. ARCHITECT/ENGINEER /�� Name: Phone: Address: % Reg. No. 42ill FEE SCHEDULE: BULDING PERMIT: $10.00 PER $1000.00 OF THE TOTAL ESTIMATED COST BASED ON $125.00 PER S.F. Total Project Cost :$ ZYOVV, = x10.00=FEE:$ D Check No.: 1 0 Z Receipt No.: ! �--- Page I of 4 Location, S I rr (,) dg No. Date � ° / r ~QRTN TOWN OF NORTH ANDOVER OL 9 o ; : Certificate of Occupancy $ as C us `� Building/Frame Permit Fee $ J Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # �' Building Inspector TYPE OF SEWARGE DISPOSAL Art ❑ i wmmn SiPools ❑ g Public Sewer F1Tanning/Massage/Body Well 11Tobacco Sales ❑ Food Packaging/Sales 11 F1 Permanent Dumpster on Site Private (septic tank, etc. NOTE: Persolis co tractin with unggistered contractors do not have access to the guar fund Signature Agent/ w r Signature of Contract o / / Plans Subm ted Plansaived t Certified Plot Plan ❑ Stamped Plans THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM PLANNING & DEVELOPMENT ❑ COMMENTS CONSERVATION COMMENTS DATE REJECTED 0 ❑Water Shed Special Permit ❑ Site Plan Special Permit ❑ Other DATE REJECTED ❑ ❑ DATE APPROVED DATE APPROVED DATE REJECTED DATE APPROVED HEALTH ❑ ❑ COMMENTS Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Conservation Decision: Water & Sewer connection signature & date Comments Comments Temp Dumpster on site yes—no— Fire Department signature/date Building Permit Approved and Issued by: Page 2 of 4 Building Setback (ft.) Front Yard Side Yard Rear Yard Required Provided Required Provides Required Provided DIMENSION Number of Stories: Total square feet of floor area, based on Exterior dimensions. Total land area, sq. ft.: NOTES and DATA — (For department use) Page 3 of 4 Doc: INSPECTIONAL SERVICES DEPARTMENT:BPFORM05 Created JMC. Jan.2006 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 a/ Workers Comp Affidavit Photo Copy Of H.I.C. And/Or C.S.L. Licenses ❑ Copy of Contract 0j9", Floor Plan Or Proposed Interior Work Addition Or Decks ❑ Building Permit Application ❑ 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) 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 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:BPFORM05 Page 4 of 4 I ON rA sl D J O.L O pG � N ? 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HOME IMPROVEMENT CONTRACTOR' Reflistration`: 127563 FxpiratlQn: 1161.012006 ` ° es Pr1 ate Corporation J & C CONTRACO�R�O ROBERT INGS �� •` `ter 85 RIVEREDGE BILLEi3dC.A, MA 01862 Administrator 1i= BUILDING Ridbl.ATPONS LICense: CONSTRUCTION SUPERVISOR Number: CS 072629 Birthdate: 05103/1954 Expires: 05/03/2006 Tr. nor' 22998 Restricted: 06 i ROBERT G INGS 85 RIVEREDGE RD N BILLERICA, MA 01862 Acting cWhinisfiloner 03/08/2006 02:40 5687983048 P OMALLEY PAGE 02 IV fi7vdd0A k S = O Fh41000 S', ELECTRIC JUNCTION BOK FOR: LOWER & UPPER CALL/SEND LOWER DOOR, UPPER GATE POWER TO LIFr SHROUD 57 1/4 53 CLR uo PIT DETAIL ELECTRIC JUNCTION BOK FOR: LOWER & UPPER CALL/SEND LOWER DOOR, UPPER GATE POWER TO LIFr SHROUD IF-/-MAIN UP/DOWN SWMH W/Egmp-ji U NON KID SUR ACE 54 53 CLR ow! unkir I wE- t -7 -Aa Www Yi, 84 3/4 ELEVATION VIE Or 61"1 MAR -20-06 11:18 AM J&C CONTRACTORS,INC. 9786678014 P.01 AQ=OATS IN CERTIFICATE OF LIABILITY INSURANCE &OMWVY" wowfol Fkm. fly4jul-ml Fm: W&W'Ima BRAINERD INSURANCE, INC, THIS CEWIPICATE a IMMO A$ A lMtMR (W WORMAMIll F.ACK up.w. gwE ONLY AND COWERS ND MGKT5 UPON THE CERTIF"M I A ANIXWER RD HOI-DER. THIS CERTIFICATE 00FA NOT AME10, 9XMW 00 P 0 BOX 1042 -ALMIR 2bF CO 'RAGE AeFORDED BY 77iCPomps okow. 111111ERICA MA 01621-0742 Is w Im- Agency Lick 1?81860 INSURERS AFFORDING COVERAGE MAIC 0 INWRED 64SURER A J & C CONTRACTORS INC IN[AJRFA B:. 05 RIVeREDGE ROAD smsmio 10/21/06 NORTH BILLEIUCA MA 01062 lNtUKFR V' BODILY Imil)"y Imsumikk 1), (NA, INSURER rm: Wivr.mauro THE PaWNS OF imsURANCL LISILD BUQW HAve me" *$mo rO Yvt wSuRE-15 K&Wft: AJJW HkILMMANT. TERM OR GON0=14 OF ANY COWRACT OR OTHER OOCUW-Nt WITH I MAY Pl-.AIAIN, JW WdURAKE AFTORDED BY IM POUGWIi FX&Cf"D MCKIN 15 SWAM I" irtF.S. AO(IRE(IAT9 LIMITS 919" MAY HAW, BEEN REDUCED RY PAR) CLANS W04190 Poury NL*BrR Poun IFI:ul LW IN WJ NBURAMC$ I)AIW GENERAL LL46RM ComwRctAL%NNomI,wftiLIfY icImMsMADE jx loccUR GEWA4W(ATY LA411 APPLIES PER ALIFONOWILIE LIAINUTV ANY Auto 10/21/05 ALL (,WftO AUT01I ANEOULEDAUTWi Kftl)ALOOB X If GAMON uAllill-try I ANYAU(4) OCCUR I CLAIMS MW amijow, nEI'LA)K* S N.*sFft QoWWWAnOk AM 3a nir P&.0V PERIOD 69WATED. NOrAMMANOW TOIAWCH TM 4 CkR7WVAllE MAY K WRAW 00 THE Time. ExciumoNa AND coNomow. or 5ixK FOUCYFOUCA 7= Ulliffs—, t L. cAW WIDENT vL WEASE-EA 6WI-OYEE pOt CY LAW DEscRip-noN OF OPEMTIONSiLWATIONSNEHMLIEWEXCLUSIONS'AWED BY ENDORSEMENT/ SPECIAL PROVISIONS O#MkR, ERP OP15RA-ANG LIMITED PARTNERSHIP, EQUITY RESIDENTIAL, EQUITY RESIDENTIAL PRCKRT19S MANAGEMENT CORP. AND 4WS 1 GENERAL. ITS AGENTS AND AFFILIATES SHALL BE INCLUDED AS ADDITIONAL INSUF AS RESPECTS TO TBI`- COMMERCIAL E - UABMM AND coMUMCAL AUTOMOBILE LIABILITY INSURANCE, ACORD 25 (2001108) CortifirAe # 1469 SHOUID ANY OF 09 ADM 99WAMED POLICIft BE CANCELLED W'OftyW EXMRA"* DATE TMftiV, THE WumG WW6A VAL ENDEAVOR TO MAIL 30 009 yWjII7M Woya lo rrcr C(ATIF"TE WAM Wjap 10 TW LEFT OUT FALUM TO W 80 MAI 4 SWUSF NO OBLKMTKIN OR LkWLn OF AM KW UMW TW WMWr' i r 4 Ac*w'fg OR HE M a- NTATAX 5 4o ACORD CORPORATION IOU F.ACK up.w. gwE mrn ExPtA#v&impwiwb)-" Is w Im- PEASONA 4 9w "Ry — Is —1 Al lh ��_ c,i-wmm AGGREGATIE PftcTDUCTS COW -KW AM COMWC-D SMGM L MT smsmio 10/21/06 BODILY Imil)"y (NA, rK)m Y INJUPY Ipm modowl uAmArA IPOrI'AOKAry o I AfA THAN EAACC.14 AllYd UMY EACli 6W"Fl" AGGRILGATE t L. cAW WIDENT vL WEASE-EA 6WI-OYEE pOt CY LAW DEscRip-noN OF OPEMTIONSiLWATIONSNEHMLIEWEXCLUSIONS'AWED BY ENDORSEMENT/ SPECIAL PROVISIONS O#MkR, ERP OP15RA-ANG LIMITED PARTNERSHIP, EQUITY RESIDENTIAL, EQUITY RESIDENTIAL PRCKRT19S MANAGEMENT CORP. AND 4WS 1 GENERAL. ITS AGENTS AND AFFILIATES SHALL BE INCLUDED AS ADDITIONAL INSUF AS RESPECTS TO TBI`- COMMERCIAL E - UABMM AND coMUMCAL AUTOMOBILE LIABILITY INSURANCE, ACORD 25 (2001108) CortifirAe # 1469 SHOUID ANY OF 09 ADM 99WAMED POLICIft BE CANCELLED W'OftyW EXMRA"* DATE TMftiV, THE WumG WW6A VAL ENDEAVOR TO MAIL 30 009 yWjII7M Woya lo rrcr C(ATIF"TE WAM Wjap 10 TW LEFT OUT FALUM TO W 80 MAI 4 SWUSF NO OBLKMTKIN OR LkWLn OF AM KW UMW TW WMWr' i r 4 Ac*w'fg OR HE M a- NTATAX 5 4o ACORD CORPORATION IOU