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HomeMy WebLinkAboutBuilding Permit #486 - 41 CAROLINE WAY 3/17/2009BUILDING PERMIT of q TOWN OF NORTH ANDOVER o? b.y�• _ oz_ APPLICATION FOR PLAN EXAMINATION '' p Permit NO: v Date Received 7 pDAATED ��' cy 9SSACH1`-+�� Date Issued: I ORTANT: Applicant must complete all items on this page { LOCATION PROPERTY OWNER Print .MAP NO PARCEL: ZONING DISTRICT: Historic District yes no Machine Shop Village ves no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential New Building One famil Addition Two or more family Industrial Alteration No. of units: Commercial Repair, replacement Assessory Bldg Others: Demolition Other Septic- Well a Floodplain Wetlands Watershed District Water/Sewer DE CRIPTION OF WORK TO BE PREFORMED: VILUc" 7 tict cam• r--ELk 121 penetc-j f= Identification Please Type or Print Clearly) OWNER: Name: Phone`: '�-575 7Z7 53C -o Address: 4�57 _°-T4 (D -Vz— CONTRACTOR Name:t ti --rte-- Phonei Address: 1, Supervisor's Construction License: 4 ca -z Exp. Date: -711 t Home Improvement License:, Date: ZARCHITECT ENGINEER i-�lr�li YI�i� Phone: X77 —7v csbE'L�'- f s Address: Reg, No. ` 3 r4 r� FEE SCHEDULE: BULDING PERMIT: $12.00 PER $1000.00 OF THE TOTAL ESTIMATED COST BASED ON $125.00 PER S.F. s Total Project Cost: $ -4 FEE: $ 6002C3 a 5 Check No.: 1104c)14 Receipt No.: /00N_ NOTE: Persons contracting with MrggisferedAntractors do not have access tete ruarant✓iund Location 71 cG / ZF l';ve-- /N C� No. 7 / Date 799, r *0*Th TOWN OF NORTH ANDOVER °� ._ •BOOL � ao 'Certificate of Occupancy $ *: AP Vis,__-•-,�<< Building/Frame Permit Fee $.:�,� Foundation Permit Fee $ /do. L) 0 Other Permit Fee TOTAL Check # / 1 218?2 Building Inspector RA Plans Submitted Plans Waived Certified Plot Plan Stamped Plans TYPE OF SEWERAGE DISPOSAL PublicSewer 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 3/� r COMMENTS CONSERVATION Reviewed on Q Si nature COMMENT Nv; - . HEALTH Reviewed on Siqnature COMMENTS Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments Conservation Decision: Comments Water & Sewer Con nection/si nature & Dat � DPW Town Engineer: Signature: — /zz FIRE DEPARTMENT Temp Du ter on site yes. Located at 924 Main Street Fire Department signatureldate COMMENTS Located 384 Osgood Street no . 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 ❑ 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: Building Permit Application Revised 2.2008 V O z E H s co C O co O Q cm C m 0 a c N O t O Z O J cm z 0 W u v J 9 R11 •r.a ts 6 W O L O Z � CL O CO) ® W w+ c CM ! O m CO2 m m L- I� = CL �.. CD to � � � L e_cv o a C- om< ca c CD CID� V .0 CD V y O C C c d COD0 LU U) W W Cd W , vA c c cz o a • O L C N O C 114 O U b °o w v cn ° z w A z O w m O g2 E s U w" �0�. t� a�.a p w —co w W W 0 pG " cx C x x r V � o c� w z w w GG W c w �' cn Q v O cn E H s co C O co O Q cm C m 0 a c N O t O Z O J cm z 0 W u v J 9 R11 •r.a ts 6 W O L O Z � CL O CO) ® W w+ c CM ! O m CO2 m m L- I� = CL �.. CD to � � � L e_cv o a C- om< ca c CD CID� V .0 CD V y O C C c d COD0 LU U) W W Cd W , vA c c o • O L C N O C A O CL. A �V m C \• O �•= �U• w a rv: N :w D :w$ C O cc coN W o ; 3 N C O � _CCI Cj NC tp m o act �( v: y m O O m" } C O Q •GOi dC.� CD y O OC o 0 � a m OC a m� = o m o :a W a m �.=-.�Z s O C W m .E a ci .p f01 L.3 Co cm CD � y a OQ O5 _ H AH t 3 $ aim E H s co C O co O Q cm C m 0 a c N O t O Z O J cm z 0 W u v J 9 R11 •r.a ts 6 W O L O Z � CL O CO) ® W w+ c CM ! O m CO2 m m L- I� = CL �.. CD to � � � L e_cv o a C- om< ca c CD CID� V .0 CD V y O C C c d COD0 LU U) W W Cd W , vA REScheck Software Version 4.1.4 Compliance Certificate Project Title: Edgewood Retirement Community Report Date: 08/21/08 Data filename: F:\DSA Project Files\Edgewood 0706\04. MA Energy Code Check\0706.00 Unit B.rck Energy Code: Massachusetts Energy Code 103 Location: North Andover, Massachusetts Construction Type: 1 or 2 Family, Detached Heating Type: Other (Non -Electric Resistance) Glazing Area Percentage: 23% 79 Heating Degree Days: 6322 108 Construction Site: Owner/Agent: Designer/Contractor: 575 Osgood Street 58 0.290 Dewing & Schmid North Andover, MA 01845 1725 38.0 0.0 30 Monument Square Suite 200B Concord, MA 01742 ff Compliance: 1.9% Better Than Code Maximum UA: 378 Your UA: 371 basement: Solid Concrete or Masonry 1846 0.0 10.0 103 Wall height: 7.5' Depth below grade: 7.5' Insulation depth: 7.5' First Floor: Wood Frame, 16" o.c. 1854 21.0 0.0 79 Windows: Wood Frame:Double Pane with Low -E 361 0.300 108 Door: Solid 42 0.290 12 Door: Glass 58 0.290 17 Ceiling: Flat Ceiling or Scissor Truss 1725 38.0 0.0 52 Compliance Statement: The proposed building design described here is consistent with the building plans, specifications, and other calculations submitted with the permit application. The proposed building has been designed to meet the Massachusetts Energy Code requirements in REScheck Version 4.1.4 and to comply with the mandatory requirements listed in the REScheck Inspection Checklist. The heating load for this building, and the cooling load if appropriate, h4beenined s' g the ap licableStandard Design Conditions found in the Code. The HVAC equipment selected to heat or coolll gr r th 125% of the design load as specified in Sections 78 CMR 1310 and J4.4. Iame - Title Date Assoc, tA� Project Notes: Unit B . I C T Project Title: Edgewood Retirement Community _ Report date: 08/21/08 Data filename: F:\DSA Project Files\Edgewood 0706\04. MA Energy Code Check\0706.00 Unit B.rck Page 1 of 1 a ✓ze < BOARD OF BUCLDING REGULATIONS ! _r' L•cense CONSTRUCTION SUPERVISOR 1 _- Numbed .GAS 094621 Birth aferl 970 X10 Tr. no: 94621 Restr c�gd � CORY E fiSF1ER�� /�Jr i 30 JORDAN STRE�1w� Y, MA 0191' BEVi�RI . _. Cominissiorier a .. Ar0+RD CERTIFICATE OF LIABILITY INSURANCtf OPIo s DATE(MM/DD/Yl'yy) PRODUCER WINDO-4 11/03/08 "� THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE McLaughlin Insurance Agency HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 828 Lynn Fells Parkway ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Melrose MA 0.2176 Phone: 781-665-2775 Fax:781-665-0295 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A: Aspen Specialty Ins. Co. Windover Construction, Inc. INSURER B: United Specialty Insurance Co. Attn Karen Cochand INSURER C: OnaBeacon Insurance Group Elm Street Manchester MA 01944 INSURER D: American Sntar..vi Companies Manchester INSURER E: COVERAGES -•_•-� �• ev oavw rwvt cctry issutD TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. OF SUCH LTR NSR TYPE OF INSURANCE POLICYNUMBER DATE MWOD DATE MWOD/YY LIMITS GENERAL LIABILITY $ 1,000,000 A X COMMERCIAL GENERAL LIABILITY GL000574-01 01/01/07 01/01/09 o�curence) $50,000 CLAIMS MADE OCCUR MOCCURRENCERENCE one person) $EXCLUDED DV INJURY $1 000,000 REGATE $Z000,000 GEN'L AGGREGATE LIMIT APPLIES PER:OMP/OP AGG $ Z OO O O O O POLICY X ECT LOC AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT (Eaeccident) $1,000,000 ALL OWNED AUTOS C X SCHEDULED AUTOS FBIE07908 04/01/08 04/01/09 BODILY INJURY (Per Person) $ X HIRED AUTOS X NON -OWNED AUTOS BODILY INJURY (Per eccidant) $ PROPERTY A DMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN EAACC $ AUTO ONLY: AGG $ EXCESSNMBRELLALIABIL.ITY B X OCCUR EICLAIMSMADE EACH OCCURRENCE AGGREGATE CXA4GS708 09/25/08 01/01/09 DEDUCTIBLE_X RETENTION $ I Is WORKERS COMPENSATION AND X TORYLIMITS EDEMPLOYERS'LIABILITY q00 WC6967012 03ANY PROPRIETOR/PARTNERJEXECUTNE /20/08 03/20/09 E.LEACHACCIDENT OFFICER/MEMBER EXCLUDED? E.LDISEASE-EAEMPLOYSPECIAL Ityes,deserlbeunder LIMI PROVISIONS belowE.LDISEASE-POLICY OTHER ❑ESCRIPTI�N OF naFQannN¢ t I nrsrnuc r.rruir. �... �.........�.._ -____ _.. _.._ __ _— _... RE: Edgewood Retirement Community Renovation and Expansion, North Andover, MA Bank of America, N.A., their subsidiaries, affiliates.and parent companies; and their repective off icars, directors, trustees, managers, members and employees are Additional Insured on all policies abover (except for WC & employers liability) for liability arising out of the operations of Windover CERTIFICATE HOLDER CANCELLATION EDGEW-2 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN Edgewood Retirement Community NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL Inc 575 Osgood Street IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR N. Andover MA 01845 REPRESENTATIVES. ACORD 25 (2001108) I 141�4��" J © AC ORD CORPORATION 1988 1�1 N i