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HomeMy WebLinkAboutBuilding Permit #193-14 - 41 SECOND STREET 8/30/2013 TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit NO: Date Received Date Issued: hp, IMPORTANT: Applicant must complete all items on this page LOCATION / 1J� Print J PROPERTY OWNER 1 t��b�c N b Print 100 Year Old Structure yes no MAP NO: _PARCEL: -Z4� ZONING DISTRICT: Historic District yes no Machine Shop Village yes no 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 ❑Well ❑ Floodplain ❑Wetlands ❑ Watershed District ❑Water/Sewer DESCRIPTION OF WORK TO BE PERFORMED: �x/G-�'P(i go L),5 f, Identification Please Type or Print Clearly) OWNER: Name: Phone: Address: CONTRACTOR Name: Phone: f/J� �� ��d �C Dlf� Address: 7c�� �G��� Supervisor's Construction Licens (]o��X7' -2 Exp. Date: Home Improvement License: Exp. 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: $ �c�, FEE: $ &7.z)iq Check No.: 4y Receipt No.: 96 :z � NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund Signature of Agent/Owner Signature of contractor Plans Submitted 0 Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ 1 Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ TYPE_OF-:SEWERAGEDISPOSAL Public Sewer ❑ Tanning/Massage/Body Art ❑. . Swimming Pools ❑ Well ❑ Tobacco Sales ❑ Food Packaging/Sales ❑ Private(septic tank, etc. ❑ Permanent Dempster on Site El THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM DATE REJECTED DATEAPPROVED 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 t DPW Toov . Engineer: Signature: Located 384 Osgood Street FIRE DEPARTMENT - Temp Dumpster on site yes no Located at 124 Mair Street -Fire Departineritsignatutb1date— COMMENTS 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 B Notified for pickup - Date E Doc.Building Permit Revised 2010 Building Department The foll,:Swing is-'a list of the required forms to be filled out for the appropriate permit to'be obtained. Roofing, Siding, Interior Rehabilitation Permits aBuilding Permit Application o Workers Comp Affidavit o Photo Copy Of H.I.C. And/Or C.S.L. Licenses o Copy of Contract o 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 o Building Permit Application o Certified Surveyed Plot Plan o Workers Comp Affidavit ❑ Photo Copy of H.I.C. And C.S.L. Licenses o 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) o 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 o Certified Proposed Plot Plan a 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) ❑ 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 caws if a variance or special permit was required the Town Clerks office must stamp the decision from the Board of Appeals that the apw-al period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording must be subm.?ted with the building application Doc: Doc.Building Permit Revised 2012 . Location No. "l Date F �3 . - TOWN OF NORTH ANDOVER • LIFE,o . . Certificate of Occupancy $ Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL -'�1��• $�t; �D Check# y� `wilding Inspector Massachusetts -Department of Public Safety Board of Building Regulations and Standards Construction Supen-isor License: CS-023422 ., MICHAEL F MCCbRTHY 483 NASHUA RW DRACUT MA 01826 )I ail Expiration 92, Commissioner 06/25/2014 s mer Affairs&B a ess Re ulatio aeaa License or registration valid for individul use only Office of Consumer Affairs&Busi ess Regulation g Y '- OME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: egistration: 126732 Type: Office of Consumer Affairs and Business Regulation xpiration: 7/13/2014 Private Corporation 10 Park Plaza-Suite 5170 Boston,MA 02116 MICR EL MCCARTHY s 1'Y _ MICHAEL MCCARTHY 483 NASHUA RD DRACUT,MA 01826 Undersecretary Not valid without sfgnature G'c'A , r nation l i Tho pa-eer cI actioli- Reservoir Woods 40 Sylvan Rd Waltham, MA 02451 May 30, 2013 Michael McCarthy 41 Second St North Andover Ma 01845 RE: Service Removal for Building Demolition. Attn: This letter is to confirm that,per your request;National Grid has removed the electrical service and meter(s) 41 Second St North Andover Ma 01845. If you have any questions or need further assistance,please feel free to contact me at(508) 357-4982. Sincerely, Sarkara Mrnanaz nationalgrid Customer Order Fulfillment Central&Western MA Office 508-357-4982 8 Fax 315-460-9149 H Barbara.Hernandez@nationalgrid.com 41 Second St N Andover Page 1 of 1 T t 41 Second St N Andover From: "Hernandez, Barbara"<Barbara.Hernandez@nationalgrid.com> To: "'mccarthybros@earthlink.net Subject: 41 Second St N Andover Date: May 30, 2013 8:22 AM Attachments: 41 Second St N Andover.doc Good morning: Attached is a copy of the demolition letter. Thank you, Barbie Hernandez Order Processing National Grid 508-357-4982 ********* * ********* **err*** ***** ** ** ********* ** ***** ***************This e-mail and any files transmitted with it, are confidential and are intended solely for the use of the individual or entity to whom they are addressed. If you have received this e-mail in error,please reply to this message and let the sender know. http://webmail.earthlink.net/wam/printable.jsp?msgid=27864&x=591902653 5/30/2013 I abed 6Z:Z1 tZ-50-UR G1/ LUI-w IUL) vi.iu rim rna fru. r. UV1/UU1 Columbia Gas- of Massachusetts A NiSource Companv 55'Marston Street P.O.Box 869 Lawrence,MA0184".-2312 978.687.1105 FaX:978.688.1875 May 21,2013 Gene Espinola Re: 41 Second St,North Andover This is to inform you that the gas service to#41 Second St,North Andover has been cut off at the main and gas meters removed at your irequest. If you have any questions,please do not hesitate to Contact me at 978-691-6454. Regards, Jeff Fontaine Field Operations Leader Columbia Gas of Massachusetts L-d e9L:0L£L LZAoN EMPIRE RECYCLING LLC 36 Sterling Road, Billerica, MA 01862 (978) 670-7140 (MA) - (800) 249-4309 - (978) 670-7236 (fax) August 28. 2013 To whom it may concern: Empire Recycling would be bringing the C&D material from the construction site in North Andover to Wood Waste located in Everett MA. Wood Waste is a legal transfer station. Please let me know if you have any questions Thank you. Nicole Rhuda Ac D® CERTIFICATE OF LIABILITY INSURANCEA [-,/D9/2m0(,m3m""Y"" THIS 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 CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(les)must be endorsed. 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). NTCT PRODUCER ME� Select Dept ext 66807 Eastern Insurance Group LLC-Main PHONE -651-77001244 A!C No 233 West Central Street E-MAIL - Natick MA 01760 ADDREss INSURE S AFFORDING COVERAGE NAIC i INSURER A�SAIAQfiye Insurance Co of SC 1925f) INSURED 16697 INSURER B Associated EmpiMrs.Insurance McCarthy Bros General Cont Inc INSURFRC:Charter Oaks Fire 25615 483 Nashua Road INSURER D: Dracut MA 01826 INSURER E: INSURER F COVERAGES CERTIFICATE NUMBER:1120687231 REVISION NUMBER: THIS IS TO CERTIFY THAT 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.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE POLICY EFF POLICY EXP LTR 1 POLICY NUMBER MM DNYYY) IMMIDDIXYYYJ LIMITS A GENERAL LIABILITY S 1849591 /26/2013 /26/2014 EACH OCCURRENCE $1,000,000 X COMMERCIAL GENERAL LIABILITY PREM SES ETO-R NITER occurrence) $100,000 CLAIMS MADEfil OCCUR MED EXP(Any one person) $10,000 PERSONAL&ADV INJURY $1,000,000 GENERAL AGGREGATE $3,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOP AGG $3,000,000 POLICY X PRO- JECTLOC $ C AUTOMOBILE L1ABlLITYBA81BIL358 1/12/2012 1/1212013 Ea accident ANY AUTO BODILY INJURY(Per person) $250,000 ALL OWNED X SCHEDULED BODILY INJURY Per accident $500,000 AUTOS AUTOS ( ) NON-OWNED PROPERTY DAMAGE X HIREDAUTOS X AUTOS 1peraccidanf $250,000 $ UMBRELLA LIABOCCUR EACH OCCURRENCE $ EXCESS LIAB HCLAIMS-MADE AGGREGATE $ DED I I RETENTION $ B WORKERS COMPENSATION VVCC5008162012013A 411812013 18/2014X WCSTATU- OTH- AND EMPLOYERS'LIABILITY Y/N C.� ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT 5100,000 OFFICER/MEMBER EXCLUDED? N/A (Mandatory In NH) E.L.DISEASE-EA EMPLOYE $100,000 If yes, Ounder DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $500,000 N DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required) I 1 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. - AUTHORIZED REPRESENTATIVE ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010105) The ACORD name and logo are registered marks of ACORD NORTH own of E ndover O - .:, No. * LAKE h , ver, Mass, �� 3 COC HICHI WICK y�• �i9s R�lTEO P'Pa�'�y U BOARD OF HEALTH Food/Kitchen PERMIT- T, D Septic System // BUILDING INSPECTOR THIS CERTIFIES THAT - F"'r6 �' !�-1 c'(� " �� E�i��, Foundation has permission to erect...... ....:.............. buildings on ........................ .. . ... .................................. Rough to be occupied as ............... ..rf. .....................6S.�A.G�, ............................................................. 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 STA TS Rough . A '�...................... 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. 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