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Home My WebLink AboutBuilding Permit #Exception - 44 CARLTON LANE 5/1/2018 (3) � C� pOR�T 61ho. BUILDING PERMIT 6 0� TOWN OF NORTH ANDOVER 0- APPLICATION APPLICATION FOR PLAN EXAMINATION ; �* Permit NO: Date Received �9SSAGHVS t� Date Issued: / D MPOR,TtANT:Applicant must complete all items on this pay e LOCATION ''f 4 C Q-r I tm Lanc- � 'I hd�N , J'� ► A PROPERTY OWNER h'1 I a W MA- ri tA-r afl F)C, C-ba i' Print MAP NO: PARCEL: f, ZONING DISTRICT: Historic District yes no Machine Shop Village yes no TYPE OF IMPROVEMENT PROPOSED USE —Residential Non-Residential ❑ New Building W,6n;family ❑Addition ❑Two or more family ❑ Industrial Iteration No. of units: ❑Commercial repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑Other G ❑Septic ❑Well ❑Floodplain ❑Wetlands ❑ Watershed District ❑Water/Sewer I�C.,, ,DES,C.RlPT IQN OF WORK TO BE PREFORMED: V � n n I 1 1Identification PleaseType or Print Clearly) /� OWNER: Name: mtj iW ► r IOAamPhone: qy-- -3309 Address: tM �9 nt I I OJ l d W*' M A - CONTRACTOR Name: r V l c ��' I -bw'I d ers Phone: q44-4315 Address: l�q ��d-��3n qe I�gt�e l �I ; ISN D3ogg� Supervisor's Construction License: Exp. Date: 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. Total Project Cost: $ q,JOo - " FEE: $ 11A Check No.: �2,r"Z4f Receipt No.: cit NOTE: Persons contracting with unregistered contractors do not have access to the guarantyfund Signature of Agent/Owne . -L _,Slgnature of contractor �_ Location �/�G/'/fOry kA/F No. ZZ d Date ` / NORTH TOWN OF NORTH ANDOVER ` Certificate of Occupancy'i P Y $ �as,KM�st'� Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # Building Inspector NORTP Tovm of : Andover 0 , o dover, Mass., COCMICMEWICK ADRATED i' �� S BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System BUILDING INSPECTOR THIS CERTIFIES THAT........ s 16,6...... :.......................... Foundation has permission to erect........................................ buildings on... .... �'° `. �?'�...l !vim ........ .......................... Rough to be occupied as......................... ..��.t� ..'J..�1tC:�� .��"! � Jfil1!/r. .Ei�L ........................................... Chimney provided that the person accepting this perm'd 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 TARTS Rough ............................................. Service BUILDING 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 BeDone FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. SEE REVERSE SIDE Smoke Det. �lze �anr�azonur� a�.��icaocu�uca�,C�a Board of Building Regulations and Standards HOME IM.MOVEMENT CONTRACTOR ? Registrations 124592 Expiration 7/23/2009 "Tr# 132053 TYPO—,DBA McNeil Builders Mike McNeil 69 OLD BRIDGE LN EPPING,NH 03042 Administrator CERTIFICATE OF LIABILITY INSURANCE 08/13220 8 PRODUCER (7.$1)245-0033 FAX (781)246-1490 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Joseph A. Curley Insurance Agency, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 35 Albion Street HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. P.O. Box 490 Wakefield, MA 01880-0890 INSURERS AFFORDING COVERAGE NAICB INSURED McNeil Builders LLC INSURERA Essex Insurance Company DBA: c/o Michael McNeil INSURERB: 69 Old Bridge Lane INSURER C: Epping, NH 03042 INSURER D: INSURER E COVERAGES 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.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. FN—SR&DWL TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION DATE iMMIDDM DATE IMMIDIMM LIMITS GENERAL LIABILITY 3CZ9409 06/03/2008 06/03/2009 EACH OCCURRENCE $ 1,000,000. X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $ S0,000 CLAIMS MADE a OCCUR MED EXP(Any are person) $ 1.00 A PERSONAL&ADV INJURY $ 1,000,00 GENERAL AGGREGATE $ 2,000,00 GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOP AGG $ 1,000.00 POLICY RCOT- LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ANY AUTO (Es accident) $ ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per Peron) HIRED AUTOS BODILYINJURY NON-0WNED AUTOS (Per accident) $ PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR D CLAIMS MADE AGGREGATE $ DEDUCTIBLE RETENTION $ $ WORKERS COMPENSATION AND WC CRYSTATU- 1 OTH EMPLOYERS'LIABILITY J ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? E.L.DISEASE-EA EMPLOYE $ If yes,describe under SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMB 1$ OTHER DESCRIPTION OF OPERATIONS/LOCATIONS 1 VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS .onstruction Operations. Job site: Home of Michael & Marianne Ebert, 44 Carlton Lane, North Andover CERTIFICATE OLD R CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL Town of North Andover 10 DAYS WRITTEN NOTICE TO TME CERTIFICATE HOLDER NAMED TO THE LEFT, Building Inspector BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY 1600 Osgood Street OF ANY ro UPON THE INSURER,rftGBM OR REPRESENTATIVES. North Andover, MA 01845 7�EWAl ACORD 25(2001108) +�` ORD CORPORATION 1988 IMPORTANT If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed.A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). 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). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s),authorized representative or producer,and the certificate holder,nor does it affirmatively or negatively amend,extend or alter the coverage afforded by the policies listed thereon. ACORD 26(2001108) ACORD CERTIFICATE OF LIABILITY INSURANCE osil33i20 8 PRODUCER (781)245-0033 FAX (781)246-1490 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Joseph A. Curley Insurance Agency, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 35 Albion Street HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. P.O. Box 490 Wakefield, MA 01880-0890 INSURERS AFFORDING COVERAGE NAIC# INSURED M & R Enterprises INSURER A- NGM 14788 DBA: Michael D. Bunton INSURERB: 3 Judge Brown Lane INSURER C: Foxoro MA 02035 INSURERD: INSURER E: COVERAGE 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.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. NSR IYL HERE TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATIONDATE IMMIDDIM LIMITS GENERALLIABILITY MP885929 12/27/2007 12/27/2008 EACH OCCURRENCE $ 0001 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $ S00,0O 77 CLAIMS MADE Q OCCUR MED EXP(Any one person) $ 10,00( A PERSONAL&ADV INJURY $ 1,000,00( GENERAL AGGREGATE $ 2,000 00 GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000:00( POLICY PROECT LOC J AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ANY AUTO (Ea accident) $ ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per person) HIRED AUTOS BODILY INJURY NON-OWNED AUTOS (Per accident) $ PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR F]CLAIMS MADE AGGREGATE $ DEDUCTIBLE $ RETENTION $ g WORKERS COMPENSATION AND WC STATU OTH- EMPLOYERV LIABILITY E.L.EACH ACCIDENT $ ANY PROPRIETOR/PARTNER/EXECUTNE OFFICER/MEMBER EXCLUDED? E.L.DISEASE-EA EMPLOYE $ If yes,describe wider SPECIAL PROVISIONS below El.DISEASE-POLICY LIMIT $ OTHER DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS Construction Operations jobb- site: home of Michael & Marianne Ebert, 44 Carlton Lane, North Andover MA 01845 CERTIFIEHOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL Town of North Andover 10 DAYS WRITTEN NOTICE TD THE CERTIFICATE HOLDER NAMED TO THE LEFT, Building Inspector BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY 1600 Osgood Street OF ANY KIND UPON THE INSURER,ITSENTS OR REPRESENTATIVES North Andover, MA 01845 AUTHORIZED ATIVE ACORD 25(2001108) RD CORPORATION 1988 . IMPORTANT If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed.A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). 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). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s),authorized representative or producer,and the certificate holder,nor does it affirmatively or negatively amend,extend or alter the coverage afforded by the policies listed thereon. ACORD 26(2001108) �. r 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 ❑ ❑ C TS DATE REJECTED DATE APPROVED CONSERVATION ❑ ❑ COMMENTS DATE 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 Located at 384 Osgood Street FIRE DEPARTMENT -Temp Dumpster on site yes no Located at 124 Main Street Fire Department signatureldate 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 ❑ Notified for pickup- Date Doe.Building Permit Revised 2007