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HomeMy WebLinkAboutBuilding Permit #Exception - 45 CHESTNUT STREET 5/1/2018 BUILDING PERMIT o�<NORTH qA, t�eD 6 TOWN OF NORTH ANDOVER 46 APPLICATION FOR PLAN EXAMINATION 7° Permit No#: Date Received �,qs awreo rQ��q`� SACHUS Date Issued: IMPORTANT: Applicant must complete all items on this page LOCATION Print PROPERTY OWNER Print 100 Year Structure yes no MAP PARCEL: ZONING DISTRICT: Historic District yes no Machine Shop Village yes no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building 0 One family ❑Addition ❑Two or more family ❑ Industrial ❑Alteration No. of units: ❑ Commercial ❑ Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other El Septic El Well El Floodplain ❑Wetlands El Watershed District k ❑Water/Sewer - - DESCRIPTION OF WORK TO BE PERFORMED: Identification- Please Type or Print Clearly OWNER: Name: Phone: Address: Contractor Name: Phone: Email: Address: Supervisor's Construction License: Exp. Date: Home Improvement License: Exp. Date: ARCHITECT/ENGINEER Phone: Address: Reg. No, 4 FEE SCHEDULE.BULDING PERMIT.$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ FEE: $ _ Check No.: Receipt No.: f-10TE: Persons contracting with unregistered contractors do not have access to the guaranty fund 1 Location No. Dat • • TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $ _ Foundation Permit Fee Other Permit Fee $ ' .a r TOTAL $ Check# A Y. L-z� 29229 uilding 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 I PLANNING & DEVELOPMENT Reviewed On Signature_ COMMENTS CONSERVATION Reviewed on Si nature' � COMMENTS HEALTH Reviewed on Signature COMMENTS Ij- 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 r _ DPW Town Engineer: Signature: FIRE wti Located 384 Osgood Street x , e_ DE'ARaTIVIENT tTie Dumpster on site?�xy d4 o� rnp es 4tLo ted at124Main¢Steet� ti �� :Fire Departmen �sgnatur4e%date s 1 i +r.�a --xy,n _ -rrx ' • waam,tf—n-Y —.v_ �_ ra_ aww� i 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) I I I ❑ Notified for pickup Call Email Date Time Contact Name Doc.Building Pennit Revised 2014 r 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 4. 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 OTE: 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/Cross Section/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 OTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit New Construction (Single and Two Family) Permit ,46 Building P Application ,4 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 2012 I ECC Energy code Engineering Affidavits for Engineered products OTE: 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 Revised 2014 • t �� BUILDING PERMIT TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATI N Permit NO: 1 Date Received Too Date Issued: INIEPlORTANT:Applicant must complete all items on this page LOCATION Cie CcW PROPERTY OWNER �C1e _ 44&ePrint Print MAP NO: PARCEL:, J, ZONING DISTRICT: Historic District yes (noo Machine Shop Village yes 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 Ot ers: ❑ Demolition ❑ Other AC, Septic ❑Well ❑ Floodplain ❑ Wetlands ❑ Watershed District ❑Water/Sewer 714 141 6 Identification Please Type or Print Clearly) OWNER: Name: Phone: Address: Cc-11 7) ( �a 3 CONTRACTOR Name: � - n Phone: 7 -QP.2fc� Address: ) t{,� Q 0 to vifS. eft Supervisor's Constr tion License: 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.W. Total Project Cost: $� , G'GU- FEE: $ Check No.: Receipt No.: 26 NOTR: Persons tontracting with unregistered contractors do not have a es t e ua an d Signature of Agent/Owner Signature of contract NORT#� Town of 2 T E ,, dover O - 0% No. I * T - h oh , ver, Mass, A- COC NSC Nf wKK �1. 7,p A04ATEO S V BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System l THIS CERTIFIES THAT �.Gl..*/...4� BUILDING INSPECTOR ................... .... ........... ........ ................................. .. .. . ...... Foundation has permission to erect .......................... buildings on ....... . .. ... . . I��........ .... Rough cc to be occupied as ....... ... ...4T.b ...... . ... ......... ....... .................................... 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 Rough VIOLATION of the Zoning or Building Regulations Voids this Permit. Final qbe • PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTION T 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. OSTERu�COTE INN, F Cl1STOM. BUILDING + REMODELING This agreement made this 10th day of August,year Two thousand and Fifteen by and between Cote and Foster Contracting, Inc. hereinafter called the Contractor and Noele Lee,hereinafter called the Owner, witnesses that the Owners intend to construct a 12'x 12' to include three landings and three ramps to garage, footing,frame and finish at the address of 45 Chestnut Court in North Andover,MA. Now, therefore,the Contractor and the Owner, for consideration hereinafter named, agree as follows: ARTICLE 1 The Contractor agrees to provide all the labor and materials to do all things necessary for the proper construction and completion of the work shown and described on drawings. The drawings and specifications are the basis of the contract. ARTICLE 2 In consideration of the performance of the contract,the Owner agrees to pay the Contractor, in current funds as compensation for his services hereunder$34,500.00 to be paid as follows: Payment 1 - $2,000.00 at signing of contract .Payment 2-$18,000.00 at delivery.of materials Payment 3 -$10,000.00 at completion of frame Payment 4-$4,500.00 at completion of project ARTICLE 3 Final payment on contract amount as agreed above to be paid within ten-(10)days of project completion or occupancy. If final payment has not been made within this time a 10%charge per month on the balance due will be charged. All minor punchlist items will be complete as part of the one year warranty on the finish product. Failure to pay balance wit ' ety(90)days may result in legal action. Initials: � ARTICLE 4 Additional work above and beyond the contract agreement: 20 Aegean Drive • Unit 15 • Methuen,MA 01844 Tel: 978-682-6518 • Fax: 978-682-1221 www.coteandfoster.com All additional work done to be quoted at the time the client requests the work. The work will be done and billable at its completion. The client has ten(10)days to pay the additional costafter he or she has been billed for it. Initials: . In witness whereof they have executed this agreemeWtey and year first above written. Nodie Lee,Owner Steven M. Cote DBA Cote& Foster I� 1V North Andover MIMAP August 17, 2015 w i w r #� 411 X z,. IN � ,i4.• ,d � � � g+ Y� '�' SAO III , J n r, h' I m _ r r x .a +^ t, " �r _ " x- i k, &r 0 MVPC Be Inlelrstates Horizontal Datum:MA Stateplane Coordinate System,Datum NAD86, —SR Meters Data Sources:The data for this map was produced by Mernmack AOR Valley Planning Commission(MVPC)using data provided by the Town of -- Roads C��i�tu�• North Andover.Additional data provided by the Executive Office of Easements �2.�i ���w Environmental Affairs/MassGIS.The information depicted on this map is 9 Parcels _ for planning purposes only.It may not be adequate for legal boundary F definition or regulatory interpretation.THE TOWN OF NORTH ANDOVER MAKES NO WARRANTIES,EXPRESSED OR IMPLIED,CONCERNING _ -! THE ACCURACY,COMPLETENESS,RELIABILITY,OR SUITABILITY e e OF THESE DATA,THE TOWN OF NORTH ANDOVER DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE USE OR MISUSE OF THIS INFORMATION 78 ft - North Andover MIMAP August 17, 2015 :.C=QD 66 L4)[!tCs'GY�€30L}AV k � T�i 23 elf =�QIiI i` 4- Esk'F�—ffsEEP e�t 38,CHESTP[ti7 GT' 67 LO[YGWOOD�AVE, ��tR G�t�bSE,: � ?51?CHES�PlU'f�CT' ' 68 LOfYGVIfOOD AV i� 2'.LONGW660 iww: ' �� 45 CfiESTNUT}GT IR3 a r — 100;LONG1fVOOD,AVE. ®��-�BaFi�; w ...--✓..� 17�Q[TAIL RUIV L 31 QItAiL;FtUMtL i1 QUAIL--RUN_L_ DAF�=QB�3: .39f ", 53 QIJAIL,Rt7N LM 1�' ,���`�.�rk FA�41�.£U=�CQ�4 O64b.Eft=�1�'�, y".MVPC Bo = Wetlands Zoning Municipal Boundary C Exempt Lands Busine s 1 District 08 usine s 2 Distnct Honzontal Datum:MA Stateplane Coordinate System,Datum NAD83, Rail Line O Businei s 3 Distract Meters Data Sources:The data for this map was produced by Merrimack Interstates M8 sine!s 4 District Valley Planning Commission(MVPC)using data provided by the Town of —1 '13 Gener Business District North Andover.Additional data provided by the Executive Office of —SR 0 Planne Commercial De v r �+'�• •e Environmental Affairs/MassGIS.The information depicted on this map is 0 Comido Development Dist • for planning purposes on It may not be adequate for legal bounds - Roads 0 Corrido Development Dist - te y 4 g boundary P O 'f definition or regulatory interpretation.THE TOWN OF NORTH ANDOVER Easements G Corrido Development Dist IF MAKES NO WARRANTIES,EXPRESSED OR IMPLIED,CONCERNING Induslri 1 Distract ❑Parcels THE ACCURACY,COMPLETENESS,RELIABILITY,OR SUITABILITY 6 Indust'12 District OF THESE DATA.THE TOWN OF NORTH ANDOVER DOES NOT ZToTning Overlay 6 Industri 3 District ; �E F ASSUME ANY LIABILITY ASSOCIATED WITH THE USE OR MISUSE OF ,p Down Entertainment Q Induslri S District THIS INFORMATION [3 Downtown Overlay Distract Reside ce 1 District ©,Historic District n Reside ice 2 District a Water Protection �VPR—ide cat3 District 0 Hydrographic Features de ce4Distric—Streams �n=78ft de ce 5 District de ce 6 Distractege esidenlial District /.L y,W.N e>:,F . . 17 N AN ••. '. _ =P�r.P.r�R air. Fo R : . .`" ' T' *,*W"y e s 'Pss oc i p a� IK4 R',-- C LAND S OFua,%op FgY. . � ' � rr+u� +, Mass: 4 S N o WN. o N.'-,h/4 A4 a t C,SrRY M0.14052 ri 10!a 3.� t. , ' A V L if; t --- 1 .►o-/- i a 40 TT I 7 7201Y s fffR� . 7VTOS 240 ZIB{d =IW9 {: GOd 9X9 t n Sdb'7 ov NrVC4 9XL NOSdWjq � � I =MM 1111 ul� llllll 11111111119, 01 /7 do .► 4f� r f 72011Y IINI k �._ t NOSelWIS-/- x � -LSOd 9X9 t `` scfvo OV Zlit>d I I AXE 7�,oic�l � c?1 S T yvT ORMF I.- i Fo *1091/5 CAJc A.°' 1 Ar -F.Ao 2-7-1 North Andover MIMAP August 18, 2015 x - �" a' r .y P I. lit; 11" � } I k � � _.•� WI 1 h' 0� C:V � v, �y s r' } '• �' A ^• M ' tlti a �it A s e y .w I� Y, e� Q MVPC Bo Interstates —I Horizontal Datum:MA Stateplane Coordinate System,Datum NAD83, —SR Meters Data Sources:The data for this map was produced by Merrimack Roads !140111l 4 Valley Planning Commission(MVPC)using data provided by the Town of ,Easements O ��ao e��rO North Andover.Additional data provided by the Executive Office of Environmental Affairs/MassGIS.The information depicted on this map is ^1 Parcels F _ _ _ LA for planning purposes only.It may not be adequate for legal boundary / definition or regulatory interpretation.THE TOWN OF NORTH ANDOVER MAKES NO WARRANTIES,EXPRESSED OR IMPLIED,CONCERNING # ♦ THE ACCURACY,COMPLETENESS,RELIABILITY,OR SUITABILITY OF THESE DATA.THE TOWN OF NORTH ANDOVER DOES NOT „ �`� + ASSUME ANY LIABILITY ASSOCIATED WITH THE USE OR MISUSE OF ;'be1t�o �{Gy THIS INFORMATION ssAtNUs�t 1"=78ft -� TE MM/DD AO RV® CERTIFICATE OF LIABILITY INSURANCE DA6/3/20 5Y) 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(ies) 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). PRODUCER CONTACT Victoria Lowes CISR NAME: MTM Insurance Associates �CNNo Ext: (978)681-5700 AIDC No: (978)681-5777 1320 Osgood Street E-MAIL ADDRESS:vickiel@mtminsure.com INSURERS AFFORDING COVERAGE NAIC# North Andover MA 01845 INSURERA:State Auto Insurance INSURED INSURER B AIG Casualty Company Cote & Foster Contracting, Inc INSURER C: 20 Aegean Drive INSURER D: Unit 15 INSURER E: Methuen MA 01844 INSURER F: COVERAGES CERTIFICATE NUMBER:14-15 & 15-16 WC 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 ADDL SUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE POLICY NUMBER MM/DD/YYYY MM/DD/YYYY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A CLAIMS-MADE � OCCUR DAMAGE TO RENTED 300,000 PREMISES Ea occurrence $ BOP2722545 12/31/2014 12/31/2015 MED EXP(Any one person) $ 10,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICY PRO PRODUCTS-COMP/OP AGG $ JECT F—] LOC 2,000,000 OTHER: Contractors Plus Endt $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ 1,000,000 A ANY AUTO BODILY INJURY(Per person) $ 20,000 ALLOVMED )X SCHEDULED BAP2370166 02 12/31/2014 12/31/2015 BODILY INJURY(Per accident $ 40,000 AUTOS AUTOS NON-OWNED PROPERTY DAMAGE X HIRED AUTOS X AUTOS Per accident $ Medical payments $ 5,000 UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED I I RETENTION$ $ WORKERS COMPENSATION x PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 500,000 B OFFICER/MEMBER EXCLUDED? N/A (Mandatory in NH) WC004962937 6/20/2015 6/20/2016 E.L.DISEASE-EA EMPLOYE $ 500,000 If yes,describe under — ------------ DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 A Property Coverage BOP2722545 12/31/2014 12/31/2015 Business Personal Property $40,491 Scheduled Equipment BOP2722545 12/31/2014 12/31/2015 Contractors Equipment $169,928 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Certificate holder as listed below CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Town of North Andover THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN North Andover Town Hall ACCORDANCE WITH THE POLICY PROVISIONS. Main St. N Andover, MA 01845 AUTHORIZED REPRESENTATIVE P MacDonald CPCU, CIC JOfr'l�4 — ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD INS025(201401) Massachusetts -Department of,.Public Safety Board of't3;:ilding Regulations and Standards . coastrulrsifsil Supervisor License: CS-085173 AOL WILLIAM T-FOSOR - + I 65 COACH DR D.YACUT MA 01;826 ' t ' EXpirat1011 Commissioner 11/10/2016 �a�urrtrrc�rrec�eull���T'8``tirssrtc�irrsclls�, free of Consumer Affairs&Business Regulation ! ME IMPROVEMENT CONTRACTOR t egistration: 107602 Type:r C Expirations .815/2016 Supplement COTE&FOSTER CONT`c='- F WILLIAM FOSTER ,' `='t i k 'r •` 20 Aegean Dr Unit 15 ��— Vethuen,MA 01844 Undersecretary i _