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HomeMy WebLinkAboutBuilding Permit #147 - 46 OSGOOD STREET 8/25/2006 ??%®�IIEPWN OF NORTH ANDOVER NORTF� APPLICATION FOR PLAN EXAMINATION OL Permit NO:, Date Received /,/ +� oq c # ATED Date Issued: � ��SSACHUs�t�� IMPORTANT: Applicant must complete all items on this page LOCATION Print PROPERTY OWNER /2(SS IAyVV &ZZ-Z"- !?A) A6<fJ4d?/97 - Print MAP NO.:_4- PARCEL: ZONING DISTRICT: TYPE AND USE OF BUILDING HISTORIC DISTRICT YES TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑New Building ❑ One family ❑ Addition ❑Two or more family ❑ Industrial ❑ Alteration No. of units: ❑ Repair,replacement ❑ Assessory Bldg ❑ Commercial ❑ Demolition ❑ Moving(relocation) N Other Others: ❑ Foundation only �f//.eoo� ,ter �« d„/ DESCRIPTION OF WORK TO BE PREFORMED �kgF"T/,✓G 42 ')(- 'F A,,r XCV.--% Ay« Identification Please Type or Print Clearly) �i OWNER: Name: 2015_s /WCH12.1 r Phone: CI 6,0 81 D. X Address:- 4q (���7D�0 �'Ti?. � ©2�'/A AV,0-0;1,5 , M'a 01g CONTRACTOR Name: Phone: Address: 1 9 t✓/°��ra ST. �o�<-� 1�-� - _q-(V-- a,3^ 2 Supervisor's Construction License:,C S ©-7.2 V 9-7 Exp. Date: 7lz�Ap SYi,�T� if �y�p:a��✓c Home Improvement License: /y 3!o Exp. Date:G//ag ' 7 Ifcrmer'.9c- ARCHITECT/ENGINEER Name: Phone: Address: Reg. No. FEE SCHEDULE:BULDING PERMIT.$12.00 PER$1000.00 OF THE TOTAL ESTIMATE OST BASED ON$125.00 PER S.F. Total Project Cost :$7_pyo tw FEE ® 4 Check No.:f4k®2 t Receipt No.: Page I of 4 TYPE OF SEWERAGE DISPOSAL Swimming Pools ❑ Tanning/Massage/Body Art ❑ g Public Sewer Tobacco Sales ❑ Food Packaging/Sales ❑ Well ❑ ❑ Permanent Dumpster on Site ❑ Private(septic tank,etc. Electric Meter location to project NOTE: Persons contract' g with unre istered contractors do not have access to the guaranty fund x Signature of Agent/Owne 6 D' �`'"u Signature of contractor Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF- U FORM DATE REJECTED DATE APPROVED PLANNING & DEVELOPMENT ❑ ❑ ❑Water Shed Special Permit ❑ Site Plan Special Permit ❑ Other COMMENTS DATE REJECTED DATE APPROVED CONSERVATION ❑ ❑ COMMENTS DATE REJECTED DATE APPROVED HEALTH ❑ ❑ COMMENTS t 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 Temp Dumpster on site yes_no_X Fire Department signature/date 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. '2-6 T- 6y Total land area,sq.1: l r; �y 7� s� 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 o Workers Comp Affidavit ❑ Photo Copy Of H.I.C. And/Or C.S.L. Licenses ❑ Copy of Contract ❑ 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 DEPARTMENTMITORM05 Paop 4 of 4 Location S77 No. Date ^T� TOWN OF NORTH ANDOVER � s 41 ' Certificate of Occupancy $ s'•• Eta' Building/Frame Permit Fee $ 1CMU5 Foundation Permit Fee $ Other Permit Fee $ TOTAL $ r Check # - t 19516 Building inspector AORTH F To of gAndover 0 0 JJW4 0 �== dower, Mass., T 0 - LA E COCHICHEMCK �d ORATED S E BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System • THIS CERTIFIES THAT.......... .1.'f...........L...Q.�� r I BUILDING INSPECTOR ............................................................................................... Foundation has permission to erect........................................ buildin s on ...01 ... 7 Chimney! ................. Rough to be occupied as... VR ........ .. ,�` Q ►..... ..II.. �Q......... 6.0. ney p .9�. .L.... ... t �� Ch'm provided that the person accepting this permit 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 PERMIT EXPIRES IN b MONTHS Final ELECTRICAL INSPECTOR UNLESS CONSTRUCTI Rough Service UILDING 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 Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. SEE REVERSE SIDE Smoke Det. ..�r2 (Cn nr.rxarr re:enrlC� n�.. 'F7+r.11rrr•�rrJe�/1 Huard ui Building Reguiutiuuac.r id Standard' License or regi�,iration -11iil for indil•idul use 0111) [ « HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Board of Building Regulations and Standards — _ Registration: 143109 One Ashburton Place Rm 1301 Expiration: 6/18/2006 Boston,Ma.02108 Type: Private Corporation DESMOND CONST.INC. MATTHEW DESMOND 19 UPLAND ST __„ �� N. ANDOVER,MA 01845f d without signature Administrator �1ra fin Hr rlr6.lr!rrurr�/fJ r/. /�iLi3rrrY/rG1R�1 BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR r '�•-*i' Number: CS 072487 Birthdate: 03/22/1960 Expires: 03/22/2008 Tr. no: 19915 Restricted: 00 MATTHEW F DESMOND 19 UPLAND ST G– NANDOVER, MA 01845 Commissioner n PROPOSAL Desmond Construction, Inc. P. O. Box 41 North Andover, MA. 01845 508-523-7258 Date: 8/22/06 Page 1 of 2 TO: Job Site: Ross and Kathryn Lochrie same 46 Osgood Street North Andover Ma. 01845 978 682-8120 .DESCRIPTION TOTAL Bathroom Installation Item 1-Demoli ion Remove ceiling, walls,floor and existing closet.All construction debris removed from site Item 2-Frame Re-frame floor and closet. Shim all walls, remove one window, frame in opening. Re-side extension of opening. Item 3- Plumbing Install rough plumbing for double sink vanit , toilet, bath/shower area. Install homeowners fixtures. Install ones ace heat unit. Item 4-Electric Install outlets and switches per code. Install three recessed lights, one fan/light combination. Item -Insulation Install R-30 insulation in floor and ceiling. R-13 in walls Item 6-Board and Plaster Install 1/2"blue board on ceiling and walls. Skim coat with plaster. Finish to be smooth. Item 7-Finish Carpentry Install one enter door, one closet double door. Install one new window to match existing, baseboard and casing. Item 8-Tile Install homeowners tile on floor and shower area. Item -Paint Walls and ceiling, one coat primer, two coat finish. Primed woodwork is two coats finish. Note: Homeowner to purchase tile, vanity and sink, toilet, tub and shower fixtures. Total To al $24,940.00 r a �F PROPOSAL Desmond Construction, Inc. P. 0. Box 41 North Andover, MA. 01845 508-523-7258- Date: 8/22/06 Page 2 of 2 TO: Job Site: Ross and Kathryn Lochrie same 46 Osgood Street North Andover Ma. 01845 978-682-8120 � . All material is guaranteed to be as specified, and the above work to be performed in accordance with the drawings and specifications submitted for above work and completed in a substantial workmanlike manner for the sum of $24,940.00 with payments to be made as follows: 25 % upon signing Remainder upon project progress An interest charge of 1.5%per month will be applied to any balance due 30 days after completion of this project. Any alteration or deviation from above specifications involving extra costs will be executed only upon written orders, and will become an extra charge over an above the estimate.All agreements contingent upon strikes,accidents or delays beyond our control. Owner to carry fire, tornado and other necessary insurance upon above work. Workmen's Compensation and Public Liability Insurance on the above work to be taken out Desmond Construction, Inc. ZRespectfully submitted - Per Matthew Desmond NOTE:T is proposal may be withdrawn by us if not accepted with days, ACCEPTANCE OF PROPOSAL The above prices, specifications and conditions are satisfactory and are hereby accepted.You are authorized to do the work asayment Wil de s outlined above. SignatureDate: 2SignatureLSC/� s Date: 92,/JG . ACORDM CERTIFICATE OF LIABILITY INSURANCE DATE 0' PRODUCER (978)372-2790 FAX (978)373-2281 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Sullivan Insurance Agency, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 487 Grove I and Street HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Haverhill , MA 01830 INSURERS AFFORDING COVERAGE NAIC# INSURED Desmond Construction, Inc. INSURER A: Commerce Insurance 34754 19 Upland Street INSURER& AIM Mutual Insurance Company North Andover, MA 01845 INSURER C: 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. INSR ADD1 LTR NRR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS GENERAL LIABILITY ZS1282 07/07/2006 07/07/2007 EACHOCCURRENCE $ 500,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $ 50,000 CLAIMS MADE a OCCUR MED EXP(Any one person) $ 5,000 A PERSONAL&ADV INJURY $ 500,000 GENERAL AGGREGATE $ 500,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 500,000 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 EA ACC $ OTHER THAN AUTO ONLY: AGG $ EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR a CLAIMS MADE AGGREGATE $ DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION AND AWC7019598012005 08/23/2005 08/23/2006 WCYLIMIf oTH- Lrp EMPLOYERS'LIABILITY W C RENEWAL 08/23/2006 08/23/2007 E.L.EACH ACCIDENT $ 100,000 B ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? E.L.DISEASE-EA EMPLOYE $ 100,000 If yes,describe under SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS CONSTRUCTION CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 20 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT. BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. Town of North Andover AUTHORIZED REPRESENTATIVE J P Kevin Sullivan/DNF ►V/�/�� ACORD 25(2001108) ©ACORD CORPORATION 1988 The Commonwealth of Alassachuselts Deportment of Industrial. tecidents Office of Investigations ' 600 Washington Street '`. . 1 ; Boston, .11.-101111 t.. . w►vtv.►ttass.gCIO vv'rlia Workers' Compensation Insurance AffidaNit: 13uildersiCuntrictorsiElectriciansiPlumbers \pplicant Information Please Print Legibly titllllt il)u>inc,�.(h•t,tr,ii;lit n,lnrlivi.luall: ��fyxd.•vso CGw/.fTiu✓titp.✓ swL . City State,Zip:,A4. r,1p&veA iw,4. ®/�'�s Phone a 74 Ire you an employer?Check the appropriate box: Type of project(required): I. ] I am a employer with �— }• [11 am a general contractor and 1 6 E] New construction employees(Full and'or part-time).* have hired the sub-contractors �.❑ I am a sole proprietor or partner- listed on the attached sheet. ' Remodeling ship and have no employees These sub-contractors have 3. ❑ Demolition working for me in any capacity. •vorkers' comp. insurance. q, ❑ Building addition [No workers' comp. insurance 5. ❑ We are a corporation and its required.] officers have exercised their 10 ❑ Electrical repairs or additions 3.❑ 1 im a homeowner doing all work right of exemption per MU I I.❑ Plumbing repairs or additions myself. [No workers' comp. c• I S2, I(�),and we have no I Z.[] Roof repairs insurance required.]t employees. [No workers' 13.5 Other IjAirW f comp. Insurance required.] ',ny ippliunt Ihad,_bxk;box,+I nitut also rill.:tit the:.ection hClaw:,howing their workers'compen:aticn policy information. I Ii.wec«,mcrs wl)O•tihmit Ili is affidavit indicating they are doing all work and thus hire outside cuntrnctcrs outs(xtbmit a new affidavit indicating uch. t ,,ntractcc,Ihat.heck this hoe Ill IN.1IUILKl:m additional heel drowint!the name-;ttlie,uh-umiractm;and Iheir',vcrkcrs'camp,policy u)ti:rmation. lam ern employer thus is providing workers'i•omperns(ition insaranceJor my a mplovees. Below is the policy and iob site i n%rrrmation. InsuranccCompany V.tme:ALM, lHtvTv4k Ga _.-- -------------- -- �5�2 �3- f'olicv ' or Self ins. Lica '`:------ — --------_ _ -- Expiration Date: �'�/D7 _—` - / G d� t,,b 5Ite.\ddress: 4210 a-9 C, City State,Lip: X1a AA1,o,d61A-N*-, peach a copy of the workers' compensation policy declaration pagge(showing the policy number and expiration (late). Failure to .:cure coverage as required under Section 35.\ of M61-c. 153 can lead to the i)npositiun of criminal penalties of a tine up to'61.500.00 and,or one-,•.,ar imprisonment, as well as civ it p:nultics in the turn ora STOP\�ORK ORLTR ;end a tine ')t tip to S_!:0O 00a+_lavagainst the violator. Be adv i:,cd that a copy of this •tatement may be forwarded to the()nice of tigations cfthe DIA for insurance eover:.i_e veritication. 1 /o herrhy c�'rtiJy reader elle a' nxl pe sullies uJ'prriur�'thea rin�in%ormalion provided,ihuve is true ural correct. 'f'e 'ar hi► '•r n) ?(• .. 1144.rl')); 1I' ,r, i . .).:t.A :+­ :-4 "9i dbig �'��.1'11'`:il�:.'t _. t `•,! r l r_'. '< �• .. :11 r; -i j,4;r I'