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HomeMy WebLinkAboutBuilding Permit #708 - 50 TURTLE LANE 5/24/2006of 2d ° = TOWN OF NORTH ANDOVER �D APPLICATION FOR PLAN EXAMINATION I'f SAC No Permit NO: �_K� Date Received: �^ Date Issued: IMPORTANT: Applicant must complete all items on this LOCATION Print PROPERTY OV1'NER � 2 -2-Sch V ep Print MA P NO.: PARCEL: ZONING DISTRICT: TYPE AND USE OF BtiILDING HISTORIC DISTRICT TYPE OF IMPROVEMENT PROPOSED USE Residential New Building One family = Addition = Two or more family Alteration No. of units: Repair, replacement = Assessor `%, Bldg Demolition Movingrelocation) =Other = Foundation only DESCRIPTION OF WORK TO BE PREFORMED � ,411 )) O I-,-�eA00 YES ❑ Non- Residential Industrial Commercial Others: Identification Please Type or Print Clearly) OWNER: 'Mame:/�► /1 / _9C / o '/V Phone. % 7 '9 7,3 address: 6—O Tu2T1� La0e' CONTRI�CTOR Name: s Phone: ;address: 4 /l Supers isor's Construction License:_ -TTA rh /i/AS7' - ,�c(0 61/ a xp. Date: /-�/G' 7 I Ionic Improvement License: j -Exp. Date: RCI{I-I-I CT F,NC,INLFR %Xirnc: 1111cne: \,ddress: Reg. No. FEE SCHEDULE: Bt LDIAG PE HT: 510.:10 FER X1000.00 OF THE TOT IL ESTVI.ITED COSTS, ISE O� S1, s.(i0 .PER S•1': Total Project Cost :$� �pa x10.0=FEE: Check tip,.: Receipt No.: � --r TYPE OF SEIKARGE DISPOSAL Public Sever — well TanningAlassage Body .art _ Tobacco Sales Permanent Dumpster on Site _ S%imming Pools Food Packa2iniz Sales PriNate (septic tank, etc. _ Electric deter location to project NOTE: Persons contracting with unregistered contractors rto not have access to the git my f irnd Signature of Agent, Owner. 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 ❑ '! F. -Water Shed Special Permit IJ Site Plan Special Permit J Other COMMENTS CONSERVATION COMMENTS HEALTH COMMENTS DATE REJECTED DATE APPROVED F1 171 DATE REJECTED Ion ing Board of Appeals: % ariance. Petition No: 70ming Decision, receipt submitted N es i'!unnin!, B -mrd Decision: Dcci, ion: Cimintunts ;cr .crnection _i;naturc &E uatc 1'elnp Dempster en bite yes— -no _ Fire Department si- nature Date -- — -- Building Pei-init Approicd and Mucci by: DATE APPROVED Building Setback (fl.) Front Yard Side Yard Rear Yard Required ProN ided Required Provides Required Provided K DIMENSION Number of Stories: Total land area, sq. ft.: Total square Leet of floor area, based on Exterior dimensions. 1•;.-�;3, I i f I i .c ,75_ FT,','J, AW, R I :� A I"I, 1 II I. H a Building Department The following is a list of the required forms to be filled out for the appropriate permit to be obtained. woofing, Siding, Interior Rehabilitation Permits zi Building Permit Application a Nvorkers Comp Affidavit a Photo Copy Of H.I.C. And/Or C.S.L. Licenses j Copy of Contract :j 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 U Floor/Crossection/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydng 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 1ppeals that the appeal period is over. The applicant must then get this recorded at the Registry of Deeds. One cop) ai proof of recording must be submitted with the building application 1"C: 11"WI.( .1 II)\ \I ,GR% 1l'E:i !)KI'.R] UE` Location 50 71/160(.4— Z'A- No. :2o Date TOWN OF NORTH ANDOVER 'A Certificate of Occupancy $ Building/Frame Permit Fee $ CHUS Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # 1 2 11 Building Inspector ACORD, CERTIFICATE OF LIABILITY INSURANCE :[:DATE (MM/DD/YYW) PRODUCER 5/24/2006 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Pelham Insurance Services, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE P.O. Box 960 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 122 Bridge Street ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Pelham NH 03076 INSURED Thomas Doyle dba Thompson's Construction & 8 West St Salem NH 03079 A:Nautilus B:Associated Industries 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. 4SR ADD'L .TR INSRD TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION DATE (MM/DD/YY) DATE (MM/DD/YY) LIMITS A x GENERAL LIABILITY NC 532152 04/15/2006 04/15/2007 COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 PREMSESOEaoccurrence $ 50,000 CLAIMS MADE a OCCUR _ MED EXP (An one arson $ 1 000 GENT AGGREGATE LIMIT APPLIES PER AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS GARAGE LIABILITY 7 ANY AUTO EXCESS/UMBRELLA LIABILITY OCCUR 0 CLAIMS MADE DEDUCTIBLE B WOR KE IS COMPENSATION AN AAWC7012214012006 EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? If yes, describe under SPECIAL PROVISIONS below OTHER 04/21/2006 04/21/2007 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS Job: Various Roofing and Construction TE Carl Schoene 50 Turtle Lane Andover, MA 01810 ACORD 25 (2001/08) INS025 (0108).07 AMS PERSONAL & ADV INJURY $ 11000,000 GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OP AGG S 1,000,000 t ED SINGLE LIMITdent) 5INJURYon) S --- Y INJURY dent) SPROPERTY --_. GE (Per accident) S AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC S AUTO ONLY: AGG S E.L. E.L. TE g S $ 100,000 $ 100,000 $ 500,000 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORD EPRESENTATIVE ^ t VMP Mortgage Solutions, Inc. (800)327-0545 © ACORD CORPORATION 1988 Page 1 of 2 Dropozat Free Estimates Fully Insured rTHOMPSON'S ROOFING Shingles — Slate — Rubber Roof Single Ply — Copper Work PROPOSAL SUBMITTED TO I PHONE DATE Page of 105 Haverhill Street Methuen, MA 01844 (978) 691-1355 STREET JOB NAME 50 Turtle Lane CITY, STATE AND ZIP CODE JOB LOCATION North andover MA 01845 ARCHITECT I DATE OF PLANS JOB PHONE We hereby submit specifications and estimates for: Strip off all roof shingles on house -Renail any loose boards Install aluminum drip edge around roof line Apply ice and water shield 6 ft. up all along Apply 151b. flet paper on rest of roof area Reshingle with a 30 year Architect shingle Install flanges around soil pipes Install ridge vents Remove all work related debris 30 year warranty on material 5 year guarantee on labor construction lic. 3060112 improvement #128612 edges and in valleys We propose hereby to furnish material and labor — complete in accordance with above specifications, for the sum of: Payment to be made as follows: $3,700.00 down balance upon All material is guaranteed to be as specified. All work to be completed in a workmanlike manner according to standard practices. Any akeration or deviation from above specifications Involving extra costs will be executed ordy upon written orders, and will beoon an s0a cherpe over and above the estimate. All agreements contirgent upon strikes, accidents or delays beyond our control. Owner to carry fire, tornado and otfter necessary insurance. Our workers aro fully covered by Wbrkmen's Compensation kutiance. 2(cceptance of Dropout— The above prices, specifications and conditions are satisfactory and are hereby accepted. You are authorized to do the work as specified. Payment will be made as outlined above. Date of Acceptance:f L z 0Q Note: This proposal may be V withdrawn by us H not accepted within days. Signature Signature m m m m EP m _v d C a CD CD � O a Z y CLO n� C CL. c/! �0 CA o p CD CD o CL Q� =r " d CD CD O CSD CD CD =0 y O I t0 CD CD Q�o AN C c ?19 m --q O �• N 0 c H y QCC2 a n CJ amm Z y �� N• CD �o m d o CO) CD V! 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