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Home My WebLink AboutBuilding Permit #773 - 575 TURNPIKE STREET 6/8/20067 L: O p f �Ss4C"use Permit NO: Date Issued: TOVN'N OF NORTH ,kNDOVER APPLICATION FOR PLAN EX,VN NATION IMPORTANT: Applicant must Date Received: all items on this LOCATION Print PROPERTY OWNER Print MAP NO.: PARCEL: 1 ZONING DISTRICT: TYPE AND USE OF BUILDING HISTORIC DISTRICT YES ❑ TYPE OF IMPROVEMENT PROPOSED USE Non- Residential Residential New Building One family C Addition ,. Two or more family Industrial ✓�teration No. of units: Repair, replacement _ Assessory Bldg Commercial llic 7 Demolition Movin relocation) Other Foundation only DESCRIPTION OF WORD TO BE PREFORMED— Others: Identification Please Type or Print Clearly) ONN'NER: Name: UX T XAO 0 ✓��je��rl/ Address: � �C:l �t�&C Phone - `?72 CONTRACTOR Name: ` Address: f Supervisor's Construction License: 62/, Exp. 5� Home [mproement License: Exp. Date: 7�d I vy R '� .��,<C��VJ Lame: Phone: f ARCHITECT E NGI'yEER�� lop Reg. N .\�idress: No. FEE SCHEDULE: Bt LDIAG PERMIT: 510.00 PER 51000.00 OF THE TOT IL ESTI,DL-ITED COSTRASED ONS125.00 PER S'f Total Project Cost :$_ / r `r —x10.00- FEE:$ c'c' Check No.: / ,� 4-11 Receipt No.: & Ja TYPE OF SENVARGE DISPOSAL TanningAlassage Body Art Public Seer Tobacco Sales Well _ -- Permanent Dumpster on Site S" imming Pools Food PackaQing'Sales _ Prlrate (septic tank, etc. _ Electric deter location to project NOTE: Persons contracting with tzinreinstered contractors do not have access to the gnarrant , firnd Signature of AgentOwneis Signature of Contractor 1 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 Site Plan Special Permit Other COMMENTS DATE REJECTED DATE APPROVED CONSERVATION ❑ (] COMMENTS DATE REJECTED DATE APPROVED v HEALTH ❑ !� J CONI-AIENTS Zoning Board of Appeals: Variance, Petition No: 7_oninv Decision!! receipt submitted Nes - Planning Board Decision: ---- —------C,�mnwnts ConscrNatien Deci,tion:. _ Comments ,'kIatcr & Seder connection si�naturc & datc iemp Dempster on site yes_ no l=ire Department signature date Building Permit Appro,.ud and Issued by: Building Setback (tI.) Front Yard Side Yard Rear Yard Required Provided Required Provides Required Provided DIMENSION Number of Stories: Total land area, sq. ft.: Total square feet of floor area, based on Exterior dimensions. Building Department TMe following is a list of the required forms to be filled out for the appropriate permit to be obtained. Roofing, Siding, Interior Rehabilitation Permits a Building Permit Application :, Workers Comp Affidavit j Photo Copy Of H.I.C. And/Or C.S.L. Licenses j Copy of Contract Floor'Plan Or Proposed Interior Work Addition Or Decks o Building Permit Application • Surveyed Plot Plan o Workers Comp Affidavit • Photo Copy of H.I.C. And C.S.L. Licenses o Copy Of Contract o Floor/Crossection/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydrai 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 a 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 c %ppeals that the appeal period is over. The applicant must then get this recorded at the Registry of Deeds. One cop3 an proof of recording must be submitted with the building application SERVICES DEP 1R'I MEN 1':B1'F0R`.1119 a Location T�r�� S-" No. Z;u Date HORTM TOWN OF NORTH ANDOVER s � Certificate of Occupancy $ CMUs t�' Building/Frame Permit Fee $ r� Foundation Permit Fee $ Other Permit Fee $ TOTAL $M Check #_ r 19369 Building InspeEtor �" SENT BY: NORTH ANDOVER & FOSTER INSURANCE -;9786866410; JUN -5.06 4:15PM; PAGE 1/1 M=,r CERTIFICATE OF LIABILITY INSURANCE OZZ2006 FR&1061G t NORTH Atdi�OS+"2R INS MhXE Ai Y, INC 9 MAW= ROAD NORTH AI&?OM Ik 01645-2415 ih1F T IO THI$ F TR IS ISSUED' AS A MATTER OF N OR ONLY AND COCERTI k0 i�fN3 UPON THE OSLONE. MO!1.flER. THIS: GSiiS1Ff0A'1`L D[t@3 NOT Ad�ND OR E COMMA AF E POLICI IkSURERS WMINO OW ERAGE Wsumm Michael RaddAm 47 Pros ott Street ,Noz+-h hzlatmr HN 01845- meuRER A 1!$AT$CBNAZ GPJWM M6;3TtJ,TLL .$LSUKAB A'4�E tw{ nn%RN&T1ObiFLI. GROUP LIRERC: MPF37396 > THE PoucIES OF INSURANCE LISTED BEL01N HAVE SEEN ISSUED Til TtIE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTbNTHSTANDING ANY RECUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTM; DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE WAY BE ISSUED OR MAY PERTAIN, THE INBUWOE AFFORDED BY THE POLICIES DESCRIBED HEROIN IS SU9ACT TO ALL THE TEPMS, IXCLUSIdNS AND CONDITIONS OF si!*~Ai POLICIES. AGGREGATE LIMIT$ $HOM MAY HAVE 696N R9DUCW RY PAC WL IWIS. WM OF 9911UPANCIII POULTY NUMNR H►F$6TN$ fiXFUYh % 02/OL/2007 LPI14TT9 A R at"NV4l,pASLPrY rx COWERCIAL09019M LIABILITY CLAM A,, rl-(lOC uuR MPF37396 / I 2/01/2006 EACH CCCU ENCE 600a,000 PURE ONNIA9E onslFra i 500,000 mr;y.Pift**aodaen + 10,000 P5RWML RACY KIURY s '000,600 040, ooc GEN'L AO AGGAT$ LIM17 PLIES= (a POLICY TWMLA ANY AUTO f` ALL 01M P al'O AUTOS SCHEDULED AUTOC t AUTOS It OWOV NLD AUTOS R TS • P,OPAV/QP AGO b M7T47777 07/16/2005 / / 07/iS%2006 / / r,DLaeINEa BIkOLE WAIT i (8e ecLent) 6 BOWLY INA RY T (Per pw—o 1AO , ®00 DODILY Nd l{1RY (PW foIdw 300,000 PROP01 v 0AT�E �,.0ei�,Il ` s ao F oaa ANY AUTO % / / / AUTO 0WY - RA ACCIDUNT 4 oTNFR THAN EA ACC 0 AUTOOMT.' AGO 4 acm L.IAwTv OCCUR Q CLAM MAN WDUCTISLE R / / / / cc 6 i— • B VC8933261 01/01/2006 01'/61/2007 7. t EL. EACH ACCIDENT e i 100 , 000 EL. DRS PLOY s1000 B.L. DtBL43E - POl lov Lwr b I 500,000 OTIIRR MeCRI"=OFOFERATMN®ILVDATQ%WV CL"WoWM"AA=W My IMPORNONTWMWALMVII9lWt9 FAIR# 978-667-0293 _ AND" ANY OF : flit A904 PbLa4'M of CAM0MAXI 1 iPiOkK THE Moa1WTIMI DA78 TAIWINP, TW 1Deu!= 7A111111UHM WILL. EWA** TO "W DAve wmitto NOTICE To THE carni as HOLM NAMED TO TwE Lwr, evr TOM OF NORTH ANDOVM FALtw m To Do so trAu Wms,mo OOL11l Tw.OR LJANf m or ANY 4No UFON rrm AUTIONM REPFMATATTefE ZMTH ANDCVW MA 01845- w 0 ACORD COR RATION 1880 AVORD 268 (7� 14"j- IN$6266 ELECTRONIC LA M FWW. INC, - jVW)a17 Page 9 d 2 i Proposal MICHAEL RODDEN BUILDER - CONTRACTOR 47 Prescott Street NORTH ANDOVER, MASSACHUSETTS 01845 Phone (978) 687-2934 Lie. #028538 Page No. of Pages PROPOSAL SUBMITTED TO PHONE DATE Northeast 978-794-1946 5/24/06 STREET JOB NAME 575 Turks ike Street CITY, STATE and ZIP CODE JOB LOCATION Ma. 01845 ARCHITECT DATE OF PLANS 4/20/06 JOBPHONE WP YrapgSe hereby to furnish material and !abor — complete in accordance with specifications below, for the sum of: Payment to be made as follows: sang dollars ($ her invoices to be paid upon recei All material is guaranteed to be as specified. All work to be completed in a workmanlike Authorized manner according to standard practices. Any alteration or deviation from specifications be- / low involving extra costs will be executed only upon written orders, and will become an Signature 12, Or, � � � �- .rte-•�� extra charge over and above the estimate. All agreements contingent upon strikes, acci- dents or delays beyond our control. Owner to carry fire, tornado and other necessary Note: This proposal may be insurance. Our workers are fully covered by Workman's Compensation Insurance. withdrawn by us if not accepted within 1 n days. _ We hereby submit specifications and estimates for: Labor and materials for office renovation. Mork will be done for a cost plus fixed fee agreement. The fixed fee is $12,000.00 and is to be paid in two installments, $8,000.00 at job start and $4,000.00 at completion. Michael Rodden will be a working supervisor and will co-ordinate the mate- rials and labor necessary to complete the project according to the plans and specifications submitted by -Professional Interiors dated 5/12/06. The scope of work also includes all neccessary permits and job debris removal. All materials, labor and subcontractor invoices are to be paid upon receipt. Carpentry rates are as follows: M. Rodden - $47 per hour, P. Goad - 4k47 per hour, J. Savage - $37 per hour, J. Staropoli - $37.00 per hour Any other neccessary labor will be billed accordingly. Note: Any labor involving overtime (after 5:00 or on)weekends) will be billed at time and one half. Notes: This estimate does not include supplying or installing any medical e equipment such as x ray or other. Leaded wall board for the x ray room has been included for walls up to 84" and not the ceiling area, as specified by Bruce at Professional Interiors Acceptance of proposal —The above prices, specifications and conditions are satisfactory and are hereby accepted. You are authorized Signature to do the work as specified. Payment will be made as outlined above. i Date of Acceptance: Signature BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR Number: CS 028538 Birthdate: 09/05/1948 Expires: 09/05/2007 Restricted: 00 MICHAEL V RODDEN 47 PRESCOTT ST N ANDOVER, MA 01845 Tr. no: 5515.0 qzz' Commissioner O z 06 W Cd � aG cn � w o b ' G U w � w i•� a a —cdw w U 0 U a a (Uw c� w OG o C7 x a w N w c4 o z cn a Q 0 v) c o m cs BL3 sCLIlkc 0 4D t� o E a `CD c +_ 'o F o m o" u � O c VHS E O y N y 3 m� 3 ••: cm C � C C &;c. O O �Em COLA c=m =Z O Cf i*lZCM'aQC 10 y CL p m o co a ® c F- $ y CD D r W 0 �r-0Z w c +- atoc Z C m •y O LU •`m O y a g rto co) CD ca r e CL.M W z U U Q' y .E i s C O CO2 O CO2 C O G COD rel