HomeMy WebLinkAboutBuilding Permit #844 - 58 GLENWOOD STREET 6/21/2007 NORTH
r BUILDING PERMIT
TOWN OF NORTH ANDOVER 0 t
APPLICATION FOR PLAN EXAMINATION
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Permit N0: Date Received "°qq7.°0 <y
�SSACHU,
Date Issued: '
IMPORTANT Applicant must complete all items on thus age
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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 ❑ Others:
❑ Demolition ❑ Other
DESCRIPTION OF WORK TO BE PREFORMED:
Identification Please Type or Print Clearly)
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OWNER: Name: t�o�;�',T �•u4�y Phone: So£� 4� aol9
Address
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ARCHITECT/ENGINEER c.,( &(JAp Lc.ee Phone:
it
Address: 21 k Q A Reg. No.
�S FEE SCHEDULE:BULDING PERMIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F.
Ing
Total Project Cost: $ ty - s K FEE: $
Check No.: Receipt No.: ;Q0 3(93
NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund
q a,Ure f n x F5t nature cot traofio r _, ...
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Location `s
No.
Date
,,0RT„ TOWN OF NORTH ANDOVER
p ,a- , 1�C sr
Certificate of Occupancy $
��s ^�•
s�cMus E�� Building/Frame Permit Fee $
_
Foundation Permit Fee $
Other Permit Fee $
TOTAL $
Check # A'�---
Building Inspector
i
Plans Submitted Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans Q�
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 ❑ ❑
COMMENTS
DATE REJECTED DATE APPROVED
CONSERVATION ❑ ❑
COMMENTS
DATE REJECTED DATE APPROVED
HEALTH ❑ ❑
COMMENTS
s
Ey Zoning Board of Appeals: Variance, Petition No:
Zoning Decision/receipt submitted yes
Planning Board Decision: Comments
Conservation Decision: Comments
Water & Sewer Connection/si nature& Date
Located at 384 Osgood Street Drive Permit
TA
T
77
100
AL
01
MH
y1.
Dimension <�
Number of Stories: I, 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
C'
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❑ Notified for pickup - Date
_...____....___..__...__.........._...........
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I Doc.Building Permit Revised 2007
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
❑ Workers Comp Affidavit
❑ Photo Copy Of H.I.C. And/Or C.S.L. Licenses
❑ Copy of Contract -
L3 Floor Plan Or Proposed Interior Work
❑ Engineering Affidavits for Engineered products
NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit
Addition Or Decks
pp4cation
❑ Certdied_. lot Plan
— Workers Comp Affidavit
.,u Photo Copy of H.I.C. And C.S.L. Licenses
..� Copy Of Contract
° tion Plan Of Proposed Work With Sprinkler Plan And
Hydraulic' Calculations Y tons (If Applicable) ,.
❑ Mass check Energy Compliance Report (If Applicable)
❑ Engineering Affidavits for Engineered products
NOTE. All dumpster p permits require sign off from Fire Department prior to issuance of Bldg Permit
New Construction (Single and Two Family) R
❑` 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)
1 ❑ Copy of Contract
❑ Mass check Energy Compliance Report
❑ Engineering Affidavits for Engineered products
NOTE: 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 Appears
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 DEPARTMENT:BPFORM07
Revised 2.2007
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I NORTH
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:Y No.
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dover, Mass., �-
A- COCMICMEWICK
7 A�Rq PP�`y
.9S
BOARD OF HEALTH
PERMIT T D Food/Kitchen
Septic System
I
'
THIS CERTIFIES THAT BUILDING INSPECTOR
........ .. .......ni.. ��.)k.1�...........:i�.�.�e...................... ........�.......................................... Foundation
has permission to erect.................... ................... buildings on �jAA01Q04Pd.a............................... Rough
to be occupied as.... .4v�... ...l4 ...........:..I..,A6.. ................... ........... ... ........ ...... Chimney
provided that the person cceptIng 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
Final
PERMIT EXPIRES IN 6 MONTHS
UNLESS CONS TR TIO � TS ELECTRICAL INSPECTOR
Rough
................................ Service
BUILDING llVSPE
Final
Occupancy Permit Required to Occupy Building GAS INSPECTOR
Rough
Display in a Conspicuous Place ori 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.
06/17/2007 20:17 FAX 6033629204 granite state 10001/001
CONTRACT
1'S Srmft so"Sum"omfSo L: 21 Westside Dr.
Atkinson,NH 03811
Phone 603-362-9580 lune 17,2007
Toll free$77-240-0040
Fax 603-362-9204
Cell 603-231-7469
Web site:Granitestatebuildingmovers.com
Email: hsernoverfttarband.net
Hussein Ghamary
58 Glenwood Street
Andover,MA 01845
Tel:508-942-2019
Fax:978-689-7240
Work to consist of:
A) Structurally support house,raise approximately 5 feet and hold while others add to foundation
height.
B) Once foundation is complete mover will set house back on top of foundation wall.Pockets must
be left in foundation for mover's steel to be removed. Lally columns to be supplied and installed
by others.
C) In the process of raising a building cracks may appear in sheetrock seams,plaster or masonry.
Should any cracks develop it is understood by allparties that the mover is not liable for any
repair or cost of any repair.
D) Mover carries Workman's Compensation,One Million Liability with Two Million Umbrella,
and Cargo Insurance.Certificates will be requested and made available upon signing this
contract
E) All carpentry,masonry,electrical,plumbing,concrete,excavation work etc. to be done by others
at no cost to the mover.
F) Proposed time frame Summer 2007.First come first served for getting on the schedule.
G) Total cast to lift house is Fifteen Thousand Dollars.
Terms of Payment
1) Due with signing and returning this contract a deposit of$2,000.00.
2) Due the day the house is raised 0.00.
3) Due the day the house is to 1, 00.
Stan's ranite State Building overs,LLC Hussein Gham
*Owner has 40 days to complete work or a rental charge will go in to affect of$300,00 per week,
payable monthly.
*Contract must be signed and returned with deposit within ten days or contract will be null and
void.AU checks issued to mover to.be certified bank checks.
�rorn:Dell Mol!let A1,Mmquii a AQWWy FaXl13: TO:Movers,LLC Data:6==07 02:33 PM Page:2 of
ACORD. CERTIFICATE OF LIABILITY INSURANCE oPID DATE(MW VYYI
pawl-1 06/20/01
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIPICATE
bmquire Agency MOLDER.TMI5 CERTIFICATE DOES NOT AMEND,EXTEND OR
1935 West County Road B-2,#242 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Roseville MR 55113
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21 Waskside Drive Irl5lJlttNu
Atkinsoh, Nx 03811
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COVERAGES
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GENERAL LIABILTTV - EA01 OCCURRENCE $1,000,000
A X COMMCRC1ALrCNMALLIADILITr 660-9916C526 04/02/07 04/02/08 MtFMIf,FA(Faaedwnrm) i 100,000
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DESCRIPTION OF OPERATIONS!LOCATIONS/VEHICLES f EXCLUSIONS ADDED BY ENDORB NT I SP$CIAL PROVISIONS $5 000 Ded,
CERTIFICATE HOLDER
CANCELLATION
. xOSSEZu SHOULD ANY OF THE ABOVE DESUM81:13 VULK;IES BE CANCELLED OEFORE THE EXPIRATInN
DATE THEREOF,THB ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN
NOTICE TO T14C CGRTITICATE 1•IoLDER NAMED TO THE LEFT,OUT FAILURE TO DO 60$HALL
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From:Encka Linares To;Joanne PadG-Wildos Date:8/2012007 Time:2:38:58 PM Page 3 of 3
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HOLDER, THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
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IAMI,FL 33131.4937 COMPANIES AFFORDING COVERAGE
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A NEW HAMPSHIRE INSURANCE COMPANY
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CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED B Y 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.
POLICYEFFECTIVE POLICYEJIPIRAMON
TYPE OF INSURANCE POLICY NUMBER DATE(MMIDDrm DATE(MMIDD" LIMITS
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AUTHORIZED R12PRESENTATIVE
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BOARD OF BUILDING REGULATIONS i
License: CONSTRUCTION SUPERVISOR
Number: CS 084047
Birthdate: 08115/1960
Expires:08/15/2008 Tr.no: 29149
Restricted: 00
SIMEON O OLAPADE
36 PITMAN OR C
READING. MA 01867
Commissioner ,
.` %/re %osr..raxueall/r.c��%las�ac�eu�olds
-\ Board of Building Regulations and Standards
r =' HOME IMPROVEMENT CONTRACTOR
<;.'• �^t Registration: 137468
Expiration: 11/15/2008 Tr# 125027
Type: Private Corporation
AGAPE PROPERTY MAINTENANCE CO INC
SIMEON OLAPADE
36 PITMAN DRIVE
READING.MA 01867
Administrator
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CERTIFICATE HOLDER CANCELLATION
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Residential Property Record Card
PARCEL�-ID:210/007.0-0010-0000.0.:.MAP:007 0 SLOCK:0010 LOT:0000.0 PARCEL ADDRESS:58 GLENWOOD STREET.
j PARCEL INFORMATION tJaCode _ 101 ,-Sale Pnce 78:00p Book: 0B275 Rbad fiype - T Inspect Date:. 08/11/2003
{ Owner: tax—class:.- T Sale Date 07/26/2001 Page: 0068 Rd Condition P Meas Date. 08/11/2003
i C3HAMARY, HOSSEIN Tot Fin=AreY 1510 Sale Type P Cert/Roc Traffic: M Entrance: X
Address: Tot Land Area 0.11 Sale Valid G Water Collect Id RRC
58 GLENWOOD STREET Grantor:; WILLIAM GIAMPA Sewer. 'Inspec. Reas C
NORTH ANDOVER MA 01845 Exem t-B/L% / Resid-B/L% 100/100 C2mm-B/L8W Indust-B/L%o 0/0 Open Sp-B/L% 0/0
RESIDENCE INFORMATION LAND INFORMATION
Style `.RN Tgf Rooms 6; iViarn'Fn Area: 1510 Attie NBHD CODE: 5 NBHD CLASS: 5 ZONE: R4
Story Height: 1 Bedrooms: " 3 Up Fn Area: ._ Bsmt Area: 1510Seg ;Type Code :Method,-_,Sq-Ft; Acres .'Influ4Y/N' 'Value Class'
Roof: -,G FullBaths. 2 Add:Fn Area Fn-Bsmt Area P 101 S 5000 0.11 155,934
Ext Wall AV Half Baths Unfin Area Bsmt Grade: 1
MasonryTrim `.Ext Bath'•:Fix Tot Fin Area.: ._:1510 gETACHED STRUCTURE-INFORMATION
Str, Unit Msr-1: Msr= E�fu ��t:Grade-Gond' `aod°PIEJR £ost Class
Foundation CN Bath Qual: T RCNLD 149967 s
Kitch Qua/ T;. Eff Yr Bullts Mkt`Adl 1 2 SE S 84 1.988 ... A A ///91 200
Heat,Type HW 'Ext Kitch: Year Bwlt 1967 Sound Value. PV S 512 1988 A A 50///50 10,300
Fuelype 0 r�dtA cost Bldg 180,000 VALUATION INFORMATION
Fireplace 1 Bsmt Gar&p`: '
ap Condition AG Aft Str Val 1: Current Total: 346,400. Bldg: 190,500 Land: 155,900 MktLnd: 155,900
Cent,al ACY Bsmt Ga_SF Pct Complete. Att_Str Val2:` Prior Total: 323,900 Bldg: 179,500 Land: 144,400 MktLnd: 144,400
Aft Gar SF: /oGood P/F/E/R: /100/100/83
Porch TyR Porch Area Porch Grade Factor
E 108
W 84
SKETCH PHOTO
20 19
6 84 Sq.R. 6
B/F 14 7n _
1510 Sq.R. ` I
E _
108 S1 I.R.
18 18 = -
22 23
58 GLENWOOD STREET
Parcel ID:210/007.0-0010-0000.0 as of 10/18/06 Page 1 of 1