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Home My WebLink AboutBuilding Permit #371 - 66 BRIGHTWOOD AVENUE 12/2/2008 TOWN OF NORTH ANDOVER t NORTH APPLICATION FOR PLAN EXAMINATION # s Permit NO: Date Received • •�q" pDR41tD ,SSICNUSE� Date Issued: L 6 f IMPORTANT:Applicant must complete all items on this page LOCATION (OLP f3r )Gid" yyocd Ave- Print PROPERTY OWNER C-► re 1 j ) ►ted Print MAP NO.: PARCEL: ZONING DISTRICT: TYPE AND USE OF BUILDING HISTORIC DISTRICT YES ❑ TYPE OF IMPROVEMENT PROPOSED USE .Residential Non-Residential ❑New Building Mbne family ❑Addition ❑Two or more family ❑Industrial ❑Alteration No.of units: Repair,replacement ❑Assessory Bldg ❑Commercial ❑Demolition ❑Moving relocation ❑Other ❑ Others: ❑Foundation only DE§CRIPTION OF WORK TQ BE PREFORMED f ernove nr)d a 1ns+cJ11 new shingles +r-,? ► Od C )cc (And barK► ifr and rI& C uer��- Identification Please Type or Print Clearly) OWNER: Name: G e9,e0I r),e_. MCGI(Al re- Phone: G 7 g- (0'3'7 - ()' Address: to to t3r+ra hfiWOOd Ave N- And ovf_r , M n , 01845 CONTRACTOR Name:E, 5. Cie he-42A) C d rich r1(51 Phone: P - -77 1 -(v a-3 a Address:/b) Ph) 1)1 �--QVV e) i M U V 0 Supervisor's Construction License: Exp. Date: Home Improvement License:)3 -7(P (D Exp. Date: S, 8I aO c)q ARCHITECT/ENGINEER Name: Phone: Address: Reg.No. FEE SCHEDULE.BULDING P IT.•$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost :$ 0 x12.00=FEE:$ el Check No.: 7.2 Z A� Receipt No.: -2 7 2 Page 1 of 4 BUILDING PERMIT O* NORTH q TOWN OF NORTH ANDOVER t - APPLICATION FOR PLAN EXAMINATION b * SII Permit NO: Date Received s, y �SSACHUS�� Date Issued: IMPORTANT: Applicant must complete all items on this page LOCATION Print PROPERTY OWNER " Print MAP NO: PARCEL: ZONING DISTRICT: Historic District yes no Machine Shop Village yes no 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 Septic Well Floodplain Wetlands Watershed District Water/Sewer DESCRIPTION OF WORK TO BE PREFORMED: Identification Please Type or Print Clearly) OWNER: Name: Phone: Address: CONTRACTOR Name: Phone: Address: Supervisor's Construction 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.F. Total Project Cost: $ FEE: $ Check No.: Receipt No.: NOTE: Persons contracting with unregistered contractor>do not have access to the guaranty fund Signature of Agent/Owner Signature of contractor i Location zzjr a No. Date M011Tq TOWN OF NORTH ANDOVER v O re :e 7h f tc Certificate of Occupancy $ Building/Frame Permit Fee $ 1 ` Foundation Permit Fee $ i� Other Permit Fee $ 'k TOTAL $ Check #I Y . 217 ' 7 a/ �Auilding Inspector Plans Submitted Plans Waived Certified Plot Plan Stamped Plans TYPE OF SEWERAGE DISPOSAL Public Sewer Tanning/Massage/Body Art a Swimming Pools Well Tobacco Sales Food Packaging/Sales Private(septic tank,etc. Permanent Dumpster on Site x Lk THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM DATE REJECTED DATE APPROVED PLANNING & DEVELOPMENT COMMENTS CONSERVATION Reviewed on Signature I COMMENTS HEALTH Reviewed on Si nature COMMENTS 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 DPW Town Engineer: Signature: Located 384 Osgood Street FIRE DEPARTMENT Temp Dumpster on site yes no Located at 1`24 Main Street Fire Department signatureidate ' ,a COMMENTS 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 P O ❑ Notified for pickup - Date Doc.Building Permit Revised 2008 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 ❑ 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 ❑ 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/Crossection/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 NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit 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 ❑ 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 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 Application Revised 2.2008 V400RTH --wndover .1 own Of Law io ZO LAKE 0M - ® OrA' Mass, Q ' T / COCHICHEWICK A°RATED BOARD OF HEALTH ax . : Food/Kitchen z Septic System MIT T ��_ ' 7 i BUILDING INSPECTOR THIS CERTIFIES THAT..... . . ?:�G�' .l.. J ✓ """' Jf Foundation has permission to erect...................................:..! buildings on ....: .. '�/..t :. .c:� . ?�?� .../ �..r'............... Rough to be occupied as............................1�:�..O.O. . Chimney . .. ... ......................................................................... provided that the person accepting this permit s/7.hall in every respect conform to the terms of the application on J!lie"'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 PEST EXPIRES I1 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTION STARTS Rough ..................................... Service BUILDiG INSPECTOR Final Occupancy Pffmit Required to Occupy .wilding 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. REVERSE SIDE Smoke Det. E.B. General,Q,�-,qntrachng A complete Real Estate Solut*Qns,Oompany g GENERAL CONSTRUCTION & CONSULTANTS n GAY CERTIFIED ROOFING SPECIALIS'T'S 23 Boston Road Billerica, MA 01862• Tel. 978-459-1578 PROPOSAL SUB TO: PHONE#: ct $-7— 0o601 DATE: u Fax#: STItEE�Y I � �nzQQ� � 70B LOCATION: CrrY,STATE AND ZIP CODE: ` _ oV ESTIMATOR: CONTACT: We hereby submit specifications for: Re-nailing any loose boards as needed and replacing up to sq.ft.of roof board. Any additional boards will be at a cost of$2 per square feet. New shingles will be tied into flashing and will be counter flashed as needed. An industrial try-polymer sealant will be used for all crevasses and protrusions. Installation will include but not limited to the following: Removal and disposal of layers ® Roof over existing L�w►�1{ All edges will have � feet of ice and water barrier. Valleys will have '� feet of ice and water barrier. 8"drip edge will be installed over the ice and water barrier. c _Year shingles, ee to (basic)or laminated(architecturao 15-pound wrinkle free felt paper. Quality ridge vent for proper roof ventilation. ® Soffit vents to be installed. ® Vent pipe flanges to be installed. V All labor will be guaranteed for ten years from the completion date. Please make check payable to Bob Emmons Jr. We propose hereby to furnish material and labor—complete in accordance with above specifications,for the sum of. " J DOLLARS $ fl Payment to be made as follows: I/3 Deposit—I/3 Upon half i; letion—I13 U n completion Authorized Signature f` cceptame Of prDpoSBI 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-1.3..a Signature: All material is guaranteed to be as specified. All work to be completed in a workmanlike manner according to standard practices.Any alteration or deviation from above specifications involving extra costs will be executed only upon written orders,and will become an extra charge over and above the estimate. Alt agreements are contingent upon strikes,accidents or delays beyond our control. Owner to carry fire,tornado and other necessary insurance. Our workers are fully covered by Workmen's Compensation Insurance. _ f ACORD CERTIFICATE OF LIABILITY INSURANCE 04DATE(M/18/20081200YYY) TM. 8 PRODUCER Phone:(979)475.0400 Fax (978)475-2171 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION THE HOWE INSURANCE AGENCY ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 4 PUNCHARD AVE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ANDOVER MA 01810 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIC# INSURED i-INSURER A: St-Paul Travelers ROBERT EMMONS JR :INSURER B: DBA E B GENERAL CONTRACTING :INSURER C: 16 PHILLIPS STREET LOW&L• MA 01854 •INSURER D: i 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 CONDMONS OF SUCH POLICIES.AGGREGATeLlti TS-SHOWN'MAY-HAVE-BEEN REDUCED-BY-PAID CLAIMS. INSAO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE LIMITS PaucYTOIPttTAnoN LTfT INSR DATE GATE GENERAL LIABILITY EACH OCCURRENCE S COMMERCIAL GENERAL LIABILITY DAMAC,ETO RENTED R PREMISES(Ea occwmce) 5 CLAIMS MADE f OCCUR MED.EXP(Any one person) IS PERSONAL&ADV INJURY 5 GENERALAGGREGATE Is rGEtUfLP7AGGREGATE LIMIT APPLIES PEFt PRODUCTS-COMPIOPAGG. S LICY JECaT LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ANY AUTO (Ea aec7dent) S ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS (Per person) 5 HIRED AUTOS BODILY INJURY. NON-OWNED AUTOS (Per accident) S PROPERTY DAMAGE S (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT S ANY AUTO OTHER THAN EA ACC S AUTO ONLY: AC,C- IS EXCESS I UMBREI LA LIABILITY EACH OCCURRENCE S OCCUR F-1 CLAIMS MADE AGGREGATE 5 S DEDUCTIBLE S RETENTION S S WORKERS COMPENSATION AND UB744SA017 04/18/08 04118/09 ToRt�r Auenirs �TM� EMPLOYERS'LIABILITY ANY PROPRIETORIPARTNF.WEAECtrrM EL EACH ACCIDENT 5 10D,O00 A omcEWrammExcLUDED7 E.LDISEASE-EA EMPLOY EE S 100,000 If SpEc dee under E.L.DISEASE-POUCY LIMIT 5 - SPECIALPROROVISIONSbelow 500,000 OTHER: DESCRIPTIOt3jOF OPERATIONSILOCATIONSIVEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION - SHOULD ANY OF*THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILLENDEAVOR 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. AUTHORRED REPRESENTATIVE JUChAristine4J. irange ACORD 25(2001108) Certificate# 4323 0 ACORD CORPORATION 1988 • ,,✓ru'tt1u�Nrra�trUr�r�r'(��f,./��tr�,r/crd;'rrs nnprd of Building Regulations and Standards License or re"Istratiou valid for Individul use only NbME NiSNT CONTRACTOR lotions theexlfiration'date. if found return to: IMPROVEBoard of Building Regulations and Standards IG ttegistretion: 139788 One Ashburbo place Rm.1301 RX00'atlom.,9/,18/2009 Tro 132606 Boston,MR.(12-108 1'ype: DSA ,6.GENERAL WNSTRACTINp . /(.� . ' ROBERT EMMbNS JR, t/ A„ • 1'8 PHILLIPS 3Y. Not valid without signature , LOWELL,MA 01864 Administrator Massachusetts- Department of Public Safety Board of Building Regulations and Standards Construction Supervisor Specialty License " License: CS SL 99723 Restricted to: RFAS ROBERT EMMONS 16 PHILLIPS STREET LOWELL, MA 01854 Expiration: 9/22/2011 0 isiuner Tr#: 99723