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Home My WebLink AboutBuilding Permit #182-15 - 675 FOSTER STREET 8/20/2014 � j (�) as7 TOWN OF NORTH ANDOVER 1A k APPLICATION FOR PLAN EXAMINATION Permit N0: (W7z'-' Date Received Date Issued: CC d—zd, ` �( IMPORTANT: Applicant must complete all items on this page LOCATION D Prin PROPERTY OWNER au , _ or, lou. - - int 100 Year Old Structure yes MAP•NO: PARCEL:_ , . ZONING DISTRICT Historic District yes Machine Shop Village yes A6. 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 -0 Septic ❑Well ❑ Floodplain ❑Wetlands ❑ Watershed District ❑Water/Sewer - DESCRIPT, ON OF ORK TO BE PERFORME I entifi. ion lease Type or Print Clearly) l�b OWNER: Name: a G" V Phone: 7� 5� Address: CONTRACTOR Name: l Address: _ - - - Supervisor's Construction LicenseM,_�?_ _ _ LL Exp: Date: Home Lmprovement 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. e- Total Project Cost: $ �' -Soo FEE: $ 5 Check No.: !?-� �k 2�Receipt No.: NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund Signaturetof Agent/Owri- Signature,of contractor '4 Plans Submitted [7J t' Plans W ived ❑ Certified Plot Plan ❑ Stamped Plans ❑ Location No. Date r • - TOWN OF NORTH ANDOVER • ° - Certificate of Occupancy $ Building/Frame Permit Fee $� � Foundation Permit Fee $ Other Permit Fee $ � TOTAL $ Check#� /J 2 Building Inspector Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ -- TYP ",-OF SEWERAGE DiSPOSAL - - Public Sewer 11Tanning/Massage/Body Art F]. . Swimming Pools ❑ Well ❑ Tobac co 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 CONSERVATION Reviewed on Signature COMMENTS HEALTH Reviewed on Signature r COMMENTS Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes- .- Planning es -Planning Board Decision: Comments Conservation Decision: Comments Water & Sewer ConnectioniSignature& Date Driveway Permit DPW To-wo Engineer: Signature: Located 384 Osgood Street FIRE DEPARTMENT - Temp Dumpster on site yes no Located-at 124 Mair,Street Fire Departmerit,sigriatu"re/date Rt I COMMENTS Dimension Number of Stories: Total square feet of floor area, based on Exterior dimensions. Total land area; sq. ft.: ELECTRICAL: Movement of Dieter 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 Y1 r n nr El Notified for pickup - Date S S i I Doe.Building Permit Revised 2010 Building Department The fohowing 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;. , r, a ;t;' ❑ Copy Of Contract Li 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 o 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 apu%al period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording must be subm.tted with the building application Doc: Doc.Bui!ding Permit Revised 2012 r , NORTH W. tE ic . : ve. .. 0 ,,.. . Z. y o h ver, Mass, oZd COCNIc"IWICK �1. 0J�ATED 'P.,? U BOARD OF HEALTH Food/Kitchen PERMI-T T LD Septic System THIS CERTIFIES THAT ........ . �.V1— (.0✓ ... BUILDING INSPECTOR . ............ .............. .. ................................. ...................... has permission to erect buildings on .........40.- Foundation t�respect Rough to be occupied as ........J ... .0jazh+r.....1 0. ........c�3... .:........................................ Chimney provided that the person accepting this permit shall in conform to the terms of the application Final on file in 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 ELECTRICAL INSPECTOR UNLESS CONSTRUCTI T T Rough Service ............................... ............................................ Final BUILDING INSPECTOR GAS INSPECTOR Occupancy Permit Required to Occupy Buildinz Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final r No Lathing or Dry Wall '1 o Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. Smoke Det. Dempsey Roofing, LLC P.O. Box 383 Billerica, Ma 01821 Phone: 978-670-8904 Fax: 978-362-3102 Proposal Customer Name Paul Dedoglov Date 8/15/14 Job Site 675 foster St. Order No. City North Andover MA Rep Work 978-687-1301 FOB Q Go over Unit Price TOTAL Install 8"aluminum drip edge up rake(white, brown or mill finish). Install new ridge vent and 3"pipe flange. Roof over existing layer with LTD Lifetime GAF Timberline or CertainTeed Timberline Forest Green architect roofing shingles Remove all roofing debris. This is a labor, materials, dump and permit proposal. Extras: Strip one foot of shingles along cheek wall. Weave shingles into existing step flashing. Strip one foot up all eves. Remove all gutters Install 3 rain diverters. One year warrantee on workmanship. Payment Details S Cash Check • TOTAL $4,300.00 Make check out to Dempsey Roofing LLC. Office Use Only ------------------- Signature of acceptance VVr}jVfrVfV ff•VVftVWV\\tA VVtt tttVtAt Mtt��P't'�.t\tf r.w.f.•t•�w-•� • •�• ••� � A GERTIFIGATE OF LIABILITYINSURANCE 9 5/2013�1 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATNELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW, THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER($), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder 1a an ADDITIONAL INSURED,the poilcy(les)must be endorsed. E SUBROGATION IS WAIVED.subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder In Ileo of such endorsemen s. PRODUCER CDlemsrcial Lines Prescott and Son lnsu=mce Agency,Ina. 1781)322-2350 FAX 963 Eastern Avenue INSURER S AFFORDING CDVMtAG6 NAR: Malden NA 02148 INSURiRAAtasn SIPSCialtV Ins Co INSURED Ute RSR e DempseY Roofing LLC PO Box 383 uaeuaER Sillorica MA 01821 INGWOF- COVERAGES CERTIFICATE NUM ERCL139517157 REVISION NUMBER: T41-8-18 TO CERTIFY THAT TME 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,LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTA TYPE OF INSU"NCB P FF POLICY P]IP NUMBER UMI're Gt±NERAI uAe1LnY H OCCURRENCE 1,000,000 X COMMERCIAL GENERAL LIASIInY ,�nno�l : 100,000 A CLAIMS-II ❑R OCCUR IPSS915a /9/2019 /7/2014 -mawasmsaMED DCP(AM ens anon i 51000 PERSONAL 6 ADV INJURY $ 1 000,000 GENERAL AGGREGATE i 21000,000 GBN'L AGGREGATE UMR APPLIES PER: PRODUCTS-COMPIOP AGO 9 1;060,000 POuC PR LOC i AUTOMOBILE UA IIyTY ANY AUTO BODILY INJURY(PM PON" II A�ED AUTOS e001LY INJURY(Per sotleenq 8 HIRED AUTOS NNOM41MED AUTOS3 UMBRELLA UMOCCUR EACH OCCURRENCE t WWII UAB CLAIM&MADE AGGROGATE S f t omwe COMPUBAMON IMC A AND EMPLOYNIP LIMIUTY ANY PROPRIETORIPARTNERIEXECUTIVE YIN 71EL EACH ACCIDENT OFFICERIMEM13ER OWWOEDT N I A (Mandatory In NH) E.L DISEASE•EA EMPLO R s� daa IN utldw EL DISEASE-POLICY LIMB j DAMIN OF OPERATIONS halow DESCRIPTION OP OPERATIONS I LOCATRONB I VPMCLEB(AWoh ACORD 10%AddtUmW Rwna:fls odwdw%I mgrs apace is nQuIred) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHOR=REPRESMATNB .Y 8 Scholnick/Pitt ®1888-2010 ACORD CORPORATION. All rights reserved. re reglabered marks of ACORD _ �' •� � '?`+.: 1 - .. �.u d. ;�-: x .. .. _ �... .. — � .f f . ._ «. __ .. _ . . _. ..p r r .� �4! a N,.�� . is ^ � Q � `. t � .. ., '�.: 1 .�- - s _.. _F � ,.-_. — _�- ._ — _ � �, . _. a _ .. _�. i � C . -_ --K- - � � , .. ' .� _ _.. _ _._ _ _ 6 i t - .. ..._._ _ _ .. � _ .. � .. � � ,. .. ' r. . . ._ — —. __ . � _ � � 1 i + - _ r. :a a � rr , ,� .. i .. ! � 'e i ._.. .. r ;3• 1 Massachusetts - Department of Public Safety Board of Building Regulations and Standards Construction Supervisor Specialty License: CSSL-099681 ERIC DEMPSEY 7 SON AS BILLERICA MA--01 o- � Expiration Commissioner 05/23/2016 _ ----•. "- �ecpomrynorzulecc�l�io��iraaacicu2eCGs Office of Consumer Affairs&Business Regulation 0x4j. egistration: ME IMPROVEMENT CONTRACTOR 178026 Type: piration: I 3%6!2016 LLC I DEMPSEY ROOFING LLC,,, ERIC DEMPSEY 7 RICHARD ST 4. BILLERICA, MA 01821 r Undersecretary i .. .l.,,, . /31�1 8975 �® 02?:02 �ERTIFICATE OF LIABILITY INSU �'' fIDIATE RAIVC.E 4 I! THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGH, ThiE_CERi1ptCATE HOL DER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND, OR ALTER THE, COVE:RAt�E AFFORDED BY THE POLICIES`fS UPON BELOW. THIS CER'T'IFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THI= ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE ORS PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate hinder I ------------------- s'an ADDITIONAL INSURED,the policy(les)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the imilcy,'certain policies may require an endorsement. A statement ori this 61tiflcate does hot confer rights to the certificate holder in Ileu of such endorsoment(s). PRODUCER 01227-001 i j NCOANTACT I ME �i Prescott&Son Ins Ag(:yInc E 963 Eastern Avenue I PJVC.No.Ext): (781)322-2350 C I !i �' No!y (781)322-3093 Malden,MA 02148 I INSURERS AFFORDING CGVERAGE NAIC i INSURED INSURER A: A.LM.Mutual Iriauranue C,?mpany I 26158 Dempsey Roofing LLC -MURER 5 P O Box 383 INSURER C: Billerica,MA 01821 INSURER 0 UNRU i COVERAGES I CERTIFICATE NUMBER: �` --I--- —I REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSl4RED t\)AMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHE): DOCUMENT WITH RE !PECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIVED HEREIM'iS SUBJECT( TO ALL THE TERMS, NgEEXCLUSIONS AND CONDITIONS OF SLICH POLICIES.LIMI7S SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMSF{ YE IL7j2 TYPE OF INSURANCE I SS � POLICY NUMBER POLI F pppLL''CCyy�yp GENERAL LIABILITY M"' MADNY,_,N 1 I I.IMITS COMMERCIAL GENERAL LIABILITY OCCURRENCE $ OA'WIGE..TO RENTED I CLAVAS MADE OCCUR I PRcMISES(Ea occunenas $ MEO E)GI(Any one persori) $ PERSON AL&ADV N t1R.Y $ ENI AGGREGATE LIMIT A�PUESPER: GENERAL,AGGREGATE T $ UT TS CY 0- OC PRODUC -COMP/OP FGG $ C AUTOMOBILE LIABILITY COIABINE.D SINGLE LIMBfn) ANY AUTO Ea.acddr�n0ALL OWNED iCHEDULED 8001LY IIJ,URY(Per persoAUTOS AUTOSBOCNLYIIJ,URY{PeraccicHIREOAUTOS HON-0WNEGAUTOS PROPIRTYDAMAGEPer acdtlsnI UMBRELLA LIAR OCCUR EXCESS LIAB EACH OCCURRENCE CLAIMS NLADE Wp DEDRETENTION �CppMM RETEENTION $ AGC-REGr1i'E $ ANyDpE�MPLOYERo3RELIgA}�BINL01T��Y/� A OFFICE M M E51P&LUD_D CUTIVE� NIA AWC400-7027487-2014A 7/1/2014 7/7(2015 EXL.IJi0CRH1�A1ClAtC�IITDSEACCIDENT in NH) _ �la $ 1,000,000.00 ''rr�55�dd Iseu er E.L.OISEASE-EA EMPLOYEE $ 1,000,000.00 DESCRI ZION OF OPERATIONS below E.L.DISEASE-POLICY LIN'IT $ 1,000,000.00 DESCRIPTION OF OPERATIONS!LOCATIONS!VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if mons space Is required) i s f I i , CERTIFICATE HOLDER --- CANCELLATION SHOULD ANY OF THE ABOVE C ESCRI13ED 12OUCIES BE CANCELLED BEFORE THE EXPIRATION DATE THIi:REOF' NOTICE WILL IBE DELIVERED IN ACCORDANCE WITH THE POLITY PRdOSICINS. AUTHORIZED REPRESENTATNE i ©1988.2010,9.CORD CORPORATION.All rights reserved. ire registered marks of ACORD { I 7586 1