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HomeMy WebLinkAboutBuilding Permit #576 - 68 HIGHLAND VIEW AVENUE 5/1/2009 NORTH BUILDING PERMIT cf�t,'o ,6�tio TOWN OF NORTH ANDOVER 3? ' o10� APPLICATION FOR PLAN EXAMINATION y Permit NO: Date Received oOq,Tp PPP` (� 9SSAC14U`-+�� Date Issued: ' 0 IMPORTANT: Applicant must complete all items on this page OUR F TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building R'One family Addition ❑ Two or more family ❑ Industrial , ❑ Alteration No. of units: 0 Commercial ❑ Repair, replacement ❑ Assessory Bldg ❑ ^Others:. ❑ Demolition ❑ Other r. DESCRIPTION OF WORK TO BE PREFORMED: Ob t_ a 1 ✓V Identification Please Type or Print Clearly) OWNER: Name: LEMPhone: $a Address:. /Q L/Eduu 4 , y, N „ r w i i " s ARCHITECT/ENGINEER < Phone: .�� i Address: L) 0 Reg. No. WLID le , FEE SCHEDULE.BOLDING PERMIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. !, Total Project Cost: $ 19 0 � FEE: $ Check No.: �01 Receipt No.: NOTE: Persons contracting with unregistered contractors do not have access to the guaranty. fun¢,d � Q �.� 919 . . Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ TYPE OF SEWERAGE DISPOSAL ' Public Sewer Swimmin ❑ Tanning/Massage/Body Art ❑ g Pools Well ❑ Tobacco Sales El 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 i t DATE REJECTED DATE,APPROVED CONSERVATION r ❑ ❑ C COMMENTS /-qx) 4 C w DATE REJECTED. DATE APPROVED. . HEALTH ❑ ❑ COMMENTS Zoning Boa rd of Appeals: Variance, Petition No: _ Zoning Decision/receipt submitted yes Planning Board Decision: "' ' Comments Conservation Decision: - - T Comments - - Water & Sewer Connection/Signature& Date Driveway Permit Located at 384 Osgood Street „fi ha Lode i '11µ� Dimension Number of Stories:--L—Total square feet of floor area, based on Exterior dimensions. %� 161 Total land area, sa. ft.: b 74L ELECTRICAL: Movement of Meter location, mast or service drop requires approval of Electrical Inspector Yes No I DANGER ZONE,LITERATURE: Yes No ,. 4 MGL Chapter 166 Section 21A—F and G min.$100-$1000 fine I�I I NOTES and DATA— (For department use i . 1::LU;3Notified for pickup- Date Doc-Building Permit Revised 2007 E. 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 . f Proposed Work_ .With S Frinkler Plan And Plan O ❑• Floor/Crossection/Elevation p T ,P Hydraulic Calculations (if Applicable) ' •, ' ❑ Mass check Energy Compliance lian�e Re o rt (If Applicable) ble ) ❑ 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) ► ° 1 o Building Permit Application ❑ Certified Proposed Plot Plan - r r �Ot ► ❑t "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:INSPECTIONAL SERVICES DEPARTMENT:BPFORM07 i Revised 2.2007, ' f Location el".0 No. Date TOWN OF NORTH ANDOVER • , , Certificate of Occupancy $ Building/Frame Permit Fee $ 6 Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # 2169 ' Building Inspector I TOTAL LOT AREA 13,000 +/- S.F. ZONING DISTRICT R4 135.1 MINIMUM AREA=12,500S.F. MINI.MUM FRONTAGE 100' cN al EXISTING DECK MINIMUM FRONT SETBACK=30' o TO BE RAZED MINIUM SIDE SETBACK=25' 0 37' MINIMUM REAR SETBACK=30' QIP 58' (� EXISTING DWELLING t PROPOSED DECK � #68 HIGHLAND VIEW AVE. to , LOCATED IN PROPOSED DECK NORTH ANDO_VER,NA. ', 16' X 10' 48' I PREPARED FOR HELENE RYAN i 35.0' ——— f ADDRESS: 68 HIGHLAND VIEW AVE. I DATE: 1/25/09 SCALE.1"=30' HIGHLAND VIEW AVE. 30 0 30 60 FT I�4�, '- PROFESSIONAL ENGINEERS 1 ,; CHRISTIA SEN h SERC/ LAND SURVEYORS ® x_160 SUMMER ST. HAVERHILL,MA. 01830 TEL 978-373-0310 2009 BY CHRISTIANSEN & SERGI INC. " DWG.AI0.03036.001.005 10 J11-' 1,6 UI L - - - �f i �. i F NORT�y own of : Andover No. %,r7 (0 CO, A K E =y dower, Mass., S' / • COCMICHEWICK A0OATED i'P�\ S BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System . THIS CERTIFIES THAT .. �v-i INSPECTOR �Ir.N.1........ BUILDING........................ ......... . Foundation has permission to erect........................................ buildings on ........... /y.�!!�► ...Ate.104�. Rough to be occupied as..... �t.I ......../ .X. gt r,/�................... Chimney provided that the person accepting 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 PERMEXPIRES IN 6 MONTHS _ IT ELECTRICAL INSPECTOR UNLESS CONSTR TS Rough ...... ... ............................................................ ................ Service BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR gh 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. SEE REVERSE SIDE Smoke Det. 1 -Board of Buildin g Regulations and Standards HONE IMPROV EMENT CONTACTOR Registration: 162713 Expiration. ' 4/6/2011 T. T r# _ 2 8 e• 2 Yp 157 �.. r ncJiwdual 7 JEFFREY TO a . TOR JEFFREY TOR REY 5 SQUIRREL RUN RD ; PLAISTOW NH 03865 , Administrator B PARD L"zo'ac�ealGliQ�k License OF gUiLDIN R ONSTRUCTIO EGULATlO{ys .. x1 NUrnber<' N SUPERVISOR r Birthdate, 093973 .. Expires x0912 :. ' { 1 912009 °RestEYricts - Tr. no: 93973 JEFFREY TORR � QUIRREL PLAISTpw NH 03865.: Oommissioner � � r j G ooy c r, j h/ opxGAGQR : _ t vet p . N Et_ -WE I 1 t �. _ 1 • == �l( DV t E VV ,d, VE AUGDATE I f993 OWN EQ(s�: F2TtF'.1 C ATa . - i e LO 7� 5/70 wn reran RECs 1 STR..y V-T N - JAS �►� � c�T tic �-� fi�aie EL��'� - _oovYn •1DEFID 134, Il 60 .._._ PAIS r�esen7� anin s L-�. �ie! m ises r Wtf�OQC �� ,�`V� ofa�s ! a/'- �'eW G'G . �� k08ERT urn `publ�cr-ecords end E GILL = �/ N I V• �-^.�Di./77 �F. �.J. ? `Q �vrcadcJc .51� �' a� •and is ,-,c =o�iR't' �, .re�` /ya5an�nj i,11- oink 82 CE ►.iTR �_ �-ry I I i I, i ACORD CERTIFICATE OF LIABILITY INSURANCE OP ID ST DATE(MM/DD/YYYY) TORDBAl 04/17/09 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE THE JOSEPH S. HILLS AGENCY INC HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 129 MAIN STREET, PO BOX 300 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. PLAISTOW NH 03865-0300 Phone: 603-382-9211 Fax:603-382-3387 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A: NGM Insurance Company 14788 INSURER B: Jeffrey Torrey dba Torrey Painting & Decorating INSURER C: 5 Squirrel Run INSURER D: Plaistow NH 03865 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 CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, IRATION LTR NSR TYPE OF INSURANCE POLICY NUMBER DATEYMM/DD/YY E PDA EY MMI D//YY) LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A X COMMERCIAL GENERAL LIABILITY MPJ37725 06/01/08 06/01/09 PREMISES(Eaoccurence) $ 500,000 CLAIMS MADE ®OCCUR MED EXP(Any one person) $ 10,000 PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $2,000,000 GENT AGGREGATE LIMIT APPLIES PER: /// PRODUCTS-COMP/OP AGG $ 2,000,000 POLICYFXPROECT LOC J AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ANY AUTO (Ea accident) $ ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per person) HIRED AUTOS BODILY INJURY NON-OWNED AUTOS (Per accident) $ PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO EA ACC $ OTHER THAN AUTO ONLY: AGG $ EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR F-1 CLAIMS MADE AGGREGATE $ DEDUCTIBLE $ RETENTION $ $ OTH- WORKERS COMPENSATION AND TORY LIMITS ER EMPLOYERS'LIABILITY A ANY PROPRIETOR/PARTNER/EXECUTIVE WCJ37725 06/01/08 06/01/09 E.L.EACH ACCIDENT $.100000 OFFICER/MEMBER EXCLUDED? E.L.DISEASE-EA EMPLOYEE $100000 If yes,describe under SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT 1 $ 500000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS PAINTING - EXTERIOR Sole Proprietor exclusion applies on the workers comp policy for Jeffrey Torrey. CERTIFICATE HOLDER CANCELLATION RYANHEL 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 Helene Ryan IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR 68 Highland View Avenue REPRESENTATIVES. N. Andover MA 01845 A T IZEDR RE A ACORD 25 2001/08 ' ©ACORD CORPORATION 1988 Contract Homeowner Information Contractor Information Name Company Name , :� — '��� �� f.�/ Street Address do not use Post ffice Box a res) ontracto Sales on/Owner Name City/Town Sip Code Business Address(must include a street address) A.� V -* Daytime Phone Evening Phone City/Town State Zip Co e f jJ . � � 7 9J t= E Mailing Address(It different from above)Business Phone Federal Employer ID or S.S.Number Law requires that most home im-Home Improvement Contractor Reg.Number Expiration date - provement contractors bave a valid registration number The Contractor agrees to do the following work for the Homeowner: (Describe in detail the work to completed,specifying the type,brand,and grade of materials to be used,use additional sheets if necessary.) g� ! � P�--'4- Required Permits - The following building permits are required Proposed Start and �1 p Completion Schedule'- Ile following schedule will and will be secured by the contractor as the homeowner's agent,be adhered to unless circumstances beyond the contractor's control arise (Owners who secure their own permits will be x e cluded from the Guaranty Fundprovisions of ���' ate when contractor will begin contracted work. M L hapter 142A.) Jam. 0 Date when contracted work will be substantially completed. Total Contract Price and Payment Schedule The Contractor agrees to perform the work,furnish the material and labor specified above for the total sum of: Pay e w 11 be made according to the following schedule: $ upon signing contract(not to exceed 113 of the total contract price or the cost of special order items, whichever is eater $ by / / or upon completion of $ by / / or upon completion of $ ` upon completion of the contract.(Law forbids demanding full payment until contract is completed to both party's satisfaction) The following material/equipment must be special$ to be paid for ordered before the contracted work begins in order$ to be paid for to meet the completion schedule.(**) NOTES:(*)Including all finance charges(**)Law requires that any deposit or down-payment required by the contractor before work begins may not exceed the greater of(a)one-third of the total contract price or(b)the actual material cost of any special equipment or custom made which must be special ordered in advance to meet the completion schedule. Express Warranty-Is an express warranty being provided by the coptractor9 No Yes fall terms of the warranty must be attacbed to the coptractl Subcontractors-The contractor agrees to be solely responsible for completion of the work described regardless of the actions of any third party/subcontractor utilized by the contractor.The contractor further agrees to be solely responsible for all payments to all subcontractors for materials and labor under this agreement. Contract Acceptance-Upon signing,this document becomes a binding contract under law.Unless otherwise noted within this document,the contract shall not imply that any lien or other security interest has been placed on the residence.Review the following cautions and notices carefully before signing this contract. Don't be pressured into signing the contract.Take time to read and fully understand it.Ask questions if something is unclear. Make sure the contractor has a valid Home Improvement Contractor Registration.The law requires most home improvement contractors and subcontractors to be registered with the Director of Home Improvement Contractor Registration.You may inquire about contractor registration by writing to the Director at One Ashburton Place,Room 1301,Boston,MA 02108 or by calling 617-727- 3200 or 1-800-223-0933. Does the contractor have insurance?Check to see that your contractor is properly insured. Know your rights and responsibilities.Read the Important Information on the reverse side of this form and get a copy of the Consumer Guide to the Home Improvement Contractor Law. You may cancel this agreement if it has been signed at a place other than the contractor's normal place of business, provided you notify the contractor in writing at his/her main office or branch office by ordinary mail posted,by telegram sent or by delivery,not later than midnight of the third business day following the signing of this agreement. See the attached notice of cancellation form for an explanation of this right. DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES...►►► Two identical copies o e contract must be completed and signed.One copy should go to the homeowner.The other copy should be kept by the contractor. � i Home er's Si a Contractor's Signature Homeowner's Rights A homeowner's rights under the Home Improvement Contractor Law(MGL chapter 142A)and other consumer protection laws(i.e.MGL chapter 93A)may not be waived in any way,even by agreement.However,homeowners may be excluded from certain rights if the contractor they choose is not properly registered as prescribed by law.Homeowners who secure their own' building permits are automatically excluded from all Guaranty Fund provisions of the Home Improvement Contractor Law.The contractor is responsible for completing the work as described,in a timely and workmanlike manner. Homeowners may be entitled to other specific legal rights if the contractor guarantees or provides an express warranty for workmanship or materials. In addition to guarantees or warranties provided by the contractor,all goods sold in Massachusetts carry an implied warranty of merchantability and fitness for a particular purpose. An enumeration of other matters on which the homeowner and contractor lawfully agree may be added to the terms of the contract as long as they do not restrict a homeowner's basic consumer rights. If you have questions about your consumer/homeowner rights; contact the Consumer Information Hotline(listed below). Execution of Contract The contract must be executed in plicate and should not be signed until a copy of all exhibits and referenced documents have been attached.Parties are also advised not to sign the document until all blank sections have been filled in or marked as void,deleted,or not applicable.One original signed copy of the contract with attachments is to be given to the owner and the other kept by the contractor.Any modification to the original contract must be in writing and agreed to by both parties. Contracted work may not begin until both parties have received a fully executed copy of the contract,and the three day recission period has expired. Accelerated Payments A contractor may not demand payments in advance of the dates specified on the payment schedule in cases where the homeowner deems him/herself to be financially insecure.However, in instances where a contractor deems him/herself to be financially insecure,the contractor may require that the balance of funds not yet due be placed in a joint escrow account as a prerequisite to continuing i VP F Warrantee All workmanship shall be warranteed for 3 years from date of completion. All paint work shall be warranteed for 1 year from completion. All work to be completed shall meet or exceed MA building code. Exceptions: Flood or natural disaster (tree falls on the deck). _ i