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Home My WebLink AboutBuilding Permit #350 - 69 SOUTH BRADFORD STREET 10/26/2010 BUILDING PERMIT NoRTy O�STLEo;6 TOWN OF NORTH ANDOVER �2 hf;:,t .-'' ib APPLICATION FOR PLAN EXAMINATION _ cw.c• b Permit NO: � Date Received O"ATED Date Issued: 0 IMPORTANT: Applicant must complete all items on this page LOCATION, & f . ��:l l.,. Y C Prih } PROPERTY,OWNERC'91�, �. 4s A 677'A(�, f , . .a f ..p ,. _ .Fant • t��E ; F.� � ,. MAP 210 a'. PARCEL: G�3 .ZONING'DISTRICT SHistoric District yes. no Machine Shop.Village' yes no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building ane family ❑Addition ❑Two or more family ❑ Industrial ❑Alteration No. of units: ❑ Commercial ❑ Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other O=Septic D UVell` ❑ Floodplain. Wetlands ❑ Watershed District. .Wafer%Sewer. z : : f " ._ -�. :f: .. DESCRIPTION OF WORK TO BE PERFORMED: t Identification Please Type or Print Clearly) OWNER: Name: Phone: Address: CONTRACTOR Name: lU f��`Phonp Address... q3 0 Supervisor's Construction License: _Exp. Date. . ' Home Improvement License:. .. / Exp. Date: ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE:BULD/NG PERMIT:$12.00 PER$9000.00 OF THE TOTAL ESTIMATED COST BASED ON $125.00 PER S.F. Total Project Cost: $ 1 FEE: $ ice- Check No.: '9 *�+/& Receipt No.: . 93 NOTE: Persons contracting with unregistered contractors do not have access to the anty fun Signature of Agent/Owner Signature of contractor F Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ TYPE OF SEWERAGE DISPOSAL Public Sewer ❑ Swimming Pools ❑ Tanning/Massage/Body Art ❑ 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 CONSERVATION Reviewed on Signature COMMENTS HEALTH Reviewed on Signature COMMENTS + I 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 124 Main Street Fire Department signature/date COMMENTS.. __— - --=------ . Dimension Number of Stories: Total square feet of floor area, based on Exterior dimensions. I 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 I NOTES and DATA— For department use ® Notified for pickup - Date Doc.Building Permit Revised 2010/October 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 ❑ Flo or/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 o 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) ❑ Co of Contract ntract ❑ Mass check Energy Compliance Report ❑ Engineering Affidavits for Engineered products OTE: 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 Revised 2008 ORTH Tovm of over 0 ON LAKE dover, Mass., I� GOCHICHEWICK 7�AQRATED S BOARD OF HEALTH PERMIT T , D Food/Kitchen Septic System BUILDING INSPECTOR THIS CERTIFIES THAT d.. .......,........ ............. ....... .....,.. .................................................................. Foundation Ga has permission to erect.................:...................... buildings on .b:..1....... ......x.........................5..1 ........................ Rough to be Occupied as..... �� T^ Chimney provided that the persoV-a�c� - ngthis permit shall in ev 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 ELECTRICAL INSPECTOR UNLESS CONSTRU . N S ARTS Rough ........................................ :::.::...:..................... Service BUILDING INSPECTOR Final Occupancy Permit Required to Ocmpy Building GAS INSPECTOR Display in a Conspicuous Place on the- Premises — Do Not Remove Rough 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. AC Exteriors Inc d.b.a Joes Vinyl Siding 67 Lowell Blvd Methuen Ma 01844 Proposal Proposal Submitted to: Work to be performed at: Ronald Cuscia 69 South Bradford St 69 South Bradford St No.Andover Ma 01845 No.Andover Ma 01835 We hereby propose to furnish the material and perform the labor necessary for completion of: Strip all wooden shingle off of house Install 6ft of ice and water shield on bottom edges,3ft in the valleys,full ice and water shield on rear dormer,roof wrap on remainder Install new 8"drip edge on all edges Re-roof using CertainTeed 30 yr architectural roofing shingles Install new vent pipe boot Install new ridge vent Dispose of all debris Two year workmanship warranty(Non Transferable)Manufactures warranty as specified by manufacturer The contractor agrees to perform the work and furnish the materials specified above for the sum of($8,200) Payable:4,100 when V2 done Payable: 4.100 upon completion of jab Owner or owners are not responsible for property damage m liability whole job is in operation Contractor is not responsible for any damage to the interior of property including pre-existing condition(i.e.water stains,crumbling plaster,exposed nails)or conditions resulting from application of materials specified ai.e.objects coming loose from walls,crumbling plaster,exposed mails,dust in attic or other loving spaces).Items in attic may need to be covered by meowner.All materials are property of contractor. Any dumpster placed by contractor if for his use only.Upon completion of above work,all undersigned agree to execute and deliver to contractor,their join note in accordance with his(their)above obligation as requested by contractor.Upon refusal to do so,contractor may at its option declare the entire contract price or so much as then remains unpaid,immediately due and payable.It is agreed that if permitted by law,contractor shall be paid by the owner(s)all reasonable costs,attorney fees and expenses,in addition to the amount due and unpaid,do shall be incurred in enforcing the terms and obligations here of shall bind and apply to their heirs,successors or estates of the parties.The undersigned warrant that he is(they are)the owners of the above mentioned premises and that legal tile there to stains of record in(thea)names.There are no representations;guaranties or warranties,except such as may be here in incorporated,if any,nor any agreements collateral hereto,nor is the contract dependent upon or subject to any conditions not herein stated,Any subsequent agreement in reference hereto shall be binding only if in writing and signed by all parties. All Home Improvement Contractors shall be registered and any inquiries about a contractor or subcontractor relating to a registration should be directed to:Director,Home improvement Contractor RegstratiomOne Ashburton Place,Room 1301,Boston Ma 02108 Any and all necessary construction-related permits shall be obtained by the contractor.Any owner who secures his own construction rotated permit or deals with unregistered contractors is excluded from the Guaranty Fund Provisions of MGI,c.142A Approximate staring date of vrork i 0 r 0C.1Cdrtp(etion date Receipt of copy ofthis contract is hereby rdinowledg4 and it is further admowledged by the under signed that the foregoing provisions have been read and the contents diere of understood and that no representation or agreement not hereon contained shall be binding upon the panties and that all of rhe agreements and understandings of said parties arc contained hencin. Do not sign this contract if there are any blank spaces Owner has three business days to cancel this contract and incur no penalty(see notice of cancelation). In witness where of the parties have hereunto signed their names the day of 12010 Accepted: Signed �owner Signed owner r na Ctura0, ident `I I 10/25/2010 12:34 19786859460 HASBANY INSURANCE PAGE 01/01 Aei; CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDC/YYYY) 10/25/10 THIS CLR11FICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY 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 PRODUCED,AND THE CERTIFICATE HOLDER, IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(les) must be endorsed. If 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 lieu of such endorsemen s. PRODUCER CON NAMB: T Eric Jansen Hasbany Insurance Agency PHONE 978 685_3188 I Eg7gy 665-9460 236 Pleasant Street: 1x4im-ADDfiss: eric@hasban .4om Metbuen, Mh 01844 PRODUCER 2496 CU37QMERI,D.B: ,,. —....-.... __.__— INSUIIER{S AFFORDING*OVERAGE NAIC6 INSURED INGURERA;MA - w C - A.I.M. AC Exteriors Inc. INSURER B: 67 Lowell Blvd, INSURER C: Methuen, MA 01644 -INSURE RP=_. .. INSURER E: INSURER F: COVERAGES CERTIFICATE N UMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT 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 AFFOMED SY 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. �19K --- LTR TYPEGFINSURM)V — — Ai7DL NMNZER_ POLr_YEff.. MM a YY LIWTS GENERALLIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED IF PREMISE S_(E6LowuMerLge CLAIMS-MADE 7 OCCUR MED W(Aryon9 person) 9 PERSONAL&ADVInuURY S GENERALAG GREGATE ffi GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS-COMPIOPAGO $ POLICY PRO. L00 $ AUTOMOBILE LIABILITY COM&INED SINGLE LIMIT ANYAUTO (Eeaccldent) $ ALL O WNE D AUT03 BODILY INJURY(Por po gqn) $ BODILY INJURY(Per exident) $ SCHEDULED AUrOS PROPERTY DAMAGE i NIREDAUTOS (PereWdent) NON-0WNED AUTOS $ S UMBRELLA LIAS OCCUR EACHOC_CURRENOE S EXCESSLIAB C.lA1M&MADE AGGRL jLTE_ $ DEDUCTIBLE RETENTION $ A MRKElaCOMPENSATION ANDEMPLOYERS'LIABILITY VWC6011351012009 1/13/1 WOTATu H. YfN TMR T ANY PROPRIETORIPARTNERIEXEWTIVE IEL.EACHACGG�NT $ 100 000 OFFICE FVMEMBER EXCLUDED? N I A in NK� MIf dtorybeund E,L,DISEASE-EAevPLOYF_r S 100 000 If ORRIPcION OF E.L.bISEA5E.Pnf 1, LIMIT S 500 000 DESCRIPTION OF OPERATIONS bebw DESCRIPTION OF OPERATIONS I LOCATIONS I VENCLES (Attmh ACORD 701,Addilonal Rorrorlu ScNdulo,Ilreoroepeco Iamqulmd) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ADOVE DE SCRTMED POLIOIES BE CANCELLED BEFORE TOWN OF NO ANDOVER THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS, 978-686--7265 AUTHCRIZEO REPRESENTATNE ERIC JANSEN x'1998-2009 AC CORPORATION. All rights reserved, ACORD 25(2009109) The ACORD name and logo are registered marks 0 f AC iljassachusetts-D Board of Bui#f#in<. Rem#atiot s Puh#ic. atih- Cot}strJction g °s and ,License: Cs uPervisor Standards Restrict 8304E License ed to: .00 6.7 O�UR". 0 EL!_gtVp - - METHUEN . MA 01844 a, � f'nrnmc�c', ` . r,ner EXpiration: W/2011 Tr#. 10204 Bo rng u airt�as an an ars __ T> HOME IMPROVEMENT CONTRACTOR }-cense or registration valid for i.ndrvrdul use only k�JReg1stratron before the ezpirahon date.-if found return to: 137640 Board of Building Regulations and Standards Expiration 12/13/2010 Tr# 277501 One Ashburton}'}ace Rm }307 TYPe Pnvate Corporation Boston,Ma.01!(18 AC E=XTERIORS INC ANNA CURRAO t 67 LOW ELL BLAl VQ 77 3 Mr=,THUEN,MA fl18-04 G�-G �.t.'`L x ldmir�strator #�"ot validfwlthout signature - .q.:, - .. Location /r &42Ayl`I �J No. s V' Date f AORTA, TOWN OF NORTH ANDOVER 1h O G a i y ^a ; • Certificate of Occupancy $ Building/Frame Permit Fee $ � Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # 236 Building inspector