Loading...
HomeMy WebLinkAboutBuilding Permit #019-2017 - 69 WATER STREET 7/6/2016 �yY P 1 H�` �1O� NORYy 9 BUILDING PERMITND TOWN OF NORTH-A "OVER APPLICATION FOR PLAN EXAMINATION _ Permit No#& `"Z-AO/ ­�?— Date Received Area Cl / gSSAC HUSH( Date Issued: �( IMPORTANT: Applicant must complete all items on this page LOCATION q tOCA IeA Print PROPERTY OWNER 0n� o IA �� A _T rint 100 Year Structure yes no MAP _PARCEL: /Z ZONING DISTRICT: Historic District yes: no Machine Shop Village yes. no i TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building XNo.'of e family ❑ Addition o or more family [I Industrial El Alteration units: ❑ Commercial ,Q,F�epair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other 0 Septic El Well . 11,Floodplain p UVetlands ❑ Watershed'Distnct. D Water/Sewer - - - DESCRIPTION OF WORK TO BE PERFORMED: v V)a ie i Identif ation- Please Type or Print Clearly OWNER: Name: Y\(� n. GI,QC��+� Phone: Address: Contractor Name: e2MI a <fnrn, Yiac o ii Phone: Email: Address: 13 IaW C 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: $ �,/�I(�/� FEE: $ Check No.: �Z rd Receipt No.: J ���;2_ NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund R Plans Submitted ❑ Plans Waived=q R Certified Plot Plan ❑ Stamped Plans ❑ TYPE OF SEWERAGE DISPOSAL Public SewerV Tanniug/Massagui3ody Art ❑ Swumning Pools ❑,` Well ❑ Tobacco Sales ❑ Food Packaging/Sales ❑ Private(septic tank,etc. ❑ Pennanent Dumpster on Site ❑ THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - D FORM PLANNING & DEVELOPMENT Reviewed On Signature_ COMMENTS CONSERVATION Reviewed on Signature COMMENTS HEALTH Reviewed on Signature COMMENTS Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments Conservation Decision: Comments Wafter Sewer Connection/Signature& Date Driveway Permit DPW Town]Engineer: Signature: F � _ Located 384 Osgood Street �DEPART_. NIEI� wT ®� nib e ?Y - � _ "..w �: = rTl� pster�0 If Lo ated at+1�24. ManStreet `_+ , ` FAre ®part gnat e'%sten ' . _ .• �� .. ._ �, x _� , � .�t; � t QY ', }(} c z z' e• V. a,: 4 "`^"":" ..�. ' """"4 `°� ;awra"=^rl + C®MMEIVTS; ` Y Dimension Number of Stories:_Total square feet of floor area, based on Exterior dimensions. Total land area, sq. ft.: I I ELECTRICAL: Movement of Meter location, mast or service drops 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 i NOTES and DATA— (For department ease) .I i I I ® Notified for pickup Call Email Date Time Contact Name Doc.Building Permit Revised 2014 i I 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 OTE: 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/Cross Section/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 OTE: 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 4. Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (If Applicable) Copy of Contract 2012 IECC Energy code 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 m ust be submitted with the building application Doc:Building Permit Revised 2014 1 Location ✓ iii L5--oc- ` No. 4/C— X177 Date dw 06 'z • - TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit.Fee $ 1 � Foundation Permit Fee $ r Other Permit Fee $ TOTAL $ Check# 3058 7 U Building Inspector 'u NORTH BUILDING PERMIT TOWN OF NORTH AwbOVER jo APPLICATION FOR PLAN EXAMINATION ` Permit NoO19--zt)1-�1 Date Received Ar Date "c5 �SSHCNUS�t �i Date Issued: G�( IMPORTANT: Applicant must complete all items on this page sI �p LOCATION Print PROPERTY OWNER 100a G9 bel ZA 0, firint 100 Year Structure yes no MAP ZA I _PARCEL: -ZONING DISTRICT: Historic District yes no Machine Shop Village yes no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential [INew Building ❑ O e family ❑ Addition o or more family El Industrial o " ❑ Alteration No. of units: ❑ C Commercial p�epair, replacement 0 Assessory Bldg ❑ Others: ❑ Demolition ❑ OtherWE x a,eewe s DESCRIPTION OF WORK TO BE PERFORMED: tJ 'G 2yl C �Identif ation- Please Type or Print Clearly OWNER: Name: �()YNC l t UCS�� Phone: s Address: ? Contractor Name:_��Ly?1�✓►i i c`' i, Phone Email: Address Ste, nvJtP�l1 C Supervisors 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: $ iD��� FEE: $ / . i Receipt � � 4 Check No.: t No.:p NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund MR 7Tr_»_.:.:mom-am.�••_a. I NORT#i . nclover p No. T ,� h ver, Mass, 42;1� 06 ZO/ IC A_ COCNIC„l W1CK y1' 7,95 RATED pPa�,�S U BOARD OF HEALTH Food/Kitchen PERMIT T LD Septic System THIS CERTIFIES THAT ....... ,�. 4........lo.r BUILDING INSPECTOR . ...... . ..... ...................................... has permission to erect . buildings on ... .. �r Foundation �� � ......................................... Rough $o be occupied as ....... .. .. ...... .... ..... .... ........................... Chimney provided that the person accepting this permit shall in every respect conform to the terms of the application Final on file in this office, and to the provisions of the Codes and By-Laws relating to the Inspection,Alteration and Construction of Buildings in the Town of North Andover. PLUMBING INSPECTOR Rough VIOLATION of the Zoning or Building Regulations Voids this Permit. Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTR TION T Rough Service ... . .... ..... .... ..... ..... .. Final BUILDI ING N CTOR GAS INSPECTOR Occupancy Permit Required to Occupy Building Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. Smoke Det. . / o GA Construction 317 south Broadway Street Lawrence MA, 01843 Fax: 978-683-4017 Cell: 978-242-2707 Caconstruction0l @hotmail.com Jonathan Zapata 69 Water Street North Andover, MA 01845 The undersigned proposes to furnish all material and necessary equipment and perform all labor necessary to complete the following work; Remove and replace roof(20 sq ft) (shingles ECO brand) All the above work is to be completed in a substantial and workman like manner for the sum ten thousand dollars (Sl 0,000)to be paid,at the actual cost of labor. A first payment of($ 5,000). A second payment of ($5,000))at completion of the project. Any alteration of derivation from the plans and specifications will be executed only upon writing orders by the owner and will be added to/or deducted for the sum quoted in this contract. All additional agreements must be in writing The contractor agrees to carry the Workman's Compensation and Public Liability Insurance and they are to pay all taxes on material and labor, furnished under this contract as required by Federal Law and the Laws of the State in which this work is performed. Estimates are based on plans provided. If client would like any changes made to the plan's, the client must discuss this with the contractor and provide written documentation stating the changes. There will be a new estimate done. Both the contractor and the client must sign upon agreement. Pian price will vary according to changes. Price may also change due to unforeseen-obstacles. In other words, if the contractor has to do extra work for things that are not visible, the client is the one to pay for this. The client will be informed of any unforeseen obstacles. Respectfully summited by Construction Supervisor Acceptance You are hereby authorized to furnished all materials, equipment and labor required to complete the work described in the above proposal, for which the undersigned agreed to pay the amount stated in the proposal and according to the terms thereof. ti—en tr�ct Date 7/6/2016 Fwd:69 water street North Andover-mchase@northandoverma.gov-Town of North Andover Mail More Fwd: 69 water street North Andover Inbox x Carlos Castanaza <CAconstruction01@hotmail.com> 9:46 AM (0 minutes ago) to me Categorize this message as: Personal Never show this again Sent from my T-Mobile 4G LTE Device -------- Original message -------- From: Liz Fennessy<lizettafennessya@yahoo.com> Date: 7/5/2016 7:24 PM (GMT-05:00) To: Carlos Castanaza <CAconstruction01 anhotmail.com> Subject: Re: 69 water street North Andover No -the town does that -thought I emailed last week about that. Liz Fennessy On Jul 5, 2016, at 4:13 PM, Carlos Castanaza <CAconstruction01(ahotmail.com>wrote: Hi, I am sorry to bother you but, I just want to know if you can approve for the roof because it is really damage and when it rain water goes inside. We already started inside and the water is going to damage the sheetrock. Nothing is going to change we will only reshingles. We just want it to stop the water from going o - - - - - https://mai I.google.com/mai I/u/0/.ui-2&view-btop&ver-9st21j phj r0a&search-i nbox&th-155c0755e9067168&cvid-1 1/1 NORTH ANDOVER BUILDING DEPARTMENT Tel: 978-688-9545 DEBRIS DISPOSAL FORM In accordance with the provision of MGL c 40 S 54, a condition of Building Permit at: /Z is that the debris resulting from this work shall be disposed of in a properly licensed solid waste disposal facility as defined by MGL c 11, S 150 A. Also, note Permits are required under Fire Prevention laws Chapter 148 Section 10A. The debris will be disposed of in: (Location of Facility) Signature of Permit Applicant Date ep-t, Als lv i5Svte -7/-m c1��rh(�s�� � �% 978-685-0310 Sllverto Ins. 11:54:11 a,m. 06-16-2016 2/2 ACORO® CERTIFICATE OF LIABILITY INSURANCE nATEWWMWM 06/1612016 THIS CERTIFICATE 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(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policyfies)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 endorsement(s). PRODUCER CT NAME Johanna Gutierrez Silverio Insurance Agency PHONE (978)6850209 No: (978)685.0310 10 S.Broadway DE-MAISS: info@silverioinsurance.com INSURERS)AFFORDING COVERAGE NAIC B Lawrence MA 01843 INSURER A: WESTERN WORLD INSURANCE INSURED INSLRERB: LIBERTY MUTUAL FIRE CARLOS CASTANAZA DBA CA Construction SMURERc: CA CONSTRUCTION INSURERD: 317 So.Broadway-Suite 154 INSURER E: LAWRENCE MA 01843 INSLiMRF: COVERAGES CERTIFICATE NUMBER: 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 NTH 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. ADOL L TYPE OF INSURANCE POLICY NUMBER POLICY EFF POMP ICY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS MADE QCCUR DAMAGETO PREMISES $ 100,000 MED EXP(Any one person) s 5,000 A NPP8326275 05/18/2016 05/18/2017 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LINT APPLIES PER: GENERALAGGREGATE $ 2,000,000 X POLICY❑PRO- F LOC PRODUCTS-GOMPtOPAGG s 2,000,000 OTHER: $ AUTOMOBILE LIABILITY COMBINEDSINGLELIMIT $ Ea acc dent) ANY AUTO BODILY INJURY(Per person) $ ALL OW?.IED SCHEDULED AUTOS AUTOS BODILY INJURY(Per accident) $ NON-OWNED OPERTY DAMAGE HIRED AUTOS AUTOS Per aide t $ $ UMBRELLA UAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED I I RETENTION$ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY YIN STATUTE GR II 44Y PROPRIETORIPARTNERIE;KECUVE E.L.EACH ACCIDENT` $ 100000 B OFFICERIMEMBER EXCLUDED? N1 N I A WC2-31 S-365147-036 02124/2016 02124/2017 (Mandatory in NM E.L.DISEASE-EA EMPLOYEE $ 100000 If yes,describe under DESCRIPTION OF OPERATIONS below E L.DISEASE-POLICY LIMIT $ 500000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 1011,Additional Remarks Schedule,may be attached M more space Is required) Additional Insured is added automatically as long as there is a written agreement requesting to be added CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE! THEREOF, NOTICE WILL BE DELIVERED IN City of North andover ACCORDANCE WITH THE POLICY PROVISIONS. 1600 Osgood street AUTHORIZED REPRESENTATIVE North Andover,MA 01845 ®1988-2014 ACORD CORPORATION.All rights reserved ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD �e�pcYnzrx�z�ue�r..�.�.�i oy�'✓f�s:t�xa+�i.��ae�t orace of Consumer Affairs&Busi'ness Regulation License or registration valid for individual we only HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to;- Registration 't78376 TYi � Office of Consunte�r Affairs and Business Reguiation Expiration 3 Individual 10 Park Placa-Suite 5170r x f Boston,lfi 42116 ESMIRNA ENCARI44CiO "n r r , °p 5. ESMIRNA ENCARNA '136 BUTLER STREET; LAWRENCE,MMA.01841 r Undersecretary f of va'id itltout signature Massachusetts -Department of Public Safety Board of Building Regulations and Standards Construction Supervisor License: CS4M289 •r. .a ENC � A ESMIRN A AJ 136 BUTLER ST. _ LAWRENCE 1 Dir Expiration 101W20iS Commissioner