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
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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
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NOTES and DATA— (For department ease)
.I
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® Notified for pickup Call Email
Date Time Contact Name
Doc.Building Permit Revised 2014
i
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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.
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NORT#i
. nclover
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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
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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
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ESMIRNA ENCARNA
'136 BUTLER STREET;
LAWRENCE,MMA.01841 r
Undersecretary
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Massachusetts -Department of Public Safety
Board of Building Regulations and Standards
Construction Supervisor
License: CS4M289
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LAWRENCE 1 Dir
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Commissioner