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Home My WebLink AboutBuilding Permit #1345-2016 - 706 FOSTER STREET 6/20/2016 A44 BUILDING PERMIT LaoRTy qw- �,.,L E D !6V 'YO TOWN OF NORTH ANDOVER 3� ```- „. ` ' 0 APPLICATION FOR PLAN EXAMINATION 'yy ~ ' n,n Date Received Permit No#: "I�/ Y V ��(A/ LSSA C HUS�� Date Issued: IMPORTANT: Applicant must complete all items on this page LOCATION 7 0 G ros+er Sf Al, ria- 019 J P 'nt ` PROPERTY OWNER /�-n 64('ah Pi,J q�G Print 100 Year Structure yes no MAP u l 0 PARCEL:_ZONING DISTRICT: Historic District yes no Machine Shop Village yes no TYPE OF IMPROVEMENT PROPOSED USE Res' ential Non- Residential ❑ New Building VOne family ❑Addition ❑ Two or more family ❑ Industrial ❑Xteration No. of units: ❑ Commercial Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other ❑ Septic ❑Well ❑ Floodplain ❑Wetlands ❑ Watershed District 0 Water/Sewer _ DESCRIPTION OF WORK TO BE PERFORMED: e;,►,o�� Sj'dttk . #7gvrd,,:e Plane 71 � oh-C 6jazQ fH'IPD�10 � S� Identifica{'on- Please Type or Print Clearly OWNER: Name: Ad r-(,(2 v f i ne b Phone:6 t S-509- 3M Address: r?0 6 FoS der (A /V. A vhA 01,? fr Contractor Name: S to Phone: 9)9 6$?-oxAY7 Email: Weick+vt4x fe -5'P_ f7 0 Address: Supervisor's Construction License: CS- 1 0163 Exp. Date: 03.11 ` -or? Home Improvement License: / 3356 Exp. Date.- ARCH ITECT/ENGI NEER ate.- 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: $ 02V0®,00 FEE: $ 36 Check No.: �1 �4 Receipt No.: �b,515B NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund u �- E. ,�1•-� . Location J 1 { No. Date f yWW- TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check# dL, 1 Building Inspector % Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ TYPE OF SEWERAGE DISPOSAL Public Sewer ❑ Tanuing/Massage/Body Art ❑ Swimming Pools ❑ Well ❑ Tobacco Sales ❑ Food Packaging/Sales ❑ � Private(septic tank,etc. ❑ Permanent Dumpster on Site ❑ THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF m U FORM PLANNING & DEVELOPMENT Reviewed On Signature_ COMMENTS CONSERVATION Reviewed on Signature COMMENTS WEALTH Reviewed on Signature COMMENTS Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes i Panning Board Decision: Comments Conservation Decision: Comments Water& Sewer Connection/Signature& Date Driveway Permit DPW Town Engineer: Signature: Located 384 Osgood Street *ELBE DEEP"AR TMENT TempyDumpsteronsite #,Located at�i12A4'�11/la n�t�eet�, � t�� - - -` ° • T .fi . rt partments gnatureldate¢ Dimension Number of Stories: Total square feet of floor area, based on Exterior dimensions. 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 NOTES and DATA— (For department apse) ® Notified for pickup Call Email Date Time Contact Name Doc.Building Permit Revised 2014 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) 4; Building Permit Application 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) 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 must be submitted with the building application Doc:Building Permit Revised 2014 '1 '1 NORTFI _ ic . ve" . 0 No. h ver, Mass, laic o,Q �q L .1. A coc"1c«ewjcw S V BOARD OF HEALTH Food/Kitchen PER T T L D Septic System % THIS CERTIFIES THAT .. ........................................... BUILDING INSPECTOR ............. .......... .�.�.le �.... . . ... ........ . Nr� Foundation has permission to erect ........ .. ....... buildi gs on . .......... . .... !.�G ........... Rough to be occupied as ... �.�.�.. ...dAW.+.. :..'RArd�Q ... Chimney provided that the person accepting this permit shall in everypect 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 CONST CTIO Rough Service ...... ........ Final 9 BUIL INSP TOR 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. WRIGHT GUTTERS 350 Berry Street No. Andover, Ma 01845 110MCOWnCr Wan a (14d r(I c,Apt"vie J- oL co:lfr /0 5 706 r1e)c Stela Z",3 Cc z.:,-;-5 Ad Ire 3 f N. Am 0/61-6— 3S.0 8 Q—,r DayZ; C'4� clqrlo-i-.1 Zip � 615-5bq-3 (SYS 'npivi er 3D OC t;.S''Nurnlbe-.t.;l( The Contractor agrees to do the following work for the Homeowner! sea, 40n PVC 63r�I*d_y CAWA (-zVLaC-Q_ Sa�-O_ &felchaj Required Permits-74P following bailding p annits'are.ac"Ilired Pro-posed Start and Completion Schedule-The flo'Ao-ML'g schedules-will and will be secured'Y fUQ c0ttlac'01,�s th�, az�at: be adheiedt,,,.I less zije con1jactor'5 connuel ar"s-e (Owners who secure their own permits will be excluded from the Giiaranty Fund Provisions of .1/11 J� D r.`e L-C n-'r 'v\IGL chapter 142A.) i*/—67 z"I a t"h-a C C 11 fra c!".1 vi 0 "'i;11 c 3 5 11 b s f aa':i al ly ce::,p!eted. Total Contract PrIce and PaymentScliedule T.O Contractor age--s to perform tale pork,Aimish the material and labor spzcided above for the Mal sum Of. dL/00, 0 0 pa-x a ats w il I b a m ad-.a c c or din.-to Iiia foll uvxf .S J, b orupon coiqletca of S 0a 0Q.Upon.completion ofthe contnct, (Law ffbfbids dcman&g`ijj papmznvjatil contract is completed to both party's sailsfacCc 1) T;a fc!'o,%in_z Tn-.el'al?e NOTES: ro, it e giea*w of(a)oneth•rd off,.0 low.ccn4act pn'ca or accw�l CG z t ofmy spe eq ci c�:tc"n f-r ado eii,al £xrU,IVirrp.n ty-Tj all exorts s wiarran sy W1 g rll_QM,dTv tile call fencula_19-1.0 Y'i r,,11 tertli s of the u,iunnty mv5j b a nitach cd(o the c ontrn i tj Vf.e contracfor fi,,rfier Rg-Mto be selelyraspns;Ea for all pp'y4ntnts to,.!I �r age--ment.— Contract Acceptance-Up on signing,Us document becomes abinding coatractunderlaw.Urdlets this C ntacts' h1l not finply that anY liell Cr&61-rsezurity fnrt-rcztL-,s bail placed on 11a cuefill"y before sg 1ng Us contract. Don c e pre;3UN5 into Sf-P-1,23 IhD cm-.azt.Tal's 6=1D xe-ad ixil f'011Y und-,itaal it. Ask qi:_-5tions if semen ing is imclear, Via]avi eqiliresmost homa impzoveincnt contrac!oii,jn4 registration by w,-ting to tLe Director at 10 Park Pjaza,Room 5I70,Boston,SMA 02116 orb),catling 617-973.8787 o,888-283.3757. • Do see a copy Read t:el;mpo=t infennation Oil tLe Idl crSd sid.-oftltijs form--,d ger a copy of`.i-.e OUR.-totLt HomzR_-PToV'Mt2t Cor Tractor 1z". Yoa -er th -,ctces�;ommj place of bus cess,prodded you notify Le.y Carr I i,jis a_em�_nt j,ithas been signed e.aplaceotli aniliecolit, ug at j�Sln.-rmain oficesor b;anca of-ce by ordinary 'd Vtof"o contracfOr in wl� [nalyn,61 portej.by telegram seat or bydelivery,not later tbanuj ai i �w Sea tbeattachednot;c.-ofearce'lladcafom form eglazatloaofiluls right, D 0�N NT TP11 CONTRACT IF THERE ARE AW 13L.kNK SPACES! ccn:r'3uoy';Siganara ra FREE ESTIM4TES PROPOSAL Construction Supervisor Lic.# CS102663 FULLY IlljSURED H.I.C. Reg,# 138569 WMGHTROOFING-GUTTERS AND HOAMRO MIENT All Types of Roofimg& Gutters 350 BERRY STREET o NORTH ANDOVER, MA 01845 TELEPHONE: 978-687-2247 PROPOSAL SUBMITTEDTO PHONE DATE a�u ii CA ri P� vi eAQ 615--Sb q -ff�116AI� STREET JOB NAME I LOCATION - CITY,STATE AND ZIP CQDQE 11W �A ®t3Y5- JOB START DATE a ©VLyI+r tt to V\d'- ,a w► c3�uc�'�. (� c.1 �-ea ti -p� Us e- � C � s 4-a1 to ks 5-� ��S I ��ukr— s i JL l v G E f� 'r We Propose hereby t ena an�a -� ete in accordance with above specifications`,for the sura of-$ Payment to be m as fall�pws' $-g0®t 0{j d_ �� ° LfJf rt-aks� l(ahc� ( 4 c-e23 C®�'` l 6' Li6 All material is guaranteed to be as specified.All work to be completed in a substantial workmanlike Authorized manner according to specifications submitted,per standard practices.Any alteration or deviation from above specifications involving extra costs will be executed only upon written orders,and will become an Signature extra charge over and above the estimate.All agreements contingent upon strikes,accidents or delays beyond our control-Owner to tarty fire,tornado and other necessary insurance.Our workers are fully NOTE: This proposal maybe covered by Workmen's Compensation Insurance.Non payment by agreed party may result in litigation withdrawn by us if not accepted within days. with penalties including court cost and compensation both real and punitive. Acceptance of Proposal - The above prices, specifications and conditions are satisfactory and are hereby accepted,staking this a valid contract. Signatur You are authorized to do the wort;as specified.Payment will be ma/de as outlined. Date ofAcceptance: I8of 7 'TLA h� C2 YJ Signature The Commonwealth of Massachusetts Department of IndustrialAccidents 1 Congress Street,Suite 100 Boston,MA 02119-2017 t www massgov/dia SV .Workers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE FEgAUTTING AUTHORITY. Please Print Legibly A licantlnformation !! �� h� Name(Bividual)' usiness/Organization/Ind . Address: Q� S • tate/Zi hCQO v:�►�J� 0(8�� Phone#: Ci /S . ty p: Are yo n employer?Check the appropriate box: F7. pe of project(required); em toe fir dlor part-time).* ❑New'constructlon 1.. I am a employer with_ P Y In I am a sole proprietor or partnership and have no employees working forme in $. n Remodeling any capacity.[No workers comp.insurance required.] 9. FJ Demolition 3.FJ I am a homeowner doing all work myself[No workers'comp.insurance required.]t 10❑Building addition 4.❑I am a homeowner and will be hiring contractors to conduct all work on my property. I will 1 LE]Electrical repairs or additions ensure that all contractors either have workers'compensation insurance or are sole 12 Plumbing repairs or additions proprietors with no employees. 5.QI am a general contractor and I have hired the sub-contractors listed on the attached sheet. 13 0 Roof repairs These sub-contractors have employees and have workers'comp.insuranee.t 14.❑Other 6.❑We are a corporation and its.officers have exercised their right of exemption per MGL c. 152,§1(4),and we have no employees.[No workers'comp.insurance required.] �Arry applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work the name en ire outside the sub contractors and state ctors must m flier it a w not those entities,have affidavit indicating h #Contractors that check this box must attached an additional sheetprovide their workers'comp.policy number. employees. If the sub•c6nrt actors have employees,they must p I am an employer that is providing workers'compensation insurance for my employees Below is the policy and job site information. u f � Insurance Company Name:—L 1 P r -3$?1f37—OI� ExpirationDate � 30 Policy#or Self-ins.Lic.#: �C ,A,!! /d> v¢t� �.Ql eyO Job Site Address: "7O 4 1o5.�- S�� City/State/Zip: N Attach a copy of the workers'compensation policy declaration page(showing the po . licy number and expiration date). on e by a fine up to$1,500-00 Failure to secure coverage as required undceYMGL penalties in the form of criminalis a TOPiWO1RK ORDER Iand a fine of up to$250.00 a and/or one-year imprisonment,as well as i p day against the violator.A copy of this statement may be,forwarded to the office of Investigations of the DIA for insurance coverage verification. I do hereby cert der t1 ai an alties ofperjury that the information provided above is true and correct. Date: 6 Si afore: Phone#: . Official use only. Do not write in this area,to be completed by city or town official. Permit/License# City or Town: Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Phone#• Contact Person: /15/2015 7:37 :05 AM PST (GMT-8) FROM: 100005-TO: 19786889542 Page: 2 of 2 CERTIFICATE OF LIABILITY INSURANCE 710/15/2015 (MM/DD/YYYY) 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 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 endorsement(s). CONTACT PRODUCER T A SULLIVAN INSURANCE AGENCY INC NAME: 135 MERRIMACK ST PHONE FAX METHUEN, MA 01844 E-MAIL E "` Arc "°: ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC it INSURERA: LM InsuranceCorporation 33600 INSURED INSURERS: SCOTT WRIGHT DBA WRIGHT GUTTERS INSURERC: 350 BERRY ST INSURERD: NORTH ANDOVER MA 01845 INSURERE: INSURER F:— COVERAGES :COVERAGES CERTIFICATE NUMBER: 26936592 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 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. INSR ADDL SUBR POLICY EFF POLICY EXP LTR NSD POLICY NUMBER MM/DD MM/DD/YYYY LIMITS TYPE OF INSURANCE COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ IIA AG E TED CLAIMS-MADE LIOCCUR PREM MISES a occurrence $ MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY❑PRO- JECT ❑LOC PRODUCTS-COMP/OP AGG $ OTHER: $ AUTOMOBILE LIABILnYIN D SINGLE LIMIT $ Ea accident ' ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS NON-OWNED PROPERTY DAMAGE $ HIRED AUTOSAUTOS Per accident N I — $ UMBRELLA LIAR OCCUR EACH OCCURRENCE $ EXCESS LIAR HCLAIM"ADE AGGREGATE $ DED RETENTION $ A WORKERS COMPENSATION WC5-31 S-387187-015 9/30/2015 9/30/2016 / SPE TAFt TUTE ER AND EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y/" E.L.EACH ACCIDENT $ 100000 OFFICERIMEMBEREXCLUDED? a N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYE $ 100000 If es,describe under DESCRIPTION OF OPERATIONS below I E.L.DISEASE-POLICY LIMIT $ 500000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more space is required) Workers compensation insurance coverage applies only to the workers compensation laws of the state of MA. THE WORKER'S COMPENSATION POLICY DOES NOT PROVIDE COVERAGE FOR SCOTT WRIGHT. This certificate cancels and supersedes all previously issued certificates,only as they relate to workers compensation coverage. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE TOWN OF NORTH ANDOVER THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ATTN: LOCAL BUILDING INSPECTOR ACCORDANCE WITH THE POLICY PROVISIONS. 1600 OSGOOD STREET NORTH ANDOVER MA 01845 AUTHORIZED REPRESENTATIVE n �fj LM Insurance Corporation v v Q ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD 936592 1-387187 15-16 WC shankar.gada Le@LibertymutuaL.com 10/15/2015 7:34:59 AM (POT) Page 1 of 1 iv assochlAse''fts Depadin"eelft Of Pubilc SFrie"y f r� Board Of BLdicling RegUlatiors and Standards License: CS-102663 Construction Supervisor SGOTT W WRIGHT \l 350 BERRY 5T NORTIi ANDOVER 1`19A'0984£x. E>tpira ion: Commissioner Urrestricted-]Bufldmss,of any use group�hkb con.tam less Man 3-5,000 Cuble feet(993 va o: earlosed space_ Failure to possess a current edition of the Massacbmetts . State Building Code is cause for revocat;on of this license. ;Ftx DPS Ucensing information visit: tivww,Mass.Gov/D45 .rG-. a I�rYe ' I I/.'/.•r/r�:l,rl% _ ''••'`. �i8�lC2 Od C6A€FaPflFi7NF'�f{WBPS��IES2F9�SS�S�TQE��$cQVI ti g'MOM1E IMPROVEMENT CONT6�4CTOR 00 Registration. 138589 Type: °e: :: ' `Expitiara: 4/14/201 i DSA WRIGHT GUTTERS SCOTT WRIGHT 350 BERRY ST, NO.ANDOVER, MA 01545 2iuciePseere6ary License or registration valid for individn@ Use OMY before the ezpir2tion date. If found return to: Office of Consumer Affairs and Business Regulation 10 Parts Plaza-Suite 5190 Boston,Inti A 02116 Not vata ewiAhc ut gnature