HomeMy WebLinkAboutBuilding Permit #188-11 - 72 STAGE COACH ROAD 9/2/2010 BUILDING-PERMIT OORT
TOWN OF NORTH ANDOVER
APPLICATION FOR PLAN EXAMINATION
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PermitNOn Date Received
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Date Issued:
IMPORTANT:Applicant must complete all items on this page
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TYPE OF IMPROVEMENT PROPOSED USE '
- Residential - Non- Residential
New Building One family
Addition Two or more,family Industrial
Alteration No. of units: Commercial
Repair, replacement Assessory Bldg Others:
Demolition Other
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DESCRIPTION OF WORK TO BE PREFORMED.
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1-1,entffication PIe se Type or_Prigf CI.earIy) ��� —���-W51
OWNER: Name:��t- 1� -.�� Phone:
Address:
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ARCHITECT/ENGINEER Phone:
Address: Reg. No.
FEE SCHEDULE:BULD/NG PERMIT:$12.00 PER$9000.00 OF THE TOTAL EST/MATED COST BASED ON$125=00 PER S.F.
Total Project Cost: $-- �lJ , FEE: Z'
Check No.: Receipt No.:
NOTE: Persons c tracting with unrebaistered contractors do not have ccess tq the gu6ra ty.fund
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Building Department
The following is a fist 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
o Floor/Crossection/Elevation Plan Of Proposed Work With Sprinkler Plan And
Hydraulic Calculations (If Applicable)
❑ lVl 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
❑ �_el u{:e�U
Proposed I cell {"
iii r.
❑ 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:Building Permit Revised 2008
Plans Submitted Plans Waived Certified Plot Plan Stamped Plans
TYPE OF SEWERAGE DISPOSAL
Public Sewer Tanning/MassageBodyArt Swimming,Pools
-Well Tobacco Sales
Food Packaging/Sales
Private(septic tank,etc. Permanent Dumpster on Site `
THE FOLLOWING-SECTIOIII FOR CSFEIC_ USE ONLY
INTERD°EPARTMENTAL4SIGN OFF =, UkFORM
DATE REJECTED- DATE APPROVED'
PLANNING & DEVELOPMENT
COMMENTS
CONSERVATION Reviewed on Signature
COMMENTS
HEALTH G Reviewed on Signature
COMMENTS
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:
- r
_ _ I ,' Located 384 Os ood Street
"da'fia �"'ii'6':>i; :_`y:<.afi:;,; :Y�c:;
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cyr-
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•'SF:
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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 966 Section 21A—F and G min.$100-$1000 fine
NOTES and DATA—(For department use)
❑ Notified for pickup - Date
Doc.Building Permit Revised 2010
Location--� Z
No. f Date
NORT1y TOWN OF NORTH ANDOVER
F 9
Certificate of Occupancy $
C
NUSs'• Eta' Building/Frame Permit Fee $
SA
Foundation Permit Fee $
Other Permit Fee $
TOTAL $
Check #234
O 1
Building Inspector
NORTH
And1
To" of over .
No. ---
i • 2- Id
�. o _�_=- o dower, Mass.,
LAKE
col:
0,c? TED PP �'`�
S BOARD OF HEALTH
Food/Kitchen
RMIT T D Septic System
BUILDING INSPECTOR
THIS CERTIFIES THAT....... �.. S..r.... ....... '
.................................. ............. Foundation
has permission to erect........................................ b dings on . 4.2....... .. ..... . . ...... Ao!: .................... Rough
to be occupied as............... :........ . ........-.-.......................... a... ...............................................................................
Chimney
provided that the person acceptin his permit shall in every respec nform 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
UNLESS COIo1STRUC OI TS ELECTRICAL INSPECTOR
Rough
--- __ Service
...................... ........ .................................... .......................
BUILDING INSPECTOR
Final
Occupancy Permit Required to Occp. y Building GAS INSPECTOR
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.
SEE REVERSE SIDE Smoke Det.
OS/24/201M OF LIABILITY INSURANCE O "
DATE IMWDDM
A(i OR�, OS/20
PRODUCER (781)449-6786 FAX (781)449-4269 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
BOYNTON INSURANCE AGENCY ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR
72 RIVER PARK STREET ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
NEEDHAM, MA 02494
INSURERS AFFORDING COVERAGE NAIC#
INSURED Kyron Inc INSURERA: Max Specialty
DBA Preserve Services INSURERS: Hartford Insurance
203 Washington Street,l12S6 RMRERC:
Sal em,MA 01970 INSURER D:
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.
LTR SR TYPEOFg1SURANCE POLNSYNUrTBER mom F DATE M LIQ
GENERALLUUMATY MAX0131000030$ OS/23/2010 OS/23/2011 EACH OCCURRENCE s 1,000,wq
X COMMERCIAL GENERAL LIABILITY PREMISES Ea ocamence S 50,
CLANS MADE a OCCUR MED EXP(Arty ono peraon) i S.
A PERSONAL&ADV INJURY i 1,0OO
GENERAL AGGREGATE i 2,000,000
GEN L AGGREGATE LIMIT APPLIES PER PRODUCTS-COMPIOP AGG i 2-PO-00,000
X POLICY JET LOC
AU70MOBBP LIABILITY COMBINED SINGLE LIMIT
ANY AUTO (En eooident) _
ALL OWNED AUTOS BODILY INJURY
SCHEDULED AUTOS (Per perwn) = I
HIRED AUTOS BODILY INJURY
NON-0Y1MED AUTOS (Per
P(PerROPERTY
— GARAGE Lwm TTY AUTO ONLY-EA ACCIDENT S
ANY AUTO OTHER THAN EAACC i =
AUTO ONLY_ AGC i
EXCESS UMBRELLA LIABILITY EACH OCCURRENCE.
OCCUR FICLAIMS MADE AGGREGATE i
i
DEDUCTIBLE i
RETENTION S i
woRNEA$COMPENSATION 0143M392 05/20/2010 05/20/2011 X I TORY LIMITSER
AND EMPLOYM LIABILITY
ANY PROPRIETOR/PARTNER*)(ECUTWE�� E.L.EACH ACCIDENT S 1000
B OFFICERIMEMBER EXCLUDED? L J
(Mary ndaroIn NH) YES E.L.DISEASE-EA EMPLOYEE S 100,00
BySPE�CIAL�P�RO
SPECIAL IONS below E.L.DISEASE-POLICY LIMIT i S00 under
0
OTHER
DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES I EXCLUSIONS ADDED BY DIDORSEMENT I SPECIAL PROVISIONS
1,000 Bodily Injury and /or Property Damage Deductible
FOR INFORMATIONAL PURPOSES ONLY. IF ADDITIONAL INFORMATION IS NEEDED PLEASE CONTACT THE AGENT.
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE TRE EXPIRATION
DATE THEREOF.THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS Mff TEN
NOTICE TO THE CERTIFICATE HOLbER NAMED TO THE LEFT.BUT FAILURE TO DO 80 SHALL
IMPOSE NO OBUGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR
REPRESENTA
AUTHORIZED REP
TO WHOM IT MAY CONCERN
ACORD 26(2009101) 0 IM-2809 ACORD CTIO . All righttmerved.
The ACORD name and logo are registered marks of ACORD
i
_ Board of BuildingRegulatio sand Standat_ds
HOME IMPROVEMENT CONTRACTOR
Registration: 123553
Expiration:::-:3/612011 Tr# 282379
- Type: D
Preserve Painting;.
Sean O'Connor
203 WASHINGTON ST A260,-
SALEM,MA 01970 Administrator
1`issachusett -Defizil-tment r)f Pul)iic Satfclr
Board Of� Build� i0g Ri�,'Ui.'1ttf4nS:lilti .Stal2{i;irlil
constructi6n Suj't,rjcCDT #1011 c
License: CS 93403 .
Res€rictec!fo:. 00.:. =
.SEAN OC:ONNOR
.26 CHESTNUT% ST:..
SALEM, MA01970
a:
Expiration: 12/31/2011
{'un rUssionler Tri' 10208
RIDGE VENT: Install ridge vents.
ROOFING MATERIALS
,A.SPHAULT SHINGLES: Install architectural shingle 30 year.
PRICING
Basic $ 10195
Sales Tax $ 0
Total Price $ 10195 including Labor&Material
Payment Terms: 2Q%-&e—posit(day of start); 30%progress; 50%end of job Mc/Visa/Amex
Sean O'Connor Customer Signature
ADDITIONAL TO ABOVE ESTIMATE:
1: Rear sun section. Strip&ice and water shield the entire surface.
Pri 975 Including Labor and Material
2: Shed.
Pri 400 Including Labor and Material
BID 3: 1, stall 2 new skylights. It does not include interior repair or the cost of the skylight.
Price$400 Including Labor and Material
BIO
BID 4: Build 2 angled plywood boxes on the rear skylight.
Price$400 Including Labor and Material
*Above additional prices includes all discounts and coupons discussed prior to estimate. The
above quote is valid for 60 days.
*Warranty: Craftsmanship: Kyron Inc.DBA Preserve Services warrantees all work performed
for a period of 2 years. If any problems occur we will cover the cost of labor and materials. For the
warranty to be valid the invoice that was presented at the time of completion must have been paid in full.
Materials: The duration of the manufacture's warranty is specified in the materials section above.
Licenses:
Horne Improvement Contractor(HIC): 123553
203 WASHINGTON ST.#256
PRESERVE SALEM,MA 01970
carpentry)painting)roofing gutters PHONE:978.745.8745
SERVICES
FAx:978.745.3476
SALES@PRESERVESERVICES.COM
Jeff McDonald Date Bid:.8/13/2010
72'Stage Coach Estimator:Sean O'Connor
North Andover MA, 01845
(978)995-8531
jeffrey.mcdonald@ebtc.com
ROOFING ESTIMATE
COMMENTS The below estimate is for the entire roof minus the sunroom roof and shed.
PRIOR PREPARATION
PERMITTING: All permits will be obtained in accordance with the law as required.
DISPOSAL: A dumpster will be placed in a area designated by the homeowner.
ROOFING PREPARATION
COVERING: Tarp the exterior of the house so as not to damage the siding.
SHINGLE REMOVAL: Remove all layer(s)of old shingles
NAILING: Re-nail roof decking as necessary.
UNDERLAYMENT
FELT: Install 15 lb felt on all areas not covered by ice and water shield.
ICE AND WATER SHIELD: Install 3 feet of ice and water shield on eves and valleys. Install as
necessary on other areas.
a
FLASHING
DRIP EDGE: Install drip edge on all perimeters.
WALL JUNCTION: Install or rework flashing where the roof meets the wall.
VENT PIPES: Install new boot or flange around vent pipes.
CHIMNEY(S): Install or rework the flashing around all chimney(s).