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HomeMy WebLinkAboutBuilding Permit #601 - 754 BOXFORD STREET 5/11/2009 BUILDING PERMIT of "°RrN TOWN OF NORTH ANDOVER o? °:z''' = °WL, APPLICATION FOR PLAN EXAMINATION M� Permit NO: Date Received ^� Qq<x r� ACHUS t Date Issued: ,7 /t IMPORTANT:Applicant must complete all items on this page LOCATION-;' - Print., PROPERTY OWNERyl 1Y,41k 1 Print MAP NO: PARCEL: // ZONING DISTRICT: Historic District yes no Machine Shop Village yes no TYPE OF IMPROVEMENT PROPOSED USE Re ' Non- Residential New Building One fa Addition Two or more family Industrial Alteration No. of units: Commercial Repair, replacement Assessory Bldg Others: Demolition Other Septic Well Floodplain Wetlands Watershed District Water/Sewer DESCPUPTION OF WORK TOBE PREFORMED: h S -/vg&/ 1» o Identification Please Type or Print Clearly) rQ OWNER: Name: E U 1 Q �-�14 /i+-7- Phone: 2 'y Address:_ Ste ✓ l � a-,o I L 1) A,,�v/L7;41 AA o zL146,i CONTRACTOR Name: A C, -e1 Phone: 9 Z� 2 ,-,/P Address: -3a AL l°� 4/041°' c�; t,�✓' 1 Z-/ Supervisor's Construction License: Z tel' Exp. Date: - 7- 2-y/0 Home Improvement License: /.0 4>'� Exp. Date: •ZU,� 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: $ 1 !i"00 - 00 FEE: $ 6 �- Check No.: Receipt No.:NOTE: Persons Persons contracting with unregistered contractors do not have atheguar my fund ignature of Agent/Owner Signature of contract Location No. a/ Date S A NORTH TOWN OF NORTH ANDOVER ` Certificate of Occupancy $ SACMUS t� Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # L L— 22U 6 BdildKgAnspecior Plans Submitted Plans Waived Certified Plot Plan Stamped Plans TYPE OF SEWERAGE DISPOSAL Public Sewer TanninglMassageBody 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 - U FORM DATE REJECTED DATE APPROVED PLANNING & DEVELOPMENT 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 Water& Sewer Con nectionlSignature&Date Driveway Permit DPW Town Engineer: Signature: Located 384 Osgood Street ;FIRE D�EPARTMEJVT Temp D.urnpsterbn site yes Located:=at 1214"Mam.'Street = re DiepartMint elgnatyrdioate - 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 use ❑ Notified for pickup Call Email Date Time Contact Name Doc.Building Pennit 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 a 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 ❑ 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 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 L, 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) o 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 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 o Photo Copy Of H.I.C. And/Or C.S.L. Licenses'- X ❑ Copy of Contract o 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 Li Certified Surveyed Plot Plan ❑ Workers Comp Affidavit ❑ Photo Copy of H.I.C. And C.S.L. Licenses u Copy Of Contract ❑ Floor/Crossection/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (If Applicable) u 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) o Building Permit Application ❑ Certified Proposed Plot Plan ❑ Photo of H.I.C. And C.S.L. Licenses o Workers Comp Affidavit ❑ Two Sets of Builcting 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:INSPECTIONAL SERVICES DEPARTMENT:BPFORM07 Revised 2.2008 Proposal A.B.CARNES,INC. 30 Arrowhead farm Rd Boxford,Mo.01921 Paget of 1 978-667-1431 or 781-599-9197 Barry Canes,Pres. Mass,Builders License No.000230 Contractors Registration.No 100733 Proposal Submitted To: DAVID HART Date May 6,2009 754 BOXFORD RD jM Name NORTH ANDOVER,MA JobLdatai SAME 978-686-6144 Work phone We PA"hereby to fumish material and labor-Carplet0 in aocordartce vdlh spedfications below, 'the sum af: dollars Payment to be made as follows:See Below Notice:Ali from Impromment contracture and subcontractors engaged in wne -- Improvement contracting,unless spec taly exempt from registration by p�� Aof Chapter 142A d Ma General laws,must be registered wqh the CornmonwearN Signalu c p Of Massachusetts.IMu res about registration and status should be made to the .. f Director,Home Improvement Contract Registration 1MU21-9375 ext 502 (Agent) Note:This proposal may be withdrawn by us if not accepted within 30 days. We hereby subnbt spedfica0 m and estimates tor. ROOF WORK ®STRIP ROOF OF ALL LAYERS OF ASPHALT SHINGLES,COVER DECK WITH UNDERLAYMENT PAPER,AND COVER EXTERIOR WALLS AND FOLIAGE WITH TARPS TO HELP PREVENT DAMAGE L9 INSTAL.ICE&WATER SHIELD SIX FEET WIDE AT LEADING EDGE.ALSO INSTALL ICE S WATER SHIELD IN ALL VALLEYS AND AROUND ALL ROOF PENETRATIONS 0 COVER ALL PERIMETERS WITH 8 INCH ALUMINUM DRIP EDGE. Z INSTALL RIDGE VENT AND/OR❑ ROOF LOUVERS FOR ADDED ATTIC VENTILATION. ❑COVER SOIL PIPES WITH NEW RUBBER FLASHING BOOTS. ®REPLACE WALL FLASHING AS NEEDED wrrH ALUMINUM OR LEAD,AT THE ADDITIONAL COST OF SEE BELOW. ®CHIMNEY FLASHING.CUT ALL EXISTING TAR AND LEAD FROM ONE CHIMNEY(S).CUT NEW REGLET WITH CARBIDE SAW AND SECURE NEW LEAD FLASHING IN PLACE WILFAD ANCHORS.PROPERLY SEAL REGLET JOINT.PLEASE ADD SEE BELOW TO ABOVE PRICE. ❑REBUILD CHIMNEY FROM ROOF DECK UP WITH NEW OR USED BRICK ADD TO ABOVE PRICE. 0 COVER ROOF SURFACE WITH CERTAINTEED LANDMARK WOODSCAPE 30'S. Cl REPLACE DEFECTIVE ROOF DECKING WITH AT AN ADDITIONAL CAST OF 0 COVER ROOF DECK WITH COX PLYWOOD AS NEEDED TO REPLACE OR REPAIR DEFECTIVE DECKING,AT AN ADDITIONAL COST OF SEE BELOW. Cl SHINGLES ARE TO BE STORM NAILED.(USE SIX NAILS PER SHINGLE) 0 INSTALL SKYLIGHTS PROVIDED BY CUSTOMER,FRAME ROOF DECK AS NEEDED,PROPERLY FLASH UNITS WITH FLASHING KIT(S)PROVIDED, CUSTOMER TO PERFORM ALL INTERIOR WORK ADD TO ABOVE PRICE C3 REMOVE EXISTING GUTTERS❑INSTALL NEW SEAMLESS.032 ALUMINUM GUTTERS USING THE POSITIVE LOCKING BAR HANGER SYSTEM. ❑REPLACE FASCIA BOARDS,RAKE BOARDS AND SOFFITS AS NEEDED WITH#2 PINE PRIMED,ADD PER FOOT TO ABOVE PRICE ❑INSTALL NEW ALUMINUM DOWNSPOUTS.POP RIVET ALL CONNECTIONS. CLEAN ALL DEBRIS FROM OUTSIDE WORM AREA OBTAIN ALL PERMITS AND CARRYALL NECESSARY INSURANCE AS REQUIRED BYLAW.WE CANNOT ACCEPT RESPONSIBILITY FOR DEBRIS FALLING iNTOATTIC AREAS.CUSTOMER SHOULD COVER VALUABLES.GREAT CARE WILL BE USED TO PROTECT THE STRUCTURE AND FOLIAGE.HOWEVER,SOME MARRING AND OR MINOR DAMAGE COULD OCCUR. HAND NAIL ONLY,NO NAIL GUNS TO BE USED. SPECIAL INSTRUCTIONS: THE ABOVE PROPOSAL INCLUDES THE REAR SIDE OF THE LEFT ADDITION ONLY. GREAT LOCATION FOR A PROJECT SIGN SO I HAVE DECIDED TO GNE YOU A VERY GOOD DEAL PLEASE SEE BELOW. WE WILL DO THIS PROJECT FOR OUR EXACT COST.MATERIALS AND LABOR.WE WILL KEEP TRACK OF THE HOURS AND SUPPLY YOU WITH MATERIAL INVOICES. MATERIALS SHOULD BE ABOUT S9W00. LABOR WILL BE BILLED AT$37.00 PER MAN HOUR.THIS PROJECT SHOULD TAKE ONE HALF DAY.LABOR SHOULD BE ABOUT$800.00 FOR FOUR MEN.UNLESS WE UNCOVER SOMETHING AND NEED A COUPLE OF EXTRA HOURS TO MAKE THOSE REPAIRS. DISPOSAL:$150.00 WARRANTY-A0 work warrented to be tree of brstabbon defects for 5 years,this Is l nW to the Installed Nem and its repatr only.Material warranted by mfg,to be hoof defects for 30 years,see mfg.wamamy forexactwarranty pedo n me. Customer has legal the under federal taw to arwei this wnbactw*W penalty or obligation wifirin three business days Iron anceptance date by mad or telegram sent to A.B. Camel,Inc.attheaboveaddress.Sea reversesmeforearwietionprocedua& Orae 80 items in rob corr=are WMP18W as agreed,customer has 3 days to tutu payment sdreduta or pay sfandary,Intereston the unpaid balance.All partles agree that disputes over S2LXM0 vdl be setlled through bi dirM mbibabon as provided by the American Arbitration Amotlatlon.Please an reverse side,Arbitration of Disputes. A-ct�,V A-j odd- ' ng this proposal means you have accepted all the terms as stated on the front and back of this agreement Please see reverse side. Date of Acceptance Signature 2 Signature L/f PLEASE SEE REVERSE SIDE NORTH ANDOVER BUILDING DEPARTMENT Tel: 978-688-9545 DEBRIS DISPOSAL FORM In accordance with t e provision of MGL c 40 S 54, a condition of Building Permit at: %��` /�Zt�� �;�A,,�9 is that the debris resulting from this work shall be disposed of in a properly licensed solid waste disposal facility as defined by MGL c11, S150A. Also, note Permits are required under Fire Prevention laws Chapter 148 Section I OA. The debris will be do disp s o e f in: (Location of Facility) 7Signature of Permit Applicant Date oz�: RTH Town of Andover . = No. �p d L dover, Mass., C o COC MIC CHE HE A.WICK y ATE D �`r E BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System BUILDING INSPECTOR THIS CERTIFIES THAT l�.r..G ... .. .a.d..� ................. ... ....................................................................... ....................... Foundation has permission to erect........................................ buildings on.....7..S .Y......... �?}4`l. e,�6q.0............................... Rough CC� Chimney tobe occupied as.....................,..1�t/�.......�::.� .��.....�.�.�.��-�........................................................................ provided that the person accepting this permit shall in every 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 CONSTRUCTIO STARTS Rough .................................. Service BUILDING INSPECTOR Final Occupancy Permit Required to Omupy 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. --- --.�. . . ■��vVOv'1teVG PRODucER 781-324-1809' FAX 781-397-9270 04/07/2009 New England Heritage Insurance Agency Group, Inc. HIS CERTIFICATE IS ISSUED ASA MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 110 Florence Street HOLALTER HE COVERER.THIS AGE AF ORDED BY TFICATE DOES NOT ARE POLICE ES gELpyy, j Malden, MA 02148 INSURED A B Carnes,Inc. INSURERS AFFORDING COVERAGE NA1C# 30 Arrowhead Farm Rd. INSURERA Essex Insurance Co. Boxford, INA 01921 INSURERS Granite State Insurance Company INSURER C: INSURER D: COVERAGES INSURER E THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TOT INSURED NAMED ABOVE FOR THE POLICY PERfOD 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,EXCLUSfO IC AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR INSR1 TYPE OF INSURANCE POLICY NUMBER E DAT �M N GENERAL LIABILITY 3CZ1798 03/18/2009 03/18/2010 EACH OCCURRENCE LlMris CCOMMERCIALX GENERAL LIABILITY $ 1.000-0001 CLAIMS MADE XI OCCUR PREM SES Ea occum[ft $ S0100 A MED EXP(Any one person) $ 5,00 PERSONAL&ADV INJURY $ 1 000,00 GEN'L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $ 2 1000,00 POLICY JECTPRO- LOC PRODUCTS-COMP/0P AGG $ 1 000,OO AUTOMOBILE LIABILITY ANYAUTO OMS SINGLE LIMIT $ ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY HIRED AUTOS (Perpew) 5 NON-OWNED AUTOS BODILY INJURY (Per accident) 8 PROPERTY DAMAGE $ GARAGE LIABILITY ) ANY AUTO AUTO ONLY-EA ACCIDENT $ -- OTHER THAN ACC $ AUTO ONLY: EXCESS I UMBRELLA LIABILITY AGG $ OCCUR EACH OCCURRENCE _ $ CLAIMS MADE AGGREGATE $ DEDUCTIBLE $ RETEN71ON $ $ WORI�RS COMPENSATION AND EMPLOYERS'LIABILITY YIN WC 742-112-18 03/31/2009 03/31/2010 CST H $ ANY PROPRIETORO'ARTN TORY LIMITS ER B OFFICERiMBABER EXCLUDED? EL EACH ACCIDENT (Mandatory m NN) $ 1,0001000 S yas,desrnbe under El.DISEASE-EA EMPLO 5 1 ,000,00( SPECIAL PROVISIONS below OTHER E.L.DISEASE-POLICY LIMIT I$ 1,000 00 DESCRIPnow OF OPERATIONS1 LOCATIONS/VEHICLES 1 EXCLUSIONS ADDED BY EpppRg p�I SPECIA!PROVISIONS ontractor Subject to terms, Conditions, endorsements and exclusions on the Policy. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TOM 10 EXPIRATION SWRITTEN NOTICE TO THE CERT "TE HOLDER NAMED TO THE LEFT,BIT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY MD UPON THE INSURER,ITS AGENTS OR "PROOF OF INSURANCE COVERAGE ONLY" REPRESENTATIVES. SPECIMEN COPY ONLY ApR�p REPRESENTATIVE ACORD 25(2009107) Wi 11 i am Kell 71)A '===::I O 1988-2009 ACORD CORPORATION. All rights reserved, The ACORD name and logo are registered marks of ACORD Ie Boai dm e g gulat ons an �tanrams ,,,I—��'� One Ashburton Place - Room 1301 Boston, Massachusetts 02108 Home Improvement Contractor Registration Repistration: 100733 Type: Private Corporation A. B. CARNES, INC. Expiration: 6/23/2010 Tr# 267195 Barry Carries 30 Arrowhead Farm Rd. Boxford, MA 01921 Update Address and return card.Mark reason for change. -s-c sJ,ti,c ro,-�ceaso E] Address Renew at Emplyment0 Lost Card - Bos�rd of Building� eg sand Standards Construction supervisor License License: CS 230 r Expirion: 3x1/2010 Trlt 18693 Restriction: 00 BARRY S CARNES 30 ARROWHEAD FARM RD BOXFORD,MA 01921 Commissioner