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
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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)
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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