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Home My WebLink AboutBuilding Permit #38 - 782 Waverley Road 7/26/2006 TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATIONof `iO RTH qti ,t t 'A Permit NO: Date Received Date Issued: ,,- 0 '!s °NgTnp rPP`y(y �SSAC HUS�� IMPORTANT: Applicant must complete all items on this page LOCATION Z- W , —fit PROPERTY OWNEkNpnQ o.. 1 C Print MAP NO.:.. T PARCEL: Z,',-5 ZONING DISTRICT'P-4-tb,1� �d�e TYPE AND USE OF BUILDING HISTORIC DISTRICT YES ❑ TYPE OF IMPROVEMENT PROPOSED USE Residential Non-Residential ❑New Building ❑One family ❑Addition ❑Two or more family ❑ Industrial ❑Alteration No. of units: ❑ Repair, replacement ❑Assessory Bldg ❑ Commercial )<Demolition ❑Moving(relocation) ❑Other ❑ Others: ❑Foundation only �4 DESCRIPTION OF WORK TO BE PREFORMED cy�Lc�l r-" G 1Nzz;A .e>L`1 UY�J. Identification Please Type or Print Clearly) OWNER: Name: Phone G t-7 2 f 4 G Address: �4 ° �✓ - �T C v v3 N �7 G 2�� l t I CONTRACTOR Name:_ L�'Q[2Av� Phone• , L " Address: s tiv CA <-;.T— Supervisor's Construction License:_ or. q Exp. Date:_ "*7, t Home Improvement License: Exp. Date: ARCHITECT/ENGINEE Name: Phone: 6:,(,°) Address:2k. Reg. No. FEE SCHEDULE.BULDING PERMIT.$10.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost :$ � C1pb x ==FEE:$ :2,- Check No.: 1 �� Receipt No.: OoZ::� Page 1 of 4 TYPE OF SEWARGE DISPOSAL Swimming Pools ❑ Tanning/Massage/Body Art ❑ Public Sewer ❑ j Tobacco Sales ❑ Food Packaging/Sales ❑ Well ❑ Permanent Dumpster on Site Private(septic tank,etc. L1 Permanent Meter location to project NOTE: Persons contracting with unr red c tractors do not have access to thXPIans Signature of Agent/Owner Signature of contracto Plans Submitted ❑ P ns Wai d ❑ Certified Plot Plan ❑ ❑ E FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF-U FORM DATE REJECTED DATE APPROVED II PLANNING& DEVELOPMENT ❑ ❑ []Water Shed Special Permit ❑ Site Plan Special Permit ❑ Other COMMENTS DATE REJECTED DATE APPROVED CONSERVATION ❑ ❑ COMMENTS I i DATE REJECTED DATE APPROVED I HEALTH ❑ ❑ COMMENTS Zoning Board of Appeals:Variance,Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments Conservation Decision: Comments Water&Sewer connection/ iLynatum&Date' Driveway Permit Temp Dumpster on site yes_no Fire Department signature/date Building Setback (ft.) Front Yard Side Yard Rear Yard Required Provided Required Provides Required Provided DIM ENSION Number of Stories: Total square feet of floor area,based on Exterior dimensions. Total land area,sq. ft.: I � NOTES and DATA—(For department use) I 4 �I i I Page 3 of 4 Doc:INSPECTIONAL SERVICES DEPARTMENT:BPFORM05 Created JMC.Jan2006 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 Addition Or Decks ❑ Building Permit Application ❑ Surveyed Plot Plan ❑ Workers Comp Affidavit ❑ Photo Copy of H.I.C. And C.S.L. Licenses ❑ Copy Of Contract ❑ Floor/Crossection/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Mass check Energy Compliance Report (If Applicable) 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 ❑ 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 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 DEPARTMENTMFORM05 Pave 4 nf 4 xAORTH Town of 4Andover X38 10�`( z = dover, Mass., 2-26 COCHICMEWICK V � 7gSoRRTED p'P� �� BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System BUILDING INSPECTOR THIS CERTIFIES THAT......kfi �........!o� A......4,10..01W.......4.1..e ........................: Foundation has permission to ....�. x./.110............ buildings on .........?.#'L.....�� ............................. Rough ........... . ... .. . . to be occupied as........... . . a.........�a�„C,� ,,,, Chimney .... ... . .. . . . . . .................................................................... provided that the person accepting this permit shall in every re ect 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 UNLESS CONSTRt.� S TS, ELECTRICAL INSPECTOR Rough Service .. ............ - Tam............... BUILDING INSPECTOR Final Occupancy Permit Required to Occupy 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. JUL-19-2006 12:10 BELL ATLANTIC 978 682 0401 P.02 ' e • / Y m - i � * ON • - t AL oft"VIM I"NMI CIO 01 scat azz ^fir r. �, r / �� ' —"f y i (}�_►''�� .•r=i'. _• 11 �. H ■ t ATMa GG:GT 99OUST/40 Jul 20 06 04: 18p 8 C CJff lbf tl7l7b 1�:1t7 b173tf7Ji�lC LIwv6Gtl LARil&-1 I ALAIivy 87/19/2886 18:38 6838954922 DAN.EV D94MFTIM PAGE 88 -- Ar Itl11 ,w.•• rw %""& .eeisiMr a" 'as lose ?Q siB ge22 i►.8.'i AIM wLwmddkL- 01.6 Alb Al c f) 28'd TOM 2B9 8L6 31IN!l1W 17EN @T*.ZT 9M-6T--M -- vim♦ .v yr . � •r w YLt Y JJLM,L i I I UN PAGE &4 87/19! 66 1B.50AVE 88 6$384549 c D+ tY I OLITIGN los I am to o s a83aso-te?a p.s;t qtr i� as -:h MONONA ` i*40rt { 40 Ole aw:4w M _ f l Illrfff�J' t D t IHV ue TSH i Antex Pest Control Co., LLC 4 Sunrise Terrace Plaistow, NH 03865 603-382-1776 978-372-9929 DATE TIME ❑REGULAR ❑INSIDE iN ❑ONE-TIME ❑OUTSIDE UT /❑RESIDENTIAL ❑CONM93CX NA ZAR �J CITY, �� J�PHLOE -- ZIP� as 4 � I r� ❑ Pest Control ❑ Inspection ❑ Termites ❑ Pretreatment R-051;dents ❑ Spraying ❑ _I/ ._ Jc4iEMICALS tiSED AMOUNT °la EPA N 80{ ERR DES RIPTION/REMARKS 4 AMOUNT 5e L I " TAX ---a - 7.21 M 'TOTAL Ua''` Customer Signature SERVICE REPORT N2 0303 r - g Zi Y � 5 Z a z s � K i NORTH ANDOVER BUILDING DEPARTMENT Tel: 978-688-9545 DEBRIS DISPOSAL FORM In accordance with the'DWYi1ion of MGL c 40 S 54, a condition of Building Permit at: FbL CA)a U er-L //C,/ is that the debris resulting from this work shall be disposed of in a properly licensed solid waste disposal facility Y 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 Fac ' Signa"emift Fire Department Sign off: Dumpster Permit Date Q P.O. Box 154, Fremont, NH 03044-0154 Tel. 603.895.4900 Fax 603.895.4922 Demolition & Environmental ***Inspections &Consulting ***Licensed& Insured June 21, 2006 Graydon McCormick 72 Turnpike Street North Andover, MA 01845 Re: Abutters Notification To Whom It May Concern: Please be advised that we will be demolishing the homes located at the following addresses: 1. 768 Waverly Road North Andover, MA 2. 782 Waverly Road North Andover, MA 3. 792 Waverly Road North Andover, MA 4. 802 Waverly Road North Andover, MA 5. 814 Waverly Road North Andover, MA 6. 21 Turnpike Street North Andover, MA 7. 29 Turnpike Street North Andover, MA 8. 35 Turnpike Street North Andover, MA 9. 41 Turnpike Street North Andover, MA 10.47 Turnpike Street North Andover, MA We will mobilize on or about July 15, 2006 to begin demolition. a 9 M. Dant President:, Danley Demolition Inc. May 23 06 09:03a Ins Offices 6036353815 P. 1 iCORD- CERTIFICATE OF LIABILITY INSURANCE 05/2312006 PRODUCER THIS CERTIFICATE IS MSUED AS A!MATTER OF INFORMATION Leo Rush Insurance ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 25 Old Laurence Rd HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR Pelham, NR 03076 ALTM THE COVERAGE AFFORDED BY THE POLICIES BELOW. 603-635-2539 INSURERS AFFORDING COVERAGE NAIL# INSURED Danley Demo on, Inc WSURERA: a "=anc`a a ng INSURER W. $ ve P O Box 154 MLnmcaver ufiIters Fremont, NH 03044 r D: Arch Insurance 603-895-4900 gmmme ColZny nsurance a g COVERAGES THE POLICES OF INSURANCE LISTED e>:I.OW HAVE BEEN ISSUED TO THE INSURED NAMED ABOV E FOR THE POLICY PERIOD INDICATED.NOTWITHSTANOM ANY REOUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT W TM RESPECT TO VMCH THIS CERTIFICATE MAY BE:ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED 8Y Tf4E POLICIES DESCRIBED HEREIN TS SUBJECT TO ALL THE TOM,EXCLUSIONS AND CONDITIONS OF SUCH POUCIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAW MW WE%sm POLICY NUMBER DATET11tEDA LIMIT'S GENERAL LVARM EACH OCCURRENCE 5 -1,000,uoq COMMERCIAL GOAL LIABILITY PREMISES aaa,ence 5 50,000 CXN#ISIMADE OCCUR GEDEWWWomperson} 5 CC u A 0009127 03/29/2006 4312912407 PERSONALSATIVMLiURY 5 1 1000 r 69ERAL AGGREGATE S 2,000,DiJU GEN'L AGGREGATE LIMIT APPLIES MR PRODUCTS-COWIOP ASG 5 11000,000 POLICY M LOC AUTOMOBILE slx�EUwr S 1,000,000 ANYALL OWN®AUTOS SCHEDULEDAUTOS {Parpereon)My 5 B HIM AUTOS 34498870 03/30/2406 03/34/2407 BODILYINAIRY WON4M"WAUTOS /Paas s PROPERTY DDAMAGE S CiARAGEUABYITY AUTOONLY•EAACCO Mi S ANYAUTO 07HET21TiAN EAACC 5 —B — - AUTOCNJLY: AW S EXCESSIUMBRELLA UABTTY EACH OCCURRENCE S 2,000,000, OCCUR ❑CLAwmAvE AGGREGATE S ,000,ouu 142343 04/07/2006 03/29/2007 s DEDUCTIBLE RETENTION $ 10,000 STATUL s S WORKERSCOMPENSATIONAND EMPLOYERS'LIABWY AW"MPMrM om„om� 6S64U838148422 10/17!2004 10/17/2006 ElEACMACC�€T s , E.L.D -EA EMPLOYE , """'= a EdawE.L DISEASE.PLICYOL[Afff S 500,00 OTHER as per schedule D Equipment Floater 606DIN03729 11/13/200511/13/2006 on file DESCRIPTION OF OPERATIONS I LOCATIONS J V84CLESI EXCLUSIONS ADDED BY ENDORSEMENT SPECIAL PROVISIONS I)M OLTTION L40UTPACToR Walgreens, Waverly Street & Route 114, No Andover, NA Additional insureds but only with respect to work done by insured: D F Pray Inc, Rice North Andover LIC and Mark Investments Inc CERTFICATFE HOLDER SHOULD ANY OF THE ABOVE DESC iBED POLICIES BE CANCELLED BEFORE THE ERPaRA D F Pray Inc DATE THEREOF.THE ISSUING INSU1I R WLL ENDEAVOR TD AUR30 Tu�YS wFRmeN 25 AnthSeekonk, Street NOTICE TO THE CERTIFICATE HOLDER NAND TOTME LEFT.BUT FAILURE TO DO SO SHALL SIQe�COAk, M 02771 WKISE NO OBLIGATION OR LIABILITY OF ANEY KM UPON THE INSURER,ITS AGWIS OR 895-4922 NrAmT6s AL"OAI7*D AT1YE J ACOR026(2001=) CACORD CORPORATION 1888 -.- 07/26/2006 09:05 FAX 15083363384 DFPRAY-FAX-2 Q001/002 I I ✓fie BkARD OF 8Utl'L/'Ml6 RBC3ULA*TINS License: CONSTRUCTION SUPERVISOR Number. CS 064841 Birthdate;07101/12M Expires:07101/2006 Tr.no-. 1887.0 Restricted: 00 RONALD H LAPRISE 312$OWEN ST FALL RIVER, MA 02724 ! CommissiArtN '✓It VP/stmt:,++��•flGi �/.lltl'+.%d<Yle�.: `= BOARD OF BUILDING R=GULATIONS _ License: CONSTRUCTION SUPERVISOR i;. Number. CS 064615 Birthdate:04/1 i r'S35 Expires:MI.712007 Tr.no: 12136 Restricted: 00 VINCENT H VILLELLA tai RESERVOiRAVE cyVMtSEA, IAA 027T7