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Home My WebLink AboutBuilding Permit #36 - 792 WAVERLY ROAD 7/26/2006 i TOWN OF NORTH ANDOVER c10RTh/ i APPLICATION FOR PLAN EXAMINATION o�tt�ao ,bgti o Permit NO: Date Received 4 _ey 09 Date Issued: " 2 39 q°R�reo SSACHU`+�� E IMPORTANT: Applicant must complete all items on this page LOCATION MTZ. w AA-V .r %Print PROPERTY OWNER__ t ►' �`k /. �ro Print MAP NO.: '4-7 PARCEL: ZONING DISTRICT , �'",�yv�A,.4k 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 emolition ❑Moving(relocation) ❑ Other ❑ Others: ❑Foundation only DESCRIPTION OF WORK TO BE PREFORMED Identification Please Type or Print Clearly) OWNER: Name:-20,7;6-,- jJ�.Q,y-�.� ��lt-�-Q� ,L�jv Phone: 6.t'7� zS -2 Address: }�v,q.Cj.��n1w11 S'��,�?v`3 �.St�i z�svt h `��j,1 CONTRACTOR Name: TD, . O A,-A Phone:�P,. Address: Z<, nn. .1 z— advL-- it, ,-z-7 1 Supervisor's Construction License: 6(:;,!q Exp. Date: 7 Home Improvement License: Exp. Date: ARCHITECT/ENGINEE sA - Name: Phone: Z< _ 61 Address: A&A. Reg. No. FEE SCHEDULE.BULDING PERMIT.$10.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost :$ . x =FEE:$ i Check No.: ( � Receipt No.: Page lof4 i TYPE OF SEWARGE DISPOSAL Swimming Pools ❑ F1 Tobacco Art L]Public Sewer Tobacco Sales ❑ Food Packaging/Sales ❑ Well ❑ Permanent Dumpste Site Private(septic tank,etc. ❑ Electric Meter location to project NOTE: Persons contraItintered c tractors do not have access t e aranty d /� t Signature of Agent/OwneSignature of contractor Plans Submitted ❑ d ❑ Certified Plot Plan ❑ a ped Plans ❑G SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF-U FORM DATE REJECTED DATE APPROVED , PLANNING & DEVELOPMENT F1 ❑ ❑Water Shed Special Permit ❑ Site Plan Special Permit ❑ Other COMMENTS I E I DATE REJECTED DATE APPROVED CONSERVATION ❑ ❑ COMMENTS DATE REJECTED DATE APPROVED HEALTH ❑ ❑ COMMENTS Zoning Board of Appeals: Variance,Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments Conservation Decision: Comments Water&Sewer connection/Si nature&Date Driveway Permit Temp Dumpster on site yes no Fire Department signature/date i Building Setback(ft.) Front Yard Side Yard Rear Yard Required Provided Required Provides Required Provided DIM ENSION I Number of Stories: Total square feet of floor area,based on Exterior dimensions. I ' I Total land area,sq. ft.: I NOTES and DATA—(For department use) i I 1 I I Page 3 of 4 Doc:INSPECTIONAL SERVICES DEPARTMENT:BPFORM05 Created JMC.Jan.2006 1 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 j ❑ 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 DEPARTMENT:BPFORM05 Pave 4 of 4 NORT►y 0 0 : R over No. - o dover, Massa 4 o �. COCMICMEWICK 7��oRATE D �l PP �y BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System BUILDING INSPECTOR THIS CERTIFIES THAT........ ;.4.4........ .�.....A'. evztt......... .-...................................... Foundation ......... ............................. Rough has permission to,ereet...�.1!h.Q............... buildings on ....... 110 to be occupied as.................... �...... ��..� .!. . . .................................................................... Chimney provided that the arson acce m this ermit sha I in eve res ec?conform to the terms of the application on file in P P P g P ry P PP 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 CONSTRUCTLOV STARTS Rough ............... ...... .................. ........................................ . Service 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. Vii. %. BELL ATLANTIC 0401 P.08 TomofNOMAEWWW ♦ -taft f . 27 chadw shoo � 1. W;, MA New 4 ' ` L _ � t - �G E JIT cvIO6(o Ar LQG&I,IQN OF Q a om OEPT • •GAs SE, �� .' - .. W&M t ] •tea.+ JUL 18 2008 10: 18 FR ENGINEERING 978 725 1036 TO 91GO38954922 P.02 -L-1,44 DAM-EM DEM LITION PAGE 04 &Adding ZT Cbari w$!gest North An*mw MA 01"S o �1 Tei: Fac; Prrld Wof e 74 ,y Or.OF KOM WW VM c,As /V 6 6 y !7g 7- 1105_ T T T� i0R t �..�i - I% Ar 40 ,. Ail Or f f OAS i t' i y1 f bAnA- Em �. mama',>. Antex Pest Control Co,, LLC 4 Sunrise Terrace Plaistow, NH 03865 603-382-1776 978-372-9929 DATE TIME I❑REGULAR ❑INSIDE IN ❑ONE-TIME ❑OUTSIDE uT ❑RESIDENTIAL❑CONDdE GAL AM 4r __ ADDA15S e1V A,e CITY, H STATE, ZIP ❑ Pest Control ❑ Inspection ❑ Termites ❑ Pretreatment ,4 Rodents ❑ Spraying MICALS USED AMOUNT % EP NUMBER 04-e Ir DESCRIPTION if REMARKS AMOUNT I W-q C'/ 6or- TAX License No. ' TOTALi/� Customer Signature X SERVICE REPORT No 0304 Pmd II#7061•CROWN GRAMM-1-OM25240„ NORTH ANDOVER BUILDING DEPARTMENT Tel: 978-688-9545 DEBRIS DISPOSAL FORM In accordance with the provision of MGL c 40 S 54, a condition of Building Permit at: Q,a (J Q v e-1 It'd- - 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, S150k Also, note Permits are required under Fire Prevention laws"Chapter 148 Section 10A. The debris will be disposed of Hit (Location of Fac' ' �- rA Signa"nn Fire Department Sign off: Dempster 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. . Dan President, Danley Demolition Inc. May 23 06 09:03$ Ins Offices 6036353815 P. 1 ACOM CERTIFICATE OF LIABILITY INSURANCE 05/2I20'06 PRODUCER THIS CERTMATE IS ISSUED AS A MATTER OF WORMATION Leo Rush Insurance ONLY AND CONFERS NO RWITS UPON THE CERTFICATE 25 Old Lawrence Rd BOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR Pelham, NH 03076 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 603-635--2539 INSURERS AFFORDING COVERAGE MAIC# QED Daraley Demo on, Inc Mian nsnranc e a g M B; Progressive P O Box 154 ¢c u'm cover lynyLfrs Fremont, NH 03044 MMM D_ nSuXanCe 603-895-4900 INSURER e Colony IUSUranCOIK"tlng CNIMOES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POUCY PERIOD INDIOATED.NOTVffKSTAMDING ANY SIT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TQ WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN LS SUBJECT TO ALL THE TERMS EXCLUSIONS AND CONDITIONS OF SUCH POU ICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN F43XX D BY PAID CLAW. am tv" L POLICYNUt DATE DAXION IPPAnc !!IBIS GENERAL LIABILITY OM OCCURRENCE S 1,005,00 COMMERCIAL G@iERAL LIABILITY PREMISES IEa exuence) S r CLVMSMADE OCCUR [uMOEXPOrwonepetwnt S XC u A 0009127 03/29!2006 03/291,2007PERSONAL&ADVINJURY 5 1100000,00W GENEM AGWEGAIE S 2,000,60 GEWL AGGREGATE U IT APPLIES PER PRODUCTS-COUPIOP AGG S 11000,000 POLICY jRa LOC AUTOMOBILE LIABILITY T NI(aLELRYAT S 1,000,000 ANYAUTO ALL OWNED AUTOS X SCHEDULED AUTOS mwp-am S 8 HIREDAUTOS 34498870 03/30/2006 03/30/2007 BODLYNXJRY NON-OWNIEDAUT08 s PROPERTY DaducE s GARAGEUA&UTY AUTO ONLY-FAACCIDEW S ANYAUTO OTHERTIIAN EA RCC S ALROONLY; ACG S EXCESSIUMBRELLA UARUFY EACH OCCURRENCE S 2,000,0w OCCUR iJ CLAWMADE AGGREGATE S r r 142343 04/07l2006 03t29l2007 s S DALE RETENTION $ 10,000 s VMORXERSCOMPENSATMAND TORY C �a ee�OYERS*LIABILITY 6860tJB38148422 20/17/2405 20!17/2006 E1.FACHACCIDW S r ;� E.L.DISEASE-EA r 000 S "'""P belowEL.DISEASE.POLICY LIMIT S==r OTHER as per sciledule D Equipsant Floater 606DIM03719 11/13/2005 11/23/2006 on file DESCRIPTION OF OPERATIONSI LOCAMONS/VEMMI EXCLUSIONSADDED By ENDORSEMENT1 SPECIAL pRCVgXM DRMLITTLON CONTRACTOR Walgreens, Waverly Street E Route 114, No Andover, MA Additional insureds but only with respect to work done b insured: sP� y D F Pray Incl, Rice North Andover LLC and Mark Investments Inc CERTIFICATE HOLDER SHOULD ANY OF THE ABOVE OESCFUSED POLICIES BE CANCEu.ED REFORE 114E E7fPaLA D F Pray Inc DATEemoF.THE ISSUING INSURER WILL ewFFAVOR To Mr AIaO DAYS Anthony Street WRITTEN NOTICETOTFMCERTFICATE HOLDER NAMED TOTW LEFT.BUTFAILURETODOSOSHALL Seekonk, MA 02771 WOSE NO OBUGATION OR LIABILITY OF ANY K ND UPON THE MSUM3;,1 ITS AGENTS OR REPRFSENTATru S. 895-4922 AUTHORT6o RPRUKTAIP4 ACORD260MM) GACORD CORPORATION 1988 07/26/2006 09:05 FAX 15083363384 DFPRAY-FAR-2 001/002 TQ/fie AFU, D/ N3REA9B � GtNS License: CONSTRUCTION SUPERVISOR Number. CS 064841 Birthdate;07101119M Expires:0710112006 Tr-no: 1887.0 Restricted, 00 RONALD H LAFRISE 312 BOWEN ST // FALL RIVER, MA 02724 c,7/ * Canmissi0ner • ✓� fjnnemcrN��flGr cc//.ltd.:�r..•ie.�s BOARD OF BUILA ING REGULATIONS License: CONSTRUCTION SUPERVISOR Number. CS 064515 Birthdate:04117r'M Expires:0411?/7007 Tr.no: 12136 Restricted: 00 VINCENT H VILLELLA 181 RESERVOIR AVE ` NV!1N3EA, MA 02777 Gon:rusai]n±- 1 i