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Home My WebLink AboutBuilding Permit #052 - 814 Waverly Road 7/28/2006 I TOWN OF NORTH ANDOVER NORTIi APPLICATION FOR PLAN EXAMINATION t ' Permit NO: U Date Received ^o ey Date Issued: _d ��SSgCHus�� i IMPORTANT: Applicant must complete all items on this page LOCATION Lt rp1V' Print PROPERTY OWNER t,:)r JT Print MAP NO.: Z7 PARCEL: Z fs� ZONING DISTRICT ` �� „r.,�,.. 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) 1 ❑Other ❑ Others: ❑ Foundation only DESCRIPTION OF WORK TO BE PREFORMED 13 L n Lr�,i cw 'Z>c I Identification Please Type or Print Clearly) OWNER: Name: 2iC� t,�,}aq_ A'1.� oS Lse Lt c Phone:(.0 332 too Address: A de_3z\IituP1T- e'1- Su►'R� r N�� i 02�� CONTRACTOR Name: 1"Zxt f Phone: -3 Address: Z�S f�f�1�-�clyyl�l 5`� Sc?- �37�J�/ ,/A,�-Z7'�71 Supervisor's Construction License: e. , .: t Exp. Date:_"7` Home Improvement License: Exp. Date: ARCHITECT/ENGINEER Name: Phone: (.0 - Address: Reg. No. FEE SCHEDULE:BULDING PERMIT:$10.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost :$ 00 6 11W FEE:$ cQ Zg,I m) Check No.: J57("! ��'� Receipt No.: Page I of 4 --- --- r— TYPE OF SEWARGE DISPOSAL Swimming Pools ❑ ❑ Tanning/Massage/Body Art ❑ g Public Sewer Well Tobacco Sales ❑ Food Packaging/Sales ❑ ❑ ❑ Permanent Dumpster n Site Private(septic tank,etc. Electric Meter location to proj ect j NOTE: Persons contracting with un ter ntractors do not have access to fnd Signature of Agent/Owner Signature of contractor Plans Submitted ❑ /HE,FOLLOWING ns W �d ❑ Certified Plot Plan ❑ to ped Plans ❑ SECTIONS FOR OFFICE USE ONLY TERDEPARTMENTAL SIGN OFF-U FORM I' DATE REJECTED DATE APPROVED PLANNING & DEVELOPMENT ❑ ❑ ❑Water Shed Special Permit ❑ Site Plan Special Permit ❑ Other COMMENTS 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 natur & Date Driveway Permit Temp Dumpster on site yes_n 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.: NOTES and DATA—(For department use) i Page 3 of 4 Doc:INSPECTIONAL SERVICES DEPARTMENT:BPFORM05 Created JMC.Jan.2006 r Building Department I The following is a list of the required forms to be filled out for the appropriate permit to be i 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 I 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 DEPARTMENT:BPFORM05 Paw-.4 of 4 r NORTH 0 0Andover No. 40S 2. 14 J. A E 77 dover, Mass., 2Qf , 1ojrt_ 0;Oz-�COCHICKEWICK yA. DRATED �`s BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System BUILDING INSPECTOR THIS CERTIFIES THAT....... .... .1.4'.'.e.......Me..... ......t4. ... ............................................ Foundation has permission to erect......14............ buildings on.....cllc/......... ... . ... . . ..... .. . .......I..? �...� .. Rough tobe occupied as..... o...........� "N .................................................................... Chimney 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 1&0000,0, PERMIT EXPIRES IN 6 MONTHS UNLESS CONSTRU . ST TSELECTRICAL INSPECTOR Rough ........ .............. . .. Service BUILDING INSPECTO 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. GE 11 10;513 6038954922 DANLEY DEMOLITION PA Tom of • a a. • Cftfba ft i • - •- t J t AnkwwMUS Tok 6" ftx 9794884" mou.mm 9E Sim As3awar + • �.ta.u��+-ice ► .,.�;!ti_=�^ A !��' �! 1 �1 Af . / 1 CE".OF PUKC vomm MM 94u. / 1 01 AX _ -� ` .i 07/27/2006 13:25 9787944720 BAY STATE GAS PAGE 02 - - 07/17/2086 13:33 6838954922 LwYM C r "'�"-� •� TOMS of 2?Chad= ptMlot MA 04A4�'i 'del:87 �aaG Ate - Mom m how / f7 o ummmmumm W? V A7*0m OEFvt- F nuc - , GAS MOM Em• „L��r r,��wr � - r n Rr. MOM 20 MME ME,� JUL 27 2006 14:04 PR ENGINEERING 978 725 1036 TO 916038954922 P.02 1 -. 7rm' T r l f Y 1 10 note Ma aot� fkgpM At{ y 't' 7 707 f�• f� �� t / :� f dw Ai 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 11.2 101,ouT ❑RESIDENTIAL❑ 01 R — r a OR•y, STATE, ZIP ❑ Pest Control ❑ inspection ❑ TT rmites ❑ Pretreatment Rodents ❑ Spraying ❑ 0 CHEMICALS USED AMOUNT % EPA N MBER L. DESCRIPTION/REMARKS AMOUNT AW<< i I GUa ' $ d TAX c o. `�'� y TOTAL CusTomer Signature X SERVICE REPORT N0 0305 P1.dW i]051•CROWN GRAPHICS•1-00,M? 01 t V a-krl 0 .Y1 " 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: y Please be advised that we will be demolishing the homes located at the fallowing 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 Mita M. Danl President, Danley Demolition Inc. 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: S'/ is that the debris resulting from this work shall be disposed of in a proly licensed solid waste disposal facility 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' ' CAe Signa"PenrmWit Fire Department Sign off: Dumpster Permit Date Play 23 06 09:03a Ins Offices 6036353815 P. 1 �BDy CERTIFICATE OF LIABILITY INSURANCE 05223%2 06 PROMICER THIS CER1MCATE IS IWIED AS A mATTER OF IT•IFORMATK?I'i Leo Rush Insurance ONLY AND CONFERS NO RIGHTS UPON THE CERT*=TE 25 old Lawrence Rd HOLDER THIS CERTFICATE DOES NOT AMEND, EXTEND OR Pelham, NS 03076 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 603-635-2539 WSURERS AFFORDING COVERAGE NAICS TNSURM Danley Demo x 4n, Inc SRABiwaington InsuranceiReating mURER B: sive P O Box 154 NBLIRER c Hanover Un-&i%-�—it6rs Freawnt, NH 03044 WSURERD:Arch rnsurance- 1603-895-4900 INSURER e Uo-lony nsurance a g COVERAGES THE POUGES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTwn%sTAwm ANY REOUIREMENT.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 ANDCONDTTIONS OF SUCH POUCSS.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS_ a= Ram LIR TIMS QE INSURANCE POLLY NUMBER pA pA LUTS GENERAL U BILTTY EACH OCCURRENCE 5 / r COMMERCIAL GENERAL LIA191 iiY50000 USES 4Ea ocarencc 5 r CLAIMSMADE MOCCUR MECEXPWwonev�i S n A 4009127 03/29/2006 43/29/2007 PERSONAL 8 ADV uv.ItktY S 1,000,0M GENERAL AGGREGATE S 2,000,13007 GENS.AGGREGATE LAW APPLIES PER PRODUCTS-COWW AGG S 110001000 POLICY M LOC AUTOMOBILE UABAM COMBINED SINGLE LIMIT S 1,000,000 ANYAUTO (1, ) ALL OWNED AUTOS BODILY KAM SCHEDULEDAUTOS (PerPsmI S B HIlR£DAU!OS 34498870 03/30/2006 03/30/2007 BDDLLYTNJUIRY s NON•OWNEDAUTOS ft8 PROPERTY DAMAGE S GARACJELVtB1UTY AUTOONLY•EAACCOENT S ANYAUTO OTMERTMAN 'eAACC S AUTOONLY: AGO S EXCESSFJMBRELLA LIAR' EACH CCCURASWX OCCUR Ci AGGREGATE s 2,000,000 142343 04/07/2006 03/29/2007 s RETENTIM S $ 10,000 s s 1N10RKERSCOMPENSATIONAND X 0�, Allkw EMPLOYERSUABrLM 6S60U MS14B422 20/27/zo05 10/17/2006 E.L.EACHA S r C txcuww� ey�,. E.L.Dash-EA He1PL0 _ r SPB 1AL�b.I. El D -POLICY LIMB S kiOUU OTHER as per schedule D Egnipeent Floater 606DIN03719 11/23/2005 11/13/2006 on file DESCRIPTION OF OPERATtONSI LOCA71OW 1 V84CM1 EXCLUMONS ADM BY ENDORSEMENTI SPECIAL PROVE 1)ZWLYTT0lt CONTRACTOR Walgreens, Waverly street A Route 114, No Andover, MA Additional insureds but only with respect to work done by insured: D F Pray Inc, Rice North Andover LLC and Mark Investments Inc CERTIFICATE HOLDER SHOULD ANY OF THE ABOVE OE6CRIBEO POLICES BE CANCELLED BEFORE THE;;; D F Pray Inc DATE THEREOF.T#6 mwANG ommm wLL ENDEAVOR TO MAIL30 mys WRRnN 25 Anthony Street NOTICE TO THE CEITIFICATE HOLDER NAMED T011-M LEFT BUT FAILURE TD Do SO SHALL Seekonk, Imo, 02771 IMPO E to OBLIGATION OR UABIUT(OF ANY KIND UPON THE I OANE L ITS AGENTS OR rMW,16s. 895-4922 AUTHORVEDATIveTll ACORD26(YQ0 M) V ACORD CORPORATHM 1988 07/26/2006 09:05 FAX 15083363384 DFPRAY-FAX-2 001/002 ✓fie 130ARDOF OF BUILD RF-GU RATIONS License: CONSTRUCTION SUPERVISOR Number. CS 064841 • �: Bi thdete:07/01!1960 Expires:0710112006 Tr.no: 1887.4 Restricted: 00 RONALD H LAPRISE 312 OMEN ST �a� FALL RIVER, MA 02724 Commissioner - 61 BOARD OF BUILDI GULATiONS - License: CONSTRUCTION SUPERVISOR Number. CS 064615 Birthdatt:04117r'S35 Expires:04,`1712007 Tr.no: t2136 Restricted- 00 VINCENT H VILLELLA 181 RESERVOIR AVE 1 8'NANSEA, MA 02777 —L ion' 2, a