The URL can be used to link to this page

Home My WebLink AboutBuilding Permit #747 - 83 LIBERTY STREET 5/16/2007Permit N07�� Date Issued: BUILDING PERMIT TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Date RCCCIVCd b� �/ap�Rwno P45 DESCRIPTION OF WORK TO BE PREFORMED: 7 RPP1,4certi .,+ Lu, Ni!oCoS Ayer) rro: _i lb 3+4 -CIT cbv,2. j�r3v�`r cf JeCK S igme Identification Please Type or Print Clearly) OWNER: Name: Pt -Aug DAN ic4 Phone: ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE: BOLDING PERMIT: $12.00 PER $1000.00 OF THE TOTAL ESTIMATED COST BASED ON $125.00 PER S.F. Total Project Cost: $ S, X Z, c -D FEE: $ Check No.: qz) Receipt No.: (90o2 NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund 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 ❑ 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 o 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) ❑ 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 ❑ 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 ❑ 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 Doe: INSPECTIONAL SERVICES DEPARTMENT:BPFORM07 Revised 2.2007 01 Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ TYPE OF SEWERAGE DISPOSAL Public Sewer ❑ Tanning/Massage/Body 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 DATE REJECTED DATE APPROVED CONSERVATION ❑ ❑ COMMENTS DATE REJECTED HEALTH COMMENTS DATE APPROVED Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments Conservation Decision: - Comments Water & Sewer Connection/Signature & Date Driveway Permit Located at 384 Osgood Street 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 - Date Doc.Building Permit Revised 2007 Location �i J L, `'t /7 No. Date T r r NORTa TOWN OF NORTH ANDOVER 3: •. 0 O 9 Certificate of Occupancy $ Building/Frame Permit Fee $_1 we 14Us Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # 30 202) 0 Building Inspector fie Board of Building Re gulat ons and Standards ,Q One Ashburton Place - Room 1301 Boston, Massachusetts 02108 Home Improvement Contractor Registration Registration: 116688 Type: Individual STEVEN PAUL DICHIARA Expiration: 7/6/2008 STEVEN DICHIARA 68 WHITTIER ST NEWTON, NH 03858 DPS-CA1 0 5OM-04105-PC8698 Update Address and return card. Mark reason for change. Address Renewal Employment Lost Card UIONS BOARD OF BUINREPE TSOR` _/cense: CONSTRUCTION SU Numbers ;CS 055622 Bvthljate 061111/ 964 Explea 06/111201/8 Tr. no; 27741 Restricted STEVEN P DICHIARQ ' +rv, 1 68 WHITTLER STV`� ' NEWTON, NH 03858°w' 0oj rmjssloner ro U OOOF Vropool STEVE DICHIARA General Contractor P.O. Box 356 Newton Jct., NH 03859 MA LICENSE # 055622 • REGISTRATION # 116688 781-231-0768 • 603-382-6032 PR SAL SUBMITTED • I� MALft PHONE DATE STREET JOB NAME CITY, STATE and ZIP CODE JOB LOCATION ARCHITECT DATE OF PLANS • JOB PHONE We hereby submit specifications and estimates for: I e, n aZ Is --y--_ n c 0 _`J i r(A - S i Ze-- cl rbc) ., r U0 � e , , , �- �n a. ��, p v r 6 n I --� c�Zj )Ua- (NCt t 11 (AA AA Veg C-\e-�- -oxn8ows,� 1C_c-) 1) r c C) 0 0a iv r (a r �,- - e n T� We j)r000.5e hereby to furnish material a labor - com lete in accordance with above specifications, for the sum of: j V _ ' `e) dollars ($ 151 (� ). Paymentc)l ade s follows: c j 4- `°� le All material is guaranteed to be as specified. All work to be completed in a workmanlike Authorized manner according to standard practices. Any alteration or deviation from above specifications Signature - involving extra costs will be executed only upon written orders, and will become an extra Signature - charge over and above the estimate. All agreements contingent upon strikes, accidents or may Note: This proposal be delays beyond our control. Owner to carry fire, tornado and other necessary insurance. Our p p y n ---- _.,, —'Y ------- Y ..,,..,,,..., ,, .... „r,,,,,,,,,,,,,, ,,,�.., �,,..�. ..... .............., ... --F-- — — uy- 2cceptanee of proposal -The above prices, specifications and conditions are satisfactory and are hereby accepted. You are authorized to do the Signature work as specified. Payment will be made as outlined above. Date of Acceptance: Signature NORTH ANDOVER BUILDING DEPARTMENT DEBRIS DISPOSAL FORM Tel: 978-688-9545 In accordance with the provision of MGL c 40 S 54, a condition of Building Permit at: V 3 kC kk+ s I 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 10A., The debris will be disposed of in: WAS(-- �,'LvC � J (Location of Facility) !/ Signature of Permit Applicant Fire Department Sign off: Dumpster Permit SINIO 7 Date Q c� N a2 w y cy O O w a4 U w" x r�4 w a c�4 G w ba o aG G w w A cn Y 0 cn 2 N. go Cm C CD 0 Cm C .0 N Z O Z O 5 O F. N O 0 r� a CD O ® • L O V z CD CL O H Co CM Q C I C C y Q C A O > •r m m CD Co 3� CD Q L o a CLCa ca c .0 as CIO z 0 CL C-3 t/a O •C . C • C c Cos is 0 H U) W W W U) CERTIFICATE OF INSURANCE ISSUE DATE (MM/DD/YY) PRODUCER Insurance Solutions Corp 60 Westville Road 07 THIS CERTIFICATE IS ISSUED ASA MATTER OF INFORMATION ONLY AND DOES NOTRS NAMEND, EXTEND OR ALTER THE COVERAGE.AFON THE CERTIFICATE HOLDER. FIIORDED BY THE POLICIES BELOW. - COMPANIES AFFORDING COVERAGE Plaistow, NH 03865- INSURED Steven P DiChiara P 0 BOX 356 COMPANY LETTER A A.I.M. Mutual Insurance Co Newton Junction, NH 03859-0356 COVERAGES THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POT.ICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION Or ANY CONTRACTOR OTHER DOCUMENT WITH RESPECTTO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO LTR TYPE. OF INSURANCE POLICY NIJViBER POLICY EFFECTIVE DATE(MM/DD/YY) - POLICY EXPIRATIO DATE(MM/DD/YY) LIMITS GENERAL LIABILITY ]COMMERCIAL GENERAL LIABILITY GENERAL AGGREGATE $ PRODUCTS-COMP/OP AGO. $ PERSONAL & ADV. INJURY $ ,'C'LAIMS MADE[::::::]OCCUR �- OWNER'S & CONTRACTOR'S PROT. EACH OCCURRENCE $ FIRE DAMAGE (Any one fire) $ MED. EXPENSE (Any one person) $ — AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT $ ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per person) $ HIRED AUTOS NON -OWNED AUTOS !, BODILY INJURY (Peraccident) $ GARAGE LIABILITY PROPERTY DAMAGE $ iFIXCESS LIABILITY 711MBRELLAFORM - - EACH OCCURRENCE $ AGGREGATE $ )J'HER THAN UMBRELLA FORM WORKER'S COMPENSATION AND EMPLOYERS' LIABILITY I'IiG PROPRIETOR/ � INCL PARTNERS/EXECUTIVE OFFICERS ARE: X EXCL OTIIER 7013340012006 09/26/2006 _ 09/26/2007 - X WCSTATU- OTH- TORY LIMITS E ' FL FAru_ACCInENT __ EL DISEASE—POLICY LIMIT _$ $ 500,000 EL DISEASE --EA EMPLOYEE $ IOU 000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS n CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE NICHOLE PAPPAS EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE 64 FLORIDA ST LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. LOWELL, MA 01852 AUTHORIZED REPRESENTATIVE