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Home My WebLink AboutBuilding Permit #845-11 - 84 SECOND STREET 6/13/2011nit TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit NO: Date Received Date Issued: f'i_ i I '? :J C IMPORTANT• Applicant must LOCATION q ` 4? (,0 LQ ISA 4ro, 0�� MAP NO: 0 ( Print PARCEL: �� ZONING DISTRICT: all items on this page Historic District yes Machine Shop Village yes 100 year-old structure yes U YV iICGli .3G4�c,L t I _ DESCRIPTION OF WORK TO BE P. (Identification Please Type or Print Clearly) OWNER: Name: I i I 1 , A m JR, yr n k c- Non- Residential ❑ Industrial ❑ Commercial ❑ Others: f l rr - - 9,n Address: Sq- -w h qnd 0oG- Oq 14 CONTRACTOR Name: b-g-Mv y QbV,4rQcho phone: 4'7q 670 Tc pq Address: 7 Ri r N M A 4k, — I )„ Supervisor's Construction License: Exp. Date: Home Improvement License: (1 9 ( Exp. Date: ARCH ITECT/ENGINEE Phone: Address: Reg. No. 2 AI �a �?L no' no no FEE SCHEDULE. BULDING PERMIT.- $9200 PER $1000.00 OF THE TOTAL ESTIMATED COST BASED ON $925.00 PER S.F. Total Project Cost: $ q S K C) FEE: $ �j f Check No.: ZS �a Receipt No.: ` S NOTE: Persons contra ' h unr istered contractors do not have access to the guaranty fund Signature, of_Agent/O Signature of contractor 1-. PROPOSED USEResidentialng kJYPEOFROVEMENT ❑ One family Two or more family No. of units: repair, replacement ❑ Assessory Bldg ❑ Demolition ❑ Other U YV iICGli .3G4�c,L t I _ DESCRIPTION OF WORK TO BE P. (Identification Please Type or Print Clearly) OWNER: Name: I i I 1 , A m JR, yr n k c- Non- Residential ❑ Industrial ❑ Commercial ❑ Others: f l rr - - 9,n Address: Sq- -w h qnd 0oG- Oq 14 CONTRACTOR Name: b-g-Mv y QbV,4rQcho phone: 4'7q 670 Tc pq Address: 7 Ri r N M A 4k, — I )„ Supervisor's Construction License: Exp. Date: Home Improvement License: (1 9 ( Exp. Date: ARCH ITECT/ENGINEE Phone: Address: Reg. No. 2 AI �a �?L no' no no FEE SCHEDULE. BULDING PERMIT.- $9200 PER $1000.00 OF THE TOTAL ESTIMATED COST BASED ON $925.00 PER S.F. Total Project Cost: $ q S K C) FEE: $ �j f Check No.: ZS �a Receipt No.: ` S NOTE: Persons contra ' h unr istered contractors do not have access to the guaranty fund Signature, of_Agent/O Signature of contractor 1-. Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ TYPE OF SEWERAGE DISPOSAL Public Sewer ElTanning/Massage/Body Art El Swimming Pccls El Well ❑ Tobacco Sales ❑c Food Packaging/..ales ❑ Private (septic tank, etc. ❑ Permanent Durnpster on Site ❑ THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM DATE REJECTED DATE APPROVED PLANNING & DEVELOPMENT ❑ ❑ COMMENTS �6V 6_ "i 1; I:.0 Ufa iJil.{ItCAlUiV COMMENTS HEALTH Reviewed on Signature A COMMENTS C__ Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Conservation Decision: Commen Comments Water & Sewer Connection/Signature & Date Driveway Permit DPW Town Engineer: Signature: Located 384 Osgood Street FIRE DEPARTMENT'- Temp Dumpster on site yes no Located at 124 Main Street Fire Department, signature/date f COMMENTS r 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 Doc:.Building Permit Revised 2011 June/mi 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 Perr Addition or Decks ❑ Building Permit Application o Certified Surveyed Plot Plan ❑ Workers Comp Affidavit ❑ Photo Copy of H.I.C. And C.S.L. Licenses c Cel-jy 0'j Contracl: CS r-1001-1lJrossectioniE-levadoll Plan GI� I`'ro1: oseci VV01"K VV Ul dprii"filicl' i-ian Ana 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 Doc: Doc.Building Permit Revised 2008mi Location d7— No. Date TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $ J( IN, U L Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check# 2 "D Building Inspector 4 as w° J 0 U a Cd w "So w° 00 a°' G U u. a a°G pQ� F W w ; to a�' w H W W w� z cn .� o cn P ui z O 07 I p 'OC Ln O O �E m m CD CD CD � O 3.0 co O i m O d a- CMQ c C-0 c� v J .� w coQ CLC V (A c C W CLCO2 0 0 U) U) V9 19 W C4 o �a+c _v V -cc CL CL A O CD C O � N � Ed D o = 5 o n N oo $ c CL E Lm A N W mm m a O N CO 3 = •+ N Cm � CD N C O �p •� m O � :L C C CO) ea O E m m o c N � m co* m 41-2� cm o m p� m �r/n�• C.2 `o V J :ogo La Qi Q H_m C O LJL .. m o .Q � pm •N CA Q O LU cm ca go COD m o N O Z;.� �=�am� O 07 I p 'OC Ln O O �E m m CD CD CD � O 3.0 co O i m O d a- CMQ c C-0 c� v J .� w coQ CLC V (A c C W CLCO2 0 0 U) U) V9 19 W C4 ACQRD. CERTIFICATE OF LIABILITY INSURANCE OD E DATE (MMlbD/YYyy) THIS CERTIFICATE 1S ISSUED AS q MATTER OF INFC?RMAT(ON 04/13/2011 Prescott & San Insurance Agency, Inc. ONLYAND CONFERS NO RIGHTS UPON THE CERTIFICA 963 Eastern Avenue TE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR Malden, MA 02148 ALTER THE COVERAGE AFFORDED BY THE pOUCIEi BELOW. 1 RED INSURERS AFFORDING COVERAGE INSURER NAIc # Dempsey, ECIC Savers Property & Casualty Insurance COM3an 7 Richardson Sreet INSURERB; 31771 Billerica, MA 01821 INSURER a. INSURER D; CAGES INSURER E. THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE REOUIREh1EN ", ERM OR CONDITION INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITH; TgNDIN OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE AHE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT IT AGGREGATE LIMITS SHOWN TO ALL THE TERMS, EXCLUSIONS MAY HAVE BEEN REDUCED BY PAID CLAIMS. ISR ADD'L MAY BE ISSUED MAY PERTAIN. AND CONDITIONS n' T�fSRD TYPE OFiNSURANCE - _. --.._ OF SUCHPOLICI!_S. - _.---poucY'NUMBER-Pouc)YE CTI VE ------EXpIRATI N GENERAL LIABILITY DATE (MMWDlYYI DATE (haMipiSjyyj ---- COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS MACE OCCUR DAMAGE TO RENTED PREMISES (Each Oxurence) $ MED EXP (Any one person) $ PERSONAL & ADV INJURY - $ GENL AGGREGATE LMR APPLIES PER: GENERAL AGGREGATE $ POLICYPRcLDc r PRODUCTS. COMPIOPAGG $ AUTOMOBILE LIABILITY ANY AUTO COMBINED SINT,LE LIMIT (Each accident) $ ALL OWNED AUTOS t SCHEDULED AUTOS BODILY INJURY HIRED AUTOS (Perperson) $ NON-CWNED AUTOS BODILY INJURY (Per accidard) $ PROPERTY DAMAGE GARAGE LIABILITY (Paracddent) - $ ANY AUTO - AUTO ONLY- EA ACCIDENT $ OTHER THAN EA A(C $ EXCESS/UMBRELLA LIABILiT,' .. . AUTO ONLY: OCCUR ❑ CLAIMS MADE AC G EACH OCCURRENCE $ DEDUCTIBLE AGGREGATE $ RETENTION $ - $ WORKERS COMPENSATION AND EMPLOYERS LIABILITY $ ANY PROPRIETQRlpARTNERIEXECUTIVE W STATUTORY OTHER LIMITS OFFICERMEMBER EXCLUDED? Ifyes. desvibe PROVISIONS Baa„ AR0426077 09/16/2010$ 09/16/2011 E.L.EACH ACCIDENT 100,000 E.L.DISEASE—EAEIBLOYEE $ 100,000 HER E.L. DISEASE—POLICY LIMIT S 5000 0 SHOULD ANY OF THE ABOVE pESCRIBED POLICIES BE CANCELLEEN D BEFORE THIS EYP." orl oi.Te THeneor, Tne ISSUING WeVRER WILL ENnFAVOR TO I11AIL..1.0 DAYS THE LEFT', BUT FAS.URE TO DO 90 9 HALL IMPOSE NO OBLIGATION OR�LUU3I�ITY OF ANY K N( UPON TNF /Nst mco RS AGENTs rIR oeoot -- OLDER NAMED TO - n1Al1Y Dempsey Construction & Roofing Specialists 7 Richardson Street Billerica, Ma 01821 978-670-8904 Customer Name Regina Brooks Address 84 Second Street City Andover Phone 978-689-3167 State Ma ZIP 01845 Qty Description: All shingled roof areas. Strip existing layer down to roof deck & re -nail where necessary. Any broken or rotten plywood/roof boards will be replaced at an additonal— st of tlrn d-rat-eftl-- - - -- - - — -- -- Install 6' ice and water shield underlayment along eves on back additonal & 3' on main house. Install 151b felt paper on remainder. Install 8" white aluminum drip edge around entire perimeter. Install 30 year, 3 -tab or architect roofing shingles(color and style determined by homeowner). Counter flash and caulk 2 chimneys were necessary. If upon stripping, flashing appears to be inadequate, new lead will be ground in at an additional price of $350.00/per chimney. Install new 2" pipe flange on back addition then cut top & install new 4" pipe flange on main. Remove all roofing debris. This is a labor, materials, permit and dump proposal. Revised: Cut in and install ridge vent on main house and back addition. Remove 2 chimneys down to roof line and board in/each Install gable end louver in exchange for homeowner purchasing necessary permits. Proposal is good for 30 days from above date. Five year warrantee on all workmanship I oyu.cna vcaaua OO Check O made payable to Eric Dempsey $4,000.00 down for materials remainder due upon completion Thank you for choosing Dempsey Roofing Proposal -- Date 5/2/11 Order No. Rep FOB Unit Price TOTAL $180.00 $100.00 Original price $9,600.00 Extras $180.00 $9,880.00 � Office Use Only ✓11C T/J09Ji//JZO�ItIlIG'lll.[/L O�vI.CWeGT4 _ Office of Consumer Affairs & Business Regulation - HOME IMPIR EMENT CONTRACTOR Registration ,150272 Expiration X2912012 Tt# 292627 Type: ltiaa��r DEMPSEY CONST & RfJ(5E►N ERIC DEMPSEY 7 RICHARD SON BILLERICA, MA 01821 Undersecretary Massachusetts - Depal-ttnent of Pill)lic Safetz Board of Buildin Re-,ulations and standards CWtruction Supervisor Specialty License License: CS SL 99681 Restricted to: RF,WS,DM ERIC DEMPSEY 7 RICHARDSON STREET BILLERICA, MA 01821 Expiration: 5/23/2012 ( unsnissi nx•r Tr#: 99681 i CERTIFICATE OF LIABILITY INSURANCE{�,°;7;;,wJ!,DNY,�' THIS CERTIFICATE'- IS ISSUED AS A NATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CVATIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES ' BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING IASURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER g IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les) must be endorsed. If SUBROGAII ON IS WANED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate d+tles not confer rights to the certificate holder in lieu of such endorsemen s .. PRODUCER :�CT Consercial Lines !' Prescott and Son Insurance Agency, Inc. 963 Eastern Avenue PHONE (781) 322-2350—z:•� No ADZEAIL PRODucER 0037175 Maldein MA 02248 INSII AFFORDINGCOVERAGE� NAtcA INSURED INSURER A USF Insurance Co 'a INSURER Dempsey Construction Roofing Specialists 7 Richardson 3t INSURER c C NSURERD: ? j INSURER E: f Billerica. MA 01821 INSURER F: rti\�V�Vx\ i\Y'Ie1OCR: THIS ES TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE ENSURED NAMED ABO'E FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WI'1:H RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS S::BJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES_ LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. W SR ; L, ! LTR . TYPE OF INSURANCE 3 POLICY NUMBER EFF POLICY ExP GENERALLIABILITY i i EACHOCCURRc1,.CE S 1,000,000 X C041flERCIFt Gc,\ER<;! LL+BILIY —{--- A i ! CLAIFdS•MADE; X OCCUR XGBGL67263R1 i ) /3/2010 /3/2011MED DA�9A RETE! D PR Itu i s 100,000 rre:1�I , EXP(Any an an) S 5 000 r i t PERSONAL &AE3YWJRY IS 1,000,000 GENERALAGGRAIE is 2,000,000 —� ! GENLAGGREGATE LIMTTAPPLIES PER: {PR0. PRODUCTS-CONPIDPAGG I s 1,000,000 IS { POLICY ; �CTLOC i i, AUTOMOBILE LIABILITYI ! COMBINED SINCE; LIMIT ANY AU'O } (Ea actlde) S M., pocarn) ? S } !! ALL , A10: WED AL i OS i ? SOD1LYtIWURY _Yeraecideat)y S S ,,_ G:U =E7 AUT ; i PROPERTY—DAIMASE_R ; c (per acd--em 70S NON -CYANED AUTOS f ` _ 1 �g UMBRELLA WtE3 OCCUR — EXCESSt1A8 ? EACH OCCURRE=CE S CLAIMS AGGREGATE S ;DEDUCTIBLE tt ! f i RETENTICi: _ is N!ORKERS COMPENSATION i AND EMPLOYERS' UAeU17Y YIN, WC STAT t ;O7H j ECCLUu S,? N / A { t E L. EACH ACCIDEBMT (Mandatory In Will i If yes, CeSCire under # , EL DISEASE - F'l !ESi7PLDYc= S IDESCRIPTION OF OPERATIONSl:etza EL O(SE11SE_Fr1.ICYUDdtTS DESCRIPTION OF OPERATIONS 1 LOCATIONS 1 VEHICLES (Attach ACORD 101, Additional Remarks Schedule, ifmom space is required) SHOULD ANY OF THE ABOVE DESCRIBED PO LIC:EES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOT1;I3 WILL BE DEUVERED IN ACCORDANCE WITH THE POLICY PROVISIONIL AUTHORZ= P"RE$EHTAi1VE S Scholnick/CAR -�--� ®1988-2009 ACORD CORP(IFIATION. All rights reserved. Ire registered marks of ACORD