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HomeMy WebLinkAboutBuilding Permit #756 - 85 COLONIAL AVENUE 6/5/20064' �ss�cMus� Permit 'i0: Date Issued, • �a LOCATION PROPERTY 0V1'tiE 1N,1,,kP NO.: TOV4'N OF NORTH ANDOVER APPLICATION FOR PLAN EX_WNATION IMPORTANT: Applicant must PARCEL: TYPE AND L'SE OF BUILDING TYPE OF IMPROVEMENT New Building Addition Date Received: Fete all items on this Print ZONING DISTRICT: HISTORIC DISTRICT YES ❑ PROPOSED USE Residential Non- Residential One family Two or more family -Industrial Alteration No. of unit- Alteration Assesso Bldg_Commercial Repair, replacement �` DemolitionOthers: r loving,(relocation) =Other = Foundation only DESCRIPTION OF WORK TO BE PREFORMED Identification Please Type or Print Clearly) 4'11 k", O'%'NER: 'Mame: Address: F!� CONTR.,kCTOR Marne: Address: I Supero isor's Construction License: Q to ! Exp. Home: Improvement License: 1 —Exp' ARCHITECT. E,NG[tiLER \.1me: Phcne: address: Reg. Noy C�� a ( S-Sj 377 Date: G 2 J 0 fo Date: FEE SC'HEDL LE: BL Lt�l,'.G PERMIT. SI0.,)0 PER 'i +900.00 OF THE TOT. IL ESTVI t TED C,�T SASED 0," S1-'� ��n PER S" 10.00=FEE:$ Total Project Cost :$_--_ G -y x 30 oD Check No.: Receipt No. Location Y57 1 ►4/'_' No. Date X Ste' d L v NORT1y TOWN OF NORTH ANDOVER O F? n .. 9 a y } �o Certificate of Occupancy $ Its CMUS (�' Building/Frame Permit Fee $�� Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # Building Inspector 1 TYPE OF SEA'ARGE DISPOSAL Tanning Massage Body .art SI imming Pools Public Setter _ — Well _ Tobacco Sales -- Food Packaging Sales g _ _ - Permanent Dempster on Site Private (septic tank, etc. _ Electric Meter location to project NOTE: ■ C'1'1-11.3 1 "F981 CIL ES wnrl l//lrcgt.vjereu c011irnCrors do not have ac'c'ess to the u anty ,.f and Signature of Agent, O,,rner. Signature of Contractor j Plans Submitted Plans Waived Certified Plot Plan _ Stamped Plans _ THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM PLANNING & DEVELOPMENT COMMENTS CONSERVATION COMMENTS ,. HEALTH CUMMEtiTS Luning Board of Appeals: � ariance. Petition DATE REJECTED DATE APPROVED ❑Water Shed Special Permit 1i Site Plan Special Permit J Other DATE REJECTED �j DATE REJEUED oning Decision,rcccipt submitted pcs 1":.rnnim, 8,rrrd 11eci,�ion: _ -- —--(--ornntcnts- ------•.�tnntcnts '. t(•r.'- °,:-A(x ion i,,.tatw-L & -'at,, imp �wnp:;ter cn i e yes_ -'io =ire Dcpartmcnt si natur_ dare Building Pcrmil Approxcd and (ssucd by: ��-------- r.,�4��rt DATE APPROVED DATE :APPROVED Building Setback (ft.) Front Yard Side Yard Rear Yard Required Pro% ided Required Provides Required Provided i)LNILI ANIU�I Number of Stories: Total square feet of floor area, based on Exterior dimensions. Total land area, sq. ft.: i. ,� . 11 .I „, Building Department The following is a list of the required forms to be filled out for the appropriate permit to be obtained. Rooting, 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 o Floor/Crossection/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraul Calculations (If Applicable) Mass check Energy Compliance Report (If Applicable) New Construction (Single and Two Fancily) Building Permit Application Certified Proposed Plot Plan Photo of H.I.C. And C.S.L. Licenses Workers Comp Affidavit o Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (if Applicable) o Copy of Contract :j Mass check Energy Compliance Report In all cases if a variance or special permithe was required mthe Town ust then getthisrecord d at the Registry of Deeds. One Board p)rand 1ppeals that the appeal period is over. T proof of recording must be submitted %ith the building application UN:I' `_R'I IP, I':ill'FOR` " 4 r l l M Ncn r(n MW 0)_Z 0) F �D co CO �a o From: Peggy Butters At: Hub International Insurance CO FaAD: 9789880038 To: Wanda Date: 4202006 04:08 PM Page: 2 of 3 Ate_ CER 'IFICATIE-5OF LIABILITY INSURANC8- OP ID P DATE(MIAIDDIYYYY) MACKP-1 04/20/06 PRODUCER THIS CERTIFICATE IS ISSUED AS MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HUB International New England HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 299 Ballardvale St ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Wilmington MA 01887 Phone: 978-657-5100 Fax:978-658-9185 INSURERS AFFORDING COVERAGE MAIC9 INSURED INSURER A: rational orange Hutual x=. co INSURER B: Mack PaintinCarpentry 6 Wall INSURER C' 185 Walnut Street INSLfiiERO: Lynn MA 01905 INSURER E: r�ur•e, . n rn THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY 8E ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR NSR TYPE OF INSURANCE POLICY NUMBER DATE (MMIDDIYY) DATE (OLILYLM DIYY) LIMITS GENERAL LIABILITY EACH OCCURRENCE $1000000 A X COMMERCIAL GENERAL LIABILITY CLAIMS MADE D OCCUR 14POO7543 01/30/06 01/30/07 PREMISES (Ea occurence) $ 500000 MED EXP (Any one person) $10000 PERSONAL &ADV INJURY $1000000 GENERAL AGGREGATE 52000000 GENL AGGREGATE LIMIT APPLIES PER. POLICY JECT El LOC PRODUCTS - COMPIOP AGG $2000000 AUTOMOBILE LIABILITY ANY AUTO$ COMBINED SINGLE LIMIT (Ee acadonl) ALL OWNED ALTOS SCHEDULED AUTOS BODILY INJURY $ (Per person) HIRED AUTOS NON -OWNED AUTOS BODILY INJURY - (Per accideri) $ PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO .. OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESSIUMBRELLA LIABILITY OCCUR CLAIMS MADE' , EACH OCCURRENCE $ AGGREGATE $ DEDUCTIBLE $ RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY TORY LIMITSI FR ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEmBER EXCLUDED? E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ It yes, describo under SPECIAL PROVISIONS below- E.L. DISEASE - POLICY LIMIT $ OT14ER A Property Section 14P007543 01/30/06 -_01/30/07 DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS: - papering, painting W. E. McCarthy, Inc listed as addit-i -.-sl insured AT31% RE: rented equipment CERTIFICATE HOLDER CANCELLATION WEMCC-1 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAA 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL y IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHO _ ATIVE ACORD 25 (2001108) © ACORD CORPORATION 1988 1111AIAM TALI 15.11 FAX 17R15982423 WOODWARD INS 0 01 AMIRP., CEPM1"IC WE OF LIABILITY IMSURANCE 7 DATE 11/m/2005' eaoouCER (781) 598-3050 FAX (781) 598-24Z3 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Frederick H Woodward Insurance ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR Tewksbury Insurance Agency LLC ALTER THE COVERAGE AFFORDED BY TWE POLICIES BELOW" =N,12 156 Broad St -Suite 202 Lynn, MA 01901 INSURERS AFFORDING COVERAGE # INsuRm Everett MCKe[ n e INSURER A: National Grange Mutual 14788 DBA: Mack Painting & Wall Papering INSURER 8: CNA _r 185 Walnut Street INSURER C. INSURER D: Lynn, MA 01905 " WNSURER E• z UU V CKAU t THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, 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 AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. 1Tgr:.GL INSR IY TYPE OF INSURANCE POLICY NUMBER POLICY EFFEG7WE POLICY EI(PIRATION LIMITS asu GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED S MED EXP (Any dna PerNn) i CLAIMS MADE OCCUR PERSONAL 8 AOV INJURY S A 4j GENERAL AGGREGATE 5 GENL AGGREGATE LIMIT APPLIES PER PRODUCTS • COMPIOP AGG S n POLICY PRO- JEC7 LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMB 3 ANY AUTO (Em smIdem) BODILY INJURY S (Par person) ALL OWNED AUTO$ SCHEDULED AUTOS BODILY INJURY - S (Par seeldenl) HIRED AUTOS NON•OWNED AUTOS PROPERTY DAMAGE $ (Per accldenll GARAGE LIABILITY AUTO ONLY-EAACCIDENT S OTHER THAN EA ACC S ANY AUTO AUTO ONLY. AGG S EXCESSIUMBRFILA LIABILITY EACH OCCURRENCE S AGGREGATE S OCCUR F-1 CLAIMS MAD_ S S DEDUCTIBLE S RETENTION 8 WORKERS COMPENSATION AND 6.SS9US-3610842-5-04 09/08/200S 09/08/2006 X WC STAS oTH. E.L EACH ACCIDENT S 100 00 B FMPLOYEW LABILITY ANY OFFICER/MEMBER EIARTNEE07 ECUTIVE E.L. DISEASE -EA EMPLOYEE S 100.000 Ites. delrrIbe under SPECIAL PROVISIONS below E-1DISEASE - POLICY LIMIT I, _S00,00 OTHER DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS AODEO AY ENDORSEMENT! SPECIAL PROVISIONS . ACORD 25 (2001108) FAX: H1 1M SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE TIE EM ON DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 1 D ITTEN NOTICE TO THE CERTIFICATE HOLDER NAKED TO THE LEFT, B!�UT AILu NAIL SUCH NOTICE SHALL IMPOSE NO OBUQATION OR LtA61LrrY OF1A lU N THE INSURER RS AGENTS OR REPRESENTATIVES. - OACORD CORPORATION 1986 MACKS PAINTING CARPENTRY &WALLPAPERING 185 WALNUT STREET LYNN, MA 01905 PH: 781599-3773 FX: 781599-6773 DATE: 05/26/06 BILL TO: Jeff Castalado 85 Colonial Ave N. Andover, Ma PH: 978 682-5609 PROPOSAL#164 WORK TO BE PERFORMED AT: 85 Colonial Ave N. Andover, Ma PROPOSAL DESCRIPTION: EXTERIOR WORK TO BE PERFORMED DEMO -Remove all rotted wood -Remove all corner board and skirt board -Remove all rotted trim around doors and windows REBUILD -Replace all rotted wood with new -Replace all corner board and skirt board with new -Replace all trim around doors and windows with new TOTAL AMOUNT DUE: -------- ------------------ -------- —---------- ---- —------------------------ -------$3000.00 *Note — Any additional work not mentioned in the above proposal will be considered an extra Payments are to be made as follows: $1500.00 down to start, $1500.00 due upon completion of job ACCEPTANCE OF PROPOSAL The above prices, specifications and conditions are satisfactory and are hereby accepted. Macks painting, Carpentry and Wallpapering is authorized to do the work as s ecified move. DATE: (Customer)SIGNATURE DATE: (Contractor)SIGNATURE�%��G' AMOUNT PAYABLE UPON RECEIPT Thank You for Your Business p� ✓iic, Zoo7�vnwnurealCi a�,�l�uac�u�t6 Board of Building Regulations and Standards HOME IMPROVEMENT CONTRACTOR Registration: 115716 Expiration: 4/4/2008 Type: Individual JOHN PERRY JOHN PERRY 76 PITMAN RD MARBLEHEAD, MA 01945~ Administrator AM - i BOARD OF BU DI G REEGGUaLATIONS ; i License: CONSTRUCTION SUPERVISOR Number: CS 065399 j Birthdate: 06/25/1943 Expires: 06/25/2006 Tr. no: 1784.0 Restricted: 00 P JOHN PERRY 76 TMAN RD MARBLEHEAD, MA 01945, Commissioner !3 1.4.P LA O z • w � u u O w v V)_ v cn O U � A p w O U G w O W p a: C w O W W w chi G i�. � a r� G ii w C cA cn O cn c o me c H O C i..O V V CL • p, C O ea ' m c :Z O Cob= EC c r CL fq E5 ,oma z$ co ".■ C,3 cm lij m c CO �. y N y � �3p c y ev O O :Em cc CD �=Z O C W C O Q y � �.. 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