The URL can be used to link to this page

Home My WebLink AboutBuilding Permit #409 - 86 Second Street 11/17/2006 TOWN OF NORTH ANDOVER ORTF/ APPLICATION FOR PLAN EXAMINATION o� p4 FO A T1s Permit NO: � Date Received Date Issued: �� — CHUS��q� IMPORTANT: Applicant must complete all items on this page LOCATION cc, �Gr�l Z� �P�-[� /�10L?� JJ-lgbo`J 6rz I0 q Print PROPERTY OWNER �(; �IJA Print MAP NO.•r/3 9 PARCEL: ZONING DISTRICT: 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: epair, replacement ❑ Assessory Bldg ❑ Commercial ❑ Demolition ❑ Moving(relocation) ❑ Other ❑ Others: ❑ Foundation only DESCRIPTION OF WORK TO BE PREFORMED Xrm4 I wrrLfi 14A"&q CLy6!;,r b2o sL6 4VAa`- 9,c--,,Dt9-C.CS7w --e-L f LJ#4J>0c.9. Identification Please Type or Print Clearly) OWNER: Name: 'tOMd} k 2VA kkwLk Phone: Address: f?CO C-1C-C A t 2 G I?G-C-� I-40i T�3ALA�C-X- M Ad I Y41� CONTRACTOR Name: Phone: 0�7�1/G Address: Supervisor's Construction License: �4Exp. Date: Home Improvement License: � od �C Exp. Date: ARCHITECT/ENGINEERL11/ Name: Phone: Address: Reg. No. FEE SCHEDULE:BULDING PERMIT.•$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost :$� y�f, 40 FEE:$ �O % Check No.: s2b Receipt No.: 9 Page I of 4 i TYPE OF SEWERAGE DISPOSAL Tanning/Massage/Body Art ❑ Swimming Pools ❑ Public Sewer ❑ Tobacco Sales ❑ Food Packaging/Sales ❑ Well ❑ Permanent Dumpster on Site ❑ Private(septic tank,etc. ❑ Electric Meter location to project NOTE: Persons contracting with unregistered contractors do not have access to the guaran fund Signature of Agent/Owner Signature of contractor Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ 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 DATE APPROVED HEALTH ❑ ❑ COMMENTS FIRE DEPARTMENT - Temp Dumpster on site yes no Fire Department signature/date COMMENTS 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 i Building Setback (ft.) Front Yard Side Yard Rear Yard Required Provided Required Provides Required Provided Dimension Number of Stories: Total square feet of floor area, based on Exterior dimensions. Total land area, sq. ft.: NOTES and DATA—(For department use) Page 3 of 4 Doc:INSPECTIONAL SERVICES DEPARTMENT:BPFORM05 Created JMC.Jan.2006 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 ❑ 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 Page 4 of 4 Location No. D .9 Date NORTH TOWN OF NORTH ANDOVER Oft . o ,h f s ` Certificate of Occupancy $ CMus<� Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ a-� TOTAL $ Check # 198,14 r , -- -Building Insp Q ✓lze �amrr�o.uueallti o� �aclzuaelza Board of Building Regulations and Standards HOME IMPROVEMENT CONTRACTOR Registration: 140298 Expiration: 10/1/2007 Type: DBA A.L.CORNELLIER PROPERTY CARE&CO. ANDREW CORNELLIER 54 SAYLES ST. � �,� LOWELL,MA 01851 Administrator _ �rnpo�x.11 A.L. CORNELLIER Property Care & Construction Co. 3 Chard Road Tyngsboro, Ma 01879 978-649-2452 Construction Supervisors License#055341 / Home Improvement Contractor Reg#140298 Proposal Submitted To: Date: October 5,2006 Dana & Erin Hall Job Name: Windows 86 Second Street North Andover Ma 01845 ATTN: Dana& Erin We hereby submit an estimate for: 1. The replacement of four windows(2- kitchen&2- living room)with Harvey's Classic double hung replacement windows. The replacements will consist of the following: • Color white • Low E glass • 5/8 two over two colonial grill • Two cam action locks • %screen ;roject Welded frame 2. scope: • Remove old windows to include screen—home owner to dispose of old windows • Fit new window into opening, insulate and seal to house • Install window trim to interior where applicable • Install white aluminum around exterior casing • Apply caulking where applicable OP ID ACORD DATE(MM/DD/YYYY) CERTIFICATE OF LIABILITY INSURANCE ALOP ID 11/07/06 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Kilgore Insurance Agency HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 33 Centennial Drive ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Peabody MA 01960 Phone: 978-531-6550 Fax:978-531-9442 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURERA: Granite State Insurance INSURER B: A.L. Cornellier Property Care andConstruction ` D INSURER C: Lowell MA 018511 3��N f`® � INSURER D: ® URER E: COVERAGES 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.ACCREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ON LTR NSR TYPE OF INSURANCE POLICY NUMBER DATEYMM/DD/Y1 E DATE MM/DDS LIMITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY PREMISES(Ea occurence) $ CLAIMS MADE F—] OCCUR MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ POLICY PRO JECT LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ANY AUTO (Ea accident) $ ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per person) HIRED AUTOS BODILY INJURY NON-OWNED AUTOS (Per accident) $ PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE $ ] DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION AND X ITORY LIMITS ER A EMPLOYERS'LIABILITY WC 874-04-47 04/26/06 04/26/07 E.L.EACH ACCIDENT $ 100000 ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? E.L.DISEASE-EA EMPLOYEE $ 100000 If yes,describe under SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT $ '5500000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS RE: Dana Hall CERTIFICATE HOLDER CANCELLATION DANHAL SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE TIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL Dana Hall 86 Second Street IMPOSE NO LI A.T OR LIABILITY IND UPON THE INSURER,ITS AGENTS OR North Andover MA 01845 REPRES TA ES. AU ZED EPR ENT I .. er ACORD 25(2001/08) 9 ACORD CORPORATION 1988 ACOIRD,, CERTIFICATE OF LIABILITY INSURANCE DATE11/8/2006/8/2006 PRODUCER (978)459-2101 Ext. THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Daigle Company, Albert A. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 313 Willard Street ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Dracut, MA 01826-5099 INSURERS AFFORDING COVERAGE NAIC# INSURED Andrew E. Cornellier DBA A L Cornellier Prop. INSURERA:Arbella Protection Ins. Co. Care & Construction INSURER B: 3 Chard Rd. INSURER C: Tyngsboro, MA 01879 INSURER D: INSURER E: COVERAGES 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. ILTR SR O INSURANCE POLICY NUMBER DATEYMWDD/YYE POLICY MM/DD/YYON LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000.00 DAMAGE TO RENTE17- X COMMERCIAL GENERAL LIABILITY 8500035377 10/29/2006 10/29/2007 PREMISES(Ea occurence $ CLAIMS MADE F-1 OCCUR MED EXP(Any one person) $ 5,000.00 A PERSONAL&ADV INJURY $ 1,000,000.00 GENERAL AGGREGATE $ 2,000,000.00 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,000.00 POLICY j LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ANY AUTO (Ea accident) $ ALL OWNED AUTOS ... BODILY INJURY $ SCHEDULED AUTOS (Per person) HIRED AUTOS BODILY INJURY $ NON-OWNED AUTOS (Per accident) PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE $ DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION AND WC LIMITO I R EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? E.L.DISEASE-EA EMPLOYEE $ It yes,describe under SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT I$ OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION Dana Hall SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION 86 2nd St. DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL N. Andover MA 01845 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSU ,ITS AGENTS OR REPRESENTATIVES. AUTHORIZE ATIV ACORD 25(2001/08) © RPORATION 1988 St Fruirust herby to furnish material and labor—complete in accordance with the above specifications, for the sum of: Diagram: N/A Permit: 24.00 Disposal: Homeowner Materials: 937.09 Labor: 520.00 Project Total $1,481.00 One third of projects total is required at the start of project with the balance due upon project completion. All material is guaranteed to be as specified for the team of one year. All work to be completed in a workmanlike manner according to standard practices. Any alterations or deviation from the above specifications involving extra cost win be executed only upon written orders,and will become an extra charge over and above the estimate t a rate not to exceed$75.00/hr All agreements contingent upon strikes,accidents or delays beyond our control, Own o ca fire,tornado and other necessary insurance. Authorized Signature: Acceptance of Proposal—the above pries,specifications and conditions are satisfactory and are hereby accepted. You are authorized to do,Pr.,work as specified, payments will be made as outlined above. Signature tx. - Signature Date of Acceptance A.L. CORNELLIER Property Care & Construction Co. 3 Chard Road Tyngsboro, Ma 01879 978-649-2452 Construction Supervisors License#055341 / Home Improvement Contractor Reg#140298 Proposal Submitted To: Date: October 5,2006 Dana& Erin Hall Job Name: Windows 86 Second Street North Andover Ma 01845 ATTN: Dana & Erin We hereby submit an estimate for: 1. The replacement of four windows(2- kitchen&2- living room)with Harvey's Classic double hung replacement windows. The replacements will consist of the following: • Color white • Low E glass • 5/8 two over two colonial grill • Two cam action locks • %screen Welded frame 2. Project scope: • Remove old windows to include screen—home owner to dispose of old windows • Fit new window into opening, insulate and seal to house • Install window trim to interior where applicable • Install white aluminum around exterior casing • Apply caulking where applicable