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Home My WebLink AboutBuilding Permit #028-2011 - 93 BONNY LANE 7/2/2010 BUILDING PERMITf NORTH TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit NO: o� Date Received � 4 '9 RATED,S Date Issued: -7 Z11U SSAC14US IMPORTANT:Applicant must complete all items on this`page -LOCATION PROPERTY r Print T PnntM 4 tMAP 210 : PARCEL . ZONING DISTRICT. Histone=D1stncts - -es, es trio MachineShop:Village yes rio TYPE OF IMPROVEMENT OPOSE U E Residential Non- Residential New Building Zeily Addition o or more family Industrial Alteration No. of units: Commercial Repair, replacement Assessory Bldg Others: Demolition Other SepticWell i t FloodPlairi 1Netlands VI%atershedtDistnct; Water/Seweri _ +' # DESCRIPTION OFWORK TO BE PREFORMED:!�(il �6�Gl�t .41G.�'D Identification Please Type or Print Clearly) OWNER: Name:�'Y//P L-�w / � ,//d / Phone• 02 7U� Address: NV^ 1_4 yL/? V. GgN,TiRACTOR Name {, /L �,-- / r - fir vLC'' Phone ' ., _ � -C- � Addrkessµ _ - sem, t �Superyisor�sConstrucfion�''License. . e �''y - Expw. : Ho:meIrn 6vement_Licen"se S ,._.,r Exp �Da"�ew ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE.BULDING PERMIT:$92.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: ct A 6 p 1 Ob FEE: $ Check No.:No.: Receipt No.: AIJ 0615 NOTE: Persons contracting with unregistered contractors do not have access to e guara fund Sgnatureof_Agent/Owner_ - Signature_of confracto _ Location g_ �Q/VA I V �GNf No. 0,:�2�— .?o// Date 7 /� M0RTN TOWN OF NORTH ANDOVER 0�."a. ,, 0 0 n Certificate of Occupancy $ s�C"�s Building/Frame Permit Fee $ 3�2 Foundation Permit Fee $ Other Permit Fee $ TOTAL $ �f Check # 7 6 4 206fu Building Inspector Plans Submitted Plans Waived Certified Plot Plan Stamped Plans I 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 r _ THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM i DATE REJECTED DATE APPROVED PLANNING & DEVELOPMENT COMMENTS CONSERVATION Reviewed on Signature COMMENTS HEALTH Reviewed on Signature COMMENTS 1 Zoning Board of Appeals:Variance, Petition No: Zoning Decision/receipt submitted yes a Planning Board Decision: Comments i Conservation Decision: Comments ; Water & Sewer Connection/Signature&Date Driveway Permit t DPW Town Engineer: Signature: Located 384 Osgood Street FIRE.DEPARTMENT; Temp Dumpster br site yes.. no _, Located at 124 Maui Street r: ° 9re`Departments�gnature/date. =COMMENTS--- L Dimension Number of Stories: Total square feet of floor area, based on Exterior dimensions. Total landarea, 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 2010 J 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 I, re dumpster permits p p quire sign off from Fire Department prior to issuance of Bldg Permit Addition Or Decks ❑ Building Permit Application ❑ Certified 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) + ❑ 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) 1 ❑ 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:Building Permit Revised 2008 I ORTH TO" of And No. PIP dover, Mass., la COCHICHEWICK y�. %d ADRATED P'P�t�� 7`S ` BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System 4., BUILDING INSPECTOR THIS CERTIFIES THAT............ . ® `� � � �` ........................................................................................................................................ Foundation has permission to erect......... .............................. buildings on ..... 3...... r� . ..... 4'..IYe............................ Rough L'' CP « � r Chimney to be occupied as......................... �� ./d!f..... .... u ": -............... � ��.. ............................................................. 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 PERMIT EXPIRES IN 6 MONTHS CTIO STAR S ELECTRICAL INSPECTOR UNLESS CONSTRU Rough f' Service .. ..... . ....... BUILDING INSPECTOR 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. � • �1 1 fir, as r Proposal Phil Lacroix & Sons, Inc. BUILDER / CONTRACTOR For Over 50 Years 151 Shore Drive Salem, NH 03079 (603) 890-3998 Phillacroinandsons.com Proposal Submitted to: Mr.Allan&Mrs.Carol Lebovidge Date: 712/2010 Home Phone: 978-689-3758 Street: 93 Bonny Lane City, State,Zip: N Andover,MA 01845 Job Name: Window Wall Units We Hereby submit contract for the following: To install Coastal "window wall" units to replace the Andersen windows in the game room. The windows will be"metal clad ' bronze in color on the interior and exterior and have%Tempered Low T"Argon Gas Glazing to meet code. Wood extension jambs and wood casing shall be stained to match the surrounding wood work. The exterior will be trimmed in"primed"pine and painted to match the house. We shall match the present configuration as closely as possible. We had to revise our original estimate to the following: A) Code demands tempered glass on the larger lower windows, and B)the smaller windows will be glazed. Our revised cost includes stock labor and tax. $26,000.00 The interior shall be wood/stained and finished to match the surrounding wood work. The exterior wood trim will be painted to match the house trim. We will adhere to the manufacturers high standards for installing the windows. We will only remove those windows that we can effectively replace on any given day. Therefore, your home will be secure at the end of each working day! • l Nlassachusetts- Department of Public Safet' Board of Building Regulations and*Standards Construction.Supervisor License License: CS 9708 Restricted to:,;00 PHILIP LACR )IX JR 151 SI-bRE D t SALEM,NH 03 ', Expiration: 7/5/2011 ('unnnisci mcr Tr-#: 17323 I OfficeoimoKSid(Sf1Y�YfS BftBSi�� ' '>ffQ HOME IMPROVEMENT CONTRACTOR Registration: 103014 Type: Expiration: Z ,3012 Private Corporati IFCROIX 8 §0NS,1 Philip,Jr. Lacroix, i� " 151 SHORE DR. SALEM,NH 03079 r Undersecretary Prom:Natasha Rufe PaxID:Sarto Insurance Page 1 of 1 Date 6/30.2010 03:24 PM Page:1 of 1 CERTIFICATE OF LIABILITY INSURANCE OP ID NN DATE(MM1DDtYYYY1 06/30/10 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER($),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: It the ceRificato holder Is an ADDITIONAL INSURED,the policy(les)must be endorsed. If MURMTION 13 WAIVED,subject to the terms and conditions of the policy,certain policies may requlre an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER NAME: PHQNL - AX - -- Santo insurance - Salem (AIC,No.Extj: (A1C,No): 224 Main Street, Suite 2A ADDRESS! Salem NH 03079 cusreMERID r: PHILL-1 Phone:603-890-6439 Tax:603-890-0315 INBURER(S)AFFORDING COVERAGE NAICi INSURED INSURER A: American Zurich Insurance Phil Lacroix & Sons Inc INSURER B 151 Shore Drive Salem NM 03079 INSURER C: INSURER 0: INSURER E: I INSURER F: CCJERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY TH,4T-HE POLICIcS OF INSURANCE L STED BELOW HAVZ BEEN ISSLED TO THE INSUP.EC NAMEC ABOVE FOR THE POLICY PERIOD IDICATEC. NOT/1,11-HET.AIJDING ANY REQUIREIdENTi,TERM OR CONDI-ION OF ANY CCNTRACT OR OTHER DOCUMENT WITH R_SPECT TC V11-1 CH THIS EP.TIFICATE,MAY BE ISSUED OR MAY PERTAN,THE INSURANCE AF=ORDER B"THE POLICIES DESCR BED HERE NIS SUBJECT TO ALL THE TERMS, •j_XCLUSIGNS AND CONDIT ONS OF SUC'r POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAMS. LTR TYPE OF INSURANCE INSR WVDI POLICY NUMBER iMWDID A) (MMIC•D/WWI LIMITS GENERAL LIABILITY EACH OCCLPRENCE S GET?FF'gIETr� — COIv1MERCIAL':=-NERAL LIABILIT' I PREMISES(Ea a•;currencs; S CLANG-MADE 7"OCCUR NlED`s:P(An;,Dne ze-scr.) S PERSJN�,.LRY 5 I GENERAL AGGREGATE S GEN'L AGGREGATE L MI-APPLIES PEP. I F'FODUCTS-COMPlCiP AGG S POLICY r— PRO- JECT CO LOC i S AUTOMOBILE LIABILITi COMEINED SINGLE Lifd!T (Ea araidenq S AN"AUTO EGCIL'r IPIJUP.'r(Per p"'= S ALL OWNED AUTOo BGCIL'i INJURY(Per accident) S SCHEDULED AUTOS I I � FFOPERT`I Dat4AGE 6 HIPED AUTOS (Per accident) NON-GVVNED AUTD5 UMBRELLA LIAROCCUR EACH OCCLRR_NCE S EXCESS LIAR Hill,CLAIMS-MADE A'-GRECATE S S DEDUCTIBLE RETEM'ICN $ A 79Z B0457H16009 101124/09 1C 24`10 '' - AND EMPLOYERS'LIABILITY Y/N I ✓ TORY LINITS ER AN'r PROPFIETOR!PAR!TIJER/EXECUTIVE �� 1 E.L EAGIACC-DENT S 1000000 OFFICEPlfdEMBEP.EXCLUCED'? I - ! A (Mandatory In NH) E.LCISEASE-EAEMFL;JYEE 91000000 If Ves,descnbe under DESCRIPTION OFO-ERATIOWbelow El r-!SEPSE-POLICY LIMIT S 1000000 I DESCRIPTION OF OPERATIONS!LOCATIONS/'VEHICLES (Attach ACORD 101,Addillanal Remarks Schoduta,11 mon span•Is rsquirad) WC: 3A state NH - Phil Lacroix Jr, Mark Lacroix, & Philip Lacroix are excluded from coverse Job: 93 Bonny Ln Norlh Andover MA 01845 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE TOWNNAN THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Town of North Andover 400 Osgood St Jason M Mlocek orth Andover MA 01845 ®1988-2009 ACORD CORPORATION. All rights reserved. ACORD 25(2009109) The ACORD name and logo are registered marks of ACORD