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HomeMy WebLinkAboutBuilding Permit #228 - 93 MAIN STREET 9/24/2007 BUILDING PEKMI I ,t0, .V TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit NO: oU' Date Received ��`°q,T.o•�icy sSAc►+use Date Issued: �y 0' IMPORTANT Applicant must complete all items on this page '• �� al,111- Ml M.�k: v+'�.�Y �`Y. �� ! � 7•� 1�1 ' j $'':k'�e[('J.\ �. vt�����i/�N� 1} ,���..Fk. TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building ❑ One family ❑ Addition ❑ Two or more family ❑ Industrial ,peIteration No. of units: 0 Commercial ❑ Repair, replacement ❑ Assessory Bldg 0 Others: ❑ Demolition ❑ Other F 0"! -� DESCRIPTION OF WORK TO BE PREFORMED: 7C �J17 STC �DJ" GtF�I eF �`� A� �J i T-� G C �►'�� n� G -T(3A-cce 1 PA- )Y/IV (;-" , Identification Please Type or Print Clearly) OWNER: Name: Phone: Address zr x xC "+v, z n s r +u -' r"o 7I ryC..£-;X'a�. "s ro 't+'`e?� .N rade. t„ a_. Fda�' t'rnz r ^^' n�.,�t '' fit.: '^r .�,. a �!' '" `§b t � 10 SM 5y � �f'69 ,� t Y4 lit Y S R i ARCHITECT/ENGINEER ��% �/� Phone: Address: 7FrA ,7Z W P 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: $ ILI b FEE: $__ , Check No.: 7 Y Receipt No.: o, a,62 NOTE: Persons contracting with unregistered contractors do not have ac ess tp' the guaranty and ` 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 DATE APPROVED HEALTH ❑ ❑ COMMENTS 4 •1 C Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments Conservation Decision: Comments Water & Sewer Connection/signature & Date Located at 384 Osgood Street Driveway Permit Ow :� 'R'���••�'v�"��`��"i� �?;�',+a� .,is � :i` ".�"��,�'"f g .� � i� Y ' '``a se`s �, .,,,. �s f a,� c��� .1'n.nw, R`S ,._1..5�•S'sAAf'�...,�'�'4'3'%�£�'�'�'y'"�'n.�x��a.xvif� .; S i( f.�(y*'f e. `��i�� � 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.s100-s1000 fine NOTES and DATA— (For department use 0 Notified for pickup - Date Doc-Building Permit Revised 2007 — 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 ❑ 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 o 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:INSPECTIONAL SERVICES DEPARTMENT:BPFORM07 Revised 2.2007 Location �`S� No. a4glp Date NORTH TOWN OF NORTH ANDOVER i y " Certificate of Occupancy $ ��s'••°•Ect' Building/Frame Permit Fee $ �G Mus Foundation Permit Fee $ Other Permit Fee $ TOTAL $ 4 Check # 2061- 6 Building Inspector Commercial Property Record Card PARCEL_ID:210/029.0-0045-0000.0 MAP:029.0 BLOCK:0045 LOT:0000.0 PARCEL ADDRESS:93 MAIN STREET PARCEL INFORMATION Use-Code:- 013' Sale Price: 1 Book: 05688 Road Type: T` Inspect Date: 09/18/2002 Owner: Tax Class: T Sale Date: 02/28/2000 Page: 0129 Rd Condition: P Meas Date: 09/18/2002 CE REALTY TRUST Tot Fin Area: 4559 Sale Type: P Cert/Doc: Traffic: " M Entrance: X JOY M J C M W JOYCE,TRS Tot Land Area: 0.08 Sale Valid: F Water: Collect Id: SGC Address: Grantor: MAUREEN JOYCE Sewer:Inspect Reas: M 121 COLLINS LANDING ROAD Exempt-B/L% 0/0 Resid-B/L% 50/50 Comm-B/L59/50 Indust-B/L% 0/0 Open Sp-B/L% 0/0 WEARE NH 03281 COMMERCIAL SECTIONS/GROUPS LAND INFORMATION Section: ID: 101 Use-Code: 340 NBHD CODE: 35 NBHD CLASS: 5 ZONE: GB Type Category Grnd-Fl-Area Story Height Bldg-Class Yr-Built Eff-Yr-Built Cost Bldg Seg Yp Code Method Sq-Ft Acres influ-YIN Value Class 4 2066 2 D 1900 1981 383,100 1 P 013 S 3592 0.08 115,033 Groups: VALUATION INFORMATION Id Cd B-FL-A Firs Unt Current Total: 526,500 Bldg: 411,500 Land: 115,000 MktLnd: 115,000 1 013 2066 1 0 Prior Total: 454,800 Bldg: 339,800 Land: 115,000 MktLnd: 115,000 2 013 277 1 0 3 013 1108 2 2 4 013 972 1 0 SKETCH PHOTO i 93 L-1A MAIN STREET Parcel ID:210/029.0-0045-0000.0 as of 9/17/07 Page 1 of 1 PHONE CALL A.M. FOR DATE-TIME-P.M. M OF �-�'r( PHONEO ❑FAx AETURNEO PHONE ❑MQBILE ;YOURCALL AREA CODE NU BER EXTENSION P E CALL MESSAGE rt: wjLL LL GAME 0. NlANTSTO SEE YOU SIGNED -�L>Z9S. FORM 4003. O DR . JOHN RIZZA 7 FIRST STREET DOCTOR ROOM STORAGE AND —— NORTH ANDOVER , M A RESUPPLY CABINET RELOCATE CONTRACTOR SUPPLIED EXISTING 6'-1QY2" CUSTOM SINK do CABINETCOLUMN 8/24/07 SCALE: 1/4" = 1'-0" I j I ; DOCTOR TREATMENT DOCTOR TREATMENT I RM. RM. I 0 i e <<< 0 0 0 6' " MIN. GB HCP REMOVE EXISTING DOOR WC, FILL OPENING TO MATCH EXISTING z / m5'—� BIFOLD DR. ao HC — — J CLOSET I I I I I I 0 NEW TOILET ROOM �OMPLY WITH 521 CMR 30.00 I I M 3� sy HYGIENE OLI L I �— 1 I 07 i36-- DORM FUTURE – I � 4,-93/8„ I 4'-6% sliding glass HYGIENE EXISTING STERILIZATION — t —596" ( `` CABINETRY TO BE REUSED 9'-4" +�— I I 0 I 12'—�," I 01 2 ----- —Q— ------- -Ij eo 10'-0„ o e o e I (slo < NEW COLUMN: 441 f7DR . JOHN R I Z Z A 4 X 4 WOOD POST. Q BLOCK SOLID TO 7 FIRST STREET STEEL COLN. BELOW z O w NORTH ANDOVER , MA 9/6/07 SCALE: 1/4" = 1'-0" I DELETE EXISTING I I COLUIMN o , I e O e i � o 6'-0" MIN. TREATMENT RM. # 2 I I TREATMENT RM. # 1 I -NEW BEAM (ABOVE) EXISTING BEAM (ABOVE) GB I I 3 - 1.75 X 9.25 LVL HCP REMOVE EXISTING DOOR wC / / `\\ 2 - 2 X 4 POST I I 4 X 4 POST / FILL OPENING TO MATCH EXISTING Z BLOCK SOLID TO = / \ (TYPICAL) EXISTING FOUNDATION I 4'-0" I I BELOW co \ 1 I L HC I Lav � m I I I I I CLOSET i i EXISTING STAIRS I I I I I I ma LOWER EXISTING FLOOR /7 Z AT NEW HCP TOILET U WAITING Lv ROOM 2 - 1.75 X 7.25 LVL TREATMENT RM. # 3 -- FIRST FLOOR PLA N STRUCTURAL MODIFICATIONS n .N OF LA RENCE �y 91►0 lO t RAD u� N Cerr.r, Ftie � F� TREATMENT RM. # 4 .o 'A 65 O � STQ�a'Pv�L EC.Pnt��'S � FSS�ONAL ENS'\ RECEPTION O e o e e 1 t 2 "SIMPSON" NEW BEAM: 3 — 1.75 X 9.25 LVL ACE COLUMN REMOVE EXISTING CAPS WOOD FRAMING EXISTING CONCRETE SLAB ON GRADE / r�SEE DETAIL A EXISTING BEAM EPDXY ANCHORS \ EXISTING COLUMN STEEL ANGLE I I (TO BE DELETED) — __ : ,; CRAWL SPACE :.•! I I=I I I=I I I=I NEW WOOD FRAMING I I :�: I I=IIII I I=I < EXISTING POURED NEW COLUMN ( III=III=III. CONCRETE FOUNDATION NEW COLUMN = 4X4 — WOOD POST 4 X 4 :: .'.. WOOD POST "SIMPSON" SOLID BLOCKING BC40 1/2 BASE NEW COLUMN SECTION B - B )& 34" DIA. STEEL. SEE DETAIL "B". SOLID BLOCKING LOCATE POST TO BETWEEN COLUMN o & FOUNDATION AVOID HVAC DUCTING OF Mgs�q 0oy X11 /� � LA NCE G SECURE BASE PLATE TO CONCRETE FOUNDATION o GILD G e,RT+ Az D 4 — 1/2" DIA. X 4 1/4" y SIMPSON STRONG BOLT WEDGE ANCHORS ��F s�� �o�� EXISTING FIELDSTONE o�,scjS.r��G��, S�O FOUNDATION NEW COLUMN FOUNDATION: NAI 1'-6" X 1'-6" X 12- SECTION 2"SECTION A - A _ r 7 FIRST STREET LVL'S: "BOISE CASCADE" Fb = 3100 E = 2.0 NORTH ANDOVER , MA 8/24/07 SCALE: 1/4" = V-0" R i 7.5" ° ° ° 875 1.752 X 8 @ 16 0 . C . " 1 .75" 875" WELD -P;xr 2 X g LEDGER ' EXT G . ZD 3 1/2" DIA. X .226 WALL THK_ ' �, D N AISCE STANDARD STEEL PIPE A-36 12 EPDXY ANCHORS AT12" O.C. �wtlb�4rv�r=NT w L,... WELD D ETA I L A OF ��� LAW CE 14" (TYP) ..., ti 27 65 ���• Fss� a� ENG�a °� I BASE PLATE 8" X 8" X 1/2- N 9/16" HOLES Cff7 JOHN RIZZA D ETAI L B FIRST STREET LLNORTH ANDOVER , MA 8/24/07 SCALE: 1/4" r" JOHN S. RIZZA DMD 7 FIRST STREET NORTH ANDOVER, MASS.01845 978-685-5804 September 24, 2007 Gerald Brown Commissioner of Buildings Town of North Andover, Massachusetts Re: Current parking regulations Building permit to expand dental office Dear Mr. Brown, For consideration of calculating the parking spaces of the business building known as 95 Main Street, 7 First Street,and 5 First Street: EXISTING: Ed Jones Financial general business, 800 square feet= 2.5 spaces Former Caffery Real Estate general business, 300 square feet= 1 space John Rizza Dental Medicine 900 square feet= 3 spaces Plus 3 employees= 3 spaces TOTAL SPACES = 9.5 SPACES to park ALLOWING DR. RIZZA TO EXPAND INTO THE FORMER CAFFREY OFFICE: Business use now changes over to medical use regulation showing a saving 1 (one) space, giving a new total of 8.5 parking spaces. HOWEVER, in 1985 the building owner Ralph R. Joyce,Esq. obtained a variance for rear setbacks and a special permit to extend nonconforming side setbacks to allow construction and retail use of the addition I presently occupy. The parking at the time was determined to be compliant. In 1989, 1 obtained a special permit for the dental use. The only issue was the parking which was still compliant but less demanding since I converted from retail to dental office space. The Building Inspector at the time made the ruling that all tenancy changes in the downtown area would require a special permit. The ruling was controversial to say the least,but let's not relive that. The 1989 permit was amended later in the year to allow use of the second floor for dental services. The parking regulations were subsequently amended requiring more spaces and eliminating the credit for proximity to the municipal parking lots. The property became legally existing,but nonconforming,at that time. Further,my present proposal decreases the degree of nonconformity. The original addition,and the space into which I am expanding were all permitted as retail. I am converting to dental office space which requires less parking under present regulation verses the retail,and accordingly, i 2. the degree of non conformity is reduced. I hope the calculation I set out reflect this property for your consideration. Mr. Joyce has recently delivered a plot plan showing ownership of 4 spaces adjacent to the addition(my current office). Yours truly, JOHN S. RIZZA DMD ROBERT LANGCVfN Page No. f of � Pages. BUILDING AND REMODELING PROPOSAL 795 Dale Street NORTH ANDOVER, MA 01845 r 7g, (M 686-3607 PHONE DATE 0 JOB NAME/LOCATION iJ Z-ZA 1� £ NT✓ 4 rFF'fC � 7 F I R S�r 5 -T- N0 �3> nv�(Z, JOB NUMBER JOB�PHONE d�� 76 3 L GgL We hereby submit specifications and estimates for: ' E ,-M'J^'\-k 0 f Ivy-AtC FT A D T AC 6- - �!E. f R o c i 1 as TC) � N c k v I-):c A..'- J_ crf- `rr r` f-- #j c e- 7`4 C A c c<W `c-► !V e' P,-,A- ry o 5-T� oc`�r1vRAr r0 At,X-ES iN vAC' ANr sur r � j*-.7-r h.,� c F /� r r.►l". /Q r pl-A C r w f �'l v c L` A 5 K► IR CC07 �f J-,R %77E I1P, j eL�CK N J_ CTF F C E hi�Te -rr:EATkjafir 1 f`— C, Y� f A R of A , E rn P c. /�R�'E -►- A L F , , F - vA 0,'T--`c- 04 S S t+_ems li j - 1 MC"E C (ZS 6 0 FRS (r(R1 <1 AJAZ OAF° CE - 1/4 u 6E A n 6 cvw i,) o!4 k nA N£4.10 G eN �.l2uF el r4-J_ 4 to va)FA c-fe- S ; C A 'S► �G5 , �t-Y'�� S , G14 A, if RA +1 C�- \ A �e P1110POS� hereby to furnish material and labor—complete in accordance with the above specifications, for the sum of: r Tr I" dollars ($ ). Payment to be made as follows: r r iK f,r� All material is guaranteed to be as specified. All work to be completed in a professional manner according to standard practices. Any alteration or deviation from above specifica• Authorized tions involving extra costs will be executed only upon written orders, and will become an Signature extra charge over and above the estimate.All agreements contingent upon strikes, accidents or delays beyond our control. Owner to carry fire, tornado and other necessary insurance. Note:This proposal may be Our workers are fully covered by Worker's Compensation Insurance. withdrawn by us if not accepted within days. Acc:work nce®f Proposal —The above prices, specifications and ons are satisfactory and are hereby accepte .You are authorized Signature to do as specified. Payment will be made as utlined above. SignatureDate ptance: Page No. �.. of Pages. ROBERT LAIIGEVIN BUILDING 79 AND REMODELING ING PROPOSAL 795 Dale Street NORTH ANDOVER, MA 01845 Q -)? (M) 686-3607 PHONE DATE TO D �(1{ , >� S , ' Z-Z_ JOB NAME/LOCATION 0Fti 7 JOB NUMBER JOB PHONE We hereby submit specifications and estimates for: r fi-5-E a -- SCD / r.j 7-CIQT- .1 L /,/W-rt raj c� S D ,3A`rr c?" 0 /—cwc �,E UE)- s O,',rA CCS`r PAy1957-F mr uj s VA it /N N LX-Ur) F)-CZR r rJ C 14T-M C,U 7-- A(�E A 5- i Al i->~ ,- NAY A A ► +2�'.,/� r�-, M Gyog OIAR 17, Gv , CAsi Q4- A/o4 Tt��rrt F, '�) t`vf z C'�� �S t�'�l'►'9'� v�5�"',`� r t�S i2'` ��,t �r �c cY �'� c L' We PrOPOSC hereby to furnish material and labor—complete in accordance with the above specifications, for the sum of: f'_'7 dollars ($ ). Payment to be made as follows: L--h 1� I r All material is guaranteed to be as specified. All work to be completed in a professional manner according to standard practices. Any alteration or deviation from above specifica• AuthorizeAIA7. tions involving extra costs will be executed only upon written orders, and will become an Signature extra charge over and above the estimate. All agreements contingent upon strikes, accidents or delays beyond our control. Owner to carry fire, tornado and other necessary insurance. Note:This proposal may be r re fully covered by Worker's Compensation Insurance. withdrawn by us if not accepted within days. ance Of Proposal —The above prices, specifications ons are satisfactory and are hereby acc pled.You are authorized Sign ork as specified. Payment will a mad as outlined above. Signature ptance: ROBERT LANGEVly Page No. _3of 3 Pages. 8UlLQlREMODELING 79 Dal PROPOSAL 795 Dale Street NORTH ANDOVER, MA 01845 ? 71Z 4E-,Q") 686.3607 p PHONE DATE TO S ty l 7? 5(r(' /�(,DR W �� JOB NAME/LOCATION t- -A)-. -� F= f R S7 "e), /IN) rwe/Z JOB NUMBER JOB PHONE 7d We hereby submit specifications and estimates for: 7140 F0 r'+-vfLi 7-rr11 S Wr4 1 No ,- �F � /v C� 1rrtr cAL (xSrl,,R )t UM C3► to(, r CARP;-rcuC t CA7,:2PEr /)u-5T -A <<A1'7e4v Oto 1 " S T ► N- C r,S' rf N r)WO i-! �/�'h N G, rQ ► 2 ('f"9,1�}� T r c4-yU+ ti� � r�� Dvc i`��.�. W t it t, F V leR 00 /O'-L L 0 UW l A 4 U6 C TN £ C V M P 5 I--F-2. WP PrOPOSC hereby to furnish material and labor—complete in accordance with the above specificav'qns, fort the sum of: T' —7(\.^l-, +" Ger{ f k t �' �y dollars ($ tPayment to be ihade as fol ws: LU E �c 4-1 hy, A �+ ' Pc sS C x Pr t js e S (/ All material is guaranteed to be as specified. All work to be completed in a professional manner according to standard practices. Any alteration or deviation from above specifica- Authorized tions involving extra costs will be executed only upon written orders, and will become an Signature extra charge over and above the estimate.All agreements contingent upon strikes,accidents or delays beyond our control. Owner to carry fire, tornado and other necessary insurance. Note:This proposal may be �7 Our workers are fully covered by Worker's Compensation Insurance. withdrawn by us if not accepted within days. Acceptance of Proposal —The above prices, specifications and conditions are satisfactory and are hereby ac epted.You are authorized Signatur to do the work as specified. Payment w' be m e as outlined above. Signature Wi Z= Date of Acceptance: / The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual):©&RT A, �_AP64EVIP Address: City/State/Zip: �A 00�hone #: �_/$ d��o`3,5­4 Are you an employer? Check the appropriate box: Type of project(required): 1.❑ I am a employer with 4. ❑ I am a general contractor and 1 6. ❑ New construction employees(full and/or part-time).* have hired the sub-contractors ��ship I am a sole proprietor or partner- listed on the attached sheet. [� Remodeling and have no employees These sub-contractors have 8. ❑ Demolition working for me in any capacity. workers' comp. insurance. 9. ❑ Building addition [No workers' comp. insurance 5. ❑ We are a corporation and its officers have exercised their 10.0 Electrical repairs or additions required.] 3.❑ I am a homeowner doing all work right of exemption per MGL 11.❑ Plumbing repairs or additions myself. [No workers' comp. c. 152, §1(4),and we have no 12.❑ Roof repairs insurance required.] t employees. [No workers' 13.0 Other comp. insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. lContractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy #or Self-ins. Lic.#: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby cy under the pains and penalties of perjury that the information provided above is true and correct. Signature: V)4� Date: y Phone#: l 6/ F6 3�p Official use only. Do not write in this area, to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1. Board of Health 2. Building Department 3. City/Town Clerk 4. Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR Number IPS. 002685 i Birthdate-:02/241,1947 I jskpfres:02/24/2008 Tr.no: 15095 Restricted:;_ 00 ROBERT M LANGEVIN, 795 DALE ST �;; 01 N ANDOVER, MA 01845")=' `f Commissioner I BoardOf Building Regulations and Standards HOMEIMPROVE MENT CONTRACTOR Registration: 111990 Expi ration: 211112009 Type: DBA Tri 126605 ROBERT LANGEVIN BLDG.& REMOLDING ROBERT LANGEVIN 795 DALE ST N ANDOVER, MA 01845 Adruinisdah�or.'` 09/17/2007 09:43 9786894425 PAGE 01/01 AVORD. CERTIFICATE'OF INSURAN E,........;_;.ti- :.. 2T,9-07 t" PROOUGEp I Ymi cuffIEI u•ff Iswv a•A N�11T F�<�'�Sk INFORNIJITION ONLY AND CONFERS NO•RIGHTS UPON THE CERTIFICATE ` Has Insurance A en Inc HOLDER. THIS CERTIFICATE.DOES NOT AMEND, EXPEND OR Y 9 CY ALTER THE COVERAGE AFFORDED BY THE POLICtES_BELOW. 36 Hawthorne Ave COMPANIES AFFORDING COVERAGE�~ - Methuen, Ma 01841 i coMP ""Norfolk & Dedham Mutual Fixe Ins`Co A.,l "Von eMAW Robert LangevinBI 795 Dale SC C_...._I. , ........... ....•.._.. . COMPANY ' North Andover, Ma 01845 I COMPANY COVEiiAGES THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW.HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INOICATEO.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANYTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY.PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCAIBED HEREIN IS SUBJECT TO ALL THQ TERMS. ; EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN EDUCED BY-PAID CLAIMS. ... .. .._..._..1.,.. . , PoUCY E VE;POLICY EXPIR ON LgAITS Do TYPE OF INSURANCE POLICY NUMBER DATE IMMIODIPT) DATE(M ) ' GENERAL UABIUTV GENERAL AOOREOATE ;S 2,000,000 A X COMMERCIAL GENERAL LIABILITY R0514357A 10-2 06 ; 10-25-07 PRooucr9-0OMPrOP A00 S 2,000,000 X CLAIMS MADE OCCUR PERSONAL d AOV INJURY f t pwNER'3 CONT PACT EACN OCCUARENCE f1,05Q,0! b •,,' � ., ' FIRE DAMAGE(Any em Are► t MED EXP(ir,ampomfl) t astwo AUTOMOBILE LIASILIIY COMBINED SINGLE LIMIT S ANY AUTO f , . I ALL OPINED AUTOS ! J i BODILY IN.IURY _ SCHEDULE!)AUTOS (Per person) •41RED AUTOS i ( BODILY INJURY .f i I (Per SwInnil NON-OWNED AUTOS i PROPERTY DAMAGE t GARAGE UABIL,TY I AUTO ONLY•EA ACCIDENT!S ANY AUTO ( OTHER THAN AUTO ONLY: I EACH ACCIDENT S AGGREGATE S EXCESS LIABIITTY I EACHOCCURRENCE f UMBRELLA FORM AGGREGAT OTHER THANUMBAELLAFORM. EI : ... WORKERS COMPENBATION'AND I ~STATUTORY LIMITS EMPLOYEpE',IIABEJTY '. EACN ACCIDENT f t HE PAOPMETORr ^' , DISEASE.POLICY LIMIT :5 . I PAgTNERSIEXECUTIVE INCL ' OFF I ERS ARE. EXCI _ - ._�..�.DISEASE-EACH EMPLOYEE 9 OTHER . I i i OE.CRtP LION Of OPERATgN$ILCCATTOlR4NENICLESrSPENAL fi Carpentry I i CERTIFICA ROEDER CA CEW 1-0N SHO"-ANV OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE Town of Nmth kftw • TION DATE•TNEREOF; THE 1=0114 COMPANY WB.L ENDEAVOR TO MAI. 1600 OSg00d St.. DAYS WRITTEN NOTICE TO THE CERTIMAT¢HOLDER NAMED HE I.M. TO T Wrth AdoVe�, �t. 0IM5 .'sur 6AMUN TO MAIL LUCH NOTICE SHALL IMPOSE No OBLIGATION OR LIABILITY .KIND UPON TME COMPANY, ITS 1408M OR REPRESENTATIVES, Attn: Building .. A � A l ACORD 25 S(3193) "2' 0 ACORD CORPORATION 1� i T40RTH Town of No. _ CIO o dover, Mass., y T LAKE COCHICMEWICK 7� ORATED `s BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System BUILDING INSPECTOR THISCERTIFIES THAT............ ��'. �`'/........ .. ....�.!� ...................................................................................... Foundation A ,�L has permission to erect........................................ buildings an ...... ��./......... ....................................... Rough to be occupied as............. , ......./ ..P1..• � ....... ;v....../,r. �,C�•••'••' .. ,r 441x' ��� Chimney provided that the person accepting this permit shall in every respect conform to the terns 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 PERMIT EXPIRES IN 6 MONTHS Final ELECTRICAL INSPECTOR UNLESS CONSTRUCTION S TS Rough ........................ ........... ..................... Service j B ��6_1�7 I IN OR 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 Until Inspected and Approved by the Building Inspector. Burner FlRE DEPARTMENT I Street No. SEE REVERSE SIDE Smoke Det.