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Home My WebLink AboutBuilding Permit #198-12 - 95 LACY STREET 9/8/2011 TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit NO: Date Received Date Issued: < IMPORTANT:Alicant ust complete all items on this age LOCATION /Pfint PROPERTY OWNER Prin MAP NO�L7 _PARCEL: O�3dZONING DISTRICT: Historic District yes n Machine Shop Village yes no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building ❑ One family ❑Addition ❑Two or more family ❑ Industrial ❑Yteration No. of units: ❑Commercial epair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑Other ifl e c A,"Well ®�Fl plain Wetland`s, i ` ❑ Watershed»District 0 Water/Suver DESCRIPTION OF WORK TO BE PERFORMED: lr �' dentilicatio lease Typ r Print Clearly) OWNER: Name: 19 Phone: Address: G CONTRACTOR Name: ��V �1 Phone: Address: Supervisor's Construction License: ®(��f��1� Exp. Date: Home Improvement License: / G� (�� Exp. Date: ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE:BULDING PERMIT.$92.00 PER$9000.00 OF THE TOTAL ESTIMATED COST BASED ON$925.00 PER S.F. Total Project Cost: $ D-n_ FEE: $_ Check No.: Receipt No.: NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund r-' Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ TYPE OF SEWERAGE DISPOSAL Public Sewer ❑ Tanning/Massage/Body Art ❑ Swunmu*g.Po01s u ;r El 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 CONSERVATION Reviewed on Signature COMMENTS HEALTH Reviewed on Signature COMMENTS r 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 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 COMMENTS Dimension Number of Stories: Total square feet of floor area, based on Exterior dimensions. Total land area, sq. i.: 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.$10041000 fine NOTES and DATA— For department use ® Notified for pickup - Date Doc:.Building Permit Revised 2008mi 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 o 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 ❑ 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 MOTE: 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 Locatio4r 44"/42 'g' No. Date NORTH TOWN OF NORTH ANDOVER to Certificate of Occupancy $ J'ncNust� Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ `— TOTAL $ Check # 2 4 5 v`9 Building Inspector NORTH ® of � �, o , �` dover, IVMass., q• ' Q t LAKE CCICMICHEWICK V OA RATED BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System BUILDING INSPECTOR .................. THIS CERTIFIES THAT......... .. ........ .................................................................... ................ Foundation has permission to erect........................................ buildings on .....iv......... ! . .........'....................... Rough Ono to be occupied as........... Q. ......�5'. ....... ..........rS.. ...... ..... '�"' .f� i.� .. Chimney e provided that the perso accepting this ermit shall in every respeVk conform to the terms of the lication 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 ELECTRICAL INSPECTOR UNLESS CONSTRUCTIO ..... T Rough .................... ....... ... ........................ .............................................. Service BUILDING INSPECTOR Final Occupancy Permit Required to Ocatpy 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. j s f�B of A.C. CASTLE CONSTRUCTION CO. INC. MEMBER Telephone (800) 505-LEAK(5325) • Fax (978) 777-7750 Brian LeBlanc, President Please mail accepted proposal to the office located at: 9 Tibbetts Avenue • Danvers, MA 01923 Unrestricted Mass Builders License No. 054882 Contractors Registration No. 166565 PROPOSAL EDS O t � PHONES 2 DATE Q",6- / STREET ct l� (,/ JO _ (,l c U CITY,STAT _ZIP A OB LOCA ON �61- L, /911 ARCHITECT DATE OF PLANS JOB PHONE T flo1� hereby t fu nish lerial and la -co ete in accordance with specifications below for the sum of: c dollars V a� Payment to be tfollow lhe rpo t -% NOTICE: All home improvement contractors and subcontractors engaged Vhome Authorized gj�4� improvement contracting unless specifically exempt from registration by Signature: provisions of Chapter 142A of the General Laws,must be registered with Agent the Commonwealth of Massachusetts. Inquiries about registration and status should be made to the Director, Home Improvement Contract Note:This proposal may be Registration,One Ashburton Place,Room 1301,Boston,MA 02108. withdrawn by us if not accepted within days. WE HEREBY SUBMIT SPECIFICATIONS AND ESTIMATES FOR: A ROOF STRIP We will cover the siding, bushes, and grass with Blue Tarps in order to protect the property during stripping. We will strip up to 2 layers of roofing and remove all nails down to the bare wood.The ice and water shield will then be installed at the bottom of all edges, under all step flashings, around all chimneys, skylights, and into all valleys. We will install 15 pound underlayment onto all other areas of the roofdeck.The 8"aluminum dripedge will then be installed to all roof edges. Any existing pipes will be covered with p�jnu .-Mbber flw4e The roofing material to be used will b v All the debris will be cleaned and dumped on a daily basis by us. Magntic rooms will be used to extract all nails from your property. We will protect your property as best we can, however some foilage matting, breakage,or marring could occur.We cannot accept responsibility for possessions inside of the house, or debris falling into attic areas. Customer should protect personal belongings. EXTRA WORK IN WHICH A COST WILL BE9DEEDD TO THE ABOVE PRICE. Replace Rotted Roofboards � �e�'t v Install Aluminum Gutters Relead Chimney(s) Install Aluminum Downspouts Replace Facia_B ds Install Skylight(s) Install Ridgeve�ti F Rotted Roof To Wall Flashings Install Roof Louvers Gutter Repairs NOTES.7 I p Warranty by manufacturer to be free of defects f years, see manufacturer's warranty for exact warranty performance. All labor pert under this contract shall be o -goo uality and free from defects not inherent in the quality required or permitted f a period of q Y q p or p years. This warranty excludes remedy for damage or defect caused by abuse, modification, improper or insufficient maintenance, Improper operation, or normal wear and tear under normal usage.This warranty shall be limited to the work performed by A.C. Castle Construction Co., Inc. and limited to either repair or replacement by A.C.Castle Construction Co., Inc. at its'sole discretion and election. Any and all claims are waived unless made in writing to A.C. Castle Construction Co., Inc. within 21 days after the occurrence of the event giving rise to such claim.This warranty shall not extend beyond any limits imposed by applicable law. Payment and Penalties- Upon substantial completion of all work under this contract, customer shall within 3 days make final and full payment of the contract price. Any and all unpaid balances shall accrue with interest at 5% interest per month. You agree topay all court costs and collection expenses Incurred by A.C. Castle Construction Co., Inc. in the collection of any amount you owe under this contract, including without limitation reasonable attorney's fees. Please note:any illegal layers of ro beyond a second layer will be an extra cost of 35 cents per square foot. Arbitration -Any controversy or claim arising out of or related to this contract, or the breach thereof, all be settled by arbitration with the American Arbitration Association or a mutually agreed upon third-party. Any judgment upon an a and entered in arbitration may be entered in any court having jurisdiction thereof. This section shall notapply to claim of A.C. Castle onstruction Co., Inc. for collection of past due accounts owed by the customer. 01cCeptance of Vrapogat -Signing this proposal means you have accepted all he ter s s Date of Acceptance Signatur, _ - Office of Consumer Affairs and 19usiness Regulation _ 10 Park Plaza-Suite 5170 Boston,Massac*Zetts 02116 Home Improvement Ctn#ractar Registration --'" RegWrahon: 166565 - -- --= Type: Corporation Expiration: 6/9/2012 Tr# 298641 A.C. CASTLE CONSTRUCTION CG ING BRIAN LEBLANG 9 TIBBETTS AVE •DANVERS, MA 01923 Update Address and return card.Mark reason for change. `= :- ❑Address "[� Renewal [� EmploymentLost Card❑ )PS-CAI 0 50M-04/04•GIO1216 -- --'_ all- a �ao��a unealfl a.✓� % License or reg istration-ir id for individul use only office of consumer Affairs& ness Regnlatiou before the expiration date. 1£found return to: ._ . HOME-tMPROVEMENT CONTRACTOR Tppe. Oben of Consumer Affairs and Business Regulation Ffegisdation: 166565 10 Parc Playa -Suite 5170 ."+Expiration: :'8192012 Corporation Boston,MA 02116 A. �ASTLE CONS�tl��770L�1.G0`ING_ BRIAN LEBLANC';;.-` 9 TIBBETTS AvEE _ _ � •-x�s��t DANVERS,MA 01923`: ;'_.,,' Undersecretary Not valid without signature Macsachua tts-Department It€Public Safety- - �_ Board of Buiidin-Regulations and Standards Construction Supervisor License License: CS 54882 Restricted to: OD BRIAN A LEBLANC 9 TiBBETTS AVE DANVERS,MA 01923 Expiration: 9/17/2011 ('trnnniNMIMV-r Tr#: 4955 safety and Health 09UM.W.tratt— 11-0,02644746 This card acknowledges that the recipient has successfully completed a 10-hour Occupational Safetyand Health TrainingCourse in in Construction Safety and Health Brian LeBlanc Ralph .Hamel,#25782 4/20/2011 (Trainer name—print or type) (Course end date) Date: 8/11/2011 Time: 9:54 AN Tot @ 9,1-978-777-7750 Page: 001 MIDDIYWY► ACORQ CERTIFICATE OF LIABILITY INSURANCE o8�11/2011 DATE(MMIDONM 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(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED,the policy(les)must be endorsed. 9SUBROGATION IS WAIVED.subject t0 the terns and conditions of the policy,certain policies may require an endorsement A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsement(s). COMMA PRODUCER NAME: Tarpey Insurance Group Inc P N 978.774.8040 No;978.774.3581 491 Maple St (Rt 62)-Suite 304 ADDRESS: PO Box 183 NSURER(S)AFFORDNGCOVERAGE NAICI Danvers, MA 01923-0383 NSURERA: Nautilus Insurance Co INSURED A.C. Castle Construction Co., Inc. INSURERS: Arbella Protection 41360 9 Tibbets Ave INSURERC• Continental Casualty Danvers, MA 01923 INSIIRERD: INSURERS: INSURER F: COVERAGES CERTIFICATE NUMBER: 11-12 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE PEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE R.OLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED SY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CIAl14S. twx LTR TYPE OF INSURANCE NSR WVD POLICY NUMBER FAMIDOM(YY) (MWDDIYYYY) LIMITS GENERAL LIABILITY TBA 07/20/2011 071202012 EACH OCCURRENCE S 1,000,000 X COMMERCIAL GENERAL LIABILITY PREMISES(Ea ocarrence) $ 50,00 CLAIM&MADE a OCCUR MED EXP(Anyone person) S S,00 A PERSONAL&ADV IWURY $ 1,000,00 GENERAL AGGREGATE $ 2,000,0 GENL AGGREGATE LMT APPLES PER PRODUCTS-COMPIOP AGG S 1,000,00 POLICY JECaI LOC $ AUTOMOBILE LIABILITY 10910400000 07128/2011 07/28/2012 tEe ecddteuM $ ANYAUTO BODLYPllJRf(Per person) $_ , 250 0 B ALL OWNED X SCHEDULED BODILY INJURY Per accideM $ 500 OO AUTOS AUTOS _ NED (Per accidenl) $ 20O HIREDALITOS AUTOSUTOS $ UMBRELLA LU1B OCCUR EACH OCCURRENCE S EXCESS LIAR HCLARAS4AADE AGGREGATE $ DED I I RETENTION S $ ER WORKERS COMPENSATION 6559UB9638L41609-A 11/13/2010 11/13/2011 AND EMPLOYERS'LIABILITY TORYLMITS _ ANYPR0PRIETORIPARTNER1EXFCLMVE YIN E.L.EACH ACCIDENT $ 500,00 C OFFICERMEMBEREXCLUDED? ❑ NIA (MaandatoryinNH) E.L.DISEASE-EAEMPLOYEE $ 500,00 IDE SC er RW7lONOFaOPERATIONSbelow E.L.DISEASE-POLICY LIMIT S S00,00 OESCRIPTWNDFOPERATIONSILOCAMONSIVEHICLES(AltachACORD101,AddMienalRemarks Schedule,7morcspace IsrequireM CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Pr of Of Insurance Rebecca Berube 0.1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD