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Home My WebLink AboutBuilding Permit #163 - 98 MIDDLESEX STREET 8/31/2006 TOWN OF NORTH ANDOVER NORTH APPLICATION FOR PLAN EXAMINATION o*41"° q,t'o �O Permit NO: !�'� Date Received mow Date Issued: D �9SSACHUS�� IMPORTANT: Applicant must complete all items on this page LOCATION 40 I &Lr-S C ,�y� '\ Print PROPERTY OWNER /1 4/� `i V CAdt/ Print MAP NO.: '�O PARCEL: '2,6 ZONING DISTRICT: TYPE AND USE OF BUILDING HISTORIC DISTRICT YES ❑ TYPE OF IMPROVEMENT PROPOSED USE Residential Non-Residential ❑New Building .WOne family ❑ Addition ❑Two or more family ❑ Industrial /Alteration No. of units: ❑ Repair,replacement ❑ Assessory Bldg ❑ Commercial ❑ Demolition ❑ Moving(relocation) ❑Other ❑ Others: ❑ Foundation only DESCRIPTION OF WORK TO BE PREFORMED Sf� s7 d z nn F Identification Please Type or Print Clearly) OWNER: Name: CL Phone: Address: 7S M W/t' S e-X x CONTRACTOR Name:Er,\ � Y/, Phone: Address: 265- t q v-e/L r�� P`F-�► �'��' Supervisor's Construction License: Q(o �-- Exp. Date: Home Improvement License: Exp. Date: 20 ARCHITECT/ENGINEER Name: Phone: Address: Reg. No. FEE SCHEDULE:BULDING PERMIT.•$12.00 PER$1000.00 OF THE TOTAL ESTIMATED OST BASED ON$125.00 PER S.F. Total Project Cost :$�-, K�' FEES , 9 Check No.: -3 3 Receipt No.: Page Iof4 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 I Doc:INSPECTIONAL SERVICES DEPARTMENT:BPFORM05 i Paor 4 nf 4 TYPE OF SEWERAGE DISPOSAL Swimming Pools 11Tanning/Massage/Body Art ❑ g Public Sewer ❑ Well F1Tobacco Sales ElFood Packaging/Sales ❑ ❑ 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 guaranty fund Signature of Agent/Owner Signature of contractor ue'�' 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 ❑ ❑ ❑Water Shed Special Permit ❑ Site Plan Special Permit ❑ Other COMMENTS DATE REJECTED DATE APPROVED CONSERVATION ❑ ❑ COMMENTS .� DATE REJECTED DATE APPROVED HEALTH ❑ ❑ ,k 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 Temp Dumpster on site yes_no_/�Fire Department signature/date — — jr— Building 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) i Page 3 of 4 Doc:INSPECTIONAL SERVICES DEPARTMENT:BPFORM05 Created JMC.Jan.2006 Location No. / Date �oRTM TOWN OF NORTH ANDOVER O? • • os 1. 9 ` Certificate of Occupancy $ ysJ++ns E<� Building/Frame Permit Fee $ 2- - Foundation — Foundation Permit Fee $ i Other Permit Fee $ TOTAL $ Check # 19535 Building Inspector w A BOARD OF BUILDING REGULATIONS License. CONSTRUCTION SUPERVISOR Number: CS 060112 Birthdate: 08/04/1956 Expires:08/04/2008 Tr. no: 28784 Restricted: 00 THOMAS T DOYLE 8 WEST ST SALEM, NH 03079 Commissioner � e /09It/I72aytlll llCf2ll6ElQ I _ Board of Building Regulations and Standards " HOME IMPROVEMENT CONTRACTOR. - RegistratTonr 128612 Expiration: 4/28/2007 fiype: DBA THOMPSON'S ROOFING THOMAS DOYLE' 8 WEST ST � � SALEM,NH 03079 Administrator PRODUCER --�-- - � �_ —� � �� 07/26/2006 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Pelham Insurance Services, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE P.O. Box 960 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 122 Bridge Street ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Pelham NH 03076 INSURERS AFFORDING COVERAGE INSURED NAIL# IN IN SURERsuRERB:Associated Industries A:Nautilus Thompson's Construction Roofing IN Thomas Doyle dba SURER c. 8 West St INSURER D: Salem NH 03079 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. INSR ADVIL LTR INSR TYPE OF IN POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION DATE MM/DD/YY DATE(MM/DD/YY) LIMITS A GENERAL LIABILITY NC 532152. 04/15/2006 04/15/2007 EACH OCCURRENCES 1,000 r 000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED _ - PREMISES Ea occurrence $ 50,000 CLAIMS MADE OCCUR MED EXPAn one ( person) $ 1,000 PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRO- PRODUCTS-COMP/OP AGG $ 1,000,000 POLICY JECT LOC AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT (Ea accident) $ ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS (Per person) $ HIRED AUTOS BODILY INJURY NON-OWNED AUTOS (Per accident) $ PROPERTY DAMAGE (Per accident) S 1 GARAGE LIABILITY ANY AUTO AUTO ONLY-E4 ACCIDENT $ OTHER THAN EA ACC $ _ AUTO ONLY: AGG $ EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE $ DEDUCTIBLE S RETENTION $ $ B WORKERS COMPENSATION AND AWC7012214012006 04/21/2006 04/21/2007 X TORY LIMITS OE EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? E.L.EACH ACCIDENT $ 100,000 If yes,describe under E.L.DISEASE-EA EMPLOYEE$ 100,000 SPECIAL PROVISIONS below OTHER E.L.DISEASE-POLICY LIMIT S 500,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS Various Construction CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT Steeple Chase Builders FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE c^r c ~' Strc-ot ! INSORFR,ITS fiGENTS OR REPRESENTATIVES. i Ad�uryx, MA 01810 �n,+rllryRt�Lo,< Rrtnt,ATlvE a a Vropozat Page Of Free Estimates 105 Haverhill Street Fully Insured Methuen,MA 01844 U 0N9 (978)691-1355 Shingles—Slate—Rubber Roof Single Ply — Copper Work PROPOSAL SUBMITTED TO PHONE DATE Mary Dean 11-1-05 STREET r JOB NAME 98 Middlesex Street CITY,STATE AND ZIP CODE JOB LOCATION North Andover MA 01845 ARCHITECT DATE OF PLANS JOB PHONE We hereby submit specifications and estimates for. Strip off all roof? shingles on house Renail any loose boards Install aluminum drip edge around roof line Apply ice and water shield 6 ft. up all along edge Apply 151b. felt paper on rest of. roof area Reshingle with a 30 year Architect shingle Install flanges around soil pipes ii Cut in 3 roof vents Remove all work related debris 30 year warranty on material 5 year guarantee on labor construction lic. #060112 improvement #128612 J j/ ' e PrOP0.0e hereby to fumish material and labor—complete in accordance with above specifications,for the sum of: Six thousand eight hundred dollars($6 ,800 .00 ?, Payment to be made as follows: $2 , 300.00 down balance upon completion All material is gumnteed to be as apwftd.AN work to be=VWed in a waWrofte manner according to standard practices.AM alwation or deviation from above spedflcaWns irw*Av an costs will be axw4ded only upon wrkta►orders,and wil bwonra an mdra dage over and above the estimate.AN agreernenb axo pent upon strikes,accidarda or ddap boyond our Control Owner to carry fire,tornado aaW other necessary inawance.Our workers we tiny Note:This proposal mpy be or covered by WWWw's CompeamMor kkaannce, vdthdmwn by us if rat accepted within days l!r ueptance of propood—The above prices,apecifioations and �j. (/1 ,r n inns am a*licferfnn�anA err hrrrawr----*-A I—.b s..66—:—A M Awµs /� .� _ ,FORTH Town ofsAndover 0 No. 43 1` ro �=- - - LAKE o ` dover, Mass., COCHICMEWICK 7��oRATED P'PG �� v 4 BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System ' BUILDING INSPECTOR THIS CERTIFIES THAT........ « .!'!�....��. � . ..................................................................................................... Foundation n has permission to erect........................... build, s on ••l.�........ft.dd.4.. ..It........f f.,.............. Rough to be occupied as......�. . . ................................................................... Chimney ..................................... Ch' e provided that the person accept g this permit shall i very 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 �2 _— Final PERMIT EXPRES IN 6 MONTHS UNLESS CONSTR., � STARTS ELECTRICAL INSPECTOR Rough ..... ..... - .................. .. .. Service T... R Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Rough Display in a Conspicuous Place on Wall Premises — Do Not Remove Fina, No Lathing or Dryt��lall To Be Done FIRE DEPARTMENT Until Inspected and .Approved by the Building Inspector. Burner Street No. SEE REVERSE SIDE Smoke Det.