HomeMy WebLinkAboutBuilding Permit #868-13 - Exception 6/13/2013Permit NO,9&q
TOWN OF NORTH ANDOVER
APPLICATION FOR PLAN EXAMINATION
Date Received
Date Issued: —&- i.3 v ( 3
IMPORTANT: Applicant must complete all items on this page
LOCATION _ (ilea kow oeLo cover Ot4At4�yw,
Print:
PROP ERTY'OWNER.uylF�ouJU�{ C'dviLywL L/ P.,_ Also c t`Oh
Print 100 Year Old Structure yes rno,
MAP NO: ___ PARCEL: ZONING(DISTRICT Historic District yesMachine Shop Village yes
TYPE OF IMPROVEMENT
PROPOSED USE
Residential
Non- Residential
❑ New Building
❑ One family
❑ Addition
❑ Two or more family
❑ Industrial
❑ Alteration
No. of units:
❑ Commercial
❑ Repair, replacement
❑ Assessory Bldg
❑ Others:
❑ Demolition
❑ Other
0 Septic: ❑ Well.
❑ Floodplain ❑ Wetlands
❑ Watershed District
❑ Water/Sewer
DESCRIPTION OF WORK TO BE PERFORMED:
Z)eiMo ,� � , , \ & c),c.KS dk-L ('fUIlk,."La t-- S
Idents ication Please Type or Print Clearly)
OWNER: Name: PTv P_tcAK #S V��.a r,T' Phone: 800 -,,a
Address: '7&_�. -t_o c v% \004 .- 0-4
CONTRACTOR Name: 4-
Qd r--�L' tk"w V "qv
P'Aca-' 4g 4 V -C w
JL K k4
-3a3- Lta3d
Address: 233 '1_'J`-PN
Supervisor's.Construction License: 013 y Exp. Date: iIa3 b Q I --
Home, Improvement, License; Exp. Date:
ARCHITECT/ENGINEER 7 o"\ Se - Phone: -q7&-7 yq —0 a o
Address: 10 3qu'-<c ' \ew• Nln. 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: $_� 0001 O O FEE: $ �, 9, Q.
Check No.: Receipt No.:
NOTE: Persons contractW with unregistered contractors do not have access to the guaranty fund
Si nature of Agent/Owne '� �Signature of contractor
Plans Submitted ❑ Plans Waived Certified Plot Plan ❑ Stamped Plans ❑
Plans Submitted ❑
Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑
TYPE OF SEWERAGE DISPOSAL
Public Sewer ❑
Tanning/MassageBodyArt ❑
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
PLANNING & DEVELOPMENT
COMMENTS
CONSERVATION
COMMENTS
.,DATE REJECTED DATE APPROVED
❑ ❑
Reviewed on
HEALTH Reviewed on Signature
COMMENTS
Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes
Planning Board Decision:
Comments
Conservation Decision: Comments
!later & Sewer Connection/Signature & Date Driveway Permit
DPW Tow;., Engineer: Signature:
FIRE DEPARTMi-:NT - Temp Dumpster on site yes
Located at'124 Main 1Street
Fire Department-signature/date'
is
COMMENTS
Located 384 Osgood Street
no
Dimension
Number of Stories: Total square feet of floor area, based on Exterior dimensions.
Total land area, sq. ft.:
ELECTRICAL: Movement of Dieter 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
Doc.Building Permit Revised 2010
Building Department
The fohpwing 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
o 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 apn-�al period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording
must be subm.tted with the building application
Doc: Dac.Bui.ding permit Revised 2012
MeC446w V (irw CIUMUS -
Location6ld. 1—�� k)cUce,
0 f
Ks.
Chedr. -S�
26516
Date k2
TOWN OF NORTH ANDOVER
Certificate of Occupancy $
Building/Frame Permit Fee $=--,— ...
Foundation Permit Fee
Other Permit Fee
TOTAL
4 4t
Ailding Inspector
OP ID: SH
CERTIFICATE OF LIABILITY INSURANCE
YW)
70(11114113
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 pol)cy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to
the terms 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).
PRODUCER 781-247-7800CONTACT
Rodman Insurance Agency, Inc.781-444-0090
145 Rosemary St., Bldg. A
Needham, MA 02494-3238
Jeffrey Grosser
POLICY NUMBER
PHONE aC No
E-MAIL
ADDRESS:
PRODUCERCUSTOMER SHAWM-4
INSURER(S) AFFORDING COVERAGE NAIC
INSURED Shawm ut Property Managem ent Co
MattDykem an
200 Merrim ack St
Haverhill, MA 01830
INSURERA: Middlesex Mutual Assurance
INSURER B:Star Insurance
INSURER C:
INSURER D
INSURER E:
EACH OCCURRENCE $ 1,000,00
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
THIS IS TO CERTIFY THAT 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. LIMITS SHOWN MAYHAVE BEEN REDUCED BY PAID CLAIMS.
INSR
Im
TYPE OF INSURANCE
ADDL
SUB
POLICY NUMBER
POLICY EFF
POLICY EXP
LIMITS
A
GENERAL LIABILITY
X COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE OCCUR
CPP907840102
10114/12
10/14/13
EACH OCCURRENCE $ 1,000,00
PREMISES Ea occurrence $ 100,00
MED EXP (Anyone person) $ 5,00
PERSONAL & ADV INJURY $ Not cove
GENERAL AGGREGATE $ 2,000,00
GEN'L AGGREGATE L IM IT APPLIES PER:
POLICY F1 PRO LOC
PRODUCTS - COMP/OP AGG $ 1,000,00
$
AUTOMOBILE
LIABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON -OWNED AUTOS
COMBINED SINGLE LIMIT $
(Ea accident)
BODILY INJURY (Per person) $
BODILY INJURY (Per accident) $
PROPERTY DAMAGE $
(Per accide nt)
$
$
UMBRELLALIAB
EXCESS LIAB
OCCUR
CLAIMS -MADE
EACH OCCURRENCE $
AGGREGATE $
DEDUCTIBLE
RETENTION
$
$
B
WORKERS COMPENSATION
ANDEMPLOYERS. LIABILnYTORY
ANY PROPRIETORIPARTNER/EXECUTIVE YIN
OFFICERIMEMBER EXCLUDED? ❑
(Mandatory In NH)
If yes, describe under
DESCRIPTION OF OPERATIONS below
NIA
C0378090
11/01/11
11/01/12
X WC STATU- OTH-
LIMITS ER
E.L. EACH ACCIDENT $ 500,00
E.L. DISEASE - EA EMPLOYEE $ 500,00
500 00
E.L. DISEASE -POLICY LIMIT $ r
DESCRIPTION OF OPERATIONS /LOCATIONS /VEHICLES (attach ACORD 101 Additional Remarks Schedule, If more space Is required)
Employee Dishonesty w/Travelers #105811725 817112-15 $100,000; Errors 8,
Omissions w/Mt Vernon #PM2002160A $100,000 w/$10,000 Ded 1!21113-14
CERTIFICATE HOLDER CANCELLATION
BLANK—
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
Shawmut Property Management Co
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
733 Turnpike St #221
ACCORDANCE WITH THE POLICY PROVISIONS.
No Andover, MA 01845
AUTHORIZED REPRESENTATIV E
6& af92
O 1988-2009 ACORD CORPORATION. All rights reserved.
ACORD 25 (2009109) The ACORD name and logo are registered marks of ACORD
Date: June 12, 201`3
Invoice # [100]
Expiration Date: [September 12, 201]
[Shawrnut Property
Management]
[733 Turnpike Street]
[North Andover, Ma 01845]
800-303-4030
E
SALESPERSON JOB
Paul
Meadow View Decks
CITY
DESCRIPTION
5
Front decks at building 1, 2,3,4 And 5
4
i Back decks at building 1, 2, 3, and 5
$20;000.00
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Demo and rebuild
Quotation prepared by:
PAYMENT TERMS
DUE DATE
Due on receipt
m. --------- ___ __ _ _ _ _ ._ _ _ ..... ....... ..... __
UNIT PRICE
LINE TOTAL P
-- -
i $16,000.00
_
......$80,000.00
$20;000.00
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$80,000.00 i
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This is a quotation on the goods named, subject to the conditions noted below: (Describe any
conditions pertaining to these prices and any additional terms of the agreement. You may want to
include contingencies that will affect the quotation.)
To accept this quotation, sign here and return:
Thank you for your business!
�( Massachusetts - Department of Public Safety
j Board of Building Regulations and Standards
Construction Supcnisor
License: CS -093481
IN
PAUL A LETOURNEAU
1 GLENWAY AVE `� s
METHUEN MA 81844 �
Expiratio
Commissioner 4 04/23/201
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10 Derby Square, Suite 3N
Salem, Massachusetts 01970 k,
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SHAWMUT PROPERTY MANAGEMENT
733 Turn ike Street #221 N rth A d M 01
A 845
p o n over,
Phone: 978.685.2158 • To// Free: 800.303.4030 • Fax: 978.687.8640
December 13, 2012
Inspector of Buildings Gerald Brown
Building Department — Town of North Andover
1600 Osgood Street — Building 20 — Suite 2-36
North Andover, Massachusetts 01845
Dear Building Inspector Brown,
Per a request of the North Andover Building Department we had an engineering study
done of all decks and as required have replaced the rear decks at buildings 13 and 4. In
accord with the engineers report the community has secured all existing deck railings and
is committed to replacing the remaining decks over the next three years.
Our engineer has questioned the need to reinstall the existing iron ladders due to the fact
that the buildings have two means of egress (front and rear doors). Since the new railing
system are now to code we are concerned that the old iron ladders will now fall more
than a foot below the new railings.
We met with the North Andover Fire and Safety officer and Chief Andrew V. Melnikas
and also made calls to the State Fire Marshal. All of these parties agree it is up to the
North Andover Building Department to decide if the existing ladders should be
reinstalled.
For our files, please initial this document if you will agree we are not required to reinstall
the existing fire ladders. If you feel the ladders need to be reinstalled, please let us know
the installation specifications.
Sincerely,
Matthew B. Dykeman, CMCA® AMS®
Executive Vice President
i 7,/1
Shawmut Property Management
Toll Free 800 — 303 — 4030 ext. 113
Direct Fax 978 — 332 — 5783
J
mdykeman@shawmqtpm.com
Visit us at www.shawmutpropertymanagement.com
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SHAWMUT PROPERTY MANAGEMENT
733 Turnpike Street #221 North Andover, MA 01845 .
Phone: 978.685.2168 • Toll Free: 800.303.4030 • Fax: 978.687.8640
December 13, 2012
Inspector of Buildings Gerald Brown
Building Department — Town of North Andover
1600 Osgood Street — Building 20 — Suite 2-36
North Andover, Massachusetts 01845
Dear Building Inspector Brown,
Per a request of the North Andover Building Department we had an engineering study
done of all decks and as required have replaced the rear decks at buildings 13 and 4. In
accord with the engineers report the community has secured all existing deck railings and
is committed to replacing the remaining decks over the next three years.
Our engineer has questioned the need to reinstall the existing iron ladders due to the fact
that the buildings have two means of egress (front and rear doors). Since the new railing
system are now to code we are concerned that the old iron ladders will now fall more
than a foot below the new railings.
We met with the North Andover Fire and Safety officer and Chief Andrew V. Melnikas
and also made calls to the State Fire Marshal. All of these parties agree it is up to the
North Andover Building Department to decide if the existing ladders should be.
reinstalled.
For our files, please initial this document if you will agree we are not required to reinstall
the existing fire ladders. If you feel the ladders need to be reinstalled, please let us know
the installation specifications.
Sincerely,
Matthew B. Dykeman, CA® AMS®
Executive Vice President
Shawmut Property Management
Toll Free 800 — 303 — 4030 ext. 113
Direct Fax 978 —332 — 5783
mdykeman@shawmutpm.com
Visit us at www.shawmutpropertymanagement.com
Initial Construction Control Document .
To be submitted with the building permit application by a
Registered Design Professional
for work per the 8U' edition of the
Massachusetts State Building Code, 780 CMR, Section 107.6.2
Project Title: Meadow View
Condo -Front
Balcony
ReplacemerW
ate: 6/13/201-3 _
Property Address: 5 walker
Road, North
Andover,
MA
Project: Check one or both as applicable: I kNew construction CKExisting Construction
Project description: Remove & replace -existing decking & railings systems
at existing tronE baiconles.
I John A. Seger MA Registration Number: 3 010 5 Expiration date: 8 / 31 / 2 013, am a
registered design: professional, and hereby certify that I have prepardd or directly supervised the preparation of all design
plans, computations and specifications concerning:
[ Entire Project [ ] Architectural [ ] Structural [ ] Mechanical
[ ] Fire Protection [ ] Electrical [ ] Other
for the above named project and- that such plans, computations and specifications meet the applicable provisions of the
Massachusetts State Building Code, (780 CMR),'and accepted engineering practices for the proposed project. I
understand and agree that I (or my designee) shall perform the necessary professional services and be present on the
construction site on a regular and periodic basis to:
1. Review, for conformance to this code and the design concept, shop drawings, samples and other submittals by the
contractor in accordance with the requirements of the construction documents.
2. Perform the duties for registered design professionals in 780 CMR Chapter 17, as applicable.
3. Be present at intervals appropriate to the stage of construction to become generally familiar with the progress and
quality of the work and to determine if the work is being performed in a manner consistent with the approved
construction documents and this code.
When required by the building official, I shall submit field/progress reports (see item 3.) together with pertinent
continents, in a form acceptable to the building official.
Upon completion of the work, I shall submit to the building official a `Final Construction Control Document'.
Enter in the space to the right a "wet' or
electronic signature and seal:
Phone number: 978-744-0208
Email: johnaseger@segerarchitects.com
Building official Use only
Building Official Name: Permit ATo.t Date:
1600 OVDI)d Street, fiords Andaw, Nfissachusells 01845
Phone 91B.6BB.9545 _ Fax 978.688.9542 Web rImMewndnorthandover.corn
k
BABurns Associates — Engineers
01.22.14
Matthew Dykeman
Shawmut Property Management
Re: Meadowview Condominium — No. Andover, MA
Deck and Balcony Construction Inspection
Dear Mr. Dykeman:
The subject construction inspection was made this date. All work was found to be in conformance with
the design drawings and specifications issued by this firm.
Regards,
Robert J. Burns, P.E.
Principal
PO Box 5128 Portsmouth, NH 03802
603.964.5551
www.burnsengineers.co
info@burnsengineers.com
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