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Home My WebLink AboutBuilding Permit #477-2011 - Stacy Drive 12/10/2010TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit NO: 7 % �� 0// Date Received Date Issued: IMPORTANT: Applicant must complete all items on this page LOCATION ; 9 - 15-7-5 S-[ae.y -Dr Prescoft Villa Print PROPERTY OWNER Print MAP NO: '1l e) PARCEL: ZONING DISTRICT: Historic District yes no Machine Shop Village yes no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building N One family ❑ Addition ❑ Two or more family ❑ Industrial ❑ Alteration No. of units: ❑ Assessory Bldg ❑ Commercial ❑ Others: N Repair, replacement ❑ Demolition F{S,eptc7ell ❑ Other DlFloodplam . D Wetlands �`'Water'shedDistnct. 4 - - nFgC:RTPTION OF WORK TO BE PERFORMED. Tnsta I I n raoi r Identification Please Type or Print Clearly) OWNER: Name: Phone: Address: CONTRACTOR Name: Tohnsfon Construction a I:nc- Phone: 97s 535.3228 Supervisor's Construction License: c s1�L Exp. Date: 9. 3 0 - 11 Home Improvement License: i 2 3 1144 _Exp. Date: i 2- 1 z- 10 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: $ i r o s - FEE: $�� Check No.: X32 Receipt No.: 77f NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ TYPE OF SEWERAGE DISPOSAL Public Sewer ❑ Tanning/MassageBody 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 CONSERVATION COMMENTS .L HEALTH COMMENTS Reviewed on Signature Reviewed on Signature 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. 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 Doc:.Building Permit Revised 2008 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 Neje Construction (Single and Two Family) o 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: Doe.Building permit Revised 2008mi Location � ? No. Date NORTH TOWN OF NORTH ANDOVER OL Rte. A Certificate of Occupancy $ S CHCS <� Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check #4,!� 2 S 7'18 rwilding Inspector C•CA OZ!CCA = d0O C**= � =® 0 m C) p o ymO.O H -- CL a m d=rm ••F O im CO) ••* CO) Qo�co n dco CD Z-0 CA '1 oy.o?� r nccl h S Z Cn d CD o =•�Z rCrI^^1 co O _? CL r C7 VJ O m N m _ ^ m ' O O t J C CD m a =• CO) O e: y H. o. m Q M O n C/) c ,c� c < o p CD ►n CA m CD CA s CL c' — :,h - vi p•G ? ll C 3E CD CA �� ° T m_ O o�CD tl� � Q O o v CD o CD n ... � O ®o rn c CD y CD H -+ CL o y C: CC CD m — p O ;w N �. CD ZCD ..« ...► C.) Cl) 0 0; dc CD MA Cn d ccn o w f D, - - w oda ql ° r Cn �S. 7z R' �' w n 5 oGc a n C� rc� �^ Cn O+ o v o omi 09 0 c �..,..r �oriu.0wimstun 9786858194 p.1 JOHNSTON CONSTRUCTION CO., IN. C. Two Reo Road W. Peabody, Massachusetts 01960 (978)535-3228 www. j ohnstonconstntciioninc.com Dcoember 9.2010 Gree[ North Property 1 qnt. C/o Pmscott Village Assoc 3 Holland Way, Suite 201 Exeter, NH 03833 - . Description of work: Installing Roof Ridge Vent.¢ on Units 5-9, 15-25. Remove existing roof cap, cut opening for the vents. Install new ridge vents on above mentioned units. Install new cap over ridge vents. Dispose of old roof caps. Labor & M,atterial Per Unit: .................. ..............................._..................... 51,038.00 Total:............................................_....._......................................................................W,6flg:.08 Work Schedule: Project will commence once a building permit is obtained and will take approximately 12 days depcpding on the weather conditions. Payment Schedule; The first third is to start the project, a second third is due hallway through the project, and final payment due upon completion_ All Workmen's Compensation and Liability Insurance has been provided and up to date. —fYavid E. Johgmn Date Customer Signature Tare Johnston Co6huctiou Co., Inc. � � i -d - a T e/y�' Ft'5Goof kjltk . ,� B� oF��mg hods aed dards HOME IMPROVEMENT CONTRACTOR 923124 Expiration.=12!122010 Trg 278545 Type: Private Corporacion JOHNSTON CONST CO, INC. DAVID JOHNSTON 2 REO RD.. PEABODY, MA 01966 Administrator Luse or motion" id for individul use only before the expiration date. Mound return to: Board of Building Regulations and Standards One Ashburton Place Rur 1301 Boston, Ma. 02108 Not valid without signature CAIE 1U4U ACORN). CERTIFICATE- OF* INSURANCE• PRODUCER THISTT CERTIFI ATE IS ISSUED AS A MATTER OF INFORMATION The Douglas insurance Agency ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE nnfield Woods Office Park HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR L y ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 220 Broadway Suite #301 COMPANIES AFFORDING COVERAGE Lynnfield, MA 01940— A Commerce Insurance Company ,KSuREC .. .. i COMPANY -. .._ . Johnston Construction Company I S.. Travelers Insurance Company 2 Reo road ( COMPANY Peabody, MA 01960 C- COMPANY D COVERAGES , TniS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE PO,-ICYPI-RIOr :NOICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO V;H11h T^:` - - _ca.TirICA7E MAY BE ISSUED O�1 MAY PERTAIN 7HE INSURANCE AFFORDED BY 7He P�UCIES DESCRIBED HEREIN -IS -SUBJECT (V ACLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. COTYPE OF INSURANCE I POLICY NUMBER POLICY EFFECTIVE POLICY EXpiunoN ; UMITS TR DATE (MWDD/YY) DATE (MM/DD/YY) GENERAL UABIUTY ` —�- i GENERAL AGGREGATE S 1 000,000 - XX COMMERCIAL GENERAL LIABILITY j ; : PRODUCTS•COMPAP AGG 1 1,000,000 CLAIMS MAGE L—I OCCUR) J N9125 1 8120110 8/20/11 PERSONAL 4 ADV INJURY 11 000, 00 A OWNER'S t CONT PROT ' EACH OCCURRENCE S1,000,000 FIRE DAMAGE (Any on@ Me) 3 50,000 - ..: .. - .. MED EXP (Any one Parson) 1 - - • AUTOWOSILE UABIUTY �— I COMBINED - SINGLE LIMIT- ' ANY AUTO' ALL OWNED AUTOS XX 1 ! BODILY INJURY (Par S 250, 000 A XX sCHEOULEO AUTOS--.:._- --- --. 00MMT16128 - 1 / 1110 ._.: .1 /.1 / 11 Pars«,) ' HIRED AUTOS (BPODILei �n,RY S 500 ,000 NON-0WNED AUTOS GARAGE LIAB0.rTY AhY AUTO EXCESS LIABILITY UMBRELLA FORM OTHER THAN U48RELLA FORA wORKERS COMPENSATION AND EHPCOYERS* LIABILITY - B rNE PROPRIETOR/ INCL XHUB-3307T43-4-09 9/20/09 PAATNERSrEXECUTIVE OFf CERS-ARE---- -''-EXCL– OD ER OESCRIPTXHi OF OPERATIONEVLOCATIONS/YEHSCLES/SPECIAL rTEMS CERTIFICATE HOLDER - Great North Property Management 95 Brewery Lane Suite #10 - Portsmouth, NH 03801 ACORD 25-S (3/93) PROPERTY DAMAGE 1 100,000 AUTO ONLY• EA ACCIDENT I 01 -HER THAN AUTO ONL Y EACH ACCIDENT S AGGREGATE 1 EACH OCCURRENCE S AGGREGATE S s STATUTORY LIMITS - EACH ACCIDENT S 500,000 9/20111 DISEASE - POLICY LIMIT 3 500,000 DISEASE • EACH EMPLOYEE 3 SOLI, OO . CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED UEFOR, ' EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAYOR TO IAA.. __30„• DAYS WRMIFN NOTICE TO THE CERTIFICATE HOLDER NAMED TO ri+E .EFT. BUT FAILURE TO MAIL SUCH NOTICE SHALL U POSE NO OBL)GAnSON OR UAB'U'r-' OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVE AUMREZR REPRESENTATIVE \r Cly CORD ORPORAT1ION 933 Michael R Douglas