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Home My WebLink AboutMiscellaneous - 1160 GREAT POND ROAD 4/30/2018 (43) r i \ r �, �AA / ,l �� Location C No. '71, Date jORTN TOWN OF NORTH ANDOVER • ; ; Certificate of Occupancy $ ��a"••°'tt�' Building/Frame Permit Fee $ -A� s�CHus Foundation Permit Fee $ Other Permit Fee $ TOTAL $ 5 Check # 0?14 ii 17403 "A'a Building Inspector I' V TOWN OF NORTH ANDOVER BUILDING DEPARTMENT PLICATION TO CONSTRUCT REPAIR,RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING .... .� -kry'�t ..... ? •�" '��OE'k�+61"��i£th�Il'�13C�)3I �. <° "�',. a�.�• AIDING PERMIT NUMBER. DATE ISSUED: rn � --o X c � 3NATURE: ••� Building Commiss ner/I for of Buildings Date Z MON I-SITE INFORMATION O 1.1 Property Address: CSS 1.2 Assessors Map and Parcel Number: I t ban Q RZK t fib RA . -r#OA4 PSWJ RLDC Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: ting District Proposed Use Lot Areas Frontage ft BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide Required Provided Required Provided v Water Supply M.G.LC.40. 54) 1.5. Flood Zone Information: .1.8 Sewerage Disposal System: lic p private p Zone Outside Flood Zone p Municipal p On Site Disposal System p CTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 110 t IL; u i T r1 C t eS 0 Owner of Reccord '�j 12001 SCC�d1 l �O o CTPD^a�T P64 .D me(Print) 1/c4m �.�od•�f � Address for Service: �J l n re a Telephone Owner of Record: �d •� o �/r T �� a dien+% -0�4J�2 flame Print Address for Service: M nature Telephone M .CTION 3-CONSTRUCTION SERVICES I Licensed Construction Supervisor: Not Applicable ❑ c s . ��533 sensed Construction Supervisor. O License Number dress Z601 -'277 '�HS 3 777 Expiration Date i .nature Telephone r Registered Home Improvement Contractor Not Applicable ❑ O � 7� mpan}"Name'�j0 NAcb �OAJflE rn s � Registration Number r u w �KE��E� i'av .� r :cress o '7 !!/!Z/2W� Z Expiration Date —' Y nature. Telephone SECTION 4-WORKERS COMPENSATION(M.G.L C 152 § 25c(6) Workers Compensation Insurance affidavit ust be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the build ¢permit. Signed affidavit Attached Yes.......Y No.......0 SECTION 5 Descri tion of Proposed Work check q Wppllcable) New Construction 0 Existing Building V Repair(s) Alterations(s) ❑ Addition 0 Accessory Bldg. 0 Demolition ❑ Other 0 Specify Brief Description of Proposed Work: avE2 6XJS 11A) �c i Koo t�F�.t ave 12C c 7o- Caqv4s� • r man X a� SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)to be _� OFF'ICIALUSE ONLY - Completed by permit applicant 1. Building (a) Building Permit Fee st. Multiplier 2 Electrical (b) Estimated Total Cost of Construction 3 Plumbing Building Permit fee(a)x (b) / �D 4 Mechanical(HVAC) 5 Fire Protection 6 Total 1+2+3+4+5 l5 3 Check Number SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT ✓1 �d'4✓� ,as er/Authorized Agent of subject property Hereby authorize t'o VOW CZ"T XV C TZ b ry to act o AMya_, n all ers relative t}r�riS auths�l�a permit applicationer Date b OWNER/AUTHORIZED AGENT DECLARATION I, as �/Authorized Agent of subject Pro Hereb are that the statements and information on the foregoing application are true and accurate,to the best of my knowledge and belief �. 2,� d Si afore bWe_rLX lent Date NO.OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TBERS 1 2` IM3 SPAN. DIMENSIONS OF SILLS DUvSENSIONS OF POSTS DIMENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X - - MATERIAL OF CFENINEY - IS BUILDING ON SOLID OR FILLED LAND - IS BUILDING CONNECTED TO NATURAL GAS LINE ZEDdacu� D1826 l978181�3777 March 30, 2004 Brooks School Job Location: Same Normand Grenier 1160 Great Pond Road North Andover, MA EST MATE—Rubber Roof Existing railings to be removed (by others) Posts for rails will be cut flush with roof line. Existing loose gravel will be broom cleaned. y A perimeter nailer will be installed. A I" ISO'roof insulation will be attached over existing roof system. EPDM .060 rubber membrane will be fully adhered to ISO insulation. y EPDM membrane will be extended up wall a min. of 12". y Care will be taken to remove siding, but due to its age it may be difficult to salvage. A white aluminum edging will be installed and sealed. All penetrations and walls will be flashed and sealed as required. All roof related debris will be removed daily. Roof to carry a 10 year labor and material warranty. Cost of labor and materials $5,475.00 Additional charge for 1/8"tapered insl. $ 585.00 (continued) May 5, 2004 Brooks School Job Location: Same Normand Grenier 1160 Great Pond Road North Andover, MA DECKING ESTIMATE ♦ A pressure treated 2"x 4" sleeper will be installed over new roof with a slip sheet under. ♦ 1"x 6" pressure treated decking will be attached.to sleepers with screws. ♦ Pressure treated turned posts will be installed and attached to new decking. ♦ Pressure treated 2"x 4" rails will be attached to posts(height to meet code). ♦ Pressure treated turned balusters will be installed per code. Cost of labor and materials—Option A(as pictured) $3,125.00 Option B (as pictured) $4,050.00 If you choose to install mahogany decking with cedar posts, rails and balusters,the price will increase as follows: Option A $ 785.00(add) Option B $1,365.00(add) North Andover Building Department Tel: 978-688-9545 DEBRIS DISPOSAL FORM In accordance with the provision of MGL c 40 S 54, a condition of Building Permit Number is that the debris resulting from this work shall be disposed of in a properly licensed solid waste disposal facility as defined by MGL c11, S150A. The debris will be disposed of in: (Location of Faci ' y) Signature of Permit Applicant D to NOTE: Demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector LDING BOARD ISUPERV SORB License: Number: CS 035313 Bird"Iete. 05/07J1962 Expires. 05/02/2006 Tr.no: 24551 t t Resb icted: 00 DONALD G RONDEAU 6 i/ PO BOX 522 01826 ' DRACUT, Commissioner - !� ✓dee �� _ �llJ� a�✓1�iraaaa�iia�. Board of Building Itegulations and Standards < i = HOME IMPROVEMENT CONTRACTOR Registration: 137434 EJVration: -11/12/2004 Type: Private Co►Poration RONDEAU CONSTRUCTION IN.t;, DAVID RONDEAU 2020 LAKEVIEW AVE. _ • DRACUT,MA 01826 Administrator Z a The Commonwealth of Massachusetts � t d Department of Industrial Accidents Office of investigations Boston, Mass. 02111 Workers'Compensation Insurance Affidavit Name Please Print Name: Location:- Phone -# ocation: Phone •# I am a homeowner performing all work myself. . I am a sole proprietor and have no one working in any capacity EZ( I am an employer providing workers' compensation for my employees working on this job. / -0<-,— . Company name Address City: cz-) j /Vt r 0l G Phone* 7 G/s 3 -27 , Insurance.Co. . d Jrfi 7 C-9 Policy# Company name: Address Ci Phone#: Insurance Co Policy,# Failure to secure coverage as required under Section 25A or MGL 152 can lead to the imposition of criminal penalties of.a fine up to$1,500.00 and/or one years'imprisonment-as well-as_civil.penalttes in.fhetnrm nfa-STOP WORK_ORDER..and..a fine of.(.$l00.00)a day against.me. I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. 1 do hereby certify under t p ' n e allies o erjury that the information provided above is true and correct. Signature Date 7. 5CJ Phone#�C2-,' .3 777 Print name ]��,��/��n Official use only do not write in this area to be completed by city or town official' City or Town Permit/Licensing Building Dept []Check if immediate response is required Licensing Board F� Selectman's Office Contact person: Phone#: [] Health Department Other MAY-17-2004 12:19 FROM:CLOUTIER INS AGCY 9709577230 TU:y(U4b'Jebh4 r•='—' ACORDa CERTIFICATE OF LIABILITY INSURANCE PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY ANCONFERS UPON THE OLDER. THS CERT1FICA E DOES NOT AMEND,CEXTENDATE OR CLOUTIER INSURANCE AGENCY ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW, 1470 LAKEVIEU AVENUE INSURERS AFFORDING COVERAGE DRACUT, MA 01826 COMMEReE i149- INSURED INSURER A; RONDEAU CONSTRUCTION INC INSURER B: PO BOX $22 INSURER C: DRACUT, MA 01826 INSURER D; INSURER E! COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING 4NY REOUIREM£NT,TERM OR CONDITION OF ANY CONTRACT OR'CTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PEPTAIN.THE INSURANCE AFFORDED BY THE POLICIES OESCP.IBED HEREIN IS SUBJECT TO A;L THE TERMS,EXCLUSIONS AND CONDITIONS CF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. POLICY EFFECTIVE POLICY PIRAntW LIM INSR TYPSOFINSURANCE POLICYNUMBER GENERAL LIABILITY EACH OCCURRENCE S CCIAMERCIALGENERAL LIASILr..Y FIRE DAMA3E(Any one Ilre) S CLAIMS MADE F�OCCUR I MED EXP(Any ono person) S PERSCNALA ADV INJURY E.1 I GENERAL AGGREGATE 4 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPJOPAGG $ 17-1 POLICY PRO LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT `E (Ea acdooni) ANY AUTO ALL OWNED AUT OS BODILY INJURY s (Pei Person) SCHEDULED AUTOS HIREDAUTOS BODILY INJURY E (Par ercident) NON-OWNED AUTOS PROPERTY DAMAGE E (Per aacont) GARAGE LIABILITY AUTO ONLY•EA ACCIDENT E ANY AUTO OTHER THAN EA ACC E AUTO ONLY: AGO S EXCESS LIABILITY EACH OCCURRENCE S OCCUa FI CLAIMSMADE AGGREGATE E s • s DEDUCTIBLE i S RETENTION E 1 — V1C AT 7 O i N• WORKERS COMPENSATION AND WgKKA CMPLOVfiRC'LfADltt'YV F.L.FACH ACCIDENT E.L DISEASE•EA EMPLOYE S E.L.DISEASE•POLI^/LIMIT S OTHER it i •� • DESCRIPTION OF OPERATIONwLOCATIONSNEHICf ESlEXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS CERTIFICATE HOLDER ADDITIONAL INSURED;INSURER LETTER: CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 1 HE EXPIRATION BROOKS SCHOOL DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL DAYS WRITTEN 1160 GREAT POND ROAD NORTH ANDOVER, MA 01EQ5 NOTICtiTOTHEC6RTiflCATE HOLDER NAMED TO?HELEPT,BUT FA4URETODOSOSMALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER.ITS AGENTS OR REPREBENTATIV AUTHORIZED96 h' NTATI e ACOAO 26-S(7f97) 4AL/�//`Y 0 ACORD ZORFORIATION IS86 NORTH ToVM Of C, ^- LAK 0P14 dover, Mass., a �Y COCMICME WICK A. �dSDRATED 77 U BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System ps..P 0 r� BUILDING INSPECTOR THIS CERTIFIES THAT...... r� ky 00 IIr�............................................................ .... P .. ............. ® : Foundation has permission to erect....�� ..,.,...., buildings on �(....� ^ Rough ....... ............... ... :.. ...... .......................................... ....... to be occupied as..... N' rep m c.K.o...S ... ..h.. ...... .�r�.... Chimney provided that the person accepting this permit shall in every 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. R OO i' tv A bf CAC .i y W YC Do "6460PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. !�3/� �S�D dw� Rough Final PERMIT EXPIRES IN 6 MONTHS UNLESS CONSTRUCTION STAELECTRICAL INSPECTORt RTS Rough . . ..... .. ..... .... ... Service BUILDING INSPECTO. .... R 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 FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner r Street No. SEE REVERSE SIDE Smoke Det. Date. . . .If. ,f 0'�.... .. NOFTI� 3F ..to ,a1ti0 o� ° °� TOWN OF NORTH ANDOVER • PERMIT FOR GAS INSTALLATION ru � r SACHUSE�Sy j 1 This certifies that . . . .. . ..,. . . . .. . . . . �-- ✓'. . . . . . . . has permission for gas installation f ��. . . . . . . . . . . . . in the buildings of . . . . . . . . . . at . .�.j�>r?. . ¢e�North Andover, Mass. Fee..'.. Lic. No.. . . . . . . . . . . .. . . .f. � �. . . . . . ` GAS INSPECTOR Check � 3713 MASSACHUSETTS UNIFORM APPUCATON FOR PERWr TO DO GAS FITTING (Type or print) 1 Datey NORTH ANDOVER,MASSACHUSETTS BuildinTl-L L tions / / 6 v Permit# ount ,�► ave v Owner's Name New Renovation ❑ Replacement ❑ Plans Submitted ❑ z o . F O o W � F SUB-BASEM ENT BASEMENT 1ST. FLOOR / 2ND. FLOOR 3RD. FLOOR 4TH. FLOOR 5TH. FLOOR I 6TH. FLOOR 7TH. FLOOR 8TH. FLOOR (Print or type) IO/Jr( Certificate Installing Company Name v ftCorp. Address — ❑ Partner. Business Telephone 0 A ❑ Firm/Co. Name of Licensed Plumber or Gas Fitter INSURANCE COVERAGE Check one: I have a current liability Insurance polic or it's substantial equivalent. Yes ❑ No❑ If you have checked M,please ind' to the type coverage by checking the appropriate box. dability insurance policy Other type of indemnity ❑ Bond ❑ Owner's Insurance Waiver: I am aware that the licensee does not have the Insurance coverage required by Chapter 142 of the Mass.General Laws,and that my signature on this permit application waives this requirement. Check one: Signature of Owner or Owner's Agent Owner ❑ Agent ❑ i hereby certify that all of the details and information I have submitted or entered)in above application are true and accurate to the best of my knowledge and that all plumbing work and installaf s perfo ed unde P ssu f application will be in compliance with all pertinent provisions of the Massachuse State e o e eral Laws. Signature of Licen Plumber Or Gas Fitter �l ❑ Plumber 9a 6 Title City/Town ❑ Gas Fitte License um er er APPROVED(OFFICE USE ONLY) ❑ Journeyman