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Home My WebLink AboutMiscellaneous - 59 COURT STREET 4/30/2018 59 COURT STREET 210/058.0-0004-0000.0 PERMIT NO. � APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. PAGE 1 MAP 4.40. LOT NO. 2 RECORD OF OWNERSHIP DATE (BOOK ;PAGE 4 i _ z ZONE SUB DIV. LOT NO. s . LOCATION /1 Qu rPQ PURPOSE OF BUILDING OWNER'S NAMEM r l Q n n e L e- v 1 S NO. OF STORIES SIZE OWNER'S ADDRESS / -I Gl �` �n e �, ICp�U�_ /,QJ. BASEMENT OR SLAB '�c Se P,h�.... ARCHITECT'S NAME r f �) �+ VtiL SIZE OF FLOOR TIMBERS 1ST 2ND 3RD ,1 BUILDER'S NAME os( LE V LTJ SPAN ___ _n /� . -&r�,.4/1 wy?dc i 'P✓��S` DISTANCE TO NEAREST BUILDING DIMENSIONS OF SILLS t� DISTANCE FROM STREET '" POSTS DISTANCE FROM LOT LINES - SIDES REAR '" GIRDERS AREA OF LOT FRONTAGE HEIGHT OF FOUNDATION THICKNESS IS BUILDING NEW �.IQ SIZE OF FOOTING X IS BUILDING ADDITION A G MATERIAL OF CHIMNEY IS BUILDING ALTERATION 'v IS BUILDING ON SOLID OR FILLED LAND �1 WILL BUILDING CONFORM TO REQUIREMENTS OF CODE �/�/�' IS BUILDING CONNECTED TO TOWN WATER lip BOARD OF APPEALS ACTION. IF ANY Cj ` IS BUILDING CONNECTED TO TOWN SEWERN�' IS BUILDING CONNECTED TO NATURAL GAS LINE INSTRUCTIONS 3 PROPERTY INFORMATION LAND COST SEE BOTH, SIDES EST. BLDG. COST PAGE 1 FILL OUT SECTIONS 1 - 3 EST. BLDG. COST PER SQ. FT. EST. BLDG. COST PER ROOM PAGE 2 FILL OUT SECTIONS 1 - 12 - SEPTIC PERMIT NO. • ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING 4 APPROVED BY ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR DATE FILED •UILDING INSPECTOR SIGNATURE OF OWNER O AUTHO ZED AGENT ' FEE OWNER TEL.# 7&--3 PERMIT GRANTED � CONTR.TEL.N P,� � ` CONTR.LIC.A` H.I.C.x I G 3 7 7 2 r "ORT F Town of _ over No. *Ty z dower, Mass., 'Z- 19 9'� O i LAKE "iY 1w 1 9A_CO CKICHEWICK 9 TEDQP`y '�C MM& mmIT T IS E BOARD OF HEALTH Food/Kitchen Septic System JEKIVI BUILDING INSPECTOR THISCERTIFIES THAT........................................................., J.r..?......................................................................... Foundation has permission to erect--.. l'�...... buildings on ....... ..........C. .................... ....r......... Rough 1 . �,. .. ...�. {�.C�... to be occupied as................................................... .. ... ... 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. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTION START Rough :..... .... .. .... ......................."..... ...... Service BUI DING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove Rough P Y P Final No Lathing or Dry Wall To BeDone Until Inspected and Approved by the Building Inspector. FIRE DEPARTMENT Burner Street No. Smoke Det. � 4 s ' HOME IMPROVEMENT CONTRACTOR Registration 103772 e _ Type - INDIVIDUAL c � Expiration 07/09/98 JOSEPH G. LEVIS 65 Salem St / Box 952 '` 'i�ence MA 01842 ADMINISTRATOR r I Of,NORTH 1 4. TOWN OF NORTH ANDOVER `_�' . ,'►� APPLICATION FOR PLAN EXAMINATION ,SSACH1`+E� Pennit NO: Date Received: Date Issued: 1� IMPORTANT: Applicant must complete all items on this page LOCATION C,,,�-� _ Print PROPERTY OWNER n e-¢- a yrta in h0 L v LS Print NIAP NO.: PARCEL: ZONING DISTRICT: TYPE AND USE OF BUILDING HISTORIC DISTRICT YES ❑ TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential D New Building G One family Ci Addition i'—V-Two or more family E Industrial Iteration No. of units: 'repair, replacement C Assessory Bldg P. Commercial r7 Demolition Moving(relocation) ❑Other i_, Others: J Foundation only i DESCRIPTION OF WORK TO BE PREFORMED S-f-h tc, �'`-v-u-� a YL�•�� P l n est, I��f �.�j�a�P �%roto o �d .-, IZ&da e— Po-rt, y I^-at I �� Identification Please Type or Print Clearly) OWNER: Name: TO 2 & f'1 a rr i a v,►,..e L.e u Ll Phone: 1 7V—(&2- Signature V—(&2-Signature Address: fo U h l eco -, + CONTRACTOR Name: L e u c s (-c, vvrT o ja , D s ,J-kt( Phone:y74 6&7- 2 � + Address:_ (o �I Supervisor's Construction License: To.,, h G- Le u t- Exp. Date: / - 7 E Home Improvement License: Tose Lem r i'U 1-0 X77 Exp. Date: 7 _7-G L5- - kRClil'I'E('TENGINFFR Name: Phone: Address: Reg. No. FEE SCHEDULE:BULDIyG PERMIT.•510.110 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON .S 12.5.#0 PER S.F. Total Project Cost :$ � G o o x10.00==FEE:$ Check No.: Receipt No.: r, . i TYPE OF SEWARGE DISPOSAL f Tann i ng/'M assagei Body Art Swimming Pools i Public Sewer Tobacco Sales Food Packaginlo Sales _.. Well Permanent Dempster on Site Private(septic tank,etc. __, NOTE: Persons contracting with nnregislered contractors du nut ltttve access to the;;ttartigl,Bund Signature of Agent/OwnerSignature of Contractor Plans Submitted ❑ Plans Waived Certified Plot Plan El tamped Plans E-1 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 I i I DATE REJECTED DATE APPROVED CONSERVATION ❑ ❑ COMMENTS DATE REJECTED DATE APPROVED i HEALTH ❑ El COMMENTS Zoning Board of Appeals: Variance, Petition No: Zoning Dccision,'receipt submitted yes Plannmg Board Decision: Comments. Conservation Decision: Comments Water Sewer connection si�(ynature&date Temp Dempster on site yes_Zo__ Fire Department signature/date C &S2I Icc w-C,5+ rams Building Permit Approved and Issued by: VA I 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 F,xterior dimensions. Total land area,sq. ft.: NO'I'I:S and DATA—(For department use) I ' I I I I i)uc:IN;)I'LCI1(:\,`,I_SL.I:�'ICLS IiLI',V.I'?AI.PJ"I':GI'h(�I:�1Q5 --- f Building Department The following is a list of the required forms to be filled out for the appropriate permit to be obtained. i Roofing, Siding, Interior Rehabilitation Permits ❑ Building Permit Application I • Debris Removal Fon-n • Workers Comp Affidavit i ❑ Photo Copy Of H.I.C. And/Or C.S.L. Licenses ❑ Copy of Contract ❑ Floor Plan Or Proposed Interior Work Addition Or Decks a Building Permit Application ci Form U Li Surveyed Plot Plan • Debris Removal Fon- i • Workers Comp Affidavit Lj 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) o Mass check Energy Compliance Report (If Applicable) New Construction (Single and Two Family) ❑ Building Permit Application ❑ Form U ❑ Certified Proposed Plot Plan o Photo of H.I.C. And C.S.L. Licenses ` ❑ Workers Comp Affidavit s' ❑ 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 Doc:INSPECTIONAL SEM ICES DEPARTMEYr:131'FORM05 Location No. Date Axlo 6 `•NORTN TOWN OF NORTH ANDOVER ,• o.•,�C O ~ A Certificate of Occupancy $ cMuSE< Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ / 0 -- Check #577 190 ,13 Building Inspector NORTH TO" Of K @ 4 over No. �51600M." Im A E dover, Mass., COCMICKE W ICK V^t 7�ADRATED BOARD OF HEALTH Food/Kitchen PER I T T Septic System • BUILDING INSPECTOR THISCERTIFIES THAT......... ... .. �.. ...................................................................... ................................ Foundation has permission to erect........................................ buildings o .....9... COG& ........ .. ...................... Rough to be occupied as............... A. . . a Chimney provided that the person ecce ing thkp-ritsIII in ve respec con ormtrjj6 sof 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 Final PERMIT EXPIRES IN 6 e7NTHS UNLESS CONSTRUCTI 'T'wii?kvm� ELECTRICAL INSPECTOR Rough .......... ................. ....... Service G INSP 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 Street No. SEE REVERSE SIDE Smoke Det. The Commonwealth of Massachusetts Department of Fire Services Office of the State Fire Marshal P.O.Box 1025 State Road,Stow,MA 01775 PERMIT Date: North Andover Permit No (City of Town) (If Applicable) Dig Safe Number In accordance with the provisions of M.G.L.14 8 Chap er 10 as provided in section2 7 r 5 M R 34 Start Date This Permit is granted to: P -c 57/,/-,!g Full name of person,Firm or Corporation -�— Pern►issionto locate dumpster for construction/renovation/demolition of building Comments: dumpster must be 25 ' from structure if unable to place with required Restrictions: clearance dumpster must be covered with plywood or tarp end of work day at c ) C', (Give location by street and no.,or describe in such manner as to pro2vtpd adequate identification of location) Fee Paid$ 50 .00 Fire Chief This Permit will expire � '0,4 (Signature of offical granting permit) Offical granting permit (Title) ri♦ TWIC PPPMIT MI ICT RF rr1MCPiri inn ICI V Pr1CTpn 1 IPr1M TNF PPFMICFC . �� Bid oinlii.s "d License or registration valid for individul use only HOME IMPROVEMENT CONTRACTOR before the expiration date. if found return to: Registration: 103772 Board of Building Regulations and Standards Expiration_:7/g/2006 One Ashburton Place Rm 1301 f==.j -- t Boston,Ma.02108 I'II•,, Type: Individual JOSEPH G. LEVIS Joseph Levis 65 Salem St Lawrence,MA 01842 - - - --- Administrator valid out signat re BOARD OF BUILDING REGULATIONS License: CONSTRUCTION,SUPERVISOR xNumber:,CS 030651 Blg6ilate 01/071954 �)Exptres ' -W'/2008 Tr.no: 14186 ' -- .-----•. RestrictedHDO1 !-' JOSEPH G LEVI$ ' j 4 ' 160 PLEASANT N ANDOVER, MA 0184.5t Commissioners. i a D CERTIFICATE OF LIABILITY INSURANCE OP ID C DATE(MWDDIYVM ACOR A C LBVIS-1 03/03/06 PRODUCER THIS CERTIFICATE lS ISSL ED AS A MATTER OF INFORMATIOb ONLY AND CONFERS NO EIGHTS UPON THE CERTIFICATE Michaud, Rowe And Riiseak Xns. HOLDER.THIS CERTIFICA''E DOES NOT AMEND,EXTEND OR 198 Massachusetts Ave ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. North Andover MIL 01845 Phone a 978 '688 8829 `.Fax:978 557 2130 INSURERS AFFORDING COVI_RAGE MAIC# ImivaoI INSURER A: Safety Insurance Company 33618 _ INSURER S: _Guard Insurar.=e Group Levis CompatLS es Inc. I INSURER C; Essex Insurar.:e Couu�any 39020 Joseph Levis _.. 160 Pleasant Street INSURER D: Zurich Small Susiness North Andover MA 01845 --- — _ 1N$URER E ! COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE SEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE PQLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS .:I:RTIFICATE MAY BE ISSUED OR MAY PERTAIN.THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS.EXCI JSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLANKS. i - P(7LTLr EFFECTI�TPOLICY'SIMI0li1101Tr. LIMITS INTR N9R TYPEOFIIVSIIRANCE POLICYNUMBER - I DATE MMIDDIYY GATE MMMOIYY OENER/ILLUu31LITY Ea HoccuRREr1�E S 1000000 DR-=IFTORENTE0 C X (CWWRCIALGENERAL LABILITY 13CPS208 I 10/26/05 I 10/26/06 PRI MISES(Eaoearenro) $50000 CLAIMS MADE U OCCUR I I ME-EXP(Any one Denm) $0 -. I PNAL&ADV INJURY 51000000 EI SO . JAI GELERALAGGREGATE S2000000 GREGATELIMITAPPLIESPER: PRl DUCTS-COMP/OPAGG L1000000 ICIJECTLC>C BILELIABILITY cot•GINEDSB+GLELIMIT AUTO821254 01/01/06 01/01/07 X° 0oideny OWNEDAUTOS BCT LY INJURYSSOOOOO (Per wrson) EDULED AUTOS ED AUTO.+ BOC LY INJURYESOOOOO (Pm ic6dend.OWNEOAUTOS I I PRCiTSRTYDAMAGE s250000 (Por -oddent) iI II III AVT-I.— ONLY' .EA ACCIDE GAUGE LIABILITY ACT OTH•R THAN ANY AUTO AUTONLYAGGC SSS OCURRENCE XCE3fUM8RElLA LIABILITY EACAGC-'ELATE OCCUR �CLAIA75 MADGExS . _ S I I S OcDUCTIBLE S RETENTION S WORKERS COMPENSATION ANO ORY UMffS ER EMPLOYERS'LIABILf" 7LEWC701295 02/27/061 02/27/07 E_L.-AC1•4ACCICENT 3100000 $ ANY PR OPR15TCR/PARTNER1EXEC-MV'E E.L.:ISEASE•EA WPLO S 100000 I CFFICERIMEMSER FXCLUDE07 I .I I -POUCYLIWT S500000 It .desalbe Under E.L SEASE 'SPECIAL PROVISIONS below OTHER on ` gg61934784 n property07/14/05 07/14/06 Sectio ` I CESCRIPTION OF OPERATIONS!LOCATIONS I VEMICLE$I EXCLUSION$ADDEDBY ENDORSEMENT!SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION NORTH-13 SHOULD ANY OF THE ABOVE DESCRIBED'Pt:LICIES BE CANCELLED BET•ORE THE EXPIRATI DATE THEREOF.THE ISSUING INSURER WILL ENDEAVOR TO MAIL DAYS WRITTEN Town Of North Andover NOTICE TO THE CERTIFICATE HOLDER NAMI'D TO THE LEFT.BUT FAILURE TO DO SO SHALL Departmeat of public Works IMPOS%NOOBLIOATIONORLIABILITYOFNtYKINDUPONTHEINSURER.ITSAW-NT3OR 384 Osgood Street REPRESENTATIVE". North Andover NA 01845 AUTHOR REPRESENT g 0 ACORD CORPORATION 1 ACORD 25(2001108)