HomeMy WebLinkAboutBuilding Permit # 3/10/2015 G NosaYN
BUILDING PERMIT o` LHD ,ba
TOWN OF NORTHA
APPLICATION FOR PLAN EXAMINATION' �E
Permit No#: .,, Date Receivedo
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MPORTANT: Applicant must complete'all:items on this'page
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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
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DESCRIPTION OF WORK TO BE PERFORMED:
Ide tification- Please Type or Print Clearly
OWNER: Name: ” 44Z' Phone:
Address:
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ARCHITECT/ENGINEER Phone:
Address: Reg. No.
FEE SCHEDULE.BULDING PERMIT.$12.00 PER$1000.00 OF THE TOTAL ESTIMATED.,COST BASED ON$125.00 P l=-
Total Project Cost: FEE: $
Check No. Receip t`No:
NOTE: Persons contracting with unregistered contractors do not have access to the guaranty”" nd
Signature of Agent/Ovuner 5griatureaf,contractor - ''-_,j
F N®RTiy
m own ot udover
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--,We
h ver, Mass,
COC NICiOW1CK y1'
A04ATED /.Q�'�,�5
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BOARD OF HEALTH
Food/Kitchen
PER .m. . IT T L I) Septic System
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THIS CERTIFIES THAT .. ...... ,.... BUILDING INSPECTOR
.... ..... ..... .. ..
has.permission to erect.......................... buildings on 43... 'y�!N�� ...... Foundation
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....... .. ........�. Rough
to be occupied as ..iI�I ..,. I�u.''�.',.'.�.` . . ...eo . '.... Chimney
se
provided that the person accepting this permit shall in every respect conform to the terms of the application
Final
on file in 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 I ONT S ELECTRICAL INSPECTOR
LESS CONSTRUCT
S TS Rough
Service
.............. ................................................................. Final
BUILDING INSPECTOR
GAS INSPECTOR
Occupancy Permit Reguired to Occupy Building 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.
Smoke Det.
Job Number 5146 DATE 2!2712015
Client ERIN NADEAU-978-886-1713
address 43 BRIGHTWOOD AVE.
city ltown N. ANDOVER,01845
contractor
1.WEATHERSTRIPPINGICAULKING QUANTITY TOTAL AUDITOR NOTES
Door Kits Q-Lon or Equiv. 4 204.00
Door Sweeps(Regular) 0.00
Door Sweeps(Automatic) 3 78.00
Reglaze Windows/in.inch 0.00
Window.Weathstr Schlegal per side 0.00
Recessed light cover per SWS.Not a tenmat cover 0.00
attic sealing 2 part foam 0.00
attic sealing 1 part foam 2 140.00
basement and living space air sealing 1 part 1 70.00
SUBTOTALS 492.00
2AJNFILTRATION I INSULATION AUDITOR NOTES
Domestic pipe Hot Water Tank 1st 6' 0.00
Sill Two Part Foam w/Fiberglass Batt 110 270.60
I"T-max only foam boardPerimeter per IECC&SWS sq.ft. 0.00
2"T-max only foam boardPerimeter per IECC&SWS sq.ft. 0.00
Drape DOOR R-5 or T-max only 0.00
Tape Joints(Alums Grip only)per hr. 0.00
Duct Ins w/Tape sq.ft.R-5 conditioned space 0.00
Duct ins w/Tape sq.ft.R-8 unconditioned crawl/garage/attic 0.00
Hydronic pipe insulation to 1"R-5 120 458.40 COPPER
Hydronic pipe ins.1.25"-2"R-5 0.00
Steampipe Ins. 1.25"-2"iron pipe R-5 0.00
Steampips Ins.2.5"-3"iron pipe R-5 0.00
Air Conditioner Meeting Rail 0.00
Air Conditioner Cover 0.00
Air Conditioner Cover Special Order 0.00
SUBTOTALS 729.00
26.INSULATION AUDITOR NOTES
Open Unrestricted R 49 0.00
Open Unrestricted R 38 0.00
Open Unrestricted R 30 0.00
Open Unrestricted R 20 224 322.56 slopes
Open Unrestricted R 10 0.00
Restrict FUSloped R 38 694 1138.16
Restrict FUSloped R 30 0.00
Restricted FUSloped R 20 0.00
Restrict FUSloped R 10 0.00
R-19 FGB open rafters/walls/kneewalls 0.00
R-11 FGB open rafte rs/walls/kneewa Ile 0.00
Attic Stairs(stairwell&common wall) 0.00
Cover Pull Down Stairs Thermadome up to R49 per SWS 0.00
Site built pull down stairs 2"foam box 0.00
INSULATE ATTIC AND WALLS
USING BLOWN CELLULOSE
JOB TOTALS �tD _
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De�
Greater Lawrence Community Action Council,Inc. ,� t
Weatherization Assistance Program
305 Essex Street Z_O
Lawrence,MA 01840 z
WORK PERMIT
I, Z�_�f-21 V A)G V Certify that I am the owner/authorized
Agent for the property at: � �l Cr f�-7� W oD
w7 6
(Address)
I further certify that I have given my permission to allow work on the property
listed above in accordance with the following provision;
1. Weatherization
2. Heating System Work
and such other particulars as may be attached to this agreement.
Signed I Dato; f�
Owner/Authorized Agent
/kNETTi 6k�; e.:Ai tJ CO.
362 CA r i-N AVE
LYNN, MA 01' 't
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102707
License: CSSL-
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ALBERT W SOUZA
4p, ,oUL ST UNIT 1
BEVERLY MA 01915gv 3
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05/25/2015 .
Office of Consumer Affairs and Business Regulation
10 Park Plaza- Suite 5170
Boston, Massachusetts 02116
Home Improvement Contractor Ration
`��istratian: 135956
TYge: USA
�cpiratian 6.2=016 Tr# 250930
DANETTI INSULATION CO.
'EDWARD CHAMPIGNY _
362 EASTERN AVE.
LYNN, MA 01902
Update AdZress and reb¢rs cars.Mark reason for chang,
XA1 ,: ;I .------.—. _. Address Renewal (� Employment Lost Cared
Qk O€dee e;CoaecA#iaas& Regulation License or registra#oa valid for k&widul use oajy
SU ROWMw OONTRACTOR before the ex*wloe data If ned return to:
of �3535f Type: OT=of Consumer Affairs and BUSHIM RegWaam
5 b DEA 10 Park PIaza-Sufte 5170
Boston,MA 02116
EUWARU CfiQMQ3GhtY- r
362 EASTEPj4 AVE �t ,�sK _ �y `� J•
LYW AGA 019(Yz
Jade sr rretaiy Not valid`+idkoat
ACORD CERTIFICATE OF LIABILITY INSURANCE DA /25/D.�
056/25/2014
FTHIS CERTIFICATE IS ISSUER 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 CLTVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED y
REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER #
WPORTANT- if the certificaW hoidrer is an ADDITIONAL INSURED,Ifte pollcy(ies)must be endorsed. if SUBROGARON IS WAIVED,subject to
the terms;and Conditions of the policy,certain policies may reequire an endorsemenL A sWement on this certificate cues not confer rights to the
certifcate holder in lieu of such endorsement(s).
CONTACT
PRODUCERyE
Duffy Insurance Agency, Inc. No. £781)593-1200 (781)593-7260
317 Broadway EADDREM
Wyoma Square IKSUKERts}AFFORDING COVERAGE
Lynn, MA 01904-2602 VISURERA: Endurance American Insurance CO -
amPtEo Danetti Insulation ------ INSURER 8: Norfolk & Dedham Mutual Ins Co ---
C/o Edward Champigny WSURERC: AIN! Mutual Insurance.Company
362 Eastern Avenue INSURER D. -
Lynn, MA 01902-1626 INSURER E:
INSURER F: ---
COVERAGES CERTIFICATE NUMBER,006 REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED WMED ABOVE FOR THE POLICY PERIOD
INDICATED- NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAYBE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORD®BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS.
EXCLUSIONS AND CONDIbONS OF SUCH POLICIES.LUTS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
LTR TYPE OF A�ANCE ;;ISR iiNYU i POUCY Nth I LRllTS
cerrezaL LtABLLITY CEC100019 061=2014 0612212015 EACH occURt.>Ice s
". X I COA9IERCIAL GENERAL.LIABILITY _ } Is 100,004
f i BABAS-tAADE C OCCUR Z MM EXP{Any ors mson) ':$ S,
A 1 1 PERSONAL&ADV INJURY
f GENERAL AGGREGATE S 21000,
GEN L AGGREGATE LIST APPLIES PER _ I PRODUCT$-COMPIOP AGG a 2,000,00
X POLICY 17 PRCO-- ' LOC
AUTOMOBILe LtABtlJTY 91460767! 11710812014 0711)WMSt } a 11000,00
ANY AUTO BODI•Y tWURY(Per person., i3
ALL OWNED
B }AUTOS$ X SAUTOHES ISD I BODILY WARY(Per accicent; -3
NON
HIRED AUTOS -0Wtr'EO i
AUTOS I accda t)
=� g
UMBRELLA[JAB I OCCUR I EACH OCCURRENCE $ _
EXCE'SS-UA9 'CLAiidS.MApE I 'AC,CxRE,GATE 5
DED I RETENTIONS
i VA)RIKERSCOWENSATION i VWC-100-6018529-201$ 0412412014)0412412015! TORY L601ITS'X ER
AND EmpLOY'ERs-LIAaftm Y/N
ANY PROPRIETORIPARTNERIEXEC(fT I N/k i 'EL EACH ACCIDENT is S00100(
C OFFICI ER EXCLUDED?
(NanddolyinNKI s ELD}SEASE-EAEWLCYE£S S00'00(
I Ifyos,desenbe wider I --
DESCRtFTION OF OPERATIONS betas 1 +EL DISEASE-POLICY LIMIT S S001
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DESCRIPTION OF OPERATIONS I LOCATIONS f VOW.ES(Attach ACS 101.Aditcnaf Remarks ScheduK tf more spare is required) 'I..
ID Corporate Services LLC d/b/a National Grid d/b/a Boston Gas Co, d/b/a Colonial Gass Co, d/b/a
Essex Gas Co, and Action Inc and Greatern Lawrence Community Action, NSTARi:,ABCD, and Community Teamvork
care_additional insured_
CERTIFICATE HOLDER CANCELLATION
FAX: 978.654,7919
OF THE ASDVE DESCRIBED POUCtEsCANCELLED BEFORE
TNf E%PtRkT)ON DATE THEREOF,NOT=WILL Be IN
A7ROAN�E W TH THE POLICY PROVISIONS- i
s
Commnity Teamork, Inc I rf
ATTN: Eve Meegan, Accounting Techician ' I rrr 3j J.
45 Kirk Street 2nd Floor t f t r Loaleell, MA 01$52 j 3 1" t ; A(/
.44UMILVACOFM C10 _ I is resefved.
of ACORD
ACORD 25{2410105) The ACORD name and logo are registered rks I% f
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