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Home My WebLink AboutBuilding Permit # 4/22/2015 ®* 00RT#1 BUILDINGtT TOWN OF NORTH ANDOVER � 0 APPLICATION FOR PLAN EXAMINATION Permit NO: Date Received Arep Date Issued: CHUS��y i IMPORTANT Applicant must complete all items on this page !� /�/ �/! TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building U6ne family ❑Addition ❑ Two or more family ❑ Industrial ❑A ration No. of units: ❑ Commercial epair, replacement ❑ Assessory Bldg ❑ Others: ❑ Demolition pt ❑ Other ❑Se t1 /% rrr Jp /i YII /'% / / % %/.,C%,I/',d I Mrl% '.❑,,, .S'F //r/%/// r o/;rr '" ' �; ' ,// ❑ �` / r/ ,; r � rr � / i ,fir/,� / Identification Please Type or Print Clearly) 183 OWNER: Name` k4,A\'S - I ( Phone c r Address: / r ,r / //,, a/. 11 ir.//r , ✓ ./i >iir,,..,, ,/ / r/,r, re. �� r /. ,. .,r r�i 1...;,,;., //r// ;., ,.,, /. r: / / rr.. ,,/�. ,/" ., //,// / ,r ,:..: / 1, r u.. �i, / /✓ / r, / //... r,... /r./ / //, ,, r,�lr , ,� rr,,. ,, l/ "r'/ l../� ✓//// ,{,.,y, /r,: �/� ..iM' ��. / /✓/// ,��sc,. , �- / g r,,,✓/ „ ,;,, ,rrr ,„ r„rru, ,,;,,,,,,,,,; ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE:BULDING PERMIT:$1200 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ u FEE: $ b Check No.: *113Receipt No.: NOTE: Persons contracting whh.unre istere,d contractors do not have access to the ranty fund r « Sgnttare of Agent/Owner°""'; , „r Signature of contract�r , ....__ Plans Submitted,[] .-r Plans Waived ❑ Certified Plot Playa.,U "Stamped Plans ❑ .. TypF"F SEWERAGE DISPOS hiblic Sewer Tannin Swimming Pools ❑ g/MassageBody Art ❑ g Well ❑ Tobacco Sales 11 Food Packaging/Sales ❑ Private(septic tank,etc. ❑ Pennanent Dumpster on Site ❑ THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF ® U FORM NNING DEVELOPMENT Reviewed On Signature_ COM S 6 (6 ,4 µ CONSERVATION Reviewed on /4 /5- Signature . COMMENTS HEALi Reviewed on Signature 9C COMMENTS I I't - /j Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments r Conservation Decision: Comments i Water & Sewer Connection/Signature& Date Driveway Permit I i DPW Town Engineer: Signature: �I Located 384 Osgood Street �Lo,cated a ,X24 Ma S�ree� � I ,9, �' � 1� �y /'��✓��/ ,�, � %'ii l� c'�,I� � ��r � ,,, �r � , ,�,,, I lUm✓PMinrONu!Vui'aioriMi/rrre,�z✓va�.�Q kW��a;l' , r.&1B i Rt r ,..,. .� r,I��a P il��/ar��I�,�,rI�IlI�I,,Ir � �� r �� I � �/�� F tA®RTH It E d ve r town of 11' 0 • C, LAME h " ver, ass, �15 COCIIICHEWICK y1. ADRATED S U BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System �.THIS CERTIFIES THAT 4:vos-.A.. ... ........................................ BUILDING INSPECTOR LAhas permission to erect ..................... buildings on Foundation . . . .... ... Rough to be occupied as ....... .. ... . . ............. Chimney provided that the person accepting this permit shall in 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 IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS COST TRTS Rough Service ............... ............� ... Final BUILDING INSPECTOR GAS INSPECTOR Occupancy Permit Required to Occupy Building Rough Islay 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. t April 15,2015 Naga & Shoba Donti 48 Huckleberry Lane N. Andover Ma.01845 Phone: 978 376-4043 ADDENDUM We at Marlowe Building & Design, Inc. are pleased to submit a proposal for the following: RECONSTRUCT EXISTING DECK ON REAR OF HOUSE 16' x18'THE NEW DECK WILL RE SLIGHTLY SMALLER THAN ORIGINAL,AS PER PLANS AND AS FOLLOWS: PERMITS • All permits supplied by Marlowe Building & Design, Inc. • All drawing supplied by Marlowe Building & Design, Inc. EXISTING DECK • Remove existing Deck and put in dumpster on site • Remove existing Concrete footings and pads SITE PEP • Excavate for new Big foot footings place 300OPS1 concrete • Excavate for stair pad and pour 300OPS1 concrete and finish CONSTRUCTIONDECK • All pressure treated framing lumber including post and beam's • Decking Timbertech Earthwood Brown Oak • Railings Timbertech Evolution contemporary Black • Lattice below deck on right side of stair location "Deck Only" • All risers & Skirts to be covered with PVC Board CLEANUP • Total cleanup of site. LANDSCAPING • Due to the severe winter weather you may need to hire a landscaper to repair grass areas as a small machine is needed to dig for big foot footings, which is not covered in the proposal. • f Thank you for allowing us to quote your work. Peter b. Marlowe President r Acceptance Date— 1 I,� Marlowe Building&Design 1 258 west Manchester St.Lowell,Ma 01852 Phonelf 978-6,49-8570 FAX#978-937-1990 Pelham Buildinp Supply P.O. Box 55 Pelham, NH 03076 QUOTE 16031635-7555 FAX{603} 635-9627 Page: 1 Quote: 00011922 Special Time: 07:23:11 Instructions Ship Date: 04/01/15 Invoice Date: 04/06/15 Sale rep It. 03 TOM PROVENCAL Acct rep code: 11 Due Date: 05/10/15 Sold To: MARLOWE BUILDING&DESIGN Ship To: MARLOWE BUILDING/DESIGN 258 WEST MANCHESTER ST. (978)649-8570 MASS LOWELL,MA 01852 (978)649-8570 Customer 020525 00001 Customer 100: order BY:SARGE 2%10TH popimgol T 63 ORDER SHIP Lf U/M ITEM# DESCRIPTION !Alt Price/Uom 'I PRICE EXTENSION DECK REPLACEMENT 3.00 3.00 L� EA BT1 21:2 112"X12'BUILDERS TUBE 21.5200 EA 21.5200 64.56 5.001 5.00;LI EA 6614PT ***NOT STOCKED*** j 1125.0000 MBF 1 47.25001 236.25 2.001 2001 Ll EA j 668PT40 j 6x6x8'PRESSURE TREATED 1056.2500 MBF 25.3500 50.70 7.00 7.00 L EA 1ABW66Z PA66TZDP 6X6 POST ANCHOR BRACKET 23.5500 FA 23.55001 164.85 14.001 14.00 p L EALPC13Z � PB66-6TZ POST BEAM CAPS 4.7600 EA 4.76001 66.64 4.00 4.00 Lj EA DTBTZ DTB-TZ DECK TIE BRACKET 7.6840 EA 7.68401 30.74 I 25/CASE 4.00 4.00 j P! EA !2916476 11/2x36"HDG THREADED ROD 6.9900 EA 6,99001 27.96 HOT DIPPED GALVANIZED BEAM UNDER 3.0013.00 L1 EA 12102OPT 2x1Ox2O'#1 PRES TREATED 1106.9991 MBF 36.89961 110.70 JACQ JTS/PLTS 16.00, 16.00 L EA 121016PT 2X1 OX1 6#1 PRES TREATED 788.7985 MBF 1 21.03411 336.55 APROX 80pcs/LIFT 2.00 2.00 Lj EA 12102OPT 12xl 0x20'#1 PRES TREATED i 1106.9991 MBF 36.89961 73.80 ACO 32.00: 32.00 L EA 1JH210Z JUS210-TZ 2X10 SINGLE JOIST HANGERS 1.2000 EA 1.2000 38.40 LUS 210Z 50pcs/bx 10.001 10.00,Pi EA iZOUZZ0000000704 HUTTIG SDS25112-R25 25CT BX 6.2300 EA 6.23001 62.30 4.00 4.00 L EA !A35Z MPAI-TZ ALL PURPOSE ANCHOR 0.6120 EA 0.6120 2.45 I 00/ctn 32.001, 32.00 I L j EA H25AZ 'RT7A-TZ TIE DOWN ANCHOR 0.4800 EA 0.48001 15.36 2.00 i 2.001 Li RL 17680457 10"x20'COPPER FLASHING 39.9900 RL 39.99001 79.98 W/BACKER used W/ACQ 1.0101 1.00 L! MULL�UIDIVVM 19"x75'FLASHING TAPE 29.9000 ROW, 29.90001 29.90 CONTINUED ON NEXT PAGE i Customer Copy Floor sheathing MY diameter \ nailed at 61, max. HDG threaded on center rod with is with holdow and washersContinuous flashing \ \ \\ e), not show - Deck to Ledger Installation Section View Floor yy\,\vy� yy\ \\ \ joist Deck DTT2Z joist(Solid 2x joist or \\\ blocking) The Commonwealth of Massachusetts ww Department of Industrial Accidents I Congress Street,Suite 100 Boston,MA 02114-2017 www mass.gov/dia Workers'Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information c._ ease Print Legibly n.. Name(Business/Organization/Individual): ZL Address: �� City/State/Zip: `>(,e` -. ► _ Phone#:_, �. OL Are you an employer?Check the appropriate box: Type of project(required): L®I am a employer with employees(fidl and/or part-time).* 7. E]N 'construction 11 2,M I am a sole proprietor or partnership and have no employees working for me in $, emodeling any capacity.[No workers'comp.insurance required.] 9. El Demolition 3.[j lam a homeowner doing all work myself.[No workers'comp.insurance required.]t 10 F1 Building addition 4.R I am a homeowner and will be hiring contractors to conduct all work on my property. I will ensure that all contractors either have workers'compensation insurance or are sole 1 L E]Electrical repairs or additions proprietors with no employees. 12.Q Plumbing repairs or additions 5.M I am gdneral contractor and I have hired the sub-contractors listed on the attached sheet. 13.F-1 p Roof repairs T e sub-contractors have employees and have workers'comp.insurance. 6. We are a corporation and its officers have exercised their right of exemption per MGL c. 14.Q Other 152,§1(4),and we have no employees.[No workers'comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. i Insurance Company Name: I Policy#or Self-ins.Lic.#: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under MGL c. 152,§25A is a criminal violation punishable by a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator: copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage veryfication. I do herebjf certify under'the pdis and penalties of perjury that the information provided abov is t ue and correct. /S__ Si ature: .,- r -.. .- . ,_. Date: / Phone#: t Official use only. Do not write in this area,to be completed by city or town official. City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: I fi Office of Consumer Affairs and Business Regulation t � 10 Park Plaza - Suite 5170 Boston, Massachusetts,02116 Home Improvement Contractor Registration Registration: 122415 Type: Private Corporation Expiration: 8/30/2016 Tr# 256022 MARLOWE BUILDING & DESIGN INC ._ PETER MARLOWE - - -- 404 MIDDLESEX RD. #1 -- TYNGSBORO, MA 01879 Update Address and return card.Marls reason for change. scar :.a 20M-05/11Address Renewal `-1 Employment [--ILost Card r��r�lninvzr-xrncrrl/�nfr'/�f<rs.;rrc�n.te(Is �. Office of Consumer Affairs&Business Regulation License or registration valid for individul use only i<r �1IOME IMPROVEMENT CONTRACTOR before the expiration date. 1f found return to: l tZegistration: 122415 Type: Office of Consumer Affairs and Business Regulation j Expiration: 8130/2016. Private Corporation 10 Park Plaza-Suite 5170 Boston,MMT116 MARLOWE BUILDING&'DESIGN INC PETER MARLOWE 404 MIDDLESEX RD.#1 TYNGSBORO,MA 01879 Undersecretary Not valid without signature Y tlassaoilckse s D Part ent oi P blit � ,—-------- 1 ` Massachusetts -Department of Public Safety — 2oa d o Buiid=,,� Reguia4icrfs �„ .�L t = ds Board of Building Regulations and Standards s$p'-n §far �Omtrllini)Ti.sllpvi i k4 lr License CS-048623 License: CS-014685 DAVID G DEGAN PETER D MARLOWE 404 MIDDLESEiM0,W;1 258 West 8lanch4er Sti TYNGSBORO MA 01879;. Lowell MA 0185 ` r =.tP, Lr Expiration Commissioner 06/06/2016 Commissioner 06/19/2016 1V�/Ei4LTF$OF M� �: hF� i��?` lD. fl dak W 1 SUES TNE' FOL=LgWiN `L I3C'E1VS3 A�'�� JO�IRNEY�PEI��O]� UNR�S,TI�'.fi'GTED ° �� - � ANDKU7S. G :�,- 1= (�}a .f, 3� fif *]��--3t��u7^r�Q ��}^.1- }, � ••,, �. l„ ...1 CERTIFICATELIABILITY I DATE IMMIDD/YYYY) 06/16/2014 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 policy(les)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 CONTACT NAME: AMERICAN HERITAGE INSURANCE AGENCY PHONE C/O BATES FULLAM INSURANCE AGENCY, INC. E MAIo`Ext) AIC No: 975 ELM STREET ADDRESS: West Springfield, MA 01089 -INSURERS)AFFORDING COVERAGE NAIC9 — --- INSURER A: INSURED -- Accuservice Corporation INSURERs: AMGUARD Insurance Company_ 42390 INSURER C: _ 19 Leisure Drive INSURERD: Holland, MA 01521 INSURER E: INSURER F 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 POLICIESDESCRIBEDHEREIN-IS-SUBJECT-TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR - — AD DL SUER - ----_- _ .._._ LTR TYPE OF INSURANCEINS POLICY NUMBER MMIDD!YYY MM/DD/YYYY) LIMITS GENERAL LIABILITY '. EACH OCCURRENCE $ 0 COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED - PREMISES(Ea occurrence) $ 0 CLAIMS-MADE OCCUR MED EXP(Any one person) S 0_ — --- PERSONAL&ADV INJURY S _0 GEN_E_R_AL AGGREGATES 0 GEN'L AGGREGATE LIMIT APPLIES PER' - POLICY PRO- PRODUCTS-COMPIOP AGG $ 0 J T LOC I $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT IEa accldenl�-___ $ ANY AUTO BODILY INJURY(Per person) $ AULOWNED SCHEDULED ( AUTOS _ AUTOS BODILY INJURY(Per accident) $ HIREDAUTOS NON-OWNED j PROPERTY DAMAGE -- I _(Per accldenll $ UMBRELLA LIAS OCCUR EACH OCCURRENCE EXCESS LIAB - -------- — -- -$$- - _ y CLAIMS-MADE AGGREGATE $ '.. DED RETENTION$ j $ WORKERS COMPENSATION WC STAN- OTH- AND EMPLOYERS'LIABILITY . ORY LI 1 X ER ANYCERJMEBERE EXCLUDED,EXEC UTIVE YIN 1 R2WC501176 06/14/2014 06/14/2015 E.L.EACHACC IDEN7 $ 100,000 B (Mandatory H)EXCLUDED? FN(Mandatory in NH) i �— -- '. If yes,descrTIibe under EL DISEASE-EA EMPLOYEE S 100,000 DESCRIPON OF-OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Marlowe Building &Design THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 404 Middlesex Rd ACCORDANCE WITH THE POLICY PROVISIONS. Tyngsboro, MA 01879 AUTHORIZED .RESENTATIYE O 1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD