Loading...
HomeMy WebLinkAboutBuilding Permit # 6/15/2015 I �oRra BUILDING-PERMIT ®F TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit NO: Date Received �"�wrao Prp\°'L5 �SSACFtU`��� Date Issued: P II.TANT Applicant must complete all items on this page Y�.�_'_' z,.r�_Jy f7 `✓; C ti t'1 C ti0.�fi.. 1;11-��EI�.l.�1��.-J�'k'i.N� ,E .`:.2 i i" i T 'rR I !.j 'r f?.i t.:.' I -"1rf tJ 1.. _ s], -.t k-2 s _3_- N �. ...1.. ,v cwT •.t.. J 4 { 3fl _ . .. -Y+. 44 x ............ - L "'uMt l r � .Y artt ,,.• - x ly- r '' !" .err,+. SF'- Fs 7 t;['L Y`• Y' Ypi��',''j'�a j, Y E' S i -1 J .'!. cf. - 5*L' F iP t f' ,�(���.,,s �i, �. � 1n ry.cp�.�.:._a,'���+. � �,�`drq ,.�. �'{L�.:;P27 j`��" -+" 'w�4-v-�5��?t..j•. i r�.t3.�,-c� � vi --iii•-�< � rte` ,�, ^t .r• 1 f, i, -� t' a:�•�'y;:r {yf'�e7��s a e. rr "�'�'a"«a `" tiv,_-' ��` �V L'�'�='-�.7 �1'-���'F s� ���tb s`-• to �fs.� 1�-w t sr-'-i ��`$ t� t�'`*.2.�'I �11'k Y l�.�,✓"rJry��*r.�.. > a .ar k,. r i����is .-•�"�`"'ur .7:-I - .`�s �.n { r +h 9 � _ " F•" a�,,e.��.� t "Y3''T�3.ks7r'7'��� �{"'�.� =`ihe°•..'c 3�;rz:1?i-.<?.r'fA+�.a`fr. i-y-�., k-,l¢�,�'�-�dr`-wc �. r-v' ave:{. ���. st.;��t � f*v�'�s� riy '.�-�.7��''i..�t��t S �a.i����r"k-'�„`%.1r:��tst , {I v 3 iL�"�t i'al7tJl:tlr3c � -�'t`r-Cr r;�",�c.�� r�'a 1 �_„_, —� `�"J' �5 f.• 5 �'s'J t.. .n���'•�`1 ��N•;?Y= ,..L�:iL�e � �� Ie. � �sl. �. n I I {T �h- � t �. '�"'rc�•=�2s'f� r y��t t 1�r� r��S�i� �`�"1; ��—�e4stv?iE!`� 3• -a.� ,�i`7 c1 .er'��x��,�u,r;.r S.v,F 7ir"�,--*tT ri r�•�M��s+v Au.}`n aqq�s- }igr I.�."t�.A.-�. } 'I^-4.,.=ri,-�Sz!. W�__ �1 _,.,T'r r � '�'i�x ,.e �'- �;'<<,-•"-3-�� a'ti�^vYal2a.�'��ynur�.r� 1��rfr. r-->, �%Y�YI�I"iti+-'..o,•st C n.��.,. .U�,�.�2e&�+t-e„r*t .J..yp't�n�:,.!f,.,S- .!`f{. i .7 i �+`{� �j`Yx S{?r �,.aeeeyyy �vy�.'gyp. :;'L�;?L„!n ��`T .".t.p M:f..:^Shev�.P�.ti .;tt.�'�U..t..,h..�...�..i:rS�J�'�=1�.�' 'F_r•I l�i���nrf��1�'.3.�r-.Yr:, i3`P 3F44+ .[tt L•� ��ivl tl�J—i�:I41�p ��ILIgL yf�4-'jRn����Cj n �!'_{ _ 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 d `�••�:- `�Y /) .;_-- -zus�3�r+-� i-z`.c7nr .�� i "i-€•- din t �* n1 ,.J rk: ..> rr r y }r..S. ;sir -. r]'�-�v��6�1.V�� �lNd�i�� t�i.•'�'S.'fu'E��,,'"it s;CJy[t��""e:4'"�S'-�`Jf"'��iJ��t�a��- �' "�'SL�.tl�/'��[��� `�U) le�+-' ��r ;� +p _����'}.���_s"+��'•P�G ��• �Z: RIS * lrl �ibP 4sC ISL .P. =4i..Fmd /vVX+ a�l�til `,' 'z (��,.�.._... . ...............�. .J2..�:�..X,-.,.. _t.�•7 �"r�b�nn{',.;F-,e rty,{�_c�t"-`��-y itcs�Lr� '-a�F'" 'rs"„". �,s -+� ��s� 5� �'T<'w i,��rt y���t7�{•Nt'j�� rd,-�x� DESCRIPTION OF WORK TO BE PREFORMED: Identification PIease Type or Print Clearly) OWNER: Name: li Phone: Address: ,u,ti•�=7 t�sr.r t t;'- , -',,�:6rDrv?� t y?- u- { r y<. r •r 'rm)'=a4:e.•, y, -v .�, ro1 "451 r`r, _�, 4•'.�l.i .�=•xsti. 3,:r:6-tt.1.l•.v;=:;s'.t�toyr.'v:•`a=�,e^';,:tkk ; "+-�' S���^ ',sr, G, M•'r-i k �'4i m t 7t 'Y a ,c a 7 4..i „err �" �• r.,,v c$ s-hus - a'.^- 1 i u+ v` ' ,;�,uu..-, rL a ``"•,t �'•` s{E r!`i -�-.{' t: .m. rs1=+r(-„-'a„�„ix�� _,� h.a 'fy-� � .It� �' -t � ¢� � ��,c,'._ �J,.�•.�•� �F=i,�^ _ r �gW1 _1 'a rNy3 �- , ,, s '�' •, '” i Mc4JL cfi' r ��1 � t„ 2� r-•a'`�4x�.,� � �.,�'�'+rl't �. r�f9✓.,��.y i�c�`{�t1�`� r14FT �4�„�+ C+YT.,r•• ,•t"�u P 'tib i'Ff 7 F+ll'_ } �CSCu'--J',`€}9 .a �'� >,^••¢� >r ^� N', ai7�'•Y;?,—n:� r'Y;.�� h�.s:,,n�,,{,.�."'FLirE;aa�:ivi -tl isgs 4' !t'= - z r .d^ '[w-a`.3s" ?'r'�m iY ,.s rA- :77.:- k' Sr,I ' `7iA p�.� �T�p .,3 �?. '!4'+tu y?:!•,�e r„� •,'M'�.•r-r�,.,s u t. n yr�hr b F i-r'h•r;.r cY rc's�'-�c'r- 'F1 n. Wit- s .-s-•�r iy�,„r,dE�.',.• -r.F' Js't'Irr-?bJ.7 411„1a`�"� ' u57 er.� rFA. L:� t £�� t zi aq _ Y 1tr �, ` " v „�j�. •, y� rl'S�} x - fin 7b �t�f`-•sW j�{.. arty �,7.� F Sx.7t 1i4. r1 'i43P� !J� n r� , :<. Zfni .." t:� -- � j? s '" �vszri e'`-a�•.`�.tn�'"c`.-J'?� t t �} it : „ tet„ .�h C" 'x s� a:� v. 4 h S 5'<•'i;„. <~u�P2 tom,. = +' �7.a.-'=...: ?u �^d t ..ter, .eRf.r1 n3= 0 FI,� •_� tw..�,:.q r22J'• PER��...,r.".2�.7�,P >.,.•�.!i'55.,. .Z_iarr'L'v�.>,�m �.k`"'�it�.-�e-'V�,S ,'�.:'�`.�_ �e.�5`J.q.u dl•�=_t �C.r. �� "M1ci�� t wT s:.'� ax, may' ,}+- ,,Y,�J�. f�ft`r-d�-'W-"-• F_=-'r` rt t is r4 h,lgr'€d -t c'1 •y,u 4 y.!s t is y- 4", �ttF.iS�i a_*=-., r l CP�"'IT.v..� fi a �, �ir-•-�7 �i—er'-'�1.'-r h-r �^ ft.�•:t_.!v�Yv�,ryd e s 'a r �• 1?a'� -� 1�: M z-..s -u 4l'3� t_ !_ii S` '�' , �c r Z-'� v..r..,r r>.. ._.r ., ,.;r�...�+.u.,^-;.nnrv:., .R..-.. vw•...:.t--.r.....,—=��_..;.....J�. ��.�tt+� '.�-•hG'm•,_''��' �t_7. -r.,rtf fr,`1Y k��4r� ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE.BULDING PERMIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ q aaa): (` FEE: $ Check No. Rece' iP t No. NOTE: Persons contracting with unregistered contractors do not have access to the gu fund Si na�lureS.�f�.A er►t/Ouuner _: r _.,•,. : . .�•,•:� �� -� � — aFcaractor _ _ �` & JAORTH rtown o nuover 0 No. Q LAK& ver, Mass, COCHICH@WICK V ADRA7ED S U BOARD OF HEALTH Food/Kitchen rwERMIT LD Septic System THIS CERTIFIES THAT ....... 15. ........ .......C... ........... BUILDING INSPECTOR evFoundation has permission to erect.......................... buildings on ........ r......t............ ..• •••••• Rough to be occupied as C ....... .�!'� 41!4 ..do===. ..................... chimney provided that the person accepting this p rmit 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 Rough VIOLATION of the Zoning or Building Regulations Voids this Permit. Final PERMIT EXPIRES I6 MONTHS ELECTRICAL INSPECTOR A Rough UNLESS COS CTION Service ................... ... ... ... ....................... Final BUILDING INSPECTOR GAS INSPECTOR ccupancy .Permit Required to Occupv 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. ¢tvan.yr I"Jan Beatrice Cutler 978-685-5066 265 Bear Hill Rd. (_SIDING WINDOWS DoOR" North Andover, MA 01845 fiimi�y GtvftedAml 07temted q i"�"I r"I 'ji 1 0 0((101 "eW�ifino(l bd'm"'ttv'h'conlmi' s'Mlh amY "u to fi'lro�'O i) cr"11','nct and uh�. *'c' alxoi6eq w me, spe'r,haJons avr,o it cu'P d'iVns'ell (M(Ii SPECWK;XHONS Budd Tie into Low-E Melal PVC flew inside TOTAL S Rost Oveirlang A,fjoit sv�eens Griclix INITI Imn F hnirrh es No Ye,s No '6'.,s NoYe, No INS NO "Ps No A's No Ve s ri a Doitble Fi'uilu 113 Cieposil S Picilum V3 i:Rart of Job S Rov'r/Bay coarden IM Bakince Upon Camp 1pil our S (S01NG)SPEC�NGXfIONS Appy� aver body at of hoop e,Type of onsu�atjon iterins not covered or instaffed: Yes No yes N 0 Yes NO Svip alf Existing Siding Vinyl Shutters Roof Pmvide(w;oritah ier dnd�ernove aall Window Mantels Npw Guttws Gover Fascl'n A SoffilDow Surrcwrirps Gutter off&("n iC) r.rrWfndmv C�mmg Gelling Fluted Post 51/s 1-1 r--Ixt'L i"ie-A-, i-i'rs's—it—i+-r')'d'e' -P"V-C-Tt"i, a-''l rt,j-�_.°, T I-o",-i I Come .......... ON liTAR"I'l)F AllMBS-HOM EOWN ER S MUST R EMOVE Al.L ITEM S FROM WA L Ls&S IRIN H� Conshmiion rdialed pernits:H the dtnatur,avarteir wMarls his Own conshuction,reiated pennits fm,fhe work rfitscribNl Linder Nis agmement,the Nmemief is huff by Avised itimt ki the everO W dispidejudgment ano nonpaymM of the homeowguir witl nag be enfitkd to rnake as claki to or aufled faim Ufa guarooLy forid aMANhed by NwpWr MA,ft.G L Year y i n d,o-w.s1-,.fume to he frac svdao. 254 N.Broadway-Breckenridge Mall 1,3 '3 (r, t naiainca ipon cnimpiet(on .tic H"� I'M�111 rI .......... A01 —Nrou,flhe Buyer,may ca vicel Mis Van'sactfimi at any tme pfwr lo niidrifgM of Un rhipd huMrris,a day after Via dMa al'MN UarLs,,wUm Gaudiabarf must be drinu in nrrflfmg.We rourve Me Ur mdd, DO N01SIGN"T'HiS CONTRAC"r F THERE ARE ANY UANK SPACES. t,J WITNESS V/flr�FRF(tF,st the parties hetw,mto�pvo aiped ffieir iiames this day oi` Sic neci 3,/':; --------------- - --—-------------- The Com tit orttaaeolth q 'Mcssac°husett, Department crfItrdstr ial Accidents PRO r; 600 Washingion Street d .�,.s;, rro�aa� rorarcr. ��rara1,1114 Worccar' tla:'rrrrr :aerfsudit rm Insurance MUM: �ta�� GFrµ / :"crrrfr°rr�°Qrrr�J ,�ca�°fir gr�r�.rs�/ ��trrrr��rwr s few r, ttrl(,a 11t I&�� ril,a t i on � „.-.—Y"! j iI t Lr i1,�4 .f'.'s..r.di e kss: � Ylr✓"/yyyj)f -�..... ,_`„ Yid . City/ trtc/zlfa.__w mC��l�t...._� �..� �._ __.__._.,..___..,... �a�"14')raC"" 4 �A�Blaaal�Nll a.lrlp�lc9ytelatiq�tl�6e&.�d [,' c��)�&i"�)fbP�c�tL� au� �xcalif Kl��(,Ilt I:1) 4t)fllfi�llt7l 11LG:!. 1 (yp �'�C��C�"4�P�`r��a(�C)rls 11�laC�1OI1ed 6.'d��. eng)[oYecs (full ancl�ear have 6tt.vd tltt; sul.r,-cowr at.,lors 7 [ ataa ,a sole proprietor of pra�art Cf- list^<'�I ixa7 tlt�,, anaclied sfieta. � 7 1��tr�c�rlraiatt ship aaraai h,avc r1ra c.raapmltayaaa sa 1`lacsa: sub-c:e:>aatraactors laaavt, 8, ( Den-lolition woo-1611Y. ltar Ince any c a a acct; "urkta�cs{t conte incur ricc. �.._:w� 'laaildin <�acldhion iw { Y We__. 1 ) C 1 [�s�artuataNlct t, wools insurance >. a.,ttiatr, la<twrpoiatiCXCf-Ci:nr<lratllRs aa.ir El iad r�a�:mirs or acic#dons 1(D, f lcxvtr p d t �.._ 1 am s.a homeowner dontg rill work r ip it or exeinpi1on per 1`v]G.aL, 1 1.[._.,l Plunal inq acpa.rrs or-aaa,lch6ors mysclf". o workcwrs` corraa, e. 151 §444 and we We no [ p . 1.1.0 1?caofaqaairs inset ance required,I gnaploym [Ivan waaa�lcaW cotnp7 insurance ruquirt al j '4`Auy a111'aliC.anr ataA Chec•ks s m+al mum ako fill om Ow M'4rican belaaw sstaaawhy Tew waarkMY eonwGnsatican"ho Noma icaaa. I loliwown(Ts wlraa aubmil tlu,.alfida v u iudicali g, dam Mg A www wO A"laird<aaw,a W e,<yntta9oom mum sari mh ca rww a4tictn k hada ting: ttwh. K'aanaracac s Im dmik dais test>, anum aatac;lw can acki'ir.iaanal Mwo,,luawmg time nww Mw=,tah-<ronre;w wrs am„t Owl wwkn& c omta.aa&Q, inal:,mn atku, I am an enjolapxe.,that in:pruWr'yZ workers'cr nquearrsathu; a"rasururace.firt°tiny erraplq� pees, "cxlcr)a,i the polit,�.la(taiel job site�_.. �.,,.._. arr far°artrailorz. lra;;urance Coni rtan Maine: ,� � � .� ► �� _.. . ______ __.__ __________ _ _-__ _.___ __- .....-------------- 1'ojik;Y tr or`°v'olt iris. l,;xpir<atiorl Date� 0/. :. . ..._..__... ;la,ab She tmeh a copy of they markers' coma ew saadon paoUcy deepa r aHon page OhoMng the; p:ac'alky numb” and cWlaMon rtr:aa}. QhHe to sectire coverage as required under Lection 25A c>1')MG].,aw. 152 can lead tar le imposhion cafa•dmints pre halt es of a, fine up;to S110p) 00 and'or a:araegear imprisontnent, as M as civil ficnaldes in the 1Enm of"sa STOP `vmJ4)RK OR DER and a fine of up to ya250.CI(1 as clay aagAnst the, vie7laatcir. Lief <advked Unit as copy of this staatenaent may be fcaivarded to tlac Office of inacstiy talit.a is aarIc M Rw ira>tarana,c ct.:a"raje yr rilkaatkn, ��..I claa her�e�ht a e rraltrc,A o f ac f aar w.that M t � .�._.���,l ac a .��. ;�m tlrot tlac raarerraaotlora as°oaaaafc�aC ca r°tr r areae/ tz.q crass' F '` 1`l ' l 1' � l frog"a� trh true caarct correct. rrII fY&MI use on 6a. 0o not ivrtte in this area, to her coinpleted kv e:'atr or tmvn gjVelaat My or It= __..._.. ... .._. _.__ f�a:�rr►it'f[�aaw rage:ff Issuing MataerrMy (eircrk nue)- 1. EWmrd of Health 2. Hr.aMing Department I f:'p,p'yrM'arwn CAw k 4. 14,le:ctricap Inspector 5. fluinlapng Inspector h. Other C:onl act laeanowa. lapta>warx'N. © DATE(MM/DDIYYYY) A LIABILITY 5/26/2015 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(ies) 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 g NAME: Linda BO danowicz Insurance Solutions Corporation PHONE (603)382-4600 FAC.No): (603)382-2034 60 Westville Rd EopIE .lindab@isc-insurance.com INSURERS AFFORDING COVERAGE NAIC 0 Plaistow NH 03865 INSURERA:Peerless Indemnity Insurance 18333 INSURED INSURERB:MMG Insurance Company 15997 Brooks Construction Co. of Lawrence Inc, DBA: INSURERC:Excelsior Insurance 11045 254 N. Broadway INSURER D: INSURER E: Salem NH 03079 INSURER F: COVERAGES CERTIFICATE NUMBER:CL1552621745 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 POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES,LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. POLICY EFF POLICY EXP LTR TYPE OF INSURANCE POLICY NUMBER Immmuff=INW92affn LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES Ea occurrence $ 100,000 A CLAIMS-MADE Fx_]OCCUR CBP8945793 /16/2015 /16/2016 MED EXP(Any one person) $ 15,000 PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,000 X POLICY PRO LOC $ MBINED SINGLE LIMIT AUTOMOBILE LIABILITY CO Eaaccidenl1 1.,000,000 B X ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED 0116090 9/28/2014 9/28/2015 BODILY INJURY(Per accident) $ AUTOS AUTOS X HIRED AUTOS X NON-OWNED PROPERTY DAMAGE $ AUTOS Per accident Medical payments $ 5 000 UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED LJ RETENTION$ $ C WORKERS COMPENSATION WC STATU- OTH- AND EMPLOYERS'LIABILITY Y I N ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 500,000 OFFICER/MEMBEREXCLUDEDy NIA C8836275 /16/2015 /16/2016 (Mandatory in NH) E.L.DISEASE-EA EMPLOYE $ 500,000 If yes,describe under DESCRIPTION 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 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Beatrice Cutler ACCORDANCE WITH THE POLICY PROVISIONS. 265 Bear Hill RD N. Andover, MA 01845 AUTHORIZED REPRESENTATIVE Keith Maglia/LJB (���---- ACORD 25(2010/05) ©1988-2010 ACORD CORPORATION. All rights reserved. INS025(201005).01 The ACORD name and logo are registered marks of ACORD Office of C:onstimer Affairs&Business Regulation 46ME IMPROVEMENT CONTRACTOR Registration: 101682 Type, Expiration: 6/29/2016 Supplement t BROOKS CONST,CO., INC.OF LAW MARK DI PRIMA 254C N. BROADWAY STE 110 ' 4 SALEM, NH 03079 Undersecretary Board of BuHd�ng RegWahons and Stancla,tis Euap^�pP'N4k. k4aYa naaapk„a"40wr spccaP I�% RJc ease: CSSL-099730 tiyh MARK DlPPJ A - f. 18 HAWK DRIVE SALEM NSC 0301” Expiration y . Corr'sm'issIi ier 02/2012016