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HomeMy WebLinkAboutBuilding Permit # 7/1/2015 .............. %%ORTFt BUILDING PERMIT 0 TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit NO: Date Received 44TED Date Issued: J7 Acmtl IMPORTANT: Applicant must complete all items on this page _5 "T -. ..... Srwc 4istrf es no g/ x X TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building 11 One family 11 Addition K Two or more family 11 Industrial X Alteration No. of units: 11 Commercial N Repair, replacement 11 Assessory Bldg 11 Others: 11 Demolition 11 Other ' rsh,le District ...........— ........./ Repair damage within Electrical Utility Room due to fire during the upgrade of Secondary Service Electrical Lines to Building 23. Install soffits within hallway and each unit kitchen area for installation of upgraded 200 AMP services to units from utility room. Identification Please Type or Print Clearly) OWNER: Name: AIMCO North Andover, LLC- Dan Milinazzo Phone: (617)639-6052 Address: 50 Royal Crest Drive, North Andover, MA 01845 77-7-77-777� J A N N Cornerstone Land Consultants, Inc. ARCHITECT/ENGINEER John A. Visniewski, P.E. Phone: (978)433-8100 Address: 61 Main Street-Box 657; Pepperell, MA 01463 Reg, No. MA P.E. 29775 FEE SCHEDULE.BULDING PERMIT.$1200 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ 3,285.78 FEE: $ -273-,kW" Check No.: 1 Receipt No.: jQ12 NOTE: ierson's 7contractin ith a 'stered contractors do not have access to the guaran fund Signature/,of Agent/Owner Signature of contractor— oORTH Town ot ndover ® 2,6 fn 11- 201� �. LANG /h very ass J I O COC MIC Nl WtCK U BOARD OF HEALTH PERM T T L �D Food/Kitchen Septic System THIS CERTIFIES THAT C ,v� BUILDING INSPECTOR s. v� Foundation has permission to erect .......................... buildings on 2-...... �.�. �.......................... ...................... Rough to be occupied as .... .lec°�.I... . .I�........9000......I�, �.fl:dn-............................................... Chimney provided that the person accepting this permit sl1all 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 IN 6 T S ELECTRICAL INSPECTOR LES T CTI Rough Service .......................... .................................................. Final BUILDING INSPECTOR GAS INSPECTOR Occupancy Permit Required to Oceupy Bulldina 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 Approvedy the Building Inspector. Burner Street No. Smoke Det. DATE(MM/DD/YYYY) A� CERTIFICATE OF LIABILITY INSURANCE 6/30/2015 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 Ted Noyes NAME:HONy W.E. Noyes & Son Insurance Agency, Inc. PA/C,N Ext. FAX(978)425-9595 No:(978)425-9160 73 Front St E-MAIL ADDRESS: P.O. BOX 1248 INSURER(S)AFFORDING COVERAGE NAIC# Shirley MA 01464-1248 INSURERA:ESsex Insurance Co. INSURED INSURERB:Hartford Underwriters Cornerstone Land Developers, Inc. INSURERC: PO BOX 657 INSURER D: 61 Main St INSURER E: Pepperell MA 01463 INSURER F: COVERAGES CERTIFICATE NUMBER:CL1561150214 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. INSR TYPE OF INSURANCE ADDL SUER POLICY NUMBER POLICY EFF MM%DDY EXP LIMITS LTR X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 DAMAGE TO A CLAIMS-MADE ❑X OCCUR PREMISES Ea occurrence) $ 50,000 3EAS422 6/10/2015 6/10/2016 MED EXP(Any one person) $ 1,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICY❑ PRO ❑ JECT LOC PRODUCTS-COMP/OPAGG $ 2,000,000 OTHER: Employee Benefits $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS NON-OWNED PROPERTY DAMAGE X HIRED AUTOS X AUTOS Peraccidenl $ $ UMBRELLA LIABOCCUR EACH OCCURRENCE $ 2,000,000 A X EXCESS LIAB X CLAIMS-MADE AGGREGATE $ 2,000,000 DED I X I RETENTION$ 10,000 MAPXS00005504 6/10/2015 6/10/2016 $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE I X ER ANY PROPRIETOR/PARTNER/EXECUTIVE N/A TBI 6/18/2015 06/18/2016 E.L.EACH ACCIDENT $ 1,000,000 B OFFICER/MEMBER EXCLUDED? (Mandatory In NH) E.L.DISEASE-EA EMPLOYE $ 1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT 1$ 1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) Coverage includes owners as additional insureds. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE AIMCO THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN AIMCO Regional Operating Center ACCORDANCE WITH THE POLICY PROVISIONS. 50 Dinsmore Ave Framingham, MA 02194 AUTHORIZED REPRESENTATIVE NEIG/Noyes/CVALIT ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD INS025/901401) AC40R oma® CERTIFICATE OF LIABILITY INSURANCE d�ii2o15' 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 NAME: Ted Noyes W.E. Noyes & Son Insurance Agency, Inc. PHONE (978)425-9595 777777M.No: (978)425-9160 73 Front St EMAIL ADDRESS: P.O. BOX 1248 INSURERS AFFORDING COVERAGE NAIC# Shirley MA 01464-1248 INSURER A:HartfOrd Ins Co 19682 INSURED INSURERB:Sentinel Insurance Company, LTD 11000 CORNERSTONE LAND CONSULTANTS, INC CORNERSTONE INSURERC:Twin City Fire Ins. Co. 29459 P O BOX 657 INSURERD:Hanover Insurance Company 2292 INSURER E: PEPPERELL MA 01463 INSURER F: COVERAGES CERTIFICATE NUMBER CL1541349506 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. ILTR TYPE OF INSURANCE POLICY NUMBER POLICY EFF MM/DD EXP LIMITS '.. GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED 300 0 PREMISES Ea occurrence $ , 00 A CLAIMS-MADE Fx_1 OCCUR X OBSBATN5795 /3/2015 4/3/2016 MED EXP(Anyone person) $ 10,000 '.. PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,000 X POLICY PRO LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident 1,000,000 ANY AUTO BODILY INJURY(Per person) $ B ALL OWNEDSCHEDULED 08UECZJ9456 4/3/2015 4/3/2016 AUTOS X AUTOS BODILY INJURY(Per accident) $ X HIRED AUTOS X NON-OWNED PROPERTY DAMAGE $ AUTOS Per accident TERR $ UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 5,000,000 A :XJ EXCESS LIAB CLAIMS-MADE OBSBATN5795 /3/2015 /3/2016 AGGREGATE $ 5,000,000 DED I I RETENTIONS X $ C WORKERS COMPENSATION I WC STATiU I OTH- AND EMPLOYERS'LIABILITY Y I N ER ANY PROPRIETORIPARTNER/EXECUTIVE❑ E.L.EACH ACCIDENT $ 1,000,000 OFFICERIMEMBER EXCLUDED? NIA (Mandatory In NH) 08WECCM4902 4/5/2015 /5/2016 E.L.DISEASE-EA EMPLOYE $ 1 000 000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000 D PROFESSIONAL LIABILITY HNA023436 01 6/8/2014 6/8/2015 PROPFESSIONALLIABILITY $1,000,000 DEDUCTIBLE $7,500 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101,Additional Remarks Schedule,If more space Is required) Property Name: Royal Crest Estates (N. Andover) Contract #:17660-419087-CPe-00001 Coverage includes owner as Additional Insured's as expressly nominated under the insurance provisions of the contract CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN AIMCO NORTH ANDOVER, LLC ACCORDANCE WITH THE POLICY PROVISIONS. 50 ROYAL CREST DRIVE NORTH ANDOVER, MA 01845 AUTHORIZED REPRESENTATIVE Ted Noyes/CVALIT ACORD 25(2010/05) ©1988-2010 ACORD CORPORATION. All rights reserved. INS025 rgmnn-r m Tho ArOPr1 name nnrl Innn aro rnnic4orcrl mnrlec of Ar.nPr1 N4 ,Iss agl)u etk I oaard f Uii d' wr F cpe a rre gar aria ars "ownlw'¢a fir,J "wa wa tl'�u�utlu` . -014178 ,; p�per�rci�sr., CS ,TQHN A VISNIEVVW�fJ 94 SflIR1�EY ST ��, PEPPERED MA 0146 11121/2015 i i