HomeMy WebLinkAboutBuilding Permit # 8/20/2015 BUILDING PERMIT
TOWN OF NORTH ANDOVER P
99 APPLICATION FOR PLAN EXAMINATION .`
P.—itNO:-t Date Received '
Date Issued:
IMPORTANL:Applicant must Coro]Ste at items on this a e
LOCAfIdN=. .. � in
.. o.
:.. .. .. ,
PROPERTY,OWN''tR.
a:.
TYPE OF IMPROVEMENT PROPOSED USE
Residential Non-Residential
D New Building `Ni One family
V,Addition D Two or more family I Industrial
:'i Alteration No.of units: :1 Commercial
Repair,replacement D Assessory Bldg II Others:
J Demolition J Other
:1 Septic :We$ aFloD plain, 7#NeilandsD WatersheU'Dlsfriel.
I c,x> h
Identification Please Type or Print Clearly)
OWNER: Name: Z, Y� ecSCi ° C Y'CAW) Phone:
Address:
CONTRACTbR Nai;te: Phi,
Address
Supes+ttsar's Corrstructacm Ltcartse � y��\V�\y AV A `y V A�
Home
ARCHITECT/ENGi NEER Phone:
Address: Reg.No.
FEE SCHEDULE:BULDIHGP RH"ai£00'PEA$r00p 00 OF THE TOTAL ESTIMATED COST BA ON$125.00 PER S.F.
Total Project Co C, )! \\I FEE:$ 1
Check No.: Receipt No.:
NOTE: Pers' s contracting with unregist a ontractors do not have r fund
i
Signature afAgerttft?wner 1 T fj, gnature of Contra,
I
Plans Submitted❑ Plans Waived❑ Certified Plot Plan❑ Stamped Plans❑
TYPE Or SEWERAGE DISPOSAL
Public Sewer ❑ Tanning/Massage/Body Art ] Swimming Pools ❑
Well U Tobacco Sales L rood Packaging/Sales ❑
Private(septic tank,etc. Permanent lhoopster on Site ❑
THE FOLLOWING SECTIONS FOR OFFICE USE ONLY
INTERDEPARTMENTAL SIGN OFF-U FORM
DATE REJECTED DATE APPROVED
PLANNING&DEVELOPMENT ❑ ❑
COMENTS
CONSERVATION ❑ ❑ /,ud9U
COMMENTS
DATE REJECTED DATE APPROVED
HEALTH ❑ ❑
COMMENTS
Zoning Board of Appeals:Variance,Petition No: Zoning Decision/receipt submitted yes
Planning Board Decision: Comments
Conservation Decision: Comments
Water&Sewer Connection/Signature&Date Drivewav Permit
Located at 384 Osgood Street
FIRE DEPAIYNT Ten p De meter on site yep rao
Lo¢ated:�t 12'd 4vi�i�utre� -
%��Depat�ntjrt stgrzatL�e/aa�e
ccifiAM�C�Ts �
Town o a "®Rt"
over
�( Poo m
No. �1 49
y,so h ver,Mass,
9p
�q �RA4e0 PPPt.(y
S U
RMIT BOARD OF HEALTH
Food/Kitchen
Septic System
PET I L D
THIS CERTIFIES THAT.............. ....Y.N.4... .....►..'.`��...�.�yy.��� .........................
/.� BUILDING INSPECTOR
has permission to erect.................X.......buildings on..... .Q�...Ylzbod.....j1Y`il.Y Foundation
J al.� " ® �.................. Rough
rf
tobe occupied as..... ....... ....... ..... ...........� ......... ...r............................................................. chimney
provided that the person accepting this permit shall in every respect conform to the terms of the application Fina]
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 CONSTRUCTI Tll
S Rough
Service
.... ... ................
BUILDING INSPECTOR
GAS INSPECTOR
Occupancy Permit Required to Occupy Building Rough
Display in a Conspicuous Place on the Premises—Do Not Remove Fina]
No Lathing or Dry Wall To Be Done FIRE DEPARTMENT
Until Inspected and Approved by the Building Inspector. Burner
street No.
smoke Det.
2015-08-19 08:16 Install SaLes #2382 603 681 4226 » p 1/1
RACT rt
00034,2
MASSACHUSETTS SERVICES SOLUTIONS INSTALLED SALES CONTRACT
LaFRaNe( �e/- `.y2/1, Eek/Z—iC�
�. , _ Ra. care,RleNp.,<ea
aea�L„LfTaaNa,RpeeNpl,lpRapRTRER�,aaaEalpapr,�l ,eerperewlNeF,�eaaareaaalaNme. reRp�n�n. Peu�lywmNet.a�p�orre�
.I/ _;/.. 4
PHOTO
v
E g n Intl t.owe's employees Intl maependent wn4acbm iho right to lake photographs or the Pr raises where
"Mibi—b Mees Customer,armed(Intl all work performed at the Premises related to this Contract,Ina irrevocably grants to Lowe's all aright,Idle Intl
Intl to Rre pM1ologrephs for III.in all markets Intl..de.worltlw'itle,In perpetuity.Customer authorizes Lowe's b coVYaghf use Intl publish the
phoforgaphs in print Intl/or elecimniwny,and agrees that Lowe's may use such photogmPhs for any lawful puryose,including,but not limitetl tot merketlnB.
tive sing.publlcity,illbil loo,training ane Web content.By initialing here,Customer agrees W the foregoing._ [Customer Ie Imha w IM1e.R].
Are permits regUlred for thls Installation?: Yes No Contract Total �jr
[ ] I ] `applicable tax Included / uo 0
TICE TO CUSTOMER:Fetl 's to Pr de you with the pamplel Renova Right.ay signing this Contract,Customer
es having received a copy w thisapamphlet before work began informing Customer oft p antral risk of the lead havrtl exposure
NOTE: vation activity to be performed'n Customer's dwelling unit
If rotted wood is discovered during instigation atlditionai charges will apply.You will be given It quota and a change ortler
ust be comple[etl Intl signetl by the ustomer for any additional charges Customer must Initlai.
Hn 1 LIEN enllONE YEAR WAR,a—(TO BE SIGNED BYIN-1-1 e)a fo
i,me untlwsigned InshllerflMependent Conb-.h—,t been employed by the Customer who signetl the(3-1e o1 Completion bebw ao hereby cerh'ty Mat IM1e wod far Nis pmlad
will be or Ms been wmplemd in s wodmanllke manner and m the Cuatomels sailstedion.In n of the receipt of one ddlw Intl other gootl Intl valuadle croslderetion,Intl to fire
extent permibetl by applicable law,l hereby—and relinquish III fens Intl all fights Intl clams of Ilan,-.1,I,me unaersigned,nvx have or may hereafter have M labor w materials
famishId Intl IUMer csdify Ina work pe—Itl Intl maleaals tubi lred if any,by any orae,paey or Padres upon Ne order of Rm unaersigned,have been luby paid fw.Fudher,I tM
uhdersignetl,sgra9!o rause Ma prompt release of arty mepbanibs liens)which may be filed against ma Customer's premises by any su4nnlmclor,..--,hrc or malaris,suppler
GNming Ina iight b III euM.a lien mbugh vrod hi..to the h.b.ih.1 Cr.with Lovre's.In addition ..y any vertanties p.1ded by lav,w spI—I elsewhere,indud,rg the Cuih.h—
Contract xtN Lowos,Ule unearslgned,(miner.-hi,Net III work fhmished for IT,pbb],d shall be free from tlafecm en"in mvtedal or wwkmaeuhip.If defects N maNdal Ir
wprkmansn,p shall be discovered in Me work Iwnishetl-or material used eudng Ne course of Ne wod b,vMhIn ane year tram the tlete of the Certificate o1 Completion,it,.untlenigned
ption of reagrees
o replara or coned such tlelMive wod or mateaaP!ren tram all expense b It Ina Na Cusmmer in a manner satisfactory to Me Customer.
mdher represent Nat nave given Customer Ne ominirg same or III
bf of ma surplus meRdels pr having some or all 01 such surplus matedlls removed from the Customa/s
prembaa.
If a E h. i the peeol.— of Me wad requked for lhts pmjacb I.Ne untlersigned InsmllIr,1."enaent Conirecmr.Do nereby cedi(y that nave mmplietl wM all requimman,s o!IM1e
LeedpRenovalbn,Repair,and Painting Program Pule I'LRRPP Rule"),ap C.F.R.sec.i,E al seq.,or any eppiaaue,rate laws or pogrom regulating leatl-basetl pelnt sale.wink vraaices,
i1-1bg mmplianre with all,nI—Nibb tlisb1Ahh notice rtquiremenls and wwk ptaciive standards In performing the work required fw th,s p,o]ect-I cerfify Mat I have p—lldhd Yne
ro ahh Shan re din e„remras re mind W,ew,Ina have anacnea ro Nis tlacument rap r
the records requiretlte benretained byrthe tLRRPP Rule or applicable,rain.gam 5la p g q Ieso all
Signetl arq dbll—d Nls day of
(seal)
Pdnl Name
CQM
fiI,the Customer,cedtty Met Ne IremnersllMepentlenl Coniresmm or Me'e subsonVadorsChaw lurnishedPallI G—andbr seMces,that Ilatanbbibb.repairs vntl allesatbns or Improvernmis
ne mala„anon seawreaT noes been,.platen as def mdh in mrragr wbl.N won Lowe a,am Mat I nave been oRemd Na opnarmdtr m q ht Incl—I adow me m remm,pore pr III of
property pe
hied.re hid surplus ateeak rimer Than nave such surplus maletlals remain me orty o1 Lowe's.
n9uyeYa"I—(Buyw INITIPL ONE only)
There we-a m—It surplus mateeels.
accepted It h',I materll,s I wanted.
1 deIlbld to..I.any sumMs bithhu ls.
a owners signoras Ounle,I Panted Name
REFERENCES:
DEED BOOK 840 PAGE 110 PROPOSED ADDITION
PLAN N0. 507
N/F FITZGERALD
9T LOCATION: 407 WOOD LANE
90'O NORTH ANDOVER ,MA.
96, DATE: SEPTEMBER 11, 2014
�FEp SCALE: I"=20'
(v O�t4 ZONING DISTRICT: R 4
MINIMUM SETBACKS:
�a.
FRONT YARD = 30'
SIDE YARD = 15'
REAR YARD =30'
�M 6
Q�/P I CERTIFY THAT THE DWELLING IS LOCATED ON THE
G GROUND AS SHOWN,AND THAT THIS PLAN IS THE
RESULT OF AN INSTUMENT SURVEY.
V h
v
Al /F KRES �
O � 385' tNor nnass.
' ('. �'(P' S G
� 1
30. 4S 00• E sTFphEN y
1
O X9,9 ` 40)
PROFESSIO L LAND SURVEYOR
O
ROh DATE: l( f
yo
�o•
LOTS (.36-38) PREPARED BY
o AREA=78,057 S.F. ENGINEERING & SURVEYING
SERVICES
155.60' DEED i - 70 BAILEY COURT
155.60'CALL. HAVERHILL, MASSACHUSETTS 01832
TELEPHONE: (978)-556-0284
GRAPHIC SCALE W 0 0 D L A N E
IN CONJUNCTION WITH
NEPONSET VALLEY SURVEY
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-o:Att0'Gerry Page 2 of 4 2015-08-12 20:54:12(GMT) From:Jennifer Gra.
a1)6 3glYa It—
OS-31-2015 a 10:54.
QUITCLAW DEED -
Sandra Hama,Inc.a Massmi—tics corporation,of North Andover,Essex County,
Massachusetts
in fafiaw' c of
grans to:Shawa S.Ended&and Vanessa E.WGratty,as joint tenants with rights of
survivorship,of 407 Woad Lane,North Andover,Essex County,Massachusetts 01845
with quitclaim cobenanto
- The land in North And—in said Essex County,with the ba0dings thenen,
situated shown ss Cots Nuwbeted 36,37 and 38 on a plan of land entitled"Plan of
iem
GHill Puck.,Ownud by E_
W,Cramne,No.Andaver,Massacbaseds,John
Franklin,CT.",said plan boing recorded with North District Essex Registry of
7. Dceds as Plan Nwobered 507. Said Lots taken togethr,—bounded std
described w wlo»est
WESTERLY-6y Vtocdlaua Street,ono hundred fifty.five and 8110s.
NORTHERLY Uy Wr+odstpck SireCt,,ann hundeCd-seYColyfie atM.:
4&11008(175.48)Beet;
- -- EASTERLY-LyT.at k35 asahaan en said Pian,nnneiY five(95)1'ect;_
SOUTHERLYby load of'uvmefs 1mk,.—,fifty five and 251106s(55:25):
6:ei;-pi, i
EASTERLY by said land of owrtCrs unknown,forty five(45)feet;and
again
tussncxusarss s lsu Tax '
eeae,waxen hen avvy�c ',
pate:0-31-2D15 @ 10:54am
Ct1d:1Du$ 550 Pegelef2
Fee:$1,652.00
d53.00 Certs:83636 2,,500.00 '
-o:Ann.Gerry Page 3 of 4 2015-08-12 20:54'.12(GMT) Froin:Jennifer Gra',
m�
Bk 7.4178 Pg'J20 #5950
SOU'fHFW.Yby said land of owners unknown,sixty and 5110s(50.5)
feu.
Said premises contains!17,979 square feet, more or less,and all
measurements ere as shown an said plan.
This conveyance is made subject Ito restrictions of record insufm-as the same are
now in force and applicable.
For title,ace Deed recorded at the Essex North Registry of Deeds at Book 13937,Page 251.
This conveyance is in the ordinary',acurse of business and does not constitute a sale of all or -
substantially all of the assets ofSaptdm Haft,Inc.in Massachusetts.
Witness the executian wO the comorate soul of said corporation this l))day of Match,
2015.
SmdmHaflx,Inc,
By
i Pmsidetnand.Treaci;rer
I COMMOPIWEALTg OV MASSACHUSEWS
I
) K:F
2415, before me, the
undersigned notary Public,potsonady appeared Sandra Pi;fr Prosideat,9 Treasurer,
Of Suadrn I � tnc.-Proved i4'nothroughsatiefaetory,esddocce of identl$calnn,
which were prlyor'a License;O State 1D;0 Nespeit;O other Govcrnmem Imaxi.
ID,a Clhor,to he the person whew name is signed of the precrdinp of atteehed
documutt and sal—ledged to to.that Golshetttey acknowledged said itraimment by
hualher-ccuted to be his/her flee act and deed in hts/harafaresaid capacity,and&a act
and deed of Sandra MS.,Yne.,before um,
No Public:
aaa ,
Paget aP2 aruHW'�sana
E
Ir �—
41 �1
M � f
i
G
:e,�,all��ar:��o,� (Lw�)zcbs:oz zreo-s Boz blob abed ena�:ul�y o_
The Couunouroealth oj'Massachusetts
f t Dellarttaeutof'ItidustrialAccieleuts
r�S �/' Of oflavestigations
I Congress Skeet,Suite 100
Bowon,,VA02114-20P7
rvmmillass.gov/dia
Workers'Compensation Insurance Affidavit:Builders/Contractos,s/Electricians/Plumbers
Applicant Information Please Print Letlildv
Name Iso.n,ea9rorBanizatie lrrai�idnap: � ` � �� SF'/F7A _
Address: 5- I✓("1'1
City/State/Zip: Phone 0#: Cy73-yZ
Are you an employer?Check the appropriate box:
Type of project(required):
1.❑[all,a employer with 4.❑1 om a general contractee and I '.
mployees(full and/or part-time).*
have hired the sub-contractors 6. ❑N,v eons0 dation
2. am a sole proprietor or pm-tner- listed nn the attached sheet 7- ❑Remodeling
,tri and have no ern rlo Th—sob-contractors hove
p 1 gees n( d have oraliers' g-❑Demolition
working far me in airy capacity. er p oyces an
.insnranccr, 9. ❑Building addition
,eq ile,L)r'a'comp.insurance c°rap t0_❑Electrical repairs or additions
reyuncd.] S-❑We, orporariou and its
3.❑I am a homcorvnar doing all work officers have exercised their 11.❑Phuobing repairs or additions
myself.[No workers'comp. right of exernptinn per MGL
and we liave no 1Z.❑Roof repairs
insmancc requhrd.] c.152,l4](4),
employees.[No workers' 13.❑Other
comp.insurance required.] _
"Any applicant drat check,bas 81 mod elan Fill,It thescainn holmvshevw .,..,
mg their [v,',,v,n m policy iufonnrro,m
'Hoa rvhosnbmitffikfffdavit mnho,ig rhy an doings 1l vknnd rhea hi,¢o Ioide currrr- t idi,.a in.li-imgsnch.
'-Conlmctor'I that Olt&this bov nr tattachedanaddi tional¢sleet ti—ing fila name oCor not those catilies have
employee.If the sub-contmemr hxvn employees,they1110&diehknt_c'omp.puliey irbcr
I run on employer that is providing rrorlces'emali—tine insneon"fi r ury employees.Moot is the policy mal job site
i,?farnuitiou.
insuamce Company Name:
Policy#or SCII-Ins.Lic.#: _ Expiration Date:
Job Site Address: _ _ City/State/Zip:_ _
Attaeh a copy of the workers'cmnpensathin policy declaration page(showing the policy number and expiration date).
Pzilore to scours--go as required under Section 25A ofMGL c.152 can lead to the imposition of criminal penalties ora
Coe up to 91,500.00 and/or ore-year imprisomnent,as well as civil penalties in the form of a STOP WORK ORDER and i foe
of up to S250.00 a day against the violator.Be advised that a copy of this statement may be forwarded to the Office of
Invostrgations of the DIA for insurance c ivkg_zeyi fication.
I do herebycertify nnr(vr grins r penalties perjury that the inf—sou pt—ided above is uvte andI.
Sronnlurn: �-6 DataC� � {.�
Phone It.
Ojjichd use only.1)0 not write in this area,to he toorpleted by l)m tow,oj,"ficial
City or Town:_ permit/License# __
Issuing Authority(circle one):
1.Board of Health 2.Building Dleparhuent 3.City/Tosvn Clerk 4.Electrical Lrspeetor S.Plnmhing hispector
6.Other
Contact Person: I°hone#:
CS-095306 -
GERARDO CASERTA --
5 Bitch Lnne --
Top0Wd MA 01983
.�.�..: S.'f.
'.0310412016
'IR�ir&R vv Beg�I tou
.H2OMEIMPROVEv ENTCONTRACTOR
— �egist2t on: 161645
� ;Expiration: 17/1;%201Type:
Individual
GERARDO CASERTA
GERARDO CASERTA
5 BIRCH LANE
TOPSFlELD,MA 01983
License nr regisL'ation valid for indMdnl use on1Y
hefore the e,pi,.tion date.If foued return to:
Office of Consumer Affair and Business Regulation
10 Park Plaza-Suite 5170
Boston,MA 02116
�Nt