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Building Permit # 8/31/2015
OE pOR, q BUILDING PERMIT ����o"°`' �� g`�1`- 6 OL TOWN OF NORTHANDOVER ° t APPLICATION FOR PLAN EXAMINATION n Permit NO: '6 Date Received �9SSACt1us�4�y Date Issued: IMPORTANT: Applicant must complete all items on this page / -c r ':ers > r z �'i +s MET a e a��.:t i �:t 32�".� �1 z s l r " .5_.. .:. ..,; ...,s e'.✓r r1-�. x. .,,5����. c ,xz�r a :",. F kz v z s 4P t e a��z c .:.xr r s ����"2v��. 'r f�Y I"S,�zz i k ✓....,i � y c > F :y� "-Ff�? e� e�rxSb>,�f�',aj >` 5z .. TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building C-46e family ❑Addition ❑ ',-wo or more family ❑ Industrial ❑ Alteration h o. of units: ❑ Commercial it epair, replacement ❑ tkssessory Bldg ❑ Others: ❑ Demolition £) ❑ Other FIRM,,t� ,3_ f;��"% ✓{;y Y� j ° ;4 / f -.i�"ti" j Tf - 5 l',, "? Yxa.�t *ny � a n r� � 4*✓f � v� �.r�, da �v�4r'rx f� ��-yy��[ .�, ., �. tFT` y r.✓ � t - tv � € a r j /x� �- fz .f � �"T��}'J�'�.�xf,,e:a�r f�f y t✓ F�' h � Identification Please Type or Print Clearly) OWNER: Name: _ l ' i 1 �i 1 Phone: Lc 7 )390.:, 1 clj Address: 16, ,✓' -r� xkx�}� z f.._.n"31" nh�.�> z .,e r � ,z�£r z s- r-3 d ''�4",� �, ��.• ,,� r'�, .f f�P•�?; yah. :ES��i�`�a:�,�3,F t- ;�, rx,--'v`'d x�k cy;a'r s�fl;?fl�xm£�.- � � m P -a ,2g�y� 3F:�:s4 � �". § v? ..SFr• r�F-�G' E�/ S• � F£"E (4: e Tx .zdr�cr( bx :f 5 af-_ 5 c t`. � -'-� r �rC$',`;,.�C`�"4,� �..�t�f^e `E',�'��kl F. x.�.� >3'1rF'+��'f �z �Fa€ ��?fs; r�� --:3 r .EtL ✓��l r 4. �?<t r r 5 a a�f s. r/4,. L J} i? cEri,erx 5 }.3 `- Y ,k.�. rd,Xr< z- 4✓ ,ti T'�"1 h' riT�� ��/�������yd 7�g x'�'�.�'�',''x x� �..r„z`•` §s r:,A c� 2 a�'7fi 4T'3 x��x�i4 .ip Frr?.�i�`�'� � �rr'f�'� f s ����'�a ��f����firc"�f�"�'�f�����'`.r,„'z�c a✓ �,^�d�z rP;a::�`#�?�pi,,y�.`„�r;� -^ �,=�..,r-� ��r'��K;� x�f�`3�fn��,�Xa�¢�'�rr `d.�' �" ,:n�:.< <a«:���`��i 'o j ARCHITECT/ENGINEER /y/ Phone: V- 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: $ 9FEE: $ Y,,oy Check No.: r'/9S, Receipt No.: NOTE: Persons contracting with unregistered contractors do not have access to the guaranty nd Sigl< ar cafr /©vuner 1gbatre° nfiot4r 1. i Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ TYPE OF SEWERAGE DISPOSAL Public Sewer ❑ Tanning/Massage/Body Art ❑TFood g Pools ❑ Well ❑ Tobacco Sales ❑ kaging/Sales ❑ Private(septic tank,etc. ❑ permanent Dumpster on Site ❑ THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM PLANNING & DEVELOPMENT Reviewed On Signature_ t-OMMENTS CONSERVATION Reviewed on e /c Si nature COMMENTS L HEALTH Reviewed on Signature COMMENTS Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes i Planning Board Decision: Comments Conserva-�-.necision: Comments Water& Sewer Conner tI" ®n/S►gnature� Date Driveway Permit DPW Town Engineer: Signature: Located 384 Osgood Street j FIRE DEPARTMENT — Temp.Dumpster on site yes no, Lo 'ate,,at'124 Main Street Fire Departme signature/elate a COMMENTS i Vk®RTH ctover An ' I own of ® h ver, Mass, ® :.__. T o IAX6 It. COCMIC Ml WICK V A�RATEU L)ERMMBOARD OF HEALTH L U Food/Kitchen Septic System BUILDING INSPECTOR IS CERTIFIES THAT ........ ��....� • ••• . . ........................................................................... • •4""f �• '.. •. ..•••., . Foundation . buildings on •• •••�` ...... Rough permission to erect ..............}.�.......... j ........ �<�'�/�' !/���y„.`.:!.��.�!�.����..,�.�1�.�.........�....�....1....................... Chimney be occupied as ........ ,vided that the person accepting this permit shall in every respect conform to the terms of the pplicati Final and file in this office, and to the provisions of the Codes and By-Laws relating to the Inspection, PLUMBING INSPECTOR nstruction of Buildings in the Town of North Andover. Rough 3LATION of the Zoning or Building Regulations Voids this Permit. Final FRough CTRICAL INSPECTOR PERMIT N 6 MONTHS IUNLESS TS rvice ........................•• Final .......... .... � BUILDING INSPECTOR GAS INSPECTOR Occupancy Permit Peguired to OecuULAytldlng Rough Final Display in a Conspicuous Place on the Premises — Do Not Remove FIRE DEPARTMENT No Lathing or Dry Wall To Be Done Burner Until Inspected and Approvedthe Building Inspector. Street No. Smoke Det. ^ ' Property:1 16 Ferry Road,North Andover MA,01845 Proposal Submitted By: M.Enterprises Date Proposed: June 19,2015 "�1ta7ne Syste�i�Bo"ash-ins ". 2.Electrical(except fixtures) $ 2,500.00 $2,000.00 $ 4,500.00 update service to a 200 amp service 3.Heating Systems $ 2,500.00 $4,500.00 $ 7,000.00 Install new Service pro(125k BTU)gas boiler along with 40 gallon water Heater. Total:Sum QTOT _ $ 5,000.00 $6,500.00 $11,500.00 �nteriai FJnishe"s 4.Cabinets,Counter Tops _ $ 3,500.00 $5,000.00 $ 8,500.00 Remove and dispose current cabinet structure.Construct i ew kitchen using existing kitchen layout. Total:Sum U TO AE $ 3,500.00 $5,000.00 $ 8,500.00 Final Steps'' S.Outdoor Structures(deck,patio,porches) $ 2,000.00 $5,000.00 $ 7,000.00 Remove and dispose current structure and reconstruct using pressure treated lumber using existing layout. Total:Sum AF TO AJ $ 2,000.00 $5,000.00 $ 7,000.00 ;.gtbet 6.Demolition $ 1,725.00 $1,500.00 Demolition of kitchen and roof and proper disposal of any debris/Equipment associated with our scope of work AM. Total:Sum $ 1,725.00 $1,500.00 $ 3,225.00 A.Total Construction Cost $ 30,225.00 B.General Conditions $ 604.50 C.Total $ 30,829.50 D.Builders Overhead and Expenses $ 2,466.36 - E.Builders Profit $ 3,699.54 F.Total $ 36,995.40 . '.. G.Profit H.Attorney Fees $ - ;,; Total Sale Price $ 36,995.40 4, W� North Andover MIMAP 16 Ferry Street September 1, 2015 a28,a-aa22 a28.0-0006 Ferry Srree� � I 017.a-a001 16 FERRY ST Os�.a-ao02 '� oi�.a-aa2i a47.p-aa22 a17.a-x004 al�.a-aaa5 k 0 MVPC Be Interstates Hodwrital Datum:MA Stateplane Coordinate System,Datum NAD83, __.I Meters Data Sources:The data for this map was produced by Merrimack —SR OORTH Valley Planning Commission(MVPC)using data provided by the Town of Roads North Andover.Additional data provided by the Executive Office of 41t b�3Environmental Affairs/MassGIS.The Information depicted on this map Is Cm Easements �a. 4 L for planning purposes only.It may not be adequate for legal boundary IN definition or regulatory interpretation.THE TOWN OF NORTH ANDOVER Parcels F "—- p MAKES NO WARRANTIES,EXPRESSED OR IMPLIED,CONCERNING * * THE ACCURACY,COMPLETENESS,RELIABILITY,OR SUITABILITY y + * OF THESE DATA,THE TOWN OF NORTH ANDOVER DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE USE OR MISUSE OF °^AT1D^ '� THIS INFORMATION �S�ACNUS�� 1"=32ft MATIA-1 OP ID: MJS CERTIFICATE OF LIABILITY INSURANCE F DATE(MMIDD/YYYY) 09/0112015 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 T.A.Sullivan Agency Inc. PHONE FAX 135 Merrimack St. ,vc No E.11:978-681-8200 A/c No): 978-681-7775 Methuen,MA 01844 E-MAIL ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC# INSURERA:Agency Intermediaries INSURED Matias Enterprises INSURERB:THETRAVELERS INDEMNITY CO 44 Dudley St Haverhill, MA 01830 INSURER C: INSURER D: FN SURER ESURER F: COVERAGES CERTIFICATE NUI IBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCL 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 ADDL SUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER MMIDD/YYYY MM/DD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE � OCCUR NN564223 04/29/2015 04/29/2016 DAMAGE T RE D PREMISES Ea occurrence $ 50,00 MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY❑ PRO- POLICY LOC PRODUCTS-COMP/OPAGG $ 2,000,000 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY(Per accident) $ HIRED AUTOS NON-OWNED PROPERTY DAMAGE $ AUTOS Per accident UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED I I RETENTION$ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITYSTATUTE ER X ANY PROPRIETOR/PARTNER/EXECUTIVE YIN 7PJt,3-OG19226-8-15 07/28/2015 09/28/2016 E.L.EACH ACCIDENT $ 100,000 OFFICER/MEMBER EXCLUDED? F N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 100,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT 1$ 500,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) '.. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Regency Mortgage Corp. THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Regency Mort ACCORDANCE WITH THE POLICY PROVISIONS. ISAOAIMA 26 Londonderry Turnpike Hookset, NH 03106 AUTHORIZED REPRESENTATIVE ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD Massachusetts - Departn�ent�G P,bIic.Safety Board of[wilding RegulatiOnS and Standards Construction Superr iccir- License: CS-107573 MANUEL MATIA,S z 44 DUDLE STREET Haverhill MA 01830 Expiratior Commissioner 02/02/2011