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HomeMy WebLinkAboutBuilding Permit # 11/10/2015 LSlJll®ImiI1VU FLhC1Y11 1 TOWN OF NORTH ANDOVER '�� APPLICATION FOR PLAN EXAMINATIO Permit NO: Date Received Date Issued: 5' IDAcwu��`��� EVIP'o plicant must com Tete all items on this page r ✓/ r , ^ � /r�/� r ,,, r ,r ,r. , !' ,^: ,.'„ r. nr,>r ../ I /,,. 1 r, '1 ,.,r ,.v./ /l//, ,. u, J,�. „,, ! / f rl, r;rrrr // ,.r,,,,/ ✓ _.. N J ✓ yr � r / /,// r I , !,/, D l ,// / / - r r� /, ,1l,.1// :,//��/r !. ✓,y r r ,J � r r ,,li, r,! r �i/„// r/ ,.r.. „) r/,,f/r�, /�� ,>i 1" ,ra, N ( � r r; - 1 P- /r ,r�%/, /r/�l^/✓ a,�JI r/� /✓,/ ,l /,/„r /r//, r +lr/„a .,Nr✓,�/ /✓;�// I It,, I ,(, �;1�' a” 6 r / �„r / r�/�J, ,�, // .,t��r,r� „1/r ir,r , �/�//J/�1r.- 1,,.,, / / ;,rl /���/,y /,rr. ��r,,��e,� i 4. 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I� Y ��, � r,�,..'l,l,.' 1 / r, /,J, r ,ll.. f Qr; , ✓r'�✓lir>�•�: • �fr� ;�rr�,;/�//%� i/-„f( i� r � r 6 l': I, (1',,�,rV�i r�^ f � /i l� � � �� it ✓,l/�'' I r 6', / :"� 1, O r I l � 1✓ /i / m'I 'r r 'r I l 1 � I t - r N I k � y 9 1 � I r � Il ul 4 ,r',� /l ✓ /^ / / f ri o ly, r hjy�..,fr�.,,l/Or,➢,lid/,,y,NJl��r11��9(/,���1,��1�;A.,rr,%✓/il�r,/,roi�b��1%Jo�r„�.',�//d/�(,i'.��1,��/r,��r,l�r/r✓'���4ri�/,/l�/�,r�/>lf� (l, ,✓o, ,',i, ,�� �r""!a';. s�, ,� / 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 �r r e/ren.. /. /,v,r �rr iii•rilrb , /;%";+t YI/frr ^ l/•,r. //// m � r(, r rrP /,J/. nr/✓.!(,I, I J. 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J�� J ,,,,/r/N rc�/rIIrC/„f;:o✓1.,/,/„//„r,r^rJ,rr�r✓1i,/,1u„/,1F./ //✓ ,,:.,,r✓A,,, ,.,,, ,r, ,�s/rr/r,,lf,/.,,�/9�J!rJ;l,.,rlr✓rr,�.r,/��/�,I�.,�irrll��y�,10, ,�._/r�/1/��iJ/',.J_fr,u,.�on,�r ////�../ ' tit .s 5;ly'Ur 1/)(,/k/0 Identification Please Type or Print Clearly) OWNER: Name: M ' `r .� WM O` ,/ Phone: - ,a .. 1 Address: ppp d91, ,'< ,� 1', r t,,f l ///,rl,llof,, r r/ s 11; €;, �/f/l;,(� r;f `r /(✓�/ �✓ ,,;i fL, //'�'/1`ifr /// /!” /i✓ /IL/,%//f///�/;,i/�a ��,r, r! , Ir.rl„ � ,.Y I. I h' ,,. r �/J,({ i�;�,,, (1,/�,I// t;I� ,,r, //��'/r,%'�, )Pll ,J / If,, �f / �°�'I���//�/r/r/�r,✓I ,,�/ ,/rr,l /J„ lI la �. I w1, �,�Fo. /,.>f,J ,/n✓,r / , r/r, 1 ,/ r/ n ^' ,r/ � ,� ,I l rr�l,./ ,.r ✓ � �U. ”"r - ', ,. Ir ' r ;r �r'��. ,/,,,. ,r.Gl�l,,,�l�.r�r��...r�rvlu��//�Ullr/�.Y��r„1�i/i'�dH�'�r`�r,��l/,�fi,.r��. , „r,r r;,�/ ;�,/,)lla J I�1�., ;,�✓�il, f,/Jr /�/, 1. ,,r � , �,9- ,I, I lrr r.. r �l n. � ! rr'�l1���%J,�'��rx%) i r� li f�l 1,/,.r✓r�l i./1, „l. r r l r i ✓l.hr/,�",r�� �r�✓,r`,/ ^r, ,/, / �li. ! r �/ /I e' /' / (D, I / r� !/ l;f' / I/J/r//r . rra, ✓l , , � ,G� �-� ' � Y + s, 1 � /� ,l��l' �j/' / / ,��rr ,, ����,f` r✓',�rGl� r,����//�f���rll 11A l V/� � , / �a���, ���d�l ,� rl r ��n/I I/� ll�9r,/✓r l/Ir ,, ��//fr. t?L�� ;.,,r ,,, r nr. a '.I. ,fr.. ,� 1.., r/�,., ri "r:,,r,'.7.;n rf,llf✓���Ji%Jy�1/r; tr d- ,^ , + ' r� d r r11 r'0,, � / ,;,/, I r ,r i J�r/ �/ -1 r// �1�1, �, i/✓� /l��e' '.�r r ,� '.r .f rI� ,✓ , J' 0 y`l/ � 'f,r� ,1 ,y (r,. //,r /J fv:1��//, �f✓r r/ I/ ///i r I,, i C P r,,! f //�'Jll ,® � ✓l'r1 , r�n,// /,, ly / /i,/✓,,/o? F r f , r r I r .III �I 1 I r I w 7 r r I + t, 'Ir4 1 i. K g y ," Yn'r, r I � ✓ m I IJ � l/ I,^',��, , ,,' r,'' , '+,Jrk,,. ,, ✓� �l' G , 'v��// I �r/;l r//fel%i „I� ,.r ! I / �?/r, 1 1�I � lf,l� I Y I Ir , i C, p/r�/�y�, ll�r� I „ ! r r,o r/IUI J e1���1i� ,l r /r;✓d V" ,l � ./ � ri l',. � i I, � ���'r/,�J:/// r If r,or J�rJ✓��r�fir;:;,. f , � i� ✓,l l rJ // r � r rr✓ � `,f, 1!e ae l 1 �' 1, ✓, ,r� / / ✓, , � / f ,l / � r ,� ,/ � „� ,JYr G�rl ,,� r�,r,/r,�' /rl��rr rr �/r r ollur ✓r�/ /, .rut /,rJi�l(r rr,/u0/%,/I/ „/,, ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE:BUILDING PERMIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ r K,. & FEE: $ Check No.: Receipt No.: NOTE: Persons contractin th un r gists eirt contractors do not have access to the guaranty fund /%r/r ,kyr /r r rry 1 r c'�/�r� r� ,/ r/� fir%✓i�rr, /r Q/ /?,. r /y/ f µ �+ (� � i r r Kw w Dimension Number of Stories: Total square feet of floor area, based on Exterior dimensions. Total land area, sq. ft.: ELECTRICAL: Movement of Meter location, mast or service drop requires approval of Electrical Inspector Yes No DANGER ZONE LITERATURE: Yes No MGL Chapter 166 Section 21A—F and G min.$100-$1000 fine NOTES and DATA— (For department use) ® Notified for pickup Call Email Date Time Contact Name Doc.Building Permit Revised 2014 rwi thORTH Au",W I n t 0 nau v er O ® --2,6 Z8 Ch ver ass o -. 9 jhr COC NICNl WIC. y�• A°RATED S l! BOARD OF HEALTH Food/Kitchen E NR� �M� IT D Septic System • KAAO.�.... ........................... BUILDING INSPECTOR THIS CERTIFIES THAT ................. ..... .... . .... . ................ ... has permission to erect Foundation p .......................... buildings onX....C-41 .. .. ........... . .........®........ Rough to be occupied as ...... �. ......... ........ .�............. ./. ............................ chimney provided that the person accepting th' permi shall in every respect conform tot rms of the application Final on file in this office, and to the provisions of the Codes and By-Laws relating to the nspection, 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 PERMITEXPIRESI ONTH ELECTRICAL INSPECTOR LES CTI T S Rough Service ............9.. .. ... ...... ..................................... Final BUILDING INSPECTOR GAS INSPECTOR Occupancy Permit Required t® Occupy 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 Approvedy the Building Inspector. Burner Street No. Smoke Det. P* Ryan Contracting and Property Maintenance 75B Lockwood Lane Boxford,NM 01921 978.882.3329 mobile November 8, 2015 Demolition Prepared for: Jennifer Manning 404-910-9669 DESCRIPTION: The following proposal is for a Complete full gut to studs for a single family House @ 25 Camden Street,N Andover SCOPE OF WORK: 1.Demolish first and Second floors to studs 2.Demo chimney from roof line to basement floor 3.Frame hole in roof and apply new plywood ,tar paper and weather shield then patch in shingles to complete roof 4.Leave all hardwood floors 5.Remove all thresholds and door jams in all rooms However save all solid doors and store in shed. 6.Dumpsters will be put in driveway for all debris to be removed from site 7.Remove nails from studs to prep for new re model 8.Dumpsters that will be used on site provided by DUMPSTERS R US out of andover ma 9.Time for demo 4 days 10.All work will be done at 25 Camden street N Andover mass 11.Before work is to start we Ryan Conti-acting will supply Ms Manning with a CERT of Workers Comp and GL from our insurance carrier ARCHER insurance out of Beverly mass via email or fax 12.If we agree to take on project and had notice we could start project on Tuesday and be completed by end of this week Office of Consumer Affairs &Business Regulation- Mass.Gov Page 1 of 1 The Official Website of the Office of Consumer Affairs&Business Regulation(OCABR) Consumer Affairs and Business Regulation ` Home Consumer Rights and Resources Home Improvement Contracting HIC Registration Complaints Registration # 176848 Home Improvement Contractor Registrant RYAN CONTRACTING & PROPERTY MAINTENANCE Registration Home Page Name TIMOTHY RYAN Address 69 LYNN ST City, State Zip PEABODY, MA 01960 Expiration Date 10/02/2015 i Complaints Details No cornplaints found for this registrant. You can also view arbitration and i Gu r n F a s ty and h story Back To Search ©2012 Commonwealth of Massachusetts. Mass.Gov®is a registered service mark of the Commonwealth of Massachusetts. https:Hservices.oca.state.ma.us/hic/licdetails.aspx?txtSearchLN=78765 11/10/2015 ®vve.s� ur-ri i limoA 1 C BJP LIA611-1 I T 1IVZ)Ut11A1V%..G 11/9/2015 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(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 endorsements. )RODUCER TACT Neal Hutchins NAME: krcher Insurance PHONE (978)922-4600 FAX (978)922-9276 A!C No: 271 CABOT ST E•MAR ADDRESS: INSURERS AFFORDING COVERAGE NAIC f) 3EVERLY MA 01915 INSURERA:CONEXCO INSURANCE AGENCY, INC. NSURED INSURER B:MASS. WORKERS COMP- .Wan Contracting & Property Maintenance INSURER C: 75B Lockwood Ln INSURER D: INSURER E: Boxford MA 01921 INSURER F. OVERAGES CERTIFICATE NUMBER:CL1511900668 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. TR R POLICY EFF POLICY EXP LIMITS TYPE OF INSURANCE POLICY NUMBER M DD M /DD COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 110 1 000 A CLAIMS MAGE OCCUR DAMAGE TO RENTEU--PREMISES Ea occu ence $ 100,000 NPPS237783 3/7/2015 3/7/2016 MED EXP(Any oneperson) $ 5,000 PERSONAL&ADV INJURY $ 11000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,00 ,000 X POLICY a PRO- El LOC PRODUCTS-COMP/OP AGG $ 11000,000 JECT OTHER: Employee Benefits $ AUTOMOBILE LIABILITY COaacid D SINGLE LITT_ $ ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ HIREDSAUTOS AUTOS NON-OWNED PROPERTY DAMAGE $ Per accident AUTOS UMBRELLA LIAR OCCUR EACH OCCURRENCE $ 4 EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION _ $ WORKERS COMPENSATION x STATUTE ER AND EMPLOYERS'LIABILITY ANY PROPRIErORIPARTNER/EXECUTIVE YIN NIA E.L.EACH ACCIDENT $ 100,000 OFFICER/MEMBER EXCLUDED? 7p�7U8-5872173-5-16 11/29/2018 11/29/2015 E.l.DISEASE•EA EMPLOYE $ 200,000 B (Mandatory In NH) If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT I$ 500,000 DESCRIPTION OF OPERATIONS/LOCATIONS VEHICLES (ACORD 101,Addltlonal Remarks Schedule,may be attached If more apace is required) Job Site: Jennifer Manning 25 Camden St North Andover, MA 01845 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Town of North Andover THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 120 Main St ACCORDANCE WITH THE POLICY PROVISIONS. North Andover, MA 01845 AUTHORIZED REPRESENTATIVE Neal Hutchins/ALEXA ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD The Commonwealth of Massa chusetts Department of IndustrialAceidents 1 Congress Street,Suite 100 Boston,MA 02114-2017 y�. ••` www mass.gov/dia Workers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERNHTTING AUTHORITY. Applicant Information Please Print Lel4ibl Name(Business/Organization/tndividual): Address: ( oc-0. City/State/Zip: Phone#: ;; i Are you an employer?Check the appropriate box: Type of project(required): am a employer with employees(full and/or part-time).* 7. Q New construction 2, am a sole proprietor or partnership and have no employees working for me in 8. 0 Remodeling lany capacity.[No workers'comp.insurance required.] 9. Demolition 3.❑I am a homeowner doing all work myself.[No workers'comp.insurance required.]t 10 FJ Building addition <1 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 11.❑Electrical repairs or additions proprietors with no employees. 12.F]Plumbing repairs or additions 5.❑I am a general contractor and I have hired the sub-contractors listed on the attached sheet. 13.Q Roof repairs These sub-contractors have employees and have workers'comp.insurance.# 6.Q ffi We area corporation and its ocers 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 sub iiif 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,'ttiey 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. Insurance Company Name: C ( Policy#or Self-ins.Lia#: Ct C Expiration Date: Job Site Address: l l 1 I City/State/Zip: 0 j '� 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.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. Ido hereby certify under the pain and penalties of `t at the it or^mation provided above is true and correct. Si nature-=-' Date: / -- Phone#: 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#: Office of Consumer Affairs and Business Regulation 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improvement Contractor Registration Registration: 176848 Type: DBA Expiration: 10/2/2017 Tr# 272129 RYAN CONTRACTING & PROPERTY MAIN TIMOTHY RYAN 69 LYNN ST PEABODY, MA 01960 Update Address and return card.Mark reason for change. Address F-] Renewal 0 Employment E] Lost Card SCA 1 i; 20M-05/11 ��e�po��a�,aooacaea�t/a���aara�uvet(a License or registration valid for individul use only Office of Consumer Affairs&Business Regulation before the expiration date. If found return to: OME IMPROVEMENT CONTRACTOR pe Office of Consumer Affairs and Business Regulation Registration: 176848 10 Park Plaza-Suite 5170 = Expiration: 10/2/2017 DBA Boston,MA 02116 RYAN CONTRACTING&PROPERTY-MAINTENANCE TIMOTHY RYAN 69 LYNN STNot valid without signature _:=c• _�•-�,:<�--- PEABODY,MA 01960 Undersecretary t 11 Office of Consumer Affairs and Business Regulation 10 Parr Plaza - Suite 5170 Boston; Massachusetts 02116 Home Improvement Contractor Registration Registration: 176848 Type: DBA Expiration: Tr# 245305 RYAN CONTRACTING & PROPERTY MAIN TIMOTHY RYAN 69 LYNN ST PEABODY, MA 01960 Update Address and return card.Marls reason for change. SCA1 Co 20M-05/11 ❑ Address 0:Renewal E] Employment Lost Card C�fe�povwnzooacuefc��o���a�dac��t�e Office of Consumer Affairs&Business Regulation License or registration valid,for individul use only ME IMPROVEMENT CONTRACTOR before the expiration date. If found return to:' i tion• 1764Ro__m Type: Office of Consumer Affairs and Business Regulation xpiration: pgq 10 Park Plaza-Suite 5170 Boston,MA 02116 RYAN CONTRACTING&PROPERTY MAINTENANCE ---- _-__ TIMOTHY RYAN - -- 69 LYNN ST " PEABODY, MA 01960 Undersecretary Not valid without signature el Massachusetts Department of Public Safety Board of Building Regulations and Standards ` License: CS-015760 Construction Supervisor JAMES T SULLIVAN 215 POLAND AVE TEWKSBURY MA 01� � ii r� � r Expiration: Commissioner 10/09/2017 1 t r,