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HomeMy WebLinkAboutBuilding Permit # 1/6/2016 %AORT11 BUILDING PER IT "ED.:,6�'0 TOWN OF NORTH ANDOVER ' 0 APPLICATION FOR PLAN EXAMINATION Date Received " ^? Permit No#�: � '°�R.,rEo sSHCNUS�c Date Issued: Le IhOR2.TANT:Applicant must complete all items on this page LOCATION ® 4. a���.�a Baa r d as 4,J!m � rint PROPERTY OWNER �r�,` \�� Print 100 Year Structure yes no MAP PARCEL: ZONING DISTRICT; Historic District yes no Machine Shop Village yes no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑TNew Building One family 11 Addition 11 Two or more family El Industrial ❑Alteration No. of units: ❑ Commercial ❑ Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other 0 n � 0 em e o DESCRIPTION OF WORK TO BE PERFORMED: Identification- Please Ty a or Print Clearly OWNER: Name: s Phone: Address: > Contractor Name: ��� c �� ��`,t Phone: Email: )Ew `tJ1��.m�� e 2� �� �. elf Address: c. ® ` ,3 Supervisor's Construction License: OExp. Date: Home Improvement License: Exp. Date: ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE;BULDIN PERMIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. m � > Total Project Cost: _ FEE: $ Check No.: nm Receipt No.: NOTE: Persons contracting with unregistered contractors do not have access o the guaranty fund t� ,� � : H ��;.."�"'� . �; ,,o,�u, ; . „��r/li�r�i/I/�;;�J,�l�%��/r�//,���%/�r��f//>ii � �N r � F � ' ��/�,�� � r,�i/ll/✓//�� ����/l rim t4ORTH ndover jL own of �' _ x ® No. h ver, Mass, cocN,cNew.c.c �1^ - �' R'ATEDP L BOARD OF HEALTH �? Food/Kitchen Septic System�E IT T BUILDING INSPECTOR THISCERTIFIES THAT ... ... . .�"4� ..... .. ........................ .....................------.------.. ................ Foundation On .. ission toe t ............... buildings ........... ....®............ has perm .•.....� �..... Rough .. to be occupied as ... r ...... ... .. ........ .. AS...aom ..... . ........ ....................... chimney provided that the person accepting this p mit shall in eery 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 I I 6 IYIO HS ELECTRICAL INSPECTOR PERMIT UNLESS CONSTRURTS Rough Service , :.. ..... .::......................................... Final BUILDING INSPECTOR GAS INSPECTOR Occupancy Permit Required to Occupy PuildinRough Display in a Conspicuous Place on the Premises — Do Not Remove Final No Lathing or all o Be Done FIRE DEPARTMENT Until Inspected and Approvedy the Building Inspector. Burner Street No. Smoke Det. E P Renovation Plans for 24 Deer Meadow Rd North Andover, MA 0184 proposed Ist floor pkn FLOOR PLAN GENERAL NOTES: 1. Smoke detector systems shall be Type III. 2. Ventilation:Kitchens and bathrooms shall have mechanical venting systems that provide 20 cfm/occupant. 3. Light and Ventilation: All habitable rooms shall be provided with aggregate lazing area of not less than eight(8)per cent of the floor area of such roams. One-half (1/2)of the required area of glazing shall be openable.?R303.1) 4. Hall and stairway widths shall be a minimum of 3 feet clear. Handrails may project no more than 31/2"into the required width. footing plan /,/i/,E//r 18'0"X12'0" J j o--f sn xmd".man®",""nom PORCH //y''��,/�iJF: "td a6 VeaLM r� BAJI51IP ,,/ fL' -moi J , J l�f�//// _ 13T 13'2"X13'0"a LXD1R0 ''.... KITCHEN 9'4"X13'0" 5'0"X10'2" BREAKFAST LAUNDRY 15'9"X13'1" FAMILY ROOM V__ a"m covered porch plan sectional no scale 14'2"X11'6° 1 DINING ROOM LIVINGVING ROOM -1 2xfo-tc oa.m 1Prd>t N4 f69�� robber roof cyst"m y a'Oi , '. g6ow . 112'm"uifag __3-xfO boxed beam t't0a ufe Aeo`IE _—._.._._ ,� 210—.VM W4 p.— ' 4'V 9ioo+a vrcM �PQR�!aD . tem anclmr Lxatlte, ;;� 6 Iemanctrr brzticst 6 aMwtb"Y �61J axMMlab Sib` ' NOTE: Measurements are to be verified by contractor on site prior to construction Scale:1/4"=1'0" Barbara Taormina �Ir Jr' By:Alan J.Maki North Andover Ma. existing 2nd floor plan --- --- BATH ATH i i I t! 14'3"X13'7" i 0 i I 17'4"X13'8" BEDROOM 3 MASTER BEDROOM i i -------------- 21'8"X13'2" i i m� 14'0"X13'2" � L BEDROOM 2 REC ROOM i HALL proposed 2nd floor --- - - ® BATH Q _ yd's 40X42 sFa°a 1 ,a 14'3"X137 MASTER 17'4"X13'8" BEDROOM 3 BATH MASTER BEDROOM urs 4,ea fi t i 13'0"X13'2" 1 W X13'2° X13'2" OFFICE! WALK-IN BEDROOM 2 BEDROOM 4 ;CLOSET HALL -t2 T I NOTE: Measurements are to be verified by contractor on site prior to construction Scales 1/4"=1'4" Barbara Taormina By:Alan J.Maki North Andover Ma. I ex0fing 1st floor plan 18'0"X12'0' PORCH Z, /xl 00 5'"X10'2° 12'5"X9"6" 00 PDR 102"XITI" KITCHEN KITCHEN BREAKFAST 21'5"X13,8,, FAMILY ROOM 14'2"X11'6" DINING Room 21'5"X13'1" LIVING ROOM —- --------------- L------------------ NOTE: Measurements are to be verified by contractor on site prior to construction Merrimack Construction Group-Mr.James Licari 9/23/2015 Page: 1 CAT Total APP APPLIANCES 17,450.00 CAB CABINETRY 30,701.84 CNC CONCRETE&ASPHALT 255.90 DOR DOORS 13,600.00 DRY DRYWALL 33,020.78 ELE ELECTRICAL 10,033.54 FCT FLOOR COVERING-CERAMIC TILE 1,462.48 FCW FLOOR COVERING-WOOD 6,774.78 FNC FINISH CARPENTRY/TRIMWORK 29,721.44 FRM FRAMING&ROUGH CARPENTRY 13,424.51 HVC HEAT, VENT&AIR CONDITIONING 3,141.27 LIT LIGHT FIXTURES 3,187.24 MAS MASONRY 12,350.00 PLM PLUMBING 6,860.23 PNT PAINTING 8,795.59 RFG ROOFING 5,700.00 SDG SIDING 4,473.84 TIL TILE 5,326.44 Subtotal 206,279.88 Material Sales Tax 1,848.22 Overhead 20,812.82 Profit 20,812.82 Total 249,753.74 DATE(MM/DD/YYYY) AC"R" CERTIFICATE OF LIABILITY INSURANCE 10/20/2015 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 Patty Jensen NAME: y Tonry Northwest Insurance Agency, Inc. n/c°N o Ext: (781)861-1800 FAC,No:(781)861-1804 238 Bedford Street E-MAIL certs@tonr com ADDRESS: y' INSURERS AFFORDING COVERAGE NAIC# Lexington MA 02420 INSURER A:Endurance American Specialty 41718 INSURED INSURERB:Commerce Insurance 34754 Merrimack Construction Group, Inc. INSURER C Evanston Insurance Company 35378 1 Westech Dr Ste 1 INSURERD:Peerless Insurance Company 24198 INSURER E: Tyngsborogh MA 01879 INSURER F: COVERAGES CERTIFICATE NUMBER CL15101611657 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 SUBR POLICY EFF POLICY EXP LIMITS LTR POLICYNUMBER MMIDD/YYYY MMIDDIYYYY X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 Al A CLAIMS-MADE ❑X M S OCCUR PREESOEa oacu ence $ 100,000 CBC10001460002 2/4/2015 2/4/2016 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[K PR� M LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 Ea accident B ANY AUTO BODILY INJURY(Per person) $ ALL OWNEDX SCHEDULED LJ2069 4/23/2015 4/23/2016 BODILY INJURY(Per accident) $ AUTOS AUTOS NON-OWNED PROPERTY DAMAGE X HIREDAUTOS X AUTOS Peraccident $ '.. X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 2,000,000 C EXCESS LIAB CLAIMS-MADE AGGREGATE $ 2,000,000 DED I I RETENTION$ XOBW5747315 2/25/2015 2/4/2016 $ WORKERS COMPENSATIONPER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE I ER _ ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ OFFICERWEMBER EXCLUDED? N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT I $ D Rented/Leased Equipment IM8994422 8/18/2015 8/18/2016 Replacement Cost 200,000 Deductible 1,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Job location: 24 Deer Meadow Rd, North Andover, MA 01845. Certificate Holder is an Additional Insured, when required by written contract, but only to the extent provided in the Additional Insured endorsement(s) attached to the policy, a copy of which is available upon request. CERTIFICATE HOLDER CANCELLATION (978)688-9542 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Town of North Andover THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 1600 Osgood St ACCORDANCE WITH THE POLICY PROVISIONS. Building 20 Suite 2035 North Andover, MA 01845 AUTHORIZED REPRESENTATIVE L Tonry Jr./PATTY) C 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD INS02512n14011 A OR®0 DATE(MMIDDIYYYY) CERTIFICATE OF LIABILITY INSURANCE F10/20/2015 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 endorsement(s). PRODUCER CONTACT NAME: Patty Jensen TONRY NORTHWEST INSURANCE AGENCY, INC. aO"N EM; (781)861-1800 ac No: E-MAIL ADDRESS: certs@tonry.com '.. 238 Bedford Street INSURER(S)AFFORDING COVERAGE NAIC# Lexington MA 02420 INSURERA: LIBERTY MUTUAL FIRE INS CO 23035 INSURED INSURER B: MERRIMACK CONSTRUCTION GROUP INC INSURER C: INSURER D: '.. 1 WESTECH DR STE 1 INSURER E: TYNGSBOROUGH MA 01879 INSURER F: COVERAGES CERTIFICATE NUMBER: 6748 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 SUBR POLICY EFF POLICY EXP LIMITS LTR POLICYNUMBER MM/DD MM/DDIYYYY COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ '.. CLAIMS-MADE F OCCUR "GE TO Ea RENTED PREMISES occurrence $ MED EXP(Any one person) $ N/A PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY❑PRO JECT ❑LOC PRODUCTS-COMPIOP AGG $ OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS N/A BODILY INJURY(Per accident) $ HIRED AUTOS NON-OWNED PROPERTY DAMAGE $ '... AUTOS Per accident $ UMBRELLALIAB HOCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE N/A AGGREGATE $ DED RETENTION$ $ ',.. WORKERS COMPENSATION X SPER TATUTE ETH AND EMPLOYERS'LIABILITY ANYPROPRIETORIPARTNER/EXECUTIVE YIN E.L.EACH ACCIDENT $ 1,000,000 A OFFICER/MEMBEREXCLUDED? NIA NIA NIA WC231S380863015 02/09/2015 02/09/2016 '.. (Mandatory in NH) E.L.DISEASE-EAEMPLOYEE $ 1,000,000 '... If yes,describe under '.. DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000 N/A DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Workers'Compensation benefits will be paid to Massachusetts employees only.Pursuant to Endorsement WC 20 03 06 B,no authorization is given to pay claims for benefits to employees in states other than Massachusetts if the insured hires,or has hired those employees outside of Massachusetts. This certificate of insurance shows the policy in force on the date that this certificate was issued(unless the expiration date on the above policy precedes the issue date of this certificate of insurance). The status of this coverage can be monitored daily by accessing the Proof of Coverage-Coverage Verification Search tool at www.mass.gov/lwd/workers-compensation/investigations/. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Town of North Andover ACCORDANCE WITH THE POLICY PROVISIONS. 1600 Osgood St.Building 20 Suite 2035 AUTHORIZED REPRESENTATIVE North Andover MA 01845 " I t Daniel M.Cro4v y,CPCU,Vice President—Residual Market—WCRIBMA ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD R" -A `, \ may. y� y ma al A �A \c�.. �. �� �\. � � € �\ \ �\\� \ \ \' m low- - \ Will aY \ ` = . NO ,- jl �. RMI �\ \ _ A .. A, ` \ \ = AW IMP s A ,I . ._: ��Oul y . am jffi% so, "'Hil"ll",11,11,111, �� �,. ' \e \V` v . am \ \ \ _ M* A,\ �.. \\. \\ �0 \ \\ \`\ \� \. r - ...\ f__..- --' C%�e`�ani»rnnrueal!/r��C%��r�:�uc•�utelli a\ Office of Consumer Affairs&Business Regulation License or registration valid for individul use only QIOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: 7oegistration ,172286 yp Office of Consumer Affairs and Business Regulation T e:. Expiration_ ,6fZj2G16- Private Corporation 10 Park Plaza-Suite 5170 Boston,MA 02116 MERRIMACK CONSTRUCTIOhTR6UP,INC. CHRISTOPHER SHQNAkAN 1 WESTECH DR. 4 TYNGSBORO,MA 01879 Undersecret ryof valid itou signature