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Home My WebLink AboutBuilding Permit #027-2011 - 112 Forest Street 7/1/2010 BUILDING PERMIT of tIORTF TOWN OF NORTH ANDOVER 0 APPLICATION FOR PLAN EXAMINATION it Permit NO: bit Date Received r Date Issued:-- :2111,10 CWi' F IMPORTANT:Applicant must complete all items on this page L 7777777 ra '�OQAITI*ON .5,0 M'E R_!, h'. ?P 0- ft:!] M? PARCEL R. E L ZONING18TRIOT " ih §fr- `MAP I P-.-,-2"A'b' " Machine yes g 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 Septic Well Floodplain Wetlands.-- ; , Watershedbj L S DESCRIPTION OFWORK TO BE PREFORMED: Install Replacment Windows A) //f - -A�V,/a Identification Please Type or Print Clearly) OWNER: Name: North--iAndover Housing Authority Phone: Address:one Morkeski Meadows 77 6DNTRACTORNth*- UCt ro one 9080 0 � 7 5 66-t er. Ma .0-' S yr 5(04-1 ,y E e --'80 -7- iit 1q qs�:=�u_ poz, Design Parynership ARCHITECT/ENG INEER Arc i tects,Inc Phone:978-372-9400 Address85 Brockton Ave.Haverhill,Ma. 01 830 Reg. No. "33 FEE SCHEDULE;BULDINGPERMIT.$IZOOPER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00PER S.F. Total Project Cost: 137, 574j.00 FEE: C Check No.: 44170 Receipt No.: al-5067 NOTE: Persons contracting with unregistered contractors do not have access to fl1i e guar^pmy fund Bi nature of A _4 t t 8ig f Location No. (�2 �o�d�/ Date /O �aRTM TOWN OF NORTH ANDOVER 3? ' O0 AL f 9 i Certificate of Occupancy $ Building/Frame Permit Fee $ Z s�CHus Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # 6 y 7,12. 23Cbi Building Inspector i Plans Submitted Plans Waived Certified Plot Plan Stamped Plans TYPE OF SEWERAGE DISPOSAL Public Sewer Tanning/Massage/Body Art Swimming Pools Well Tobacco Sales Food Packaging/Sales Private(septic tank,etc. Permanent Dumpster on Site THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM DATE REJECTED DATE APPROVED PLANNING & DEVELOPMENT COMMENTS CONSERVATION Reviewed on Signature COMMENTS HEALTH Reviewed on Signature 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 Driveway Permit DPW Town Engineer: Signature: Located 384 Osgood Street FIRE DEPARTMENT `Temp Dumpsfer onsite yes' Located at-124 Mam Str-eet Fire,Departrient�signature/da#e _ 3s -- I 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 al Inspector ector Yes No p DANGER ZONE LITERATURE: Yes No MGL Chapter 166 Section 21A—F and G min.$100-$1000 fine NOTES and DATA— (For department use) i i ❑ Notified for pickup - Date j Doc.Building Permit Revised 2010 Building Department The following is a list of the required forms to be filled out for the appropriate permit to be obtained. Roofing, Siding, Interior Rehabilitation Permits ❑ Building Permit Application ❑ -Workers Comp Affidavit ❑ Photo Copy Of H.I.C. And/Or C.S.L. Licenses ❑ Copy of Contract ❑ Floor Plan Or Proposed Interior Work ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit 'Addition Or Decks ❑ Building Permit Application ❑ Certified Surveyed Plot Plan ❑ Workers Comp Affidavit ❑ Photo Copy of H.I.C. And C.S.L. Licenses ❑ Copy Of Contract Floor/Crossection/Elevation Plan-Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Mass check Energy Compliance Report (If Applicable) ❑ Engineering Affidavits for Engineered-products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit New Construction (Single and Two Family) ❑ Building Permit Application ❑ Certified Proposed Plot Plan ❑ Photo of H.I.C. And C.S.L. Licenses ❑ Workers Comp Affidavit ❑ Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Copy of Contract ❑ Mass check Energy. Compliance Report ❑ Engineering Affidavits for Engineered products N OTE: All dumpster permits require.sign off from Fire Department prior to issuance of Bldg Permit In all cases if a variance or special permit was required the Town Clerks office must stamp the decision from the Board of Appeals that the appeal period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording must be submitted with the building application Doc:Building Permit Revised 2008 ORT#q Town of Andover No. 04z 0 _0 dover, Mass., 7//r LAK 0COCHICHEWICK .44 RATED C5 BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System /Verv-4. '006-Y BUILDING INSPECTOR "'el df400 THIS CERTIFIES THAT.......................................................... .... . ...................................... or Foundation has permission to erect................. ....................... buildings on 1,5........... .. ............................................................. Rough to be occupied as......................... , ................... .......................... Chimney provided that the person accepting this permit shall in every respect conform to the terms of the application an file in Final 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 N 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRU=O TARTS Rough Service ........ ................. ....... . ........................................ BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR 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 Approved by the Building Inspector. Burner Street No. SEE REVERSE SIDE Smoke Det. Clie :17263 WALCO ACORD- CERTIFICATE OF LIABILITY INSURANCEo PRooucex 10 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION T.P.Daley Insurance Agcy,Inc ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 1381 Westfield St BOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. P.O.BOX 1150 West Springfield,MA 01090 INSURERS AFFORDING COVERAGE MAIC# INSINZ,ED INSURERA: Travelers Wail Construction 50 New State Road INsuRm 8: Acadia Insurance Companies Montgomery,MA 01085 INSURERC, INSURER D: COVERAGES INSURER E: 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.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. TR WN TYPE OF INSURANCE POLICY NUMBER I DATE allUDWM Lam A GENERAL LIABILITY I6803011WT55COF09 12/04/09 1210410 EACH OCCURRENCE $1,000.000 X COMMERCIAL GENERAL UABLRY DAMAGE TO RENTEDNW.0 00 CLAIMS MADE F OCCUR MED EXP Arty one person) S5 0w PERSONAL&ADV INJURY S7 000 000 GENERAL AGGREGATE s 000 000 GENT.AGGREGATE LIMIT APPLIES PER: PRODUCTS-CDMP/OP AGG s2,000,000 POLICY MPRo LOC A AUTOMOBILE LIABB TY AOSA5656P7791ND09 12122!09 12@2110 COMBINED SINGLE LIMIT ANYAUTO Ma ,) s1,000,000 ALL OWNED AUTOS X SCHEDULED AUTOS BODILY INJURY : Per Person) HIRED AUTOS NON-OWNED AUTOS (Perso 1)d- Y s rn�* n MQTY DAMAGE $ rx} GARAGELUI3UTY AUTO ONLY-EA ACCIDENT $ ANYAUTO OTHER THAN EAACC $ ALTTOONLY: AGG $ EXCESSAJMBREIJA L&AxLnY - EACH OCCURRENCE $ OCCUR FICLALMS MADE AGGREGATE $ DEDUCTIBLE S RETENTION A woRaw eoMPEwATm AND XACRUS3175W37AO9 12!04/09 12/04/10 WC SiaTIY OTF+ i ELTPLOYERS•LIABMYEMR ANY PROPRIETUR/PARTNERIE)�CUTIVE E.L.EACH ACCIDENT $500 000 OFFICERPoIl-7,iBER EXCLUDED? ITy� rtb desee under EL DISEASE-M E mpLO $600.000 PECULL PROMS NS below El.D*EAw-POLICY UMIT low,OOii B OTS Installation APP60761 OS20/10 05120/11 $100,000 Floater $1,000 deductible DESCRIPTION OF OPERATIONS 1 LOCATIONS I VETiCLU I EXCLUSIONS ADO®BY ENDORSMWMT/SPECIAL PROVISIONS Window Replacement at Morkeski Meadows,North Andover,MA. CERTIFICATE H DER CANCELLATION North Andover Housing Authority SHOULD ANY OF THE ABOVE DESCIMM POLICIES BE CANCELLED BEFOGHE TWIPlRATON DATE THEREOF,THE ISSUING MURE WILL ENDEAVOR To MAIL One Morkeski Meadows -_30-- DaYswarrEM NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, RE BUT FAILUTO OO 80 SHALL. North Andover,MA 01845 I oB11GATTON of ANY?OND OR ATNES. REPRESI9tTA ACORD Z5(2op1/pgI 1 of 2 #S77911/M77142 TMG 0 ACORD CORPORq Board of Buildinga ulafio � andStandards HOME IMPROVEMENT CONTRACTOR MY Registration: 11800 *, E pig` tl n.6 1/1312011Tr# 278871 Type: Partnership -WALL CONSTRUCTION JAMES WALE, 0 NEWSTATE RD MONTGOMERY, MA 01085 AdmiWistrator Boat Construction Supervisor License License'. CS 51575 ra Restricted to. 00 JAMES D WALL I 50 EW TTE -RD - 'MONTGOMERY', MA 01, 085 Expiration: 1/11712011 r�iii��i �_ � r• Tr#,, 8797 C _ T The Common earth of Nlassachusetts Department of Fire Services Office of the State Fire Marshal . P.0.Bos 1025 StiteRoad,.Stow,MA 01775 / ) PERMIT Date: North Andover Permit No (City of Town) (If Applicable) Dig Safe Number Ea accordance withthe provisions of M:G.L.l 4 8 Chapter 10 as provided in section S 2 7 CyI`'I R 34 start Dace This Permit is granted to: Full name of person,Firm or Corporation Pennissionto locate dumpster for construction/renovation/demolition of building. Comments: dumpster must be . 25 ' from structure if unable to place with required Restrictions: clearance dumpster must be covered with plywood or tarp end of work -dap at 0't (Give location by street and no.,or VErle in such marine o provi ad`qu e identification of location) Fee Paid$ 50 .00 Fire Chief This Permit will expire 3�- U (Signat :9 cal-granting permit) Offical granting pcmut (Title)