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Home My WebLink AboutBuilding Permit #051 - 768 Waverley Road 7/28/2006 TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION o`�'�oT"gtio 0 f Permit NO: �� 1 Date Received Date Issued: SAC HUS�� IMPORTANT: Applicant must complete all items on this page LOCATION fa- Print PROPERTY OWNER Ccm. /kiJDaQZg2 LL<2 Print MAP NO.: Z`7 PARCEL: (4o ZONING DISTRICTN�1(---v�, TYPE AND USE OF BUILDING HISTORIC DISTRICT YES ❑ TYPE OF IMPROVEMENT PROPOSED USE Residential Non-Residential ❑New Building ❑One family ❑Addition ❑Two or more family ❑ Industrial ❑Alteration No. of units: ❑Repair, replacement ❑Assessory Bldg ❑ Commercial emolition ❑Moving(relocation) I ❑Other ❑ Others: ❑Foundation only DESCRIPTION OF WORK TO BE PREFORMED !: .G®UM ori Identification Please Type or Print Clearly) OWNER: Name: �� a� ( (_ Phone:C- Address: �� 1 cS�1�U Z.a _�g Tzk a"Rbnj z4,,(.i CONTRACTOR Name: 'r�. 4 oa-A Phone:5g,P, 3%3.-' 39�4 Address: 2S Atn 7C1r ,1 c.t Sf SL--C�on.�� ,GIC _77`7 Supervisor's Construction License: Exp. Date: -7, 1 to Y Home Improvement License: Exp. Date: ARCHITECT/ENGINEER Name: Phone: (:,I 2- cl-z, Address Zf'o 4Mcr7, ��- k�A Reg. No. R FEE SCHEDULE.BULDING PERMIT.$10.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost :$ Co,<=>p o x =FEE:$ Check No.: Receipt No.: Page W4 4 i TYPE OF SEWARGE DISPOSAL Tanning/Massage/Body Art ❑ Swimming Pools ❑ Public Sewer ❑ Well 11Tobacco Sales ❑ Food Packaging/Sales 11 Permanent D er on S' Private(septic tank,etc. ElElectric Meter location to project NOTE: Persons contracting with u ter ontractors do not have access t e fund Signature of Agent/Owner J Signature of contract Plans Submitted ❑ PI s Wa' ed ❑ Certified Plot Plan ❑ amped Plans ❑ TH OL ING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF-U FORM DATE REJECTED DATE APPROVED PLANNING& DEVELOPMENT ❑ ❑ []Water Shed Special Permit ❑ Site Plan Special Permit ❑ Other COMMENTS DATE REJECTED DATE APPROVED CONSERVATION ❑ ❑ COMMENTS i DATE REJECTED DATE APPROVED j HEALTH ❑ ❑ COMMENTS ,Zoning Board of Appeals:Variance,Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments Conservation Decision: Comments Water&Sewer connection/Si- nature Date Driveway Permit Temp Dumpster on site yes no Fire Department signature/date Building Setback (ft.) Front Yard Side Yard Rear Yard Required Provided Required Provides Required Provided DIM ENSION Number of Stories: Total square feet of floor area,based on Exterior dimensions. Total land area,sq.ft.: NOTES and DATA— For department use) I �I Page 3 of 4 Doc:INSPECTIONAL SERVICES DEPARTMENT:BPFORM05 Created JMC.Jan.2006 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 Addition Or Decks ❑ Building Permit Application ❑ 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) 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 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:INSPECTIONAL SERVICES DEPARTMENT:BPFORM05 Nop 4 of 4 Location No. Date �aRT� TOWN OF NORTH ANDOVER . ;�s"••°•E�� Building/Frame Permit Fee $ — MUS Foundation Permit Fee $ Other Permit Fee $ ;— TOTAL $ Check # / Building Inspector NORTH TOANM 0 t 19Andover No. 0 4� SS. LA 011- dower, Ma SS., K Ids RATED BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System BUILDING INSPECTOR THIS CERTIFIES THAT.............. C4. .........AJA...44 id .....4.4 ..................................... Foundation Jill 44WJ! ...... .... has permission to erect...... .... buildings on .......74-t..Ifliol ..... .................... Rough Chimney to be occupied as................. W....... ..r provided that the person accepting this permit shall in every respect conform to the terms of the application on 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 PERMIT EXPIRES IN 6 MONTHS Final ELECTRICAL INSPECTOR UNLESS CONSTRUCTIO0-JTARDT,.S- Rough 10 ...L ... Service BUILDING "T�R TSP 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. r' JUL-19-2006 12:09 BELL ATLANTIC 978 662 0401 P.01 Tom do tio okAoftm alp"Wad t' r • il.• . AM = t - ! WASOLs t• �rl; •'its :� � i =- /. .' // f 66,4 2gq4 Emig / .ry.1• �� if i!/ � ! / �-/ �.! � � R �. tire, • •,�; :1i=•...� , JUL 27 2006 14:04 FR ENGINEERING 978 725 1036 TO 916038954922 P.03 V1M- SoIQ1111 onww�O ldl dMGM• _ � 9i�ld 11ii1� Iot 4��i i r t as'� p • `�'� �� -•` ,•< art- - R 1, w x Antex Pest Control Co., LLC 4 Sunrise Terrace Plaistow, NH 03865 603-382-1776 a 978-372-9929 DATE I TIME ❑REGULAR ❑INSIDE IN I❑ONE-TIME ❑OUTSIDE NAM 4V! OUT ❑RESIDENTIAL❑CM&OICIAL _ y /' AD CITY, E STATE, ZIP Z. jV'Pest Control ❑ Inspection ❑ Tites ❑ Pretreatment • ermI „Rodents El C EMICALS USED AMOUNT % EPA UMBER G t' DESCRIPTION 1 REMA S AMOUNT , !Y I C � r TAX ' License °• '�Ry TOTAL Customer Signature _x - SERVICE REPORT N0 0302 Prod 7051-CROWN GRAPHICS•1.80D-2524011 &&M I a P.O. Box 154, Fremont, NH 03044-0154 Tel. 603.895.4900 Fax 603.895.4922 Demolition & Environmental ***Inspections &Consulting ***Licensed & Insured June 21, 2006 Graydon McCormick 72 Turnpike Street North Andover, MA 01845 Re: Abutters Notification To Whom it May Concern: Please be advised that we will be demolishing the homes located at the following addresses: 1. 768 Waverly Road North Andover, MA 2. 782 Waverly Road North-Andover, MA 3. 792 Waverly Road North Andover, MA 4. 802 Waverly Road North Andover, MA 5. 814 Waverly Road North Andover, MA 6. 21 Turnpike Street North Andover, MA 7. 29 Turnpike Street North Andover, MA 8. 35 Turnpike Street North Andover, MA 9. 41 Turnpike Street North Andover, MA 10.47 Turnpike Street North Andover, MA We will mobilize on or about July 15, 2006 to begin demolition. Mita M. Danl President, Danley Demolition Inc. i i NORTH ANDOVER BUILDING DEPARTMENT Tel: 978-688-9545 DEBRIS DISPOSAL FORM In accordance with the provision of MGL c 40 S 54, a condition of Building Permit at: —76�-W 0�/t, is that the debris resulting from this work shall be disposed of in a properly licensed solid waste disposal facility as defined by MGL c 11, S 150 A. Also, note Permits"are required under Fire Prevention laws"Chapter 148 Section 10A. The debris will be disposed of in: (Location of Fac' CA ImAl Signature of ertnit Applic Fire. Department Sign off: Dumpster Permit Date May 23 06 09:03a Ins Offices 6036353815 P. 1 DATE(nwwDlYYrn AODM- CERTIFICATE OF LIABILITY INSURANCE o5I23f2oo� j PRODUCER THIS{MMMATE IS MSUED AS A MATTER OF MI OMTlON Leo Rush InsuranRd ONLY AM CONFM NO RMn UPON TK CERTIFVATE Rd HOLDER. THIS CERTIFICATE DOES NOT AMEND, WEND OR 25 Old Lawreace ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Pelham, NK 03076 603-635-2539 INSURERS AFFORDING COVERAGE MAIC# I NS DRIED Danley Denb6lition, Inc INSURER A: BoarliAgton1hYrnraaae a INSLIRETR 8 Progressive P O Box 154 jajRmc: ver Undskcwrlters Fremont, RH 03044 INSURER D.Arch Insurance 603-895-4900 MLWaR E:U010AY Insuranceat.%ng COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMM ABODE FOR THE POLICY PERIOD INDICATED.NOTYRDWANDIN G ANY REOUIREMENT.TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT MTN RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POUCIES DESCRIBED HEREIN IS SUMCT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POUCIES.AGORECATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAIDCLApt!/S�S.Y ita POLICY NUMBER S1AlE UA LIMITS GENERAL LIABRJTY EACH OCCLRRENCE 5 1,500,000 NAL GENERAL LWBILTTYPOe SES(-Eu goamm S + CLAIMSMADE MOCCUR MEOEXP{Argonepei l S EXCluded A HGL0009127 03/29/2006 03/29/2007 PERSOW1i.aA0VLWl$t1' S 1,000'Off GENIAL A sGGREGATE S + + GEITL AGGREGATE U IT APPLIES PER PRODUCTS-COMPIOP AGG S + r POLcy M 2R M LOC AUTOMOBILE LIABILITY COME StN(X E t1r97 S 1,000,000 ANYAUTO ALL OWNED AUTOS v BODILYWWRY S SCHEDULED AUTOS C PSI 8 14REDAUTOS 034498870 03/30/2006 03/30/2007 — WON•OWNAUTOS f -dide"9 i ED PROPERTY �DAMAGE S GARAGEUABLITY AUTO ONLY•EAA{CIDENT S ANYAUTO EAACC S OTHER THAN AUTOONI Y: AGO S EXC2?5SMUBRELLA LIABILITY EACH 00CURRENCE $ 2,UOU,Ow OCCUR ❑ctiASaBMADE AGGREGATE S`2r r 142343 04/07/2006 03/29/2007 S R DEDUCTIBLE S RemNnoN 510,000 S WORKERSCOMPENSATIONAND XTORY EMPLOYEWLIABIiITY WOM3814B422 20/17/2005 10/17/2006 EL EACHACCIDENT s 100, C mFMOaEMM oMXCGI� - i e�dese� E.L.DtBEASE-EA EAPLO 100,000 SPECNL t»ww E.L.DISEASE-POLICY UMR 13 r OTHERas per scaedule D Equipment Floater 606DIN03719 31123/2005 11/13/2006 on file DESCRIPTION OF OPERATIONS I LOCATIONS I VE HICLE$I EXCLUSIONS ADDED BY ENDORSEMENTt SPEgAL PROVISIONS Da'bleoLYTYOW CONTRACToR Walgreens, Vaverly Street & Route 114, No Andover, MA Additional insureds but only with respect to work done by insured: D F Pray Inc, Rice Worth Andover LI.0 and Mark Investments Inc CERTIFICATE HOLDER SNOLII.D ANY OF THE ABOVE DESCRSED POLKXS BE CANCELLED BEFORE THE EXPeRA D F Pray Inc DATE T1EREOF.THE ISSUING I MAMR VML ENDEAVOR TO IAAIL30 DAYS WF ITU N 25 Anthony Street NOTICE TO THE CERTIFICATE HOLDER NAMED TDTHE LEFT.BUT FAILURE TO DO SO SHALL Seekonk, Z% 02771 IMPOSE NO 0BUGATLON OR LIABILITY OF ANY 00 UPON THE INSURER,ITS AGENTS OR REPREsmix nes. 895-4922 +„�„� „ II � ACORD26(?tI0 MS) CACORD CORPORATION 1988 07/26/2006 09:05 FAX 15083363384 QFPRAII-FAM-2 001/002 BOARD OF BUIILLD 0 R/EGULA111OS License: CONSTRUCTION SUPERVISOR Number. CS 064841 Birthdate:07/011196"0 1c:yi ; Expires:0710112006 Tr-no; 1837.0 Restricted: 00 RONALD H LAPRISE 312 SMEN ST / FALL RIVER, MA 02724 11�;4- CommissienCr - 11 144 ` BOARD OF BUiLCING R2GULATIONS - License: CONSTRUCTION SUPERVISOR Number. CS 064615 BirthdaW' 04117i'G55 Expires:04!1712007 Tr.no: 12135 Restricted: 00 VINCENT K VILLELLA 181 RESERVOIR AVE -WANSEA, MA 02777 Con:rds'io�l�' i a