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Home My WebLink AboutBuilding Permit #35 - 782-802 Waverly Road 7/26/2006 TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATIONof N°RT a qti i o Permit NO: J Date Received y e r' O4q c Date Issued: • v OqA 9D 9SSACHU`�� IMPORTANT: Applicant must complete all items on this page LOCATION � jj_-i.�,(�, ��— P int I PROPERTY OWNE �Iti�v�6t rp Pnnt MAP NO.: PARCEL: p ZONING 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) ❑ Other ❑ Others: ❑ Foundation only DESCRIPTION OF WORK TO BE PREFORMED t r aJ I�tax��r> , Identification Please Type or Print Clearly) OWNER: Name: I (), t L Phone: DC7– 4� Address:_ N ,L VA CONTRACTOR Name: , MA�,,e ��, �� Phone: Address:_ ZS Supervisor's Construction License:_ C�C� 8 Exp. Date: Home Improvement License: Exp. Date: ARCHITECT/ENGINEER S� Name: Phone:41`7 -7 2_,5c, Address: 2 g-, c;)MA4aa Sr ��pau l Reg. No. FEE SCHEDULE.BULDING PERMIT.•$10.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost :$ �� p�Q x =FEE:$ Check No.: Receipt No.: ?� Page 1 of 4 rPublic F SEWARGE DISPOSAL Swimming Pools ❑ ` ❑ Tanning/Massage/Body Art ❑ ewer ❑ Tobacco Sales ❑ Food Packaging/Sales [IWell ' ❑ Permanent Dumpster o ite Private(septInnt Electric Meter location to project NOTE: th unr red c tractors do not have access to ar my fund Signature Signature of contractoPlans SubnsW ' ed ❑ Certified Plot Plan ❑ St ped Plans ❑OLLOWING 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 ❑ ❑ i COMMENTS ' i t 0 DATE REJECTED DATE APPROVED HEALTH ❑ ❑ d COMMENTS I Zoning Board of Appeals:Variance, Petition No: i Zoning Decision/receipt submitted yes Planning Board Decision: Comments Conservation Decision: Comments Water&Sewer connection/Signature& Date Driveway Permit Temp Dumpster on site yes—no Fire Department signature/date i Building Setback( 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.: j NOTES and DATA—(For department use) E , M i Page 3 f4 Doc:INSPECTIONAL SERVICES DEPARTMENT:BPFORM05 Created JMC.Jan.2006 i 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 i ❑ 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 i Doc:INSPECTIONAL SERVICES DEPARTMENT:BPFORM05 Pave 4 of 4 /4�r to 1` 0,5 Cyd` .y Location Q/) 09_ t 31/', ( (�J No. 635+ a 7 0 Date MaRT� TOWN OF NORTH ANDOVER a 6 - rn a 40&0—M�� S + Certificate of Occupancy $ Building/Frame Permit Fee $ ACMUS Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # Building Inspector NORTIy Town 0 g over C' _-- LA dower, Mass., •I No. 3 Soo 24, 2COCMICMEWICK ADRATED 7`S BOARD OF HEALTH { PERMIT T D Food/Kitchen Septic System BUILDING INSPECTOR THIS CERTIFIES THAT.... ... .l.0 G.........OQ..•..... 0.........'Q..�................................ Foundation .................... ... .. ....................... Rough has permission to TCI`... �!1�lT�................ buildings on .......�.�.� � • to be occupied as.......... • Chimney ..... .... .. . . . . .. . . ... . . .. . . . . . . . ... . ..................... provided that the person accepting this permit shall in every respect nform 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 Final PERMIT EXPIRES IN 5 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTIOW_ TS_ Rough Service t-L 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. II` 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: (�b eL f,y is that the debris resulting from this work shall be disposed of in a properly licensed solid waste disposal facility as defined by MGL c11, S150A. Also, note Permits are required under Fire Prevention laws'Chapter 148 Section 10A. The debris will be disposed of in: P� .. (Location of Facility)-, Signa"-of1PP=mi-t Fire.Department Sign off: Od fr, Dumpster Permit Date I f it NORTH ANDOVER BUILDING DEPARTMENT Tel: 978-688-9545 DEBRIS DISPOSAL FORM In accordance with the provision of MGL c 40 S 54 a condition f P o Building Permit at: is that the debris resulting ngfrom 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 m: (Location of FacCA' a Signature of ermit Applic Fire. Department Sign off: Dumpster Permit Date i O anzw Doi P 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 W begin demolition. Dan President, Danley Demolition Inc. Mad 23 06 09:03a Ins Offices 6036353815 P. 1 ACDM- CERTIFICATE OF LIABILITY INSURANCE OS 23/ooh THIS CERTIFICATE IS ISSUED AS A mATTPR OF wFoRmATm Leo Rush Insurance ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 25 Old Lawrence Rd HOLDER. TIVS CERTIFICATE DOES NOT AMEND, EXTEND OR Pelham, NH 03076 ALTER THE.COVERAGE AFFORDED BY THE POLICIES BELOW. 603-635-2539 INSURERS AFFORDING COVERAGE NAIC# 29suPED Danley Dem6 on, ruc waUM A n nsuranae g Rehfim B sslve P O Rax 154 eo-qER C, ver n Iters Fremont, HH 03044 DMAM& nM=ance 603-895-4900 CoIony Insurance/Mating COVERAGES THE POLICIES OF INSURANCE LISTED MOW HAVE BEEN MSUED TO THE INSURED NAS ASOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REOURBMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER OOCLWXt WITH RESPECT TO WI9CH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN.THE INSURANCEAFFORDF,D BY THE POLICIES DESCRIBED HEREIN s SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE UMTS SHOWN MAY HAVE BEEN REDUCED BY PAIDCLAQASS..FM Rum � LtaTYPE OF JUSURAWDE POLICY NUMBER pq DA LUIS GENERAL LIABILITY EACH OCCURRENCE S , r OW COMMERCIAL GEN12RAL M t UTY PFSAJISES(EaawRerce S 50,000 CLVIASMADE OCCUR BEOExpikwones-- I S zk�axu A 0009127 03/29/2006 03/29/2001 PEFwNAL&AD pUURY S A 000 000 r GENERAL AGGREGATE $ ► r 000 GEN'L AGGREGATE UMIT APPLIES PER PRODUCTS-COMPACP AGG S 11000,000 POLICY PRO- LOC AUTIOMMMU48JUTY OMONE sn Le LIMIT 5 1,000,000 ALL OWNED AUTOS BODa.YMJURY S SCNSDULED AUTOS TPM palsott) $ HIRED AUTOS 034498870 03/30/2006 03/30/2007 NON•OWNEDAUTOSPROPERTY DAMAGE fP«a nll 5 S GARAGE UASLff` AUTO)Ob+LLY•EA AGCOW S ANYAUTO �' DTHERrr.,w EaACc s AUTOONLY: A60 S EXCESSRIWRELLA UA BIUW EACH OCCURRENCE $ , t OCCUR 0 CLAWMAAE AGGREGATES 2,000, 142343 04/07/2406 03129/200? S — ]s ol=aucnBl>= $ 10,000 s s a MERSCOMPENSRTIONANG XITURMI C � � � 6S60D838148422 10/17/2005 10/111/2006ROPOUNTOrAIARINSWEXECUTM E.L.�A S ,ouu aayye� Et D -EA EMPLOYE , 000 PROVI OTHER NS bNow EL D .POLICY LPJII' S �o,UOU OTHER as Per Scasdale D Equipment Floater 606DIN03719 11/13/2005 11/13/2006 on dile aEscRl>TIONOFOPERATIOMIL.OCATIDMIVEHICLBS!EXCLUMONSADDEDBYENOO NTJSPECIALPROVLSl0115 DM OLTTION CONTRACTOR Walgreens, Waverly Street E Route 114, No Andover, MA Additional insureds but only with respect to work done by insured: D F Pray Inc, Rice North Andover LLC and Mark Investments Inc CERTIFICATE HO M SHOUW ANY OF THE ABOVE DESCRIBED PODS BE CANCELED BEFORE THE EX�tA D F Pray Inc DATE THEREOF.THE ISSUING WAVER WLL ENDEAVOR TO mAm_30CWYs tNFQIiTeI Se Anthony Street NO!r(-TOTHE SATE HOLDER NAND HE TOTLEFT,BUTFALURE TO DO SO SHALL Seekonk, 02?71 WOW NO OBUGATfON OR LiABRITY OF ANY IQND UPON THE NSURER.ITS AGENTS OR REPRE�rT wws 895-4922 AUTHDTaaaEp ATr4 ACORD26(2001t08) OACORD COWORATMN1988 07/26/2006 09:05 FAX 15083363384 GFPRAY—FAX-2 001A002 Te B D OF BUtLD (i REGULATTIIONS License: CONSTRUCTION SUPERVISOR Number. CS 064841 Birthdate;07101/1966 Expires:0710112006 Tr_no: 1887.0 Restricted: 00 RONALD H LAAPRISE 312 SOWEN ST FALL RIVER, MA 02724 Commissioner ;//et l[a.w ii"'efi'.s WARD OF BUILDIP40 RMULATIONS License: CONSTRUCTION SUPERVISOR U- Number. CS 064615 Birthdate:00 7j'X35 Expires:0x11?x1007 Tr.no: 12135 Restricted- 00 VINCENT H VILLELLA 181 RESERVOIR AVE �} $W!1NSEA, FAA 07.777 Con:rdasi�n+• a a �f - f JUL-19-2006 12:12 BELL ATLANTIC 978 682 0401 P.10 P) r CA�Wi Qd F/' ' y `'�► � T � T - go zwol r a 01 SCSI 524 QJR TOTAL J I Jul 20 0604: 18p „r P. 9 WfS 725 1236 TO9IdWS0®i49P.' r.s4 ftw rG Awkvw 27 oboe TabPft r s 7-70 i 47 S � ;d S 0T•d TM c'W &A XINVIM 713H �TsZT 9�BZ-6i—lf1F 07113/2006 10:25 9787944720 BAY STATE GAS PAGE 05 7 oMtrt of Neth Andover Building Dep "matt g� ` �.• � North /' ndmw lA Oleo Q ,x Tel: 978 8 .Ow F ' mac: �7 QWWM 6 �1 „ 64 APART .pig DEFT.OF PUeuc VVOFM - Gas r TRIC Tis FIRE T DIG WE ML&M DATE - t„ I �♦ A , it , , -... 710 W,fro I I � t • ENGINEERS (343ess Street ARCHITECTS assachusetts 02210 PLANNERS .242.9222 CONSTRUCTORS 42.9824 rp.com April 2,2007 Mr. Gerald Brown Building Inspector Town of North Andover 1600 Osgood St. North Andover,MA 01845 RE: Field Report#8 Walgreens Plaza -- Waverly Road Permit No. 043 EK Project No.0500.13.272 Dear Mr. Brown: I have been reviewing Walgreens and PETCO relevant masonry test reports for conformance with the specifications permitted for construction. In addition I walked the site to review exterior sheathing and clapboards installed on PETCO&Walgreens and the interior construction of Walgreens. I report that work done to date,appears to be in compliance with the plans and specifications permitted for construction. Should you have any questions please feel free to call. Very truly yours, \/4.-avec 4., &00'& Michael A. Cassavoy,P.E.,R.A. Vice President MAC/mac c: Russ Benassi—D.F.Pray JA2005 Projects\050013.272\Documents\Construction\Field Reports\Field Report 04-02-07.doc