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HomeMy WebLinkAboutBuilding Permit #483 - Exception 1/19/2010Permit NO: Date Issued: BUILDING PERMIT TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Date Received /O',outo 0b16 > 3� a��. '� a o it �Vlw- Residential TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building ❑ One family 11 Addition ❑ Two or more family ❑ Industrial ❑ teration No. of units: ❑ ommercial epair, replacement ❑ Assessory Bldg Others: NCO ❑ Demolition ❑ Sept e < t11%e1{- ❑ Other ❑ Fl€aodpta r( t Wetlands : I Vllatershed bis rrct Water/Sewer h a c DESGKIF' I run Vr 1jVVK1'l 1 v ac rr«rvr�mw. - Eny►civ E �c i s �' 1'14,62S lA I �-1 U i�cic� f r R C RACE w L1 1A - -e P6 ^N1c> S I `tb4t Celloa T9LC-_,Cy#A� Identification Please Type or Print Clearly) OWNER: Name: 8 RC Qi<KS ;C Fla-) L- Phone: Address: a (Do G �_cA Ri CONTRA�TtR Name+1�` Gud�11P11C}rle. ? Address: t` r: t 4 7 y' Supervisor's Construction Lrcense.Ex� � � p,Cate­. r Horne lrnprore.rr�ert License Exp. Date:' ARCHITECT/ENGINEER d 1A Phone: Address: N / ft Reg. No. FEE SCHEDULE: BOLDING PERMIT. $12.00 PER $1000.00 OF THE TOTAL ESTIMATED COST BASED ON $125.00 PER S.F. Total Project Cost: $ FEE: $- Check No.:�� Receipt No..- NOTE: Persons contracting with unregistered contractors do not have access to h . ara d fu Signature of Agent/Ovwner Signature of contractor r 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 u/ Building Permit Application &//Workers Comp Affidavit e( Photo Copy Of H.I.C. And/Or C.S.L. Licenses Copy of Contract o Floor Plan Or Proposed Interior Work o Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit Addition Or Decks L3 Building Permit Application o Certified Surveyed Plot Plan u Workers Comp Affidavit u Photo Copy of H.I.C. And C.S.L. Licenses o Copy Of Contract o Floor/Crossection/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (If Applicable) u Mass check Energy Compliance Report (If Applicable) u 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) u Building Permit Application u Certified Proposed Plot Plan o Photo of H.I.C. And C.S.L. Licenses L3 Workers Comp Affidavit a Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (If Applicable) o Copy of Contract u Mass check Energy Compliance Report o Engineering Affidavits for Engineered products NOTE: 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: INSPECTIONAL SERVICES DEPARTMENT:BPFORM07 Revised 2.2007 COMMENTS - ... %0— Dimension Number of Stories: Total land area, sq. ft.: Total square feet of floor area, based on Exterior dimensions. 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 - Date Doc.Building Permit Revised 2007 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 PLANNING & DEVELOPMENT COMMENTS DATE REJECTED El DATE APPROVED DATE REJECTED DATE APPROVED CONSERVATION ❑ ❑ COMMENTS DATE REJECTED DATE APPROVED HEALTH ❑ ❑ 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 Located at 384 Osgood Street FIRE DEPARTMENT - Temp Dumpster on site r yes ,, �— no Located at 124. Main Steeet Fire Department signature/date Location No. Date NORTH TOWN OF NORTH ANDOVER h : 2 ; Certificate of Occupancy $ " �1 �o���•o �,� Building/Frame Permit Fee $ . Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # I �� VQ Building Inspector Rondeau Construction, Inc. P. O. Box 522 Dracut, MA 01826 Brooks School 1160 Great Pond Road N. Andover, MA 01845 aim - 101 Phone (978) 459-2684 Fax (978) 459-2614 Rondeaulnc@aol.com Danforth Gym (Art Center) Quote Number. 693 Quote Date: Jan 5, 2010 Page: 1 • C 1IfJ ••. 1 Qo.� � i�a3jw Brooks 2/4/10 C.O.D. i SHINGLE ROOF QUOTE AS FOLLOWS: -Existing shingles wig be removed to decking. -Roof decking will be re -secured as needed. -Aluminum drip edge will be installed on all perimeter edges. -Ice and water barrier shield wig be installed on entire roof. -A self-sealing asphalt 34ab shingle with a 30 year warranty will be applied over under-layments.* -All walls and chimney will be re -flashed as required. -All pipes will receive new collar flashings. -Valleys will be shingle woven. -Cap-over vents will be installed at all ridges. All roof related debris wig be removed daily. -Roof will carry a 30 year material and 5 year labor warranty. TOTAL LABOR, MATERIALS AND PERMITS 7,650.00 *Additional for a 30 year architectural shingle is Alternate - Install a gray 16" wide 24 gauge standing seam metal roof panels to match Danforth Gym Roof would be $ 13 p'fha"�F oc[ dot a&owL u., to pcovtda#ort wttA t/rt4 quoth. If you would like us to proceed with this quote, please sign and fax back to 603-635-3810 Subtotal 7,650.00 SalesTax ry �� w A c v e O z z p O U cn a O a w a. z x a O u w Cf) v C/)w° W e o a' tu U c w a t rL c w W C2 C/)w d C', w w w w' o C/)cn o o m c c o � L J 3 C, 4CL �m Q• : � O 40 qq a a_ 1 co y= E a S ti •:Ec O D �C.)w cm r G ! H H •� t C=M ca C _m V C C ev 0 E o c.v m H m A:m c c c p a co C= f •� O m CD y O L Q CL c Q M � y p C O x m .opo N d tJJ C O � •a t �. mc 0 f" •Vyl p• � 'C Z mc� m N O ui CS g V1 CL O 'p O us cima:= co F- z .- C..=.. m 5 0 U 0 O v '4 L• Cl 16- 0 O s Z a3 CL O y o c G3 cm Io� G3 — .co) g m m 43 m G3 0 0 env o a CL ona CO2 O C vCc J •0 CL. C3 co CO2C Z 5 0 CL C..± V! C C CO) 0 Board of Building Reguiations and Standards q Construction Supervisor License I Li dense: CS 35313 " Expiration: 512/2010 % 24468 r Restriction: 00 ' DONALD G �bNDEAU p6 BOX 524' � ©RACL T,,,MA 01626 Commi Won" P 1 . ,p� flee �o�,�neonsrea�dc o�.��aa�uc�uwctla �-\ Board of Building Regulations and Standards HOME IMPROVEMENT CONTRACTOR Registration: 137434 Expiration: 11/12/2010 Tr# 277580 Type: Private Corporation RONDEAU CONSTRUCTION INC. DONALD RONDEAU 25 CHUCK DR. #4 DRACUT, MA 01820 Administrator ` ACORDM CERTIFICATE OF LIABILITY INSURANCEDATE(MM/DDIYYYY) 1111512010 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. PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Cowan Insurance Agency, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 359 Main Street ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Haverhill MA 01830 INSURERS AFFORDING COVERAGE NAIC # INSURED Rondeau Construction Inc. INSURERA: Nautilus Insurance Company INSURER B: Associated Employers Insurance Company PO Box 522 INSURER C: A INSURER D: Dracut MA 01826 INSURER E: 06109109 COVERAGES 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. INSRDD' NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION DATE IMMIDDfYYI LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 DAMAGE STO (RENTED $50000 A X COMMERCIAL GENERAL LIABILITY NC777713 06109109 06/09110 CLAIMS MADE a OCCUR MED EXP (Anyoneperson) $ 5,000 PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 1,000,000 X POLICY PRO- LOC AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT $ (Ea accident) BODILY INJURY $ (Per person) ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per accident) $ HIRED AUTOS NON -OW NED AUTOS PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ ANY AUTO AUTO ONLY: AGG $ EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE $ AGGREGATE $ OCCUR CLAIMS MADE $ $ DEDUCTIBLE $ RETENTION $ WORKERS COMPENSATION AND X WC STATlOTH- B EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE WCC5006885012009 03103/2009 03/0312010 E.L. EACH ACCIDENT $100,000 E.L. DISEASE - EA EMPLOYEE $ 100,000 OFFICER/MEMBER EXCLUDED? NO Ifyes, describe under SPECIA PROVISIONS below I E.L. DISEASE - POLICY LIMIT $ 500,000 OTHER DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT /SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION Brooks School SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION 1160 Great Pond Road DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL DAYS WRITTEN N. Andover, MA 01845 NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES, AUTHORIZED REPRESENTATIVE 14%,umi i AQ Icvv 1val © ACORD CORPORATION 1988