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HomeMy WebLinkAboutDEMO OF BRADSTREET SCHOOL BUILDING IT t'°oT" �vti T T ANDOVERhR4`'_ APPLICATION FOR PLAN EXAMINATION Permit No#: � Date Received 1,4"pRATEo PPa �sSACHUS��t Date Issued: , 4m=;,ORITANT: Applicant must complete all items on this page LOCATION 1 "� ' , P t PROPERTY OWNER 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 ❑ New Building ❑ One family ❑Addition ❑Two or more family ❑ Industrial ❑Alteration No. of units: ❑ Commercial ❑ Repair, replacement ❑Assessory Bldg ❑ Others: emolition ❑ Other � / /////,f r , ❑/Flczod Lam,/ ,i , e d � � / /, / , r, /a / / � / #Ian /� , / ❑ W ,� !r( .l;/ loll�//r%/✓ // r` / / ,i � / � / � � , DESCRIPTION OF WORK TO BE PERFORMED: 7 1,54 °" y mss . l �✓'� p - . 42 r Wil° "V?V,. Please Type or Print Clearly Identification- Plea y � � �� OWNER: Name: .. ,. L Phone ,r , . i"`I Address: ,. �` _A,(J �- I I Contractor Name: /Vrjzec�,;t �, P hone: Email: MO-,~- m V „ Address: Supervisor's Construction License: CS ' { Exp. Date: It � 1`7 Home Improvement License: Exp. Date: ARCHITECT/ENGINEER � 1 �e"t "" Phone: `',5 �1-7C 3 ,;, -7 Address: Reg. No. FEE SCHEDULE:BULDING PERMIT.$1200 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ IOr, FEE: $ Check No.: � Receipt No.: � NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ TYPE OF SEWERAGE DISPOSAL _ Public Sewer ❑ Tanning/Massage/Body Art ❑ Swiunming Pools ❑ Well ❑ Tobacco Sales ❑ Food Packaging/Sales ❑ Private(septic tank, etc. ❑ Pennanent Dumpster on Site ❑ THE FOLLOWING SECTIONS FOR. OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF m U FORM PLANNING & DEVELOPMENT Reviewed On• /7 /S� Signature42 y COMMENTS 4,&2 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 & ewer Connection/Signature& Date Driveway Permit DPW Town Engineer: Signature: Located 384 Osgood Street FIREDEPOTMENT - Temp Dumpster on site yes Located'at 124 Main Street- " Fire Department signature/date COMMENTS F VAORT#1 q Town of EAndover ® . - to soh ver, Mass, COC MICHIwKK S U BOARD OF HEALTH Food/Kitchen rER ..MIT T LD Septic System A:&ovz"..Ann ,, BUILDING INSPECTOR THIS CERTIFIES THAT ' . . Foundation has permission to erect ......................... buildings on 0-d.4-V...S/• Rough to be occupied as c� .��' ..� �C:�!l��. y ...... ... . C.�.... ..fes. .. ....�:+F ......... ................................................... Chimne provided that the person accepting this permit shall in every 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 PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR LESS CONSTRUCTION ATS Rough Service .................. ...... ..... . ... .. ... . ......................... Final 1 G ISPECTOR GAS INSPECTOR Occupancy Permit Required to Occupy Building Rough Islay 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. Smoke Det. Town'of North Andover VA T Bl wilding Department �' a .,;:�, 1600 Osgood Street - �r,,.,.. Orth Andover MA 01,845 Tel: 978-688-9545 Faye 978-658-9542 a coc"I�ewc� a. ,QA DEMOLITION OF BUILDING AFFIDAVIT .q 0,V TED ACHU DATE 7 .71 OWNER'S NAME &ADDRESS A—AZO✓ L/Rv 0M PUID0VI'M n A, C7o A LOCATION OF PROPERTY TO DEMOLISH 7Z O MAI A DESCRIPTIONtAM SC1400l SU 1 t, D//V CONTRACTOR'S NAME &ADDRESS 4:�WO0 Wnd y o- DEPARE T SIGN-OFFS DEPT.-OF PUBLIC RKS -'WATER SEWER: ! DEPT OF CONSERVATION'"' �'�� LTH DEPT: Septic VU,el1 �- �����' ��° �� . ,.. STORIC CpMMISSION GASa .. , ELECTRIC E'r Aty-V660-0 TELEPHONE QQW_ 76L)AAX,'1V1V_r-A TAXES POLICE FIRE EXTERMINATOR . DUMPSTER—ON/OFF STREET DIG SAFE NUMBER DATE REC'D BLDG. INSPECTOR A 13 Doc.form demolition of building affidavit 120 MAIN STREET NORTH ANDOVER, MA 01845 �Y . ..... August 19, 2013 Gerald Brown 1600 Osgood Street North Andover, MA 01845 Dear Mr. Brown, The North Andover Historical Commission met on August 12, 2013 and made the determination that the buildings formerly known as the Bradstreet School at 70 Main Street were "deemed significant" to preserving the history of the Town of North Andover. Pursuant to this decision, a public hearing will be held on Thursday, September 5, 2013 at 7 p.m. in the Selectmen's Room of the North Andover Town Hall. Sincerely, Janice Williams North Andover Historical Commission cc:Hearthstone Realty Corporation A -93 Q_kapd 0AM � 1 Aqdato' m,m L n) GU CJS- oa. C YAC rl 'l o h HISTORIC DISTRICT COMMISSION Town of North Andover, Massachusetts APPLICATION FOR CERTIFICATE OF APPROPRIATENESS Application is hereby made for the issuance of a CERTIFICATE OF APPROPRIATENESS under Chapter 40C for proposed work as described below and on plans, drawings, or photographs accompanying this application. CHECK CATEGORIES THAT APPLY: 1. Exterior building construction: O New Building ( } Addition O Alteration Type of Building O Home ( ) Garage O Commercial O Other 2. Demolition or Removal of: &1 L h!/V(,' At 76 M A/rV Sr T 9'Clfo a C 3. Signs or Billboards O New Signs O Existing Sign O Other 4. Structure: O Fence O Wall O Other TYPE OR PRINT LEGIBLY s Address of Proposed Work: 7d MA f AJ Date: G 1 Owner: `MUJU ®F N®lzm-i ®V a- Telephone# Home Address(if different from above): Z® M W ✓j 5`f• Agent or Contractor: A 5'�V L2- �UGQ• Telephone# 7�' `�® X /d Address: O�y�,� �`�': A A11)4VU had G/ /® Assessors Map#: �� Assessors Lot#: z 3 Detailed Description of Proposed Work: Give all particulars of work to be done(see#8 below),including materials to be used,if specifications do not accompany plans. In case of signs,give locations of existing signs and proposed locations of new signs. (Attached additional sheet if necessary.) ?it! rz-V 15-n a C AUL L b Ix•c 4 44 WA ZAep ovS J'IA- Q, ,O(I P05-r r1A7,f4a4J w i LA BE (P-E- W E40 6-y— 2 'r t V C/ V, 7Z �s' Owner(Agent,Contractor 1qS7% -M 6 DO NOT WRITE BELOW THIS LINE Received for historic district commission: Time: Date: By: Application Na THIS APPLICATION FOR CERTRIFICATE OF APPROPRIATENESS: e O APPROVED O Disapproved Reason for Disapproval ( )NO CERTRIFICATE OF APPROPRIATENESS REQUIRED A CERTIFICATE OF APPROPRIATENESS IS FOR WORK DESCRIBED IN THE APPLICATION ABOVE AND ATTACHED DOCUMENTS SECRETARY: Chairman: Members CERTIFICATE OF LIABILITY INSURANCE 7/15/2015 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 c Dirtificate does not confer rights to the certificate holder in lieu of such endorsements(s) PRODUCER CONTACT NAME: MTM Insurance Associates,LLC (ac No EXt): (978)681-5700 FAX No.:) 1320 Osgood Street ADDRESS: North Andover,MA 01845 PRODUCER CUSTOMER to#' INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A: Atlantic Charter Insurance Company VDAC 44326 Verdeco Designs,LLC INSURERS: INSURER C: One Elm Square INSURER D: Andover,MA 01810 INSURER E: INSURER F: COVERAGES: CERTIFICATE NUMBER: 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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE 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 BURR POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS LTR INSR INVD DATE(MMIDDIYY) DATE(MMIDDIYY) (In Thousand) GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES $ (Ea ooairrence) CLAIMS MADE ❑ OGCUR ❑❑ MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ POLICY ❑PROJECT ❑LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ (Ea Accident) ANYAUTO BODILY INJURY $ ALL OWNED AUTOS El❑ (Per person) SCHEDULED AUTOS BODILY INJURY $ (Ea Accident) HIREDAUTOS PROPERTY DAMAGE $ NON-OWNDED AUTOS (Ea Accident) /UMBRELLA ❑ OCCUR EACH OCCURRENCE $ LIABILITY EXCESS LIAR 0 .-.S MADE AGGREGATE $ DEDUCTIBLE F-1 El $ $ RETENTION $ WORKERS COMPENSATION AND WCV00951304 03/04/2015 03/04/2016 X I STATUTORY OTHER A EMPLOYERS'LIABILITY LIMITS ANY PROPRIETOR/PARTNERIEXECUTIVE Y/N OFFICER/MEMBER EXCLUDED? WA policy Coverage State:MA EACH ACCIDENT $ 1,000,000 Mandatory in NH If yes,describe under SPECIAL PROVISIONS below DISEASE-POLICY LIMIT $ 1,000,000 DISEASE-EACH EMPLOYEE $ 1,000,000 OTHER ❑❑ DESCRIPTION OF OPERATIONSA.00ATIONSIVEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE Town of North Andover EXPIRATION DATE THEREOF,THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 1600 Osgood Street 12 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT. g BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY North Andover,MA 01845 OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. UTHORIZED REPRESENTATIVE - ACORD 25(2009109) Page 1 of 1 CERTIFICATE HOLDER COPY ©1988-2009 ACORD CORPORATION.All rights reserved. X R Board o'r Building regulations and Stanaards Construction Supervisor License: CS-105187 MARK J YANOWJTZ 20 WMD ROSE DR F is ANDOVER MA 61816 Expiratior 07/11/201; Commissioner I'