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Home My WebLink AboutBuilding Permit # 2/17/2016 OORTH BUILDING PERMIT TOWN OF NORTH ANDOVER � m APPLICATION FOR PLAN EXAMINATION Permit N®: Date Received -Vz ec us�"�ay Date Issued: ORTANT:A licant must.complete lete all item:on this a e LOCATION t - � t ° Print PROPERTY OWNER Print MAP NO: 'PARCEL, ZONING DISTRICT: Historic District Yes o Machine Shap VIIIage Yes TYPE OF IMPROVEMENT PROPOSE®USE ------Residential Non-Residential -- ❑New Building ❑One family 11 Addition Two or more family Industrial Alteration No.of units: []Commercial 0 Repair,replacement Ca Assessory Bldg ❑ Others: ❑Demolition ❑Other 0 Septic C;]Well ❑Floodplain f._i Wetlands o Watershed District CJ Water/Sewer ,rPhone: Y"' 7 w.. OWNER: Name: �.�,�'" �e®Cii�catioee �Ypeory�� saPhon �`l �jl"7 Address: ,,.. �r CONTRACTOR Name: j " Phone: " Address: Supervisor's Construction icense: , Exp. Date: y Home Improvement License: Exp. Date: '� ARCHITECT/ENGINEER Phone: Address: Reg.No. FEE SCHEDULE:SULDING PERMIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED T$1256d PE,,R S.F. XL .., FEE:$ -- Total Project Coast:$ �( ��Check " NOT No.: Receipt Contractingwith unre tered contractor$do not have � segos anty land Recei t o.: ve access to I t Signature of Agent/Owner Signature of contractor � pORTh town of GAndover No. '81 !ll * , - h ver, Mass, RATED V BOARD OF HEALTH PERMIT T ILD Food/Kitchen Septic System - THIS CERTIFIES THAT .J...h.:t a ..SAA% ... BUILDING INSPECTOR 5 ..has permission to erect..........................buildings on.... . SLS......Co..Le :... .... Foundation nnPO ............................ Rough to be occupied asf�.�.,.�..A�!.:.............!!�d ...... ............ .. ....... chimney 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. A& � sOt dw PLUMBING INSPECTOR ( Rough VIOLATION of the Zoning or Building Regulations Voids this Permit. Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTI 17 SRough Service ................ ..................................................... Final BUILDING INSPECTOR GAS INSPECTOR Occupancy Permit Required to Occupy Building 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. Smoke Det. N p 8 Manning Road 01 Suite#2 s Waltham,MA 02452 111% Office: (781)373-1966 Gell: (617)480-3233 dave1hye@comcast.net February 15,2016 Mahesh Narayanan 450 Chestnut Street North Andover,MA. Subject: Renovation of existing basement Contract The renovation and completion of the existing basement as per plans and spec in the letter dated February 3`d,2016.The total cost for said work is$50,35700.The Building permit cost is$612.00. Payment terms as agreed are 1/3 payment after permit is issued and work begins. 1/3 payment after rough inspections are signed off.Final payment after all final inspections and work is completed. Contractor Home Owner David Najarian a Mahesh Narayanan t Date `' Date . r` , • �4 z\ . . . . . - � ^ � \ : IF � e ! ` ( ! � � } � � > � } � a ��- � The Commonwealth of Massachusetts Depal'tment of InduslrialAeeidents I Congress street,Suite 100 Boston,MA 02114-2017 wtviuinass.govtdia Ukrkers,compensation TO BE nsura ce Affidavit: uilR ldi 1YIConnttu actor's Y.tt,iciaostPiumbers. FILEDPlease Print Legibly A Lica tInformatimr - - iI,�,` . - ✓+f- Name(BusmesstOrganizationtirtdiv" al): �} r YL) r� Address: t Y _ t r =J;i l t „ i !Phone#:? :. CitylState(Zip.3 t ate hos: Type of project(required): em Are you an p oyer?Clredr the a ppaurni m t acs(first and/or part-time)° 7.(�New construction 10 tam a employer with a Pare g. Remodeling 2. I am a sola gmprietor or partnership and have no employees working fol—i- 9 Demolition any capacity.[lvow nkers'comp.msurance required.] nsmaue r held t 10 E]Building addition 3 01 am a homed mer doing all work myself.[No workers'camp.i o�mperiy.[will Q lam ahomeomer andwill he hiring contactors to conduct alt work on myp 11.Q Electrical repairs or additions 4, ensure that all wntraetors either havawmkers'compensation insurance or_.In 12.Q Plumbing repairs or additions propri,t.0 with no employees. 5.❑I an,a general contractor and Ihave hircdthe suh-contractors hated on the attached sheet. E]13, repairs Theas sub.wntmcto.hava emplayees and Ineworkers'tamp.insurance, 14❑Other-- — 6.0 We are a wrpomfien and its officers have exercised theh right of exemption per MGL e. 152,§t(4),and we have no employees.[No workers'camp.insurance required.] +Any applicant that checks box#1 must atsa fit,out tho section below showing their workers'compensation policy itaauia— � avitivditingsa Contactorthawh.sidutat this it indicating they con ointchaekths box must attached an addit nalsheetshowing the name of the su'b'a't actors ardstate whether or whose entities havaah that cha.kthis hetors havecmptothe tprmide the¢warkers'womp.Pohcy number. employees. y ymus compensationhtsurattce for my employees*Betory is the policy and Job site I ane mr employer that is providing workers' ittforniation. Insurance Company Name: Expiration Date :�--- Policy#or Self-ins.Lic.#: City/State/Zip: Job Site Address: Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure a secure coverage a required under MGL c.152,§25A is a criminal violation punishable by a fine up to$1,500.00 and/or one-year imprisonment, of this statement m[a1es i fosvarded to the Office doff lnvthe form of a STOP WORI,�os�ations of the DIA for ER and a fine OfuP to a day against the violator.A copy y g coverage verification. fp 1 y nd nettles o er ar that the infm'ntattara provided above is true aced coI,, I do hereby ter ,der 17 pa's� p ,•,✓ '�� Date: i Si aerate:___—_-----� �t `� �,� t Phone#: b' 4 -- .s Official ase only.Do not write in this area,fo be completed by city or town official. PermittLicense# City or Town: Issuing Authority(circle one): 1. w Board of Health 2.Building Department 3.CitytTon Clerk4.Electrical Inspector 5.plumbing inspector 6.Other Phone#: Contact Person: Massachusetts Department of Public Safety Board of Building Regulations and Standards License:CS-049102 Construction Supervisor DAVID M NAJARIAN ` 8 MANNING ROAD - FLOOR2 WALTHAM MA 02/4`52 (�^^n Expiration: Commissioner 10114/2017 Office of Cons mer Affa s&B sines Regulation License or registration valid for individul use only kHOME IMPROVEMENT CONTRACTOR before the expiration date.If found return to: 1 Registration: 170229 Type: Office of Consumer Affairs and Business Regulation V,,. Expiration: 912 912 01 7 DBA IO Park Plaza-Suite 5170 Boston,MA 02116 HYE INTERIORS DAVID NAJARIAN 8 MANNING ROAD 2ND FLOOR t WALTHAM,MA 02452 Undersecretary ----Not signature