HomeMy WebLinkAboutBuilding Permit # 3/23/2016 BUILDING PERMIT
API"LICATION FORPLAN MIN ATIt,°: I
P r rolt O.- Date Received
µ ° a�a
DateDateIS�rd: •�... ;.: _
11 ` TANT11 A li pint r raa,t lc�tc all its ins on this #Le
ur ,
TYPES OF IMPROVEMENT NT ROPOSED USE
Residential Non- Residential
New BUildin _ ❑ On -f mily
❑ Addition o "fwo or r ore�family 0 Industrial
'Vf Alteration No. of units: _ C_l Commercial
❑ Repair, replacement 11 Assessory Bldg.__,-- ❑ Others:
❑ Demolition 1---1 Other
3800l �N rt I art t t tl r� „ 0, t tw�d T��tr N .
1tentisfictton Please Type or Print Clearly)
Address:
-
/
/
ri/ � ,✓6„ / r, r,, „r/ Ur/ii/rr„ / /�r // /„ri.i../U%%/ / i
%
;,E � �i✓� // /%��/„/,�i r% i rr-i//%r j,/rr ,r///i/ r/%i�,i/.- �/
„ rri //i✓//����/ii/� //�///� ��//i///�/ //r/`', / / � ////� // /��/��/moi I / /
rrr P'”
% rr
ARCH HIT'E CST ENGI
Add
FEE "F4EPYULE B6.PP,F)ING PERMIT,$12.00 PER$1000.00 OF THE-TOTAL ESTIMATED COSTBASED ON$125.05 PER S.F.
Total ratm Imm �Ic.
TEPersons contracting with unra -stered contractors do not have access to the r°aratyfund
Signature f A ent10wner_–— _._ -Signature,of contrac
F71M '01h T
NOR1y
town o" t2
-AA& ntiuover
/-2 0 �*. h ver, ass, 3S///0
COCHICNIWICK 1'
�•9 A°RATED
S U
BOARD OF HEALTH
Food/Kitchen
�� RM Septic System
THIS CERTIFIES THAT ........ �.�-�..!� ...... Y...... s. ,,,,,,, ,,,,,rE IT LD
BUILDING INSPECTOR
..........................................
h � ^(1l f d \ .................. Foundation
has permission to erect .......................:.. buildings on ..�,7�. .�:.... .....,r. .......�.. ........
fes/ Rough
to be occupied as .........r :: ��.. .!:tf.:?:'t: :::C. .'.�. :: .....�G.,.���=.s li'•'-". ; ,. 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. PLUMBING INSPECTOR
VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough
Final
PERMIT EXPIRES 16 MONTHS ELECTRICAL INSPECTOR
LESS CONSTRUCTION/ TARTS Rough
.............. 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.
�A" ; I 191c,
Construction
I/We,the owner(s)of the premises mentioned below,hereby contract with and authorize as contractor,to furnish all
necessary materials and labor,to install,construct and place the improvements according to the following specifications,
terms and conditions,on the premises described below:
Owners: Paul&Karen Just Phone: 978-258-9529
Address: 338 Blue Ridge Road,North Andover,Mid
Contractor Information: Apple Wood Construction Inc,64 Noyes Rd,Londonderry,NH 03053
FED ID#45-2837711
HIC#181805
Contractor ID#CS87691
Part I
Description
Apple Wood Construction,Inc.,will: See attached estimate dated: 2/29/2016
For the above or attached specifications the undersigned agrees to pay the sum of: $10,300.00
The Customer agrees to make payment in accordance with the schedule of payment as follows:
Deposit on signing agreement $500.00 ' °t—:"i�a lq�i
Start of work $2500.00
Start of plumbing $2300.00
Start of electrical $1100.00
Start of cabinet installation $2600.00
Upon substantial completion of project $1300.00
Part II
Proposed start date:Approximately two weeks after issuance of town permits.
Proposed end date:Approximately 3-6 months after start of work.
Contractor is not responsible for delay,damage or inability to carry on the work caused by or resulting from strikes,
blackouts,fires,accidents,lack of material or any other cause beyond the control of the contractor either before or after
the delivery of the material and equipment at the said premises.
The contractor is to be permitted to proceed with the specified work without interruption and hereby authorized to do
such work as in his opinion is necessary to complete this contract.Plans may need to be altered slightly during
constriction phase at the contractors discretion.
The contractor and/or subcontractors will not enter the house if there are minors present without someone over 18
present with them.
IN MU
Londonderry,New Hampshire
603-432-8599
www.applewoodconstruction.net
�77�Aipple�
Construction.
Part VIII
PER!\/IIT NOTICE:
a. Any and all necessary construction related permits are the contractors obligation to obtain.
b. If an owner secures their own construction related permit or deals with unregistered contractors they shall be
excluded from access to the Guarantee Fund.
c. Owner must wait for all inspections. If contractor waits for inspections additional charges of$55.00 per hour
will apply.
Part VIIII
This contract is subject to the approval of the General N tanager.
f
In Vritness whereof,the parties have here unto placed their hands and seal this .- day of
c a. i ' 2016.
DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES.
r
Paul Just Karen Just
Date: Date:
Leonard Santosuosso III,General Manager
Date:
Londonderry,New Hampshire
603-432-8599
www.applewoodconstruction.net
Apple Wood
]l
Construction
February 29,2016
Paul tae Karen Just
338 Blue Ridge Road
North Andover, MA
ESTIMATE
ENTERTAINMENT CENTER
1. An allowance of$100.00 is given to include town permit if needed
2. Prep area as follows:
a. Cut back rug as needed
b. Build small corner wall
c. Build up floor%" under cabinets
d. Remove baseboard as needed
3. Plumbing allowance of$2600.00 is given to include the following work to be completed by a
licensed plumber:
a. Run water and drain for new sink
b. Run vent line
c. Hook-up sink and faucet
d. Hook-up dishwasher
4. Electrical allowance of$1925.00 is given to include the following work to be completed by a
licensed electrician:
a. Run 2-3 more circuits
b. Run outlets to code
c. Run outlets for under cabinet components and microwave in cabinet
d. Try to repair electrical that also shares outside outlet
e. Run line and supply light for LED strip in component cabinet and also in two glass
cabinets.
S. Supply and install wallboard to new corner wall and patches made by plumber and plaster to
smooth finish.
NOTE: Painter will need to do prep work prior to painting.
6. Install base cabinets, baseboard and toe kick per plan.
7. Return after countertop installation and install wall cabinets and crown molding per plan
8. Removal of trash due to construction project.
TOTAL: $10, 300.00
NOTES: Some painting and touch-ups will need to be done and are not included in pricing.
INITIALS-
1 � ; :
I I I I i I E 11 I III I I I E I
1''x'30'18 W3018
BFD1L�BIFD21-L
, BFD36 B MBD24 B
BFD36 BFD21-R -
hl
INIT ' S:
G?
DATE: to
��//
rs,
—rl
;a1
j
Yhe Com"loulveafth of Massachusetts
Department of'IndustrialAccidents
I Congress Street,Suite 100
Boston,MA 02114-2017
ivwwanossgopldia
Workers'Compensation Insurance Affidavit:builders/Contractors/Electricians/Plumbers.
TO BE MLED WURTITE PERM11TING AMIORI'ry.
Ap please print Lgg:jLbA
NaMe(Business/Organizatioittfjidividual): c`_X
Address:
c1 /slat Phone#
Are Y in an employer?Check the appropriate box: Type of project(required):
lWyl am a employer with -pniployces(full and/or part-time).* 7. ?[j ew construction
[]2. 1 am a sole proprietor or partnership and have no employees working for me ill 8, ernodefing
any capacity.[No workers'comp.insurance required.] � Rl
3,[]1 am a homeowner doing all work myself.(No workers'comp,insurance required.]t 9. Demolition
4Q 1 am a homeowner andwill be hiring contractors to conductall work oil illy property. lwill 10 Building addition
ensure that all contractors either have workers'compensation insurance or are sole 11.0 Electrical repairs or additions
Proprietors With no eroplOYMS. 12. Plumbing repairs or additions
5.E]I am a general contractor and I have hired the sub-contractors listed on the attached sheet 13. Roof repairs
Those sub-contractors have employees and have workers'comp.insurance.!
6.0 We are a corporation and its officers have exercised their right of exemption per MGL c. 14,E]Other_
152,§1(4),and we have no employees.[No workers'comp.insurance required.]
*Any applicant that checks box#1 must also fill out tho section below showing their workers'compensation policy information,
t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a now affidavit indicating such,
tContractors that check this box must attached all additional sheet showing the name of the sub-contractors and state whether or not those entities have
employees, If the sub-contractors have employees,they must provide their workers'comp.policy jiumlicr.
Iain an employer that is providing workers'conymnsation insurance for nzy employees. Beloit,is the policy and job site
information.
Insurance Company Name:
c
Policy#or Self-ins,Lie.It: C. Expiration Date:
Job Site Address: MA
City/State/zip
aAL— C
Attach a copy of the workers'compensation polidcclaration page(showing the policy number and expiration date).
Failure to secure coverage as required under MGL c, 152,§25A is a criminal violation punishable by a fine tip to$1,500.00
and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK 01MM and a fine of tip to$250.00 a
(lay against the violator..A.copy of this statement may be forwarded to the Office of hivestigati6its;of the DIA for insurance
coverage verification.
1(16 hereby ceitt&un(ler thepains and penalties of petimy that the information provided above is true and correct.
Date:
C
Phone
0jf1cial use only. Do not write in this area,to be completed by city or town official.
City or Town: Permit/License#
Issuing Authority(circle one):
1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector S.Plumbing Inspector
6.Other
Contact Person: Phone M
i ,,, �fZei�[17JLJJ2P�Jlll/efGG�l2 a�p/��aJJaCiaCLJe�iJ
Office'of Consumer Affairs&Business Regulation
OMEIMPROVEMENTCONTRACTOR
egistration.' 181805 Type'
xpiration =5/5f2017 a Corporation
L` =
APPLE�WppD CONSTRUCTION
LEONARD,'SANTOSt_SSO
64 NOYES RD
LONDONDERRY,NH 03053 — ;Undersecretary
I 14
,J
Massachusetts Department of Public Safety
Board of Building Rcgulatiors and Standards
License: CS-087691
Construction Supervisor
i
LEONARD SANTOSIOS$O,IIIJ��J�
64 NOYES ROAD
LONDCNDERRY NH% 5
i
r
I\/)JAS Expiration:
Commissioner
09/21/2017