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Home My WebLink AboutBuilding Permit # 6/2/2016 BUILDING PERMIT o� caorare� 'c.i ,EU TOWN OF NORTH ANDOVER o APPLICATION FOR PLAN EXAMINATION Permit No#: Date Received JR4 �SSgcHus��y Date Issued: all IMPORTANT: Applicant must complete all items on this page LOCATION 7 LJ- -fie Print PROPERTY OWNER `"- P,,L JL C Print 100 Year Structure yes no MAP PARCEL:_ZONING DISTRICT: Historic District ye no Machine Shop Village ye no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building ❑ One family ❑Addition ❑ Two or more family ❑ Industrial ❑Alteration No. of units: ❑ Commercial epair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other ' C1 Septic f ❑,Well � Floodplain ❑Wetlantls ❑ Watershed,District z''%CC Water/Sewer, J „ r DESCRIPTION OF WORK TO BE PERFORMED: Identification- Please Type or Print Clearly OWNER: Name: cA ,& Phone: Address: -3S ( Lr-y\f Contractor Name: ��- -2-777- i Com d Phone: l Email: Address: Supervisor's Construction License: 0L Exp. Date: Home Improvement License. d �L Exp. Date: ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE.BULDING PERMIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ i ate O FEE: $ Check No.: Li Receipt No.: NOTE: Persons contracting th 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 ❑ Swimming Pools ❑ Well ❑ Tobacco Sales ❑ Food Packaging/Sales ❑ i Private(septic tank,etc. ❑ Permanent Dumpster on Site ❑ THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM PLANNING & DEVELOPMENT Reviewed On Signature_ COMMENTS CONSERVATION Reviewed on Signature COMMENTS U nAa,, - c--:D tomk-o c-o X \w_� 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 & Sewer Conneetion/signature & Date Driveway Permit DPW'.Town Engineer: Signature: Located 384 Osgood Street FIRE:DEPARTMENT --.Temp Dumpster on,site yes no: Lobate, at 124 Main Street Fire Department signature/date COMMENTS t%OR TH Town ofe ". ndover ® •. 'y' ' ' e41 No. ® 20 "�1 h ver°, ass, hXz1:2 OCHIC EW.CK �1 RATE® P`Q��'�� U BOARD OF HEALTH T LD Food/Kitchen EKmmmlT Septic System THIS CERTIFIES THAT �'��r�.... �`.�::`.+: ` BUILDING INSPECTOR ............. ....... ............................................................................. ` � Foundation has permission to erect .......................... buildings on �. .... .....✓.... :�.............�.'r:�!�-......................... Rough to be occupied as ..................F.Lv.. ......... e�(;;'.......................................... 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 EXPIRESPERMIT ELECTRICAL INSPECTOR UNLESS CONSTRUCT N TARTS Rough Service ...... ........ '.. r . ..................... �; �UILDING.INSPECT®R. Final GAS INSPECTOR Occupancy Permit Required t® Occupy Building Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final No Lathingor Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approvedthe Building Inspector. Burner Street No. Smoke Det. PROPOSAL BILLTRICOMI 10 PINE RIDGE ROAD BURLINGTON, MA. 01803 Lic® #050183 781-864-5974 DATE: May 2, 2016 Bruce & Joan Tronic 35 Turtle Lane North Andover MA Remove and Frame a 16'x22'6" Deck. Remove existing deck framing, decking, railings and Lattice. Install 2x10 ledger board lag bolted to house. Install new 2x 10 PT Floor Joists. Install 4x4 PT Post for railings. Install 5/4 x6 Azek decking with hidden fasteners. Install 4 new cement footings. Install 2- 2x12 PT for beam with 6x6 post on post saddles. Frame stairs with 2x12 stringers having 7 '/4 " risers and 11" treads. Azek decking on stairs. Frame under deck with 2x4 PT and white vinyl lattice. Trim deck and stair riser with P.VC trim board Install post sleeves, cap and bases on 4x4 post. Install Azek failings on deck and stairs, both sided stairs. Total: $18,000 Payment to be as follows: $6,000 Down, $6,000 after new frame complete, $6000 due upon completion. PLEASE READ THE FOLLOWING: ING: -All previously mentioned items are part of an entire project; if any item on the above proposal is changed and/or removed it will affect the cost of all the remaining items. -Any additional labor needed that is not included in this proposal will be completed at the purchaser's request, for additional charges. -All material is to be specified. All work to be completed in a manner according to g -€ t4,, 1 t kv s � e r 1 F 4 ✓ Tr- fL I�- fir ' w� , v w Ob- `yE�2�g e,m v �°�S,p,,,:d ,.. .a> �� R Vie '• r _ ! Aviv INC'11, Mss h� - standard practices. Any alterations or deviations from the previous specifications involving extra costs will be executed only upon written orders and will become an extra charge over and above the estimate. This proposal subject to acceptance within 15 days and is void thereafter at the option of Bill Tricomi. -Change Orders: No Modification to the description of work shall be valid unless in writing signed by Bill Tricomi and the customer setting forth the change on the cost of the project and the effect of the change on the time of completion of the project. Force Maieureo Dill Tricomi will not be liable for any delay in performance or nonperformance, which is due to war, fire, floor, acts of God, acts of third parties, acts of governmental authority or agency or commission thereof, accident, breakdown, of equipment or any other cause beyond its control. ACCEPTANCE OF PROPOSAL: The above said work is to be completed in accordance with above specifications. payments will be made as outlined above. Date of Acceptance Signature Date of Acceptance Signature d 1 h% G 1 Lx'a f l" 1 , W 7 a v 3 it i r � e� N r� 6 t " 7 3 i 1 �- — — Vol) c a � . The Commonwealth of Massachusetts . Department of IndustrialAceldents X Congress Street,Suite 100 Boston,MA.02114-2017 wwwanass.go-p/dia Workers'Compensation Insurance Affidavit:Builders/Contractors/Eiectricians/I.'lumbers. TO BE PILED WITH TUE PERMITTING AUTHORITY. Applicant Information. Please Print Legibly 3 Name(Business/Organization/I'ndividual): Address: Gity/State/Zip: 2�=i �,d (1' hone#: � �" 6 Are you an employer?Check the appropriate box: Type of project(xequired): 1.F1 I am.a employer with employees(full and/orpart time).* 7. F1 New construction " 2. I am a sole proprietor or partnership and have no ernployees working for me in 8. 0 Remo delirig � any capacity.[No workers'comp.insurance required.] 9, ❑Demolition 3.Q I am a homeowner doing all work myself[No workers'comp.insurance required.]t 10 n Building addition 4❑I am a homeowner and will be hiring contractors to conduct all work on my property. I will ensure that all contractors either have workers'compensation insurance or are sole 11.❑Electrical repairs or additions proprietors withno employees. 12.Q Plumbing repairs or additions 5.❑I am a general contractor and Have hired the sub-contractors listed on the attached sheet. 13.Q Roof repairs These sub-contractors have employees and have workers'comp.insruance.1 6.F1 We are a corporation and its officers have exercised their right of exemption perMGL G. 14.[]Other 152,§1(4),and we have no employees.[No workers'comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. I homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. ?Contractors that check this box must-attached an additional sheet showing the name of the sub-contractors and state whether or not(hose entities have employees. If the sub-conlraclors have employees,[Yiey must provide their workeis'comp.policy number.' I am an employer that ispiwviding workers'compensation insurancefor my employees'Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins,Lic.#: ExpirationDate: Job Site Address: City/State/Zip: ' Attach a copy of the workers'compensation'polley declaration 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 up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator.A.copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. Y do her eby ce lift' der e-laa' andpenaIdes ofpetjuiy Haat the in provided above is true and correct. signature: % Date: Phone# 7 CSI Official 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): i 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: Massachusetts -Department of Public Safety Board of Building Regulations and Standards �iEHE�ip if 2!llJiz .3lt'1E"F tP.hl."1 t-- bE'i1.3?lli License: CSFA-050163 W L,L4,M TRICQ*H 10 PINE RimGE RD BURLINGTON MA 0160 j Expiration Commissioner 0612312016 Office of Consumer Affairs&Business Regulation 1 OME IMPROVEMENT CONTRACTOR egistration: 105116 Type: -- ,'Expiration: 7/16/2016 DBA TRICOMI REMODELING CO. William Tricomi 10 Pine Ridge Rd, Burlington, MA 01803 Undersecretary