HomeMy WebLinkAboutBuilding Permit # 6/13/2016 ORTH
BUILDING PERMIT 0 CC -6g6
TOWN OF NORTH ANDOVER
ION
APPLICATION FOR PLAN EXAMINAI
Date RBI,eiv
ed
Permit No#:
Date Issued:
IM ORTANT:,Applicant must complete all items on this page
LOCATION
P,nt
PROPERTY OWNER
Print 100 Year Structure yes no
MAP PARCEL: ZONING DISTRICT: Historic District yes no
Machine Shop Village yes n
TYPE OF IMPROVEMENT PROPOSED USE
Residential Non- Residential
El New Building F-1 One family
[-]Addition [I Two or more family [I Industrial
ri Alteration No. of units: [i Commercial
V Repair, replacement D Assessory Bldg 11 Others:
[I Demolition 0 Other
t- '';'hQ,j///�4,s ncf,,,1,,J,
R-W
%
K
Print
--
RK TO BE ;7
P QRMED,
Z
Imt1fiYatio lease Type or Print Clearly
OWNER: Name: 7- e-)1
I I / P h o n e:
1Kz,y7r1
Address: ?
63z,
Contractor Name: Ja)i, Phone: 62,
Email:
Address:
Exp. Date:
C-) 0447O
Supervisor's Construction License: C2
Home Improvement License: IWI � Exp. Date:
ARCHITECT/ENGINEER Phone:
Address: Reg. No.
FEE SCHEDULE:BULDING PERMIT.,$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00PER S.F.
-V
Total Project Cost: $
ZFEE: $
Check No.: Receipt No.:
I n
NOTE: Persons contracting with unregistered contractors do not have ftccess-tom he i ra ty and
:
---3SJgnAtura of AgentLOmner-
und
rontr
r
Plans Submitted Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑
TYPE OF SEWERAGE DISPOSAL — --- - —
Public Sewer Tanning/Massage/Body Art ❑ Swimming Pools ❑
Well ❑ Tobacco Sales ❑ Y
Food Packaging/Sales ❑
Private(septic tank, etc. ❑ Permaaeut Dwnpster on Site ❑
THE FOLLOWING SECTIONS FOR OFFICE USE ONLY
INTERDEPARTMENTAL SIGN OFF - IJ FORM
PLANNING & DEVELOPMENT Reviewed On Signature_
COMMENTS
CONSERVATION Reviewed on � �� ( Si nature
Ce �
r
CO MENTS
L/
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 Connection/Signature& Date Driveway Permit
DPW Town Engineer: Signature:
Located 384 Osgood Street
FIRE,DEPARTMENT TMENT - Temp,Dumpster on site yes no
Located at 124 Main Street
Fig ��par�tile�atsar� caoe/�Iae
COMMENTS r
VkORTH
Town ofe
Andover
1361-,- 2a1
C+ verb ass,'
®p *- hcoc.ncnewl" �1'
�0r'ATE® 11.1
`� L9 BOARD OF HEALTH
PER
Food/Kitchen
Septic System
L D
. . ... .. ... . .... BUILDING INSPECTOR
THIS CERTIFIES THAT .......... ..... .... ......WA ... ............ .. ... .... ... d
... Foun ation
has permission to er t .......................... buildings on ..... . ...... .. ... .... Rough
g
to be occupied as .. ........ .... .. ......... ...... . . ... ..., '.:... ......... FialChimney
provided that the person accepting this permit s II 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 Inspec ' n,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
EXPIRESPERMIT IN 6 MONTHS
ELECTRICAL INSPECTOR
UNLESS CONST I Rough
Service
. ..... ....... ...... ...... Final
BUIL&N SPE ®R
GAS INSPECTOR
Occupancy Permit Required toOccup-P Bui Rough
Display in a Conspicuous Place on the Premises — Do Not Remove
Final
No Lathing r all eDone
FIRE DEPARTMENT
Until Inspected and Approvede Building Inspector. Burner
Street No.
Smoke Det.
1) THE BOUNDARY INFORMATION SHOWN HEREON WAS
TAKEN FROM A PLAN ENTITLED OF'LAN Or LANO
LOCATED IN NORTH ANDD MA MA PREPARED FOR MAP 98-, LOT A2
KENNETH W. READ, SCALE- 1 -40% DATE: 4/27/99
(rev, to 712/00 BY &RISTMSON Ac BERG) INC.,
NORTH ES EX WISTRY OF DEEDS PLAN 013938. S07b_ '48"E 127,07 ...
2) THE INTENT OF THIS PLAN IS TO SHOW THE AS, —
BUILT LOCATiON OF THE FOUNDATION ONLY,
aco,
-o vsNV,
7
MAP 98C WT 2
Z- 0.588 koh
MAP 90C LOT I
...........
MAP 98C LOT 3
Oil
V
.-Noo)-2940 w
GRAPHIC SCALE
35.14!
ST
Ox m"
I Ineb w 40 ft
buhpownp............4.aaoxo.&�-
1 HEREBY CERTIFY THAT THE FOUNDATION SHOWN HEREON CERTMID PLOT PLO
15 THE X—RULT OF A FIELD SURM MADE ON MAP ABC LOT 2
DECEMBER 5, 200'. OWSTNUT 'STREET
NORTH ANOOVOER, MASSACHVSETTS
PRI1144fto FOR
gr 1 104 P"H R. JOYCE
05 MAIN 'STREET
NORTH ANDOVER, MAS ACHUTETTS 01845
"fam94'(w
N lie 0"s-0720
EMKA 6, 240(
MR rN WTRi
LICENSED LAND SURV R DATE Of 114 1
f:Ff��S�F
E �
c �
e s � �
f
f
P
1
8 Manning Road
Suite#2
Waltham, MA 02452
Office: (781) 373-1966
Cell: (617)480-3233
davelhye@comcast.net
June 9,2016
Mahesh Narayanan
450 Chestnut Street
North Andover, MA
CONTRACT
RYE Interiors agrees to do the following work for the above Homeowner as per the
Proposal and agreed upon work stated in letter dated June 9th, 2016.
HYE Interiors will pull required Permit for said work by Building Code requirements.
The rough and final inspections will be signed off for said work by inspector to meet
Payment terms of said contract.
HYE Interiors will begin work roughly on June 16"', 2016 and should be substantially
completed by July 18th, 2016.
HYE Interiors agrees to perform the work, furnish the material and labor specified for the
total sum of$17,762.00. If there are changes to the proposal regarding cost for materials
that will be additional costs as well as any additional requested work.
Payment Terms: 1/3 first payment once work begins on June 16th, 2016. 1/3 payment
after rough inspections have been signed off. . Final payment after final inspection has
been signed off.
HYE Interiors agrees to warranty all work performed by HYE Interiors for one year.
HYE Interiors agrees to be solely responsible for completion of the work described in
said contract.
Contract Acceptance-Upon signing,this document becomes a binding contract under
law. Unless otherwise noted within this document, the contract shall not imply that any
lien or other security interest has been placed on the residence.
HYE Interiors and Mahesh Narayanan hereby mutually agree in advance that in the event
the contractor has a dispute concerning this contract,the contractor may submit the
dispute to a private arbitration firm which has been approved by the Secretary of the
Executive Office of Consumer Affairs and Business Regulation and the consumer shall
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The Commonwealth of Massachusetts
X Depapiment of Indlu,strialAce, Sts
1 Congress Street,Suite 10u:
i.,�
Boston,MA 02114-2017
: .. www.mas.s,gov/dza
Wovkers,Compensation insurance Affidavit:Builders/Contractors/ElE lectricians/Plumbexs,
TO BI;FILE WITH THal PEWvHHTING AUTHORITY,
Applicant Information , n kJPleaseI'x t e;bl
Name( usiness/Organization/In�dual): � G�
Ciiy/state/Zip: ,/ r Z Phone#: r
Are you an employer?Cheek&o appioprlafe box: Type of project()VeclUired):
1.[]I am a employer with employees(full and/orpart-time).` 7, F1 New consti action
2]a 1 am'a sole proprietor or partnership and have no employees working for me in $. Remodeling
any capacity.[No workers'comp.insurance required] 9, ❑Demolition
3_❑I am a homeowner doing all work myself.[No workers'comp.Jusurance required.]t
10 ❑Building addition
4.❑lam a homeowner and will be luring contractors to conduct all work on my property. 1 will
ensure that all contractors either have workers'compensation insurance or are sole 11.[1 Electrical repairs or additions
"
proprietors with no employees. 12r.Q Plumbing repairs or additions
5.Q I am a general contractor and I have hired the sub-contractors listed on the attached sheet. 13.F1 Roof repairs
These sirb-contractors have employees and have workers'comp.insurance.*
6.1-1Weare a corporation and its officers have exercised their right of exemption per MGL c.
14, Other
152,§1(4),and we have na employees.[No workers'comp.insurance required.]
M
*Any applicant that checks 136X#1 most also fill out the section below showing their workers'compensation policy information.
1 Homeowners who submit t its affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such.
tContractors that check this box must-attached an additional sheet showing the name of flip sub-contractors and state whether or not those entities have
employees. Iffhe sub-contractors have employees,they rirust provide their woz:'ceis'camp,policy number.
X aMs an employer•that is pidvid6ig wormerseompens ation ins u Pali c efor'my employees."Below is the policy andl job site
information.
Insurance Company Name:
Policy#or Self ins,Lie.#: ExpirationDate;
;lob Site Address: City/State/Zip:
Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date).
Failure to secure coverage as required wider MGL o. 152,§25A is a crlminal 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 WORD ORDER and a fine of up to$250.00 a
day against the violator.A copy of this state we t may be forwarded to the Office of Investigations of the DIA,for insurance
coverage verification.
� Data: rec�:
,� .�� �.,�^� alt esprovided
I do Hereby zfy talc r the am arrcl, ena ofperyuiy that the information a ove is true and cor
Signative. _.,, ,,. .,__
i r°
Phone#: (7
Official use only. Do not write in this area,to be completed by city or,town of"ficial.
City or Town: Permit/License
Issuing Authority(circle one): i
L Board of Health 2.Building Department 3,City/'Town Clerk 4.Electrical Inspector 5.Plumbing Inspector
6.Other
Contact Person: Phone It:
F''rt' cirrlrrtsrrrr rrfl 146-W CX("I,//j
Office of Consumer Affairs&Business Raeulation License or registration valid for individul use only
a'g=B=�'.`�"'HOME IMPROVEMENT CONTRACTO'R before the expiration date. If found return to:
Registration: 170229 Type: Office of Consumer Affairs and Business Regulation
Expiration: 9/2912017 DBA 10 Park Plaza-Suite 5170
Boston,MA 02116
HYE INTERIORS
DAVID NAJARIAN
8 MANNING ROAD 2ND FLOOR
WALTHAM,MA 02452 Undersecretary a-at-signature
Massachusetts Department of Public Safety
Board of Building Regulations and Standards
License: CB 9102
Cons �ucticn Supe-vscr
DAVID M NAJARIAN
OR
Agi
W-0
g
8 MANNING ROAD N
C
M
FLOOR 2
AWN
WALTHAM MA 0246215HI
Expiration:
CIA
Commissioner 10114/2017