HomeMy WebLinkAboutBuilding Permit # 9/1/2016 tx:0:�R T:H�
BUILDING PERMIT 0
® OF NORTH ANDOVER 00
APPLICATION FOR PLAN EXAMINATION
Date Received
Permit No#:
Date Issued:
licaut must oompete,all, t
ORTANT: APP litems on this 1?�,Lge
1v 1.4,v 1'7
LOCATION. -.5' 0 _wz ,; ,C
Print
PROPERTY OWNER tc; K�i ff,� yes
% Print 166 Year Structure Wil!`
)ZONING DISTRICT: Historic District yeMA PARCEL: Machine Shop Village yes
TYPE OF IMPROVEMENT PROPOSED USE
Residential _-Non-Residential
Ei New Building Ei One family Li Industrial
[i Addition Li Two or more family Alteration Li Commercial
No. of units:
El [I Others:
Ei Repair, replacement 0 Assessory Bldg
[I Demolition El Other
CI Septic Lj Watershed District
El e I I ❑ Floodplain Ll Wetlands
Ll Water/Sewer
D,ESCRIPTION OF WORK TO BE PERFORMED:
14
Kv--�T_ A)nQ 1,04 0 sw
V
LS
1-4
t -0 w
`4
14 1F' -O-Lt-
eo i ) —
j A Identification- Please Type or Print Clearly
is- r4 Phone:
6—
OWNER: Name:
x4Li 4
Address: emir .7, st r-1 oil',&Iz-d
V .
Co
n
tra
c
to-r, Name:
04 Phone:
Email:
Address: ) ,s -
Supe
r
visor's Co
nstruction License: r... Exp. Date:
Home Improvement License: Exp Date:
ARCHITECT/ENGINEER Phone:
Address: Reg. No.
FEE SCHEDULE:BULDING PERMIT.,$12.00 PER$1000-00 OF THE TOTAL ESTIMATED COST BASED ON$12 OOPER S.F.
Total P roj ect Cost: $ FEE: $
Check No.: Receipt No.:
have a4cc, sso the guarainit�y acl
NOTE: Persons eo
g
t% RTFj
Town of a s _ ,t, a ndover
1
0
y
�via I ;1-o 11
.p S,AE h ver, MasS, &oCnicre
coc«Icnewrcx t
srIE 0
u
BOARD OF HEALTH
Food/Kitchen
PERMITtt L D Septic System
THIS CERTIFIES THAT................ `,,,.,,,,., � ,, O .,......,. BUILDING INSPECTOR
A� ; .�� .�� .r , ,. ..,.,.,....
has permission to erect ...... ,....,,..,, buildings on� �;r". . �1 , Foundation
Rough
tobe occupied as ........ ..,.0.................... M4.,... ................................................................... 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 IN 6 MONTHS ELECTRICAL INSPECTOR
UNLESS CONS TI® Rough
Service
.. . ... ...... ,..,.. ................ Final
LDING NSPECTOR
GAS INSPECTOR
®ccupancy Permit Required to ®ccupy Buiddin 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.
Pians Submitted ❑ Plans Waived ❑ Certified Plot plan ❑ Stamped Plans ❑
TYPE OF SEWERAGE DISPOSAL
Public Sewer ❑ Tanuing/Massage/Sody Art ❑ SWell
well
t�i�n�nirig Pools ❑
❑ Tobacco Sales ❑ Food Packaging/Sales ❑
Private(septic tank, etc. ❑ Permanent Duuopster 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
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 & Sower Connection/Signature& Date Drivewa Permit
DPW Town Engineer: Signature:
Located 384 Osgood Street
FIRE DEP.A.RTMfV7 - Temp Durnpster on.sit-0 yes. no
Located at 124 Main Street
Fire Department signatumidate
COMMENTS uy� ✓
JKContracting LLC Proposal - Exhibit B
4 High Street, Suite 108
North Andover, MA 01845 Proposal D... Proposal#:
617-592-6775 (Kieran) 5/23/2016 203-13
781-254-2862 (Judy)
Bill To:
Erik Giangregorio
50 Farwood Street
North Andover,MA 01845
P.O. NO.
50 Farrwood Ave,...
item . Description Est Hotars/Qty. Rate Total
Project Description/Location:
50 Farnvood Ave..;:Unit 7,North AndoverMA
01845-4116
01.2 Building P, Building'Permits. 300.00 .300.00
02.10 Demo LR area,remove all doors.legally dump. 1,000.00 1,000.00
12 Doors&Trim Doors&Trim-. Supplyinstall 7 newinterior 2,200.00 2,200.00
doors.
13 Windows&.. Windows&'frim; Remove old windows, 3,700.00 3,700.00
Supply/Install new Harvey windows.[Total 51.
16 Electrical&... Electrical&Lighting: New.plugs and wiring'for 3,000.00 3;000.00
GFCI in bathroom,new wiring in kitchen
bathroom light.
14 Plumbing Plumbing: Plumb for new kitchen sink,DW,new 5,000.00 5,000.00
tub,new vanity,new toilet.Tie in gas stove in
kitchen.
17 Insulation: insulation..:.. 200.00 200.00
18 Interior Walls Interior Walls: Board&Plaster 3,000.00 3,000.00
20 Millwork'& Millwork&Trina:.Trim out all windows and 1,000.00 1;000.00
doors,M&
23 Floor Cover... Floor Coverings: Plankin L.Room,carpet in 3,000.00 3,000.00
bedrooms.
21:Cabinets&... Cabinets.. 3,200,00 3;200.00
22 Specialty Specialties: `fops 1,000.00 1,000.00
24'Paint Painting .. 2;000.00 2,000,00
29 Supervision Supervision-Waived due to professional 0,00 0.00
courtesy($2,860.00)
01.2 Building`P... Gof0. 100.00. 100.00.
Estimate/Proposal for your review and approval.
Total
Date
g Approval Signature
3
Page 1
i3
i
JK Contracting LLC Proposal - Exhibit
4 High Street, Suite 108
North Andover, MA 01895 Proposal D... Proposal#:
617-592-6775 (Kieran) 5/23/2016 203-13
781-254-2862 (Judy)
Bill To:
Erik Giangregorio
50 Farwood Street
North Andover,MA 01845
P.O. NO.
50 Farrwood Ave, —
Item l�eacr�pl7on fat. HaursfQty Rate Takal
= O AL t
IP:0 Eft
Nlay:;20,20.f6
>C_ged descrtptg6n of 121?oors&Trim
w$QoO)
>ChMgsd desc-1006 6f:13 Windows;&Trim:
>C [Mgo eserip06� of IS,Electrical'
Lighting (-t'�b fl0)
>Change¢description of 21 Cabinets& Van►ties
(41;00}
Total change to estunte+$0 40
Estimate/Proposal for your review and approval. Total
$28,700.00
Date
Approval Signature
Page 2
� Y
The Cori monvearth of.1V1awv chuse#N
-- z De ytme; of.)iduSjrIaIA.cddext8
1 Congress,S teet, ,S`uUa 100
_gostov,MA. 02114-2017
a wlvw.maw govldia
Ww kexs°C0mpe�sa-Uouxumran.ceAffidavit:Braiders/Con-t�rac oxs/E e't.d,ansfX'X�nmbexs.
TO BE W"WITR TTR I'ERM7 I ZNG AUTRORM.
A Xicantl orrma€aon PleasePxint Le ' X
Nato Q 3usmess/Drganzat oWfndividual):
.Address:
City/Statelzip: -'hone#: �► ' � - �9 '
Areyou air exnployex? Ll<iec-ktie apliropzdaie T ax: Type of projeet( equzred):
1,0 a emmployer,t7��...;._mployow(full and/or part thne).* 7.- Q New ooTis ftuotioa
2.0 I am a sole propyzetor or parlaership and have no employees Wor3dug forme in S. Remo del3rig
any capacify.[No wolcers'comp.insurance zequired-7 g Demolition-
3_Q lamahomeovrnerdoiU9WI-work myse t LTovvorkax-e camp.dnsuraucezequired]i 10 Blfflditlg add).tion
4.E]lam a homeowner aadwill be hiring contractors to conduct all w0&on my property. I will 11.Q El eotdcal repairs ox additiosrs
ensure that all contractors eitherhave tivorkers'compensationiusuranee orare sole �
pr6prietors with no employees. 12: Plumbing repairs ax'additions
5.[]I am a genoral wrto_otor and Ihave h-rad*sul:-aontraotors listed on the attached sheet. 13;Q Roffxepairs
q.'hese sub-❑ontractorsliave employees andhaveworkers'eomP_insurance-$ 1$.El Other
6.R We are aeozporatao,padill offfgfrs.have exercisedtheirright of exemptioaperMGT�c.
152§1(4),andv ebaYepo,ea%playees.CNovtorkers"comp.insrn-anocraquiredj ,.
*Any applioaatthatcheoksb&*Imustalso outtheseationbelovt5lrovringtheirworkers'compensationpaliayin,ormafion
iHomeownersiliosfrlijbisag6davitindicalingtheyarodoing allwork andthen hireouts idecontractors€nest04bmitazrewafCdavitindicat�gsuch
Coidraetors That cheokthis box an additional sheet shov&g the name of the sab-contractors and slate whether oT?rei:-t OI e entif es haKre
esapIoyees, 7fthe sub can rac[ors have employees, Iiey mast pravidotheir workers"comp.policy numbm
I ain an erazployer fli at zs�i avic irxg�vorkers'compensatcon rrasrxrancefOr my erYzp16Yees»'.Beloi-v is thepol14 orad job site
info,madon.
X'nstrxance Company Name: �•� Co�l
�.���
Policy#or S00-ins.I,ia.#:_16�
Sob Site Address:
( ,0 J L�`� i City/State/Zip: 1"dJ sti.— 1
A.ttacb.a copy of the virorkexs, compensation policy dae.Iaraldon page(Showing the policynumbex and eapi�ratioa date).
Failure to ocoure coverage as required-aader MGU c. 152, §25A.is a criminal.-violation pmrishabie by a fire up to$1,500.00
and/or one-year irx FISOnment,as we11 as civil.penalties in fhe form o:'a STOP WORK ORDER and a fine of np to$250.00 a
day against the violaEar.E1.copy Of this statement may be forwarded to the Of co oflnvestigat[6ns of the DIA-for ingu ara ca
coverage verl.oation.
Iclo hereby cerfify under vilOp ais'andpenaides ofpel jXW t/ia the informadonpro7WO/
d ' ho 7s 7ue d torr ect.
Date:
Sx at�ire: _
Phone
Official rise only Jl o not-write zg this area,to be completed by ekV cr town officra�
City Or Town: Penu tlMcense 1
Lgsuiug'.Arzthoriw(circle one):
I.Board oxHealtya 2.BUIldi€ngDepartment 3.Czty/To, xm Clerk 4.Electrical Inspector 5.PXumbhTg1h8pector
6.Other
)Morxe
Contact Person. #:
Massachusetts
'nt
Pub IiC
oa d g of Buildin DRegulaa tionsfand Standards
L.€ce:nse: CS-066334
Con3truCNOo) S11pervisar
KIERAN T WHELAN
31 RICHMOND STREET
WEYMOUTH MA, 02188 r
2
10
r:1l.Jt .1
Commissioner Expiration;
—.—__ 09128/2617 .
yr
Office of Consumer Affairs&Business Regulation
HOME IMPROVEMENT IMPROVEMENT CONTRACTOR
Registration: .171393 Type.
Expiration 3/1512()18 Individual
KIERAN WHELAN
KIERAN WHELAN
�f 31 RICHMOND ST
WEYMOUTH, MA 02188
Undersecretary
License or registration valid for udiviG11ial ease only
'Pefare the expiration date, If found return tot
gffice of Consumer Affairs and Business Regulation.
10 Par: Plaza-Suite 5170'
Boston,IVIA 02116
i
Not valid without signature
, �:,� C�1�e`trr_r�l.�uar�rc�ea�/�a/C>.rl-/Z�ertarrC�lftefld `.
Otfice of C hsucf er Affairs&Business Regulatio 1
i` HOME IMPROVEMENT C 0NTRACTOR
l.69 stra+ion €71393 " Type:
— Expiration'; 3/15/2048 Corporation
JK CONTRACTING LLC:
Kj RAN WHELAN
31 RICHMOND ST r,
WEYMOUTH,MA 02188 a.
Undersecretary