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Home My WebLink AboutBuilding Permit # 10/11/2016 NOR7y BUILDING PERMIT TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION _ y Permit No#: Date Received /0 I �� RATED AC Hl7`j�i Date Issued: 10 ► t` ' IMPORTANT Applicant must complete all items on this page 1111AP ��PARCEONINGL ZDISTRICT x �Histortc Districtyes� G no 7771 Maclllne Shop V�Ilage,.,:.fps .. no, . TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building rte family LlA Idition 11Two or more fancily ❑ Industrial [kAlteration No. of units: ❑ Commercial xepair, replacement [IAssessory Bldg ❑ Othersmolition ❑ Other ❑Septic ❑Vllell ❑ Floodplain Wetlands ❑ 1N6tershed ❑istr�ct ❑1NaterlSewer.. DESCRIPTION OF WORK TO BE PERFORMED: dentification- Please Type or Print Clearly OWNER: Name: 4.; 4 ,ffo� Phone: . Address: . a o� aLj� ?7 -� 7 Z� CQrtractor Name Phone " Address, Supervisor's Construction license ' .. Exp Date x Home lmp'ouement License. ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE:BULDING PERMIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$725.00 PER S.F. Total Project Cost: $ � 5-0FEE: Che6k No.: P 9--s-671 -- Receipt No.: f NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund Signature of Agent[Owner Signature_of corfractor t%0RT� '� Town of s 1, 6 ndover ® No. cr) �over, Mass, COCMICMEWICK 1' `y CRATED U BOARD OF HEALTH Food/Kitchen PERMITIT LD Septic System THIS CERTIFIES THAT BUILDING INSPECTOR has permission to erect .......................... buildings on .......$1.....J!?AR.&q......!!fir...................... Foundation y � /1 � Rough to be occupied as M0 v ......!!� !N.. ►A R�+'+Sr....k.+. <<... .. ".olK!.,. :'!!!! !!!!!4s' 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-Daws relating to the Inspection,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 PERMIT I ES IN 6 MONTHS ELECTRICAL INSPECTOR LESS CONSTRUCNT T Rough Service .. ......... . ................................................... Final BUILDING INSPECTOR GAS INSPECTOR ccur?ancp Prmit Required t® ®ccupV Ruiidin Rough Display in a Conspicuous Place on the Premises — Do Not Remove Fina' No Lathing or Dry Null To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. Smoke Det. Sales: 800.448.3636 CY111 Phone: 804.271.2363 N.1"XI' GENERATION Fax: 804.743.7779 AMMIT"T32 E W, 11 acfenvironmental.com LET'S GET IT DONE S'11.'0RMWA'1'ER MANAGEMENI' SOLUTIONS Site Development and Retrofit ® Low Impact Development a Green Infrastructure FOCALPOINT(high flow Iflofiltration) R-TANK(modular subsurface stovage) PAVE DRAIN(paving,drainage,storage) FABCO(decentralized treatment) 5, t�'H < iL I �� BELL a,omm"h, GENERA, CONTRACTING 10 Korinthian Way Andover, MA 01810 CS#081684 HCC# 172105 October 10, 2016 Contract for the removal of the non load bearing wall between the kitchen and dining room at 59 Salem St.for Cathy and Glen Johnson This contract is for the removal of the wall located between the kitchen and small dining room. The total cost for this project comes to $5250, and contains all of the following scope of work; • Remove existing cabinets along wall, save for future use along outside wall. Remove wall at countertop height creating a half wall for new granite to cover and extend over. • Relocate electrical wiring as necessary. • Patch ceiling, wall and floor where needed. • Remove chair rail and crown throughout small dining room, patch and blend ceiling where necessary. • Relocate cabinetry along outside wall. Install new LED under cabinet lighting under new cabinets. • Paint ceiling and small dining room with Benjimin Moore paint, colors TBD. • Dispose of all old framing, cabinetry not being used. This contract includes all disposal and permit fees, and is estimated to take approximately two weeks. 6— x h� G' - C l� ,1Cath and Glen Johnson• ffs Date Robert Isbell• :L— ` _�� Date l 04- (r .. The Commonwealth of.Mas=sachusetts 3 .Department of IndustrialAccidefits 1 Congress Sheet, Sr ite 100 _� tlmA 02114-2017 �r www.mass.gov/dia o^M Sy�`R Workers, CompensationInsurance Affidavit'BuildexslCantxactozslllect�icians/�'�uxn err. TOM,PILED WMI THE RE'W fCTTlNO AUTffORITX' Tease Print Le 'bl A ' licant Tnformatian �� Name(Business/Orgaulzation/In"dividual): � Addres,s: 0/6 City/SiatelZip: n /cam 1 � Phone#: `� Are you an employe Check tTie appropriate box: Type of project(;requiredl): " em to ees £all andlor a€t time).* 7. ❑ vv'donstruction l.❑I a employer wifh p �` ( p rietor or artnership and have no employees VVOrking forme in 8. gemodelihk 2• ain a sole prop p any capacity.LNO workers'comp.insurance required.] 9, ❑DemolitiOn 3.E]I am a homeowner doing all work myself✓[To workers'comp.insurance required]3 l0❑Building addition 4.❑I am a homeowner andwill bo hiring contractors to conduct all work on my property. I will 11 ❑Electrical repass or additiofts ensure that all contractors either have workers'compensation insurance or ace sole re airs or additions proprietors with no einplo-yees. a 2Q p1 g p 5.0 I am a general contractor and I have hired the sub-contractors listed on the attached sheet. 13'.❑Roof rep airs These sub-contractors have employees and have workers'comp.insurance.$ 14. Other 6.❑We are a cozporatiori and its,officers have exercised their right o£bx8n)ption per MGL o. 152,§i(4),and We have no employees.[No workers'comp.insurance required.] icy s Any w showing their workers'r applicant that cheoks�hts affidavit indicalirng they are doing outthe section alt wank and then hire outside m contractors omulct sulimiaazrew afCdavit indicating such Ilomeowners who snbmr the name of sub-contractors and state whether o not those.entities have tContractors that check this lion must attached an additional sheet showing employees. n the sub contractors have employees,they must provide their workers'comp.polioy number, _(am an employer that is providingworkers'compensation insurance for'my employees. elow is the policy orad job site B information. Insurance Company Name- Expiratiort Date: Policy#or Self ins.Liv.#: City/State/Zip: Job Site Address: sation policy declaration page(slxowing the policy numberand expiration date). Attach a copy of the worker's' campeltA is a criminal Failure to secuxo ce by a fifib UP to $1,500-00 overage as required arc civil penalties enalties2nthe Inxxn of TOI'iWORK ORDER olation land.a ae of p to $250.00 a and/or one-year imprisonment,as yr P be forwarded to the Office of investigations of the AIA for irrsuranee day against the violator.A copy of this statement xnay covexage,veri-fication. Ido het eby eer tify under thepains andpenalties of perjury that the information provided above is Ir e and correct . �" Date• r'� /! Si Phone#: official use only. Do not white in this area,to be completed by city or tolvn official. Permit[License# City or Town: Issuing AuthoOty(circle one)' 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector b.Other Phone#• Contact Person: Massachu;;et€s Department of Public Safety Board of Building Regulations:and.Standards License: CS-081684 Construction,Supervisor n.. ROBERT E ISBELL 10 KORINTHIAN WAY ANDOVER MA 01810 3 I - 1 - 'Expiration: Commissioner 1010912017 Q"//re �Gilrhrlrorrrle[llf�a`�'•r'`aJJac�r%fe��J . ' Office of Consumer Affairs&Business Regulation �jiOME IMPROVEMENT CONTRACTORe. )Registration 172105 r Expiration 5!2212018 Individual ROBERTISBELL ROBERT ISBELL 10 KORINTHIAN WAY :: F '- ANDOVER, MA 01844 Ugd.ersecretarg .