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Home My WebLink AboutBuilding Permit # 11/2/2016 BUILDING PERMIT OORT" n C'1'LEp 61 TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION10 � n m Permit fro#: 4`( (- °r Date Received l �ii'.i TEb Ff°p-Y C W1.15�K^i Date Issued: 1(1 9- acl, _ IMPORTANT: Applicant must complete all items on this page LOCATION, );a11_!',::',,',"",, PROPERWOWNER t " �'f 101 rC(lf 00 Yearno 11/lAP �� PARCEL : �.1', ZONING DISTRICT: H►staric District, yes n _.-- Machine Shop"Village yes n TYPE OF IMPROVEMENT PROPOSED USE _ Residential - - Non- Residential ❑ New Building One family ❑Addition ❑ Two or more family ❑ Industrial Alteration No. of units: ❑ Commercial ❑ Repair, replacement 11 Assessory Bldg ❑ Others: ❑ Demolition ❑ Other ❑ Septic [] Well U Floodplain ❑Wetlands Cl Watershed District ❑Water/Sewer DESCRIPTION OF WORK TO E PERFORMED: co c r � -- atian- Please Phon �, e: � Identification ease Type or Print C;learl � - OWNER: Name: r k Address: � , IlI � 10, C4 -.._ Contractor Name: Phone: c -( ' Address: Supervisor'sConstruction License:, Exp. Date:_ Home It License: Exp. Date:: ARCHITECT/ENGINEER Phone: Address: Reg. No, FEE SCHEDULE:BULDING PERMIT.$92,00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$926.00 PER S.F. Total Project Cost: $ ° „ t FEE: $ Check No.: V Receipt No.: / NO'T'E: persons contracting with unregistered contractors do not have access the uarcr ty fund Signature of Agent/Owner Signature of contractor NpRT9j q Town of z �_ , �aAndover Q ""` y'' to No. Pr Z� � s h ver, Mass, Q 'P coc.a[rie , sArED � BOARD OF HEALTH PERMIT T Food/Kitchen LD Septic System THIS CERTIFIES THAT .....4.`.....1!!!!x!!0 NOL BUILDING INSPECTOR has permission to erect .......................... buildings on .......4..(......hAvr+sw........................... Foundation . .x. Rough to be occupied as ..A.�4..,.. M......��rM!� !�.....�..... ..... ,.�4,t�.k .•• Chimney provided that the person accepting this permit shall in every respect conform to the terms of the application on file in this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Final Construction of Buildings in the Town of North Andover. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Fina[ PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCT START Rough .... ... Service BUILDING INSPECTOR Final GAS INSPECTOR ®ccu ancy Permit„required to Occupy.Buildin 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. EnsigniaMail 1.4.23 [SVM] https://box6079.bluehost.com:2096/cpsess44561.15350/3rdparty/squir... Wd£tr:i 91aZ/bl/01 Zio Z u E-mail G' Compose +r Addresses 1% Folders OF (martin*builders.colm '�✓ Forward Forward as Attachment Reply Reply All Message List Unread Delete Ire 4 Subject: Message to building inspector, North Andover From: "Satish Takkalapalli" <tsatishchandra@gmail.com> Date: Tue, October 18, 2016 12:39 pm To: jay@martinolibuilders.com (I eyl Priority: Normal yr i f i�l f� ,ulr Ii< <i Options: Hr'"h ( 'I('rl I )- �,�il� W fill i III I /\'fdd (''/� i I Hi. Jay As per our conve.LsaLi.oii this morning, I convey that you are not responsible for the improvement work done in the past. You can either forward/show tine below email to the building inspector, in this regard. O The Building Inspector Buildings Department '].'own of North Andover MA Ul.84S S:i.r, Sub: Representation by Mr.Jay Martinoli. (niartinoli builders) on my behalf for nulling the required permits. I, Satish Takkalapalli, home owner of the property at 21 Peterson Road, North Andover MA 01845, here by authorize Mr.Jay Martinoli., from Mart:i.nol.i Builders, to pull the required permits for the home improvements done in 20. :'r, on my behalf. Mr.Jay Martinoli,is not responsible for the past improvement works, as these were done by another contractor, Mr.Patrice Yodj from TMG Constructions. As a homeowner, I will take the responsibility to get any corrections done as deemed towards the compliance, with the professional help of Mr.Jay Martinoli. Thanks Satish Takkalapalli 704 303 4222 iii H( d )_J.IiWii{ 1.4k Download View Move to: INBOX Move Delete&Prev Unread&Prev Unread&Nexl nrs4arn K,r�lavr 1 of 1 10/19/2016 2:45 PM luxltl'oun;.IjluLtd/oluldnaal/oo(Dpd/olnpom/luliod/uioo•1m1u1.1ootruoo//:sdi q i a t revised 2/25/15 The Coitationlvealtlr of Massucimseus f11 Department of I►rdnsA•ialAecidetrts 1 Congress Street,Suite 100 Boston,MA 02114-2017 ►vlviv.utass.gov/din 11'orkers'Compensation Insurance Affidavit:Builders/Contractors/Electriciansfpltinibers. TO BE FILED WITH THE PERMITTING AU T110111I 'Y, Applicant Information Please Print Le 'biv Name(BusinesslorgmiizJation/htdividuat). Address: , r.U^^''R/1��,, " f� — City/State/Zi]�:-Itt1 t/ + l it 4 Poona#: J S Arc you an emplayer7 Check the appropriate box: "Type of project(required): I am a emPloyer Witt€ a RIPloyees(tidl and/or part-time).' ]. EJNew construction I.2.r I am a sole proprictoror partnership and have no employees working Car me in 8. Remodeling Demolltlon any capacity.[No workers'comp.insurance required.) 1L]1L]1 am a humcas�ner doing all work myself.[No workers'camp.insurance acc required.]' -I-E]E am a hm;teowner and will be hiring contractors In conduct all wort:on my progeny. I will 10[:]Building addition ensure that all contractors either have workers'compensation insurance or are sole l l.❑Electrical repairs or additions proprietors with no employees. 12.❑Plumbing repairs or additions 5.01 ant a general contractor and I have hired[Ile sub-contractors listed on the attached slicer, l3-❑Roof repairs These sub-contractors have employees and hive workers'comp.insurance.; 6.[:]We are a corporation and its officers have exercised their riglt[ofexomption per MOL C. 14.❑Other t 52,$1(4),and we have no employees.[No workers'camp.insurance required.] *Arty applicant that checks box fl[must also FIJI out[he section below showing their workers'compcnsatiun policy information, �f tomeowriers who submit this affidavit indicating they are doing all work and then hire outside camractors must submit anew anidavit indicating such -Contradors[hat check this box must attached an additions€sheet showing the name of the sub contractors and state whether or not those entities have employees. if the suiu-contractors have employees,they must provide llteir wotRers'comp.policy numbx, l atrr rnr etrrployer that is providing workers'cotnperrsafiott iasrrraitce for rttr enrplavees. Below is the policy and job site iltformodort. / S Insurance Company Nanle: c^ t r Policy#or Self-ins.Lie.9: _� �p Expiration Date: 7 Job Site Address:,Q.r R?>~it!SLY, ZZ) City/State/Zip: )-, /- Attach a copy of the wo ker�i s'compensation policy declaration page(showing the policy number and expiration date). Failure to secure cnvctage as required under MGL c. 152,§25A is a criminal violation punishable by a fine up to 51,500.00 and/orone-year imprisonment,as well ss civil penalties in the roan of STOP WORK ORDER and a fine of up to S2510.00,1 day against the violator.A copy of this statement may be forwarded to the Off ice or investigations of the DIA for insurance coverage verification. I do hereby e r rrr er ti ns mrd penafties of perjury that the i iformadon provided above is true null correct. Si nater - c hate:lam Phone#: 7 S� 1 Official use only Do not write hi lhis area,to be coutpleted by city or totptt officiaL City or Town: Perrult/License# Issuing Authority(circle one): L Board of Health 2.Building Department 3.Cityfrown Clerk a.Electrical Inspector 5.Plumbing Inspector b.Outer Contact Person: 'Phone#: Page 7 of 8 -�. Office of Consumer Affairs&Business Regulation HOME IMPROVEMENT CONTRACTOR Registration: .107738 Type: Expiration: 8/5/2018 Individual .TAMES C.MARTINOLI James Martinoli 22 WHITTIER ST. Haverhill,MA 01835 Undersecretary __ .... - E, Safety Massachuetts Department of Puh.;c ing Regulations and standards s Board c get License: CS-OJJ766 Constructior} Sulzer lisor JAMES C MARTINOL.t 22 yWHITTIER ST HAVERHILL MA 01830 Expiration: 0812312018 Commissioner ..