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HomeMy WebLinkAboutBuilding Permit # 11/17/2016 NORTH BUILDING PERMIT Fr b° 0 TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit NO: 1—�f Date Received a*o��, ,-�.,. ' �Rss�cwus t Argo Date Issued: 1 1'7 IMPORTANT: Applicant mustcom lete all items on this page LCATI€� PIETY OSE ll N PARCEL ZONING I1STllCT Hitorrc Ctstrtct yes ncr R clxlift p,fi loge TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building vdne family Cl Addition ❑Two or more family 11 Industrial Iteration No. of units: ❑ Commercial ❑ Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition Li Other ltc We'll... f FloP. ur i tetlaprls 1itlatrsl�e l3tr� t ©,WafrlSwyt._. QA—r o ,1 h (i QUI n q v\d d', nq lub .vq haLA tt A0I i pr ' r d r na� r r7 f t Identification Please Type or Print Clearly) OWNER: Name: `� ��lc� Phone: �`� - Address CONT 'C R 0. � e 1~ eldress $ t ueraor'sof�r tbo.r License E date I-ore iirrtroernertt Ioele Epp date ARCHITECT/ENGINEER �I _ Phone- Address- Reg. No. FEE SCHEDULE.SULDING PERMIT:$12.00 PER$1000.00 OF TME TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: 4(' 53 FEE: $ Recelt No.: I Check No.: .> p NOTE: Persons contracting with unregistered contractors do not have ss t e guaranty fund SignaWre of Agen C wr er °� ig ature. Of contra ctor own of ndov ® No. o EAKf h ver, Mass, COC ni[nE w.[a �' S U BOARD OF HEALTH PERMIT T LU Food/Kitchen Septic System THIS CERTIFIES THAT ®, ', , ,. BUILDING INSPECTOR .. O I. ... f., . ........ .... .............. ..... ft of has permission to erect .......................... buildings on .....Gr..d.,. , .!!! , ,,,, a Foundation . .. ........ ...................... .............. Rough to be occupied as ... Imo............ .......... U 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 C®NSTRUCTI®N ATS Rough Service ................r:,. ...................................................... Final BUILDING INSPECTOR GAS INSPECTOR Occupancy Permit„Required t® Occupy Pudding Rough Display in a Conspicuous Place on the Premises -- Do Not Remove Fina! No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector, Burner Street No. Smoke Det. Westminster Woodworks 0 8 Westminster Road EAllunate Merrimac, MA 01860 Number E201 dreschei-d@comeast.net 978-912-1945 Date 5/10/2016 H.I.C. Reg. 11177436 Expiration - 12/09/17 Constr. Super. Lie. #095003 Expiration -04/21/18 Bill To Ship To Angiras and Nancy Koorapaty 60 Rosemont Drive North Andover,MA 01845 `terms Project 20%at acceptance,60%at start,20%at completion Master Bath remodel Description Quantity Price Tax.1 Amount Demo-remove existing plumbing fixtures,cabinetry,one interior wall and 1.00 $1,800.00 $1,800.00 existing flooring. Prep-prepare wall and floor surfaces for stel)-in shower,floor tile,free-standing 1.00 $2,200.00 $2,200.00 tub,shower base and shower tile. Plumbing-fixtures(free standing tub, shower head,valve and body spray,floor- 1.00 $7,500.00 $7,500.00 mounted tub filler,toilet,2 sinks and faucets). Plumbing-labor(cost to rework for and I A $2,900.00 $2,900.00 install fixtures). Electric-wire for and install 4 recessed fixtures,2 interconnected fan/light/vents,2 1.00 $3,040.00 $3,040.00 vanity lights and other outlets and switching as needed. Floor tile 150.00 $18.00 $2,700.00 Shower tile-includes wall tile,shower floor the and granite(or other stone) 1.00 $4,960.00 $4,960.00 thresholds.Niche,shelves and seat included as well. Cabinets-provide,per plan,Diamond 1.00 $4,730.00 $4,730.00 brand cabinetry. Cabinets-labor 1.00 $800.00 $800.00 Granite-countertop for vanity. 1.00 $1,300.00 $1,300.00 Bath hardware-provide and install towel 1.00 $830.00 $830.00 bars,rings,hooks,etc. Carpentry-provide and install baseboard, 1.00 $1,060.00 $1,060.00 crown and other trim. Westminster Woodworks 8 Westminster Road 1, 11HIlate Merrimac, MA 01860 Number E201 drescherd@comeast.net 978-912-1945 Date 5/10/2016 H.I.C.Reg. #177436 Expiration - 12/09/17 Constr. Super. Lic. #095003 Expiration -04/21/18 Bill'I'o Ship To Angiras and Nancy Koorapaty 60 Rosemont Drive North Andover,MA 01845 Terms Project 20%at acceptance,60%at start,20%at completion Master Bath remodel Description Quantity Price Taxi Amount Shower enclosure-measure for,provide t.00 $2,600.00 $2,600.00 and install custom glass shower enclosure. ' Paint 1.00 $1,200.00 $1,200.00 Permit and disposal 1.00 $420.00 $420.00 Signed with daIC.. ��- '� .. ..,, /J 1 Signed with date: �r (7 53 Amount Paid $0.00 Discount $0.00 Amount Due $38,485.63 Shipping Cost $150.00 Sub Total $38,190.00 Sales Tax 6.25%on$4,730,00 $295.63 Total $38,485.63 CN V � Q r V 0 �\ > _ �j} _ U) M CO N CO ar SHDOOR-2 Ckn > f OD I ST.078 A 0f All dimensions_size designationsThis is an original design and must Designed: 5/10/2016 given are subject to verification onTECHNOLOGIES not be released or copied unless 'Printed: 11/16/2016 job site and adjustment to fit job applicable fee has been paid or job conditions. order placed. I AK-master bath All (no dims) Drawing#: 1 Scale : 0 112" = 1' ,The Commonwealth of Massaehusezys _ Department ofindastrialAceldents 1 Congress Street, SOe 100 .&ostojri,.NIA.02114-2017 www mass goV1dza Walkers' Compensatioxa xnsur=cd A davits P dexslContxac oxsCEXeeiariciax sl'Ix �axs. TO BE FILED W'1."i=i'.tBEPERKU''TG.AUTE(OR']- Please1,rint Le .� 1iCaIlt�iflTli�.�tiOrt tJ6)� Name)(Busines/Organization/lndividual): V� S a W + -Ih �x Address: SS jy5 CztylStatetZi : df o r' — -- ;:::. .. : ��e opxoseet(irec�xza'ed) Axeyou anernployer?CbecTctIie appraprlatebax: , X.❑I Wa a employer with employees(fult and/or Part time).x 7. QeT co77stritGtioll t am.a solo proprietor orparinershipandhavenoemptoyeo3Worldngforma in 8. e:g7odeiifig any capacity. Nn-workers'comp.insurance raquired.i 9. Q Demolition 3-Ell am ahomeowner doing alt workveysel£[go workers'comp,inscraucerequired-]t 10❑Building addition 4.n i azo ahomeowner and wall be hiring contractors to conduct all work on my property. S will x 11.�Electxicai paixs or additiops ensure that all coutractbrs eitllorhaveworkers'compensation insurance or are sole • . 12.KPl Uin�bing repairs ox additions proprietors wno,4itlzeznrpl.8yees. 5❑lam a general contractor and I3aavehiredthe sub-confractnrs listed ontbe attached sheet 13•.L!Roofrepairs Thesesnb-contractors)ava employees andhaveworlrer?comp.in=-no-t 14.0 Other 6.❑we are a corporation and its,of r6m havo exercisedtheirright of�emptionper MGL c. audi�ehaverao e�tpin ees.TTowarkers'cazrsp.insarancerequired a ltcanttbatobeekshbz#1. i,s.jl 6 M out the,S6D on.belowshowiugthekWorkers'eOull)owat%onpolicyinforma#ion` pp = are doing alt work andthen hire outside contractors must submit a new affidavit indicating such I liol=nwners-who submit•tbis af&davzt indicatingthoy tCont#actors that ahenkil?is Sit roust attached an additional sheet showing thename of the sub-confractors and statewhetlrec oz}rottbose entities ave must de their workers"comp.policy number. employees. Ifthe sub-contractors have employees,they pzavi lam an employex t7zat Ispro ovidirngwo_r�ers,compensation insurancefor Yny employees Below is the pa�icy ara�j oh site information. Insinaace CampanyName: Exph'ation.Data Policy#or S �� Cityl�#ate/dip: iVb� lob Site Address: tiozxpage showing the P olicy n-amber and e-pixat3.a3a Attach a cagy Offhe,workers, compepsa�mnPali declaxa { Failure to secure coverage as requited order MGI.o•152,§25A is a cziminal violation punishable,by a ffib up to$1, saa.ao and/or one-year imprisonment,as well as civil penalti s i forwarded aorm.to the OfS of a STOP eO vORDEIZ ofthe D7A far iaasurax 0 a day against the violator.A copy ofthi.s statement may ; coverage verification. I do her certify rxnder t]iepa" s andpenc1mes of perjury that tTie infarmatiort provided move is true and Correct Date: Siature: ne - 4 Phc Official use only. Do not-write in this area,to be coiwpleted by city or town affccial. PermitlMemse# City or To-wn- Issuing Authority(circle ore): ' I .Board ealtTa 2.13atl,iz gDapartruent 3.CatyJ`z'o Clerk 4.Electxtcalimpector 5.PIU MiaxgInspector Phone#. SOIA: Massachusetts Department sand Standards Public SafetY Board of Building Reg r, License: CS-095003 Construction Supervisor DAVID A DRESCHER 8 WESTMINSTER ROAD. MERRIMAC MA 01860 Expiration: 04121!2018 Commissioner f r Offiee ofConsumer Affairs and'Bus X70 s Regulation 10 Park Plaza - Suite _,.. Boston, Massachusetts 02116 Home Improvement Contractor Registration Registration: 177436 Type: DSA Tr# 273357 Expiration: 12/912017 WESTMINSTERNEO WOODWORKS DAVID DRESC 8 WESTMINSTER MA 0 860 D MERERRI Update Address and return card.Mark reason ford Lost Card - _.._. Address ❑ Renewal imp Y ❑ SCA 1 Co 20M•05111 _..