HomeMy WebLinkAboutBuilding Permit # 1/6/2017 BUILDING PERMITTOWN OF NORTH ANDOVER
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APPLICATION FOR PLAN EXAMINATION �
Permit r`o#- � �"i Date Received
US
Date
is
E�HQRTANT:a Applicant must complete all items on this page
_.
PRC7PERTY
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- Pnnt 1 aD Year Structure yes o
__ � � ZC)NI[ DISTRICT Historrc ®istnct yes
MAPHachure Shop Village Yep -
TYPE OF IMPROVEMENT PROPOSED USE
Residential Non- Residential
Il New Building ne family
fj Addition CJ Two or more family 0 Industrial
[I Alteration No. of units: = [i Commercial
'emir, replacement ❑Assessory Bldg , 11 Others:
Demolition ❑ Others:
C] Septic U Well ❑ Flood [arn ❑Wetlands 71-F_—atershed District:
El Water/Sewer
-mDESCRIPTION OF WORK TO BE PERFORMED:
Identification- lease"rore Print Clearly'
OWNER: dame: hone: YCI
Address:
Contrctor Narr�e
Su,per�isor's Construction Licbnse..:.. = E• p Da
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Home Irn rovement License" _ _ �_' _` . ._ Fxp_ Date =.d "- - �_
ARCHITEC-I'IENG[NEER _ Phone:
Address: -____-_ Reg. Ngo.__
FEE SCHEDULE:BUL.DING PERMIT:$12.00 PER$1000.00 OF 7-HL-TOTAL ESTIMATED COST BASED ON$125.00 PER S.F,
c�tal Prc jeGt C OSS' ® --FEE: $_
Check No.: __ ���---- _IeceiL)t N _.._
too e hic v� ar.oe' ,to the gmar arify fried
NOTE: .�'c.��c�ns e:v�ztrilctc�r� With r�n��etA��te7"ee�co�et�c�c ...- .
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`tiirir�� r rr -6t' -riF/(�')�11hpr �(C�n dire C71 COnt1 c7 C'or ? _
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Town of �2 ndover
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No.
`A�� h ver, Mass, A
A1.b1
441
7,g R�ren A 5
S U
BOARD OF HEALTH
Food/Kitchen
P E Septic System
THIS CERTIFIES THATRBUILDING INSPECTOR
4 1Aj
has permission to erec .... buildings on � ... � , , Foundation
........ ...... ... � .... .�................ Rough
to be occupied as ..,.... .. .... ,. ,.,.......!r ®. I ................................... e
........ Chimney
provided that the person accepting this permit shall in every respect conform to the terms of the application Find
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 CONST TIO Rough
Service
..... ,. . ...... .... Final
BUILDING I SPE OR
GAS INSPECTOR
OccupanelvPermit 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.
Diodati Construction
22'Phomas Road
Lawrence,Mass.01843-3227
Fully Insured and Licensed
General Contractor
Design and Build .Foundation to Finish
Phone 978 682-7628 1
Fax 978 685-6997
E-mail IUii i liodati l:)dioclatt const ti tioil.coilI
VISA AND MASTERCARD ACCEPTED
1/4/201.7
Mr.and Mrs.Art Larson
436 Osgood st
North Andover,Ma 01845
Diodati Construction(Mike Diodati)agrees to perform the following work.All existing bathroom
fixtures will be removed and delivered to Habitate forHumanity store.All plaster wall will be
removed and new 1/2 inch cement board will be placed wherever new tile is to be applied.The floor
will have'/ cement glued and screwed and made ready to accept new tile. Once new fixtures have
been installed new predetermined wall and floor tile supplied by Diodati Construction will be
installed.New tile will be grouted and sealed to manufactures specification. Upon completion the
area will be left broom swept clean and free of any debris.An on site dump trailer will be used to
remove all debris and dispose of debris at LLS recycling center in Salem N.A.
Start Date 1/9/2017 (app).
Completion date 2/1/201.7(app.)
Term o payment
a ment
Payment 1 $ 12,500.00 upon delivery of bathroom fixtures
Payment 2 $ 12,500.00 upon completion of all rough in
Payment 3 $ 1.0,000.00 upon satisfactory completion of work.
Contractor 4dw � ... . Date �
Home owner e `� y` Date
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ensurethat all conn acIars eiiherhave wozkers'campansatiozr inszuance or are sale "'ll]Ir��71r xet7a]rS or additions
pzoprlotors withno employees.
:i.3°.�:Roafre�ar"rs
5.ElT am a genezal aanix�atox xbave hiredthe snb-confraotars listed on.tha attached sheet.
These sub-canizaatozs�xave oaaployees andhaveworkers'comp,insar`anae. z�.� Oti1eT
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applicantthat ahclts ,bx7#1 iu`vst also fill out tate section below shouting
Tgomeowners who submit this affdat it Indicating they aro doing all wodk andthenhize outside contractors asst submit a new afidavzt iudicadxag sue
s:
11110treown rs-W11ieob6i.tiis.ald tattached,anadditionalsheetshowingthanameofflrosub-oantractorsandstagwh4therozsrotfhose ntit!es av
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� •c�� elzsation polzcy rleclaxatiora.page(show.rxtg the poXic-'y numb or a�.d.e�pa�'atxoxz cia-�e).
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ACCIPRIE7 CERTIFICATE OF LIABILITY INSURANCE
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pleL w. TFRS CERTIROAT'R OF INSURANIX IMS MY CONSTiTUIE A COW ACT SETWEN MI€4StANG INSURERM, Ai1Ii ORZED
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Exi1LU6IOW ANt?CONDITIONS OF SUOi FOUCES,L#AtM SHOWN MAY HAVE SEEN REDUCED BY PAID D AIiNS.
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436 OSGOO D STR142T --
NORTH }A.M00'a!:Ii, Mh 01645 AU*KAUxD ROPWOONTAME
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0198$-2018 COWD CO RPORATION. All rights rolgervod
Ai4fA0 25(24141061 The AC4fr'kDtt rame atI►! logy aro re j#Bt p*d mcks at ACORD
Fax: ✓ �I h U[ ' _ E-Mail;
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- F`%lr•��r//ruir rrrral1/r c�'"�'i!��r.i.;rrr�rr�c�i!i
pffice of Consumer Affairs&Business Regulation
IMPROVEMENT CONTRACTOR
Type,
,' .Registration: 177793 Yp
n A,' Expiration: 412812018 lndividuai
MICHAEL DIODATI
MICHAEL DIODATI
22THOMAS RD --
LAINWENCE>MA 01843 Undersecretl<ry
Massachusetts Department of Public Safety
Board of Building Regulations and Standards
License: CSFA-052307
Construction Survisor 1 6, 2
Farnik1 :.
MICHAEL P D1ODATI
' 22 THOMAS RF}
LAWRENCE MA 01843
Expiration:
Commissioner 07/1512017
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