HomeMy WebLinkAboutBuilding Permit # 3/1/2017 tAORT#1
" BUILDING PERMIT " *,'.,
TOWN OF FORTH ANDOVER ° -
APPLICATION FOR PLAN EXAMINATION 49y ,
Permit NO: ��� � Date Received °* «= mw,.. °
a�'nrRa
Date Issued: . d w. � ACHUS
IMPORTANT: A 2 licant must complete all items on this a�e
LOCATION 148 MAIN STREET FOBT R 243
PROPERTY OWNER 148 MAIN ETRE T, ( QEF, "I�,M ALT ,'TRUST
MAP NO 40 PACEL, OIIG rRlHiorlo District Vires no
Machine Shop Village yes no
TYPE OF IMPROVEMENT — PROPOSED USE
_ Residential Non- Residential
Li New Building -� I-.1 One family
I 1 Addition V Two or more family I:::_I Industrial
[1 Alteration No. of units: CONDOMINIUM UNIT [1 Commercial
- ---- -----
I� Repair, replacement 1:1 Assessory Bldg ❑ Others:
l;, f Demolition Ii Other
0 Septic.:. 1::1 Well 0 Floc pl in;- "r]'Wetlands' 0 Watershed District.
,v0f Water/Sewer
REMOVAL OF EXISTING CABINETS, APPLIANCES AND REPLACEMENT WITH NEW CABINETS
GRANITE COUNTERTOPS, APPLIANCES AND PAINT WALLS.
Identification Please'type or Print Clearly)
OWNER: Name: 148 MAIN STREET, FOSTER 243 REALTY TRUST Phone: (078) 685-0548
Address: 148 MAIN STREET, FOSTER 243 REALTY TRUST(JULIE RACICO, TRUSTEE)
CONTRACTOR Name: ("4,17),,3544,580 Phone: CELL 617 488-0202
C.J.MABARDY,`INC�
Address:
50 MOONEY STREET CAMBRIDGE, A 0
A ,,M 21313
Supervisor's Construction License: KI�,�I'NEVI S I"�Cl' Exp. Date:
-10 4QZ11 4Z291 7
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$125.00 PER S.F.
Total Project Cast: $ 10,500.00 FEE: $ 126.00
Check No.: ,, -°7— Receipt No.: 2 1 eL - .,.
NOTE: Persons contracting with unregistered contractors do not have access to the guaranty d
Signature of Agent/Owner� ,�, � .�u,� I nature of contract
Town ,.. b n r
ove
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No.
�t sn
�.K. h ver, Mass, awl
�o�»=»�wK. y1•
p0RATED
S �
BOARD OF HEALTH
Food/Kitchen
PERMIT LD Septic System
THIS CERTIFIES THAT . .. ,,, BUILDING INSPECTOR
KW...,�.�,
has permission to erect Phis
. buildings on .. .. .,�. I/iV;, +� Foundation
Rough
to be occupied as .... ron.&.sg......................................................................... Chimney
provided that the person acceptinermit 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 I 6 ®NT ELECTRICAL INSPECTOR..
UNLESS
CONST ION Rough
Service
BUILDING INSPE OR Fina
GAS INSPECTOR
Occupancy Permit Required to Occupy Building 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.
C. J. MAI)AQDY INC.
GENERAL CONTRACTORS
EXCAVATORS PLANT
OFFICE & STOCKPILE RIVER STREET
� _Ylocessed
SO MOONEY STREET (PJt'one JI) Yr(lvel WINCHCNDON, MASS, 01475
CAMBRIDGE, MASS. 02138 WWW,CtIMASARDY.COM (97B) 297-1 144
(61 7) 354-75BLI FAX (978) 297-1964
F'AX# (61 7) B64-9057
CONTRACT AGREEMENT
February 28, 2017
Contract To: Julie B. Racicot, Trustee
148 Main Street, Foster 243
Realty Trust, North Andover, MA 01845
Scope of Work: The demolition of the existing Kitchen Cabinets,
including the disconnection of the sink and dishwasher.
The installation of new Kitchen Cabinets, installation of
Granite Countertops and wood laminate flooring to
replace vinyl flooring.
Estimated Cost: Kitchen Cabinets-- JS1 Dover Maple Shaker Style Doors
Painted White - $ 3,437.00
F&I Granite Countertops as per Drawing 4 1 dated
2/24/17 - $ 1,377.00
Demolition and Removal of Existing Cabinets from
Project Site - $ 1,250.00
Plumber Disconnect & Re-Connect under-mount Sink
and Dishwasher - 575.00
New Kitchen Cabinets & Trim Installation - $ 2,500.00
New Wood Laminate Flooring 6' x 10' Area - $ 975.00
New Kitchen Cabinet Hardware - $ 260.00
Building Permit Fee - $ 126.00
TOTAL CONTRACT AMOUNT - $ 1.09500.00
Payment is to be made no longer than thirty days from the approves invoice
amount.
Submitted By:
James Ganiatsos
Project Manager
i
I accept the above Contract Terms & Conditions and Contract Amount.
ACCEPTED BY:
Jul' Racicot
Trustee
February 28, 2017
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Note:'rills eirawierg Ili an 7
artistlu Designed:)/'7adl d(
dtto rctkationni"tholk tt rtil rrr' 40 ilio 2/240.61
appe+aranao of tha doOlgit.It INi
not locant to bo sill Cgoot rclldlttowt.
� RONNIFINANDOVER�� _ All �L>rarvleigtl:_I.
Note:This drawIng is lin artistic
D"igned:2/24/2017
terpretation ofthe general Printed:2/24/20171,
appearance Of the design,It Is
not meant to lie 4111 exact renditioll.
All
66NNIRNAN" )OVER
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W273W3018B W12301 W3315 �
27RT C � G 1 1 33R-REF
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ROLLOUTTRAYS
°`
OR PANS
All dimensions size tileaigataatlonsPlain,Is nn oriLtinal dosip,n and must l.tcsIgau l:2121/201 7 ,
given are subject to verIfIcatlon Oil i ar G� ,aa not be rolonsed ar copied unle8s printed:2/24/2017
job site and a(utistment to tlt.job applicable Pec has boort paid or Job
Conditions, order placed.
11C)YwPNiI'blANl:)CYL/GI�C � AIC i)antivtartc t/; i hda"+uaale.
The Commonwealth of Massachusetts
Department ofIndustrialAccidents
I Congress Street,Suite 100
Boston,HA 02.114-2017
wrvw.inass.gov/dia
Workers,Compensation insurance Affidavit:Builders/Contractors/Electricians/Plumbers.
TO BE FILED wral THE PE1011TTING AUT1101UTY,
ApplicantInformation — please PrintLegibly
Name (Business/Organization/Individual): C.J. MABARDY, INC.
Address: 50 MOONEY STREET----
City/State/Zip:--CAMBRIDGE, MA 02138 , Phone#: (61-7) 354-7580
Are you all employer-?ciieelt the appropriate box: Type of project(required):
I QJ1 am a employerwith,_75 -___-employees(ftill and/or part-time).* 7. 1-1 Now construction
2.[]1 am a sole proprietor or partnership and have no employees working for me in 8. MRemodeling
any capacity,[No workers'comp.insurance required.] 9. U Demolition
3.E]I am a homeowner doing all work myself[No workers'camp.insurance required.]t 10 E]Building addition
4.E]I am a homeowner and will be hiring contractors to conduct all work on my property. I will
ensure that all contractors either have workers'compensation insurance or are sole 11.❑Electrical repairs or additions
proprietors with no employees, 12.F1 Plumbing repairs or additions
I am a general contractor and I have hired the sub-contractors listed on the attached shect. 13.0 Roof repairs
These sub-contractors have employees and have workerscomp.insuranceJ PLACE KITCHEN
C. 14.[0Other RE
6.[:]We are a corporation and its officers have exercised their right of"exemption per MGL
CABINETS
152,§1(4),and we have no employees.[No workers'comp.insurance required.]
*Any applicant that checks box##I must also fill out the section below showing their workers'compensation policy information,
t 1-lomeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a now affidavit indicating such.
lContractors that check this box must attached an additional shcot showing the name of the sub-contractors and state whether or not those entities have
employees. If the sub-contractors have employees,they must provide their workers'comp.policy number.
I all?an elliployel'that isproviding workers'compensation ilisurancefol-my employees. Below is the policy and fob site
information.
It I isurance Company Name: AIM M,UTUAL. INSURANCE COs
Policy 9 or Self-ins,Lie.if: AWC40070296162016a/MA Expiration Date: 09/01/2017 -_ .
Job'Site Address: 148 MAIN STREET, FOSTER 243 City/State/Zip:-NORTH ANDOVER, MA 01845
Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date).
Failure to secure coverage as required under MGL c, 152,§25A is a criminal violation punishable by a fine up to$1,500.00
and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of tip to$250.00 a
day against the violator.A copy of this statement may be forwarded to tile office of Investigations of the DIA for insurance
coverage verification,
I do hereby cerci it der thajwns and en ties qtgaijtir -Inationprovided above Is tare and correct.
that file ilifol
Signature: K ETH . RACIC
Phone it'. (_6_1 ZL354-7580
use only. Do lot Iiii-ite in this area,to be completed by city or to)VII official.
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Official
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EH OT—GENESALMANA
Perinit/License U
City or Town:
Issuing Authority(circle one):
1.Board of Health 2.Building Department 3.Cityi'.I'own Clerk 4.Electrical inspector 5.Plumbing Inspector
o'
6.Other
C, Phone
Contact Person;
Board Of BrWr.hig RegWa earns ndtaiaalwuds
u".on%tlq za:fion super�iwu'ar
License: CS-107483 �
KENNFTHRACI(b`r
450 MAIN STREET
North Andover MA 0184$
a`a uc/r��ou/�sso� � r 07/14/2017
Certificate of Completion
Continuing Education Credits
0
This is to Certify That
CS# j0 .717,9 -
has successfully completed 12 hours of Continuing Education Requirements
Residential Requirements of the 2015 Energy Code-CS-o5o1,
Code Review,IBC(International Building Code), CS-0502
to Code Review,.IRC(International Residential Code-CS-o5o3
Understanding the International Existing Building Code, CS-o5o5,
Understanding the Building Permit Application Process-CS-o507,
Worker's Compensation and Lead Safe Practices-CS-o5o6, OSTL410 hour-CS-oSoo
as required by the State of Massachusetts
0 GREATER BosToN
CONSULTANTS
Trainer, Peter J.McLaughlin Date ofCam lIr etion
Course ID: CSL-CD-o005 December 4, 2016
Keep this for your records
There is a $25.00 for duplicate certificates
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