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Home My WebLink AboutBuilding Permit #249 - 10 RUSSETT LANE 9/28/2009 TOWN OF NORTH ANDOVER L/ APPLICATION FOR PLAN EXAMINATION Permit NO: 7 Date Received Date Issued: 2k a IMPORTANT: Applicant must complete all items on this page LOCATION N- �Nc>0U1✓2 Ma not PROPERTY OWNER �� r1 ��3.v\r1 /j Print MAP NO;/ PARCEL: 0/ ZONING DISTRICT: Historic District yes no !Machine Shop Village yes no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential New Building One family Addition Two or more family Industrial A eration No. of units: Commercial Repair, replacement Assessory Bldg Others: Demolition— Other Septic Well Floodplain Wetlands Watershed District Water/Sewer I DESCRIPTION OF WO TOB RFORMED: Z C� Identifi do Please Type or Print Clearly) OWNER: Name:�zti e7� to Phone:Ci l �oP -/�73 Address: tis' L- L A,4 a to CONTRACTOR Name: YIS L Phone•4�,63� ,SDS-/d'�} Address: t4 FA ?-..J o-?6 7 Supervisor's Construction License: q 72 Exp. Date: Q/d Home Improvement License: Z 6 Exp. Date: t/ ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE:BULDI ,)PERMIT.$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: 2-5,00, Oz) FEE: $ �- Check No.: /�c7 Receipt No.: NOTE: Persons contracting with unregistered contractors do not have acces o the guar my fu 1d signature of Agent/Owner Signature of contrac or Plans Submitted Plans Waived Certified Plot Plan . Stamped Plans TYPE OF SEWERAGE DISPOSAL Public Sewer Tanning/Massage/Body Art Swimming Pools Well Tobacco Sales Food Packaging/Sales Private(septic tank,etc. Permanent Dumpster on Site THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM DATE REJECTED DATE APPROVED PLANNING & DEVELOPMENT COMMENTS CONSERVATION Reviewed on Signature COMMENTS HEALTH Reviewed on Signature COMMENTS C Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments Conservation Decision: Comments Water& Sewer Connection/Signature& Date Driveway Permit DPW Town Engineer: Signature: Located 384 Osgood Street FIRE DEPARTMENT -Temp Dumpster on site yes no Located at 124 Main Street Fire Department signature/date COMMENTS Dimension Number of Stories: Total square feet of floor area, based on Exterior dimensions. Total land area, sq. ft.: ELECTRICAL: Movement of Meter location, mast or service drop requires approval of Electrical Inspector Yes No DANGER ZONE LITERATURE: Yes No MGL Chapter 166 Section 21A—F and G min.$100-$1000 fine NOTES and DATA— For department use ❑ Notified foricku - Date P p Doc:.Building Permit Revised 2008 t Building Department The following is a list of the required forms to be filled out for the appropriate permit to be obtained. Roofing, Siding, Interior Rehabilitation Permits ❑ Building Permit Application ❑ Workers Comp Affidavit ❑ Photo Copy Of H.I.C. And/Or C.S.L. Licenses ❑ Copy of Contract ❑ Floor Plan Or Proposed Interior Work ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit Addition Or Decks ❑ Building Permit Application ❑ Certified Surveyed Plot Plan ❑ Workers Comp Affidavit ❑ Photo Copy of H.I.C. And C.S.L. Licenses ❑ Copy Of Contract ❑ Floor/Crossection/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Mass check Energy Compliance Report (If Applicable) ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit New Construction (Single and Two Family) ❑ Building Permit Application ❑ Certified Proposed Plot Plan ❑ Photo of H.I.C. And C.S.L. Licenses • ❑ Workers Comp Affidavit ❑ Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Copy of Contract ❑ Mass check Energy Compliance Report ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit In all cases if a variance or special permit was required the Town Clerks office must stamp the decision from the Board of Appeals that the appeal period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording must be submitted with the building application Doc: Doc.Building Permit Revised 2008 Locationoz 7,11 X's' No. "� y Date /11/2 ^TM TOWN OF NORTH ANDOVER . Of•t. o ,•'��.0 41 3? i • O Certificate of Occupancy $ sACHU % Building/Frame Permit Fee $ -> Foundation Permit Fee $ Other Permit Fee $ TOTAL Check # 22465 Building Inspector � NORTIy �Town of And No. o _ - « 0 a4 _ o :- A K E - dover, Mass., GOC MIC MEWICK AERATED PPS` "`� `S BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System BUILDING INSPECTOR THISCERTIFIES THAT.....u.. .. ..............�. ... .................................................................................................... Foundation haspermission to erect........................................ buildings on ......�..................... .E.... ...... N................................ Rough to be occupied as...................c '............. .E l d-............ . . . . . . r. .. .�1...............�...f.v'� /ti Chimney provided that the person accepting this perm shall in every respect conform to the terms of the application on file in Final 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 CONSTRUCTION TARTS Rough �� Service ........................................................ BUILDING INSPECTOR Final Occupancy Permit Required to Ocmpy Building GAS INSPECTOR 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. SEI E REVERSE SIDE Smoke Det. so Federal Tax ID: 83-0476482 Date: 09/24/2009 MA CSL: 97286 Expiration 5/18/2010 tom' MA HIC: 157943 Expiration 11/16/2009 9 Old Lawrence Rd. NH Registered Business ID: 571979 Owner: Pelham, NH. 03076 George J.Picard Cell: (603) 508-1847 Nn JOB T00 SMALL WE TAKE PRIDE IN YOUR INVESTMENT Home: (603)635-3805 Contract for Massachusetts Residents Contract Tracking#: 0024082009001 Homeowner information: NAME: l)an & Tracie McCann ADDRESS: 10 Russett Ln. CITY: N. Andover STATE: MA. ZIPCODE: 01845-1325 PHONE: (978) 208-1534 This contract is a binding agreement between the homeowner.listed above.and GJ Picard&Sons LLC. Any subcontractors,if needed to complete the work described in the estimate,are registered Avith the State of Massachusetts and are listed as follows: Name Address License/Registration NONE Inquiries about a contractor or subcontractor relating to registration should be directed to: Registration Division, Program Coordinator One Ashburton Place Room 1301 Boston, Ma 02108 Tel: (617)727-3200 ext. 25239 Permit Notice: All constriction related permits shall be obtained by GJ Picard&sons LLC as the homeowners agent. All costs of permits shall be listed in the estimate or the contract addendum and are paid back to GJ Picard&Sons LLC by the homeowner. Homeowners who secure their own permits or deal withur"gistered contractors shall be excluded from access to the Guarantee Fund. Homeowner Agreement: ` This contract consists of three parts: This cover page:describing the contract and its terms. The Estimate:describing work to be done,materials.and labor. The Contract Addendum:addressing any changes to the contract while work is ongoing. All changes must be indicated in the contract addendum and initialed by GJ Picard&Sons LLC and the homeowner. DESCRIPTIONISCOPE OF JOB: (See Estimate) LIST of MATERIALS/INCLUDING SALES TAX: (See Estimate)----------------------- $ 1725.86 MISCELLANEOUS: (See Estimate)------------------------------------------- $ 112.50 LABOR CHARGES: (See Estimate)------------------------------------------- $ 560.00 TOTAL COST for MATERIALS/MISCELLANEOUS/LABOR: --- -- -- -- - ------ -- -- - $ 2398.36 ACCEPTED PAYMENT STRUCTURE: At least 1/3`d of Total cost of job, as listed above, is due as deposit on date the contract is signed: $ 1500.00 50% of balance, plus or minus amounts of any addendum's to date,due when work is 50% complete. Remainder of balance plus or minus any added addendum's, not included previously, due at completion of work. (ALL PAYMENTS TO BE MADE IN CASH OR BANK CHECK MADE OUT TO: GJ Picard R Sons LLC) START DATE: 09/30/2009 ESTIMATED DATE TO COMPLETE: 10/01/2009 For changes and/or additions to the scope, materials and labor of this contract see the attached addendum referencing this contract(IF ANY APPLY). Arbitration Agreement: `The contractor and the homeowner hereby mutually agree in advance that in�the event that the contractor has a dispute concerning this contract,the contractor may submit such dispute to a private arbitration service which has been approved by the Office of Consumer Affairs and Business Reg o nd th homeowner shall be reqww4 to submit to such arbitration as provided in MGL 04*11"? Homeowner Signature:.)( V\kt, 'Contractor Signature: NOTICE: The signatures above apply only to the agreement to alternative dispute resolution initiated by t e ccRr r. a omeowner initiate alternative dispute resolution even where this section is not signed separately by both contractor and homeo . Under the Massachusetts General Laws(MGL c93 s48, c140D s10, or c255D s14 as applicable):you have the right to cancel this contract within three(3) business days with full refund of your deposit provided that no work has commenced. Cancellation after three(3) business days,deposit will be refunded (MINUS 10 PERCENT)within seven(7) business days after notice of cation (Notice f cancellation must be in writing and signed by the homeowner.) Homeowner Agreement: X t DO NOT SIGN THIS CONTRACT IF ANY PARTS /ARE MISSING OR THERE ARE ANY BLANK SPACES HOMEOWNER SIGNATURE: X t,.yli. •- DATE: 41 17> 4 CONTRACTOR SIGNATUR DATE: 'r ,per lee -�ori.,wowrea/.lL o��aaac�ivaelta I i �\ Board of Building Regulations and Standards l- HOME IM.RftOVEMENT CONTRACTOR Registr,41-00;y 157943 EX3 - /16/2009 Teti: 261'605 ! > Liability Corporation GJ PICARD&SCN 7=,' 0V GEORGE FICARO� 9 OLD LAWRENCE'R2 �. PELHAM,NH 03076 Adininistrator _.....:,.�.v....-.�,.=T ✓fie '(�oorrmzonureq,�i o��o�ivaelta Board of Building'Regulations and Standards Coristruction'Supervisor License License: CS 07286 --Birthdate;::_5718/1948 Expiration 5/38/201.0 Tr# 97286 Rsstrtctign:- 010. GEORGE PICARD 9 OLD LAWRENCE - PELHAM,NH 05076 Commissioner