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Home My WebLink AboutBuilding Permit #592 - 1070 SALEM STREET 4/15/2008 Tol BUILDING PERMIT o* "°C 16 qti TOWN OF NORTH ANDOVER �? 6 APPLICATION FOR PLAN EXAMINATION Permit NO: Date Received �gSSACHU Date Issued: ` IMPORTANT: Applicant must complete all items on this page LOCATION -1r2 J, Pri PROPERTY OWNER-,-.ORA - Print MAP NO: PARCEL: ZONING DISTRICT: Historic District yes no Machine Shop Village yes no TYPE OF IMPROVEMENT PROPOSED USE - Residential Non- Residential New Building One family Addi ' Two or more family Industrial Iteration No. of units: Commercial '*-—Repair, p acement Assessory Bldg Others: Demolition Other Septic Well Floodplain Wetlands Watershed District " Water/Sewer DESCRIPTION OF WORK TO BE PREFORMED: MAq L �vDa NOT M Or /j,y^L. Go4.,-7_ Identification Please T e or Print Clearly) OWNER: Name: Phone: Address: CONTRACTOR Name c. Phone. cif 44 Address: Supervisor's Construction License: Exp.. Date: Home Improvement-License: Exp. Date: ARCH ITECT/ENGINEER/ZoNe �y�r- �� Phone- (4z2_ Address: Reg. No. FEE SCHEDULE:BOLDING PERMIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ A6 W FEE: $�,2c2i� Check No.: � � Receipt No.: a w NOTE: Persons contracting with unregistered contractors do not have access if the guaranty fund g gg _ - I I nafiure of A ent/Owner Si nature of contracto J Building Department The following is a list of the required forms to be filled out for the appropriate permit to be obtained. 1 Roofing, Siding, Interior Rehabilitation Permits i ❑ 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 L3 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 stampthe decision ecision 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:INSPECTIONAL SERVICES DEPARTMENTMFORM07 i Revised 2.2008 d 1 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 .a r, 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 I _ t FIRE DEPARTMENT Temp Dumpster on site yes no Located at 324 MainStreet Fire Department signature/date,. � y 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 for pickup - .Date Doc.Building Permit Revised 2008 s Location A) No. 57 Date NOR,h TOWN OF NORTH ANDOVER 0 P i Certificate of Occupancy $ �'• n �ss,KMUsE<�' Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # 2 1 0 7 `" Building Inspector ' NORTH Town of Andover No. S9Z• 10. ..w. , C. Lo dower, Mass., /zi� COC Hit HEWICK 7d ADRATED `S BOARD OF HEALTH Food/Kitchen P E RM.. . T To k%� Septic System ^ BUILDING INSPECTOR THIS CERTIFIES THAT.., ..... ............................... .... N..................................................................................... Foundation has permission to erect........................................ buildings on ../� .�...... .� ''1�. ............... Rough .... .... ................ d�t .►� L.......w.o - .....:Al.:.r. r . Chimney to be occupied as..................... ............. ............................................................. provided that the person accepting this permit shall in every respect conform to the terms of the application on file in Final this office, and to the provisions of theL 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 CONSTRUS Rough ...... ....................................... Service ..... .. .... .... ......... ............... BUILDING INSPECTOR Final Occupancy Permit Required to Occupy 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. SEE REVERSE SIDE Smoke Det. 6' Printed Monday, March 10, 2008 Date: 9/30/2007 CHANGE ORDER REQUEST This is an agreement between the undersigned homeowner and contractor to approve and carry out work that is in addition to the original project scope. Both parties understand that the requested additions, as specified below. Contractor will provide all labor and material for the following work: 1. Removed & install 16 Extra Windows 2. Replaced Front door 3. Rebuild main roof soffits 4. Replaced Heating Boiler 5. Rebuild kitchen floor with 2x6x8 and % cdx plywood 6. Demo kitchen chimney & downstairs bathroom 7. Demo downstairs plumbing 8. Demo Main kitchen cabinets 9. Demo Kitchen closet 10.Demo kitchen floor and hallway floor 11.Frame in new downstairs bathroom 12.Installed new LVLs on extra walls in kitchen 13.Removed existing floor between family room & kitchen existing 2x4 joist sitting on ground kd wood 14.Rebuild with rebar & 6" concrete per engineer 15.Installed 2x12 Ivls between existing family room & kitchen 16.Removed main stairs & basement stairs facing kitchen area 17.Install new plumbing for kitchen sink, dishwasher, shower, sink &toilet for down stairs bathroom. Installed new washer hookup in new Laundry =r w room, Installed new shower, tub, sink & toilet for second floor main bathroom 18.Electric: Electrician will install new outlets switches and let box in all areas that contractor demos and installs new phone and N cables 19.Demo extra walls on new addition area that was built in late 50s, sills and 2X4 walls 20. Rebuild same wall with 2x6pt sills and 2x6x8 kd studs with r19 insulation and 5/8 cdx plywood 21.Installed new hot water boiler 22.Demo upstairs closet and wall bedroom to right of closet 23.Install new main bathroom between both bedrooms and install new bathroom door to hallway 24.Install two new master bedroom closets 25.Demo existing second floor bathroom 26.Frame new walls extending bedroom into that area 27.Nail down subfloor to new 2x8 LVLs and install new pre finished oak hardwood in same bedroom 28.Add new outlets and overhead recess Its in bedroom 29.Insulation and sheetrock room/mud &tape only 30.Install New trim & baseboards to all rooms that been worked on 31.Install new 12" pine floors in new kitchen and hallway upstairs 32.Contractor to install homeowner kitchen cabinets 33.Contractor to install homeowner supplied bathroom sink cabinets 34.Contractor to install homeowner supplied bathroom floor tiles 35.Electrician to install homeowner It fixtures as needed 36.Electrical contractor to install 11 smokes per code I 37.Contractor to install 1/2"' sheetrock to all areas that work has been finished & mud &tape same area 38.Install new interior doors as needed in areas worked in/with door knobs included 39.Remove old roof shingles on Garage and install Ice water on roof with 30 year shingles 40.Remove existing garage windows & replace windows with old existing windows from main house 41.Install new siding on garage walls 42.Install new oak treads & pine risers, Balluster and oak handrails on main stairs 43.Paint house & Garage 2 coats on clad board and one coat on trim Does Change Affect Schedule?: Yes/ No Brings total cost of job to Two hun a and sixty six thousand one hundred Dollars. $266,100 New Estimated mple ion Dat : A it 18 2008 Approved: �� ` U om o (Date) Approved: /tACV', �L4 J 6� (Contractor) (Date)