The URL can be used to link to this page

Home My WebLink AboutBuilding Permit #591 - 111 GLENNCREST DRIVE 5/7/2009 BUILDING PERMITO11 140 oTN TOWN OF NORTH ANDOVER2.b.`�t' `- ° p APPLICATION FOR PLAN EXAMINATION Permit NO: JT Date Received � °q,T.o�•"'`.h Date Issued: �� •U / sq HUs IMPORTANT: Applicant must complete all items on this page LOCATION I I CTL CS I x PROPERTY OWNER (�,(4 L f1j � L Print Print MAP-NO- PARCEL: ZONING DISTRICT: Historic District yesno 0 6's Machine Shop Village yes( no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential New Building One family Addition Two or more family Industrial Alteration No. of units: Commercial Repair, replacement Assessory Bldg Others: Demolition Other 'Septic Well Floodplain Wetlands Watershed District Water/Sewer DESCRIPTION OF WORK TO BE PREFORMED: 6Ak�/�cs:,w-vx R-r�016` Identification Please Type or Print Clearly) OWNER: Name: Phone: Address: l CsL c/1&__V_ all y , CONTRACTOR Name: � Phone: Address �� i7 T-Lnr"�� '` /fit �� '!� /2 �-S �� Supervisor's Construction 'License: 1��C 2� Exp. Date: 2 0 Home Improvement License:-_ �J Exp. Date: I c 'Z 2"t 0 ARCHITECT/ENGINEER Phone: 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: $ 2 y bD� FEE: $ 516 -'- Check No.: Receipt No.: �a o0 s- NOTE: Persons contracting w' unr istered contractors do not have access to aguaranty fund Signature of Agent/Own Signature of contractor Location (.� /fig i 0" No. Date 5 �oRTM TOWN OF NORTH ANDOVER f �,y F y + 4 Certificate of Occupancy $ �to ; . �'s'•^ Et Building/Frame Permit Fee $ s�CHO Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # 22U05 Building Inspector i 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 COrMMENTS 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 Locatedat 124 Alain 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 for pickup - Date j I Doc.Building Permit Revised 2008 Building Department The following is a list of the required forms to be filled out for the appropriate permit to be obtained. i i 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 Calculationslicable If Applicable) PP ) ❑ Mass check Energy Compliance Report If Applicable) P ( PP ) ❑ 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 P p of Bldg Permit i 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:INSPECTIONAL SERVICES DEPARTMENT:BPFORM07 i Revised 2.2008 F i vAORTH Tovm Of t 4Andover No. %',r9/ A10E dover, Mass., • ' lc► COCMICKEWICK �Aoeasy RATED S BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System PAGTHIS CERTIFIES THAT........ BUILDING INSPECTOR o.`l.. ............................................................. ...................... Foundation has permission to erect........................................ buildings on ...f I...I. � b4mi ..�. Rough ............... .... to be occupied asLL / ......3•*.��4..1�!�ll�i�....... .. .. ..... .rl. .................�.�.W,�.�t,.l�,..��...�.{.f�►+.�� Chimney 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 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 S 10• PERMIT EXPIRES IN 6 MONTHS Final UNLESS CONSTRUT TS ELECTRICAL INSPECTOR Rough ........... .............................................................. .............. Service BUILDING INS CTOR Final Occupancy Permit Required to Ocmpy Building GAS INSPECTOR gh Display in a Conspicuous Place on the Premises — Do Not Remove Fnal No Lathing or Dry Wall To Be Done Until Inspected and Approved by the Building Inspector. FIRE DEPARTMENT Burner Street No. SEE REVERSE SIDE Smoke Det. NOW— COME R404OF Chianne•ys Residential & Commercial Roofing All Types Of Siding CHIMNEYS POINTED-REBUILT-CAPPED Expert Masonry Work Mass Toll Free �f ®oF beaks Experts * Licensed & Insured 1-800-WAIT-4-US Locally Owned& Operated Since 1976 License#034200 (924-8487) I%O® We Work Year Round Oil Proposal To: Phil and Marilyn Doyle Date 4/30/09 Street: 111 Glencrest 978-687-2989 N. Andover, MA 978-948-7383 (3) bath remodels Downstairs bath Install of all customer supplied material included: 1. Remove sink and vanity -Sink and vanity 2. Remove toilet and save(re-install) -Faucet and valve 3. Remove wallpaper -Floor tiles,threashold and grout 4. Remove baseboard and interior door and windov. -Light fixtures casings. (Entry door will be saved and re-installed) -Towel racks,toilet paper holder, etc. 5. Remove existing tile floor 6. Remove existing casement window *Note* 7. Upgrade existing electrical to code. (GFI plugs Installation of new granite vanity countertop is not etc.) included. All under one roof will happily coordinate 8. All rough and finish plumbing to code included. with Stoneone granite installers as necessary. 9. Skimcoat,prime and paint walls 10. Install new Paradigm white vinyl casement win- dow to match house windows. 11. Install,prime and paint all new interior baseboard, crown moulding,door and window casings. Acceptance of Proposal—The above prices, specifications and conditions are satisfactory and are herby ac- cepted. You are authorized to do the work as specified. Payment will be made asoutlinqd above. Date of Acceptance: � 4/6 a 7 Signature: Signature. aILIL UMIDER 4DME RO4OF Chimneys Residential & Commercial Roofing CHIMNEYS POINTED-REBUILT-CAPPED All Types Of Siding Expert Masonry Work Mass Toll Free * Roof Leafrs Experts j Licensed & Insured 1-800-WAIT-4-US Locally Owned& Operated Since 1976 0••;�; License#034200 (924-8487) IKO oZ We Work Year Round 978-794-3883 978-975-1, 531 70 Jefferson St..North Andover,MA 01845 e4"11T&4* 1574" 7 30 Temple Dr., Methuen,'MA 01844 N Proposal To: Phil and Marilyn Doyle Date 4/30/09 Street: 111 Glencrest 978-687-2989 N.Andover, MA 978-948-7383 (3)bath remodels 2nd Bath upstairs Install of all customer supplied material included: 1. Complete demo down to studs. 2. Remove toilet,sink,vanity,tub,etc. - Pedestal sink,vanity, faucet and valve 3. Update electrical to code. Rough to finish included -tub and valve 4. Update plumbing to code. Rough to finish in- -Bath faucet and valve eluded -Floor,tub surround tiles and grout. (including thresh- 5. Install all new fiberglass insulation to code. old and accent strip) 6. Install Durarock cement board on entire sub-floor (floor tiles will be diagonal pattern) as well as on three sides of tub surround. -Light fixtures 7. Install new blueboard and plaster on all walls and -Towel racks,toilet paper holder,medicine cabinet, ceiling. etc. 8. Install,prime and paint new interior baseboard, -Ceiling exhaust fan crown moulding, window,and door casings. (Entry door will be saved and re-used.) 9. All painting included Acceptance of Proposal—The above prices, specifications and conditions are satisfactory and are herby ac- cepted. You are authorized to do the work as specified. Payment will be madeoutlined above. Date of Acceptance: '3 �l Signature: Signature ALS. UMOER 40ME ROOF Chimneys Residential & Commercial Roofing All Types Of CHIMNEYS POINTED-REBUILT-CAPPED Siding Expert Masonry Work Mass Toll Free I* Roof Leaks Experts ?tj Licensed & Insured 1-800-WAIT-4-US Locally Owned Operated Since 1976 =-"K- License#034200 (924-8487) IKO 'horns or�ohn -•� We Work Year Round 978-794-3883 978-915-7531 W1.1afferson ♦ ♦ ♦ ' 1 i i i 1 Temple Dr., Methuen, 01844 - Proposal To: Phil and Marilyn Doyle Date 4/30/09 Street: 111 Glencrest 978-687-2989 N. Andover, MA 978-948-7383 (3)bath remodels Master bath/closet Install of all customer supplied material included: 1. Complete demo down to studs. Including existing - bedroom closet area to make bathroom larger. -Sinks,faucets,valves and vanity 2. Frame in old closet area and finish off to match -Shower and valve existing bedroom walls. -Bath faucet and valve 3. Remove toilet,sink,vanity,shower,etc. -Floor and tub surround tiles, and grout. Threshold 4. Toilet will be relocated as per discussed. and accent strip. 5. Update electrical to code. Rough to finish included (floor tiles will be diagonal pattern) 6. Update plumbing to code.Rough to finish included -Recessed light fixtures 7. Install all new fiberglass insulation to code. -Towel racks,toilet paper holder,medicine cabinet, 8. Install Durarock cement board on entire sub-floor etc. as well as on three sides of tub surround. -Ceiling exhaust fan 9. Install new blueboard and plaster on all walls and -(1) ceiling light for master closet ceiling. 10. Install,prime and paint new interior base- board,window, and door casings. (Entry door will *Note* be saved and re-used.) Installation of new granite vanity countertop is not 11. All painting included included. All under one roof will happily coordinate 12. New closet: with StoneOne granite installers as necessary. -install 7'x6' walk in, finished on both sides with blueboard,plaster, woodwork,and paint. (1) entry door to match. Does not include any shelving. eceptance of Proposal—The above prices, specificati ns and conditions are satisfactory and are herby ac- epted. You are authorized to do the work as specified. I layment will be made as outlined above. Date of Acceptance: 3 6 1 Signature: Signature. �.� LL UNDER ONE RCD40F Chimneys Residential & Commercial Roofing All Types Of Siding CHIMNEYS POINTED-REBUILT-CAPPED Expert Masonry Work Mass Toll Free I* Roof Leaks Experts Licensed & Insured 1-800-WAIT-4-US ® Locally Owned Operated Since �g�6 _'o;�: License#034200 (924-8487) IKO wee oz.�Zohn We Work year Round 978-794-3883 978-97S-7531 i7njaffarsonSt.. NorthAndoVer.MAOIS,45,e,4ee,zp.a4 �;Fe&" . 30 Temple Dr.,;Methuen,MA 01844 Proposal To: Phil and Marilyn Doyle Date 4/30/09 Street: 111 Glencrest 978-687-2989 N. Andover, MA 978-948-7383 • All local permits included Cost of project: $34,500.00 • Removal of all work related debris Customer supplied material =$8,000.00 • Contractor workmanship warranty = Total project cost = $42,500.00 1 year • Any additional work requested that is not part of original proposal will re- Payment schedule: sult in additional costs of time and material to the homeowner. No addi- -1/3 at start tional work will be performed until it -1/3 at half way point is discussed and confirmed with the -Final balance due upon completion homeowner. Highly rated member Accredited B Thank you! John Lanzafame Acceptance of Proposal—The above prices, specifications and conditions are satisfactory and are herby ac- cepted. You are authorized to do the work as specified. Payment will be madeoutlined above. Date of Acceptance: ' I a Signature: Signature: Board of Bons an tan One Ashburton Place - Room 1301 husetts Q2 108 Boston. Massa e Home Improvemen�-_!q"traetor Registration Ration: 137057 Type- CUBA Expiration: 10f2=10 Tr# 275510 ALL UNDER ONE ROOF JOHN LANZAF'AME 166 A MERRIMACK ST_ METHEUN, MA 01844 Update Address and retera card.Mark reason for change. Address Renewal Employment Lost Card `°r�ftC [.JOf+bM�tFiifnl�l�(Itlf&fJdt{tDlYlLJal9� Bird of Bandag Ae6als` and Staadarais #kense or registratbon valid for individul use only own HOME MPROYEMMNT CONTRACTOR before the expitatim date. 1f found return to: EW RaaBtsua lon; 137057 8 acrd of Building Rfgalat:om and Standards 4t)i2M10 Tit 275510 Out Aslftrtea Plate Ria 1301 B Ma.Q2Ef1'S rl l ANDER ONE ROOF t tANZAFAME ` A MERRIMACK ST. IETNEUN,MA 01844 A 3gFat611 Not valid rritlaaat NIaa.achuwty, - Dcpar-inicnt n( Public �,afvl Board of Huildin�-, Re-ti o hit and Standards Construction Supervisor License License: CS 69120 Restricted to: 00 JOHN W LANZAFAME 30 TEMPLE DR _ METHUE MA 01844 413�a�1\ 9786870149ViLL. , `OM pi RRY NS09At>CA A6± ut;Y - CERTIFICATE Of LIABILITY ILITY INSURANCE DATE(MMtDUN7 ti^a D 1110612008 TMiS ATE iS ROBBED AS A MATTER Of MFORMATiON M._. Lira ONLY ASO NO RfG M UPON TW GERTIFICAI£ + IRT&urance Agency HDLDER.1MiS�-M Don MW AMEND.EXTEND OR 2 Ctuckering Road ALTER THE COVERAGEA EQ 8Y TW f/OLtCiES BELOW. 3M Andover, MA 01845 NAIL f INSURERS AFFORD�O COVERAGE _._-_-_ wakVIERA NORFOLK&DEDtiAM INSURANCE COMPANY JOHN LAN7AFAME a AN OSA ALL UNDER ONE ROOF INSURER e _ �.__....._.._.._ 30 TEMPLE DR _-- METHUEN,MA 01844 W3tRtEAE- Ti FOR THE potCy Ili PERM CATEO.NQTWtTi1STANUNf �i�pi-(Ctfi5 ov mwpANCE LMTI 42 BELOW HAVE BEEN TQ 1MTit 'EG(TCS WM H TMS CERT*lCAT£MAY BE ISSUED OR MAY 1!'REQUFREMEhfT,TERM OFt CCJI1DJTtUii QF ANY COMTMU OR NT OT"ER DOCt �'£RT Aiti.TME INSURANCE RFfc)RQED BY TME pOiK�ES DESCRIBED NEREiht RS StT TO ALL TFC T'fiRIRIS.EXClU5tf31JS aa1€i CONptTFONS OF StJ('ta �-iCtE5 AGGREGI►TE LMrI 5 5�MAY HAVE B�EElI REDtiGEA Btir;SAil Gid. _.... (.NWTS iR TY!@ �Ili1ClIIDER .aara trtan ec c1Ef+�1tAa LU10litTY 80401#33A 0610312i}08 061Q31009 EACH OCCURitENCE s _ � t naa�.�oc CDIAR�.RCIAt C,I:NERAi.irAfik.ITY __.�_.._.. CLAIMS I/ADE Q ),.CUR !.0 EIU'(my ane tmrtf S 3 Sao ao PUM NMLL 6 AOY INJURY S I- wo at; GENERAL AGATE y 2 aaa.tr-a ae PRETDUCTS-COMP(OP AGO 52 00G GO w G£N'L AGGREGATE UWT APPUtS PER. POLICY f—JPROJFC; ~S LOG . ^uY0W )8R,E tfAtlRf.M $a+t;LE CIMVT g {F3 f[P.tdl��1) ANY AUTO ALL hNMED AUTOS & R 5 SCHEDULED AUTOS 1URED AUTOS BODILY WJURY S NOS-DYtNED AUTOS PROPERTY DAMAGES S awAAali Llapetrw AtlTQ ONLY-EA ACCIDENT g�____� ANY AUTO AlltVOWI £R OACC At3G S &XCE85AW**E0AkWIl "V EACH OCCURRENCE S OCCUR Q CLAP.AZ MADE AGGREGATE F LEDUC stBr.E .._ _,—__-.-- S t RETfM7I(lta s �rERs t wsc TrT'°"AND AWC7009464012007 11109/2008 1110912OD9 EX EACH ACCIDENT S �Oo-4UQ DLA._ Y YROPRIETOfWAN3NER&AEC-U 1 tvE {rTOFFICERAIE*�R EXCLUDED'' ELFNS&SE EAEMKOYEE t t SJ4.3G�J as ..._._.- k aa,dYsscrWe va.+ E L DISEASE-POLICY LWil 5 IAL PROVR51DNS aaeavl my mucur a� tiTMk7t r i t ' fiCATE MOLDER. CJti/tT10N ^. S"a"AMY ap TIRE ABOYE O WCOND ht,LXWS BE CANCELLED REPORE Ttr£EYKAAYit;ir OAT!Tom,THE ISSW*hft%0tERRYiLL ENDEJIVUR TO NA+L 30 "Ts wail I0 NOYCE TO YID CENT WATE NIXOM NAMED 70 TME LEFT.Bflf fA ORE 10 tri}SO SermLt The Co»cmonwealth ofMassac/srtsetis Department offlidustrialAccidents Y y ,�• �' Office Of Mve t ga ons 4 '=Er. 600 Washington Street Boston,AM 02.711 .�' � •� wwMInassgovldia Workers' Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers A licant Information Please Print I.,e '1g Name(Business/Organizationlindivid w): OQ L��, Address-----,!S-00��- �� L� /C City/State/Zip: -C. J{ vm 4 SS Phone Are you an employer?Check the appropriate box: . 1.(G�I am a employer with_� 4. ❑ I am a general contractor and I TJ'PQ of project(required)' employees(frill and/or part-time).* have hired the sub-contractors 6. ❑New construction 2-❑ 1 am a sole proprietor orpartner- listed on the attached sheet- ship 7_ remodeling and have no employees These sub-contractors p yees tors have 8. Demolition working forme in any capacity. employees and have workers . [No workers comp.insurance comp.insurance_# g- ❑Building addition required_] 5. ❑ We are a corporation and. 10. 0� its Electri ❑ cal repairs or additions eP tions 3.❑ I rim a homeownerofficers doing all work have exercised their 11.❑Plumbing repairs or additions myself. (No workers' comp, right of exemption per MGL insurance required.] t c. I52, §I(4),and we have no 22.❑Roofrepairs employees.[No workers' 13.❑Other comp.insurance required.] 'Any applicant that checks box#1 must also fill out the section below showing their workers.compensation Policy information. I Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. rCantractars that check this box must attncbed an additional sheet showing the name of the sub-contractors and state whether or not those entities have emphoyces- If the sub-contractors have employees,they must provide their workers'romp_Policy number. I am an employer that isproviding workers'compensation insurance for ory employees Below s thepolicy and job siteto1ormaton. Insurance Company Name: kj ii Policy#or Self-ins.Lie.#: G3C. /9 b Expiration 2 C� EDate: n xP g 8� Job Site Address:_ t LT'-� 1211 �/-f Citj,/StatelZip: Attach a copy of the workers' compensation . p tion policy declaration a e(showing page( win the Policy number Failure to secure coverage as required under Section 25A ofMGL c. 152 can lead to the imposition of acriminnal penaltiessaof a fine up to$1,500-00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORD ORDER and a fine ofup to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify it r pains nd penalties ofperjttry that t/se information provided abo a is true and correct Signature: Date: S Phone Official use only_ Do not write in this area,to be completed by city or town afficiat City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector S.Plumbing Inspector G.Other Contact Person: