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Home My WebLink AboutBuilding Permit #933-16 - 117 COTUIT STREET 3/2/2016 BUILDING PERMIT NORTH q TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION .y M Permit No#: Date Received �ggDR�TED,4¢'��5 r SSACHUSE Date Issued: t V IMPORTANT: Applicant must complete all items on this:page LOCATION Print PROPERTY OWNERIQMC, Cbe rO JJ1 C 0 CoQr l Print 100 Year Structure yes no MAP _PARCELS ZONING DISTRICT: Historic District yes no Machine Shop Village yes no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building Rdne family ❑Addition ❑Two or more family ❑ Industrial ❑Alteration No. of units: ❑ Commercial ❑ Repair, replacement ❑Assessory Bldg 0 Others: ❑ Demolition ❑ Other ❑zSeptic ❑,Well .•:, ❑ Floolplain ❑Wetlands ❑ Wateished District ❑��Watei-lSew�� '� :�; �; : x� � � DESCRIPTION OF WORK TO BE PERFORMED: Identification- 'lease Type or Print Clearly OWNER: Name: GRAQ &\ems% Phone:*W - U O(P-SVS Address: 10Cg'CVi'r 1"omam&= Contractor Name: Phone: Email: Address: Supervisor's Construction License: Exp. Date: Home Improvement License: Exp. :Date: ARCHITECT/ENGINEER Phone: li Address: Reg. No. FEE SCHEDULE:BULDING PERMIT:MOO PER$9000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ I�;k 000 FEE: $ / Check No.: �� 1�=,�Y'`� Receipt No.- NOTE: Persons contracting with unregistered contractors do not have s to the guaranty fund Location No.T33 " IC j Date / . - TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $ Foundation Permit Fee $ > Other Permit Fee $ TOTAL $ Check# I ' Building Inspector Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ TYPE OF SEWERAGE DISPOSAL € Public Sewer 11Tanuing/Massage/Body Art ❑ Swimming Pools ❑ Well ❑ Tobacco Sales ❑ Food Packaging/Sales ❑ Private(septic tank,etc. ❑ Pennanent Dumpster on Site ❑ THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - ll FORM PLANNING & DEVELOPMENT Reviewed On Signature_ COMMENTS 4 CONSERVATION Reviewed on Signature COMMENTS HEALTH Reviewed on Signature COMMENTS Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes ` - Planning Board Decision: Comments Conservation Decision: Comments Water& Sewer Connection/Sicrnature Date Driveway Permit DPW Town Engineer: Signature: Located 384 Os FIRE DEPA -.;`�°R NT tTernp Dumpgfie.q sites '�yes� Osgood rZLo ted�at?�1�24iMain#Street �, - -• _ ,__ �M. . �� _ ; r Depart�mentosig ature%dae��._. 4am AC. 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) Il Notified for pickup Call Email Date Time Contact Name 3 Doc.Building Pemit Revised 2014 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 OTE: 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/Cross Section/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 . OTE: 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 2012 IECC Energy code Engineering Affidavits for Engineered products OTE: 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:Building Permit Revised 2014 pORTH Town of h ver, Mass coc"ICKl WICK y1. �i9s SATED 0P�,�5 U BOARD OF HEALTH Food/Kitchen PERMIT L D Septic System THIS CERTIFIES THAT .... .......... BUILDING INSPECTOR has permission to erect .......................... buildings .11=...1............ Foundation Rough tobe occupied as ..........: w j. . .......... ......................:.n..................................................................... Chimney provided that the person accepting this permit 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 EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTIO T T Rough Service ................. .. .. .......... ............................ Fina BUILDING INSPECTOR GAS INSPECTOR Occupancy Permit Required to Occupy Buildinz 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. r TOWN OF NORTH ANDOVER OFFICE OF BUILDING DEPARTMENT _ 1600 Osgood Street,Building 20, Suite 2035 .�� North Andover,Massachusetts 01845 Gerald A. Brown Telephone(978)688-9545 Inspector of Buildings Fax (978)688-9542 HOMEOWNER LICENSE EXEMPTION BUIDING PERIYHT APPLICATION Please print DATE: Ia I Vi JOB LOCATION: 00�611r �s-+VeO r Number Street Address Map/Lot HOMEOWNERfi(](`VA G CO\Q' Name Home Phone Work Phone PRESENT MAILING ADDRESS sire Qi Nn(n N-) oay 0N?�A%S- City Town State Zip Code The current exemption for"homeowners"was extended to include Owner occupied dwellings of one or two family dwellings and to allow such homeowners to engage an individual for hire who does not possess a license, rop vided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one-or two-family dwelling,attached or detached structures accessory to such use and/or farm structures.A person who constructs more than one home in a two-year period shall not be considered a homeowner. (780 CMR Section I I O R5.1.2) The undersigned"homeowner"assumes responsibility for compliance with State Building Code and other applicable codes,by-laws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of North Andover Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. HOMEOWNERS SIGNATURE APPROVAL OF BUILDING OFFICIAL Revised 8.2015 Form Homeowners Exemption BOARD OF APPEALS 688-9541 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535 " The Commonwealth of Massachusetts . F Department of IndustrialAccidents 1.M1. `7 r I Congress Street,Suite 100 - Boston,MA 02114-2017 www mass.gov/dia o�M Sv V9 Workers,Compensation Insurance Affidavit:Builders/Contractors/Electricians/plumbers. TO BE FILED WITH THE PERNIITTING AUTHOItIT '• please Print Le 'bl A licant Information Name(Business/Orgaiiizaiion/Irodividual)' Address: n C Qt��t . City/StatelZip�n('-r(\C��'( U 14,q'5Phone#: -7LI5 . ..;., . . , Type of project(iVecluired): Are you an employer?Check the appropriate box: em to ees frill and/or part-time).* 7. ❑N&Wdonstr&lon 1.L]I am a employer with P y 2.Q I am a sole proprietor or partnership and have no employees working forme in $. Renzodeliiig any capacity.[No workers'comp.insurance required] 9. ❑Demolition 3.Vara a homeowner doing all work myself[No workers'comp.insurance required.]t 10F]Building addition 4.❑I am a homeowner and will be hiring contractors to conduct all work on my property. I will 11.❑Elecirical repairs or additions ensure that all contractors either have workers'compensation insurance or ar12 e sole 'yam Piumbi�g repairs or additions proprietors with no erriplbyees. 5.❑I am a general con"etor�and I have hired the sub-contractors listed on ur the attached sheet. 11E]Ro6£repairs These sub-contractors have employees and have workers'comp.insance.t 14.E]Other 6.Q We are a corporation and its,officers have exercised their right of exemption per MGL c. 152,§1(4),and'wehave no employees:[No workers'comp.insurance required.] *Any applicant that checks box#]must also fill.out the section below showing their workers'compensation policy information: 1 Homeowners who submit•this affidavrt indicating they are doing all work and then hire outside contractors must submit anew affidavit indicating such Contractors that check this Box musti aitaclied an additional sheet showing the name of the sub-contractors and state whether or not fhose,entities have employees. If the sub contractors have employees,they must provide their workers'comp.policy number. X am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Expiration Date: Policy#or Self-ins.Lie.#: City/State/Zip: Job Site Address: Attach a copy Of the woxkers' compensation policy declaration page(showing the policy number and expiration.date). Failure to secure coverage as required a d iviM 0-00 enalties?in the form of criminal OPiWORK ORDER and a fine f up to $2olation punishable by affibup to 50.00 a and/or one-year imprisonment,as well p be forwarded to the Office of Investigations of the DIA for insurance day against the violator.A copy of this statement may coverage verification. X do hereby cern under the ins and penalties ofperjury that the information provided above is true and correct. Date: I Si ature: Phone#: Official use only. Do not write in this area,to he completed by city or town official. Permit/License City or Town' # Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Phone#• Contact Person• SilentFax Qa Jackson Mar 02, 16 11:07 From:Janet Maglia To: 19786889542 Pagel on fm AM& NIMAW I= am Calligom som 111110 1101 imV KITCHEN DESIGNS Facsmile Cover Sheet This message is intended only for the individual or entity to which it is addressed and may contain information that is privileged confidential or exempt from disclosure under applicable Federal or State law.If the reader of this message is not the intended recipient or the employee or agent responsible for delivering the message to the intended recipient,you are hereby notified that any dissemination distribution or copying of this communication is strictly prohibited.If you have received this communication in error,please notify us immediately by telephone and return the original message to us at the address below via regular U.S.mail. Thank you. RE: DATE I TI M E: PAGES Mar 02, 16 11:07 2 TO FROM Janet Maglia COMPANY COMPANY Jackson Kitchen Designs FAX NUMBER FAX NUMBER 19786889542 19786857771 URGENT FOR REVIEW PLEASE COMMENT PLEASE REPLY PLEASE RECYCLE COMMENTS ATTN: BRIAN LEATHE Hi Brian, I am working with the Coletti's (117 Cotuit Street in North Andover) and Tanya has requested I forward you their kitchen floor plan. If you have any questions, please don't hesitate to contact me at 978-423-6829 Thank you Janet Maglia SilentFax Qa Jackson Mar 02, 16 11:07 From: Janet Maglia To: 19786889542 Page 2 _>7: 212;; 2411 40;" 122:" C.4BIC0 ESSENCE 24" 4" G" 15" 15" ." FRAMED CABINETS'I 9 3 •I 40 UPrRADE TO FRAMED DRAWERS 3 SOFT CLOSE DOORS COLOR:L4T1 E MAPLE..-000H OP IION GI HE 110 �V4;ZJ3. Q24 a7.: G.H..Y'tl.5" -- HAN GIFT 4T K7"�14ITH SMALL GROWN) UMASIiA01 SY FOR SHADE B__^4�'B li\Y_•':;: BF .".L BISL B3D IS DMi(:R'Np4.SG FOR CRO1b'N i- ........ .. ............................... ...... .. .. . .... 1=NrH 2 ROLLOUT—,BAYS N ' ® 2-BCOKG.AM-MODIFIED 1051.!Or PER.",H.4NNOW?CAWC01 3-b/IIY.SINGLE PULLOUT I"RASH OP-SOW 4-WfTH FLUSH TOE KICK MODEL C MB20/C N EPDI1;PIMY,701 EHDISP239701 B24P1a - ' m b�idG1524 , :el3':R Nt'I .YL 122€" 24' -30" 24°� 36" •--...... 121 n" 122= 243" All dimensions size dexigila iO _ � l ns T.TSA TORRTST This i.all(11i_i»al design and t»usl Designed: I/27/201f given are subject to verilicaLion on JACKSON not be released or copied unless Printed:2/1/2016 job site and adjustment to lit job K1TC11EN applicable Ice has been paid or job conditions. DIs'SIGNS order placed. COLLETT-KTTCHEN vi-FTNAL JAII Drawing#: I Scale:0 1/4"= I it yvUl ui Nunn Hnuum 'ayment Date Wednesday,March 02,2016 )eposlt Number 1603021 )perator Counter pc 1 ICR(MISC DEPT REVENUE) $190.00 'otal Paid $190.00 :ash $190.00 :hange $0.00 tecelpt Number gov00004571 /2/2016 9:52:21 AM lame BUILDING/FRAME PERMIT FEE-117COTUIT ST ,ashier Id. treascoll-17 f '