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Home My WebLink AboutBuilding Permit #609 - 119 OLD FARM ROAD 5/12/2009 BUILDING PERMIT Olt"O oT"qti TOWN OF NORTH ANDOVER o? b�.., _� �° APPLICATION FOR PLAN EXAMINATION '' t '° OIL = ey Permit NO: Date Receivedp0gA7lD,Pp ACH�15�� Date Issued: 2 a IMPORTANT:Applicant must complete all items on this page LOCATION'' Print 60,0 PROPERTY OWNER �� a r rt / Print MAP NO: 3 PARCEL: Z-- ZONING DISTRICT: Historic District yes ng Machine Shop Village yes no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential New Building ane family Addition Two or more family Industrial Alteration No. of units: Commercial --Repair, replacement Assessory Bldg Others: -Demolifion Other Septic Well Floodplain Wetlands Watershed District Water/Sewer DESCRIPTION OF WORK TO BE PREFORMED: k4 t-e Identification Please Type or Print Clearly) OWNER: Name: Phone: 9' k&, 2&S-S Address: CONTRACTOR Dame: /SIA u c4,.T-- Phone: 5 �` Address: Sr?— Supervisor's Construction License: "Z&d CS Exp. Date: �zo� Home Improvement License: .,31 /l`3 Exp. Date: /lzbtlla 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 Cost: $ Wi t? -1�'7-67 � -V FEE: $ Check No.: 0 Receipt No.: (2 NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund r ignature of Agent/Owner _ Signature of contractor 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 L ,COMMENTS 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 i 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 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 j ❑ 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 j 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:INSPECTIONAL SERVICES DEPARTMENT:BPFORM07 Revised 2.2008 NORTH TO" , of : over No. �► 0 dower, Mass., C T LAKE I� OCHICMEWICK y 7�S RATED pPa` �C BOARD OF HEALTH Food/Kitchen PERM T T D Septic System BUILDING INSPECTOR THIS CERTIFIES THAT.................................................................../�......�......... .... ........................ .. ........................... Foundation has permission to erect................. .................... buildings n ........�...... ... 1{ '.'�1.....'....` .................................. Rough �/ \� � 2� t0 be OCCUpled as....................................................... ......... Chimney ....... . .. ..................................................................................... provided that the person accepting this permit shall in every res ect 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 CONSTRUCTIO TART Rough ...................................................................... ..................................... Service BUILD G 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. General Contractor ESTIMATE Contractor/Supervisor Lic. # 065280 Joe Blanchet Home Improvement Lic. # 145193 124 Lake Street Fully Insured Haverhill, MA 41832 978-994-6134 Date of Estimate: May 12, 2009 Client Name: Jeff&Rosemarie Buxton Job Location: same Address: 149 French farm rd. N.Andover Ma Phone: 978-683-7055 Description of Work: remodel 2nd floor bathroom Remove tub sheetrock around tub area. Install new tub and dura rock on walls and put corian up. Remove tile on floor and plywood under tile. Install 1/2 dura rock on the floor and then tile. Remove and reinstall new vanity with sink Install medicine cabinet. Remove and install new toilet Painting: paint walls 2 coats Debris: A.B. Custom Carpentry will responsible for removal of all debris into rental dumpster. Permits: Permits needed for construction are: building and plumbing Owner Responsibilities: supply all fixtures paint tile and grout Additional Work: Any alteration or deviation from above specifications involving extras or vendor price increases will be discussed and will become an added charge over and above the estimate. Work performed at$55.00 per hour/per man Laborers will be$22.50 per hour/per man. Total Cost of Estimate: $5300.00 Payment: dep t ' re uired before work can be started. Starting payment will be %2 of 1 ent due after final inspection. Tii qlllowc) H&e6jrs ignature/ Date G� �' Z�sG' 2lij J BJilofBuimg elgulatioi(s an tana-rds HOME IMPROVEMENT CONTRACTOR Registration: 145193 Expiration:" 12/22/2010 Tr# 280465 lug t Type Individual JOSEPH BLACHET JOSEPH BLANCHET 124 LAKE ST. h ATKINSON,MA 08311 Administrator - _ � �tce tir omnzoouueal/.� ✓�aaaac�u�aelta I Board of Building Regulationd and Standards Construction Supervisor License License: CS 65280 Birth8a'te.'9/20/1963 E pirat+ori 9/20/2009 Tr# 7199 !� Fjtestriction 00't;' JOSEPH G BLANC�IT$ 124 LAKE ST HAVERHILL,MA 01852 - } Commissioner Location /Ow No. Date 1016 NORTH TOWN OF NORTH ANDOVER Certificate of Occupancy $ s„CNUS Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # 7 221 / 5 building Inspector