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HomeMy WebLinkAboutBuilding Permit #308 - 124 BOSTON STREET 11/3/2008 BUILDING PERMIT ° NORTH TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit NO: Date ReceivedORATED Arno ��SSACHl1`��C Date Issued: �/ Q IMPORTANT: Applicant must complete all items on this page LOCATIec Print PROPEWNER °"� 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 Addition Two or more family Industrial Alteration No. of units: Commercial Repair, replacement Assessory Bldg Others: Demolition Other Septic Weli Floodplain Wetlands Watershed District Water/Sewer DESCRIPTION OF WORK TO BE PREFORMED: e w&rI VQ.( c!"1, V="y ,�4 2� a 1, 166!-" ca(&= C to �- 4- c Identification Please Type or Print Clea ly) OWNER: Name: A a, ak ck taPhone: Address: CONTRACTOR Name:_ T 624ACjod.eS Phone: y _ - Address: c"x i' �14_9 1A iAAA 0 tX(ItA y Supervisor's Construction License: r S 5-Z-1 g2—_Exp. Date: :3 —2.6&2! Home Improvement License: Exp. Date: to - -- t a 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: $ z q-. k7- FEE: $ ��• ° Check No.: Receipt No.: / 65�P, NOTE: Persons contracting with unregister d contractors do not have access to the guarantyfund of Agent/Owner Signature of contractor Z, - Location /A /-// --�T No. Date d � r - MORTq TOWN OF NORTH ANDOVER O:t•• a .•,hG 9 Certificate of Occupancy $ Building/Frame Permit Fee $ ncNus Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # / 6 216514 Z, BuilcA Inspector 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 I 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 Siqnature 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 it 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 1 i 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:INSPECTIONAL SERVICES DEPARTMENT:BPFORM07 Revised 2.2008 I NOTICE OF ASSIGNMENT EMPLOYER: COMBO I.D. STATUS OF EMPLOYER DIMITRIOS KARAGIORGOS DBA DIMITRIOS 000406388 Individual KARAGIORGOS HOME IMPROVEMENT 44 WEST ST COVERAGE GROUP METHUEN, MA 01844 0406388 Coverage under this assignment The Waiver of Our Right to _-applies to Massachusetts Recover from Others Endorsement operations only. For coverage is available on Pool policies. outside of Massachusetts, contact Contact your agent for details. the appropriate Pool or Plan for that state. AGENT ARMAND P MICHAUD INS AGENCY INC INSURANCE COMPANY: OR 105 HAVERHILL ST GRANITE STATE INS CO PRODUCER: METHUEN, MA 01844 RESIDUAL MARKET OPERATIONS P 0 BOX 409 PARSIPPANY, NJ 07054-0409 (800) 645-2259 AGENCY FEIN:042 91337 8 CLASSIFICATION OF OPERATION CLASS ESTIMATED RATE ESTIMATED CODE TOTAL ANNUAL PREMIUM REMUNERATION ------------------------------------------- ----- -------------- ---------- ---------0 CARPENTRY-DWELLINGS - THREE STORIES OR LESS 5651 $0 6.80 $ CARPENTRY NOC 5403 $0 11.46 $0 CARPENTRY-DETACHED ONE OR TWO FAMILY DWELLINGS 5645 $0 6.80 $0 EMPLOYERS LIABILITY 100/100/500 9845 STANDARD PREMIUM LOSS CONSTANT 0032 $50 EXPENSE CONSTANT 0900 $159 TERRORISM CHARGE 9740 $0 RISK MINIMUM PREMIUM 0990 $500 TOTAL POLICY MINIMUM PREMIUM $500 TOTAL ESTIMATED PREMIUM $500 DIA ASSESS. 6.3% $0 TOTAL EST. PREMIUM PLUS ASSESSMENT $500 INSTALLMENT BASIS: Annual DEPOSIT PREMIUM: $500 THIS IS NOT A BILL COMMENTS Coverage effective 12 :01 AM on 10/15/08 Subject to 08/11 Anniversary Rate Date. Coverage under this Notice of Assignment applies to the captioned entity only. If coverage is required for an additional entity, the employer must submit an application, check, and an ERM to the Pool for the additional entity. 1 ' The Workers' Compensation Rating and Inspection Bureau of Massachusetts 101 Arch Street- Boston, MA 02110 (617)439-9030 - FAX(617)439-6055 •www.wcribena.org Dizmilri"Karagiorg"Some lmprovenmzt 44 West Street Methuen,MA 01844 (97S)61S-8OS3 Contractor is responsible for securing all permits. All home improvement contractors are registered and inquiries about a registration should be directed to: Registration Division, Program Coordinator One Ashburton Place Room 1301 Boston, MA 02108 Tel: (617)727-3200 ext. 25239 Homeowner has a three day cancellation policy under MGL c 93 s48; MGL c 142A. Total Cost of all labor and materials is $27,425. $8,000 is due upon signed contract. $5,000 is due upon starting. Payments will be made as job progresses. Final payment is due upon completion of the work. Respectfully Submitted; Dimitrios Karagiorgos Acceptance of Proposal The above prices, specifications, and conditions are satisfactory and are accepted. Ihmitrlos KarWiwgosSomelmprovement is authorized to do work as specified. Payment terms are accepted and will be made as outlined above. DO NOT SIGN THI C T. C r THERE ARE ANY BLANK SPACES Signature r 1U Date Customer Signature A Ij _.. Date Dimitrios Karptorg-o s Art Vaughan Siding Page 2 of 2 Dimitrios Karagzorgo8 Rome Improvement 44 West Street Methuen,M®01844 (978)618-8085 MA Contractor Registration ID: 161448 MA Construction Supervisor's Icinese Joseph Shelzi 10679 September 21, 2008 To: For work performed at: Art Vaughan Same 124 Boston Street North Andover, MA We hereby propose to furnish materials and labor for the completion of the following work: Specifications Existing siding and all corner trim boards will be removed. Necessary facer trim boards will be repaired if rotted. House will b prepared with Tyvek-and '/" insulation board. House will be completed with vinyl siding and customer will choose color. All trim will be covered with aluminum, except door trim and garage door trim. These areas will be completed with Azek trim board. New construction windows will be installed. Windows will be completed from inside with 2 '/" pre-primed colonial casing. Customer is responsible for completion of paint. Contractor will arrange for gutter company and garage door company. Customer will pay these companies directly and the price is not included in this contract. All debris will be removed by contractor. Insurance and permits will be responsibility of contractor. Silverline made by Anderson vinyl. 1 door 2'6"X6'6" left hand swing 1 door 2'6"X6'6" right hand swing 1 door 3'0"X6'8" left hand swing 1 door 2'8"X6'8" left hand swing All doors will be six panel PVC thermal thru with aluminum adjustable threshold. Matching corners $160 which included in new price. Work will begin by November 4, 2008 and work will be completed by December weather permitting. Art Vaughan Siding Page 1 of 2 ✓lie V�am�moryuuea�.� o�✓�aaaac�ucae%t Board of Building Regulations and Standards HOME IMPROVEMENT CONTRACTOR kegistti is; 161448 Expiration 1'0/20Y2010 Tr# 276514 DBA DIMITRIOS KARAGIORGOS IO�VIE IMPROVEMENT DIMITRIOS KARfCGIOR05 �f 44 WEST ST ; METHUEN,MA 01844 Administrator . 4 � a. Board of Buil dipg Regulations ant_ E GonstrUctiOn Supervis©.License- p c, Lcese CS 52182 a f R�tBld2Ete _332011954 i -02009 Tr# 10679 " .' a t JOSEPH SHELZI� 1, PU BOX 18069 �.a;tOixi' MA-Q211$ Commissioner � b h t4o Town of Andover No. 3OR 7 WIT-- o� dover, Mass, 0 - L A COCHICHEWICK S BOARD OF HEALTH Food/Kitchen PERMIT T D , Septic System BUILDING INSPECTOR THIS CERTIFIES THAT............ �4 ./...................................................... ............................... ............................ Foundation has permission to erect.......... buildings on ... .1-Ayte).1y........ ............................I.... Rough ... ...... ........... 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 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 UNLESS CONSTRUCTIONELECTRICAL INSPECTOR STARTS Rough ......... Service 0IN 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.