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Home My WebLink AboutBuilding Permit #836 - 127 BEVERLY STREET 6/19/2007 i BUILDING PERMIT OE NORT/�/011 TOWN OF NORTH ANDOVER c? APPLICATION FOR PLAN EXAMINATION 4 Permit NO: Date Received ��'� • °`"`""' 9SS�CHU Date Issued: IMPORTANT: Applicant must complete all items on this page s w�e Wit- TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building ❑ One family ❑ Addition 0 Two or more family 0 Industrial 0 Alteration No. of units: 0 Commercial .Repair, replacement 0 Assessory Bldg 0 Others: 0 Demolition ❑ Other DESCRIPTION OF WORK TO BE PREFORMED: L-c c v Identification Please Type or Print Clearly) OWNER: Name: Phone: 3� Address: -7 AJ.rh4- in 6-v-1111, r rn < . MID s r : 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: $ Pq 4l 06_ yd FEE: $ Check No.: 1306, Receipt No.:c�03/S NOTE: Persons contracting with unregistered contractors do not have access t the guarantyfund � )Mrsx ., Ax..asxvb,vin. Location No. Date �a�TM TOWN OF NORTH ANDOVER ' Certificate of Occupancy $ �'s •E<� MuBuilding/Frame Permit Fee $ ncs Foundation Permit Fee $ Other Permit Fee $ TOTAL $ ti Check # 3U 2031 Building Inspector Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ TYPE OF SEWERAGE DISPOSAL Public Sewer ❑ Taming/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 DATE REJECTED DATE APPROVED CONSERVATION ❑ ❑ COMMENTS DATE REJECTED DATE APPROVED HEALTH ❑ ❑ COMMENTS b 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 Located at 384 Osgood Street �yy$ , 0' 'r � F •1t� R��,3 .��#. 4 „�#� `�� r. y ,gym 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 I i i ❑ Notified for pickup - Date Doc.Building Pennit Revised 2007 J 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 Co Of H Copy .I:C. An d/Or C.S.L. Licenses ❑ Copy of Contract ❑ Floor Plan Or Proposed Interior Work ❑ Engineering Affidavits for Engineered products li 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 t 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 1� must be submitted with the building application Doc:INSPECTIONAL SERVICES DEPARTMENT:BPFORM07 j Revised 2.2007 i The Commonwealth of Massachusetts Department of Fire Services ®ice of the State Fire Marshal O.Box 102i,SL Roadd,Stow,MA 017 5 PERMIT Date: North Andover TermtitNODig Safe Num er (City:of Town) If licable) ( PP In accordance with the provisions of M:G.L_j LF$,Gha/g�.ter 10 as provided in senSction 5?7 f'MR 34 Start Date / This.Perinit is-granted to:. N a ll''/ /.\ �D S � ®) S `fid a.,) Full name ofpersori,Firm or Corporation Pemxissiotito locate dumpster for construction/renovation/demolition of building. Comments dumpster must . be . 25 ` from structure if unable to place with required Restiictions:clearance dumpster must be covered with plywood or tarp end of 'work -day at ('Give location by street and no.,or describe in such mariner as to provicd adequate identification of location) FecPaid$ 50.00 Fire Chief This Permit~rill expire Ia -I /0 (Signa e of offica granting pe t) Offlcal gmnting.petmit (Title) NORTH Town of No. 8 _ o dover, Mass., h- OCOCMICMEWICK 7�AC)RATED P'P�`y�� '9S BOARD OF HEALTH PERMIT - T D Food/Kitchen Septic System - BUILDING INSPECTOR THIS CERTIFIES THAT ��.IA..... . ....................................... �................. .......................................................... Foundation has permission to erect........................................ buildings on ..�Q!............t��......�ru .. ......... Rough to be occupied as.........sS .P.. . --e. a...... ........ ............C..4�!. ....�?Q1!1��4.�.... . ........... ...... .. Chimney provided that the person accepting this permit shall i very respect conform to the terms of the appl�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 I � / ELECTRICAL INSPECTOR UNLESS CONSTRUC T S 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. The Com II monwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 www massgov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Awl cant Information tubers Please Print epjblv Name(Business/Organization/Individual): `J Address: 54 City/State/Zip:_ 1_Q , I Phone#:_ 978 X79 �2�5�1 Are you an employer?Check the appropriate box: 1•❑ I am a employer with 4. ❑ I am a general contractor and I Type of project(required): 2.IN�•�•, employees(full and/or part-time).+ have hired the sub-contractors 6• ❑New construction I am a sole proprietor or partner- listed on the attached sheet.2 ship and have no employees �• ❑Remodeling workin for me in an capacity. Workers hcom tractors have g any ty. g C]Demolition [No workers'comp. ' P insurance. p Insurance 5. ❑ We are a co 9 El Building addition required.] Iporation and its officers have exercised their 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work right of exemptible per MGL 11.❑Plumbing repairs or additions myself.[No workers'comp, C. 152 1(4), insurance required.]t em loy ees. ),and we have no 12,❑Roof repairs P Y [No workers comp.insurance required.] 13•❑Ot 'Any applicant that checks box#1 must also fill out the section blow showing their workers'co t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must s tContrdctors that check this box must attached an additional sheet showingthe mpensatron�1_icyin-fonnatinen�7 �� nam ubmit a new affidavit indicating e of the sub�on mg such. tractors and their workers'comp.policy information. !fo an employer that is providing workers'compensation insurance far my emp/oyee& Below is the policy and bb site information. Insurance Company Name: Policy - #or Self ins.Lic. 5 U _7 Expiration Date: Job Site Address. Attach a copy of the workers'compensation olicy declaration Page(showingI�hetoliclpnu f,rl,n ��.,rld��eA Failure to secure coverage as required under Section 25A of MGL 1? 152canlead to the impositionY mber and expiration date). fine up to$1,500.00 and/or one-year imprisonment,as well as civil of criminal penalties a a Of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded of a STOPWORK ORDER and a fine Investigations the DIA for insurance coverage verification. d to the g nficatton. Office of !do hereby ee fy under the sins and enalties o p p fPeriury that the in ormati f on provided above is true and correct. Si na Da e: d Phone#: F[,alnly*only. Do not write in this area,to be completed by city or town offlciaL n. Permit/License# ority(circle one): Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector son• Phone#: I .. .. n 0 a .. 0 a u u i now Michael St. Jean Remodeling Quality Home Repair Michael St. Jean Workman's comp as well as Liability insurance Ma. Registration number132683 Home improvement contractor number 148582 Construction supervisors license number 80582 Phone number 978-479-2154 Contract for Molly Tannatt 127 Beverly St. N Andover Ma... Phone- (978) -682-0738 Roof Contract We will provide labor and material to complete the following Strip existing two layers on main house and garage, Roughly 30 squares.(3,000 sq feet) Install 8 inch drip. Install ice and shield to all edges and valleys. Install tar paper. Install 30 year architectural shingle to main house. Clean area up completely. Dispose of all old roof material. Any needed plywood will be an additional cost of$50.00 per sheet Additional work: Remove existing slider. Frame and install a nine light 36"rear entry door. Repair any rotted sheathing on garage exterior. Wrap garage with tyvek paper,tape all seems. Build out trim where needed. Install pre primed cedar clapboards to garage exterior. Total labor and materials $14,480.00 Down payment$4,350.00 ?0 ;^x- 1� � Jt,- Payment due upon completion of 50%of roof$5,065.00. Payment due upon completion of roof$2,533.00 Payment due upon completion of job$2,532.00 A;N ../�2G V(/�/➢?/I%7.6'IGGI/2{ll O�� Q/.l'1(d/'6LtIdF r` 1 �''.0 tr,�nr itcgulaluinsi HOME' Or _U__ ` P.e istration. 148581 1 Dgbirstiow 1.0/6/2007 Typo: DBA ST JOHN REtv10D�� Iti`� . iCi ST 2 �• fJ LC MF`Oi°52 Aqui>i�i t � �lze loa7x7n�G.�tvCw�UL® o�✓/�ltzy 12ttku;/ Oe��6 -Board of Building Regulations and Standards Construction Supervisor License License: CS 80582 Birthdate: 2/15/1974 Expiration: 2/1.5/2009 Tr# 12298 Restriction: 00. MICHAEL A ST JEAN 15 GRAFTON ST LOWELL,MA 01852 Commissioner