The URL can be used to link to this page

Home My WebLink AboutBuilding Permit #0809-2017 - 148 MAIN STREET 3/1/2017 �� a o��No oT6��' BUILDING PERMIT TOWN OF NORTH ANDOVER ° i APPLICATION FOR PLAN EXAMINATION - Permit NO: � � . Date Received '� ;y« '] Date Issued:03 �9SSAC HUS��0 l � IMPORTANT: Applicant must complete all items on this page LOCATION 148 MAIN STREET, FOSTER 243 e Print PROPERTY OWNER 148 MAIN STREET FOSTER 243 REALTY TRUST p Print MAP NO: 40 PARCEL: 244 ZONING DISTRICT:�Historic District yes no Machine Shop Village yes no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building ❑ One family ❑ Addition VTwo or more family ❑ Industrial ❑Alteration No. of units: CONDOMINIUM UNIT ❑ Commercial B Repair, replacement ❑Assessory Bldg ❑ Others: .V Demolition ❑ Other ❑ Septic ❑ Well ❑ Floodplain ❑Wetlands ❑ Watershed District VJ Water/Sewer REMOVAL OF EXISTING CABINETS, APPLIANCES AND REPLACEMENT WITH NEW CABINETS GRANITE COUNTERTOPS, APPLIANCES AND PAINT WALLS. Identification Please Type or Print Clearly) OWNER: Name: 148 MAIN STREET, FOSTER 243 REALTY TRUST Phone: (978) 685-0548 Address: 148 MAIN STREET, FOSTER 243 REALTY TRUST(JULIE RACICO, TRUSTEE) CONTRACTOR Name: (617)354-7580 Phone: CELL(617)438-9202 C.J.MABARDY, INC. Address: 50 MOONEY STREET, CAMBRIDGE, MA 02138 x Supervisor's Construction License: KENNETH S. RACICOT Exp. Date: CS-107483 07/14/2017 Home Improvement License: Exp. Date: ARCHITECT/ENGINEER Phone: ;, r 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: $ 10,500.00 FEE: $ 126.00 Check No.: - l 9-:: Receipt No.: 7/ < = NOTE: Persons contracting with unregistered contractors do not have access to the guaranty d Signature of Agent/Owner . Sa,4q Ale,-Vianature of contract A � r 4 BUILDING PERMIT f J_F , ��',fLED ,6'9� TOWN OF NORTH ANDOVER 0 APPLICATION FOR PLAN EXAMINATION '-* Permit No#: Date Received SsgCHU Date Issued: WRORTANT:Applicant must complete all items on this page ', � . ..{. y-,:,µ'._Vi - 'j,y i •.'.�"' .f-.r:ti L'---�+ 4 " :^1+;.:w,dY}"�',��'S��w.T_'"'.a-.+ "�-":;•f..l-..'^,r-+--+.-�err.G-♦.-.Z.. LOCATION "?,.I 4• eatn »v.xr w rr_.w�- •ryT' st oxh+ t- ePnnty :f � 1DO:Yr�Sc#ure r yes, no MAF :. PARCEL•wZONING DISTRICT:: HistorictDsttict{• ye no Machine Sho' Villa e es 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 ElAssessory Bldg ElOthers: ❑ Demolition ❑ Other ❑ Septic Well 0 Floodplain Wetlands 0 Watershed District - .Water/Sewer.. DESCRIPTION OF WORK TO BE PERFORMED: Identification- Please Type or Print Clearly' OWNER: Name: Phone: Address: Contractor Name:° Phone:: F . Address.-. - . a_ Supervisors Constrdction License:- __ _ - .. . _:_. Exp. Date: LH- eme Improvement License: Exp: Date:: . _ ARCHITECT/ENGINEER Phone: k Address: Reg. No. FEE SCHEDULE.BULDING PERMIT.$9200 PER$9000.00 OF THE TOTAL ESTIMATED COST BASED ON$925.00 PER S.F. ,Total Project Cost: $ FEE: $ Check No.: Receipt No',_ NOTE: Persons contracting with unregistered contractors do not have.access to the guaranty fund S_ignatur&b___A_ yentlOwner" Signature of contractor; Plans Submitted ❑ Plans Waived Certified Plot Plan ❑ Stamped Plans ❑ F._TYPF-OF SEWERAGE DISPOSALlic Sewer ❑ Tanuing/MassageBody Art F] Swinuning Poolsll ❑ Tobacco Sales ❑ Food Packaging/Sales ❑ Private(septic tank,etc. ❑ P ❑ ermanent Dumpster on Site THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM PLANNING & DEVELOPMENT Reviewed On Signature— .COMMENTS ignature_.COMMENTS CONSERVATION Reviewed on Siqnature COMMENTS I HEALTH Reviewed on Signature COMMENTS i Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes I Planning Board Decision.- Comments e 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 i;Of�,�;:e1EfVTS C limension 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 DANCER ZONE LITERATURE: Yes No MGL Chapter 166 Section 21A—F and G min.$10041000 fine NOTES and DATA — (For department use) i I I ❑ Notified for pickup Call Email I -w- ate Time Contact Name Doc.Building Permit Revised 2014 St: r Building Department The following is a list of the required forms to be filled out for the appropriate permit to be obtained. r Roofing, Siding, Interior Rehabilitation Permits o Building Permit Application o Workers Comp Affidavit o Photo Copy Of H.I.C. And/Or C.S.L. Licenses o Copy of Contract ❑ Floor Plan Or Proposed Interior Work o Engineering Affidavits for Engineered products N®TE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit Addition Or Decks o Building Permit Application o Certified Surveyed Plot Plan o Workers Comp Affidavit o Photo Copy of H.I.C. And C.S.L. Licenses o Copy Of Contract o Floor/Cross Section/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (If Applicable) Mass check Energy Compliance Report (If Applicable) o Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit New Construction n tructlon (Singlc and Two Family) o Building Permit Application o Certified Proposed Plot Plan o Photo of H.I.C. And C.S.L. Licenses o Workers Comp Affidavit o Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (If Applicable) o Copy of Contract o Mass check Ener Compliance Energy pl ance Report o Engineering Affidavits for Engineered products COTE: 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 Location F No.0 t6o Date 6) . - TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $ .,... Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check# � f _ j rD Q-4bRuiIIdfin'.gnspector 5 v i % t� i Enter construction cost for fee cal - North Andover Fee Calculation Construction Cost $ 105500.00 m $ - $ 126.00 Plumbing Fee $ 15.75 Gas Fee 100 comm. $ 100.00 Electrical Fee $ 15.75 Total fees collected $ 257.50 148 main Street 243 F 809-2017 on 3/1/2017 kitchen remodel NORTH Town of _ �� aAndover . No. �o h ver, Mass, [OCMICHRWKw y7' x,95 RATED U BOARD OF HEALTH Food/Kitchen PERMIT LD Septic System THIS CERTIFIES THAT .$4&I..M**Ae... , ., BUILDING INSPECTOR has permission to erect .............. buildings on ...........�,'t , Foundation Rough tobe occupied as .... r ......................................................................... Chimney provided that the person accepting his 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 CONST ION Rough Service ................... ..... Final BUILDING INSPE OR GAS INSPECTOR Occupancy Permit Required to Occupy Building 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. O ` C. J. MAI)AQDY INC. GENERAL CONTRACTORS EXCAVATORS OFFICE & STOCKPILE 1 PLANT 50 MOONEY STREET LJLOne & ClrocesseC1 ravel] WINCHENIDON,VER S TREET CAMBRIDGE, MASS. 021 38 MASS. 1:11475 (61 7) 354-7580 WWW.CJMABARDY.COM (978) 297-1 144 FAX# (61 7) 864-9057 FAX (978) 297-1964 CONTRACT AGREEMENT February 28, 2017 Contract To: Julie B. Racicot, Trustee 148 Main Street, Foster 243 Realty Trust, North Andover, MA 01845 Scope of Work: The demolition of the existing Kitchen Cabinets, including the disconnection of the sink and dishwasher. The installation of new Kitchen Cabinets, installation of Granite Countertops and wood laminate flooring to replace vinyl flooring. Estimated Cost: Kitchen Cabinets — JSI Dover Maple Shaker Style Doors Painted White - $ 3,437.00 F&I Granite Countertops as per Drawing # 1 dated 2/24/17 - $ 1,377.00 Demolition and Removal of Existing Cabinets from Project Site - $ 1,250.00 Plumber Disconnect & Re-Connect under-mount Sink and Dishwasher— 575.00 New Kitchen Cabinets & Trim Installation - $ 2,500.00 New Wood Laminate Flooring 6' x 10' Area - $ 975.00 New Kitchen Cabinet Hardware - $ 260.00 a Building Permit Fee - $ 126.00 TOTAL CONTRACT AMOUNT - $ 10,500.00 Payment is to be made no longer than thirty days from the approves invoice amount. Submitted By: James Ganiatsos Project Manager I accept the above Contract Terms & Conditions and Contract Amount. ACCEPTED BY: Jul' . Racicot Trustee February 28, 2017 i 0 IEIII i an® ®®® I csr ° D Note:This drawing is an artistic Designed:2/24/2017 Interpretation of the general rEcn LOGIE; Printed:2/24/2017 appearance of the design.it is not meant to be an exact rendition. RONNTENANDOVER Aft _�[haw3- ng#:j�� i f f 7�L M........ v� TrOL � Note:This drawing is an artistic /�.(��/� Designed:2/24/20171• interpretation of the general ,EEHNplOG1E5 a� Printed:2/24/2017 appearance of the design.it is not meant to be an exact rendition. f RONNIENANDOVERgrawing#_ 1.�� ' 10311 o f W33183W 318 W3318 1 0 M { M LL M LL B27B SB27B 24.DISHW B24B i 10611 W2730B W3018B W1230f W3315 i B27RT 30-RANGEI B12R 33R-REF 2 - ROLLOUT TRAYS FOR PANS Ali dimensions-size designations ' This is an original design and must Desi given am subject to verification on rec oioA.ciss .� not be releasod or copied unless pr d?2j2/24/2017 job site and adjustment to flt jab applicable fee has been paid or job --- conditions, order placed. RONISITHNANDOVBR Ail Drawing#: i No Scale. The Commonwealth of Massachusetts Department of IndustrialAccidents 1 Congress Street, Suite 100 Boston,MA 02114-2017 3 www mass.gov/dia Workers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information Please Print Legibly Name (Business/Organization/Individual): C.J. MABARDY, INC. Address: 50 MOONEY STREET City/State/Zip: CAMBRIDGE, MA 02138 Phone#: (617) 354-7580 Are you an employer?Check the appropriate box: Type of project(required): 1.&gI am a employer with 75 employees(full and/or part-time).* 7. ❑New construction 2.❑I am a sole proprietor or partnership and have no employees working for me in 8. VRemodeling any capacity.[No workers'comp.insurance required.] 9. ❑Demolition 3.❑I am 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 ensure that all contractors either have workers'compensation insurance or are sole 11.❑Electrical repairs or additions proprietors with no employees. - 12.❑Plumbing repairs or additions 5.❑I am a general contractor and I have hired the sub-contractors listed on the attached sheet. 13.❑Roof repairs These sub-contractors have employees and have workers'comp.insurance.$ 6.❑We are a corporation and its officers have exercised their right of exemption per MGL c. 14.w Other REPLACE KITCHEN 152,§1(4),and we have no employees.[No workers'comp.insurance required.] CABINETS *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. #Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer tl:at is providing worlreis'compensation insurance for niy employees. Below is the policy and job site information. Insurance Company Name: AIM MUTUAL INSURANCE COs Policy#or Self-ins.Lic.#: AWC40070296162016a/ MA Expiration Date: 09/01/2017 Job Site Address: 148 MAIN STREET, FOSTER 243 City/State/Zip: NORTH ANDOVER, MA 01845 Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under MGL c. 152,§25A is a criminal violation punishable by a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby cXET�H er th rrsAnd et ties er'ur that the information provided above is true and correct. Signature: S. RACICOT. GENERAA MANAGER Date: MARCH 01, 2017 Phone#: (617)354-7580 Official use only. Do not write in this area,to be completed by city or town official. City or Town: Permit/License# Issuing Authority(circle one): ; 1.Board of Health 2.Building Department 3.City/Town Cleric 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: Massachusetts -Department of Public Safety o Board of Building Regulations and Standards Construction Supen-isor License: CS-107483 KENNETH RACICOT 450 MAIN STREE'i' North Andover NR 01845 f, Expiration Commissioner 07/14/2017 s; r ———_.-----._. Certificate of Completion Continuing Education Credits This is to Certify Thati4�W AJ e, eiq r eoi CS# — % 0 7 ,V93 shas successfully completed 12 hours of Continuing Education Requirements y Residential Requirements of the 2015 Energy Code-CS-o5o1, y Code Review,IBC(International Building Code), CS-o5o2 Code Review,IRC(International Residential Code-CS-o5o2 i Understanding the International Existing Building Code, CS-o5o5, Understanding the Building PermitApplication Process-CS-o5o7, Worker's Compensation and Lead Safe Practices-CS-o5o6, OSHA10 Hour-CS-o5oo as required by the State of Massachusetts oV GREATER BOSTON y CODE CONSULTANTS Trainer, Peter J. McLaughlin Date of Com letion Course ID: CSL-CD-oo05 December 4, 2016 Keep this for your records There is a $25.00 for duplicate certificates _._ '�•—•—•—•—•—._._.—._i_._.�yaimiyi�.�i_un�i�iii�viiiii�iii�/ii��/iii/i/i%/I��l/�/�/�/l////�/�/�/�/l/�//lI d