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Building Permit #557-13 - 157 LANCASTER ROAD 2/6/2013
TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit N0: Date Received i Date Issued: IMPORTANT: Applicant must complete all items on this page r LOCATION' /5"7 Lc1.�✓r' i �_ce _ - .�_ - P_rin . ti4 PR©PERI`�Y�tQWNER- Gc.K vV _Ta ,)k_. __el o TO . 100•Year�Qld structure. yesnno,-,, `MAPiNOi,' PARCEL: ZONING1pISTRICT; 4HistoricQ§tnct. yeMachineSh age eyeop_Uill TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building 11 One family ❑Addition ❑Two or more family ❑ Industrial. Alteration No. of units: ❑ Commercial ❑ Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other �,S"eptict p4Well O'Floodplain j � iVl/etlantls ; ; ;p 1lVatershed Distn6f ewer_, DESCRIPTION OF WORK TO BE PERFORMED: l✓`�'�C,Fr 'TC ,/t/ b�yx Lbw S� r/1 c� � 1 ✓t Identification Ple se Type or Print Clearly) OWNER: Name: go �Jle_ JOML)���1?�c,l, Phone: Address: 1 T7 , Lc0c -4r . a (CONTRACTOR 'Name: tc�'Cc)C� Phone:. . _ ?.3 - S_ ,Address: I Lot.vxJ/ - ` O �.,�� 1 Supervisor-s�Construct on�License: op— .Nome,(Im rovement?License>. Ll 6,- - __._ . _ . Exp; ,Rate: v Q 13 - ARCH ITECT/ENG IN EER 3ARCHITECT/ENGINEER Phone: M. 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: $ ffl obC> FEE: $ al 6 Check No.: - Receipt No.: NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund Signature;of Agent/Owner ,:.., Signature.of contractor Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped.Plans ❑ i 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 I CONSERVATION Reviewed on Signature COMMENTS WEALTH Reviewed on Signature COMMENTS Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments a Conservation Decision: Comments Water & Sewer Connection/Signature& Date Driveway Permit DPW Town. Engineer: Signature: Located 384 Os ood Street FIRE DEPARTMENT - Temp Dumpster on site no Located at::I24 MainStreet: Fire Department signatureldate ' COMMENTS 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 I i Doc.Building Permit Revised 2010 b i Building Department f 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 ` o 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 ! (VOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit New Construction (Single and Two Family) ❑ Building Permit Application o 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 o 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 submAted with the building application Doc: Doc.Building Permit Revised 2012 NORTH own o E ,� 6 ndover o - .:�.. No. h ver, Mass, 81611_ C0CNIC"1W.CM ��• S U BOARD OF HEALTH PERMIT T L D Food/Kitchen Septic System THIS CERTIFIES THAT ..g? : ., 2 o n L ..� BUILDING INSPECTOR has permission to erect buildings on r cisme Foundation ... Rough �G °:z........... Chimney to be occupied as .........�� Q ;S. ............... .... ... . .?? 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 TARTS Rough .... Service ............k.... ... ...stir.::::`.-:-:::........................ Final BUILDING INSPECTOR 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. SEE REVERSE SIDE moons HaVnail Print Message Contract For Basement Renovation - 157Lancaster Rd. North Andover, MA John Obpcarpentry@hotmail.com) Tue 2/05/13 6:04 AM jbpcarpentry@hotmaii.com Contract For Basement Renovation - 357Lancaster Rd. North Andover, MA 01845- 2/5/13 Client, Rich Tokowicz and Barbara Tompkins 157Lancaster Rd. North Andover, MA 01845 Contractor, john Beardsley uB Preservation Carpentry 9 Lowell St. Andover, MA 01810 HIC# 146678 CS* 88368 Cell # (978) 973-2854 - Provide labor and material to finish one end of existinq un-finished basement. Approx one large room 30 ' x 15 ' with a mechanical room with access in the middle. Also a finished room with two closets at base of existing stairs. Three 4 ' cased openings . 1) . Framing- provide labor and material for approx. 168 ' of new walls 9 ' high. Pressure Treated Sill . 1"x3" strapping on ceiling joists for drywall ceiling. Frame soffits as needed to hide ductwork . $3, 000 2) . Provide and install R-15 Fiberglass Insulation on all outside walls $1,000 3) Drywall - Provide and Install new drywall on all new wails. A_oprox 55 12' long sheets on walls and ceilings. joint Compound Finish - 3 coats and sanded ready for paint. Skim out 6-8 existing sheets ( texture to smooth finish ) $3, 600 4) Finish Carpentry - provide and install new solid core moulded doors at two 5' wide closets, one 3' door at mechanical room and Three 4 ' wide cased openings between rooms. Provide and install new 4 .25" colonial baseboard throughout. Hobnail Print Message 32, 800 5) Cabinetry - Install client provided cabinets in TBD layout. 20 peices on walls and _possible island. $1, 000 6) Provide and Install new laminate counter ( Wi.lsonart ) on new cabinet layout and island $l, 60G 7) Misc . - provide 15 YD dumpster for debris. $500 ✓ - provide and install new 2 'x2 ' Dricore Sub.-Floor throughout Approx 150 x4sf ea = 600Sf S1, 300. 8) Total for Rough and Finish Carpentry - $14, $00 a) Permit- Contractor to obtain building permit for the above work: $200 10) Total - $:5, 000 11) Payment Schedule 1st Payment at contract- $4, 000 c;2--o 2nd Payment after walls are framed Insulated and Hung wJ drywall ( after framing and insulation Inspections ) $4, 000 3rd payment after walls are taped and sanded ready for paint, after interior finish carpentry is complete except for baseboard And after cabinets are installed and counter ordered. $4, 000 4th and final payment due after countertop installed and subfloor complete and baseboard S3, 000 12) . Acceptance of Contract and Pavment Schedule Contractor. Client Date -To L rz fi Dgei it 4 v�A Y::7 C� L! _. j j � �` r ,1/ ,, � '� r R f _...�.�_._..._j � t I 1 i A ' � 1 i ��T+�.-.�-.. �--ter-.. .......+-�..._.._._� ........, .. ..� �._ .5 --._. s l � it_._W... .._._.__.... .... .__. .._......._...� ,,;? f. i f i t i .� i OJLorfvruli 1Je,L/� , l� env et License or registration valid for individul use only au / before the expiration date. If found return to: ofonsumer Atiairs [i Office s�ncssegu o° p. :2 HOME IMPROVEMENT CONTRACTOR Type: Office of Consumer Affairs and Business Regulation Registration: . 146678 10 Park Plaza-Suite 5170 Individual Boston,MA 02116 Expiration: 5/10/2013 JOI ftJ BEARDSLEY JOHN BEARDSLEY yyyy h 9 LOWELL ST. �. ANDOVER,MA 01810. Undersecretary Not valid without signature Board of bj?U +.lmcj '� `y ,t?u�'Y." J '- ;.3,'9ci � ➢ if.'i ' 1 a � tart�a?3'UcUu91 `?l}j'9i1"�l�aYi' r�� CS-088368 , JOHN W BEARDSLEY 9 LOWELL ST ANDOVER MA 01810 03/17/2014 Oct 29 2012 11:63:13 EDT FROM: F2M/17626070456 MSG# 34100391-006-1 PAGE 063 OF 663 CERTIFICATE OF LIABILITY INSURANCE X022 VA*7-291`)LZO1)2 THIS CERTIFICATEIS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFE=RS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NO'1"AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS C'ERTIFICATEOF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: Ii'Cf1a n)rfifiCato holdor it; ari ADDITIONALINSURED,t'ho policyfios) must bo Fndomod. If SU BROGATIONIS WAIVED,subjo(A to tho torms and conditions of O)o policy,CF)rtain F)olicialz may requlrs An endom amarit. A statemont on this;CortificAto does not Confer eit)hte to they cortifiratel holdor in lieu of such ondomomont(s). PROPVCER CONTACT IVAM1:: EASTERN INSURANCE NSCRANCE Cr0UP ] 1aC/PZS ` — ........,,,,., A � �IN3 097059 P. (866) 467-8730 P . (800) 308 -5459 `L-MI7 A (800) 08-„45 303. WOODS PARK. EIRIVE ADDRE,76:CLINTON NY 1332 iN;ulilFz....AFF'OfaDINCi,C(?VEIiAGF: NAICN wwRER A: II&rt f oy e] Fare Ins Co wslAr p INS))Rrn n _ _----....._—..._-................._........—..._......— --- JOHN RDSLEY DBA JB PRE yE�2VATION INSURER G CARPENTRY 488 BAY STATE RD INSURER 0- NORTH ANDOVER MA 01845 „INµurata INWRE'R F COVERAGES _ CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE 13EEN 1551.1ED TO THF- INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES.DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS Or SUCH.POLICIFS, LIMIT;i SHOWN MAY HAVF f3rFN REDUC:Ei D(3Y PAID C=LAIMS, 1,,1-.11,,, ,.,,,.,,,,,-„..,—.,,.,,,.,,, —,, 'iYv�;).,,,.,.,,.,, >y�t''�2Y&�`f",.r.,,,..,_, WZy'YYr.w'7,�,,,,_,m„�r7k'Y�1�.,,��Y;�,,,,.,�.:..........._..,.�_,_.,,,,,,,,,,.,,,,,,,w.,,..._.,,...._.,,,.,,,,,,,,,,,_..„,,,...,,.,,,,,,,..._.,,,,,,.._,.......,...._,.,, LTH TYPE OF INSURANCE PO4/CV NUMAER WMIDWYVYVI lMM/pA1YVYVI i 41M/TS (l(5ft.,kK!! .... n,,,, ,,,,,,,,,,,,,,,, _ �,..,, Nti,,,,.,,,,,,,,,w,,..,,,,,.,,,,,,,,,,,,,,,,,,,,,,,,,,,, , .,,,,.,,,_..,.,.,.,,,,,�,,,,,„,,,,..�,,,..,,,,,.,,,,,,,.u.. _, 1111, ,,,,,,,,.,,,,,,m.,,,.., • ,,.,.,. ,.,.. ,,,,,,�,,, 1111 ,,,.,,,,,,, 1111,,,,,,,,. 1111.,1111,,, GENERAL LIA91LITv 1,,,,,,�,O,O000 .V., 0 0 .. _.....-- `15�oAAr;T"Y'7i .. t _1 I GOMMERCIAL OENERAL LIALiILI'rY i f'RFMISIiS Ea vr.nrnnnu I 3 U 0 0 0 0 • CL.AIMG-MADE X 1 OCCLJIi MED C-.XI'IAnv nnn 15crunal 3 10 0 0(_) - �{ General� D�Z�k� '� oft sets >r neo o /nZ/zr,a� oz/o s/�o�.Z I PErt$ONAI.&AUYINJWAY ! 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J C,,,,,.I _,,,�,�.,_�,,,W....._,,.,,.,.,..,.,,, .S? i I ;l3ENF�HAL, AGCRErA7'F; 2fo.() AI $,;•W AGGAQOIIJ LIMIT '!'..[r,5 PER: I rRn C�Rr�nuc:)._ rOwr>;r-)rAcc $ 21 000..1..000 .-.._I POLICY LOC AUTOMPIME L/AIIrLIrY i 1701"AL1INGD 51NGL.E LIMIT A IEu n<)aldrnq ANYA09'0 ;[BODILY INJURY wor oireoni _ r- ---..........._-_...— i ALL OWNED `E SL"FI81IUL.EiD i( 'BODILY INJURY IPoeraccident) $ PHOPEi'n'Y DAM ACYL`..._._.._...._ ._......._..._....------._...--------------- 111171171)AUTOS NON OWNED (Fclr ounir.lr:nrl $ .....___; 'Al1T05 I F -._..,.,...�,.,. ,,..... ..�,.,.,.�,m.............-.._,..,.,.m,,,,,,„,,,,,,,,,1111,,.,............ ...,...........,..,.......,.....W.,,.,.........,.,..,.,..mm, .... i UML3AELLA LIAd I OCCUR ' I EACH f,)f:f_t,flnENC:f: .........I . r............................_..-..._.................... ..................................._....................... --i... fXCE55LIALa'_.-......-...-.-_CL,AIMFi_MADr..: I._� AGGREGATE - `< .... ...----_.... ...._....__-- WOR&PSC0NIPEAMM7'lON I WCaT'Ai'lJ• O'I'H ANO EMPLC)VFR L”LIAHI[r1 Y YIN ANY PFiOF'filF..'rURRrAFiTNE'FtlL XECU'IV(i”--" AC,CIDEN'r OFFCERiMEMBEnEXCLUOLD ;N/A — — ........ ............_.... I/Nandaroty la NN) ... !?.f pl':EASk EA EMr'I.OYEE II yes;,r1GH xiw1 Unrier i __...--_..-.___-.-.,.....-._._..--_ ._....................... 1?F.SC:Ru�,'ION tJ1 IyFF);A)-u(INr,. ru)IU+NI E.L.DISEASE •POLICY LIMIT• k El, - ----_._-....---._._.__.._. -- �.--------. - !!E'SCR/PT/0N OF OPERATIONS!LOCAT/0NS/VENICLBS/Attach ACORN)101,AddW&nal Ramatks Schadulo,N mnm apacc is mquirud) - Those ta,sua'l to the Tn.>ured' s Operations . CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED 8r;rORE THE; EXPIRATION DATE THEACCIP, NOTICE WILL,BE North Andover Building Department DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 1600 OSGOOD ST AWWORIZED REPRESENTAREPRESENTATIVE NORTn ANDOVER, MA 01945 " 1988-2010 ACORD CORPORAI'ION, All rights reserved, ACORD 25 (2010/05) The ACORD narne and logo are registered marks of ACORD Location No. J — �� Date )Xz • TOWN OF NORTH ANDOVER o Certificate of Occupancy $ Building/Frame Permit Fee $ �.aa Foundation Permit Fee $ r Other Permit Fee $ TOTAL $ , Check# �97 26141 Building Inspector