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HomeMy WebLinkAboutBuilding Permit #104-11 - 1857 GREAT POND ROAD 8/4/2010 BUILDING PERMIT of "°oT"qti TOWN OF NORTH ANDOVER - - °� APPLICATION FOR PLAN EXAMINATIONso Permit NO:/o Date Received -7 '!s4� "��,5* Z1' �a �SSACHUS��� Date Issued: ��0 , IMPORTANT: Applicant must complete all items on this page '.�,� ,LOCATION �_S �, Prim t d PROPERTY OW,NERC"��t� �'2.c a' �� Printsto f _ MAP°210 . , PARCELS :� Y ZONING&DISTRICTHinc District 11/Iachine�5hop;Village� YeS not TYPE OF IMPROVEMENT PROPOSED.USE Residential Non- Residential New Building COne family Aa` _.dition Two or more family Industrial aeration_, No. of units: Commercial Repair, replacement Assessory Bldg Others: Demolition Other Septic 171le11°<h Floodplain5` 1111etlands � -, � 1lVaterstied^D�stnct Water/Sewer ` _. ES\CRI/PTLON OF WORK TO BE PREFORMED: Id�ntifkpon Please Type or Print Clearly) - _ OWNER: Name: en (►2r� Phone: ���1��iIk_3(.1?S V Address: I 8S''1 C�rt4 '� ^.^sem ,X x �a�- -- r -e x& €t, x-�..` ..2' ` may." .'w' }^. CONTRACTOR Name 4 �cC/�-,Ge „�a. t � Phonem11 ,� f� �..�.�`` *,.:e ,� � _ Wi'�� ����r � y;,h � r�,-��� �vs.--#.i.,.�, �:. �",•''� aI � ��.(3}F.""'� ,-'�.,�#'�"�" .�-r p,�. k�C � � -s�, � -�r t� to �4 � a «_;� �s-. � '�'� a a .-«' i�r r•� -�� �-„� ,. - �.f � � ', "SuPervSisms<Construction `Exp Date..° R F '"1 --sc -= � .^-.y.4`l^' s " s. i - .�-„„�, 77 is Hornelrnprouement License � _ 4 .ExLDate -- - -- - _ .p- -�_ � ARCHITECT/ENGINEER Phone: / r s.. 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: ( FEE: $ Check No.: � Receipt No.:_�� r NOTE: Persons contracting with unregistered contractors do not have access to the uaran fund Slgnatureof Agent/Owner Si nature of coritracto _ r --- __�_- 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 ❑ Buildirag-ReFn;it-App4 tin Certified S euPd:-P-1et P an Workers Comp Affidavit o Photo Copy of H.I.C. And C.S.L. Licenses (S) Copy Of Contract ❑ ion Plan Of Proposed Work With Sprinkler Plan And as i l l�io s� Aricable) ❑ MsTcrc ompliance Report (If Applicable) ❑ 9 heeH -rFfid'avtr n rneered products 9 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:Building Permit Revised 2008 Location No. Date /d zi NORT" TOWN OF NORTH ANDOVER _ O .. 9 ' Certificate of Occupancy $ SBuilding/Frame Permit Fee s�cMust :a Foundation Permit Fee $ Other Permit Fee $ } TOTAL $ Check # 23292 Building Inspector rKUP SAL PROPOS,L O . 'SHEET ;DATE (./24)42 PROPOSAL SUBMITTED T0: WORK TO BE PERFORMED AT: NAME ADDRESS. ADDRESS a 61t DATE OF PLANS —�— PHONE NO. ARCHITECT We hereby propose fo furnish the materials and perform the labor necessary for the completion ofdt;' /7St �a.� f ! Zs�/— � :.ISIT �- S��� �T�hL QGs/ LLrNL G�, lT.�'�� el5a .a 5��'%%?�"�l/� `• d�tom, i>�I/�bJ� ',' S/���1/'�ciJrrw�� FIS l'A 1}/ t ✓)"M✓JtY/�i.�i[:/✓ L✓/r�Y lb✓.! SN : hYfi . . l.} ✓/)J �LEi 4Vwt7��.I.t n Lr�.�n e:L n PFIn-rJ S (� U. Z �c " 1` L;9fwn: 710GaJr>ti :. l / E L��Ti` "Lrtl c�LL wc�Ir�G€:•. �G.� j'�'G:t-' .l,vSr�. . '' / L f1�-�f._ ,Cl crj�t;✓�:,a✓ /��r!'J r`�il.; • S/C�/�..�.�IJYa?•�. r m - /N C L v/J��! �J��- T�S// /1•:�rrr rvr3`L - !: fjj,�ryilfLS'TYi ( Of, L(,UL,*V6c /%Lf141Nb4L<_ T+ CJ)% tUJSL Otl£�^ WW1 X111 W)l1rN) - (7 s F £ft/ U u r m Sats .. ... � .. .: ... �.. .. •.::i�.. •.y. i ..,. Vii.... _ All material,.Js guaranteed to be as specified, and the. above work to. be performed .in accordance.with the..drawings and specifi cations,submitted for above work and completed in'a substantial workmanlike manner for the sum of 7 we+�I 11 DIV( r�vJnrt'J s/k Nv1�it�� x=11 i y Dollars ($— with payments to be made as follows. -777 1Y .. ... .. ,• . . . . - ';; tea,-,;-' -. Res ubmitfed'_:; P. y An •:'a ferafi •. .y ., .-...:. .. .t n_from:above.specrtications.involving•extra,:costs,::._.r:`;r..`r.< .,;,•c..;.„ ..::.::.-...,...• ., , . will be.executed only uponwritten order, and will..become an extra charge :• Per d over and above the estimate: RII agteements;contingent upon.strikes, ac.. cidents,or delays beyond:our control,. Note—This proposal.may be.wjthdrawn by us if not accepted within _days..? :ACCEPTANCE OF.PROPO.SAL. The above prices; specifications and conditions 'are'satisfactory and are hereby accepted. You' are authorized to do the work as;speeified.Payments will.be�made as outlined-above. . . 1. Signature #-.©ate :-1 Zj' , :x„ igriaw e 01 NC 3818-50 PR%®®SAL NORTH V 0'" Of Andover lob- 2o �i dower, Mass., O COCMIC MEWICK S RATED BOARD OF HEALTH PERMIT Food/Kitchen Septic System '11 1e BUILDING INSPECTOR THIS CERTIFIES THAT................ L ...... ..�4. ...................................................... Foundation has permission to erect........................................ buildings on .. � .............4.1�.... ........................:...... ........... Rough to be occu ied as '�` Chimney p ........ ..................�.......... �"� v .... . . . .. . .. .. . . . . . . .. . . . ................ provided that the per n 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 ELECTRICAL INSPECTOR UNLESS CONSTRUC OJiTART S Rough ... ............. Service .............................. BUILDING INSP R 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. �jJul 26 10 06 : 21p Maurseri GaLitehlier° 97€1-750-0788 p. 1 i ~' �lrtivarhu�ctt. - OC11.11"tilvelic of IN11hlie 1;Ifl'11 t Bi1,ai•(tl nf• fiuilrlirl" Ke,_JuEutiun. and ';— Construction Supervisor License F License: CS 62075 .?Restricted to: 1G K A GAUTHIER 9.RfC9 STAFFORD RD (1 I;DANVERS, MA 019:23 ` Expiration: &iV2011 (� n. (�annri.viunrr Tr#: 16:33.1 '� U ;1, ✓,die [�aare��ca�ssuea�t`ele c�...��rrxaacr<ficrae,� it Ogee of Comm mer Affairs&Business Remula don HOME IMPROVEMENT CONTFLICTOR Registration: 165325 " x 2/1!2012 iration:Ez ''a' V=-:��-;a_�•' P• Tr>ft 293137 Type: Individual ! 'e GAUTHIER CONSTRUCTION '.J RICK GAUTHIER: i@ 9 STAFFORD RD. DANVERS,MA 01923 Umdersecreta,3 i r a, .til. I.r , ii� LO n c co G Ijlj Ln Imo. Ntw DOMIA cv- Qj ���^'-----..-.. -- „' fir, •� \ r i_ t i I I 11 t T' I 1 u) I NLS'=; CD I I t c - i Q 0 0 SIof 4.LtVATI4N . 0 0 A I En ;N3;�13drMI T fNvo-Li (D. I F I CD Ln + I I ! 1 4 11111 iyz�ti 4.1 71 j co E i f � 7S71iU ejATH f + o IrY�;,rlN6 (tdor�I Ln I 00 CD i � ii i 0 I � Niw DoM,,VS � I � i _ Q R� l' ��! G12f+4T IuaeYfi f�f1� o 51 f c dM D FL O oq r.1 . 3 �,{•�+✓ i � �9Mff� \\,4'41/ty vilie _.:i1 1711 tl 11 L l L .Y Y/ L2 Oe 7 i } k-Hp t. co ' I'- 2 xg Horz - � .i C tf 5 +4�JF !s i la i c Ll � 5 o o (?rinni R = AmIN JUL-27-2010 05:O6PNl� FROM i-t64 r.uusiuus 'r-ria ofAf zSS=hus= Ytxd.rrs,tnr�ia.I_.y4��'idettrs . v 600 Waash:,¢npzgj Street ;,4;`• ��n7CjCE'�.^s'4�a�inpra3:ceE,:�i�e�tlJ�c.t1l&'•�.Y1c�,9,�lpitl,a�Qi!�g1(;�utiIde�-s0�o�u'tr.:�f,®x�ll�.fiec4raciaraslp'Iur�Eb�;�-s }. r Anp c a at 1 furmatgon ` .' ame N � pusi'�ess/O�ereiraaiira./htdiwi�inal):,...Y.�,._._�:l�`I�'a✓1`in C 11�+'S7/l.v:arie9�1/ _ '` q r: ' Address: Ci:tyfStatd-tlp:�`wQ�ri� F-re yoR an cWpiayer;'C1terk heappp •crp,0 ] ELI(1 a ca loS r vrriYlt m qi, I a�ai p Type of projecr{regtal edD: �1�S8l Gont•aa: r anti Y s MV10yees(fu�Ii an&w,pm�).- have hind The sum 5. ❑NeaT�=�sffu rioa f'' ?•�I aai a solt-p);deTmr'aTpar =- Iisravd cry the amiched sheet.1 7. 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THE I°QIJCIEES OF: IN5UfiAIVCE LtB7l=o IMLOW 11g4f7r dEl:li a55ul;r) TCr g6CE: IAi3URE13 NAMED ABODE; FOR THE P®I.IGY PERVJD INEHCATEp. NS7ryilff A1W :F9W1REIMNT, TrRAd'Cfb CQND37 ON 't9F AWY =KTlRACT OR 0111ER DOCUMEW UVfrH RESPECT YO WHICK THIS CE=RTIFICATE MAY EiE 135UED d3Rj�;. MAY PEIRTAIN,. RIE INSURAtICE Ar -0 EIY -WE I�bLX:ll$ 011XIIIS;D HEREIN IS GUEVE:Cr 110 ALL THB 'CEt2rJtS, SXCLU81fsNs ANC1 CpPhDlilplJd OF SUCK':' ;.t' P13LICIE�..AGGI:lE:G'.faTl:L1A41T�SilptNN IikdtY fla�a'VE 13Ef.E!ryE:L71JCE7)EA'F'AJb<:I-AJI�A�i, - ;j.�• iti�l' �II PDIbLI'EFAECI'NE PO IGT E31�TRATICH :,•�I.: � �...��Tr-pE DCS-17111 ..y.e.. moP'6LWY'IHI.NIBl71�.� L41fEfMMRId1Ml tIATL If>N/!a•M+"��`Y�� __ .LlldTa .:u l'' i 'aETIEiAI.tL/rq,{Tr UGH OCCLIRRD JE Y. CI VARWC k MNBLIL UAIUL fV SVD I0I�}7b8a t1� PI�MISC��now,teueap � — "1{;:•,, CINMB MADE CCCtIfi PAFSSEXP M Ali L104L A=PL7aATE L,Mfr dPDlJE'auPF?C PRppUC}B.CCNipY6AAG© S .POLICYLoo 'i I: Comm S,a6,J:uurt Co., ANY AUTO 'il t9Cb'Ig'Wl97 AUIb6 l . . 6DDILYINJUiW 5 t bn 'i+ /+oN•OVf11E37 AUTOS WmLV I1""PROPERTY DAVACE S 4 ;,t cLLAau,'r -- ' �'. AUTO ONLY•EA AODL) 1T S r- '•. INY AUTO UTHRTFWJ EAAGG 8 ` L ..-- -�-- — AVTQO, r ++f' eNcsde+Laro�wLLALue><lry ---..� _ �'l'i,i. EACHDCCURRENGE :i(• OCCUR CL/UM3 MAOC AQOPEUTE MUMBLE et �TFMION s: . ;.� WDAitBitQ•p3111PE1NEwT}1M AILD_ 0APLWfACL""Un 7017VLIMITM , 7 02f04/2010� � uLTa+ERA6ttcadrfue 6�. 0$ 20& '.w oFc,r:Fsuu L / / 3 6 tit suHAcoo3aT 61110 aoQ� - ` '.�i'i If}e'4 desnAne.rdir 1 Ld&8�1eE.Ela ElrbRflVt� �$(pff O®C1: ; •'� •'1 a", SF�AL PROV'>9iOM$a,oaow „n`- r EZ is ®18FilBE-PbUGV Wfl7 S'iI)m 0®�e'� f. ba EF,�M7Rfl>+41laru OF OPE7rAT16M81rGGATlryrri!VF]GCI£6! '`:f . A r0(Q.LQaO,a'.9 ADDEfllYT.NLt7R8&"U93f1'1dOYpAL1�Pi4ihrilS.aAkB �C 1 NORUPi i>3ASTaftII R)ZXCT Dth14ff :A3QN 11Tt671id1I2: COVE&MESCI FBiCK at I CEFtTEFEC/1T1E HQLDRR' r CANCELLAIJQN i STEVE GALXZXG – •) iHO,AL AMY ape THE Asms mas=mw FOLIC= BN camc.O Lm, Ma'am THE e0WA'nQN 1857 (mohm mm,RD DATE TNERl,ar TIDE UMUINLi bMugmvtni ew-,m m! Lua ]4 w •:i: 11aflT•6 11I619,Cr�jsli N1% 01045 XMME TO TING cERTlaauE'HOLZ" MAMBD TO Tpe UFr, B,R F G•'ro co so SIUILL' ?- �� uH+noE Iw QK*ATMX OR L,AWL4 aauaf aLPVM 'THE am" Its Ia6El[T8 aM 4. RlL7UiSEMTA[HE - '':�i.: b4.YYR 3S(�OtA78) .........•....�.,.a,.,........�,..®.� (� •r ,�` 'i PROPOSAL PROPp AC NO SHEET NO' DATE'' --. PROPOSAL SUBMITTED TO: WORK TO BE PERFORMED AT: ADDRESS �r�Ufi {9G `.ADDRESS;` ` � �3 S'7 Gn��r rear.r� .h��: : . G✓i��;�' ;i'l.� ����,� �,:;�— DATE OF PLANS — PHONE NO. ARCHITECT We hereby propose to.furnish the materials and perform the labor necessary for the completion of )AI S 7e-7c-1 wV 4rv+_ Carr . Sf,i✓. w,,At01 'TU /t c�� cL �MS�i 1 ��✓ /ary lr.Vc� �iur? l,�r��uwl. ' � T /l' r> —,Ivt 06c�.�L L% Sr6r.2 S7o.G�c a- Lamer S✓� cirr��� vl. 4 r°1I 'G(1!05c i3✓t7,'.,w„-?JiA /Jt74:C r n. 'tin �r:,n / 1T>9Lr. fir,. avrL ' /�/£a✓ . w1+ lM /�0 7/c� .4i/ Spic fiw ` 5 2' A. •:'7/ rr-t 7i7' y��:fifit'/ ..�k/J Fii✓G :C�-`i��i`r,lr. G Lvl c : I`�f 1��1.!�r1t� /J✓r iit°✓u y� ;1't-� ,�z.fi���% t .: . //•/L w Ii/JdJ !`!i� !"liv9'S h�. �brr7 utra�J'L 9ir!Ti G Ur S G 43 fvu7 All rrfiateria► is uaran e to d to be as s eafied and the - above work to be e rm 9- p p rfo ed In accordance with the drawings acid specifi cations submitted for above work and completed in a substantial workmanlike manner for the sum of 016,11' �I Gr.�'1” �a�;��n ✓J S�,i f',j 1-r I vc. Dollars (.$_ ,V f : with.payments to be made as follows. -y u /3� ��r,v� r,s 1,✓�r,� P Respectfia ly subrriitfed An .alteration:or::deviation:ftom•:above's ecifcati Y... .. . I ons.:involvin ,extra,.costs• P 9 will pe-,ezecgted gnly uponwritten.order,,and Will,become:an extra_charge over and above iliG,eSllmate>All agreembnts bbntingent upon stakes':ac :` :` - :: Per cidents,or,delays:b2ybnd our control. ' Note fhls pr opo sal.may•he:withdrawn by us if not accepted within days' . F.IF:.�'h ,711LMH� C ��i'T', ACCEPTANCE OF PROPOSAL The above prices, specifications and conditions 'are satisfactory and. are hereby accepted...You are authorized to do thework as specified:.Payments will be made as outlined.above. _ Signature ""Date' ;I 11(x`+ �; r. '.L :.- �gnature ^�^� NC 3818-50 ;®®P®SAA