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HomeMy WebLinkAboutBuilding Permit #220-11 - 21 EASY STREET 9/15/2010 BUILDING-PERMIT F "oRTN _ S.�LED /6 TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit NO: 2� Date Received A , ? �a1rEo�lRy RSSti� Date Issued: / /v f1C14US IMPORTANT:Applicant must complete all items on this page _rs E ,•nAM om` ':r_'_*3dj�::=,��F��_-�:.h:'va!•:r{c ;ift, I.- �ftp- EMS .�y-;,,�.__.�-ryc:.,_...:, ...:....-.-r•.,;�:.._.'-..._., ,:-.., •:;,T c;.,:r.�•a,.!�:-r-- -��:C _ - -- - - - �-:^>-• si_'%�,:2�in,.,_,.�;••h;r .r_c ,q: _ ,.3F...t. _.3, 1 �1, _a;`,•_ - 's'�a,=•. =r.�s J c'_ _ _ - _ _ _ ,S. ..-G i%.•.z- _.�-� ^ir. _,-r.••;+:•tte ,;,n1 L, '•hZ'='i ,n��^ '; .r] ,l.�., ..-�=;,. :=v�;``'E - d''�•_ _ •:,}�:�.'�__"<fi,p,_ �..'V�-!.%'�2`I, .-�--c,eT :ft_:_zl _ _ �-f�'i.,�.__ -- ,._•�'S-=.. 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TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential New Building ne fami Addition ' Two r more•family Industrial ltera oo No. of units: Commercial Repair, replacement- Assessory Bldg Others: Demolition Other x�?:'��' n�..��y':% a'I gr,..,,...�..%"`v-r'z��;r F:f�r r�•i'�'"`� - „�;�: -'•,_,:, y..J- ;;.a�xs�^�.=,�:,rrs _ _ _ +G_--. + -..F, - - �:�:,•--.:.rra,,:�: aim_.=.�, - -- U-�rt,� ._�P.,�. ��;3�'vp�•�;_,�-,r(1,.,r•:.z�:=:.�.. '��`p�j�"�1�I� .� �•�.�^`-f�L.�?..,�,'.-r"="'_L`^.J.1�� '� a !�u� _._:,�,".=a= .,�.ry ':_-:�'�y - i-t.;t�-zm:},�1-==�.m^is":, i;.a. - •i���'�::'tc. :. �:�,l�w... _ "_�'• �� '`�-4'^::}�„'.T.._�'y-^'� ;�.�`'_ �;r,•-, �,1�_�;��:_ .: t:�._��-�3 .3.v �aA'il-Ty'L'/.� _'(�•Y��. ��• s -•fir -- - ��;.'�lt� :'x,9-.�N:'_+ �, .:s;a��.�<?'s.,� ''�:_,�..�,rT�s .:�::au�;}3,�=?2,:`;i�.., �;r e`„x.,-_ � r_�r�;==Ji__.: sa.,i.._ E,f,�_ _�-�•�:��n>n. '�_ ;}� z= �:rs ;:���;i,�.-_�'r' -�.. 9w;_.�,fi.� r,. �Ty��.s!="���,;.'-.: - .:..-a:._ 3_.:c_ J..r_f�CT:o-.�� 4L..i -1"- '':,1,-_ a,r. _ ,fit;�ti•�,.�sa.,_?.�k`a::�q 5; •ty...�cE :f- ,T�_ ...�:,Ga„__..�,:r:,!�,s'•':�'.,a._r. �.,.�%•Fi:•r_-��w(�:s�_�a;�:l+�.f•'=-�r:�J'.k..�.1•r:';:�t';tiN._�,%�v,^c�;_�;T DEQN OF WORK BE PREFORMED: ..�- ( —� IdentificationIease Type or Print Clearly) OWNER: Name: L�1/✓�! s Phone: Address: ` {�'r� "='7"�`"�+ci-�`yL�,:�•_";��:�,- __^�r:�?':'s?�`��',�.y_i�:i� Y.fv"e--,.�1.a r�cT:�,.- eams''t--,T-��,,.'=aeFfyz:ti- _firwl"l��j�_:.�-.;a"'4,'L1�:"=^.:n�S•=&�`.,il=r%-�,:in^Sm'�•-c'.:'c1-l:'1!ri-'I'�c-�:r<32i�:••�y:isc=�t,9.�T.h!.i-"�F.y�:��..+'a.: c-_�a..r•.s''>-+ ., a: ,..fit y. _ ,r,-•�''-?„=``3.= >-°�.•°F�,.0 ; T ,�k�fi-a��:s::_�`�r+�'.�..P� )y���"�y� r:�" ,���,--, -4 ?`�” a'- �,"•'":-'`Y_4�'Z` 1',E'� `'�'4: ,�,�,�"i�,'4�?��'7c?.:;-r�� i�_u_�.'.:..y�s�; W-�GG•�"ij","'.,� yr�g.:•':s�;-uy+'g"�^-',-';^', �?e-' _- _::I ?:J.L•�• ^,.{9 ..E' :���n.,'�'-'-��'.. - x•.,. s"-r �����`�' L'S;'� v���:fJ•�---''v: 't�-ssc�3 -+i_¢.7�:••i;�...;•tir �ln�'s�y: ,.,....`.L-ur-.�;=hr-„'.�:-.r?x',,; -_ _ _ __ _ - ..,+•:_.� .,1s_-•- Sr4a.3.= - tE„:y ."...t,.-'�.. 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"�-^�}� !• fir. ' .,:�:T'='. 'K�nv,.,- yy, ^.3Ti.'Y�.e. •ens - - ,;�uw: __ .li .Fry _•+•l-a-.rc.,: ��,._ I�'L-T�`^_t, r;,S,• 'x. a}-•,.,ti!-p ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE:BULDING PERMIT.$12.00 PER$9000.00 OF THE TOTAL ESTIMATED COST B'A/SED ON$125.00 PER S.F. Total Project Cost: $ ,�� FEE: $ ! li n v U Check No.: — Receipt No.:- NOTE: Persons c Wrth unregistered contracto,Ps do not have access to the. • my fund Location o) No. ' f Date �r� U �O0 TOWN OF NORTH ANDOVER OL F 9 y • � ; , Certificate of Occupancy $ Building/Frame/Frame Permit Fee $ s�cNust 9 Foundation Permit Fee $ Other Permit Fee $ pTOTAL $ Check # 234x1 Building Inspector Plans Submitted Pians Waived Certified Plot Plan Stamped Plans g77 SAEZ geBodyArt Swimming Pools Food Packaging/Sales pster on Site THE FOLLOWING SECTIONS.FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF- U FORM DATE REJECTED DATE APPROVED. PLANNING &.DEVELOPMENT COMMENTS CONSERVATION Reviewed on Sigriature l.�lJIV11VICIV I�7 HEALTH Reviewed on Signature COMMENTS Zoning Board of Appeals:.'Variance, Petition No: Zoning Decision/receipt submiffed yes Planning- Board Decision: Comments Conservation Decision: Comments Water$ Severer Connection Driveway Permit DPW Town Engineer: Signature: Located 384 Osgood Street 6.i. E.WN^'t:` n�i� _;•�. - 9-n-- �:s_F =::K'KIM .i�'C.-y`-.-,� - .. _ :.1.r.7: ���Y:i`•e - /� �� - _ �; ,.a '';?mss•-^•w _ >c� UI.fl•CJ:. _.._.T. S......v-. — _ _- -•'1:� _ w - r: ..YR:�-._.. _.!'bS';�!l'a..� �..: =t•�.. i.:hi._ - - - .el•.t• .moi�Cvary.y.�n.J+:aiw-:.i".5,��:.- -<`•i]:Tl��Sy.•:��:'=--L-•-_':.-i Y-:' - ..J.... `.J -:•ts - - -.t. -tip - 4(-- vrir, 1=•1�1T�� -- 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 2010 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 o 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 o 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) ❑ IVI"ass 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 hermit - _'-'-New Construction (Single and Two Family) ❑ Building Permit Application ❑ l :el Lille:.' E'i:1�:OseC'. i'Ivi I carr ❑ 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 ORTH ToVM Of Andover evo .0 010 1/ .4 W-Pr )*1 -o dover, Mass., LAK • �� ' �� �COCHICHEWICK AD'QATED 7 S BOARD OF HEALTH PERMIT T lu Food/Kitchen Septic System BUILDING INSPECTOR ka. . THIS CERTIFIES THAT.........01.104ft. 1.... .5�....... . l.. .1�•.•!!,��c.............. ....................:.............. ..........................: Foundation has permission to erect........... ................... ... buildings on .&A .........,CaS. %.......4T�.....4........................ Rough to be occupied as........ .r�.. ........ ...... ........... ... ................................................................. ............... Chimney Ch' e 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 3 � Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRU O T TS Rough ............................................................................................. ..... Service BUILDING INSPECTOR Final Occupancy Permit Required to Oca cpy 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. Comrnonwealh ofi Massachusetts Department of Fire Services Office of the State.Fire Marshal. P.0.Box.1025 St<1tcRoad,Stow NIA 01775 'APPLICATION FOR PERMIT Date: N. An-dover 'ermztNo (Cityor.Town.) . (HApplicable) Dig Safe Numb In accordance-with the provisions of M G.L. Chapter 10 as provided in Section 5 2 7 CMR 34 ap licatioa is he b�made Start Date by A . 5'J A / /� _/\J � (Full nam of perso F' oa Corporation) Z,1 'State clearly Address _►w /.t.(L.r r �� purpose for (Street or P.O.Bax City or Town) whicuested For permission to locate dumpster- for construction/ nnva-ri nn/rlPmnl i t-i•pn irrequested of b u i 1 d i n pl. Comments: . dumpster must be 25 ' from structure or 'covered' e at (Give location by street and no.,or descn a in such manner as to provied adequate identification of location) Name of competent-operator Cert No.- (If Applicable) Date Issued-rejected I C I Q BY r .i�-- (Sign of-Applicant) Date of expiration /0 I _ © (� Fee S 50.00 Paid 'Due t The Cb.mmonwealth of Massachusetts Department of Fire ServicesME ' Office of the State Fire.Marshal P.0.Box 1025 State Road,.Stow,MA 0177.5 PERMIT Date: North Andover TermitNo Di :;/7; r (City of Town) (If Applicable) g In accordance with the provisions of M GL 4$Ohagter�-as provided in section S 7 7 ('MR 34 StartDate This Permit is granted to:. Full name ofperson,Firm or Corporation Pennissionto locate dumpster for construction/renovation/demolition of building. Continents dumpster. must be . 251 from structure if unable to place with required Restrictions:clearance dumpster must be covered with plywo. od or tar end of 'work -day at (Give location by street and n ., escrrb such ma v to vies a. quate idcntificition.of Ibcation) FeePaids 50.00 Fire Chief This Permit will expire Signature of offrcal granting permit) Off cal granting pcmut (Title) The Commonwealth of Massachusetts Department of Industrial Accidents . Office of Investigations 600 Washington Street Ulf', Boston,MA 02111 www mass. ov/dia : . g Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Le ibl Name (Business/Organization/Individual): .� l it Address: City/State/Zip• 2g, co/eq Y&1� Phone#: S-27 ��� - Are you an employer?Check the appropriate box: Type of project(required): 1.❑ I am a employer with 4. ❑ I am a general contractor and I 6. ❑New construction employees(full and/or part-time).* have hired the sub-contractors 7. E] Remodeling 2.Yl am a sole proprietor or partner- listed on the attached sheet. ship and have no employees These sub-contractors have 8. ❑ Demolition working for me in any capacity. workers'comp.insurance. 9, ❑ Building addition [No workers' comp.insurance 5. ❑ We are a corporation and its 10.❑ Electrical repairs or additions required.] officers have exercised their 3.El am a homeowner doing all work right of exemption per MGL 11.❑ Plumbing repairs or additions myself.[No workers'comp. c. 152, §1(4),and we have no 12.❑ Roof repairs insurance required.]t employees. [No workers' 13.[:] Other comp.insurance required.] *Any applicant that checks box#I 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 their workers'comp.policy information. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins. Lic.#: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of 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. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance.coverage verification. 1 I do hereby certify under the p ins and penalties of perjury that the information provided above is true and correct. Signature: Date: Phone# 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 Clerk 4. Electrical Inspector 5. Plumbing Inspector 6.Other Contact Person: Phone#• Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152,§25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractor(s)name(s),address(es)and phone number(s)along with their certificate(s) of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers'compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confinnation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure`that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the pen-nit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future pen-nits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 Tel.#617-727-4900 ext 406 or 1-877-MASSAFE Fax#617-727-7749 Revised 5-26-05 wvvw.mass.gov/dia L . .I BAY-STATE KITCHENS Sales • Design • Installation Phone (781) 334-4855 Fax (781) 334-2227 www.baystatekitchens.com Barry Karp Bo rl o u, ng egdfaftoits a�nLicense or registration valid for indIvidui use only CONTRACTOR before the etc NOME IMPROVEMENT CONTpiratian date. if found return to: lug Board of Building Regulations and StandardsRinRegistration: 112126 One Ashburion Place R 1301 Expiration: 116/2011 Tr# 278609 Boston,Ma.02108 Type. OBA BAY-STATE KITCHENS / BARRY KARP Lw th — _ --- - 719 MAIN ST. Not valid out signature LYNNFIELO,MA 01940 . Administrator . M11,tssachusett,- Departinent of Public Safetc Board of Building;Regulations rind Stuntlitrtis construelbn License: CS 72926 Restricted to. 1 G BARRY KARP . 719 MAIN ST + . LYNNFII=LOQ MA 01040 _ Expiration; 3[7/2092 j Tr#: 18217 j (nmmi.vin.t' x/I Aul)o ij'�K I rC 0' 6A 2357"--- 2 A 12"-f--t47:91" 12" 27"— 924" 14" 7 12" L TTB 24.D2 fill f WI M033 BPO LisHw WISF3-3, I CP Jul O N N V j �� � � (0� �� �� 4Z-7 7 L A- TOlD31587M7' eb !,7 3DSO BD RV43615BE) 3? 674 VVI A ('04 r All dimensions-size designations given are This is an original design and must;i�7ot be Designed:csq�ned: 17/2010. subject to v 2Q -, verification on job site and released or copied unless applicable fee has Printed: 5/20/2010 adjustment to fit job conditions. been paid or job order placed. mb53 Williams activeAll, Drawing#: I BAY STATE KITCHENS Sales • Design Installation Phone (781) 334-4856 Fax (781) 334-2227 www.baystatekitchens.com Mr. & Mrs. Williams Barry Karp 21 Easy St. Ok N.Andover,Ma. 01845 6/15/2010 Proposal for kitchen renovation Contracted work to include the following General Remove existing cabinets,counter tops,appliances,wing wall to accommodate new refrigerator,etc. Sand and refinish all oak flooring in kitchen, dining room, and hallway,including stair treads. Plaster kitchen walls and ceiling as needed to repair any damage. Install only,all cabinets and associated moldings in accordance with floor plan supplied by Moynihan Lumber Co. Supply and install Costa Esmeralda counter tops with four inch backsplash and standard front edge detail. Supply and install new door and window trim and base boards as needed. Supply and install ductwork as needed to vent microwave oven to exterior. Eliminate existing ductwork located in floor. Plumbing Supply and install the following; New water and drain lines,with shut off valves, to sink and dishwasher. Water line to refrigerator. Install only'sink faucet,and dishwasher. Electrical Relocate existing wall switches to accommodate wall removal. Supply and install the following; Seven 75 watt recessed ceiling fixtures,four for general lighting in kitchen controlled by a dimmer,two fixtures in table area, also controlled by a dimmer.And one sink light separately controlled by a wall switch. New circuits from garage panel to all major appliances,as per code. Install only,all electrical appliances. a BAY STATE KITCHENS Sales • Design • Installation Phone (781) 334-4856 Fax (781) 334-2227 www.baystatekitchens.com Barry Karp General Remove all construction debris from job site. Secure all building,plumbing,and electrical permits. Replace damaged trim beneath front door. Total contract price $ 18,730.00 Payment schedule Due on contract signing $ 2,320.00 Deposit on Granite slabs Due on start up $ 91500.00 Due on cabinet installation $ 3,845.00 Due on completion $ 3,065.00 The following items are not included in contract Cabinets, appliances, door and drawer pulls, sink,faucet,and painting. t Accepted as written..CL .�........... ..............6/15/2010