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Home My WebLink AboutBuilding Permit #425-2017 - 21 PETERSON ROAD 10/20/2016 Il as I�Ta�� BUILDING PERMIT "°oT" q TOWN OF NORTH ANDOVER � * APPLICATION FOR PLAN EXAMINATION Permit NO: ey, Date Received ACHUS Date Issued: +D �� IMPORTANT:Applicant must complete all items on this page 'LOCATION � PD� J Print PROPERTY OWNER 5 j}. Print MAP NO: PARCEL: ZONING DISTRICT: Historic District yes no Machine Shop Village yes no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential New Building ne fami Addition Two or more family Industrial Alteration No. of units: Commercial e air, replaceme Assessory Bldg Others: Demolition Other Septic Well Floodplain Wetlands Watershed District Water/Sewer DESCRIPTION OF WORK TO BE PREFORMED: l.c C r^eL`- �� /-s �a�i� LC, V- �1 �J `�- rn OWNER: Name: - Phone:��/ 303" oW- Address:�'7 S��►/ � a— 005 CONTRACTOR Name S Address:0a (-I-) Supervisor's Construction Date:2�zo" �D Home Improvement Licer; Date: o�D ARCHITECT/ENGINEER. 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: $ <0 13 ?7&1, ce FEE: $ Check No.: Receipt No.: 3l NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund ignature of Agent/Owner Signature of contractor i Building Department The following is allist of the required forms to be filled out-for the appropriate permit to be obtained:. Roofing, Siding; Interior Rehabilitation 'Permits Li Building Permit Application Li Workers Comp Affidavit ❑ Photo Copy;Of K.I.C. And/Or C.S.L. Licenses o. Copy of Contract a Floor Plan Or Proposed Interior Work ❑ Engineering-Affidavits for-Engineered_products y NOTE: All dumpster permits require sign off from Fire Departmentprior 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/E:levation Plan Of Proposed Work With Sprinkler PlanAnd 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 i New Construct!on,(Single and Two Family) - -- - i L3 Building Permit Application - ❑ Certified Proposed Plot Plan , . ❑ Photo of H.I.C. And C.S.L. Licenses � ❑ Workers Comp Affidavit o Two Sets of Building Plans (One To-Be-Returned) to Include Sprinkler Plan-And Hydraulic Calculations (If Applicable) ❑ Copy of Contract _ 1 ❑ Mass check Energy Compliance Report o Engineering-Affidavits for Engineered -products d 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 Docr:Building Permit Revised 2008 i I4 i I BUILDING PERMIT "°oT" q TOWN OF NORTH ANDOVER ? dept.` APPLICATION FOR PLAN EXAMINATION b Permit NO: Date'Received gSSACHU`�� Date Issued:,&— 091"elp IMPORTANT:Applicant must complete all items on this page LOCATION � ✓� J� P.rint :PROPERTY OWNER S � � f�kV19 I A J1911 � Print MAP NO: PARCEL: ZONING DISTRICT: Historic District yes no Machine Shop Village yes no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential New Building ne fami Addition Two or more family Industrial Alteration No. of units: Commercial e air, relaceme Assessory Bldg Others: Demolition Other Septic Well Floodplain Wetlands Watershed District Water/Sewer DESCRIPTION OF WORK TO� BE PREFORMED" rMl,� °(- &/J/ �> f it o� 7D r- ry l 1 t'Jr` I Idedtification Please Type or Print learly) OWNER: Name: /Dog l( ' Phone: 03 P- Address:Z094 i(ve*,r S4Ae I LIJ • NC -a— � CONTRACTOR Name X1jj 5 �+ Phone:1?k,a� Address-cul G� I S 1� �t L ^4- Supervisor's Construction License: 01 LZES e Exp. Date: /p' Home Im rovement"License: lG .�.7 � Exp. Date: ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE:BOLDING PERMIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED V125.00 PER S.F. Total Project Cost: $ FEE: $ Check No.: Receipt No.: 31 NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund ignature of Agent/Owner Signature of contractor 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 L3 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 ❑ 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) F ❑ 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 o Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit i 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 u Plans Submitted Plans Waived Certified.Plot Plan Stamped Plans 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.4 INTERDEPARTMENTAL SIGN OFF - U FORM DATE REJECTED DATE APPROVED PLANNING & DEVELOPMENT COMMENTS CONSERVATION Reviewed on Signature 'COMMENTS E HEALTH Reviewed on Signature I . COMMENTS 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 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 COMMENTS Dimension Number of Stories: Total square feet of floor-area; based on Exterior dimensions. Total land area, sq. ft.: i 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 4 LI i i j Notified for pickup - Date ---- _..............._-..._......... ---....................--- Doc.Building Permit Revised 2009 I Location / �' No. `G , e ` Date • - TOWN OF NORTH ANDOVER • .• axe n • Certificate of Occupancy $ k. Building/Frame Permit Foe s IXA Foundation Permit Fee $ Other Permit Fee $ _ - TOTAL Check#'V4 X, : r t. [ ` Building Inspector z t . � ! - �� ... - s. .. J -�, Location No. Date �( ;r • - TOWN OF NORTH ANDOVER . a Certificate of Occupancy $ Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check#' \xI Building Inspector . \. 1 NORTH. F own of 2Andover O - 0 5 a3 2AI %o ver, Mass,s h LT6. MOW COC«IC«l Wlc« v AORATEO r ,�5 �e S Ll BOARD OF HEALTH Food/Kitchen P ..�ERNIT T L Septic System f • THIS CERTIFIES THAT *41 ................................................... BUILDING INSPECTOR Foundation has permission to erect .......................... buildings on .1...... ... .. . . . ... �................ Rough to be occupied as . .....A.....M.. .11 141EF................................................................. Chimne y provided that the person acceptingis 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 UONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCT Rough Service ....... .. ............ .............................................. 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. 'gept OLe4eVA Cfte4e F NORTly �9 own of _ s ndover O .rq'. I No. 44% ® 2* * _ soh ver, Mass, 24 COCI.ICN.W.CN 7.9s 44'rED �4 `) V BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System THIS CERTIFIES THAT .........�,<.,�r BUILDING INSPECTOR .................. . ....................... ........................... ...,.... Foundation has permission to erect .......................... buildings on ..... ..? . '{. ® l ...... ......... Rough tobe occupied as .................................................................................. Chimney provided that the person accepting this permit shall in every respect conform to the terms of the application Final. 4vk- W*ij- on file in this office, and to the provisions of the Codes and By-Laws relating to the Inspection,Alteration and -R Construction of Buildings in the Town of North Andover. PLUMBING INSPECTOR Rough VIOLATION of the Zoning or Building Regulations Voids this Permit. �a Final /'� W� PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSRough ough Service .. ..... ............. ............ .............. LDING 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. Phone:978-973-0544 IMC construction 7 church street#2 Phone:603-204-1050 Ayer ma 01432 Fax: 978-275-1952 E-mail: service@lntermuco.iom Date: October 20, 2013 Construction Contract Homeowner Information Contractor.Information Owner Name Company Name Mr. Satish International Multipurpose Company construction StreetAddress Contractor/Salesperson Name 21 Peterson road Patrice Nguendi (Projects manager) Ciob Town State.Zip Code Business Address(must include a street address) North.Andover MA 01854 7 church street#2 Daytime Phone Evening Phone CigVTown State Zip Code (609) 558-0673 Ayer,MA 01432 Mailing Address(Itdifferentfrom above) Business.Phone. (978)973-0544 Federal Employer TD: 86-1.15-1633 Contractor Reg.Number: 166007 Work to be performed at: 21 Peterson road North Andover,MA 01845 i' The Contractor agrees to,do the following work for the Homeowner: We propose to furnish all materials (excluding paint,) `equipment and supervision to com-. piete the following work; 1]Demolition and completion on new 2nd floor bedroom. Walls with drywall, door(36",)no additional window or closet. Floor stays the same. Ceiling light installation. Painting. $1685.00 2]Paint all house interior walls (2 colors possible,).doors and window trims white. $1100.00 Work to be completed per detailed customer's demands. (Owners who secure their own permits will be excluded from the Guaranty Fund provisions of MGL chapter 142A.) ProposedStart and Completion Schedule-The following schedule will be adhered.to unless circum- stances.beyond the contractor's control arise 10/22/2013 Date when contractor will begin contracted work. 10%25/2013 Date when contracted work will be substantially completed. Total Contract Price.and PaymentSchedule The Contractor agrees to perform the work,furnish the material and labor specified above for the total sum of Tu;o:thousand seven hundred and eighty f ve dollars: $2785.00 Payments will be made according to.the following schedule: $1000.00 upon signing of contract $1785.00 upon completion of work on the contract. Customer ........................Date IMC-construction ..................Date Mternational Multipurpose &bmpany P_O_Box 7385 Phone:978-973-0544 Nashua_ NH 03060 Phone:603-204-1050 IMC construction Fax: 978-275-1952 7 church street E-mail: Ayer MA 01432 serv(ce@(ntermuco.com Electricals HDTV,Security and fire alarms,Heating systems, Plumbing,Kitchens&Bath,Carpentry Painting Masonry;Foundations,Roofs,Floors,Walls,Doors&Windows, �� Satish Porch,Deck,Drive way,Fences, Vinyl siding Location: Swimmingpool,Sumpump,Sewagepump, Water heaters,Basements North andover ma and more. Residential and Commercial. Date: October 4, 2013 Summarized Estimate Interior house painting,kitchen cabinets renovation,floor renovation. We propose to furnish all materials, equipment and supervision to complete the following work; 1] Paint all interior walls, doors and trims $900.00 2] Room partition including all materials = $1500.00 3] All kitchen Appliances replacements (labor) = $450.00 4] Kitchen cabinets, remove old, install new (labor, includes plumbing) $1400.00 5]Hardwood floor new install = $3600.00 without wood, $9250.00 with wood. 6]Kitchen venting to the exterior including exhaust harness approx $220.00 7]Island pendant light install with switch control = $150.00 Materials We will gladly assist home owner for the selection, purchase and delivery of all materials. Total approximate cost of labor without kitchen granite tops and hardwood...... $8220.00 total approximate cost of labor including floor hardwood materials without kitchen granite tops $13870.00 Since 1995,IMC has served as the preeminent home and building maintenance advisor to home owners,investors and businesses from around the world. We are a group of experienced Engineers and experienced Technicians available 24/7 for your construction,renovation, maintenance and repair service need. At IMC,our mission value is to help people and businesses in real estate throughout the world realize the full potential of their investments. We offer a wide assortment of:Good quality senate;the lowest possible price;Guarantied satisfaction, Friendly and knowledgeable service. Thank you for your business and we hope you have a great day! Mternational multipurpose &mpany 336" 191" 36" 36" 40" 24" 263" 40" 33" 2092 51 28z" 53' 227-L" .- 211" 3 - 36" TT W3612 W3630 I W930 W3024 A B15L DISH-106 O BE w Oi -------------------------------------------------------- ------------------ --------------- REF.2D.1DW36 ------------------------'r W N 0 0' `Gr o la v O UN N O T � (7 W O loo W 0 o O O 0 W ------------------------------------------------------------------------------------------------ W of f.A1 336" ,4 ,a '9 { a/y - -mss-- --------q --- \ 66.... .. 2 . . . > &--------------- } ( e ( , ƒ .#� ƒ EnsigniaMail 1.4.23 [SVN] https://box6079.bluehost.com:2096/cpsess4456115350/3rdparty/squir.. [did£i7:1 91 OZ/171/01 Z3o Z v E-mail G' Compose Addresses r Folders QjDtkrnartin*builders.com v Forward Forward as Attachment Reply Reply All Message List Unread Delete T Subject: Message to building inspector, North Andover From: "Satish Takkalapalli" <tsatishchandra@gmail.com> Date: Tue, October 18,2016 12:39 pm To: jay@martinolibuilders.com (more) Priority: Normal View Full Header I View Printable Version I Download this as a file I Add to Address Book View Message Options: Details View as HTML Hi Jay As per our conversation this morning, I convey that you are not responsible for the improvement work done in the past. You can either forward/show the below email to the building inspector, in this regard. i i To The Building Inspector Buildings Department Town of North Andover MA 01845 Sir, Sub: Representation by Mr.Jay Martinoli (martinoli builders) on my behalf for Hullina the reauired Hermits. I, Satish Takkalapalli, home owner of the property at 21 Peterson Road, North Andover MA 01845, here by authorize Mr.Jay Martinoli, from Martinoli j Builders, to pull the required permits for the home improvements done in 2013, on my behalf. Mr.Jay Martinoli,is not responsible for the past improvement works, as j these were done by another contractor, Mr.Patrice Yodj from IMC Constructions. As a homeowner, I will take the responsibility to get any corrections done as deemed towards the compliance, with the professional help of Mr.Jay Martinoli. Thanks Satish Takkalapalli 704 303 4222 untitled-[2].html 1.4k Download View —----------- trr Move to::, INBOXMOvea Delete&Prev Unread&Prev unread&NextUS '��._ l.__._._____._........._..._.__.__.. flolato R Novt 1 of 1 10/19/2016 2:45 P1V uilq•araegtuud/olniduzat/ooQlpd/olnpouz/inylod/woo•tmti i-loouuoo//:sbq revised 2/25/15 The Commonwealth of Massachusetts Department of Industrial Accidents I Congress Street,Suite 100 Boston,MA 02114-2017 y www.massgov/dia VZrorkers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FILED\PITH THE PERMITTING AUTHORITY. Applicant Information p Please Print Leldbly Name(Business/o zanization/Individual):'azg-s �f Nva Address: I9a (�(�'.�/l�•/ f el— ��/ G City/State/Zip:_��ryyt �1.t I 104 Phone M '�� Are you an employer?Check enc appropriate box: Type of project(required): I. I am a employer with__ E]employees(full and/or part-time).* 7. New construction 2.�lam a sole proprietor or partnership and have no employees working for me in 8. gRemodeling any capacity.[No workers'comp.insurance required.) 3.[]l am a homeowner doing all work myself.(No workers'comp.insurance required.) 9. Ll Demolition 4.❑I am a homeowner and will be hiring contractors to conduct all work on my property. I will 10❑Building addition 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.❑1 am a general contractor and I have hired the sub-contractors listed on the attached Sheet- These heet 13. Roof repairs These subcontractors have employees and have workers'comp.insurance. 6.F]We are a corporation and its officers have exercised their right of exemption per MGL c. 14.❑Other 152,§1(4),and we have no employees.[No workers'comp.insurance required.] 'Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. *Homeowrers who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a newafHdavit indicating such. Contractors that check this box must attached an additional sheet showing the name of the subcontractors 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 that is providing workers'compensation insurance for my emplovees. Below is the policy and job site information. Insurance Company Name:_ �f"`(t1 �( Policy#or Self-ins.Lie.#: Ge)�,�3(S,r1ry6 Z�40-� Expiration Date: 7 I Job Site Address:,,Q City/State/Zip: l/plC�C'4-1�� Attach a copy of the wo kers'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$250.00 a day against the violator.A copy of this statement may be fonvarded td`the Office of Investigations of the DIA for insurance coverage verification. I do hereby e r fy ft er t ns and penalties of perjury that the information provided above is true and correct. Sienatur Phone 9: l? Official use only. Do not write in this area,to be completed by city or town offrciaL City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: 'Phone#• Page 7 of 8 1, _ Office of Consumer Affairs&Business Regulation �, . � r HOME IMPROVEMENT CONTRACTOR Registration: ..107738 : Type: ':yc Expiration: 8/5/2018 Individual 'JAMES C.MARTINOLI James Martinoli 22 WHITTIER ST. Haverhill,MA 01835 -- Undersecretary --- - -- - hn.- Safety, . Massachusetts Depa�ment of Fid St Board of Building Regulations and Standards CS-011756 License: Supervisor Construction Sup JAMES C MARTINOLI 22 VIIHITTIER ST 01830 HAVERHILL MA Expiration: 061297201$ Commissioner