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HomeMy WebLinkAboutBuilding Permit #451 - 224 FOSTER STREET 12/5/2006 t TOWN OF NORTH ANDOVER AORT#1 APPLICATION FOR PLAN EXAMINATION c`t.�■� 6;'tio 3? ° 0 Permit NO: / Date Received ✓ ©L O*q txwu..i..c•��• Date Issued: ' , 9SSACH�1`��� IMPORTANT: Applicant must complete all items on this page LOCATION— Print PROPERTY OWNER cit. 2-,.-1 a • A 4 c,a- o� Print MAP NO.: PARCEL: ZONING DISTRICT: TYPE AND USE OF BUILDING HISTORIC DISTRICT YES ❑ TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑New Building ❑One family ❑ Addition ❑ Two or more family ❑ Industrial R-Afteration No. of units: ❑ Repair, replacement ❑Assessory Bldg ❑Commercial ❑ Demolition ❑ Moving(relocation) ❑Other ❑ Others: ❑ Foundation only D CRIPTION� W RK TO BE REFORM D Identiti ion Please Type or Print Clearly) c 6Ql OWNER: Name: c,9 jZ 6 .� Phone y LF Address: C'2- 4q S CONTRACTOR Name: ' Phone: 1 z Address: Supervisor's Construction License: tV [�Q'�f o Exp. Date: Home Improvement License: Z� 70 Exp. Date: �y ARCHITECT/ENGINEER Name: Phone:__rr �TAddress: � `t ,A,0-d/Reg.No. FEE SCHEDULE:BOLDING PERM/T:$12.00 PER$]000 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost :$ :2 :Z 4`2- FEE:$_�5l Check No.: �lcP Z Receipt No.: Page I of 4 Location0o"' S -5- No. SNo. Datey G TOWN OF NORTH ANDOVER pf� .•o ,•'�'4p i Certificate of Occupancy $ �' b'•^° '<�' Building/Frame Per Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ •. Check # 19859 (� Building inspector i TYPE OF SEWERAGE DISPOSAL Public Sewer Tanning/Massage/Body Art ❑ Swimming Pools 11❑ Well Tobacco Sales ❑ Food Packaging/Sales ❑ Permanent Dumpster on Site Private(septic tank,etc. ❑ Electric Meter location to project NOTE: Persons contract'ng with nregistered contractors do not have access to the guarantyfund e� Signature of Agent/O�wner/ Signature of contractor Plans Submitted Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF-U FORM DATE REJECTED DATE APPROVED PLANNING & DEVELOPMENT ❑ ❑ COMMENTS DATE REJECTED DATE APPROVED CONSERVATION ❑ ❑ COMMENTS DATE REJECTED DATE APPROVED HEALTH ❑ ❑ COMMENTS FIRE DEPARTMENT - Temp Dumpster on site yes no Fire Department signature/date 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 Drivewav Permit Building Setback Front Yard Side Yard Rear Yard Required Provided Requirea RequiredProvides Required Provided Dimension Number of Stories:Total square feet of floor area, based on Exterior dimensions. Total land area, sq. ft.: NOTES and DATA— For department use Page 3 of 4 Doc:INSPECTIONAL SERVICES DEPARTMENT:BPFORM05 Created JMC.Jan.2006 i Com' 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 Addition Or Decks ❑ Building Permit Application ❑ 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) 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 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 i Doc:INSPECTIONAL SERVICES DEPARTMENT:BPFORM05 Page 4 of 4 DOWGIERT CONSTRUCTION CO. INC. 616 ESSEX STREET LAWRENCE, MA 01840 978 685-0306 fax 978 685-1290 CONTRACT Customer Name Miriam Zwanzinger Date 12/5/2006 Address 224 Foster St Job Loc City North Andover State MA ZIP 01845 Job Name Back house Phone Qty Description Unit Price TOTAL Supply necessary material and labor including permits to renovate rear house as per specs. Remove and dispose of 2 existing garage stalls and rebuild 2 remaining stalls as per specs. Renovate interior by removing existing drywall, interior walls and insulation from exterior walls as per specs. Repair exterior foundations as needed. Rebuild exterior walls as needed&build new interior walls. Update electrical and plumbing by installing new bath fixtures, new kitchen and cabinets. Install new electrical outlets and lighting. Install new doors and windows as per specs. Install new roof shingles. Repair siding as needed. Sheetrock and tape to a smooth finish. Install new doors and trim as per plan. Install new flooring as per plan. Paint interior and exterior. 1 TOTAL CONTRACT PRICE $137,420.00 $137,420.00 SubTotal $137,420.00 *Landscaping and regrading not included. Shipping&Handling $0.00 TOTAL $137,420.00 1 Office Use Only ItA Town of : Andover over, Mass. -1p?' o — LAKE ,�, COCMIC ME WICK � A�RATEO S BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System BUILDING INSPECTOR THIS CERTIFIES THAT... �i(�!�l! 1. . .............. Z.. . Foundation 'IiiY--i has permission to erect........................................ buildings on y......... .. Jr.�.................... Rough to be occupied as.k � � Chimney . ......... . ........ ................................ .......... . ............. .. : provided that the person accepting this permit shall in eve respect conform to the terms of the applic ion on file iff 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 4J Final r r PERMIT EXPIRES IN ONTHS ELECTRICAL INSPECTOR UNLESS CONSTRU ON TU Rough . .... ... . .................................... Service ING INSPECTOR Final Occupancy Permit Required to Ocmpy 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 Streetrlo. SEE REVERSE SIDE Smoke Det. } DQartmcnt of Indus&W Aeciidents Oct of invewsa thous 600 WislkLvtoa Stied B090%MA 02111 www.inaasamW/A Workers'Compensation Insurance Ait'idav(t:BufldenWontrador&Mectrkla=/Ptunabers Applicant information Mme P Naive MUSS ess/0r M%IMdUQ I ` ay Address: U c- City/State/zip: Pbane#: An Y employer?Check the aPProPr1aft btts: Type dPmlnt(nquired): 1. am I a empioyer with -,5- _ 4. I am a general conbuw and I employees(fall and/or part thus)• have hired at nab-oo�traceza 6• Q New c 2.Q 1 am a sole proprietor or put=- listed on the attached sheet.t 7. Q Remodeling ship and have no employees These sub-contractors bave g. Q Demo working me Mi any capacity. (No workers tom. 5. Q w�a and its.S Caw. 9. 0 addict°° required.] ofli =ban exaciud their 1QQ F,kc>ricai repairs or additions 3.❑ l am a homeowner doing all work right of exempcioa par NIGL 11. ❑Plumabntg repass or additions myself(No workeal camp. C. 152,11(41 and we have no 12.Q Roof repairs ice requited.]t employees.[No wo*=, cwv,inivewce ] 13.Q Other •Any aprrtit W that e�bas Nl m o dao fM cat tie adim bebwr ttk�.wnwawdw ►moa Other; Homeowraas Who NOW*Ob Attidati adi<afl�tliry mdoio wort ad thea bite 05W*oioatra 6=mart anbrdt•aawr a6daeit lad artir�ao� =Contw bin flat check grit boat 00 andwd a a6bonal.dod tbow n go==Of9w nbom a m aad them Wofim'eoovL ldIcy W I am an emPbj er that Isprevift warkm'eontpws!"On brsrsartea for my mPIRYm Bdow b Arpeft ausi�jadr efts Insurance Company Name: j Y Policy##or Self-in.Lit.#: `` Exphatian Date:_ Job Site Addnn• Attsch a copy of the workeW compenssem potlty dedanom par( the Policy MIarnbw nab eaphudo,date). Failure m sewn coverage as under Section 25A of MGL c. 152 call fold to the impoaitiiaa of crimmaL penaltus of a fine up m S 1,500.00 aaa/or ono-year as weA as civil penalties mi dw form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a dopy of this statement may be forwarded b the Office of Investigations of the DIA for insurance coverage wrifica>ion, I da Iharsby aertlfy rrarrrr tJbe pdas std peaab&a olPrrlr+rY dtat d w in wsrtsribat propi&d 4vw to&M ar+ctin nwt Qstchd use an(µ Do not write!n dw arca,to bs coatp/ted by db'or totm oj'kcf L City Tows: PermWU�s Inning Authority(dale one): 1.Board of Health 2.Building Depart�mes t 3.Cityfrowa Ckrk 4, InVector S.Mambing Inspector d.®cher Costad Person: Phone s: Mav 08 05 09:30a 6039900192 P. 1 FROM :ROBERTS INSAA� FAX NO. :9785833147 Nov. 08 2005 10:44RM Piil ACCB - CERTIFICATE OF LIABILITY iNstiRANCE �°°"►'''"' n B 005 "Ns MINWATE is tmo ASA NAT1[R OF owom RT(ON x.P. Rosam IZs. Aaamm, INC. OWY AND COMMM NO MGM UPON TIE CI MWC ATE 1060 OSWW s"mn Imuot " o m "m wn NOT AMM, oA ALTER THE CDVMvM AFFo� BY TIlE P"Ms BaoA. NORMM 01845 979-69-3-8073 INSURERS WORGM©OVERAGE NAIL/ Msum DMIERT CMWANY M. -" R K ESSEIt 175 HWiD? AVL INUM 0: 8M.RM, HS 03079 sTsuTart a G LVM —XM%WJWM GR COVERAGES WMFJMr= TM Poum OF ViSt RANGE usTM OaOWMAVE BEEN TSMV TO TME IMMED K&MW ABOVE FOR THE POLICY PEMD■W"TEO.NOTWiTWANMO ANY REQUIREiED{T.TEM OR CONOMN OF ANY CONTRACT OR OTMBt OOCUM a VM RESPECT TO TMS CERT M-M MAY BE EisM OR MAY PERTAIN,TME 0"ANCE AFFOMM BY THE POUCW OESOFaM 1 1(g$UBJECT TO ALL TME TERIES PEXGU uP�tSAND�(K am a1M&AOGRCTIELIYriSSMO1eM&%V"AVE�fREMKMBYPADCUW POUCYNc>tipER Lem GiNENAL LUWNUTV llYCtl OC.CtICE i ©i. QQ.Q00 �E�tCNLOEhERALUABIUTY ►R91(SEZ Amrerw S MAMlMAOE ®OOCUR .—^.�.� 5b 00 A uEOE�(AflyorrP�oe,� a 3CP3616 10/26/05 10/2.6/06 rEAWONAISAOVl"w i 1,00g,oqo, 60=AL AGOW"TE i 2 000 000 swrl ABGRErATE LMT APPLE$MR 0 0 pOUCY PRO. UIC Pil00tIGTB-CON�ibrA6e : /MITOMGiiEumcry ANYAUTO CC sINGLEum , ALLOWNWAUM SCHEDULER AUTOS = BPoMOrplr� HYtEOAUTCS _._ .. Na,�awNEOAuroi �,� ' : PRWERIV CAMWA OARABE LAftf Y AMONLV-EAACCOM i PAMOWX AM OT1cENtliIIN � _ E7fCEWVMlftuAuom%it EMIT OCCURRENCE i OCCUR �!CLAMMAN Ap6REofTcE i Dr( s s oor e uniTwNANO s Nr a Z D exLrfnmr DOwC6005b8 10/26/05 10/26/06 EiEACHACCbBIT s _ 500 00 'nen exon EL Mum s_ 500 000 OTHER E.LOMEM-PCUCrUmr i 500,000 OEICRPym(w ONS/VfaUCLM#Mccumo"BAUMBY-UZa f$PECIALPH041S1ON3 2 CERTW"TE: HOIAdt CANC2:L TWA ff OBY.Y PROP> MIE$, S.LC. Gll=D AW OF TW ADDVE OESCNI m PoLtt:Eg>£bAMCtT l kT)oCFOiM THc oovmATIOH � 8 DD�7mim PXMR DATE'"WOF.THE LS me MI�IAHt Y&m emwm To vA L10 oars vAaTrm AN)"= MA 01810 NOTM TO Tt!CEHTI"TE Howm NAMED To THE LER,our rmmm to vo So SHALL WME NO CBLN;ATION OR UMUTY OF ANY XUQ UPON IM SER IPS AOENfb CR A ACOM25(20OWDs) *ACoPDCORPORATm1gU _ ?glia r�jov»nrzoT10NS i BOARD�S BRl1CT ON SUPER ISOt2. :License: CON rl Number. GS 048040 S rthdate 1012911955 8053:4 ' 1012912007 Tr:no: :-Expires., RestricCed: 00 TADEUSZ DOWGtE1=RT 175 BRADY AVE SALEM, N!i 03079 Commissioner Board of Building Regula ions and Standards One Ashburton Place - Room 1301 Boston. Massachusetts 02108 Home Improvement_Contractor Registration Registration: 128870 Type: Private Corporation A Expiration: 6/1/2007 Dowgiert Construction Co. Inc. Tadeusz Dowgiert 8 Dundee Park Andover, MA 01810 Update Address and return card.Mark reason for change. DPS-CA1 5OM-04/04-oio1216 (] Address ❑ Renewal f-� Employment Lost Card �ie �o ealt/ o�./f/�aaaaclucae� ovnmzauu z ' Board of Building Regulations and Standards License or registration valid for individul use only HOME IMP.ROVEMENT-CONTRACTOR before the expiration date. If found return to: Registration:._�28g70 Board of Building Regulations and Standards Explratlon :6/1/,2007 One Ashburton Place Rm 1301 ' type Piv`ate Corporation Boston,Ma.02108 Dowgiert Construction Co Inc.. Tadeusz Dowgiert.,,, 8 Dundee Parke Andover,MA 01810 Administrator Not valid without signature