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Home My WebLink AboutBuilding Permit #307-16 - 24 SALTONSTALL ROAD 9/9/2015 f NORTH q BUILDING PERMIT 3�6,,"`� TOWN OF NORTH ANDOVER o APPLICATION FOR PLAN EXAMINATION Permit NO: v Date Received b no e y w. 7 �4 q�AArep Date Issued: SSACHUS� IMPORTANT:Applicant must complete all items on this page LOCATION SJ6L �--�C Print PROPERTY OWNER �cnf1 i 2 Print MAP NO: PARCEL: ONING DISTRICT: Historic District yes Machine Shop Village yes no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building V'One family ❑Addition ❑Two or more family ❑ Industrial RAlteration No. of units: ❑ Commercial ❑ Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other ❑ Septic ❑Weil ❑ Floodplain ❑Wetlands ❑ Watershed District _❑WIatterr/S'ewer i [ -� OK.t4L � Identification Please Type or Print Clearly) OWNER: Name: c a 9f,"", 3.,z et' Phone: 22196 Address: A CONTRACTOR Name:4.... Phone: 0-4. 2 ep Address: Supervisor's Construction License: Exp. Date: C6_9 Z3 Home Improvement License: �. Exp. Date: ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE:BOLDING PERMIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $_ I 2_C7 O FEE: $ Check No.: al, 11 Receipt No.: Q NOTE: Persons contracting with unregistered contractors do not have ac ss M t e guara ty fund Siyriature of Agent/Owner. Signature of contractor Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ TYPE OF SEWERAGE DISPOSAL Public Sewer ❑ Tanning/Massage/Body Art ❑ Switwning Pools ❑ Well ❑ Tobacco Sales ❑ Food Packaging/Sales ❑ Private(septic tank,etc. ❑ Permanent Dumpster on Site ❑ TIME FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM PLANNING & DEVELOPMENT Reviewed On Signature_ COMMENTS CONSERVATION Reviewed on Signature i COMMENTS i HEALTH Reviewed on Signature COMMENTS i Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments - I Conservation Decision: Comments Wafter& Sewer Connection/signature ®ate Driveway Permit DPW Town]Engineer: Signature: Located 84 Osgood Street C p C {�p� g� Lo e 3 Osg d et �'f I11CrDE � IYIIVT t'P s, PART .��. ' ,. . a ' «e_ �t +T:emp D aptµ er ones E'�?Ct�/�es7¢«i A k :z' 3c"'y no.. . Located at 124 MaStreet . . '' jj �' � ' iA + ,,ire Die a1`tmen �signature/date, }} {{..,.a, - .ca yr_ ,� . r � L;`i a ! ��.t-1 i-tn"r+�.�, -}�s . 3 x ,a +rr•. 'l 7�"l-�:t "q7=lr'�,�.4,r'�T" T�:;.;�; r F.fiw�t, r� t,sy� a i• {a i,�'"�x ;'� �'�#�,a�,t"a`°�i�"c*'r'y,`x�f hs�,, . s T'i �''�..�,y'K.°.rY*" _ � :`-"� .f Dimension Number of Stories: Total square feet of floor area, based on Exterior dimensions. Total land area, sq. ft.: ELECTRICAL: Movement of Dieter 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.$1o0-$1oo0 fine NOTES and DATA,— (For department use) I I i i LI Notified for pickup Call Email 4 Date Time Contact Name Aoc.Building Permit Revised.2014 i 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 OTE: 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 46 Copy Of Contract Floor/Cross Section/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 OTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit New Construction (Single and Two Family) 4- Building Permit Application 4 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 2012 IECC Energy code Engineering Affidavits for Engineered products OTE: 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 2014 Location _ Dag4L'� i #. o - TOWN OF NORTH ANDOVER . ° ��*�Tb�fi-gc • �.. Certificate of Occupancy $ Building/Frame Permit Fee $ A � . Foundation Permit Fee $ �} AA%� .1 Other Permit Fee $ TOTAL $ Check# •. '. Building Inspector a k NORTH Town of 2 E ., ndover _ to No. ,3d ,_ 2oa - . i � y h ver, Mass its o cocHii:wcm �'► 7d RATED 7S U BOARD OF HEALTH Food/Kitchen PERMIT T Septic System THIS CERTIFIES THATBUILDING INSPECTOR ............... ......0�........ pl�.r.A.J�..,..... .,....... ..... .......... .. .. .. .. ....... .. . 11 Foundation has permission to erect ....... .................. buildings on .. ..... ...... �.L.. . ...... .... ............ . y � �. Rough tobe occupied as ...... : ....'.. ........ ... ... ..................................................................... Chimney 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 -R UNLESS CONSTRUCTIO TA Rough 11 Service ................. . . ..... ... ........................................ BUILDING INSPECTOR Fina 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. Glenn Gary General Contractors L.L.C. 60 is Street Builders Lic. # 058238 Lawrence, MA 01840 Home Improvement Lic.#105965 Telephone 1- 978-557-5981 Toll Free 1-800-928-5981 Fax 978-557-5439 Over 20 yrs experience Ll www.glenngarygc.com CONTRACT PROPOSAL FORM Prepared For: Mrs.Pamela Porrier of 24 SaltandStall Rd North Andover,MA 01845 Date: 08/11/15 Phone: 781-929-9641 Kitchen Renovation Apply and obtain local building permit Demo and dispose of kitchen cabinets Demo kitchen walls and ceiling to expose stud framing and dispose of debris Remove and dispose of wall insulation Insulate exterior walls as per required code Supply and install ''/z" sheetrock to walls and ceiling Remove and dispose of sliding glass door and install new Andersen Slider color white Remove and replace double hung window at kitchen sink area Remove and replace side entry door with knob and deadbolt lock Mud and tape kitchen walls and ceiling to level 3 finish (ready for paint) Supply and install Merrilat Cabinets Maple as per sample and drawings provided by Contractor. Supply and install Laminated counter-tops Supply and install Inlayed Vinyl Flooring to kitchen floor Supply and install Stainless steel sink and faucet Supply and install baseboard trim along with window and door casings Wire Kitchen for electrical to match existing wiring Paint kitchen walls and ceiling color TBD. Install owner supplied appliances Paint walls and ceiling in kitchen area color TBD. Cost does not include: kitchen appliances. Updating existing Electrical wiring and Plumbing to meet existing codes,this cost will be added to cost given on this proposal and will be paid by home owner with-in 14 business days of dated invoice. Total Cost Estimate Acceptance of Proposal After Demo Complete upon Completion $21,200.00 $ 7000.00 1 $7,000.00 $7,200.00 All material is guaranteed to be as speed.All work to be completed in a workmanlike manner according to standard practices.Any alteration or deviation:from above specifications involving extra costs will be executed only upon written _. orders,and will become an extra charge over and above the estimate.All agreements are contingent upon strikes, accidents or.delays beyond our control.Owner to carry,all required insurance on the property being worked by-the contractor.Contractor will provide full.Workmen's.Com enation Insurance for.the em to ees used at the site.,_ Please review this Proposal and if acceptable please sign both copies and retain one for your files.If there are any changes please modify this Proposal by marking the changes and providing us with the document for review and preparation of a final Proposal.This proposal may be withdrawn if not accepted within 30 days. > Accepted: By: _ -Y,.. SL,�. 2=S�. �� r ..� Date: Date 08/12/15 i t VL _ 16q 0 t ' f t}t 1 ` *_...��...�� • moa ' ^ - 1 t ! 1 C nt#:2231 GA ACORD. CERTIFICATE OF LIABILITY INSURANCE " PRODUCER /0912015 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Doherty Insurance Agency,Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE P.O.Box 1985 HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 21 Elm Street ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Andover,MA 01810 INSURERS AFFORDING COVERAGE NAIC q INSURED INSURERA. Travelers Glenn Gary General Contractors LLC 60 Island Street INSURER B: INSURER C: Lawrence,MA 01840 INSURER 0: INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE 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 OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INS"WWI LMTYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION am MMOD DATEinummin DA LIMITS A GENERAL LIABILITY 680844H56231542 07/05/15 07/06M 6 EACH OCCURRENCE si 000 DOD X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $300000 CLAIMS MADE a OCCUR MED EXP(Any one person) %5000 PERSONAL&ADV INJURY $1,000,000 GENERAL AGGREGATE $2.000.000 GENt AGGREGATE LIMIT APPLIES PER: PRODUCTS•COMPlOP AGG S2 000 000 X POLICY PRO• LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT S ANY AUTO (Ea ocedm) ALL OWNED AUTOS BODILY INJURY - S - SCHEOULEO ALTOS (Per Porun) HIRED AUTOS BODILY INJURY s - NON-OWNED AUTOS (Per acddeel) PROPERTY DAMAGE S (Per eeddenq GARAGE LIABILITY AUTO ONLY-EA ACCIDENT S ANY AUTO OTHER THAN FA ACC S AUTO ONLY: AGG S ED(CESSAIMBRELLA LIABILITY EACH OCCURREACE S OCCUR CLAIMS MADE AGGREGATE S S DEDUCTIBLE S RETENTION S S (YORKERS COMPENSATION AND WC STATU DTH• EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNEWEXECUTIVE E.L.EACH ACCIDENT S OFFICERAIEMBER EXCLUDED? E.L.DISEASE-EA EMPLOYEE S SPp ECIAL PR IdesM oder ON ow E.L.DISEASE-POLICY LIMIT S OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/YEHICUS I EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS Covering operations usual to Glen Gary General Contractors LLC... CERTIFICATE HOLDER CANCELLATION 10 De s for Non-Pa ment SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION Town of North Andover DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL —III— DAYS WRITTEN 1600 Osgood St. NOTICE TO THE CERTIFICATE MOLDER NAMED TO THE LEFT,BUT FAILURE TO DO$O SHALL North Andover,MA 01845 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPR ENT ACORD 25(2001108)1 of 2 #S32616/M32615 bML ACORD CORPORATION less z Massachusetts Department of Puu!ic Safety Board of Building Regulations and Standards <<,n�tru:ti�,a: �aal,ct• ., t _wens CS-058238 GLENN M GARY 507 W LOWELL AVE Haverhill MA 01832 d , r "' ''' `xp •at�o� ;u.�,• Rs<...0 tier 09/15/2015 i;t• „ Office of Consumer Affairs&Business Regulation aiiOME IMPROVEMENT CONTRACTOR a f -` Registration: 9 105965 Type: i = 4� Expiration: 7/21/2016 DBA GLENN GARY GENERAL CONTRACTORS Glenn Gary 60 ISLAND ST. LAWRENCE,MA 01840 — Undersecretary