The URL can be used to link to this page

Home My WebLink AboutBuilding Permit #242 - 272 BRIDGES LANE 9/28/2007 BUILDING PERMIT "°oT" qti TOWN OF NORTH ANDOVER �? bit'• 6•, 0 APPLICATION FOR PLAN EXAMINATION Permit N0: Date Received O'er s v� "ems SSACHUS� Date Issued: IMPORTANT:Applicant must complete all items on this page LOCATION Print :PROPERTY.0INNER `. r. Priv# MAP`NO -PARCEL. -: ZONING DISTRICT': Historic District yes' no Machine Shop Village es no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential New Building ne fam y Addition Two or more family Industrial Alteration No. of units: Commercial RepakzngE cemen Assessory Bldg Others: Demolition Other Septic .Well Floodplain ' Wetlands Watershed D strict Wa'ter/Sewbr OF WORK TO BE PREFORMED:�IgESCR1PT11ON � Idegtification Please Type or Print Clearly) / �5 / OWNER: Name: �/,b ,S Phone: 97,9 004' 4 Address: CONTRACTOR Name•, t. � -� ,� a . ryf/. Phone. . { Address. Su,pervisor's Construction License: Exp. Date. F=ume.am rovernent Licefi w _. .p se d Exp. ,Date: .. . t ARCHITECT/ENGINEER Phone: 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. $ leo Z Check No.: 3 Receipt No.: � NOTE: Persons contracting with unregistered contractors do not have acre to the guarantyfund S%gnature of Ag�nt/Owner= Signature of contrac Location No. ? Date NaRT►, TOWN OF NORTH ANDOVER OjO.i« ° A F 9 r • ; : Certificate of Occupancy $ �Ss►CNusEt� Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # /3/-3 / 20642 --� Building Inspector 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 INTERDEPARTMENTAL SIGN OFF - U FORM DATE REJECTED DATE APPROVED PLANNING & DEVELOPMENT COMMENTS DATE REJECTED DATE APPROVED CONSERVATION COMMENTS DATE REJECTED DATE APPROVED HEALTH COMMENTS 0 � 1 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 Located at 384 Osgood Street FIRE-DEPARTMENT -Temp'Dumpster on side. 'yes' no = Located at 124.Main Street Fire Department signaturemate NT COMMIE S. _ . _ 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 INTERDEPARTMENTAL SIGN OFF - U FORM DATE REJECTED DATE APPROVED PLANNING & DEVELOPMENT COMMENTS DATE REJECTED DATE APPROVED CONSERVATION COMMENTS DATE REJECTED DATE APPROVED HEALTH COMMENTS i I 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 Located at 384 Osgood Street FIRE DEPARTMENT =Temp Dempster on site, yes no Located at 124 Nlain°5#reet Fire Department s%gnature/4a- te'' COMMENTS 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 o Building Permit Application o Certified Surveyed Plot Plan ❑ Workers Comp Affidavit ❑ Photo Copy of H.I.C. And C.S.L. Licenses o Copy Of Contract ❑ Floor/Crossection/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (If Applicable) o 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 o 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 E3 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 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:BPFORM07 Revised 2.2007 MOM- CERTIFICATE OF LIABILITY INSURANCE OP ID DATE(MMIDDAWY) BMWH 07/23/07 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Thomas Gregory Associates Inc. HOLDER.THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 601 Edgewater Drive 5235 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Wakefield MA 01880 Phone:781-914-1000 Fax:781-246-2601 INSURERS AFFORDING COVERAGE NAIC 9 INSURED INSURERA' Arbella Protection Ins. (A) INSURER 8: BF Murphy Plumbineng & Heating, INsuRERc Inc &Browns Kitch & Bath Inc 72 Holten Street INSURER D- Danvers MA 01923 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. INZK KLAQ LTR NS CY EXPIRATION TYPE OF INSURANCE POLICY NUMBER DATE MMfpp DATE MMW LIMITS GENERAL LIABILITY EACH OCCURRENCE $1000000 A X COMMERCIAL GENERAL LIABILITY 8500025389 06/01/07 06/01/08 pREMISES(Es occurence) $300000 MS MADE FxI OCCUR MED EXP(Any one person) $50 00 PERSONAL&ADV INJLRY $1000000 GENERAL AGGREGATE $2000000 GEN'L AGGREGATE LINT APPLIES PER: PRODUCTS-COMP/OP AGG $2000000 POLICY JjET LOC Etp Ben. 1000000 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT A ANYAUTO 99770400002 06/01/07 06/01/08 (Esecaderd) $1,000,000 ALL OWNED AUTOS BODILY INJURY $ X SCHEDULED AUTOS (Per person) X HIRED AUTOS BODILY INJURY $ X NON-OWNED AUTOS (Per accident) PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTOONLY: AGG $ EXCESSAIMBRELLALIABILITY EACH OCCURRENCE $ 1000000 A X OCCUR El CLAIMS MADE 4600025390 06/01/07 06/01/08 AGGREGATE $1000000 $ DEDUCTIBLE RETENTION $10000 $ WORKERS COMPENSATION AND X TORY LIMBS ER A EMPLOYERSAIETOPJPARTNER�XECUrIVE IABILITY 9095020606 06/01/07 06/01/08 E.L.EACHACCIDEM $500000 It ICdewdbe and EXCLUDED? E.L.DISEASE-EA EMPLOYEE $500000 If M.describe under SPEC IAL PROVISIONS below E.L.DISEASE-POLICY LIMIT $500000 OTHER DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT!SPECIAL PROWSiONS CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAL DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. AtlTHORIigOSENTA ACORD 25(2001106) ®ACORD CORPORATION 1988 The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 s� www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): /}-?S � A Address: 16- City/State/Zip: 00n V,(p �� Phone #:_272- 776V? Are you an employer? Check the appropriate box: Type of project(required): 1.21 am a employer with 4. ❑ I am a general contractor and 1 6. E]/New construction employees(full and/or part-time).* have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet. Remodeling 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 required.] officers have exercised their 10.[] Electrical repairs or additions 3.❑ I am a homeowner doing all work right of exemption per MGL 11.❑ Plumbing repairs or additions myself. [No workers' comp. c. 152, §](4),and we have no 12.❑ Roof repairs insurance required.] t employees. [No workers' 13.❑ Other comp. insurance required.] *Any applicant that checks box#1 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 andJob site information. Insurance Company Name: Policy#or Self-ins. Lic.#: &_0 40 Z-6"38Expiration Date: M-6 Job Site Address: City/ State/Zip: i9ZIJ�L � Attach a copy of the workers' compe sation 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. I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct. Siiznature: 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#: NORTH Tn1111111P vn o ove r No. 14/3 3 _ IRV, CONI-jp- ki W;;W - M o dower, ass., I. Ap COCMIC EWICK 7�S0RATED PC) BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System BUILDING INSPECTOR THIS CERTIFIES THAT................ .. .iC. .... ......... AL..... ............................. ........ Foundation has permission to erect......... g ...... �. . . �� Rough ....... b din s on .... �.... 1611A to be occupied as �........ �....... Chimney �!.. . 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 io — PERMIT EXPIRES IN 6 MONTHS Final ELECTRICAL INSPECTOR UNLESS CONSTRU N S TS Rough Service BUILDING INSPECTOR 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. mimitng uuuress: iz nuuen atreet, uanvers,nA ul yzs Telephone(978) 774-3333 * Fax(978) 774-8709 Home Improvement License#103611 * Mass.Builders License#073375 CONTRACT This contract,dated below,for materials and/or labor to be supplied by Browns Kitchen&Bath Center (Hereinafter,referred to as the contractor),at the sole request and order of- NAME:Linda Hibbs PHONE: 978-686-4521 DATE:April 18,2007 ADDRESS:272 Bridge Lane North Andover,Ma (Hereinafter referred to as the owner or buyer)to be supplied/performed at premises set forth above,subject to all of the terms and conditions set forth on both sides of the Agreement,as follows: Brown's Kitchen and Bath Center is happy to furnish you with a quote on your Bathroom project Carpentry: We will remove all walls to the studs. We will also remove the ceiling. The outside walls will be insulated The walls will have new blue board andplaster and bead board%way up trim same height as vanity backsplash. The shower walls will have Durock(cement board and Acrylic base and walls 48x36 with dome. There will also be new trim around doors and windows,and around the base of the room. We will supply and install a tall cabinet and a7i4"vanity in KemperlLaSalle/toasted almond This vanity will have a Giallo Ornamentale granite counter top with 2 Kohler carton bowls. Above the vanity will be a mirror.No trim at this time. We will supply and install a shower door, clear glass, chrome, "C"hand_le. (Allowancefbr door is$700.00) We will remove door way and supply and install a door.'We will remove linen closet. We will change entrance to closet and put door in bedroom. We will shorten closet in order to fit a.48 shower. Flooring: The floor will be prepared for owner supplied and Brown's installed tile. Plumbing: We will disconnect all fixtures. We will supply and install a 48x36 Fiberglass shower base. The shower will have a Symmons tub and shower valve,Model#S96-2. We will supply and install 2 Kohler 8"Forte lave faucet in chrome. (Other faucet may be chosen) We will supply and install a Welworth Highline toilet w/seat#K-342 7 HC height elongated We will supply and install a handheld on a bar connected to shower arm. We will supply and install a steam unit.Mr. Steam price with plumbing and elect is$2,200.00, this is included in quote. All work to be connected to existing plumbing.If any upgrades are needed a quote will be provided Heating: 6'baseboard Ventilation:fan light vented outside. Electrical: We will supply and install a GF[outlet. We will supply and install a fanlight. We will supply and install a light above the mirror. (2)lights#P3107--15 All electric will be connected to the existing electrical service, if any upgrades are needed a quote will be provided (Allowance for electrical is$1,600.00, but this will be quoted This should be less. This quote is good for (30)Thirty Days from date above. The owner represents and warrants that he is owner of aforesaid premises and that he/she has read this agreement,set forth on both sides. IT IS EXPRESSLY AGREED THAT NO STATEMENT,ARRANGEMENT OR UNDERSTANDING,ORAL OR WRITTEN, EXRESSED OR A4PLIED NOT CONTAINED HEREIN WILL BE RECOGNIZED AND THIS CONTRACT CONSTITUTES THE ENTIRE AGREEMENT. It is further agreed that this contract is not subject to cancellation except by written consent of both parties. SALESPERSON- ACCE b: IJ` ACCEPTED BY: X (SUBJECT TO ALL CONDITIONS ON THE REVERSE SIDE) BOARD OF BUILDING REGULATIONS License: 90NSTRUCTION SUPERVISOR Num -C§ 073375 Birttfidate 09/03'/1 X52 fxwres 09103/2008 Tr.no: 1169.0 Re�strdecd 1 BRIAN F MURPHY 11 KENMORE DR DANVERS, MA 01923 Commissioner ; W � HOME IAI�RQVEMf�Nl y Regjstratfor 10361` T COI11TFiACT R1irate Corporation NIS KITChfENS �r4a�l 'ER j31jAtJ MURPHYITER,, Deers,MA 0'j 923 *? rA ; f .`. gNRyAdmlaji tqr •G 114" 14 8 25 e ---—58 6" 16,� m- r . L o - m o , o — -- 3t 1 151511 o c� fT 4 —_ N I 00 r _ 00 :A 00 Door 1 i N(-W C USCt ODD( 21" ,j' 4511 . ---- 47"- „ _j ,f-19 _ 66” All dimensions_size designations given are 20— This is an original design and must not be Designed:4/18/200'. subject to verification on job site and FECHNOWG1ES 3 released or copied unless applicable fee Printed:4/18/2.07 adjustment to fit job conditions. has been paid or job order placed