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Home My WebLink AboutBuilding Permit #338-12 - 308 MASSACHUSETTS AVENUE 10/18/2011 TOWN OF NORTH ANDOVER . APPLICATION FOR PLAN EXAMINATION Permit lel®: . Date Received Date issued: �� MP®RYANT:Applicant must complete all items on this page LOCATION D Print PROPERTY OWNER V e`I-(Q S � Print MAP N0:/ • _PARCEL: �/ ZONING•DISTRICT: Historic District yen.o Machine Shop Village ye no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building J9 One family ❑Addition ❑Two or more family ❑Industrial ❑Alteration No. of units: ❑Commercial Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑Other -}s�y��.�t .-�<i e'° p =Well i U. NIPlam{ ®Wetlands� t �t r� :i❑�WatershedtDistrict t-,F Ter DES C.t 1 TION OF WOP K TO BE I'ERti O_RMED: f,,,4-f "f oar 19&�e 4 of (Identification Please Type or Print Clearly) OWNER: Name: /LIQ- 7aW43 ` l e mn l e r Phone: /I J3 TMS Address: 3a8IR. CONTRACTOR Name: Phone: 7�-Sri Address: Supervisor's Construction License: 7.rC� Exp. Date: S_Id ?0 r� Home Improvement License: Exp. Date: s- ,>76 I ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE:BULDING R RMIT:$92.00 PER$1000,00 OF THE TOTAL ESTIMATED CC 5 ASED ON$12 00 PER SF. Total Project Cost.- $ P 44/izj FEE: $ Check No • -6 Receipt No.: o� -7 �2 NOTE: Persons contracti g with unregistered contractors do not have access to the gua�an fund c to.e of cot to E _ - - -_ - - 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 ❑ Building Permit Application - ❑ Certified Surveyed Piot Plan ❑ Workers Comp Affidavit ❑ Photo Copy of H.I.C. And C.S.L. Licenses ❑ Copy Of Contract ❑ FloorlCrossection/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Mass check Energy Compliance Report (if Applicable) a 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) o 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 ❑ Engineering Affidavits for Engineered products i�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 CIerks 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 Doe: Doc.BuildingPermit Revised 2008mi Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ TYPE OF SEWERAGE DISPOSALPublic 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 i PLANNING & DEVELOPMENT ❑ ❑ i COMMENTS CONSERVAT ION Reviewed on Sionature COMMENTS HEALTH Reviewed on Si nature COMMENTS Zoning Board of Appeals:Variance, Petition No: Zoning Decisionfrecelpt submitted yes Planning Board'Decision: Comments Conservation Decision: Comments Water& Sevier 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 E i Dimension Number of Stories: Total square feet of floor area, based on Exterior dimensions. Total land area, sq. i.: ELECTRICAL: Movement of lt(ieter 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 i ® Notified for pickup - Date DomBuilding Permit Revised 2008mi Location No. -7 Date of NcoT.,� TOWN OF NORTH ANDOVER a ` Certificate of Occupancy $ Building/Frame/Frame Permit Fee $ s�cwust 9 t Foundation Permit Fee $ Other Permit Fee $ _® TOTAL $ �v �s Check # Qt r 6 Building Inspector 247 NORTii Tovm of 'k. 0 338 dover, Mass., 10LAKE • • COCMICMEWICK A04ATED S ` BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System BUILDING INSPECTOR THIS CERTIFIES THAT.........-L&.0 ..............� ............................................. Foundation has permission to erect........................................ buildings on .......................3048...Me....�411LO.O..A..... Rough 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 Final PERMIT EXPIRES IN 6 M THS ELECTRICAL INSPECTOR UNLESS CONSTRUC I 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. kJ Sons Martino & BUILDING & REMODELING www.tnartinolibuilders.corn BBB 22 Whittier St., Haverhill, MA 01830 (978) 521-4958 Fax: (978) 794-9692 CSL#011756 HIC #107738 August 28, 2011 Mr. & Mrs. Trepanier 308 Mass Avenue N. Andover, MA 01845 CONTRACT Scope of Work In performing the Builder's work under this agreement, the Builder agrees to furnish all labor and materials specified, and to complete the work in a good workman like manner without hindrances or delays, except for causes beyond the Builder's control within a period the date beginning from the 2"d week of issuance of permit. The Builder will not be responsible for any delay occasioned by reason of strikes, lockouts fires theft hurricane, accidents stoppage of labor or failure of usual sources of supply including delay occasioned by sub contractors or materials contemplated hereunder, or for any other reason beyond the control or the Builder, such as rain, snow, wind, or excessive heat over 900 may delay work or completion of exterior and the date fixed or contemplated for installation of said materials shall be postponed for a period commensurate for the delay without the Builder being answerable for any damages or losses due to such delay or postponement of installation. All material for completion of work are to be provided by the Builder, except where stated or shown differently, and all materials left over after the specified work is done is to be considered as belonging to, and the property of the said Builder, and may be removed from the premises without interference or molestations by the Home Owner. e o .. Page 1 of 7 J. Martinoli & BUILDING & REMODELING www.inartinolibuiIders.coin BBB 22 Whittier St., Haverhill, MA N830 (978) 521 -4958 Fax: (978) 794-9692 August 28, 2011 Mr. & Mrs. Trepanier 308 Mass Avenue N. Andover, MA 01845 Supervision of Work Home Owner agrees that direction and supervision of the working forces, including all sub- contractors, rest exclusively with the BUILDER, and Home Owner further agrees not to issue any instructions to, or otherwise interfere with same. Home Owner further agrees that no work will be done by the Home Owner, or his/hers agents until the Builder's work is completed and accepted by the Home Owner. Additional Work Additional work requested by the Home Owner may be executed, provided same will not, in the judgment or the Builder, delay the completion of the Agreement. If the Builder consents to such additional work, it shall be covered on the form entitled "Change Order". Builder shall submit a price and the Home Owner shall pay for the extra work before the work begins. The Home Owner also agrees not to negotiate for additional work with the Builder's sub-contractors except with the Builder's written consent, and if such consent is given, work shall be done in such a manner as will not interfere with the Builder's completion of the work under this Agreement. O e® Page 2 of 7 �• jo ' m inoli, & Sore BUILDING. & REMODELING ..www.n artinolibuilclers.coni BBB 22 Whittier St., Haverhill, MA 01830 (978) 521-4958 'axe (978) 794-9692 August 28, 2011 Mr. & Mrs. Trepanier 308 Mass Avenue N. Andover, MA 01845 Description of Work To remodel existing Kitchen as follows: Obtain permit Disconnect kitchen sink, dishwasher and gas stove. Move appliances to an area away from remodel, for later use. Remove and dispose of counter, cabinets, remove ext4erior walls, drywall, insulation and dispose of. Electrical Check existing electrical and add devices as required by new cabinet design. All electrical to be to code to nearest panel. All devices and switches to be white with white plates. Install circuit in sub-panel for electric radiant floor heating. No new lights, recessed or under cabinet lighting have been figured. Electrical Allowance $825 Page 3 of 7 tjo_.Ma.rtino1i & Sons .:BUILDING & R1ODLLNG www.inai-tiiiolibuilde-i•s.coin 22 Whittier St., Haverhill, 01830 MA (978) 521-4958 'axe (97/18) 794-9692 August 28, 2011 Mr. & Mrs. Trepanier 308 Mass Avenue N. Andover, MA 01845 Description of Work-Cont. Plumbing Check all water supplied and drains. Connect new sink, faucet, dishwasher and gas stove. Rebuild half bath toilet and reinstall with pedestal sink. Reroute steam line and remove radiator in kitchen. All plumbing done to code. Plumbing Allowance no Sink or Faucet$1,000 Install blocking in opened exterior walls for cabinets to be hung. Spray 3" of 21b closed cell spray foam in opened exterior walls. Apply to exterior walls 1/2" blue board with veneer plaster, all other disturbed plaster to be repaired. Install new cabinetry according to excepted design with all necessary molding. Cabinets to be Galena Door Style Maple Briar Wood with matching molding and door panels to add around soffit and vent hood area. To make it look as part of the cabinets included are knobs and pulls model#M-351. To be installed to active drawers and doors. Cabinet Allowance $9,500 y 4 Page 4 of 7 Mart Inoli & Sons W 13UILDING & REMODELING , www.niartinolibuilders.eo-m BBB 22 Whittier St., Haverhill, MA 01830 (978) 52.1-4958 Fax: (978) 794-9692 August 28, 2011 Mr. & Mrs. Trepanier 308 Mass Avenue N. Andover, MA 01845 Description of Work-Cont. Assist in installing granite counter approx 51sq feet of Ivory Gold, included is an SS under mount sink and brushed Nickel faucet picked out by owner. Allowance for Granite Sink&Faucet$2,700 Prep floor of kitchen, 'h Bath and hall foyer area by removing underlayment and carpet/hardwood. Install '/" Dense shield backer board glued and nailed. Install to floor mentioned approx 276sq feet 12" x 12" Florida tile Pristine classic beige. Grout with accepted color picked by owner. Install 2 transistors at basement and breezeway. Remove all debris Install all appliances back to locations. Painting by others Total Cost with Allowances $19,890.00 ,r e® $0 Page 5 of 7 i - - .. Martinolions BUILDING & REMODELING , iy,,NAjw.iiiai-tinoli.buildeis.coin BBB 22 Whittier St., Haverhill, MA 01830 (978) 521-4958 Fax: (978) 794-9692 August 28, 2011 Mr. & Mrs. Trepanier 308 Mass Avenue N. Andover, MA 01845 Scheduled payments are a division of the total cost, not necessarily by the item indicated. Payment Schedule Upon signing of contract ..........$ 4,000.00 When existing kitchen removed & rough electrical & plumbing complete...$ 1,500.00 When walls plastered &cabinets on site....................................................$ 3,500.00 Cabinets installed & counter template........................................................$ 3,500.00 Counter top installed plumbing &electrical finished ...................................$ 3,500.00 Floors prepped tile started .........................................................................$ 2,500.00 Uponcompletion.........................................................................................$ 1,390.00 Total.......................................................................................................$19 Work start date: 2 weeks after issuance of permit i Completion of work: 60 . 3 Page 6 of 7 I r - J* Martinoli & Sons UILDING & R MODELING � www.niartin€fibuilders.coni LBBB 22 Whittier Sts, Haverhill, MA 01831 (978) 521-4958 Fax: (978) 794-9692 August 28, 2011 Mr. & Mrs. Trepanier 308 Mass Avenue N. Andover, MA 01845 DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES C Z/ eowner's SigrWfure Date ntract 's gignature Date Notice of Cancellation You may cancel this agreement provided you notify the contractor in writing no later than three business days following the signing of this agreement. ®Q t �= F Page 7 of 7 �lihs:Ichrisctts - B . � tp:u'trnc'ru i►f Puhlic �; Bo:u•d of BuildingConstructionSRu e'eif rvisor License , License: CS 11756 Restricted to: 00 JAMES C MARTINOLI 22 WHITTIER ST �. HAVERHILL, MA 01830 t„grrriiv�i �r`r Expiration: 5/29/201.2 Tr': 25051 gge �om>.n �eal!/:, �, aarac�uveCt Office of Consumer Affairs&B sines Regulation r�=-: _ HOME IMPROVEMENT CONTRACTOR =� Registration: - 107738 Expiration: 8/5/2012 Type: —T� Individual JA S C. MARTINOLI James Martinoli 22 WHITTIER ST. Haverhill, MA 01835 = G` a-- Undersecretary The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 www mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly � s Name (Business/Organization/Individual): Address: c�� CJ ��f-{r City/State/Zip: /if"Ytoli t /44. O I F30 Phone#: /T 7S`" Are you an employer?Check the appropriate box: Type of project(required): 1.(l I am a employer with O 4. ❑ I am a general contractor and I 6. 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. 7. Remodeling ship and have no employees These sub-contractors have g, ❑Demolition working for me in any capacity. employees and have workers' 9. ❑Building addition [No workers' comp.insurance comp.insurance 1 required.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions myself. [No workers'comp. right of exemption per MGL 12.❑Roof repairs insurance required.]t c. 152, §1(4),and we have no employees. [No workers' 13.0 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 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 employees. Below is thepolicy and job site information. Insurance Company Name:�A h,k Policy#or Self-ins.Lic.#: �)C 007 qd q 2 Expiration Date: rf 11 app J— Job Site Address: �� N1A�S City/State/Zip: kl,61t e"l-MO. 01igf` 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. I do hereby c ;fyVer pains an penalties ofperjury that the information provided above is true and correct. Signature: Date: [12�lzkll 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#: