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Home My WebLink AboutBuilding Permit #569-2017 - 349 APPLETON STREET 11/28/2016 4 OF NORTH q A / �C/�/� r� BUILDING' PERMIT :t✓ �t�Eo -6, ti0 l �r��'!n �.ypp �Y ,I _ b TOWN OF NORTH ANDOVER � APPLICATION FOR PLAN EXAMINATION A CO<MKMewK Permit No#: �M- ao 7 Date Received t 1^ �t °gaTEo gSSACHt1`��'t Date Issued: I l ,;y - a0lf IMPORTANT: Applicant must complete all items on this page LOCATIONl�� sfi Print PROPERTY OWNER=O. �+ Print 100 Year Structure yes no MAP (D PARCEL: 9 ZONING DISTRICT: Historic District yes no Machine Shop Village yes' no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building tKOne family ❑Addition ❑ Two or more family ❑ Industrial ❑ Alteration No. of units: ❑ Commercial J:Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other D Septic ❑1Nell, ❑`Floodplain. ❑Wetlands El. Watershed District C `Water/Sewer DESCRIPTION OF W RK TO BE PERFORMED: �J—✓�Sw� �T Aim � l a i dentification- Please Type or Print Clearly 71 OWNER: Name: �o i^ Phone: F-70� F Address: 3�« e t n Contractor ame: .�cf1-r�✓� / . Phone C2�— �t Email: rcVe( . s-e(I Tc-v, cow,\ Address: 110 Pyr-��.Y.2�c a81 � is 5 Supervisor's Construction License: �� Gl Exp. Date: Home Improvement License: I-7cl `-f Exp. Date: 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.J Total Project Cost: $ 7�!`A(filo �� FEE: $ Check No.: 14 y q Receipt No.: NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund of A waturo. _. G - r Dimension Number of Stories: Total square feet of floor area, based on Exterior dimensions. Total land area, sq. ft.: 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 I I I ❑ Notified for pickup - Date Doc.Building Permit Revised 2008 h 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 CONSERVATION Reviewed on Signature COMMENTS HEALTH Reviewed on Signature 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 '1kt�DEP,ARTMENT .='Temp;Durlapster on site ;yes no o- Located-,at12.4`I ain-,Street- � ; ', .. Fixe D:epartmetit-'signature/date { �p u COMMENTS ,QRTH Town of � ' ` 0to� , �` dover, lViass., � - () COC MIC KE WICK �dS RATED 1 BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System BUILDING.INSPECTOR THIS CERTIFIES THAT......... . .. .. ... .................... .`.................... ............................. Foundation. has permission to erect.... buildings on ........... ....... ... Rough Chimne to be occupied as...... .y,'`�.. _::... ... d s y ................... ........................................................................... 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 PENT EXPIRES IN 6 LATHS ELECTRICAL INSPECTOR UNLESS CONSTRLJ 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. D GENERAL CONTRACTORS 56 Pleasant Street Methuen, MA 01844 Phone/Fax: 978-688-3944 Company Email: DavidReitano@comcast.net Proposal Date: 7/2/08 Submitted To: Mr. and Mrs. Taylor 356 Appleton Street NAndover Ma. Home: Work: Mobile 978-423-5503 E-mail jet238@comcast.net Job Description: Bathroom Remodel We herby submit specifications and estimates for. Bathroom Located on second floor will be demoed completely to expose framing including removal of all fixtures. All debris will be removed from job site. Contractor will supply dumpster - dumpster location to be confirmed prior to construction.. Framing modifications include removal of wall partition seperating vanity and tub area,exsisting shower area to be closet space including plumbing to accomadate a future washer and dryer stackable, privacy wall partitions will be constructed along side toilet area,Main bath entry will be converted to a pocket door. Electrical will be updated to meet Mass Code requirements including fan/light combination properly vented to the exterior, all necessary switches for 2 wall lamps,6 recessed lites,1 closet lite,and GFI receptacles. Plumbing will be updated to meet Mass Code requirments including water supplies, shutoffs, drains and venting, to accommodate a 72 " shower pan and valve, future washer, toilet will remain in same space, double sinks and faucetts. Floor will be prepared for tile including plywood underlayment. Allowance outlined below. All walls will be insulated with fiberlass insulation. Shower floor will be concrete prepared for tile. 3 � . DER 710 1% .. , . • _.ae .. . i ! ..r epi �� F f� �. 1'. i._ `'1� . . 'itt -.. 't .t• .."1: ""ti;'{ `91 .rS•' .... 5. .. _, 'l.. `.e��4 ;....�;i''!'. �,�13', r:4 •S- :"._ f.'te', Walls in shy area will be surfaced with wonder board 60 inches off surface of tub in prtperation for tile. All walls and ceiling will be surfaced with 1/2" blue borad in preparation for plaster supplied by contractor. Finish includes 96 "vanity space including 18"tower seperating double mirrors,granite counter,granite curb entering shower area, 1 pocket door, 1 walk-in closet double entryJ laundry closet double entry,window trim, baseboard moulding cabinet moulding etc. All walls,trim and ceiling will be primed and painted. Allowances/Included: Toilet $210.00 2 - Faucetts $300.00 Shower wall tile $360.00 Shower floor tile $120.00 Shower valve $350.00 Main floor tile $ 675.00 Vanity 96" including 2- 36 "vanity bases 1 -18" draw base - 1- 18' x 48"tower $1400.00 2 mirrors $300.00 2 sinks $100.00 per sink 2 wall lamps $300.00 Panasonic whisper quiet Fan/Light Combo included Total price including allowances$15,800.00 *Contractor is responsible for allowances mentioned,anything that exceeds these allowances-Homeowner is responsible for. *Please review this proposal carefully for any items which may be missing. Contractor is not responsible for items not mentioned here. *Please do not hesitate to contact us if you have a s S. Thank you for considering us for this project iY 1SUD`►6'�7 �';iTi1' t��l�ift�1TI:RID'44� hC4,4 k�� S eh �►0 COO r-/ e WN ._w V close t•►T'ty �T C:) � �c Aar 3.fl �4Oro ov Re#" �4 At & J'Adde t The Commonwealth of Massachusetts Department of Industrial Accidents kayOffice of Investigations 1 i�. ;�•': 600 Washington Street WIN Boston, MA 02111 `f ^g www.nzass. gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information I Please Print Legibly Name(Business/Organization/Individual�,�• Rz�—o Address: sL f s�� S` , City/State/Zip: i-�en 4 ,c Phone #: I W-3 Cd'4 2 o F-- Are Are y n employer?Check the appropriate box: Type of project(required): 1.21 am a employer with :3 4.4. ❑ I am a general contractor and 1 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 8. ❑ Demolition working for mein any capacity. workers' comp. insurance. 9. ❑ Building addition [No workers' comp. insurance 5. ❑ We are a corporation and its required.] officers have exercised their 10.0 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, §1(4), and we have no 12.❑ Roof repairs insurance required.] t employees. [No workers' 13.0 Other comp. insurance required.] +Any applicant that checks box#I must also fill out the section below showing their workers'compensation policy information. Homeowners who submit iris a�lidavii indicating they arc duiiig 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. 1 am an employer that is providing workers'compensation insurance for my employees. elow is the policy and job site information. �kl C', Insurance Company Name: C a ,A 4L;— �� Policy#or Self-ins. Lie.#: 0 do S.3 �7 y( Expiration Date: � �Q Job Site Address: (e Y f c c( City/State/Zip: r 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 herebyrti un r the in and penalties of perjury that the information provided above is true and correct. Signature: Date: Phone#: ZZ le-3do-Cf 20 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#: Information and Instructions- Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute,an employee is-defined as"...every person in the.service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal ewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally, MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and, if necessary,supply sub-contractor(s)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to cant'workers' compensation insurance. if an_LLC.or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/iicense number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)." A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year. Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to-thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 Tel. # 617-7274900 ext 406 or 1-877-MASSAFE Revised 5-26-05 Fax#617-727-7749 www.mass.gov/dia Walls in shower area will be surfaced with wonder board 60 inches off surface of tub in preperation for tile. All walls and ceiling will be surfaced with 1/2" blue borad in preparation for plaster supplied by contractor. Finish includes 96 "vanity space including 18"tower seperating double mirrors,granite counter,granite curb entering shower area, 1 pocket door, 1 walk-in closet double entryJ laundry closet double entry,window trim, baseboard moulding cabinet moulding etc. All walls,trim and ceiling will be primed and painted. Allowances/Included: Toilet $210.00 2 - Faucetts $300.00 Shower wall tile $360.00 Shower floor the $120.00 Shower valve $350.00 Main floor tile $ 675.00 Vanity 96" including 2- 36 "vanity bases 1 -18" draw base - 1- 18' x 48"tower $1400.00 2 mirrors $300.00 2 sinks $100.00 per sink 2 wall lamps $300.00 Panasonic whisper quiet Fan/Light Combo included Total price including allowances$15,800.00 *Contractor is responsible for allowances mentioned,anything that exceeds these allowances-Homeowner is responsible for. *Please review this proposal carefully for any items which may be missing. Contractor is not responsible for items not mentioned here. *Please do not hesitate to contact us if you have a s S. Thank you for considering us for this project - �� .. � � - � � � .. .� _�., r `mss - ' .1 r: i� � . ' - .tel _ ` i 1 �. V � �1. 'x , ,_ e' a � , .'. ;s' � .. .. . . j s \ I David Reitano Workmanship Completely Guaranteed/Sullivan Insurance (Please sign and return one copy) ry �r. 6�Signature: �- -��- _ � D e: r-- H • Signature: ----- Date: _--_--_-- _:sem •- =_x-�s '�"'x'.,,=;� dm, ,r ,�3.r:asFa�a ?x�� tv,�aar u • ,; y�+stan„•",�t,.=- a3ta�;-� w.._•�d _ '_�:�kx•a,7fer`� ' 1 oo All yrs a � r -40 t� r F Y M N6 „ # w � � m { �J jp"f, '41 �I TVC C _�� eke• S/h �0 Cot l . s OOV ,sNow�Z WN iJ• � t•►T'ty �T i� s Net 1 D � T VOC TSaw SIN4 ndty P/4 s �c �4 3Sl A?fRem+