HomeMy WebLinkAboutBuilding Permit #154 - 36 COLGATE DRIVE 8/5/2009 TOWN OF NORTH ANDOVER
APPLICATION FOR PLAN EXAMINATION
Permit N0: S Date Received
Date Issued: if '
IMPORTANT:Applicant must complete all items on this page
LOCATION_ (o Gd) ate.
Print Hoye.PROPERTY OWNER M:chat) - K: m
Print
MAP NO: _*—PARCEL:J-7
// ZONING DISTRICT: Historic District yes no
Machine Shop Village yes
TYPE OF IMPROVEMENT PROPOSED USE
Residential Non- Residential;.
New Building ✓One family }
Addition Two or more family Industrial
/Alteration No. of units: Commercial
Repair, replacement Assessory Bldg Others:
Demolition Other
Septic Well Floodplain Wetlands Watershed District -
I
Water/Sewer
AA DESCRIPTION OF WORK TO BE PERFORMED: I
Identification Please Type or Print Clearly)
OWNER: Name: M)ICKae I ahJ 1C;r. Hcrf- Phone: 57 ?,- 618
Address: GCGl G4 1 rc lam.
CONTRACTOR Name: nn ��+ ��1t«, � Phone: S08- -a
Address: "7 a. Prr v,'Je_n c C �4 11 12oa J A -1:.n Sc h 1111-1 G 3 g I
Supervisor's Construction License: CS -700 Exp. Date: 9 4,r,1xo IO
Home Improvement License: I S1 q 4 q. 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.
Total Project Cost: $ �Zj �"_ FEE: $ l0 �—
Check No.: Receipt No.: Z Z 3S
NOTE: Persons dontracting with unregistered contractors do not have access to the guaranty fund
ignature of Agent/Owner r Signature of contractor
—LI—ta�--(:�--,&)N=,
Plans Submitted Plans Waived Certified Plot Plan Stamped Plans
Location
No. S Date
N�RTM TOWN OF NORTH ANDOVER
f
•GO
0 1M
3?0�,,`'D I• O
AL
i y
Certificate of Occupancy $
�7sE� Building/Frame Permit Fee $ Z06SACH
Foundation Permit Fee $
Other Permit Fee $
TOTAL $
Check #
225Ji
Building Inspector
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
i
COMMENTS 4-
CONSERVATION Reviewed on Signature
COMMENTS '
r
r
HEALTH Reviewed on Signature
Y
COMMENTS
i
Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes
i
Planning Board Decision: Comments
Conservation Decision: Comments
Water & Sewer 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
L
f
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 21 A—F and G min.$100-$1000 fine
NOTES and DATA- For department use
i
❑ Notified for pickup - Date
_............- —................... _..---.............._�__ _... _....................._.. _--—..._..... -...
......_....__._._._._.......................... -
Doc:.Building Permit Revised 2008
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 Plot Plan
❑ Workers Comp Affidavit
o Photo Copy of H.I.C. And C.S.L. Licenses
❑ Copy Of Contract
❑ Floor/Crossoction/Elevation Plan Of Proposed Work With Sprinkler Plan And
Hydraulic Calculations (If Applicable)
L3 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 ce of Bldg Permit
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
❑ 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: Doc.Building Permit Revised 2008
- - - - - - - - - - - - - - NORTH - - - - -
T0 o z 4Andover
No. so
dower, Mass., ' o
T O LAKE
COC MIC HE WICK V
ADRATED
`s E BOARD OF HEALTH
Food/Kitchen
PERMIT . T D Septic System
BUILDING INSPECTOR
THIS CERTIFIES THAT
....`j .. ....'!........... ............. ........... ... ...................................... Foundation
has permission to erect......... ..... ..... buildings on..........
.......lk.4wo................ . Rough
to be occupied as A � 8er... �......Ctor-%%el7wow........... 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 MONTHS
ELECTRICAL INSPECTOR
UNLESS CONSTRUCTI T 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.
t ne (.omrne nWeaLth, of MMSachu�etts
' [A of Industrial Acc'
., 61 Q07C.- Of Irtnsstigationf
itt:
��let 6017 NlashiRgtnn Street
p
Boston. MA 02111
t 7
WWW."vUx g0I 1d 4 I
Wo nt In rmatio saiian ttsizu-snee AMdavit: &uilders/Contmdors/nectric a
A iie$at Information. ns/Plambers
Name Please Print Leeibi
( usinessl0rgaraiz�on/Inaividciall: �C�S Goy (��n�, e h� !
Address:Sr.�v,Je n CC44; Ic)
City/Siete/Zip: /4 .; S e�. hj
-------------
Are you at employed Cheok.the a . ro
PP Pr'i$te bot»
I. I,a m a employer wdh 4. [] 1 am a TYPe of pro}ect( n
employees(fun and/or`* genera(c°ntractar and I , 4 irtdj:
part
me). have Mired the s�rb-cottbactots . 6. []New conetructioe
2. 2 am hole proprietor or partner- list--d
ship and leve no employees'. .I,h.. `°n�e attached sheet 3 7• C Remodeling
working for mein -s St6-contractors have
�'cap�is'• worked' con insurance. 8• Q Demolition
[No workers comp. ' P 9, Btai
re. P insurance S. [] We are a Corporation and its ❑ ng addition
�] off have exercised t
c= heir ,I .
3•❑ i am s homeowner doing all work ' lQ•(].Ele.^irical
right of exemption'por MOL 1 i.11
,myself[No•work�'co ri 1]Plurtrbmg t`epaus or adaitions
insurance•required-]'t -c' I(4),and-we have no 12.
.•=Pjoye-& [No work=! I]Roof re:frairs
Any
MnaMTjj=.. that obecics bo:r l rnast MP• irmuranae rac}ttired.] I3.�.Oth
f Homeownein who also fire oitttbc section below showing tlrdrtvorkert'
submit this afttd"ft indicating they 8m 000+pe wion Policy information.
_ 3Caarnacmr6 that check this box wuratieeEe Q t:n add.-tioasl shote end then bile outside contractors must submtt a neiv
whM.•&e name of the sub- affidavit irrdit k
.ost a Pioyer that [g:lvorr✓._.:' r= crz�rf rmrnactots alai their workers'am"." -M?c;k4troum
Pavy and jou site
• Insurance Com�ry Name: '
Poli•y#or Self-ins.Lie.#:
Job Site Address; Pon Date. .
AtEacft a copy of the workers''co City/State/��
mpensatiota Policy declaration showin.
Failure to secure coverage as P$; 4 b the poiiry armlet and e
g requited.under Sac�ion 25A of . xpiratioa dated .
fine up to$4,500.00 and/or one-year imprisonm MOL C. 152 can lr rt to the impasitior,of criminal penajties of a
of up to$250.00 a as weft civil penalises in fire form of a SMP WORK O
day against the violator. Be advised that a copy.of this statement Orm be forwarded to the ORDER twirl a fine
lnvestsgations of the DIA for insurance coverage verificaon, may
Oface of
I do hereby certify nder the
Prins'QndP aGties ofPerjro�,�ifim`the infnrmm`ion Provided abmre is true
ST .. a7id con=
Date: Q/�-5,-,/o`�
Phone 9: �U� - ��� �-- �G3S—
I
4}J`LciQl use only. do net write uz this area,m be conrplee4ea!by city or town oficxc(
City or Town:
IssuinoA Permit/Licanse#
b athoriEy(circle one):
I. Board of Hearth Z %iiding Department Other 3.City/Towo Clerk 4. Electrical Ins
6.
peetor S. plum
bir b inspector
Contact Person: E
Phone#:
--*=-- Massachusetts- Department of Public Safety
Board of Building Regulations and Standards
Construction Supervisor License
License: CS 70043
Restricted to.. 00
i'
JONATHAN OSULLIVAN
185 ATLANTIC AVE#4
SALISBURY, MA 01952
Expiration: 8/26/2010
("ununi�siner Tr#: 2215
3
Board o fl uildi ��` d° �zuaelr
g Regulations and Standards t
HOME IMPROVEMENT CONT '
Re rstrat RACTOR
9 o 159444
Ep`TtGn 4130/2010 Trt< 267043
pe POvate Corporation
i JJOSCON MANAGE Ejy NG._ ui
JONATHAN
VSUh VA'N'4',
72 PROVIDENCE HI
9 ATKINSON, N
H 03811
Administrator r
� 4.
. • PROPOSAL
BUILDING & REMODELING
CONTRACTOR
Phone Date I
72 Providence Hill Road 8/19/2009
Atkinson,NH 03811 Job NarrW Locabon
North Andover Renovation
To: Michael & Kim Hoye Page 1 of 2
36 Colgate Dr.
North Andover, MA 01845 JobNrnnber .lob Plane
We hereby submit specifications and estimates for:
Joscon Management,Inc.proposes to furnish all Labor,Materials and Equipment for the
above referenced job and location.
Proposed Master Bedroom I Closet I Bathroom:
1. Demo existing wall between bedrooms,remove all drywall along the proposed
bathroom location,remove carpet and existing door.
2. Remove and relocate electrical outlets/switches throughout area.
3. Install a beam between the(2)existing bedrooms creating an open concept.
4. Frame/build new bathroom and closet walls.
5. Framing corrections around the new proposed bathroom area as needed.
6. Remove the existing hardwood flooring throughout the bathroom area.
7. Drywall all new walls throughout the remodeling area including repairs.
8. Finish drywall with joint compound and prep for painting. I
9. Repair and prep as needed the bathroom flooring for the new proposed tile flooring.
10. Install(2)new doors for the bathroom and closet.
11. Rough plumbing and finish plumbing included.
12. Bathroom fixture allowances figured at$500.00 shower unit,
vanity/sink/faucet at$400.00 and toilet at$130.00.
13. Install bathroom tile flooring. Bathroom tile area figured @ 50 s/f.
Tile material and labor allowance.
14. Electrical to include lighting in the bathroom,closet and bedroom.
Electrical code upgrades as needed.
15. Lighting allowance figured. The bathroom fan is figured
in the lighting allowance. 4
I
We Propose hereby to furnish material and labor cortplete in accordance with the above specificafion for the sum of
Continued on the Next Page
Payment to be made as fotiows:
Authorized
Signature
Acceptance of Proposal-The rtces,specfications Signature
and conditions are satisfactory and hereby accepted.
You are authorized to do the work as specified. Signature
Payment vA be made as oul5ned above.
Date of Acceptance: g z y 9
PROPOSAL
i
BUILDING & REMODELING
CONTRACTOR'
Phone Date
72 Providence Hili Road 8/19/2009
Atkinson,NH 03811 Job NawJ Location
North Andover Renovation
To: Michael&Kim Hoye Page 2 of 2
36 Colgate Dr.
North Andover, MA 01845 F-�-
Job Phone
I
We hereby subrnit mations and estimates for. i
Joscon Management,Inc.proposes to furnish all Labor,Materials and Equipment for the
above referenced job and location.
16. Supply heat to the proposed bathroom.
17. Re configure the existing A/C vents to supply air to the bathroom.
18. Bathroom vent to terminate on the exterior of the building.
19. Master closet shelving figured at an allowance of$400.00. Material and Labor.
20. Misc drywall repairs in the hall bathroom caused by the new master bathroom.
21. Misc.carpentry throughout the proposed bathroom and closet areas.
22. Further exploratory work needed to determine the plumbing scope of work.
l
Total for the above scope: $8,500.00
i
We Propose hereby to furnish material and labor—oomplete in accordance with the above specifications,for the sum of $8,500.00
Eight Thousand Five Hundred Dollars
Payment to be made as Wm
Deposit 1/3rd, Half Complete W3rds and Completion 3/3rds.
Authorized0
Signature
Acceptance of Propos aboveprices,speokabons Signature
and conditions are satisfaclory and hereby accepted.
You are authorized to do the work as specified. Signature
Payment va'A be made as outlined above.
Date of Acceptance: b