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Home My WebLink AboutBuilding Permit #75 - 361 ABBOTT STREET 5/1/2018 i BUILDING PERMIT O`NORttORTH I°�tiO TOWN OF-NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION "o Permit NO: S Date Received 4 CHU5 Date Issued: Z a IMPORTANT:Applicant must complete all items on this page LOCATION Prin# PROPERTY OWNER N44-MR-5 Print MAP NO; PARCEL: ZONING DISTRICT: Historic District yes no Machine Shop Village yes no 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 Water/Sewer DESCRIPTION OF WORK TO BE PREFORMED: o X i 3+,nc -/34M (zoc)", s K-ep 1,15 /x 4ure s i n S Foe(pie, f Ic/irc 0- F(cQ41; q= cJAl(S Identification Please Type or Print Clearly) OWNER: Name: MR ¢-4/125 j�irA 14y,ak kv► Phone: 427o 27–(0(�7l� Address: ( a CONTRACTOR Name: �,kwes ff�f,1ew,(• Phone:97e—J—.�r —Y Address: Supervisor's Construction License: Exp. Date: ��'',�5LC�0/0 Home Improvement License:—Loo r Exp. Date 6103 ARCHITECT/ENGINEER Phone: Address: —/ Reg. No. FEE SCHEDULE:BOLDING PERMITq:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ /� y$�L/. LOOO -__ FEE: $_ Check No.: � � Receipt No.: � ,� NOTE: Persons contracting 'th unregistered contractors do not have access to the guaranty fund Signature of Agent/Owne Signature of contractor Location fir' No. 2� Date r �aR*M TOWN OF NORTH ANDOVER a 3? 0 • Certificate of Occupancy $ Building/Frame Permit Fee $ IS Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # 22251 Building Inspector Plans Submitted Plans Waived Certified Plot Plan Stamped Plans I I TYPE OF SEWERAGE DISPOSAL J Public Sewer Tanning/Massage/Body Art Swimming Pools Well Tobacco Sales Food Packaging/Sales Private(septic tank,etc. Permanent Dumpster on Site i THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM DATE REJECTED DATE APPROVED PLANNING & DEVELOPMENT 4 COMMENTS k , , i CONSERVATION Reviewed on Signature COMMENTS HEALTH Reviewed on Signature i COMMENTS y Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments 1 Conservation Decision: Comments Water& Sewer Connection/Si nature&Date Driveway Permit I I 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 Doc:Building _ _ _ 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) { ❑ Notified for pickup - Date Doc.Building Permit Revised 2009 1 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 o 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 ❑ Photo Copy of H.I.C. And C.S.L. Licenses ❑ Copy Of Contract ❑ Floor/Crossection/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 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 ❑ 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 Doc:Building Permit Revised 2008 i NORTH Town of t _ 4 Andover . O .'pF �.,,. .'moi••.:[. No. ,� -_ dover, Mass.,`2' 01� '01 T Q LAKE -� COCKICKEWICK 41. ORATED S BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System THIS CERTIFIES THAT........... ....4Ci.� .........................................................................+.............i' �. /�. BUILDING INSPECTORFoundation L has permission to erect. buildings on,G3 �........ � .�. .1r1►... Rough .................................... . to be occupied as......(261.............. 'l1r4.1'.0.�1!!!!�.......... ...... ..... ..� ... Chimney provided that the person apting 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. PLVMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUTARTS Rough ............... .................. Service SPECTOR MIS 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. J. Martinoll' Sons UILDING & REMODELING www.martinolibuilders.com 22 Whittier St., Haverhill, MA 01830 A R I" (978) 521-4958 Fax: (978) 794-9692 ♦rl MM•t.r_ixw.lrif X.Y u6 T16 ii MIMtINY ivt]LSlEY June 22, 2009 Mr. Rick Appleton 361 Abbott Street N. Andover, MA 01845 To remodel existing Master Bath & 2nd Floor Bath as follows: Remove and dispose of existing plumbing fixtures. I'I Install owner supplied plumbing fixtures, valves, faucets, etc. in same location. !, Plumbing Allowance $3,000 Electrical: Supply and install new Panasonic super quite Fan/light. Check GFIC receptacles and hang supplied vanity light Allowance with fan/light, no other fixtures $500 Prep floors with %" the backer board. Install owner supplied tile with grout. Install owner supplied wall the at height of approx 42". Paint walls, ceiling and woodwork if required with supplied paint. Remove all debris Obtain necessary permits By others: Granite, tile, plumbing fixtures, light fixtures, paint Total Cost: $9,454.00 i i 3 4 I Page 1 of 2 f J. Martinoli & Sons BUILDING & REMODELING www.martinolibuilders.com ` 22 Whittier St., Haverhill, MA 01830 R I' (978) 521-4958, Fax: (978) 794-9692 V�1 N%V+l A.4ee InTefkV til �, TII!A{I'.a1MlINi iv Cl.3tES' June 22, 2009 Mr. Rick Appleton 361 Abbott Street N. Andover, MA 01845 CONTRACT Payment Schedule Uponsigning..............................................................................................$2,000.00 When rough plumbing, electrical complete &floors prep for tile.................$2,500.00 When wall &floor tile installed ...................................................................$2,500.00 When plumbing &electrical finished ..........................................................$1,500.00 Uponcompletion........................................................................................ 954.00 Total ...................................................................................................• f. 1 ' � o Signature Date By signing this contract I agree to the terms and conditions of the contract. If payment in full is not received within the terms of the contract, J. Martinoli & Sons shall be entitled to costs of collection, including its attorney's fees and costs, and interest at the rate of 18% per annum. This contract may be canceled within three(3)business days after signing without penalty by giving the Contractor written notice. h� i 1 Page 2 of 2 The Commonwealth of Maaachuse&s j t1-4 Department o.f Industrid Accidents � Co ce of ln:vestigrations .i. i3� 600 IT"mizhTion Street �c Boston, MA 02111 IH wW mass.gov/dia . Workers' Compensation Insilrsaee A$idaviL- Buiiidelr s/Coatracto,,Xle A nformactriciiaas/Piambers iicant Ition Please Print Leaibl TIBIDe(BusinesslOrgeraization/lndividua!): -, i A'en(fj Address: C.t) Phone#: . Are you an employer?Cheek.the appropriate box: I:( I am a employer with 4. ❑ I am a general contractor and I Foc (required): L (foil and/or part-time).* I►aver hired the sub-contractors construction . 2• I am.a.sole proprietor.or Partner- listed on the attached sheet 1 eling ship and have no employees' These sci&; ontractors have working for mein any capacity. workers' comp.insurance. Derition [No workers'comp,iastaanc�e . 5. ❑ We are a corporation and its 9 Bolding addition 3.❑ required.] officers have rxcrcised their 10.�Electrical repairs or additions I am a homeowner doing all work right of excrnption Pw MOL PIumbin myself [No-workers,comp, c 152, §1(q),and we have no gr'epatrsoradditions insurance required.] 12.I]Roof repairs ] • mplClY�s.[No work=$ comp. insurance required.] I3.(].t�tlter `Any app(nam that sneaks bnX#I must also fill out the section below showing their worked''oompansatiori policy inFormaEioa t fiomeownar�who sdbmit this aflydavit W'ca"ng they ms doing an work end then hire outaido contractors must submit a new affidavit indica*ZCaanactanr that check this box must anadmd an additioasl sheet snowi�rg. reerrro of the cu �6 such t-contractors and chair workers'xr..r..pcFic;irfnmlation. !stir an errFpcoyer that is praouiigtg:tvorP.err7 Mirrersatits rnsarancef"or information. m!'ZnF vees: Below it the policy mid joi srte . Insta'anec Company Name: —ToF07,zed7_0 o Policy#or Self-ins.Lie.#: Expiration Date: Job Site Address: City/s ip- Attach a copy of the workers't:omtpeesation policy dechxration page(showing the policy somber and expiration date} Faihrre to secrara coverage as required under.Section 25A of MGL e. 152 can lead to the imposition of criminal petalti�of a fine up to$1,5001,d an 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 agairist.the violator. Be advised that a copy of this statement may be forwarded to the Office a Investigations of the DIA for insurance overage verification. I do he c ander-the enaridw ofPerJrcry t*ar the infor"zWon provided above is arae and eomea Sr Date: r Std Of°icaal ase only. Do not write in this area,to he eontplon!by�j,or town.offs[ City or Town: Permit/License# Issuing Authority(circle one): 1. Board of Health 2. Building Department 3.CitylTown Clerk 4.Electrical Inspector 5.PlumbjfrapectDr 6.Other Contact Person: Phone#: I I s r tory "Cl f l��sn�/„sets Board of Building Regulations and Standards Construction Supervisor License ° ! License: CS 11756 I' Expiration: 5/29/2010 Tr# 23552 Restriction: 00 JAMES C MARTINOLI I 22 WHITTIER ST HAVERHILL,MA-01830 Commissioner t Bd>ri�fPO'`lYtn7ttYR��O�ATf�(JfPd4�y 6 '. HOME IMPROVEMENT CONTRACTOR Registration: 107738 -- ` Expiration: 8/5/2010 Tr# 0 Type: Individual JAMES C. MARTINOLI y James Martinoli . 22 WHITTIER ST. Haverhill,'MA 01835 �, Administrator �