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Home My WebLink AboutBuilding Permit #116 - 38 MOUNT VERNON STREET 8/15/2006 TOWN OF NORTH ANDOVER AORTH APPLICATION FOR PLAN EXAMINATION O�<•�,o O A Permit NO:_f2_ Date Received �9SSACNUS�� I Date Issued: r IMPORTANT: Applicant must complete all items on this page LOCATION Print PROPERTY OWNER 7 Print MAP NO.: PARCEL: �0 4)2 Uo ZONING DISTRICT: TYPE AND USE OF BUILDING HISTORIC DISTRICT YES ❑ TYPE OF IMPROVEMENT PROPOSED USE Residential Non-Residential ❑New Building ❑One family ❑ Addition 'Two or more famil00 ❑ Industrial ❑ Alteration No. of units: �epair, replacement ❑ Assessory Bldg ❑Commercial Fj Demolition ❑ Moving(relocation) ❑Other ❑ Others: ❑ Foundation only DES RIPTION OF WORK,TO BE PREFORMED Identification Please Type or Print Clearly) 3 OWNER: Name: U OA-w/-0 �� Phone: Address: 39 I't-! '7 CONTRACTOR Name: C Z� ��' `T Phone' -Sb iV ..22� tom Address: / r)— !� ° � ' C —Exp. I Supervisor's Construction License: Q Date: Home Improvement License: Exp. Date: ARCHITECT/ENGINEER I"' Name: Phone: Address: Reg. No. FEE SCHEDULE:BULDING P MIT:$12.00 PER$1000-00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost :$ ) l S'6o = _x^^12_ .00.=FEE:$ ?;77S 7 S i 7 J Check No.: Receipt NO.: Page I of 4 TYPE OF SEWERAGE DISPOSAL Swimming Pools ❑ ❑ Tanning/Massage/Body Art ❑ Public Sewer Tobacco Sales ❑ Food Packaging/Sales ❑ Well ❑ Permanent Dumpster on Site ❑ Private(septic tank,etc. ❑ Electric Meter location to project NOTE: Persons contracting with unregistered contractors do not have access to the guarantyfain Signature of Agent/Owner Signature of contra ' I Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ V tamped Plans ❑ THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF-U FORINT DATE REJECTED DATE APPROVED PLANNING & DEVELOPMENT ❑ ❑ ❑Water Shed Special Permit ❑ Site Plan Special Permit ❑ Other COMMENTS DATE REJECTED DATE APPROVED CONSERVATION ❑ ❑ COMMENTS .r DATE REJECTED DATE APPROVED HEALTH_ ❑ ❑ -- COMMENTS Zoning Board of Appeals: Variance,Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments r Conservation Decision: Comments Water& Sewer connection/Signature&Date Driveway Permit Temp Dumpster on site yesno V\ Fire Department signature/date Building Setback (ft.) Front Yard Side Yard Rear Yard Required Provided Required Provides Required Provided Dimension Number of Stories: Total square feet of floor area,based on Exterior dimensions. Total land area,sq. ft.: NOTES and DATA—(For department use) Page of Doc:INSPECTIONAL SERVICES DEPARTMENTa3PPORM05 ('rested,IMC.Ian_'006 i 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 Addition Or Decks ❑ Building Permit Application ❑ 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) 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 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:INSPECTIONAL SERVICES DEPARTMENT:BPPOR'v[05 Pnm-.1 ofd Location-511 -*277' V e4AlOn No. Date Fn �OR,h TOWN OF NORTH ANDOVER 0�``� � ' Certificate of Occupancy $ Building/Frame Permit Fee $ gCMUS Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # Building Inspector IE The Commonwealth of Massachusetts t Department of Industrial Accidents Office of Investigations ' 600 Washington Street Boston, MA 02111 www.massgov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): f �I�iLhlj't't�� `Z.C�(J'7 co Address: .1 p,L_- Rac/0 City/State/Zip: P't (>�`l '14• Oee'rcz Phone#: 1� ?d (0 Are you an employer?Check the appropriate box: Type of project(required): 1.[ am a employer with_ `' 4. ElI am a general contractor and I 6. E]New construction employees(full and/or part-time).* have hired the sub-contractors 2.❑ I am a sole proprietor of partner- listed on the attached sheet. + 7. remodeling ship and have no employees These sub-contractors have 8. ❑ Demolition workingfor me in an capacity. workers' comp. insurance. y9. ❑ Building addition [No workers' comp.insurance 5. ❑ We are a corporation and its 10.❑ Electrical repairs or additions required.] officers have exercised their 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#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 infonnation. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: fw`'3`ff A4C �. Policy#or Self-ins. Lic.#: i..*/C c3() G 7 Expiration Date:_ 3 d Job Site Address: J7 ILLT 054 AJOV C7 City/State/Zip: /V, t�wt—�)wm . 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 tine 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. 1 do hereby certify u pains ies of perjury that the information provided above is true and correct. Signature: 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#: I Page No. f of 1 Pages. RICHARD FLUET CONTRACTING INC. PROPOSALNUMBER: 552 102 Bridle Path Ln. METHUEN, MASSACHUSETTS 01844 (978) 685-7010. PHONE DATE To Joanne Regan 978 686-5897 528^/2006 38 Mt. Vernon S t. JOB NAME/LOCATION N. Andover, Ma. 01845 KITCHEN & DOORS JOB NUMBER JOB P.HONE REMOVE EXISTING KITCHEN CABS, TOPS, 2 LAYERS OF FLOORING,VANITY AND TOP. INSTALL NEW CABINETS, TOPS,VANITY,AND TOP,MIRROR, PULL-OUTS,REINSTALL MICROWAVE, REPLACE OUTLETS AND SWITCHES,ADD LIGHT IN CABINET WITH.'. GLASS DOOR, PLUMBER TO REPLACE KITCHEN AND BATH SINKS, DISPOSAL,REMOVE AND REINSTALL TOILET,ADD OUTLETS TO CODE,REPLACE BASEBOARD AS NEEDED, INSTALL NEW 2 1/4" PREFINISHED HARDWOOD FLOORING (TO BE DETERMINED BUT IN RED OAK PRICE RANGE) , PAINT CEILING AND WALLS WITH 2 COATS OF BEN MOORE (SUGGEST MATTE FINISH ON WALLS) .REPLACE 7 DOOR UNITS WITH NEW 6 PANEL MOLDED DOOR UNITS WITH PRIMED CASINGS .2 PRIVACY KNOBS AND 5 PASSAGE KNOBS .SUPPLY PERMIT AND TRASH REMOVAL. OWNER TO SUPPLY;CABINETS, TOPS, FAUCETS,VANITY, TOP,MIRROR,AND APPLIANCES Extras or changes to be completed at a rate of per hour, per man. Unpaid balances subject to P/M finance charge per month. WE PROPOSE hereby to furnish material and labor—complete in accordance with the above specifications,for the sum of: Thirteen Thousand Two Hundred Seventy Five and 00/100 Dodollars(s 13, 275 . 00). Payment to be made as follows: $3275 . 00 WITH ACCEPTANCE, $5000 . 00 DAY WORK BEGINS ON KITCHEN, $4000 . 00 COMPLETION' OF CA. INtT INSTALLATION,BALANCE UPON COMPLETION. All material is guaranteed to be as specified. All work to be completed in a professional manner according to standard practices. Any alteration or deviation from above specifica- Authorized tions involving extra costs will be executed only upon written orders, and will become an Signature extra charge over and above the estimate. All agreements contingent upon strikes,accidents or delays beyond our control. Owner to cant'fire,tornado,and other necessary insurance. Note:This proposal may be Our workers are fully covered by Worker's Compensation Insurance, withdrawn by us if not accepted within 1.4 days. ACCEPTANCE OF PROPOSAL —The above prices, specifications and conditions are satisfactory and are hereby accepted. You are authorized Signature to do the work as specified. Payment will be made as outlined above. Signature Date of Acceptance:_ �� 0W i I 274" 21" 42" 36" 12" 2411� i U) r7 -I" W3624 2130LW4230W4230 W1 230R DW30-R I I LJ LO -IN VMJ W O O El D O O o B21 L TRBD18 24.DISHW SB36ST BLS36-R M I 27 4„ 21' 18" 241t 3 3611 i 78-42-l' 3011 5411— All dimensions _size designations given are CHRIS ANN SULLIVAN This is an original design and must not be Designed: 5/8/2006 subject to verification on job site and JACKSON LUMBER released or copied unless applicable fee has Printed: 6/9/2006 adjustment to fit job conditions. been paid or job order placed. jregan JEI I Drawing#: I N f-2411 27" 30" 30" 36 " N W361 2 F33 0W3015 Ulu 1 7 DW30-R W2730 W3030 LO MW.HOOD o �o M m o 0 T T T T 36.REF2-2D 0 0 0 LO o J]ROP30 0 BLS36-R 3DB15 d' ch 36" //-15"— i 3011 i 30" 9" 611 i 3 4 3 11 i 20-4111 � All dimensions_size designations given are CHRIS ANN SULLIVAN This is an original design and must not be Designed: 5/8/2006 subject to verification on job site and JACKSON LUMBER released or copied unless applicable fee has Printed: 6/9/2006 adjustment to fit job conditions. been paid or job order placed. jregan JEJ 1 Drawing #: 1 M SB303221F330 1712-11 3011-41 All dimensions_size designations given are CHRIS ANN SULLIVAN This is an original design and must not be Designed: 5/8/2006 subject to verification on job site and JACKSON LUMBER released or copied unless applicable fee has Printed: 6/9/2006 adjustment to fit job conditions. been paid or job order placed. jregan JEI 1 I Drawing #: 1 162<" 2734" 21" 42" 36" 12" 24" 9.. 57. ,6 27:" � 21 18 r24"--x- 36" I 2130 W4230 W3624(-3W123 DW30-R N A B21 L TRBD18 24.DisHw SB36ST o aid -------- - - -------- ------------------- C w N � W o CK TRADEMARK WHEAT PLEASANT HILL O \RD SIDES& GLIDES W o o .ABINETS HUNG AT 84" A.F.F. 0 _ - 3 HEIGHT = 89" O 0 CLOSED WITH MAPLE VALANCE o SHAKER CROWN MOULDING ,I )QUBLE WASTE PULLOUT A a] O o o 2-TILT OUT TRAY WO W O I I -FREEDED GLASS DOORS i rn '---4-REFRIGERATOR SPACE 36" + W X72 " H ® T W N � I N N { 71 W j i I 9 i i i 33"--F7" 33 3:" 16734" i 12"- '7914" 2"179:" I I are CHRIS ANN SULLIVAN This is an original design and must not be Designed: 5/8/2006. j JACKSON LUMBER released or copied unless applicable fee has Printed: 6/9/2006 been aid or job order laced. N'�v`�kl CSC. p J P All ;Drawing #: 1 i � 45-i" � ________________ �8 3 /-728 a G 00 �. co M M I SCHRO MAPLE 2e" � STAND WALL C 21 co CEILING co SOFFIT LL STOCK N � N M 1-C o 0 co m U) aim > co Cj ----- rn M 3- ----------------- POWDER ROOM =;« M g .. s . / J 3"/ — All dimensions -size designations given a subject to verification on job site and adjustment to fit job conditions. re J ' an g ' BOARDOFBUILDING REGULATIONS ATONS License: CONSTRUCTION SUPERVISOR Number: CS 050710 Birthdate: 04/22/1956 Expires: 04/22/2007 Tr. no: 12721 Restricted: 00 RICHARD A FLUET 102 BRIDLE PATH LN METHUEN, MA 01844 Commissioner �� ac�,tcdP.ab �I- (o�nmQn�oea� o. �ng Regulations and Standards -�--_ Board M?ROVEMEWT CONTRACTO 1iOME uddR Registration: 106620 j' Expiration: 712412008 Corp oration „4y> Type: private FLUET CONT -TINGAC RINC- RICHARD NC. RICHARD .— Richard Fluet 102 Bridle Path Lane peputy Adm�n1strator Methuen,MA 01844 FORTH Town of � � � 4 1dover 0 ,_. No. -A E dower, Mass., �� • O C CCC M;i%EWICK �0 fi'�1FED ?9- S aE BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System BUILDING INSPECTOR THISCERTIFIES THAT............. ... . .......A 1........................ ................................................................ Foundation has permission to erect........................................ buildings on .. 3$........./ � V f*.!1!0.. Rough to be occupied as........A.. ��..... .. ............................................................................... 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 p13 PERMIT EXPIRES IN 6 MONTHS Final ELECTRICAL INSPECTOR I_)NLE SS CONST:[ UC STARTS 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. a Date/. . . . . . °. . i i A TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING j ,SSACHUS� , This certifies that . . . /:`. . . . .�.. . . . .r . . .`. .. . . . . ...! . .. . . . . . . . . has permission to perform . . . . . L:`.. . plumbing in the buildings of . . . T.C. Y.P!`. . . . . . . . . . . . . . . . . . . at. J J. . . �r.1.7 .. . . . . . . . . ., North Andover, Mass. � Fee.2-'.U /. . . . . .Lic. No.. �1 3. � . �..cr- !-�q . . . . . LUMBING INSPECTOR Check # � � � 5100 MASSACHUSETTS UNIFORM APPLICATION FOR. PERMIT TO DO PLUMBING -16 (Print c;r Type) Mass. Dat 2CCJR__ Permit # U V _ L r Building Location,�? , Vf P��j/J _ , �� Owner's Name _L!J- ` s e- � —TypeA9 f Occupancy., 1 1 New ❑ Renovation ❑ Replacement 9"" P ns Submitted: Yes 11 No 11 FIXTURES Z N N Pz Y < .. O Z W Y J N Q Q N W W O Z N Q Cc < ~ _Z O 2 y per, x _ _ J fA W y = N F- V W H Y < W W cc W O O ¢ Q y Q 3 < W W 3 O c ' J O C ►- a x ¢ J Q c a W S t- v < = x a z x x a o d W U- X W y N � W 1- Z O o o Z = W F.. O u S 3 a Q s a a o a -+ J a cc m a o a ►- Y J m N G G J 3 Y �- N U. O p Q S C W O SUB—BSMT. .; BASEMENT IST FLOOR i 2ND FLOOR 3RD FLOOR 4TH FLOOR STH FLOOR 6TH FLOOR 7TH FLOOR 8TH FLOOR Installing Company Name__ o aEez r1m,, a T A e n Check one: Certificate Address rI C0,4 C H m,4 n) y. Corporation �Y) E!N U Fn)' Al Ay 1 S'(1Q ❑ Partnership Business Telephone_ Z_i9 7 1 �/co. Name of Licensed Plumber T frl ,S4 -Vim pq rfq�r"` INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142. Yes No ❑ If you have checked Vis, please indicate the type coverage by checking the appropriate box. A liability insurance policy Q"/ Other type of indemnity ❑ Bond ❑ OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the Mass. General Laws, and that my signature on this permit application waives this requirement. Check one: Signature of Owner or Owner's Agent Owner ❑ Agent ❑ I hereby certify that all of the details and information I have submitted(or entered)in above application are true and accurate to the best of my knowledge and that alllumbin p g work and installations orm ed under the permit issu for this application will be in compliance with all pertinent provisions of the Massachusetts State Plum ' gI Dde and apter of the eral Laws. Title re of ucensed Plumber City/Town Type of license: Master Journeyman ❑ APPFKWM 0 IC U ONL License Number D�.5 ! BELOW FOR OFFICE USE ONLY FINAL INSPECTIONS SKETCHES PROGRESS INSPECTIONS 1 FEE r. NO. APPLICATION FOR PERMIT TO DO PLUMBING NAME do TYPE OF BUILDING A I' LOCATION OF BUILDING 1 PLUMBER i i PERMIT GRANTED DATE 19 I PLUMBING INSPECTOR I i