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HomeMy WebLinkAboutBuilding Permit #355 - 415 MAIN STREET 11/24/2008 BUILDING NtKIVII I r 4.. ;,"�..�6•a o TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION °4e eeiwwcw`-�' Permit NO: J/ Date Received � °qAr �TeO•°"� �y �SSACHUgEt Date Issued. IMPORTANT:A plicant must complete all items on this page 'I i „ t d a TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ElNew Building 2,6ne family ❑ Addition ❑ Two or more family ❑ Industrial Alteration No. of units: Commercial ❑ Repair, replacement ❑ Assessory Bldg ❑ Others: ❑ Demolition ❑ Other I �� NNU DESCRIPTION fR IPa TlO N OF W OR K TO BE PR EFO R M E D: —W46 C) f lyr 0ym'�— h� Identi cation Please Type or.PPrant Clearly). OWNER: Name: L " Phone: III � �/ 4 � PO UZ Address: � Y � ? 1k V . -011 J+>E ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE:BOLDING PERMIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ �� FEE: $ Check No.: C)y`�— Receipt No.: 1 NOTE: Persons contracting with unregistered contract do not have ccess to the ranty fund r� � � ,a xh.SFi.iFwrc..� + a'w6- MwmaJx.�"'vl.« ••�•g`> :±Ys.�„tt..SIS+Xsa.�Lv'C�uF.+.^+ki,� exc+'.roY's'o'.dtYR"bs1Pk%� III ` 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 DATE REJECTED DATE APPROVED CONSERVATION ❑ . ❑ COMMENTS DATE REJECTED DATE APPROVED HEALTH ❑ ❑ COMMENTS e Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments Conservation Decision: Comments Water & Sewer Connection/Signature 8� Date Driveway Permit Located at 384 Osgood Street A- -meffla MEN �1 � h wJk t eb ,:%` .�:�*£ �:,,"�' ...�xs.• ._ � ....� � �..�z.�_;,' ���"�� .,r r.w' �?`3�r 3»�'�.;�� �rz ..,,,..< ��`�°„ �d `''��'w. ���W � arf � r�, � 001 WO - s r „r m 'PION* � a,4s-•;fit � '��. a n "� 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 11A—F and G min.$100-$1000 fine NOTES and DATA— (For department use ❑ Notified for pickup - Date Doc-Building Permit Revised 2007 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 o Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit Addition Or Decks o Building Permit Application o Certified Surveyed Plot Plan ❑ Workers Comp Affidavit ❑ Photo Copy of H.I.C. And C.S.L. Licenses ❑ Copy Of Contract o Floor/Crossection/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (If Applicable) o 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) o Building Permit Application o Certified Proposed Plot Plan ❑ Photo of H.I.C. And C.S.L. Licenses o Workers Comp Affidavit ❑ Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (If Applicable) o Copy of Contract E3 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:INSPECTIONAL SERVICES DEPARTMENT:BPFORM07 Revised 2.2007 Location l5� No. s, Date `b r MOR,M TOWN OF NORTH ANDOVER O•,.`w I•,hO 4 41 • ; Certificate of Occupancy $ • .« Building/Frame Permit Fee $ � Foundation Permit Fee $ Other Permit Fee $ 'F TOTAL $ a Check # 21 709 Building Inspector tAORT#q Town of . t� ndover No. O LA dower1 Mass. ' • K ' coC MIC ME WICK y1. ADRATED F`P� C S V ` BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System BUILDING INSPECTOR THIS CERTIFIES THAT..........C. G ,.......... ....... Foundation y MOW has permission to erect.:................�,.................... buileon ........ .. .� . ........... ........ .. .rl....t+. ... ........................ Rough Ch to be occupied as �' .. Chimney ........... .. ....... ....................... .... .. ... . ... ...................... .... ... .. ........................ provided that the person accept! g this permit shall in every resp e nform to the terms.of th application on file in Final this office, and to the provisions of the Codes and By-Laws relatin o 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 low PERN41T EXPIRES IN. 6 NTHS ELECTRICAL INSPECTOR UNLESS CONSTRU ON ARTS Rough Service BUILDING Final Occupancy Permit Required to Ocmpy 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. Page# of pages CS # 022680 978-688-6737 HIC# 103358 A. J. Walsh & Sons or 55 Pleasant Street 1-866-AJWALSH North Andover, MA 01845 Proposal Submitted To: � Job Nam�eJob# Address � � , ` Q��y Job Location .... Date l/ . TEte of Plans Phone# (/ G7 F Architect rrWehereby submit specifications and estimates for: ..............................................._.............................................__...__..._........_.....__.._._._..............__......................_..__...._...._............_........._........__..._..:_.__.._............_...__.._...._771 .....:...... .......... .............,r` tr -_.-___..__G^ � `L -_.__. _ _._....._ __.._ f © Gt� - .........................._% _ .......................................... ............ ........ .............. ... ......... ... .... . . _ ...... ........ ................ -_- _ . - rte ___ _ _____ __ ___ � _ ___ /c .a.G j _ ___._.....__ _ _..............__ _ "., ......................_..--_..--._......_____....._._.........._..._.__............._ _ . _-----................ ................. . ..................................... ---------._- ................... ____ . !__ = __ r�, u � _m______ _--- ______ _ ...... : - ............ _ � :. U ......................... .............................._ .........._....___ - � _ _ __- ... `__�,,--/ _ _ ____ -_....__.__. _ __ ___ _......._.....___ ............... ....... . .............................._._.. ._.................................._ _...._.._..._.__ __......_...... . -___.._ ._............... _.-.............._.._ __ _.__._..........__.........._.._....._................. .-............................_..............___ ..._._..........._................ .._.... ...._ .. .................. ........-... ...._._/ ..... (. G.0 � d We propose hereby to furnish material and labor—complete in accordance with the above specifications for the sum of: c�. S`�G ;'1�Df Dollars r - with payments to be made as follows: Any alteration or deviation from above specifications involving extra costs will be Respectfully executed only upon written order, and will become an extra charge over and submitted above the estimate.All agreements contingent upon strikes,accidents,or delays y beyond our control. Note—this proposal may be withdrawn by us if not accepted within days. acceptance of _ oogar„ The above prices,specifications and conditions are satisfactory and are Signature hereby accepted.You are authorized to do the work as specified. Payments will be made as outlined above. Date of Acceptance Signature The Commonwealth of Massacitusetts Department of Industrial Accidents z Office of Investigations 600 Yf"ashington Street Boston, MA 02111 www.nzass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): Address: 5'S S 41 ( S f City/State/Zip: /y C9Ilef /, hone.#: �������7.3 Are you an employer? Check the approptliate bo Type of project(required ., 1.❑ 1 am a employer with ' 4. I am a general contractor and I employees(full an part-time)." have hired the sub-contractors 6. ❑New construction 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 me in any capacity. employees and have workers' 9, ❑Building addition [No workers' comp,insurance cow• insurance.' 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 11.7 PI repairs or additions myself. [No workers' comp, right of exemption per MGL I2. oof repairs insurance required.]t c. 152, §1(4), and we have no employees. [No workers' 13.❑ Other comp. insurance required.] `Any applicant that checks box#i must also fill out the section below showing their workers'compensation policy information.'Homeo=rs who submit this zfiida:tit indicating they are doing all work and then hire outside contractors mus:submit a new affidavit indicating such. }Contractors that checl: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,polic},number. I am an employer that is providing workers'compensation insurance for mp employees. Below is the policy and job site information. Insurance Company Name: /6//-7 �,A� C Policy R or Self-ins. Lich #:' ;70/�r6-qk/9 /2©C) Expiration Date: Jnh Site Address: City/State/Zip: h�, WWIW__V 21 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 WORT:ORDER and a fine of up to 5250.00 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 cern 4 under the pains-andpenalties of perjure that the information provided above is true and correct. �Ml Signature• 66iL�' Date: Phone#: �/ �O�i�'�73-7 Officurlwse only. Do not write in this area, to be completedby city or town officiaL MY 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 #: . �IJIJflf irl1)IL97tf.'J'Lfl,BfGtJas.-llflrniflCflfliE� = ,\ Board of Building Regulatioi�is and Standards HOME IMPROVEMENT CONTRACTOR t at � Registration: 103358 Expiration: 7/7/2010 Tr# 271352 Type: Private Corporation A.J.WALSH&SONS,INC. Arthur Walsh,Jr. 55 Pleasant St �µ, ,� N Andover,MA 01845 Administrator Nla..achusettN - f)upm,tmcnt of Public satctx 4 Bn tf'd of, Buildin-, k sul ttiorts and 1�tantlartls e:*.. License: CS 22680 Restricted to: 00 ARTHUR J WALSH JR 55 PLEASANT ST . N ANDOVER, MA 01845 �-�-- —�� Expiration: 6/9/2010 r , mini••„n, rr_- 27002 k^'r"../"'y-""`ti.`'��SS•<`f+-;°'-j.kti.fi y" A+ib"a.*r•1, '�r�If^�-.-.+.sv-'►'_"��h`r`q` 1.-�'. '{ ""i"" Location y�Jf A414i 3r. No. /o — Date ?�� k'� V d y� NORTH TOWN OF NORTH ANDOVER Ottt� o �,Rp V+ p Certificate of Occupancy $ Building/Frame Permit Fee $ Z!;%ation Permit Fee $°� Permit Fee $ Sewer Connection Fee $ Water Connection Fee $ TOTAL $ 04 a -7 f Building Inspector 70 745 Div. Public Works PER3flT NO. 0 APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. PAGE 1 WAP i-4 0. I LOT NO. 2 RECORD OF OWNERSHIP IDATEBOOK PAGE — ZQNE SUB DIV. LOT NO. LOCATION PURPOSE /OWNER'S NAMEs NO. OF STORIES Z ✓ / — OWNER'S ADDRESSBASEMENT OR SLAB ' ARCHITECT'S NAME SIZE OF FLOOR TIMBERS IST 2ND 3RD BUILDER'S NAME SPAN DISTANCE TO NEAREST BUILDING DIMENSIONS OF SILLS DISTANCE FROM STREET '" POSTS DISTANCE FROM LOT LINES – SIDES REAR - "' GIRDERS AREA OF LOT FRONTAGE HEIGHT OF FOUNDATION THICKNESS IS BUILDING NEW SIZE OF FOOTING X IS BUILDING ADDITION MATERIAL OF CHIMNEY IS BUILDING ALTERATION IS BUILDING ON SOLID OR FILLED LAND WILL BUILDING CONFORM TO REQUIREMENTS OF CODE IS BUILDING CONNECTED TO TOWN WATER BOARD OF APPEALS ACTION. IF ANY IS BUILDING CONNECTED TO TOWN SEWER IS BUILDING CONNECTED TO NATURAL GAS LINE INSTRUCTIONS 3 PROPERTY INFORMATION LAND COST � SEE BOTH SIDES EST. BLDG. CO _ COST PEREST. BLDG. COST PER ROOM BLDG. Q. FT. 'S PAGE 1 FILL OUT SECTIONS 1 - 3 EST. - PAGE 2 FILL OUT SECTIONS 1 - 12 - SEPTIC PERMIT NO. ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING 4 APPROVED BY ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS 1 PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR ATE FI,ll-ED L-L BOARD OF HEALTH 1 NATUREf:lOF NEER-�OR AUTHORIZED AGENT F E E /�gnq(/ [{� PERMIT GRANTED OWNER TEL.#`0 `�""` S PLANNING BOARD �� CONTR.TEL.# - /9 is CONTR. UC.# BOARD OF SELECTMEN BUILDING INSPECTOR 1 BUILDING RECORD i OCCUPANCY 12 SINGLE FAMILY I STORIES THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND DISTANCE FROM MULTI. FAMILY OFFICES _ LOT LINES AND EXACT DIMENSIONS OF BUILDINGS. WITH PORCHES. GA- APARTMENTS RAGES. ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN. CONSTRUCTION 2 FOUNDATION —I 8 INTERIOR FINISH ' CONCRETE 3 1 2 13 CONCRETE BL'K. PINE _ BRICK OR STONE P —_ —— PIERS PLASTER _ DRY WALL _ UNFIN. 3 BASEMENT 11 j AREA FULL FIN. B M AREA _ '/, 1/1 1/1 FIN. ATTIC AREA _ NO B MT FIRE PLACES _ HEAD ROOM MODERN KITCHEN - 4 WALLS I 9 FLOORS CLAPBOARDS B 1 2 3 DROP SIDING CONCRETE �_ WOOD SHINGLES EARTH _ ASPHALT SIDING HARDW D _ I ASBESTOS SIDING _ COMtACN I VERT. SIDING ASPH. TILE _ STUCCO ON MASONRY STUCCO ON FRAME BRICK ON MASONRY ATTIC STRS. 8 FLOOR I_ BRICK ON FRAME CONC. OR CINDER BLK. STONE ON MASONRY WIRING STONE ON FRAME _ SUPERIOR I� POOR - ADEQUATE NONE 5 ROOF 10 PLUMBING GABLE HIP BATH I3BATH FIXE_ GAMBREL MANSARD TOILET RM. (2 FIX.) �+ FLAT SHED WATER CLOSET _ ASPHALT SHINGLES LAVATORY WOOD SHINGES KITCHEN SINK SLATE NO PLUMBING _ TAR & GRAVEL STALL SHOWER _ ROLL ROOFING MODERN FIXTURES TILE FLOOR TILE DADO 6 FRAMING II 11 HEATING WOOD JOIST PIPELESS FURNACE FORCED HOT AIR FURN. TIMBER BMS. &COLS. STEAM STEEL BMS. & COLS. HOT W'T'R OR VAPOR WOOD RAFTERS AIR CONDITIONING RADIANT H'T'G. UNIT HEATERS 7 NO. OF ROOMS GAS OIL B'M'T 2nd _ ELECTRIC 1st 13rd I NO HEATING 1 ` Registration No. 2 6 U O License No. 040394 8 Country Village Road, Windham,NH 03087. NH(603)434-6819 MA(508)688-4107 - RESIDENTIAL CONTRACTING AGREEMENT - for MA & NH Read this agreement and make sure you understand it before signing it. This agreement has legal force and effect and binds those who sign it. Notice for Massachusetts Properties: All home improvement contractors and subcontractors engaged in home improvement contracting,unless specifically exempt from registration by provisions of Chapter 142a of the general laws, must be registered with the Commonwealth of Massachusetts. Inquiries about registration and status should be made to the Director,Home Improvement Contract Registration,One Ashburton Place,Room 1301,Boston,MA 02108. n Designated Registrant's +Name:: �R�1 QXJA_., , Salesperson's Name: SJgL\i 8 A/c 1 0..D This agreement is made on ,11 !�I between T� - Q L of uDniri (coN(RA((OR) ArA AJ � (AUORI S. WHOM Nt A1R1_R1 hereinafter called "Contractor"and ANER( of /),?6—� ­I(ADDRESS) (PHONE.NUMRt: ) hereinafter called "Owner". 1. DETAILED DESCRIPTION OF WORK TO BE PERFORMED AND MATERIALS USED Contractor agrees to perform in a good and workmanlike manner all work detailed below. Such work and materials consists of the following: 2. PRICE AND PAYMENT d a Contractor agrees to do all work described in Section 1 for the total price of $ upon signing Contract, and the remaining$ upon verification of the work by Owner and Contractor as having been satisfactorily completed, which verification shall take place promptly after completion. Notice: No agreement for home improvement contracting work shall require a down payment(advance deposit)of more than one third of the total contract price or the total amount of all deposits or payments which the contractor must make, in advance,to order and/or otherwise obtain delivery of special order materials and equipment,whichever amount is greater. 3. COMMENCEMENT AND COMPLETION OF WORK Contractor will not begin the work or order the ma rials before the third day following the signing of this Agreement, unless specified in writing. Contractor will begin the work on or about (date). Barring delay caused by circumstances beyond Contractor's control,the work will be completed by (date). The Owner hereby acknowledges and agrees that the scheduling dates are approximate and that such delays th t are not avoidable by the Contractor shall not.be considered as violations of this Agreement. 4. CONSTRUCTION-RELATED PERMITS The following construction-related permits will be necessary in order to complete the scope of work included in this Agreement: The Contractor under provisions of Chapter 142A of the General Laws is required to apply for and obtain all construction-related permits. The Contractor shall not be deemed responsible for delays in the work described in this Agreement caused by regulatory,permit,granting or inspectional agencies,authorities or individuals. Notice for Massachusetts Properties: If the homeowner obtains his own construction-related permits for the work described under this agreement, the homeowner is hereby advised that in the event of a dispute,judgment and nonpayment of the contractor,the homeowner will not be entitled to make a claim to or collect from the guaranty fund established by Chapter 142A,M.G.L. RIGHTS TO CANCEL The owner may cancel this agreement if it has been signed by the owner at a place other than an address of the contractor which may be his main office or branch thereof, provided that the owner notifies the contractor in writingat his main office or branch by ordinary mail posted,b telegram sent orb delivery, later than midnight of the third business day following the signing of this agreement. See attached Notice of Cancellation.on. Homeowner acknowledges receipt of(2) copies of Notice of Cancellation. HOMEOWNER: DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES. Otincr's Signature I tc. igncd ntractor's SignatIIN l tc Signed i SL 004, O/yI ` FXp�R MAft�C�USF CT N `! �•.` gTjo TTS D8/ NOgT NDN CTr/oN 9 9y eo�sroo OMMor pp E H,ly NrVF UeC/ SS \ CoNs rR(j� ZZIS CtH4 FFt 03FF S NS pHOTOre '38. moo"08/FCTI VF�gT UPF V!S STING aD F oR °pR°N� �99 vC. FF, r � r $ � NO. 7 l oo DD MST yU�rS�AN�y 04039 il� 4 JD BHT' N q ARO 0 . 018444 OTHERS. I/�/ NOT�qCl° D �/19 STq ,qt/ UNTI<Si R/GHT THUMB PRi yT C,I RiF NMFNT OR.S/G Co g�G c a,SNCfgkpFSohoF Ng TURFOfnSsF�OO� m2. niiB�C PFN FNa Cow4f,SSE/CGq�y A O n N o F N R w -•,`\••� RFOF</CFNSFf lam_ C04fA4 i. S/ONFR it NORTH �. T0111, o 6 i Andover 0 ; No. 296 `' A 70 o L A dover, Mass., 19 9V COCHICHEWICK A0RATEO P911 Cl S I BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System BUILDING INSPECTOR THIS CERTIFIES THAT............ ........ .................. ......... ....................................................... Foundation has permission .... buildings on ... . .. ........ .................. Rough to be occupied as. •.....t.yec- &io�Vtai ..... =1• .0 ......... Chimney provided that the person cepting this permit shal epect co orm to he termthe applicatio 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 PERMIT EXPIRES IN 6 MONTHS Final ELECTRICAL INSPECTOR UNLESS CONSTRUCTI N S TS Rough ......... ........................ ........................ ... Service BUILDING INSPECT Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove Rough Final No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner PLANNING FINAL CONSERVATION FINAL Street No. Smoke Det. SEWER/WATER FINAL DRIVEWAY ENTRY PERMIT