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HomeMy WebLinkAboutBuilding Permit #195-14 - 44 SAUNDERS STREET 9/3/2013 BUILDING PERMIT NORTH TOWN OF NORTH ANDOVER 32 hJ}- .-� ,6 �0 ° sem r . � APPLICATION FOR-PLAN EXAMINATION * ,� �o ey J Permit N0:1 Date Received �1,QA0 Arm) �4`D SSACHUS Date Issued: fj� IMPORTANT:Applicant must complete all items on this page LOCATION Ji4cs{ I - �PROPERTY s PnntT MAF?NO PARCEL Z6NI46DISTRICT : Historic Distract yes. rO - Machine Sho Willa`e'' es no; TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential New Building One family Addition k7wo or more family Industrial Alteration No. of units: Z�; Commercial Repair, replacement Assessory Bldg Others: Demolition Other Septics. Welt -sFloo'dplam VUetl1. antls `. WatershedtDistnct Water/Sewer.. DESCRIPTION OF WORD TO BE PREFORMED: £P I C6m rr Or 1CQw T o b,,-r rt?" a'r'A:I LA,N n i l\s 6 Identification Please Type or Print Clearly) OWNER: Name: FI/�' Klu i'63T Phone: Address: _ �R Co.. rri a Iry ;CONTRA,CTOR ;NameNt_, i?�FN Plione 9�5 X179' i ? Address: L-07 "fb �- Expo Date= j _ SupervisorstConstruction Llcensey }_0 t ` r w Home Improvement License: z:_:a, g-: 1 Exp ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE.BULDING PERMIT.-$92.00 PER$9000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ 35SO.dvo FEE: $ '�/-3' e a Check No.: /05� Receipt No.: -'26 ?crf NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund Signature of Agent/Ovvne Signature of contractor _ : � _ 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 Siqnature COMMENTS HEALTH Reviewed on Siqnature COMMENTS Zoning Board of Appeals:Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments Conservation Decision: Comments Water & Sewer Connection/Siqnature&Date. Driveway Permit DPW Town Engineer: Signature: Located 384 Osgood Street FIRE`DEPARTMENT,-Temp Dumpster on site yes x1 no a --i. .•a Tf:;i t „.,:`r F r: -a.s Y - a.. ,`...._ Located;at 124,Main°Street - S Fire�DepartmeritTsignatureLdate'�. _ . - _ _ _ J1- t _ .- - -�� 'a �`'T 'f ,.'.`Y P,nt ...;i _ h..4 .. ..i"'A+- k•' COMMENTS I 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 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 ❑ 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 thenget this recorded at the Registry of Deeds. One copy and proof of recording must be submitted with the building application k6Ooa e5r. Doc:INSPECTIONAL SERVICES DEPARTMENT:BPFORM07 Revised 2.2008 Location �j/eY y,6 ��- No. ) -�`� Date ? • - TOWN OF NORTH ANDOVER ED Certificate of Occupancy $ Building/Frame Permit Fee $—!�I"" Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check# A),/1 V r. j /Didilding Inspector r 1 i NORTH W�. . _ t : �. t . . ve: .. o - "t No. all196 Iq * � o h , ver, Mass, cocN�c..ew.cw A04AT E D S U BOARD OF HEALTH Food/Kitchen PERMIT T LD Septic System THIS CERTIFIES THAT ... . ............................................................................... BUILDING INSPECTOR ........ has permission to erect buildings on s ` �!F.......:54`.'4W �`�s `— Foundation .......................... .. ............... ...................................... t/ w Rough to be occupie�( � F .... f�:•�, v` �c',Y0/i.:l ..I..4F/.l��`.!! ...�.' '�:s..... Chimney . .. . . . ......... .. provided that the person accepting this permit shall in every respect coniF rm to the terms 6f the application Final on file in 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 CONSTRUCTIO STARTS Rough / ................... Service .......... ...... .��¢...... .�� Final / BUILDING INSPECTOR GAS INSPECTOR Occupancy Permit Required to Occupy Building 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. Smoke Det. SEE REVERSE SIDE The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations .600 Washington Street U; Boston,Mass 02111 www mass govMa Workers' Compensation insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(BusinessKhgankation/Individual):__ �'I f ! lei t I(.171 lu f' e Address: NI? WAVty II rb City/State/Zip:Mog-Ty &J po Vf K MA Phone#: q 72 - sir 7 9 -152 6 Are you an employer?Check the appropriate box: Type of project(required): 1.CSI am an employer with—f 4. ❑ I am a general contractor and I 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. ?•f Remodeling ship and have no employees These sub-contractors have 8.Q'Demolition working for me in any capacity. employees and have workers' [No workers'comp.insurance comp.insurance.$ 9.❑Building addition 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 myself [No workers.'comp. right of exemption perm MGL 11.❑Plumbing repairs or additions insurance required]t c. 152,§1(4),and we have no 12.❑Roof repairs employees.[no workers' comp.insurance required.] 13.❑Other *Any applicant that checks box#1 must also fill out the section below showing Weir workers'compensation policy information f Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. $Contactors that check this box must attach 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 Weir workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees.Below is the policy and job site information. Insurance Company Name: AJ 5 U CA a,� Policy#or Self-ins.Lic.#: (1 -L r(��f �'r7> j _ Expiration Date: C1 2 d 1 Job Site Address: 64LI 5 AU NDf r -r City/State/Zip: 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 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 $250.00 a day against violator.Be advised that a copy of this statement_maybe forwarded to the Office of Investigations of the DIA for coverage verification. I do herby certify under the pains and penalties of perjury that the information provided above is true and.correct Signature: Date: Print Name. ADA M 1�e 1 gq,) Phone#• '3JR 4'7� •��� Official use only Do not write in this area to be completed by city or town gpcial City or Town: Permit/license#: Issuing Authority(circle one): 1.Board of Heath 2. Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact person: Phone#• a ij Mass etts Home Im rovement Sam le Contract Iltisfomtsatisfies Cbasio ofthestabe'sHmne7�mvemeotContractorLaw Q e Pr'oteethomemmer OtekkgalaN-ifu (M chapter1abg ai doesnot include shmdard M� �e�� em�beam EYP Pig hamoimpmvements shoaldfnstobtarm a mM of"A Oboe of CamsamerAffiits tmdB6.smesv agreein8to 8°3'work ongvm resid�cc.You obtain a fire oppyby�Bthe Regulation's Constmer Imfce-4—Hotline at 617-9n-9797 or 1-8&8-293-3757 or on omwebsite.. HomeownerIrmanon COR6a orinformaiion Name 1 S I Compauyxame ShectAddress(donocaseaPmt epl;wcaddress) . C n Ei�OD � Sai�odowcerxama . i� s odeDA Ai l e s-n=Addrm(must include a sheet addmss) A N 417 WAv Kp Phone BPhone CiVroam Smre zP code 3C J A. 6e MA 0194& MailmBAddmss(it diffeteatfmmabobe) &�aasaP I $24 Federal oyarIDors.S.Nam 9262 The Contractor agrees to do the fo)Imrutgworkfor theHomeowaer; Z M—,be in detail the wodcto eompletixl,Vol the4Tcj bnal,and grade of materials to be rued,M additional& ifnecesaarg) f fAcE '&61U1 CNTCAWGf STAAkIvA*e atib 4.4mDIAG Required Permits-The fu11 6mldingpennits aro required Proposed Start and Completion,Schedule-The fioIl a ndwMbesdcmtdbpthecoahac6oFaslbeLomeo�et+sem be adhered to ms�ces beyond the Okesc control wise will (Owners who secure their&M permits WIU be arcaz excluded from the Guaranty Fund protrisions of 312LIl vvhm contractor well begin can tractel MGL chapter 142A.) 9 0 13 Date when camhactedwok ,M besabsmntiaIlycampieted. Total ContradPrice and PaymemoSchedule McCemhactorW—toP1360-fftewalfmnishthematmWandlaborspetafiedabmBforthetotalamOE P 36 Payments Will be made accav&0y mowing sobem.: � 5--1 �—up-mag conhsa(sotto exr cd 1/3 ofthe total contractpoo g1 the frost ofspecial arderitl whichevea'is wester) S by/_I orupon completion of S by// or upon completion of $ »lM Actiontithe conhaet.(Lawfo&&demanding fall Pq mm tmrid contract is ccmipleteltoboth gatty'ssatistaction) ThefoBowmg indeed bdme thetheto be Paid for t tom thecomPir�amschedalkl(* S torp aid for NOTL�S:(�Iot—c dthowmareraIawtegortestbetaa9deposrtadownpaym®ttegttaodbytbe befotewodt tb�e ofi(a) begins may ono-thfidofthetotal Pricoor(b)thomwdcog ot'anyspecial egnipme for special o�ad in advanceto meettbe completion schodok a - an Subcontractors-7ho contractor agrft to be solei £orcmpietn ofthealt - o th to th Pay/stbcnhacGotttdbYtbedonfr � Thecm&actorgwo*describedm��ofheactisusolthir d M�Rls and adeag� bsoeyaeponstblemP� allsatconhacatfContractAcceptance_ Upon agora y this do conftct amreotbecromas a shy kq)ytbat a7lidtbr other sowrity ioLaesttms b�courract�� Unless otherwise notedwiEai &a docral the caze6ffiybefotesiguiagthiseonhact) placedontherraidence.Review the followingtaationsaadnotices 1. ' Doal-be psi-gip aignial the contract:-Talee time to read and ° l�iake sine the conhae�rbas alJa>id H a r �destand it �tk'qutsdons i t'somo$�gys upcjear. subcontractors to be a the Director afHeme Improvement Cunha mosthome impmvcmeat coanactoLg and registration bywritio at l o ParkPlaze;Room 5170 Yon may inquire about ceniractor • Does the cemhactahaveinsmancep Arlo Boston,MA 02116 or by calling 617-973-8787 or 888-283-3757. see acopy of a`proof of insm�dce^decv���forhis insurance conapagy bbonsfirat so that yon can confirm coverage,or ask to • SnowoRoh �� � s and tiuide tto the Somre ,Read on ontitoreverse side ofthis Jim,and e 1mpQuvemgri Contractor I" Set a copy ofthe Constmrer Ycancel this agrremootifitLhsbeensiguedatapbwotbertbanthecontaclnormal place,of wntrag athialthan aor�dffix orbranrh office by radial Mail Posted,by telegram sent nr 'provided you nol the thitdbusiness day feIlowing the signing ofthis agreement-See the attached notice ofcance0ation form for Mlana ion of right i afthe DO NOT SIGN Tl'3IS CONTRAtl T�,TBF.RE ARE ANY BLAdVI{SPACES t natara�ar �x�tx :��a,one cwsaoutaaomm"----- .•n,���y..v,asa°t payap, Semeowaer'a rgnatme Ccmtractor's igmadure Massachusetts building code. BriCo takes on full responsibility of all necessary inspections. The Owner agrees to pay BriCo Building and Remodeling $3580.00, for doing the work outlined above. The following payments will be paid to the contractor in the following manner: Deposit of$1500.00 is due on contract signing. This payment is the deposit of window order. Window orders are non refundable and cannot be altered once order is placed. Windows currently are taking 4 to 5 weeks for manufacturing. Final Payment of$2080.00 is due at the completion of project. BriCo Building and Remodeling is a fully licensed and insured LLC company in the state of Massachusetts. License numbers are provided in the header above and current insurance documentation upon request. We would like to thank you for the opportunity to bid on your project and would look forward for the opportunity to work with you. Dated: Signature of Owner: , Signature of Contractor: JI Building&Remodeling 17 Adam Brien CSL 104428 417 Waverly Rd. HIC 168512 North Andover, MA 01845 LLC 978-479-1526 8/29/13 adambrico@gmail Steve Nugent 44-46Saunders St North Andover MA Job Description: Replace existing front stairs and landing • Demolition and disposal of 6x14 front porch • Deck size and layout to remain the same • 2, 4' holes to be dug and filled with concrete • Deck framing, decking and railings to be PT material • 2 4x6 fir post to be installed • Deck to be finished with Pine and pvc Lattice work Total Estimated Cost$3580.00 Any unforeseen work or necessary repairs found during this project to be brought to the owner's attention as soon as possible. Any extra work resulting from unforeseen problems will be priced accordingly on site and be done with written approval. BriCo is not responsible for anything that occurs on site that is not directly involved with the construction of this project. The contractor agrees to perform this work in a competent and skillful manner according to standard industry practices, and all work performed shall be subject to final approval by Owner. All work to be done incompliance with �lauachusctt; - Dcp;u tmcnt of Public SarctA Board-of Buildin-,, Reutilations and Standards Construction Supervisor License License: cs 104428 , ADAM BRIEN z 417 WAVERLY ROAD ' I NORTH ANDOVER, MA 01845 Expiration: 5/12(2014 f Tr-:_ 104428 �re�a»r��ta�rruealf�of-'C/j�«,;Jnr�crt�lt Office of Consumer Affairs&Business Regulation ME IMPROVEMENT CONTRACTOR e9tstration: 168512 Type: xpiration: 311/2015 LLC BRICO BUILDING AND REMODELING LLC ADAM BRIEN 417 WAVERLY RD NORTH ANDOVER,MA 01845 q Undersecretary