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Home My WebLink AboutBuilding Permit #228-2017 - 50 FARRWOOD AVENUE 9/1/2016 G t%oRThj BUILDING PERMIT oc�t� ED Y TOWN OF NORTH ANDOVER �2 APPLICATION FOR PLAN EXAMINATION _ i1 h Date Received° Permit No#• � '� ,TEo •c • �SSgc�usEc Date Issued: l 1 I ORTANT:Applicant must complete.all items on this page LOCATION. AV,:r. , Print PROPERTY OWNER ( i2� !2 N &(R SG--0?L J 0 , j G Print 100 Year Structure yes n MA (�Q OS PARCEL: 0 ZONING DISTRICT: Historic District yes Machine Shop Village yes TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building ❑ One family 0 Addition ❑Two or more family 0 Industrial ❑Alteration No. of units: 0 Commercial ❑ Repair, replacement - ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other 0 Septic ❑Well 0 Floodplain ' ❑Wetlands ❑ Watershed District El Water/Sewer DfiSCRIPTION OF WORK TO BE PERFORMED: .s QI00 cs fG i N Wr e�I yr N w r ou r&n-40 rq-- v 0 AI wyP"4ts*1�r�-r' w ► vy.di Wed �'!JroyoMav47*; N s W a iogw 194d" r q /-.d Identification- Please Type or Print Clearly f r!' 1 N y L- OWNER: Name: &P L r� �S r►�-KEG 01'�c Phone: (D -Z, , ?�I Address: 9S S 67" C 1 LVANI71do _ I le� 0 1 Q (t-0 7 K - Contractor Name: 14 Phone: 6 i� �Sq L -6 Email ICISr44,3 e4t-7 /%- c=srvl. Address: .),j , cV 1J &R �� v9 6 1 Supervisor's Construction License: e-1 cD 6 6 3 3 �r Exp. Date: Z t �. Home Improvement License: (` [ 2 , Exp. Date: ARCHITECT/ENGINEER /i Ag Phone: Address: Reg. No. FEE SCHEDULE.BULDING PERMIT.$12.00 PER$9000.00 OF THE TOTAL ESTIMATED COST BASED ON$9,ak00 PER S.F. Total Project Cyst: $,�� ,�-•Q � ,�1L FEE: $ C� Check No.: Receipt No.: �� NOTE: Persons contract•n with unregistered contractyl do not have aec ss to the guaranty fund Sian a i 4r- Of aent caner i _a i-P n_--t-actor 1 I 1 Location �G-� �� :f� '� r �, No. J._ �'s�i Date . • TOWN OF NORTH ANDOVERr Certificate of Occupancy $ Building/Frame Permit Fee $ - Foundation Permit Fee $ Other Permit Fee $ TOTAL $ 4 Check# . Building Inspector 1 Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ TYPE OF SEWERAGE DISPOSAL Public Sewer ❑ Tanning/MassageBody Art ❑ Sw'mm,ng pools ❑ well ❑ Tobacco Sales ❑ Food Packaging/Sales ❑ Private(septic tank, etc. ❑ Pennanent Dumpster on Site ❑ THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM I PLANNING a DEVELOPMENT Reviewed On Signature_ COMMENTS CONSERVATION Reviewed on Signature COMMENTS HEALTH Reviewed ori Signature COMMENTS Zoning Board of Appeals:Variance, Petition No: Zoning Decision/receipt submitted yes 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 Dimension Number of Stories: Total square feet of floor area, based on Exterior dimensions. Total land area, sq. ft.: ELECTRICAL: Movement of Dieter location, mast or service drop requires approval of Electrical Inspector Yes No DANCER 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 Call Email Date Time Contact Name Doc.Building Permit Revised 2014 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 OTE: 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/Cross Section/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 OTE: 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 4- 2012 IECC Energy code Engineering Affidavits for Engineered products OTE: 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 Doe:Building Permit Revised 2014 Enter construction cost for fee cal - North Andover Fee Calculation Construction Cost 28,700.00 m $ - $ 344.40 Plumbing Fee $ 43.05 Gas Fee 100 comm. $ 100.00 Electrical Fee $ 43.05 Total fees collected $ 530.50 50 Farrwood Avenue Unit 7 228-2017 on 9/1/2016 kitchen and bath remodel NORTH own of t 1, a ndover O - aj I 4)L6 11 y �o KG ver, Mass, Seake-1w I . 263o A- COCHICHI WICK 7�ADRATE D S u BOARD OF HEALTH Food/Kitchen PERMIT . LD Septic System THIS CERTIFIES THAT ................. BUILDING INSPECTOR ....�.� ......... A .. ... o ............ ............. has permission to erect .......... buildings on J � .. 1 �, Foundation ....... ....... .... . ..... ...... Rough tobe occupied as ........ ..0....................M p sk................................................................... Chimney provided that the person accepting this permit shall in every respect conform to the terms of 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 Rough VIOLATION of the Zoning or Building Regulations Voids this Permit. Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONS TIO Rough Service .. .. .. ........ ....... .......... Final LDING NSPECTOR 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. Flans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ TYPE OF SEWERAGE DISPOSAL t. Public Sewer ❑ TanningWassageBody Art ❑ Swimming pools ❑ well ❑ Tobacco Sales ❑ Food Packaging/Sales ❑ Private(septic tank, etc. ❑ Permanent Dumpster on Site ❑ TIME FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM PLANNING & DEVELOPMENT Reviewed On Signature_ COMMENTS CONSERVATION Reviewed on Signature COMMENTS HEALTH Reviewed ori Signature COMMENTS Zoning Board of Appeals:Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments Conservation Decision: Comments Water& Sewer Connection/Snature Date Driveway Permit DPW Town Engineer: Signature: Located 384 Osgood Street FIRE DLPA-TMENT - Temp Dumpster on site yes no Located at 12.4 Main Street Fire Department signature/date COMMLNTS 60/&� F JK Contracting LLC Proposal - Exhibit B 4 High Street, Suite 108 North Andover, MA 01845 Proposal D... Proposal#: 617-592-6775 (Kieran) 5/23/2016 203-13 781-254-2862 (Judy) Bill To: Erik Giangregorio 50 Farwood Street North Andover,MA 01845 P.O. NO. 50 Farrwood Ave,... Item Description Est, Hours/Qty. Rate Total Project Description/Location: 50 Farrwood Ave.,Unit 7,North Andover,MA 01845-4416 01.2 Building P... Building Permits 300.00 300.00 02.10 Demo LR area,remove all doors.legally dump. 1,000.00 1,000.00 12 Doors&Trim Doors&Trim: Supply/Install 7 new interior 2,200.00 2,200.00 doors. 13 Windows&... Windows&Trim: Remove old windows, 3,700.00 3,700.00 Supply/Install new Harvey windows.[Total 5]. 16 Electrical&... Electrical&Lighting: New plugs and wiring for 3,000.00 3,000.00 GFCI in bathroom,new wiring in kitchen bathroom light. 14 Plumbing Plumbing: Plumb for new kitchen sink,DW,new 5,000.00 5,000.00 tub,new vanity,new toilet.Tie in gas stove in kitchen. 17 Insulation Insulation 200.00 200.00 18 Interior Walls Interior Walls: Board&Plaster 3,000.00 3,000.00 20 Millwork&... Millwork&Trim: Trim out all windows and 1,000.00 1,000.00 doors,M&L 23 Floor Cover... Floor Coverings: Plankin L.Room,carpet in 3,000.00 3,000.00 bedrooms. 21 Cabinets&... Cabinets 3,200.00 3,200.00 22 Specialty Specialties: Tops 1,000.00 1,000.00 24 Paint Painting 2,000.00 2,000.00 29 Supervision Supervision-Waived due to professional 0.00 0.00 courtesy($2,860.00) 01.2 Building P... C of O 100.00 100.00 Estimate/Proposal for your review and approval. Total Date Approval Signature Page 1 JK Contracting LLC Proposal - Exhibit B 4 High Street, Suite 108 North Andover, MA 01845 Proposal D... Proposal#: 617-592-6775 (Kieran) 5/23/2016 203-13 781-254-2862 (Judy) Bill To: Erik Giangregorio 50 Farwood Street North Andover,MA 01845 P.O. NO. 50 Farrwood Ave,... Item flescnptlop Est Hours4ty.' RateTotal, C] ANGE ORD 1 R ' Mayn 2016-:.....1..1. >Changed description of 12 Doors&Trim. {+$11;0' >Chang'dAescription of 13 Windows.&Trim. (+$0.90) >Changed description of 1.6 Electrical Lighting. >Changed description of21 Cabinets&Vanities. Total change to estimate+$4:00 Estimate/Proposal for your review and approval. Total $28, 00.00 Date Approval Signature Page 2 PIP n SID Yee 4`+ Ir—W .. tj s- The Common-wealth of Mas so,chusefts z.. Department ofIndastrialAceldents 1 Congress Street,Smite 100 d d Boston,MA 02114-2017 www.rnass.govjdia f Workers'Compensation lnsuranceAffidavit:Builders/ContractorsXjeeetdcians/Plu.mbers. TO BE'PILED WITH TBE PERIO TTINGAUTHORITY. A Heart Information Please Print I,e>n1U Name(Business/Orga77ationUndividual): � G` Address: � l'� Lirt N S� dV�- City/State/Zip 'hone#: 17r-� ' Are you an employer?CheckfTie aP�rOJV *ate box: Tyne of project )Vequired): 14p m a employervvitb _emploYees(full and/or Part tune).* 7.- Q New eoiisfraetion 2.�I am a sole propdetm or partnership and have no employees Working for me in 8. []Remo deag any capacity.[No woikers'comp.insTsance required.] 9, ❑Demolition In jam a homeownerdoing all work myself.LNo workers'comp."insurance rcquimd.]t 10 Building addition 4.❑1amahomeownermdwillbebiringcontractorstoconduct all woikonmyproperty. Iwill 11.E]Electxicalrepairsor.additions ensure fhat all contractors either have workers'compensation irm m co or are sole proprietors withno employees. 12:[h Plumbing repairs or additions 5.❑I am ageneral contractor and I have lured the sub-contractors listed on tha attached sheet 1j--0Roof rep airs These sib-contracfirsiiave employees andhave workers'comt p.h1sM ce 14.❑Other 6.0 We,area corporation and ifs,officers have exercisedthes rigkt of exemption perMGL c. 1 152,§I(4),andwq& eno.cinployees.Vpworkere comp.mmancerequired] "Any applicautthat chee1sb6x#1 must also fr11 outihe seetionbelow shov&gthen-workers'compensationpolicy iufomation. i Homeowners vlho sirlimi#!ibis af�idavitmdicatingthey are doing allwoikaadthenhim outside contractors mustsubmit anew affidavi{indicating sorb ?Contractors i3sat checkfhis bow must altaghea an additional sheet showing the name of the sub-contractom and state whether ornotthose entities have employees..Ifthe sub-contractors Piave employees,They must provi&thliI workerscomp.policy number. I aht an eniployer th at is ** 1;1dzng-workers'compensation insurance for my employees'Beloiv is the policy acid job slte info�7natior�. I Insurance Company Name: Policy#or Self-ins.1ic.#: ExpirationDatee �- '1 17 Q Job Site Address: o t-A-lit .2 d A 14,1 T ye i City/,State/Zip: fV. R`1'/J 4 dVim- t i Irl Attach a copy of the workers' conipensationpolicy declarationpage(showing the policynumber and expiration date). Failure to secure coverage as required under MGL c. 152, §25A is a criminal violation punishable by 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 ofup to$250.00 a day against the violator.A,copy of this statement may be forwarded to'she Office of Investigations of the DIA.for insurance coverage verificatiorL. X do hereby certify uzsder i/ie pales and penaXes ofperjury t7aat the information propided ci o;� is h-ae and cor ect Si afire: Date: 1 r 6 Phone#: Of•hila!rise only. Do not•write in this area,to be completed by&Y Or town official City or Town: Permit/License# Sssuiug Autliorny(circle one): i 1.Board ofHeaffla 2.BuildingDepartment 3.City/Town Clerk 4.Electrical Inspector 5.Plumbinglnspector 6.Other Contact Person: Phone#: Information and Instructions Massachusetts General Laws chapter X52 requires all employers to provide workers'compensation for their employees. Pursuant to this statute,an empl'ayee is defined as"...every person in the service of another under any contract of hire, express or implied, oral or written." ,Ara empkyer is defined as"an individual,partnership,asso ciation,corporation or other legal entity,or any two or more Of the foregoing engaged in a joint enferprise,and including the legal representatives of a deceased employer,or the receiver-or tr aAda of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152,§25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant-who lias not produced acceptable evidence of compliance with the insurance coverage required.'.' Additionally,MGL chapter 152,§25C(7)states`Weither the commonwealth nor any of its political subdivisions shall. enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill'out-the workers' compensation affidavit completely,by checking the-boxes that apply to your situation and,if necessary, supply sub eontractof(s)name(s),address(es)and-phone,number(s)along with their certi-dcate(s)of insurance. Limited Liability Companies(LLC)or LimitedLiability Partnerships(LLP)withno employaes-other thanthe members or partners,are not required to carry workers'compensation insurance. If au LLC or LLP does have employees,a policy is required. Be advised that this affidavit maybe submitted to the Department of•Iimdustrial Accidents foi:confirmation ofh=ance coverage. Also be sure to sign and date the affidavit. The,afzdavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you'are required to obtain a workers' compensation.policy,please call the Department at the number listed below. Self-iimsure_d.companies should'enter their' self-insurance license number on the appropriate line. City or Town Officials Please be.sure that the affidavitis complete and printed legibly. The Department has,provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Pleaso be sure to fill in the permit/license number which will be used as areference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. Anew affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit. The Department's address,telephone and fax number: The Commonwealth of Massachusetts - Department of 7ndustrialAccidents 1 Congress Street, Suite 100 Boston,MA 02114-2017 Tel.# 617-727-4900 ext. 7406 or 1-877-MA.SSAFE Fax#617•-727•-7749 Revised 02-23-15 wwwmass.gov/dia Massachusetts Department of Public Safety Board of Building Regulations and Standards License: CS-066334 Construction Supervisor j KIERAN T WHELAN 31 RICHMOND STREET" WEYMOUTH MA 02188 ' ComExpiration: missioner 09/26/2017 f ' Office of Consumer Affairs&Business Regulation h 'HOME IMPROVEMENT CONTRACTOR E i Registration: ;171393 Type: Expiration 3/15/2018 Individual KIERAN WHELAN KIERAN WHELAN j 31 RICHMOND ST WEYMOUTH, MA 02188 Undersecretary License or registration valid for indiviclual use only Before the expiration date. If found return to: Office of Consumer Affairs and Business Regulation. 10 Park Plaza-Suite 5170 Boston,MA 02116 1 Not valid without signature C��IlG' (('/+�I[JR(l�l[[ell��I/Q/JQ��jCIJJlICfll[JBILJ A Office of Cqiasi iiicC Affairs&BusinessRegulation �( HOME IMPPbV.EMENT CONTRACTOR Registration 171393 Type: € . Expiratian:...3L.15/20-18 Corporation JK CONTRACTING LLC. Kli'=RAN WHELAN 31:RICHMOND ST WEYMOUTH,MA 02188 Undersecretary