HomeMy WebLinkAboutBuilding Permit #542 - 55 CRICKET LANE 3/10/2010TYPE OF IMPROVEMENT
PROPOSED USE
Residential
Non- Residential
New BuildingOne
family
Addition
wo or more family
Industrial
Alteration
No. of units:
Commercial
Repair, replacemen
Assessory Bldg
Others:
Demolition
Other
C:-_Cekti-6'D Well
Floodplain Wetlands
Watershed District
Water/Sewer
DESCRIPTION OF WORK TO BE PREFORMED:
Please Type or Print Clearly)
OWNER: Name: ,4L�Y//1J
Address: "16" /GSL
CONTRACTOR Name: o),///
Phone://
Supervisor's Construction License: Exp. Date:
Home Improvement License: / Exp. Date:
ARCHITECT/ENGINEER
Phone:
Address: Reg. No.
FEE SCHEDULE. BULDING PERMIT. $12.00 PER $1000.00 OF THE TOTAL ESTIMATED COST BASED ON $125.00 PER S.F.
Total Project Cost: $ !:57` , FEE:
Check No.: I4'V6 Receipt No.:_�
NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund
Signature of Agent/Owner Signature of contrac or
Location 5] r1l, f F /"0/-- ^ GAF
No. 574?_ Date 7/o /°
-1 i
�aRTM TOWN OF NORTH ANDOVER
OL
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Certificate of Occupancy $
'�s'•^ E<�' Building/Frame Permit Fee $
s�cMus
Foundation Permit Fee $
Other Permit Fee $
TOTAL $
Check # ,/D �6
2 2U' 4 /•
C/ Building Inspector
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 Signature
COMMENTS
HEALTH Reviewed on 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 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 2010
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 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
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ACDRDTM CERTIFICATE OF LIABILITY INSURANCE:104/22/2009
INSR
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ADWL
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TYPE OF INSURANCE
PRODUCER (978) 745-5905
ALLAN INSURANCE AGENCY INC.
63 1/2 Jefferson Avenue 2nd S
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POUCIES BELOW.
POLICYE)UMRATION
GATE MMI00
P.O. BOX 511
SALEM NA 01970-0511
INSURERS AFFORDING COVERAGE NAIC AI
INSURED
INGURERnNorfolk 6f Dedham
Bowers, William D
Waters Edge Development
4 Oakwood Knoll Road
I swish MA 01938—
INSURER 8:
INSURER C:
INSURERA
INSURER E:
TME POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY
REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,
THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES,
AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS,
INSR
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TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
DA MIUM
POLICYE)UMRATION
GATE MMI00
LIMITS
A
OENERALLIABILm
X0661136A
04/20/2009
64/20/2010
EACHOCCURRENCE 3 1,000,000
X I COMMERCIAL GENERAL LIABILITY
CLAIMS MADE aX OCCUR
/ /
/ /
DAMAGE TO RENTED
PREM16ES [Ee ocdrranca,�, S 50,000
MED EXP (Any oma anon) 3 5,000
PERSONAL & AOV INJURY 3
GENERAL AGGREGATE 3 1,000,000
GEN•LAGGREGATELIMITAPPLIESPER:
PoL>cr JP* Loc
/ /
/ /
PRODUCTS- OMP PAGG S 1,000,000
AUTOMOBILE
LIABILITY
ANY AUTO
/ /
/ /
COMBINED SINGLE LIMIT
(Ea acclaent) 3
ALL ONMEO AUTOS
SCHEDULED AUTOS
/ /
/ /
BODILY INJURY
(Par parson) S
HIRED AUTOS
NON -OWNED AUTOS
/ /
/ /
BODILY INJURY
(Peracciaarx) 3
PROPERTYOAMAGE
(Par aceidere) _
GARAGE LIABILITY•
AUTO ONLY.EAACCIDENT 3
ANY AUTO
/ /
/ /
OTHER THAN EA ACC S
AUTOONLY. AGC $
EXCEESIUMBRELLA LIABILITY
/ /
/ /
EACN OCCUR iF.__ $
AGGREGATE 3
OCCUR FiCLAIMS MADE
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OBDUCTIBLEWORKERS
RETENTION 3
3
EMPLOYERS' ryT10N AND
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ANY PROPRIETORIPARTNERIEXEcuTIVE
0 yes. describe and EXCLUDED?
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E.L. DISEASE . EA EMPLOYEE S
SPECIAL PROVISIONS bawr
E.L DISEASE -POLICY LIMB $
OTHER
DESCRIPTION OF OPERATIONS/LOCAnowaVEHR:LESIEBCWSIOM ADDED BY ENDORBEMENTBPBCIAL PROVISIONS
fG�Tfn,+a rr u
— — — `'^ oANG LLl1TION
( ) - (978) 356=6459 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
Town of Topefield EXPIRATION DATE T)(EREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL
Inspectional SArVSC@ Dept a
v DAYS WRITTEN NOTICE TO TWE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT
fAIWRE TO DO So SHALL IMPOSE NO OBLIGATION OR WABIL17Y OF ANY KIND UPON THE
INSURER RS AGENT! OR REPAFBPuTATiVER_
ACORD 25 (2001108) 0 ACORD CORPORATION 1958
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Office of Consumer Affairs & Business Regulation
a HOME IMPROVEMENT CONTRACTOR
Reg istrati o._ 50304
Expiratian� .3/23I2fl12 Tr# 293209
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WATER'S EDGEuDE t 01?NfENT
WILLIAM BOWERS _ _
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4 OAKWOOD KNOLL'
IPSWICH, MA 01938` Undersecretary
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Kevin Barry
56 Cricket Road
North Andover Ma. 01848
Water's Edge Development
4 Oakwood Knoll Road
Ipswich Ma. 01938
Subject: Kitchen Remodel Estimate / Ouote
The following quote is for the demolition and reconstruction of the
Kitchen remodeling project at 56 Cricket lane North Andover Ma.
I. Labor to demo and install new kitchen cabinets, flooring and replacement
Sliding glass doors. Labor $4200.00
Notes:; I Home owner to supply kitchen cabinets.
2. Home owner to aid in installing upper kitchen cabs.
3. Home owner to aid in installing any large appliances.
4. Items to be pre paid by home owner as follows and available
on site, per finial design layout.
5. Items include; Kitchen cabinets, Wood flooring
Anderson replacement sliders, any and all Appliances.
II. Costs; per agreed design / labor / items for Kitchen.
ITEM COST TAX
TOTALS
1. Cabinets $ 13300.00 $ 831.25
$ 14131.25
2. Granite counters / sink $ 3000.00 $ 187.50
$ 3187.50
3. Hard Wood floor $ 1040.00 $ 65.00
$ 1105.00
4. Anderson sliders $ 4350.00 $ 71.88
$ 4621.88
5. Appliances $ 4300.00 $ 268.75
$ 4568.75
6. Labor $ 4200.00
$ 4200.00
Totals $ 30,190.00 $ 1,624.38
$31814.38
III. Misc. Tasks;
1. Plumber: reinstall sink / disposal / sink faucet
And reinstall gas line to stove. $ 810.00
2. Misc. Items. Home owner to purchase sink faucet
Pendant ceiling lights / and cabinet hardware $800.00
Totals $1610.00
Notes: Any other subcontractors to be licensed and insured and pull individual
permits. Work to be at Home owners timing and approval.
Totals I , II , III = $30.190.00+ $1610.00+= Permit cost estimate of $31.800.00
WATER'S
tiome owner Kevin Barry DBA Water's Edge Will Bowers
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