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HomeMy WebLinkAboutBuilding Permit #12-16 - 6 WALKER ROAD 5/1/2018 Of NORTH q ilk 04b U BUILDING PERMITC. TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION 41 Permit NO: !i'�/ Y Date Received camc.r. Date Issued: �CH�S���y IMPORTANT: Applicant must com Tete all items on this page LOCATION — (I at kPA A0,M,4 A Jo4i' Aw&�t Print PROPERTY OWNER� 1 ,,_ 1 Print MAP NO: PARCEL �'ZOI NG DISTRICT'. Historic District yes, Machine Shop Village yes TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building ❑ One family ❑Addition ❑ Two or more family ❑ Industrial ❑Alteration No. of units: t ❑ Commercial )(Repair, replacement ❑ Assessory Bldg ❑ Others: ❑ Demolition ❑ Other 0 Septic ❑Well ❑ Floodplain ❑Wetlands ❑ Watershed District ❑Water/Sewer ce 0 /ukr -/')"p4�� ji1 I L�cJiVl �t `Ztf Gc/ I OCAi114 (. oi4 , // Identification Please Type or Print Clearly) OWNER: Name: e c k Phone: Address: CONTRACTOR Name: Phone: Address: I Supervisor's Construction License: ={ Exp. Date: r Home Improvement License: Exp. Date: rp 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: $ &L70 FEE: $ 619 Check No.: Receipt No.: NOTE: Persons contracting with unregist red contractors do not have access to the a ;Signature of Agent/Owner Signature of contract l NORTH q BUILDING PERMIT 0 .1.1% 16 TOWN OF NORTH ANDOVER - - APPLICATION FOR PLAN EXAMINATION Permit No#: Date Received 7 DERATED �SSACHLul Date Issued: IMPORTANT:Applicant must complete all items on this page LOCATION Print PROPERTY OWNER Print 100 Year Structure yes no MAP PARCEL: ZONING DISTRICT: Historic District yes no Machine Shop Village yes no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building ❑ One family ❑Addition ❑Two or more family ❑ Industrial ❑Alteration No. of units: ❑ Commercial ❑ Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other CI:Septic fl 1Nell [] Flood plar5 Wetlands. Watershed Distract; ®11Vater/Sewei DESCRIPTION OF WORK TO BE PERFORMED: Identification- Please Type or Print Clearly OWNER: Name: Phone: Address: Contractor Name: Phone: Email Address: m 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: $ FEE: $ Check No.: Receipt No.: NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund Am.. a_ J Plans Submitted Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ II TYPE OF SEWERAGE DISPOSAL Public Sewer ❑ Tanning/Massage/Body Art ❑ Swimming 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 PLANNING & DEVELOPMENT Reviewed On Signature_ i COMMENTS CONSERVATION Reviewed on Signature COMMENTS HEALTH Reviewed on Signature J COMMENTS ' r Zoning Board of Appeals:Variance, Petition No: Zoning Decision/receipt submitted yes R Planning Board Decision: Comments Conservation Decision: Comments Water& Sewer Connection nature� ®ate Drivewa Permit v ]DPW Town Engineer: Signature: Located 384 Osgood Street FIRE DEP�AR�EIVT;&y Temp Du�mpster,onssite yyes,a i ,,, ` , Jno i;Located at 12,4 MIamSt�eet, �« � , Fire Department�ignatur�eLdate=y C®MMENTS F I Dimension Number of Stories: Total square feet of floor area, based on Exterior dimensions. Total land area, sq. ft.: ELECTRICAL: Movement of Deter location, trust or service drop requires approval of Electrical Inspector Yes No DANGER ZONE LITERATURE: Yeso N MGL Chapter 166 Section 21A—F and G min.$100-$1000 fine NOTES and DATA— (For department use) i ® Notified for pickup Call Email Date Time Contact Name E Doc.Building Permit Revised 2014 r 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 I 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 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 Doc:Building Permit Revised 2014 Location No. ©112—r �D Date • - TOWN OF NORTH ANDOVER UD ;6.., Certificate of Occupancy $ � §' Building/Frame Permit Fee Foundation Permit Fee $ Other Permit Fee $ TOTAL $ E. Check it'? _ 1, ' \t i' Building Inspector is NORTFI Town of 2 t _� ,, Andover O •� y' No. 04!4 h ver, Mass, COC NICHg.,C. y1. ��ADR�7ED I•P��.(5 S V BOARD OF HEALTH Food/Kitchen T LD Septic System THIS CERTIFIES THAT PERMI BUILDING INSPECTOR .....�.""..""..T'.." ......... ....... .................. has permission to erect ..... buildings on V��.l� ..�. � � Foundation p .............. ...... .................. .......... Rough tobe occupied as .......KA-v: ... ............ ..-............................................................................. 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 VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES PLQ, MOTHS ELECTRICAL INSPECTOR UNLESS CONSTR C ST S Rough Service ................................................................................ Final BUILDING INSPECTOR GAS INSPECTOR Occupancy Permit Required to Occupy Buildinz 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. Magloire Construction INVOICE Haskell Ave. Everett MA Patrick Khoury Invoice Date 06/28/15 6 Walker Road North Andover DESCRIPTION Replace all cabinets in kitchen, new granite counter top,4 new windows, 1 sliding door, new carpet (living room & 2 bedrooms), and linoleum in kitchen,tile in bathroom, and paint ceilings and walls throughout condo. jo-fuP S VV0 (,�Ve -1kcvsa t2e') Patrick Khoury ristobo agloire i MAGLOIRE CONSTRUCTION Date: 6/28/15 Contract 27 Brook St. Somerville, MA 02145 Name: Patrick Khoury Email: khoury617 a().gmail.com Home phone: Cell phone: 617-852-2279 Property address: 6 Walker Rd. #7 North Andover, MA 01845 i Payment 1: $2000.00 Payment 2: $2000.00 Payment 3: $1000.00 Total: $5,000.00 Description of work: - Replace cabinets in kitchen $1100 - Install new granite countertop $1200 - Install 4 new windows and 1 sliding door$750 - Install new carpet to living room and 2 bedrooms and vinyl floor to kitchen $500 - Install new the to bathroom floor. $350 - Paint ceilings and walls throughout condo $1100 Contractor Proprietor Magloire Construction Phone: (617) 913-4998 ® MAPFRE I CommerceINSURANCEDIRECT BILL The Commerce Insurance Company Citation Insurance Company 211 Main Street,Webster,MA 01570 1 508.943.9000 Homeowners New Business Declaration ISSUED BY THE COMMERCE INSURANCE COMPANY POLICY NUMBER FROM POLICY PERIODTO EFFECTIVE TIME AGENCY H BGPVMM 6/22/15 6/22/16 12:01 AM STANDARD TIME MD2 NAMED INSURED AND ADDRESS AGENT RONALD LOPEZ GORMAN INSURANCE OF CHELSEA, I 4 VERDUN ROAD 186 BROADWAY WILMINGTON MA 018873420 CHELSEA MA 02150 BASIC ENDORSEMENTS SCHEDULED PROPERTY TOTAL ADDITIONAL/RETURN PREMIUM PREMIUM PREMIUM PREMIUM PREMIUM $202.00 $53 .00 $255.00 ---------------------------------------------------------------------------- THE RESIDENCE PREMISES COVERED BY THIS POLICY IS LOCATED AT THE ABOVE ADDRESS UNLESS OTHERWISE STATED. LOCATED AT: 6 WALKER RD UNIT 7 NORTH ANDOVER MA 018451951 ---------------------------------------------------------------------------- --------------------SECTION I----------------- ------SECTION II------ COVERAGE A COVERAGE B COVERAGE C COVERAGE D COVERAGE E COVERAGE F DWELLING OTHER PERSONAL LOSS OF USE PERSONAL MEDICAL PAYMENTS STRUCTURES PROPERTY LIABILITY TO OTHERS $50, 000 $20, 000 $8, 000 $300,000 $5,000 ---------------------------------------------------------------------------- POLICY DED FORM TOWN/ROW CONST NO FAM CONSTR YR PROT CODE TERR NO APT $1,000 6 MA 1 03 919 12 IN CASE OF LOSS UNDER SECTION I, WE COVER ONLY THAT PART OF THE LOSS OVER THE DEDUCTIBLE AMOUNT. ---------------------------------------------------------------------------- ---------------------------------------------------------------------------- ENDORSEMENTS ATTACHED LIMIT PREMIUM HO-0006 04-91 Condo Unit-Owners Form (INCL. ) HO-0120 10-99 Special Provisions (INCL. ) HO-0496 04-91 No Day Care Coverage (INCL. ) CIC-907 04-96 Policyholder Notification (INCL. ) HO-0523 07-97 Amendatory Nonrenewal End (INCL. ) ACCT-CR 05-08 Account Credit 20% $16.00- CIC-2064 05-10 Amend. Seepage/Mold Endt (INCL. ) Sect. I $10,000 Sect. II $50,000 CIC-2227 01-14 Value Added Pers Prop Svc (INCL. ) CIC-2237 05-14 Retail Benefits Program DED AMT Deductible Amount $12.00- GREEN-CR 05-11 Green Discount $2.00- CIC 717(3/92) i ® MAPFRE I Commerce INSURANCE DIRECT BILL The Commerce Insurance Company Citation Insurance Company 211 Main Street,Webster,MA 01570 1 508.943.9000 Homeowners New Business Declaration ISSUED BY THE COMMERCE INSURANCE COMPANY POLICY NUMBER FROM POLICY PERIODTO EFFECTIVE TIME AGENCY H BGPVMM 6/22/15 6/22/16 12:01 AM STANDARD TIME MD2 NAMED INSURED AND ADDRESS AGENT RONALD LOPEZ GORMAN INSURANCE OF CHELSEA, I 4 VERDUN ROAD 186 BROADWAY WILMINGTON MA 018873420 CHELSEA MA 02150 ENDORSEMENTS ATTACHED (CONTINUED) LIMIT PREMIUM HO-0416 04-91 Protective Device Credit $2. 00- 2 PERCENT CREDIT HO-0435 04-91 Loss Assessment Coverage $23. 00 RESIDENCE PREMISES: INCREASE IN LIMIT OF LIABILITY $49, 000 TOTAL LIMIT OF LIABILITY $50, 000 HO-1609 01-09 Water Exclusion Endorsmnt HO-1732 04-91 Unit Owner Cov A Spec Cov $47.00 HO-1733 04-91 Unit Owners Rent to Oths $17 .00 HO-2441 11-94 Lead Poisoning Exclusion $2. 00- I AGENCY AT CHELSEA MA DATE 6/21/15 AUTHORIZED COUNTERSIGNATURE CIC 717(3/92) . i !� Massachusetts -Department of Public Safety �. Board of Building Regulations arZd$tandatds, Construction Supen-isor f License: CS-101673 ARISTOBOUL H*AGLPIRE 18 HASKELL AVi EVERETT MA 62149 , } r Expiration Commissioner 04/16/2016. CF cr. tca�ir�rt��rwei�fl�a/'C lLcillcrc�tr�cl/t -` Office of Consumer Affairs&Business Regulatiop rOME IMPROVEMENT CONTRACTOR egistration: 176926 Type: ' Expiration: 10/10/2015 Individual ARSTOBOUL MAGLOIRE ARSTOBOUL MAGLOIRE r' 18 HASKELL AVE - — EVERETT,MA 02149 Undersecretary J' • I