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HomeMy WebLinkAboutBuilding Permit #339 - 605 OSGOOD STREET 10/27/2009 BUILDING PERMIT of "°RTN q t�1.lD l6 /y TOWN OF NORTH ANDOVER F - APPLICATION FOR PLAN EXAMINATION � i eye Permit NO: Date Received T �-4 AT US SSACHl1S Date Issued: b 7 D IMPORTANT: Applicant must complete all items on this page LOCATION s .e ,ru Prin ' PROPERTY OIIUNEf2 77, -Pnrat " MAP..NO: PARCEL ZONINGDISTRICT `��'Histdn District yes .. Machine Shop Villageyes .q x TYPE OF IMPROVEMENT PROPOSED USE - Residential Non- Residential New Building One family . Addition - - Two or more family Industrial 4 Alteration No. of units: Commercial Repair, replacement Assessory Bldg - Others: - Demolition Other Septic 1llleEl #` Fleoc piain Wetlands Watershed Dist(tt Water/Sewer""". DESCRIPTION OF WORK TO BE PREFORMED: Identificatio Please Type or Print Clearly) OWNER: Name: /����� � Phone: e� �6- C I Address: ©s O��'�� l /moo b �i�✓ -CONTRACTOR Nae �T'hone. Addressor ? "2, 'S u- pervisor's Construction license 1 Exp. Date: fx E a q Hrmb im rovernentLicense p / 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: $ yo T FEE: $ Check No.: 4f A7 Receipt No.: �22S y NOTE: Persons contracting with unregistered contractors do not have access to a uaranty fu d Signature of Agent/Ovvner� .. k.� _ ' '" - . Si nature of�co=ntract� . - R s 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 -TempDumpster:o site dyes noy Located:at 124�`Mi n reef v Fire Departrxaeta _signa �re/date17 . E COMMENTS s 11 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 dropre approval requires s app o al 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 o 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 o 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) II ❑ 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) o Copy of Contract ❑ Mass check Energy Compliance Report ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire DepartmentP rior 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 Application Revised 2.2008 Location l�S1� t) No. _ Date MORT1y TOWN OF NORTH ANDOVER AL 3?O',,`•o I•,hOO F 6 41 Certificate of Occupancy $ • i � sAGMUSEt� Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # 22574 ffuilding Inspector NORTH TONM 0 over , 0 z _ " dover, Mass., T 0 '— LAKE co MIC KE WICK V ADRATED S E BOARD OF HEALTH Food/Kitchen PERMIT Septic System BUILDING INSPECTOR THIS CERTIFIES THAT l >01;.... !'... ................. . ............................. Foundation has permission to erect........................................ buildings on .. :... � �. .............................................. Rough � �1.... ../... to be occupied as................................ .... Chimney provided that the person accepting this permit shall in every respect conform to the terms of the application on 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 Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTION TARTS Rough /� Service BUILDING INSPECTO Final Occupancy Permit Required to Occupy 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. 0 � Chn" s1r11Jl V Construct" on PROPOSAL #2 Doug&Kathy Keith 605 Osgood Street North Andover,MA 01845 (H) 978-975."45;=— (0 2 October 18, 2009 skisu arg_ bushAverizon.net Master Bath Remodel Included in Bath Remodel: Building Permit. One 20 yard dumpster on site. Demo of Bathroom. Insulation: Re-insulate exterior wall of bathroom in the tub/shower area. Plaster: Install new blueboard and plaster on all demoed areas. Plumbing: Disconnect all existing fixtures. Install new five foot Neo-Angle Shower pan. Install new shower valve and diverter valve for handheld. Install new toilet. Relocate supplies and drain for new tub. Install two new vanity sinks and faucets. Plumbing Fixtures: One acryline five foot drop-in soaking tub(drain kit, faucet trim, valve system) Shower valve, transfer valve, trim kit, adjustable wall bracket, 3 way hand held shower. Two white seventeen by fourteen undermount lavoratory sinks. Two Devonshire lavoratory faucets. One white Memoirs toilet bowl and tank with slow close seat. One twenty-four inch Devonshire towel bar. L One Devonshire toilet paper holder. Electrical: Install nine new recessed lights. Install new switches and receptacles. Window: Install one new Andersen TW400 SDL double hung window. w 2. S li ht: Install one new Velux skylight to fit existing opening. Shower: Frame shower for five foot by five foot Neo-Angle shower. Frame half walls to height to be determined by customer. Tile shower. *Glass door and panels to be supplied and installed by Lawrence Plate Glass. Tub: Frame in base for five foot drop-in oval soaking tub. Tile top of tub base. Front of base to be paneled. Cabinets: Quote includes using all existing cabinets and installing new paneled drawer and door fronts. Vani, Tons: Install granite on two vanities. Floor: Install new underlayment for tile floor. Install new tile on floor. **Grout, tile and seal. Trim: Install all necessary window trim and baseboard. Paint: Apply one coat of primer to raw plaster. Apply one coat of finish to walls, ceiling and trim. *Refer to www.lawrenceplate.com for shower enclosure details. ** Tile to be supplied by customer. TOTAL PROJECT LABOR AND MATERIALS $ 40,450.00 Terms: $ 13,480.00 to start $ 13,480.00 after plastering $ 13,490.00 when complete Submitted By Chris Rivet MA Lic #CS072173 HIC #139962 207 Winter Street (C) 508-265-3115 (H) 978-794-1165 North Andover,MA 01845 ACCEPTANCE OF PROPOSAL The above prices, specifications and conditions are satisfactory and are hereby accepted. You are authorized to do the work as specified. Payments will be ma a outlined abo la. Date /`� `�"c� Contractor Signature Date �Z� Customer Signature a— ACORD. CERTIFICATE OF LIABILITY INSURANCE DATE(MMID°^YYY) 10/07/2009 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION MacDonald & Pangione Insurance Agency, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE P.O. BOX 428 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 104 Main Street ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. North Andover, MA 01845 INSURERS AFFORDING COVERAGE NAIC# INSURED Christopher Rivet INSURER A: PREFERRED MUTUAL INS CO 207 Winter St. INSURER B: N Andover,MA 01845 INSURER C: INSURER D: INSURER E: COVERAGES THE 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. INSRDD' LTR L POLICY EFFECTIVE POLICY EXPIRATION N RD N POLICY NUMBER D M I LIMITS A GENERAL LIABILITY CPP 0160 57 0105 09/26/2009 09/26/2010 EACHOCCURRENCE S 1.000-000 COMMERCIAL GENERAL LIABILITY MAGE O RENTED PREMISES occurence $ 100,000 CLAIMS MADE a OCCUR MED EXP(Any one person) S 5.000 PERSONAL&ADV INJURY S 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOP AGG S 2,000,000 X POLICY PRO- -JECT LOC AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT $ (Ea accident) ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY S (Per person) HIRED AUTOS NON-OWNED AUTOS BODILY INJURY S (Per acaderrt) PROPERTY DAMAGE S (Per accident} GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN EAACC $ AUTO ONLY: AGG $ EXCESSIUMBRELLA LIABILITY _EACH OCCURRENCE S OCCUR. CLAIMS MADE AGGREGATE $ S DEDUCTIBLE S RETENTION S $ WORKERS COMPENSATION AND - WC STATU- OTH- EMPLOYERS'LIABILITY TORY LIMITSER ANY PROPRIETORIPARTNER/EXECUTIVE E.L EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? If yes,describe under E.L DISEASE-EA EMPLOYEE S SPECIAL PROVISIONS below EL DISEASE- OTHER POLICY LIMB S DESCRIPTION OF OPERATIONS J LOCATIONS I VEHICLES!EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS certificate holder as listed below CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION Town of North Andover DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN 120 Main Street NOTICE TO THE CERTIFICATE HOLDER NAMED To THE LEFT,BUT FAILURE TO DO So SHALL No Andover, MA 01845 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE ACORD 25(2001/08) 0 ACORD CORPORATION 1988 -:BM c,nmawra rvuassn aj massacauseus D�ofIndinvidAeddeaft Qffice of 1"esdgadons 690 yY4ddngt=S&eet -Boston,M4 02111 f WWW M=S-9ov/Aff - r Workers' Comp�iesation Insurance A klavif: BuilderdContradorsWwtriciansl l"ers AAabicant Information Please Print Legibly Name(Business/Orgudzationftdiv&W): " `/i�f�/-� 4110/f I -Address:-4907/1 i Jul=/f'r CityiSWerzin: O. -AZAAPOI/S�Z; AWATys met: S10E-z�Vj- 3/l S Are bvoa an employer?Mee&&e app4fiafe bay Type�����j 1.❑ I Mn e a �loyer V i& ' '4' I mII a genual contractor and I 6. New mon ` �P (�an P�4m)-# have hired&c sub-�tracboas 2.Lam"?Mam a sole psop or or bsW on fi e-at sheet. 7: ITRemmdelmg . ship and have no employees 11MM sub-co9ofractars have g. Q Demolition worlring for ffie in any capacity. eup and have warps' $- 9. ❑Bm1dmgaddition [No ravo�s'coop.insuza� - gip- - -]- S. We ane a coxpontion and its 10-0 Hleftics�repairs or additions 3.❑ I am a homeowner doing all work offices have ew=md tit - 11.0 Pb>mbing repairs or additions myself'[No wogs'comp d&°f �Md 12.[]Roof repairs insurance raquhm l t c.152.§1(4), and we have no - employees.INo woman 13-0 Other comp-insurance -1 ••Any appli=t that.chwIts box#1 num also fill out ate section blow showing area worl�s'co tian policy inhratation. t FIWMc nets who submit this affil-itmdicoing they are doing an work and thea hire outside gators rum submit anew afdavitindica ft such. ZConuactots Hutt cbwk this box to attached an addiitiond sheet slowing the mum of fie sub eonnne ors and state whe8ner arnot those colitis have employees. if the m&cw�han euipbtyees,they num Provide sear wua=e env.policynmttbcr I an earployer i prrrvidiirg r+or&ers'emmpir tinstrrance jor�v enaplopees Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins.Lic.#.' e2�0 ZO S7 0 r Osr-" Expiration Date Job Site Address: CiLy -- Attach a copy of the workers'eon tion policy derlarafion page fshowmg the number and . policy eviration bate). FatlM to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of caimbl peoalfies-of a fine up to$1,500.00 and/or one-year imprisomnejd,as well as civil pertahies in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against fhq viohttor: Be advised And a copy of his slaftucut maybe ftirwarded"to Ste Office or Investigations of the DIA for hminauce coverage verification _ I do hereby cwWy corder die pahmAndpwaWki ofpQlmy stet ue b0nmaSon pnvvided above is true and correct Sit>aaun`e: Daft: , Phone k offidd we only. Do not-write in tha area,to be dieted by ay orb"offm*L City or Town: PerudV11ceme# Iss®ag"&oriity(cirde one): `L Board of Health 2.Bu ildiag Deparf>eut 3.(AylTown Clerk 4.Elech ical Imspecior 5.Phtm "g InspecWr 6.Otiter Contact Person: Phone#: i Massachusetts-Department of Public SACC . Board of Building Regulations anti Standards Construction Supervisor License R License: CS 72173 - Restricted to: 00 CHRISTOPHER F RIVET �` R 207 WINTER ST A N ANDOVER, MA 01845. r Expiration: 6/2/2090 ('unnnicioncr Tr#: 25403 Office of Consumer Affairs&Business Regulation- HOME IMPROVEMENT CONTRACTOR Registration:. `139962 Expiration -9180011 Tr# 700076 Type Indnridual CHRISTOPHEk.F RIVET CHRISTOPHER,RIVET 3 207 WINTER ST N.ANDOVER;MA 01845,.. Undersecretary -,