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HomeMy WebLinkAboutBuilding Permit #189-13 - 7 WALKER ROAD 6/3/2013 TOWN OF NORTH ANDOVER I(� 13APPLICATION FOR PLAN EXAMINATION Permit N0: Date Received Date Issued: Y _ IMPORTANT:Applicant must complete all items on this page . Tx r Cif 1 'PROPERTfY�'OWNE;R� ,. � a__ ARCEL.UU Z®NINC-G�P,nntt100Year�©Id,�tr'uc uej yes) no.) MAF�NOP' Hi'storiDis"t`rict � yes nod Macfne�ShoptV�illage ye n TYPE OF IMPROVEMENT PROPOSED USE Reside ial Non- Residential ❑ New Building Lkdne family ❑Addition ❑Two or more family ❑ Industrial ❑Alteration No. of units: ❑Commercial ❑ Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑Other :- . ',Septic Wel ,� a .r_ OJFlood lain 0►1Wtlands � 4 , p ) pl Watershed�Dstnct -'S DESCRIPTION OF WORK TO BE PERFORMED: �A Cjl Ide tification Please Type or Print Clearly) OWNER: dame: 4fW.�VS- Phone: Address: d` C c. a I-0�ONTRACT®Rt Narnp,'. e CJ Atddress •,FJ i � SupervisorsC;onst'ruction,License�, �S bdb �_ - _Exp?, Date:._ } ;LHe,Improvement;License. __.. ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE:BULDING PER T:$92.00 PER$1000.00 OF THE TOTAL ESTIMATED COST(fBASED ON$925.00 PER S.F. Total Project Cost: $ C-110 FEE: $ (P Check No.: ( � Receipt No.: li10�� NOTE: Persons contracting with unregistered contractors do not have access to the my fund Si nature of:A ent/Ovvner Si nature of contractor. Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ S a pe tans ❑ 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 Towis ]Engineer: Signature: ; Located 384 Osgood Street ` FIRE DEPAkt RENT - Tom' Dumpster on site yes no Located at'124 Main Street Fire Departmerit 9igdatdtb/date COMMENTS Dimension Number of Stories: Total square feet of floor area, based on Exterior dimensions. Total land area, sq. ft.: ELECTRICAL: Movement of Deter 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 i ® Notified for pickup - Date Doa.Building Permit Revised 2010 Building Department The folbowing is a list of the required forms to be filled out for the appropriate.permit to be obtained. R.00firig, 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 10TE: 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 !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 o 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 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 appy al period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording roust be subrri'tted with the building application Doc: Doc.Bui!ding permit Revised 2012 Location �l./�l �►�l No. Date 12 I jt . - TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check 2 5 / j 6 Building Inspector i i Enter construction cost for fee cal - North Andover Fee Calculation Construction Cost j 900.00 m $ - $ 116.16 Plumbing Fee $ 14.52 Gas Fee 100 comm. $ 100.00 Electrical Fee $ 14.52 Total fees collected $ 245.20 7 Walker Road Unit 11 189-13 on 8/29/13 bath Remodel i I i I i Learn about Panasonic's FV-08VS 1 Pae 1 of 2 Page � i IMSO tIC edema fay We consumer ausiziesS industrial > WhisperValue > FV-08V51 . FV-O8VS1 Larger image WhisperValueTM 80 CFM Super " ` ,-� _........_....._..._................._.......... .__._.._.__..__... Low Profile Ventilation Fan ia, Print this page See Dealer For Price �? how to buy F • How To Buv (j) View/compare all models overview features Static Pressure.(in inches 0.1 W-9.) 0.25 Air Volume(CFM) 80 @ 0.1"static pressure 65 @ .25"static pressure Noise (sones) 1.4 @ 80 CFM Power Consumption 23.3 @ 80 CFM (Watts) 23.6 @ 65 CFM Energy.Efficiency .3.4 @ 80 CFM. (CFM's/Watt) 2.8 @ 65 CFM Speed (RPM) 878 @ 80 CFM 1026 @ 65 CFM Current(Amps) 0.11 @ 80 CFM 0.11 @ 65 CFM Power Rating (V/Hz) 120/60 Motor Type Condenser Type of.Motor Bearing Ball, Thermal Fuse.Protection Yes Blower Wheel Type Sirocco Duct Diameter(inches) 4" Mounting Opening (inches . 107/811 sq.') Grille Siie(inches sq:) 13" UL Listed for Tub/ Shower Yes Enclosure Washington State VIAQ Yes Code i California Title 24 Yes Compliant Energy Star Qualified Yes Gross Weight(lbs.) 9.7 http://www2.panasonic.com/webapp/wcs/stores/servlet/ModelDetail?storeld=11201&catal... 7/11/2013 TPM CONSTRUCTION LLC 20 WHEELER AVE SALEM,NH 03079 (603)898-0864 PROPOSAL SUBMITTED TO: PHONE:508 572-2213 Rob Curtis Email: 7 Walker unit#11 N Andover Ma PAGE: 1 OF 2 Date: May 11, 2013 We hereby submit specifications and estimates for: 3 ND FLOOR BATHROOM REMODEL Demolition Work • Remove existing floor in bathroom • Remove existing wall board on walls and ceiling to expose existing plumbing • Remove existing vanity and med cabinet • Remove existing bath tub and toilet New Construction • Install new tub unit • Install new tub walls cement board • Install new wall board on walls and ceiling skim coat plaster finish • Install new tile Labor only floor 7'x6' tile 3 walls around bathtub to ceiling • Install towel /toilet paper/holders • Install bathroom vanity Plumbing Construction Allowance $1,750.00 • Install plumbing for new shower and new vanity, • Install finish—new tub unit, new toilet, pedestal sink, and shower valve Electrical allowances $1,070.00 • Install 1- Recess light 5" over shower unit • Install 1- light over med cabinet • Install 1- surface mount light "1 TPM CONSTRUCTION LLC 20 WHEELER AVE SALEM,NH 03079 (603)898-0864 Homeowner to supply all plumbing fixtures /towel holder/toilet paper holder/vanity mirror/Floor tile **TPM CONSTRUCTION WILL DISPOSE OF ALL CONSTRUCTION DEBRIS IN AN ONSITE DUMPSTER** We propose hereby to furnish material and labor complete in accordance with above specifications for the sum of: Twelve Thousand Five Hundred Dollars $12,500.00 Payment to be made as follows; At Start of Job:$6,250.00 Job Half Done: $ U on ComdletiotV$6.250.00 All material is guaranteed to be as specified. All work to be completed in a Authorize workmanlike manner according standard practices. Any alteration or deviation from Signatur above specifications involving extra costs will be executed only upon written orders, and will become an extra charge over and above the estimate. All agreements contingent upon strikes,accidents or delays beyond our control. Owner to carry fire, NOTE: This proposal may be withdrawn by us if not tornado and other necessary insurance. Our workers are fully covered by Workman's accepted within 10 days. Compensation Insurance. Acceptance of Proposal—The above price(s)specifications and conditions are satisfactory and are hereby accepted. You are authorized to do the Signa work as specified. Payment will be made as outlined above. Any additions to the scope of work as outlined above after acceptance of this proposal will be billable atLa $115.00/hour 2 men. Signature: Date of Acceptance: ! f° �� n, I NORTH own of t ndover oti No. — _ - h , ver, Mass, COCMIC"IWICK �•9 AOOATED ►`P�,��(9 S tI BOARD OF HEALTH Food/Kitchen T LD Septic System s THIS CERTIFIES THAT ........................ ........-.. .v......... . .._............................. ....................... BUILDING INSPECTOR has permission to erect .......................... buildings on W..4�....ki. u............. Foundation .............. ... .... .. ................................................. Rough to be occupied as ......... ...............�. ...4.......� 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 II _ PERMIT EXPIRES IN 6 MONTHS LELECTRICAL INSPECTOR UNLESS CONSTRUCTIO ART 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 ofIndustriglAccidents Office of Investigations 600 Washington Street Boston,NIA.02111 www.massgov/dia Workers, Compensation Insurance Affidavit:Buiiders/Contractors/Electrricians/Piwmbers Applicant Information Please Print Legibly O Name(Business/Organi'zatio dividual):,T �y Address: C7(--' City/State/Zip: 5 k hone Ar 7ama n employer?Check the appropriate box: Type of project(required): 1. employer with 4. ❑ I am a general contractor and I 6. ❑New canstructiou employees(fulland/or part-time)* have liiredthe sub-contractors 2111 am a sole proprietor or partner- listed on the attached sheet. �• Remodeling ship and'have no employees These sub-contractors have 8. ElDemolition working for we in any capacity. workers'comp.insurance. 9. FIBuilding addition [No workers'comp.insurance 5. ❑ We are a corporation and its 10❑Electrical repairs or additions required.] officers have exercised their 3-DI am a homeowner-doing all-work right of exemption per MGL 11.❑Plumbing repairs or additions myself.[No workers'comp. c.152,§1(4),and wehave no 12.D Roofrepairs insurance required.] employees.[No-workers' H 13.❑Other comp.insurance required.] 'Any applicant that checks box#1 must also fill outthe section below showingtheirworkers'compensation policy information. T Homeowners who submit this affidavit indicating they fce doing all work and then hire outside contractors must submit anew affidavit indicating such. tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp,policy information. X am an employer•that 1s providing workers'compensation insurance for my employees. Below is the,policy and job site information. C Insurance Company Name:. J Policy#or Self-ins.Lic.#: ExpirationDate: C Job Site Address: V UA4 `� CiVState/Zip: Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as requiredunder Section 25A of MGL c.152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as wallas civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement maybe forwarded to the Office sof Investigations of the DIA for insurance coverage verification. " is true and correct. Ido laerehy cert fy under t pandvenaltiesofperjuryt7iattlieinforinationprovided(7bov. Si atu Date: � Phone 7 Ph #. Official use only. Do not write in this area,to he completed liy city or town official. City or Town: permitUcense# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.PIumbing Inspector 6.Other Information and Instructions . Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee 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 df another who employs persons to do maintenance,construction orrepair 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 has not produced.acceptable evidence of compliance vwlth the insurance coverage required" Additionally,MCL chapter 152,§25C(7)states"Neither 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-contractors)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partawhips(LLP)with no employees other than the members or partners,are notrequired to carry workers'compensation insurance. If an LLC or LLP does have employees,a policy is required. B e advised that this affidavit may be submitted to the Department of Industrial Accidents for confnmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit 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-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is 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. Please be sure to fill in the permit/license number which will be used as a reference 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 b e 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 homeowner or citizen is obtaining a license or'-permit not related to any business or commercial venture (i.e.a dog license orpermit to burn leaves etc)said person is NOTrequired to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: :The Goaxu�Ox�wcaXt�ao1'�assachvsPtts Dapaztmeztt OfIndusb ial Accidonts Qf'loe of JAY08tigatzom • �Q4'V�asl�i�.gto><7.Stxeet Boston MA.021 Z X TO,#617-727-4900 oxt 406 or 1-877 MA.SS.AFE Massachusetts - Department of Public Safety Board of Building Regulations and Standards Construction Superl icor License CS-058632 _� I t• �, THOMAS P MCDfAMOTT " 9L 20 WHEELER AVE `f'� " Salem NH 03079q J.�w•• �1/Jf :+ n expiration Commissioner 06/08/2014 vd Business Regulation �_- Office of Consumer Affairs an - 10 Park—Plaza- Suite 5170 Boston,Massachusetts 02116 Home Improvement Contractor Registration Registration: 118788 Type: DBA Trtf 238614 Expiration: 4121/2015 UCTION TPM CONS CDERMOTT THOMAS M 20 WHE NH 03079 . SALEM, Update Address and return card.Mark reason for Card E] Address Renewal D Employment SCA 1 C. 20M-05/11 �— c _ �iu.ra.c/�rfell� License or registration valid for individul use only C//e Vaerrpeor�inea��I a�_ Regulation Regulation ��.. Office of Consumer.Affairs&Business Reg before the expiration date. If found return to: OME IMPROVEMENT CONTRACTOR Office of Consumer Affairs and Business Reg Type` 10 Park Plaza-Suite 5170. registration: 118788 DBA Boston,MA 02116 xpiration: 4121{2015 TPM CONSTR UCTION THOMAS MCDERMOTT a - of valid without signature 20 WHEELER AVE SALEM, NH 03079 Undersecretary