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Home My WebLink AboutBuilding Permit #405-2011 - 71 OLD FARM ROAD 10/12/2010 TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit NO: �O,/j Date Received Date Issued: IMPORTANT: Applicant must com lete all items on this page LOCATION 2/ Old 66" R Print PROPERTY OWNER 57-eyr- 16,0,0j►na Or 1 PA 1 DU`c-L Print MAP NO: 035,0 PARCEL:006 ? ZONING DISTRICT: Historic District yes no Machine Shop Village yes no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building [4,6ne family ❑Addition ❑Two or more family ❑ Industrial 0 AI -ration No. of units: ❑ Commercial wilepair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other 'Septic O�Well D Floodplain Wetlands Wafershed;District.W - ,�Water'/Sewer _, . _ -. _ _s •. _ _. _ ._ __ _ �- __.j; _ ..r _ -_..___ _. x n DESCRIPTION OF WORK TO BE PERFORMED: ICS✓hehl(3 'R L /�.�_ �i�L� /[ Identification Please Type or Print Clearly) OWNER: Name: r e 41 ;lrot4lN Phone: IV Address: 7/ 04AW.? CONTRACTOR Name: s 6Z Phone: Address: Sr7 Supervisor's Construction License:(5 GsZExp. Date: /20A10// Home Improvement License: ysf�'3 Exp. Date: /z/zzly 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. 1 Total Project Cost: $ Z/06 scre3 FEE: $ Check No.: /OGG l�/O U Receipt No.: NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund Signature of;Agent/Owner.' :Signatu.re.oV6ontr_aetor; Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ F PE OF SEWERAGE DISPOSAL lic Sewer ❑ Tanning/Massage/Body Art ❑ Swimming Pools Ell ❑ 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 I CONSERVATION Reviewed on Signature COMMENTS HEALTH Reviewed on Signature COMMENTS i Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments Conservation Decision: Comments f 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 servicedroprequires approval of Electrical Inspector Yes 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 J 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 ❑ 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 MOTE: 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: Doc.Building Permit Revised 2008mi Location '.7/ No. 46n = -20%/ Date b 2 „ORTN TOWN OF NORTH ANDOVER 41 • s : , Certificate of Occupancy $ �'�s',•.°'tt�' MUS Building/Frame Permit Fee $ ?� AC Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # h 236 : G Building Inspector FORTH TOIWM of 0 Andover T �0 - LAKE `O dover, Mass., COCHICHEWICK �t AORATED SS ` BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System BUILDING INSPECTOR THIS CERTIFIES THAT........:, . f' M.... ....lY o..�''�K :...... ,!%�.... �j ^................................... ................................... Foundation has permission to erect........................................ buildings on ..�/....z/)�� G'�-'.�>� �� .. ......... .................... ......................................... Rough to be occu ied as 1Vf.�✓.. Chimney p ........ ...�. .C�......... ........ . . p. ...................................................................................................... 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 PERMIT EXPIRES IN 6 MONTHS Final ELECTRICAL INSPECTOR UNLESS CONSTRUCTION STARTS Rough ......................... .....- ................................................. Service BUILDING INSPECTOR 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. � pRTfy , o o over TONM ./'. h � dower, Mass.,� COCMIC EWICK ' ADRATED pPP,��CGj SS BOARD OF HEALTH Food/Kitchen Septic System .PERMIT . T D BUILDING INSPECTOR THIS CERTIFIES THAT.......... 'u"� I.... .... !:ol%�iz' ��1:.......................................................... ................................... Foundation has permission to erect........................................ buildings on .. /.. ..(,! ... .......... ......................................... Rough / h C imney tobe occupied as........ 1��........: ...../ .Fc�.. ac��'............................:..................................................................:.. 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 STARTS Rough a1 "`~--- ................................................. Service BUILDING INSPECTOR Final Occupancy Permit Required t0 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. Smoke Det. SEE REVERSE SIDE Location li C`� 7 No. �r— .20l/ Date 1 GENERAL BUILDING POST ALL LOT NUMBE °� °; , TOWN OF NORTH ANDOVER 0 INSPECTIONS: (Minimi41 p FOOTINGS: Continuos +^, . ,.• Certificate of Occupancy $ ContinuaCMUs<�' Building/Frame Permit Fee $ FOUNDATION: Rebar Foundation Permit Fee $ Anchc Other Permit Fee $ Damp Found TOTAL $ FRAME:Fireblock-ovei Penet Check # (Z S/1, WalJs Windb Sizeri 23690 Hip an 7 Building Inspector Ridge Cathe+ Stair stringers-watch cuts and heal support. Joist hangers-fully nailed w/hanger nails. Sill plates 2-2X6(1 PT)w/sill seal. Girls-solid brick or steel plate bearing at foundations %"air space at sides in foundation pockets. Lateral bracing at ends. Certified calculations. required for Beams/LVL's Trusses. Solid bearing support for Headers/Beams etc. Check headroom clearances-stairways, under beams Attic Access. (min. 22x30 w/3'headroom above). Crawl space access. (min. 18x24). Bath exhaust fans to have metal duct to exterior(not in soffit). Firecode S/R wood frame of"0"clearance fireplaces&stoves Window Schedule or Every Habitable Room Must Have: Natural light equal to 8%of floor area. of required glazing shall be openable. Bedrooms required min.20x24 egress window or door. Vent attic spaces-"proper vent", soffit and required ridge vents. Firecode under stairs if used for storage FIREPLACES: Separate permit required. Inspections at Footing-Smoke Chamber- Finish Smooth parging,clean joints, 8"solid @ combust. DECKS: Lag to house, provide flashing. Rails min. 36" high, Baluster max space 5"on center. Over 8' above grade, use 6x6 posts w/lateral bracing. Lag all posts and rails. Pier footings down 48", Conc. pad at stair base. FINISH: Handrails returned to wall/newall post. Guardrails required alongside open cellar stairs. Exterior grading complete. Certificate or occupancy required prior to occupying structure. Temporary Stairs required for inspection. Re-inspection fee- $30.00(Be Ready). Certificate of Occupancy required prior to Occupying structure Nov 12 2010 10:51 P. 01 CERTIFICATE OF LIABILITY INSURANCE OATE(MM/DD/ COR " CERTIFICATE 11/12/2010 DUCER 603.382.4600 ; FAX 603.382.2034 THIS CERTIFICATE IS ISSUED AS A MATTER OF.INFORMATION surance Solut•�ions Corporation ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIF.ICATE-DOES.NOT,AMEND,EXTEND OR 60 .Westville: Rd ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.. •:;P7•aa�s.tow:..:N�1::.03.:86 : .,. . - r : INSURERS„AFFORbING COVERAGE NAIC.#• .. -.... . INsURED',3osep Blanchet a'A B Custom Carpentry Merchant 12C:Lake`-•St:. :.<:'.:.::.. : •'. { :. •INSURER ,....... ..;-:.,,•HaverhaTy:; �1�I1lI='�0'1$•32=3116;_`:::..,; )N5pR1`R C� •.. iNSUR1rR'p:' .. '•INSUfiERE COVERAGES ' "'THE POLICIES OF INSURANCE LISTEDIBELOW HAVE BEEN ISSUED TO THE INSURED NAMFD ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERMOR 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'SHOVV 1 MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSK AD LTR NS TYPE OF INSURANCE i POLICY NUMBER POLICY EFF POLICY FXPIRA DATE MMlDD/YYYY DATE MMID UMITS GENERAL LIABILITY BOPI050253 07/07/2010 07/07/2011 EACH OCCURRENCE $ •• 1,000,.000 R X COINtiIERCIAL OENEIiAL L1Af31L TY,' PREMISES,E8 orsurr�rlCp S 500s'QO C . ,L4 Anyone p2mon),. .S .. ,;:•15' '00, . .. � MED EXP( � PERS Ry: S' InC1I.Ud� GENERAL AGGREGATE• S.'. 2 .000 .00 GEN'LAGOgt&°fPLIM1T,'APPLIES ER: PRODUCTS'-COMP16PAd,G $• 2,000,.0 :.PRO Q POLICY. :X' aJECT' L C AUTOMOBILE LIABILITY BOPI050253 07/07/2010 07/07/2011 COMBINED SINGLE LIMIT.. (Eaaxidirdj 1 UOO'';O.UO AXY AUTO: ALLOWNED AUTOS ..; BODILY:INJURY SCHEDULED.AUTOS. (Perp6rBon)', : .A ,- -X. 'NIREDAUTOS:, , ,BODILY;INJURY .'.'•X NON-OWN�DAUT08' . .. .. PROPERTY DAMAGE S . . .(PeracoidaM): , i'GARAGEiJA81LRY• `? AUTO ONLY.GA ACCIDENT &. ,:. . ;ANXAUTO-.'::.• EA ACC' S' : •OTHER AUTO. AGG $' UMIM A''LiABILITY .. .. :. .... .... ..' EACH OCCURREI�ICE S” . OCCUR. :GLAIMS'MApE% AGGREGATE. $ " •. ..:''.: . DEDUCTIBLE`.':'' ''. � • RETENTION •': $ $ WORKERS'.COMPENSATIO•N TM Y LIMIT$ ER 'ANO EMPLd1fER$'iL1ABIC(TY s; /N' AN :AROP.RIET(fR>?A'R,.NER84ECUT E.L'EACM ACCIDENT' $. OFFICERtMEMPER I (CCUDEOT': (MaoGatory.In NH).':; E.(-DISEASE%,El EJNPLOYF $':: IE'.yeei`.'deacitibe':undBf.• SPECIAL PROVISIONS below EL'DISFJl.4Er POLICY LIMIT $ OTHER " .. DESCRIPTION OF OPERATIONS I LOCATIONS I V 9NICLES/EXCLUSION$ADDED BY ENDORSEMENT/SPECIAL PROVISIONS I I I CERTIFICATE HOLDER CANCELLATION 6HOUL0 ANY OF THE ABOVE DESCRIBED POUCIES.BE CANCELLED BEFORE THE EXPIRAYION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO 80 SHALL Town•of North Andover Attn: Brian Leathe., IMPOSE NO OBLIGATION OR LIABILITY OF ANY KINI)UPON THE INSURER,ITS AGENTS OR 120 Main Si I RePRESENTATIVES. North Andover, MA 01845 AUTHOWZEDREPRESENTATIVE ACORD 26(2009101) FAX': '978. 88.9542 0 1988-2009ACORD CORPORATION. All rights reserved.- The ACORD name and logo are registered marks of ACORD Boaa,ffm mg�eguCatio�a� 41ds License or registration valid for individul use only HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Registration: 145193 Board of Building Regulations and Standards Expiration: 12/22/2010 Tr# 280465 One Ashburton Place Rm 1301 Type: Individual Boston,Ma.02108 JOSEPH BLACHET JOSEPH BLANCHET 124 LAKE ST. `l � ATKINSON,MA 08311 Administrator of valid w�ithoutgnature I N1.ssachusetts- Department of Public SafetN Am Board of Buildin- Regulations and Standards Construction Supervisor License License: CS 65280 Restricted to: 00 j 1 ! JOSEPH G BLANCHET 124 LAKE ST HAVE RHILL, MA 01852 �-- - �` Expiration: 9/20/2011 Commissioner Tr#: 4294 A. B. Custom Carpentry General Contractor ESTIMATE Contractor/Supervisor Lie. # 065280 Joe Blanchet Home Improvement Lie. # 145193 124 Lake Street Fully Insured Haverhill, MA 01832 978-994-6.134 Date of Estimate: November 12, 2010 Client Name: Steve Knopping&Marjorie Forman Job Location: same Address: 71 Old Farm Rd. North Andover 01845 Phone: 978-689-8996 Description of Work: 2nd floor bath renovation: Remove tile floor, sub floor and baseboard molding. Screw down floor were needed to stop squeeking. install new ceiling fan/light and vent to outside. Cement board will be used on the floor for tiling. Tile and grout floor. Install new baseboard Debris: A.B. Custom Carpentry will responsible for removal of all debris into rental dumpster. Permits: Permits needed for construction are: building/renovation Owner Responsibilities: tile and grout/lights/fan light Additional Work: Any alteration or deviation from above specifications involving extras or vendor price increases will be discussed and will become an added charge over and above the estimate. Work performed at$55.00 per hour/per man Laborers will be $22.50 per hour/per man. Total Cost of Estimate: $2100,00 Payment: A deposit is required before work can be started. Starting payment will be 1/2 of total and Last payment due after final inspection. ntrac rs Signature Date V A 10-j" 10 ?Zw�' Homeowners Si ature Date