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HomeMy WebLinkAboutBuilding Permit #409-12 - 73 CHRISTIAN WAY 11/10/2011 TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit NO: / q 2 Date Received Date Issued: IMPORTANT:Applicant must complete all items on this page LOCATION 773 Gh tisi loA W04 IIrint PROPERTY OWNER C W5+ihe C.o�k n Unit# Print MAP NO: PARCEL:ZONING DISTRICT: Historic District yes no Machine Shop Village yes no 100 year-old structure yes no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building YOne family ❑Addition ❑Two or more family ❑ Industrial ❑Alteration No. of units: ❑ Commercial Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other ❑ Septic ❑ Well ❑ Floodplain ❑ Wetlands ❑ Watershed District ❑ Water/Sewer DESCRIPTION OF WORK TO BE PERFORMED: R rmw.f ree lade (.;-Q 2�is+i' wir. bws . N16 S+tuc4-vrcJ Vrk bel>?done (Identification Please Type o Print Clearly) OWNER: Name: C,bfi5+1r)E C-0rt14,11 Phone: Address: 73 C vISfian (L)ay CONTRACTOR Name: \�I��I 0.n FL1V nn Phone: Address: 56 gpnn e Clli -TQ w�bry t m R o f T 7.� Supervisor's Construction License: q q 500 Exp. Date: Home Improvement License: I y 687o 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: $ 4 la 5&A. 33 FEE: $ ego Check No.: 6Q al o g q0�/9-2 7f y Receipt No.: y�06 NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund J ` , Signature of Agent/Owner _ Signature of contractor-41 /�-- Location? No. Date HURTM TOWN OF NORTH ANDOVER F w Certificate of Occupancy $ CNUS t� Building/Frame Permit Fee $ do Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # ,-?03 ?,OSI 197 syt. 117 9 2 LOS % L LOS Oil-ding 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 2011 June/mi 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: Doc.Building Permit Revised 2008mi NORTH TON of . . No. - � " �•Z- o , lover, Mass., z/ Z n o> 41 0 LA E COCHICHE WICK A�QATED a'P�,���. 'S BOARD OF HEALTH Food/Kitchen .PERMIT T D Septic System Nl' BUILDING INSPECTOR THISCERTIFIES THA ................... .,5.../... . E...... .... . .. (. ` ! .I........ ....................................... ........................... Foundation has permission to erect............ ... buildings on .,.� � 7iS 76/V � .............................................. ........ ........... Rough ....... e ' � ... . .. ...... , . . Chimney be occupied as....... ..... 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 ST TS Rough ........................................... ....�-r�..,_..,.................... Service BUILDING INSPR 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 (Mall To BeDone FIRT E_DEPARTMEN Until Inspected and Approved by the Building Inspector. Burner Street No. SEE REVERSE SIDE Smoke Det. ✓ o C'ommortwealth of Mmixachusettr fj 09arttnt:trt of ad,1strial Accident~ l l a 00ee of/nvesligatir;tls ', ' tii11(1 Wirclrittgltirt Street Boslnu, MA 02111 1J+°�"'��• www.nt�krc.�pv/[li[Z %Vorkers' Colmpesmation Tnsurrnice Affidavit. BuilderslContraclolrM, eCLriCianslPiltir0ber5 AZetitan[Mata tion '1C�v i11t L ibt N:tt11C(Iluvin+ct.ti/Ur AJJrcu:`: 1475 MAIN STREET City/State/zi : TEWKSBURY,MA 01876 Phonc 0: C1 7 Are you an rinpinyer!Check the ul)I)ropriatts bux: !.m am a cllipluycr%viUl ;L-__,._ 4, p I am a gcncral cunujctur and i 'r3'r�•�'tnt'PNJ,6,ct(rvquircd). t mpluyees(lull and/or pari-umel.� ltavg hiNd the rub-wntraeturs 6. ❑ New Con.mmiull -..Q I um a yule propr;etur ur partner- limcd tut the attaclw.;hm. 7, rJ CtcrnudeHa ship,rld havc nu Cttt)llo}gees 1IMNIC filth-1~•tm►ra,:tom-hav4 wurkin+ rut`rrrc in any p 1* ©D�`muliliun �, y� acit r, l:mpkrytxs and[lave wurkctx' iNu workers'a ump, insprap,!o corny, insurmce.t 9, ❑ Building atkliriurt 1ti:tluiled.I 1, d We arc a curptrrttiun and itv 10.11 ElcCh ical tw,pait or Wditions .3,❑ 1 aln u Itum)wwr doing all work u1Ti4cl;�have excreise:d their 11,0 pluntb"T19 repairs-or udditiuns nlyv(1', INu worker sump. right of cum ption per MGL intiuro11W rNuirtAl.I t V. 152,§1(4),and we lurve till 12.0 Rourrepaim employee~. INu wurkcre' 13.❑Other_ cutup,imurance rmuirctl.l `kitty apt+hen s tllul rIKcL+lx,c ql II1lMl LIWI IIII ltlll flit'SMInki Iklnw vlbrtWiNg Lice w.'Tterti cnrrgyypk„ne mkinl:n y muti,m, tl'nn l nn lxr+a'IICIK tubo stdalnl Ih19 1r"t'"ll ukl"Untr llleV Alk d"Ing all M-41,aml flimltitc,+uiri*rnnuYullAW muw cud+mit A tivw utl5duv,l 4ndice►ing'KgtL uyttpa9 thus rluck tins l>,+r nwxl atla�luJ An xdtli ltvnul slttvl ralk�wtng tht�tuueu M'ihe Rib-al u:leurrs and xWle•wtl�lh►�fit not th+vu trpuluew love o,flpl.+vtex• 11'lite mph-tY,Illutra�I k llavv CisolyVls,they tllum 111tIV14e llybil, Wnrlsllli Comr.' r MIISV nualtrr, !(formaritrn.all t'8rpluycr t/rat is prurt ling w'urkrrx'eunrprrRcarr�re irt�lt ttcgJi�r my c rrpk yrcx, Wow is rhe pulley and jut►sire tl�'i► ,,� ,"sut;mozCompurlyNatht:�.d/.L. C.L�_.!.-,I ��..�Ii,a'�/. � ��/1n •;fin�i Q policy[!tw lr-iris. L;e.:YlAdcL SxpirauUn Crate: Zn..A, Joh Sitc Addreym: r +lhQ CitylStJterclp: an�OV TIa OI N S Attucb u.coPry or the workers'�11)vmzt]n pulic��d4�taro a a + p k+:{sittlwtng the Policy nunikr untl expiration dute). Fail"ru xc4utt cuvel°agv as r04uired un&n,Section?5A ol'MUL c. 152 em lmd to the imixmitiun of criminal penuliteg Ul'a tine up to$I gou.OU aatd/ur tmc-year nnprisunatem.at w0l as civil hcnalhex in Ole Turin of a STOP WORK ORDER mic1 i fine of up lu 5250MU a clay againu the viulatue, Rt:advi!it:tl that u wpy u!'Utiv WACI>4•nt may he furwardecl tt,the orril�c of lnvC%ig;111011h ur tl>c DIA l6r insurant:e coverage ge vodfie;atiun, t du l+crL.Ly cr40 lArrder duo pains and perralmuv ofPerjury that lit h0rnadan provided aboPe i trace mid Currder. 1 n 1 +tet C lwll:!r+4 ' UJjiCirl n,�e'only, !10 trot ruriru in tbiti rtnra,to ler rartrpletcd I1 v riry r�r tows u,,�j"?clal. City or'rowu. _� t'e rrnit/Lir�;nsc# l!&u;ng Authority(circle ove): t, iummll of l4vulth 2. Ruildieyr Depurtmunt I CltyNown Llerk 4.l,Icwtricat 1n iCctur S.l'IUtt>Ibirt�trL�pCeCtUr 6,Other Contact Pcmum _ Phone#: ?/Z d 00 LO W-L L- ? 2/2 C1 t79t7&LEST8,LT:01 WOaJ Tt7: T T T02-t7-tlotA -2011-11,,09 09:02 2382-Installed Sales 603 681 4226 >>' installs P 111 �1.I��;t�;Ii1N�'{1• 11'tiiit P i r nl t�{Il11ir. �,lil IN 4 f„i;u•tl nl Kurlrlirl� i�r�rrl.ilir,lr. .tnrl �c,lrl,ler,l Lic-ere+so. c S St. 99500 P.estricted to RF,WS WILLIAM FLYNN 50 KENNEDY ROAD TEWKSBURY, MA 01876 �"-`' '�•-�'` � 1 015120 4 3 �1 ..i,rlh r�•p q„r r”' 4309 Office of Consumer Affnirs&lilmiaec9 Rcz,ulntion 'HOME IMPROVEMENT CONTRACTOR „Itctilif:�°FRoglstration: 140870 Expiration: 12/1/2014 Tr# 700379 Typo: DSA TEWKS13URY WINDOW AND DOOR WILLIAM FLYNN 1475 MAIN STREET --- c TEWKSBURY,MA 01876 t,ndcrsccrctary CONTRACT#00013359 "' T D SALES C ST NUMBER OMER. - R NSTR RE .. RE CfTY TATE ZIP TELEPHO E DATE LOWS S HOME CENTERS,INC.'S MA HIC NO.:148888 CASH .BANK LCC p fir,1a FEIN:58-0748358 CARD C� INSTALLATION STREET ADDRESS CRY - STATE ZIP - 11L } l Et� 1 l.e b Z L i L z 47mW Contract Total Are permits required for this installation?: Yes I ]NOT-applicable tax inclu ed NOTICE TO CUSTOMER: Federal law requires Lowe's to provide you with the pamplet Renovate sl nin It Is Gopbwdf,7Cuitomer . acknowledges having received a copy of this pamphlet beforework began Informing..Customer of the potential risk of the lead.hazard exposure from renovation activity to.be performed In Customer's dwelling unit PHOTO RELEASE:Customer grants to Lowe's and.Lowe's.employses the right to take photographs of all work performed at the Premises related to this Contract;and irreobcably grants to Lowe's all right,title and interest in and to the photographs for use in all markets and media,worldwide,in perpetuity. Customer authorizes Lowe's to copyright, use and publish the photographs in print and/or electronically,.and agrees that Lowe's may use such photographs for any lawful purpose, inclu 'ng,but not limited to,marketing, advertising, publicity,r illustration, training and Web content. By initialing here,Customer agrees to the foregoing. [Customer to Initial to the left] Wolk is to ommennce upolreasonable availability,of Contractor and/or any specla rder customer m e ood(s)which Is,anticipated to be Tfllle in date].Estimated completion date is. II In date]. Said estimatetl substantial completion date is not of the essence. A statement of any contingencies tha ould.materially change•said estimated substantial. completion date is at follows: (If applicable;insert-a statment of such oontingencies). IF THE CONTRACT TOTAL IS$1,000.00 OR LESS Customer must pay in full. COMPLETE THIS SECTION ONLY WHEN THE CONTRACT TOTAL EXCEEDS$1,000.00: [ j Customer to Pay in Full; OR [ )Customer to use the following payment schedule: (1)Deposit$ to be paid upon siging contract.Deposit should be 1/3 thetotal.contract price;and (2)Payment of$ to be paid anytime after this Contract is signed and before commencement of Installation,I/We authorize Lowe's to do one of the following(check.appropriate box below): [ ]Charge my/ourcredit card for the amount of the payment indicated above anytime after the date this Contract is signed; or [ ]Deposit my/ourcheck for the amount of the payment indicated above anytime after the date this Contract is signed;and (3)Final.payment of$.100.00 to be paid upon completion of the installation and.both parties'satisfaction. ff]VitSANO Ilgy ..� R tNa�vANc; -: INA? U .O .. '!il ISFtl1TEG ttIINGIS�G _6.W ' SUBM 'SUO / OU E- IVA EARBITRA $ERVIC v HICHH NAP ROVED BYTHE�SECIN0-*18t_gl E�-. 1 OF I F CO . . F 10 N RE T S ANDTHE O. REQUIRED TO SUBMIT TO SUCH ARBITRATION S P N Date: / io Centers; nc/ / / � By: G.� Date: t Owns nature T THE SIGNATURES THE PARTIES ABOVE APPLY ONLY TO THE AGREEMENT OF THE PARTIES TO ALTERNATIVE DISPUTE RESOLUTION INITIATED BY LOWE'S PURSUANT TO}M.G:L.042A.THE OWNER MAY BE PERMITTED TO INITIATE ALTERNATIVE DISPUTE RESOLUTION EVEN WHERE THE SECTION ABOVE IS.NOTSEPERATELY SIGNED BY THE PARTIES. DO NOT.SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES AND UNTIL YOU HAVE READ THE.TERMS AND . CONDITIONS CONTAINED N THE REVERSE SIDE OF THIS PAGE AND THE FOLLOWING PAGES OF THIS CONTRACT. BY SIGNING BELOW,YOUACKNOWLEDGING THAT YOU HAVE READ,.UNDERSTAND AND AGREE TO THE TERMS AND:CONDITIONS E T FORTH-ON THE REVERSE SIDE OF.THIS PAGE AND THE FOLLOWING PAGES QF.TNS CON T.YOU,A ENT, ED TO P F THIS CON T AT.THE ,ME OF'SIG Wit TN OUR HAND( AND SEAL( BELO THISDAY OF L e H ecl i rAbo Owner / Coowner or Witness .Custather acknowledges-receipt of a true copy of this contract which was mpletely filled.in prior to:Customees exacution.hereof.You,the buyer,may, cancel this transactloh at any time priorto midnight of the third busines :day after the date'of.this transaction:See the attached notice of cancellation forn for an explanation;of this right. FILE COPY C 2004 by Lowe's•®Lowe's and"Ie gebb design #90981(Rev.12/10) ere{ep ste ee aademe ke of LF corpo cg=, Location No. Date - S. MOAT" TOWN OF NORTH ANDOVER Off•..•° ,•'�yO • 7 st ; ; Certificate of Occupancy $ Building/Frame Permit Fee $ s�cMus Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check #-r Building Inspector • = I TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR,RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING BUILDING PERMIT NUMBER: DATE ISSUED: ® � SIGNATURE: jnuilding Commissioner/Imemtor of Buildings Date SECTION 1-SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map and Parcel Number: -23 CH�r�'S�lah way C(9 G/I D l3 Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: ((� Zoning District Proposed Use Lot Areas Frontage 11 W 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide Required Provided R red Provided 1.7 Water Supply M.GL.C.40. 54) 1.5. Flood Zone Information: 1.8 Sewerage Disposal System: Public 0 Private ❑ Zone Outside Flood Zone ❑ Municipal 0 On Site Disposal System ❑ SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record / Name(Print) Address for Service: r1 -�q`II�Ib W Signature Telephone 2.2 Owner of Record: Name Print Address for Service: S4nature Telephone SECTION 3-CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: Not Applicable ❑ A/uo►uozIaI f Licensed Construction Supe rnsor: 6 Q l1 9 1 1 " 1 h0 (((q �/���h License Number Address 1 '© Q 2 dD j ,/J/ f!/ U ` ` Expiration Date / Signature Telephone 3.2 Registered Home Improvement Contractor Not Applicable ❑ Company Name / Registration Number Address N` 1.1 t�l 6 M 79 7 Expiration Date I Si nature Telephone SECTION 4-WORKERS COMPENSATION(M.G.L.C 152 § 25c(6) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the building permit. Signed affidavit Attached Yes.......❑ No.......❑ OVYac I h 444* SECTION 5 Description of Proposed Work(check all applicable) New Construction ❑ Existing Building ❑ Repair(s) ❑ Alterations(s) ❑ Addition ❑ Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify 771#1"s5 Brief Description of Proposed Work: fi I ti15� �)(l51��hy %vQ(�dv�" �mS�lti,ea?� lQ1vl�� -yYyl�l�� �c�oJ+2 �c�l'��ci ce/�Qy �r1 441- �, wl'►��©ws SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)to be OFFICIAL USE ONLY Completed by permit applicant 1. Building > _Lj © d (a) Building Permit Fee Multiplier It 2 Electrical (b) Estimated Total Cost of d r ©- d U Construction 3 Plumbing Building Permit fee(a)X (b) 4 Mechanical HVAC 5 Fire Protection cJ 6 Total 1+2+3+4+5) J D 1 Check Number SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I, ���" c'w"' as Owner/Authorized Agent of subject property Hereby authorize to act on My behalf,in all matters relative to work authorized by this building permit application. Signature of Owner Date SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION I, -DQ U14 6car e-Ca'o as Owner/Authorized Agent of subject property Hereby declare that the statements and information on the foregoing application are true and accurate,to the best of my knowledge and belief Print Name d Signature of Owner/A ent Date / NO.OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TINMERS IST 2 ND3 RD SPAN DIMENSIONS OF SILLS DIMENSIONS OF POSTS DIMENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CHIMNEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE r)o ` FORM U - LOT RELEASE FORM v� INSTRUCTIONS: This form is used to verify that all necessary approvals/permits from, Boards and Departments having jurisdiction have been obtained. This does not relieve the applicant and/or landowner from compliance with any applicable or requirements. ***********APPLICANT FILLS OUT THIS APPLICANT1qU( ( 4'0Y(UY) 1�r BarYy �d`nCl� PHONE LOCATION: Assessors Map Number l�% ✓ PARCEL 13 SUBDIVISION LOT (S) STREET C64017 4017 w a-V ST. NUMBER 7 3 OFFICIAL USE ONLY ` RECOMMENDATIONS OF TOWN AGENTS: CONSERVATION ADMINISTRATOR DATE APPROVED DATE REJECTED COMMENTS TOWN PLANNER DATE APPROVED DATE REJECTED COMMENTS FOOD INSPECTOR-HEALTH DATE.APPROVED • DATE REJECTED SEPTIC INSPECTOR-HEALTH DATE APPROVED 6 DATE REJECTED COMMENTS PUBLIC WORKS -SEWER/WATER CONNECTIONS DRIVEWAY PERMIT FIRE DEPARTMENT RECEIVED BY BUILDING ! ISPECTOR " DATE Revised 9197 jm DAVID GU LIEZIIAN BUILDING AND REMODELING Kitchens, Baths, Additions, Home Repairs, Finished Basemen ecks, Excavation Work 428 Pleasant Street-North Andover,Ma. 01845 OFFICE: (978) 689-4797 HOME: (978) 683-0397 FAX: (978) 689-4797 E-MAIL: DGBuilding(a).Aol.com MA Lic.#001821 insured Home Imp.#120199 February 9, 2000 Barry and Chris Coflan 73 Christian Way No. Andover, Mass. Finish off Basement: * Install kickers on the cellar stairs * Build a wall and install a 2' door for access to area under stairs(space to remain unfinished) * Frame all concrete walls with 2 x 4's * Insulate all exterior walls * Build a closet for water meter and electrical panel * Install a wall from front to back under the beam near the stairs. This wall will have 2 doors * Build a utility room where the boiler and oil tank are (inside to remain unfinished) * Soffit the pipes and beams on the ceiling and install a suspended ceiling * Sheetrock all walls with water resistant sheetrock, and get ready for paint * Install plugs, cable and 2 phone jacks. Install I light over the pool table and one track light(lights provided by you) Total Above: $ 6290.00 Indoor/Outdoor Carpet allowance with pad(thru Lawrence Floor Co.): $ 2028.00 Install another zone of heat: $ 820.00 Price does not include any masonry, fine cleaning, floor sealing, closing in 2 lally columns, or painting. BUILDING DEPARTMENT DEBRIS DISPOSAL FORM In accordance with the provisions of MGL c 40 S 54,a condition of Building Permit Number Is that the debris resulting form this work shall be disposed of in a properly licensed solid waste disposal facility as defined by MGL c 11, S 150A The debris will be disposed of in: �% 3 C�j fZ�s�ran Wet Location of Facility Signature of Permit Applicant 06) Date NOTE: Demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector i i. . { �4CORD. CERTIFICATE OF LIABILITY INSURANCE DATE 999 04/28"%1999 ' PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION INTERNET INSURANCE AGENCY, INC ONLY ARID CONFERS NO RIGHTS UPON THE CERTtFIICATE 522 CHICKERING ROAD HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. NORTH ANDOVER, MA 01845 INSURERS AFFORDING COVERAGE INSURED {NSURER A. TRUST INSUPMCU DAVID GULEZIAN DBA INSURER B: LEGION INSURANCE DAVID GULEZIAN CARPENTRY 1NSURfRC: 428 PLEASANT STREET INSURER D: NORTH ANDOVER MA 01845- 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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE 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 TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATIONJill LIMITS GENERAL LIABILITY EACH OCCURRENCE is 600,00 A ® COMMERCIAL GENERAL LIABILITY TMP 1010570 11/10/1999 11/10/2000 FIR::DAMAGE(Anyone fira) '$ 300,000 **--�� ❑ CLAIMS MADE IN OCCUR MED EXP(Anyone person) s 300,000 i PERSONAL&ADV INJURY 8 300,000 GE.NERAL AGGREGATE $ _50,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS•COMP/OP AGG S ` 5,000 ❑ POLICY ❑ PRO JECT F-01 LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ANY AUTO (Eaaccident) $ Q ALL OWNED AUTOS 801:}1LY INJURY [❑ SCHEDULED AUTOS (Per person) $ LJ HIRED AUTOS BODILY INJURY ❑ NON-OWNED AUTOS (Pe,accident) $ ❑ - --- PROPERTY DAMAGE $ ❑ (Per accident) GARAG£LIABILITY AULJ70 ONLY-EA ACCIDENT $ _ ❑ ANY AUTO OT}IER THAN EA ACC $ ❑ AUTO Oh1LY: AGG $ EXCESS LIABILITY EACH OCCURRENCE $ ❑❑1 OCCUR Cl CLA04S MADE AGGREGATE $ _ S ❑ DEDUCTIBLE $ ❑ RETENTION $ g WORKERS COMPENSATION AND1 WC STATU- TH- EMPLOYERS'LIABILITY E.L.1_ACH ACCIDENT $ 100,000 ..TORY LIMITS ER I B 4-0115728 08/15/1998 08/15/1999 — F.L.DISEASE-EA EhW'LOYES 500,000 E.L.DISEASE-POLICY LIMITIS 100,000 OTHER DESCRIPTION OF OPERATIONSILOCATIONSNEHICLESIEXCLUSIONS ADDED BY ENDO RSEMENTISPECIAL PROVISIONS GENERAL CARPENTRY CERTIFICATE HOLDER El ADDITIONAL INSURED;INSURER LETTER: CANCELLATION JEFF & BRYNA HEBERT SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION 35 HUNTER STREET DATE THEREOF,THE ISSUING INSURER WILL.ENDEAVOR TO MAIL 010 DAYS W RITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR STOUGHTON MA 02072— LIA EPRESENTAT THORIZE TIVEE ACORD 25-9 171971 •- ---- ------ - - . - '�/ze t�'anvino�ruueacui o,��•. �t!.�de�b BOARD OF BUIIrDING REGULATIONS License: CONSTRUCTION SUPERVISOR Number. CS 001821 Birthdate: 1010211959 ` Expires: 10/02/20011 Tr.no: 6604 IRestricted To: OQ DAVID P GULEZFAN �. 428 PLEASANT ST Adminiat[a or 'NAND.OVER. MA'01845 e , . ONE IMPROVEMENT CONTRACTOR Registratiou- 120199 Expiration: 11/l/Ol Type: Individual �. . AVID GUIEZIAN_ r DAVID GULEZIAN KOAREASANT ST ADMINISTRATOR NORTH ANDOV MA laT1)� (v"49*� rt,00U\M MBIA 3 • f 4 ,1 70U e-9 L-6 I � XO J& 44 NAtb Lb L h W ov);L9 jo� NORTH Town of 19Andover dover, Mass.,_144 d O I� COCHICHEWICK ADRATED p'Pa��� S BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System THIS CERTIFIES THAT...... . a,• h a' BUILDING INSPECTOR ...... ............... �s........00...CIA. .......................... ••• Foundation has permission to erect... g �73......C N ��,ti kI Rough ..Av �� '� �'~ ��� �M ... .. K Chimneto be occupied as...........�.. . ................................... ..............,S.#* ........ ............. ....... ...................... ........ y provided that the person aC a tin this permit shall in eve respect conform to the terms of the application on file in P P P g P every P PP a 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 I� �0 r) PERMIT EXPIRES IN 6 MONTHS I ELECTRICAL INSPECTOR UNLESS CONSTRUCTI N STeT SRough .............................. Service 3 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 BeDone FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. SEE REVERSE SIDE Smoke Det.