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HomeMy WebLinkAboutBuilding Permit #363-2011 - 81 LINDEN AVENUE 5/1/2018 TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit NO: 6 ^� Date Received Date Issued: IMPORTANT: Applicant must complete all items on this page ! LOCATION 'ZI Lt tJ'D1C--Q A )�- N b I.'�N 4t4,ot P, 1- O 1 Ks Print PROPERTY OWNER H)(-H*cL- P,-Ne Gv,,C �Pl" Print MAP NO: VA PARCEL: -3'-/ 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 Oepair, replacement ❑Assessory Bldg ❑ Others: IZ p El Other Y emo 1 ion `Se tic ❑:Well ` ❑Flood'plaln ❑ Wetlands , _ `0-Watershedf District f q W"ter/Sewer DESCRIPTION OF WORK TO BE PERFORMED: �i�S�x�c�- /Zt-l'�-+�c�rn�•,�r w� vpuw — Z�wiuv� K11 CNr'1-,1 C481�c !S , LwsTJ4ZL I Ec& C4131nfe-'i� eg-c. Identification Please Type or Print Clearly) OWNER: Name: )cN4e- 14-If- �� 0'" Phone: 976 Z©$-oS73• Address: 81 bi.v-or- 4vL: x A oa✓cn MA G� Tu CONTRACTOR Name: 0A\1I C�►:�r✓ Phone: �� �� 6S7 - _5 5-, Address: C47-k0/ VC 4`_ t[rhniwGT�"�, M� 01 Supervisor's Construction License: 5'V06,3 Exp. Date: Home Improvement License: (133-7/ Exp. Date: 1 ARCHITECT/ENGINEER Phone: Address: Reg. No. II FEE SCHEDULE:BULDING PERMIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ 21 600 FEE: $ Check No.: �as'�i Receipt No.: -2?4.2 s' NOTE: Persons contracting with unregistered contractors do not have acc s to the guaranty fund ;- Slgnatureof�Agent/Qwner;. �.- �.Slgnature ofcontractor� +� y— 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 L4 �00 r�- ❑ Building Permit Application — � Workers Comp Affidavit �,�y►� --'"'"��� �hoto Copy Of H.I.C. And/Or C.S.L. Licenses �; Copy of Contract ❑ Floor Plan Or Proposed Interior Work c.u)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 Doe: Doc.Building Permit Revised 2008mi i 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 j PLANNING & DEVELOPMENT ❑ ❑ COMMENTS CONSERVATION Reviewed on Signature COMMENTS HEALTH Reviewed on Signature COMMENTS 6 Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes I 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 I E i E ❑ Notified for pickup - Date Doc:.Building Permit Revised 2008 Location No. // Date MpRTh TOWN OF NORTH ANDOVER A Certificate of Occupancy $ Building/Frame Permit Fee $ —Z!! J�cMusE Foundation Permit Fee $ Other Permit Fee $ K TOTAL $ Check # ��✓�� 2 3 62 5 J Building Inspector �f NORTH T01WM Of No.- 363 ao �- o A K E -o h dover, Mass., COCMICHEWICK ADRATED AP��.�S SS ` BOARD OF HEALTH Food/Kitchen .PERMIT T D Septic System Ga THIS CERTIFIES THAT............... ............. G n/E..................� BUILDING INSPECTOR....................�....�........................... Foundation has permission to erect............ �� ............................ buildings on ......... .................................................................................... Rough to be occupied as................� .o � �`c�f` . . ..................................:4r.................................................................................... 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 UNLESS CONSTRUCTION STARTS ELECTRICAL INSPECTOR Rough ............ ....... .......................:.......................... Service B LDING 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 DEP Until Inspected and Approved by the Building Inspector. �RTivIENr Burner Street No. SEE REVERSE SIDE Smoke Det. DAVID McCANN CARPENTRY 7 CATHERINE AVENUE WII,MINGTON,MA 01887 (978) 657-5465 HIS#113371 (6/8/11) CS #54003 (11/8/11) Mike Gargan 81 Linden Avenue North Andover, MA 01845 Kitchen Remodel Contract: • Purchase and install Harvey Vinyl Replacement window in kitchen • Remove existing kitchen cabinets • Install new cabinets (cabinets purchased by others) • Install all interior moldings etc as needed • Frame out opening in non-bearing wall between kitchen ad dining room area Install '/2" blue board and plaster skim coat. • Remove existing floor covering. Install cement backer board for tile installation(tile purchase and installation done by others) • Remove all trash and debris from job site • Building permit to be secured by contractor • All electrical work to be done by others • Painting and or staining etc to be done by others • Install vent work for exhaust fan to exterior • Contractor to purchase all materials for carpentry work etc(unless specified by homeowner) • Homeowner responsible for electrical fixtures: lights etc. • Homeowner responsible for pluming fixtures: sink faucet etc. • Homeowner responsible for floor tile, grout, counter tops and installation Total labor and materials $6,750.00 Schedule of payments: 1/3 down $2,250.00 1/3 midway 2,250.00 Balance on completion 2,250.00 Estimated start time 11/15/2010 Estimated completion time 11/29/2010 * Any extra materials and or labor to be discussed and verified by homeowner in writing. Do not sign this co ract if there are any blank spaces --a Homeowner si�na re06n-tractor signature Date// Date The Commonwealth of Massachusetts Department of Industrial,A.ccidents Office of Investigations 600 Washington Street Boston,MA 0211.1 QV www mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Leaib1Y NamMV e(Business/Organization/Individual): �U\ r\ Address: 7A C&A^ City/State/Zip: \N N � � \ Phone#: 01 �`� r Are you an employer?Check the appropriate boxy, —" Type of project(required): 1.❑' I am a employer with 4. am a general contractor and 1 6. ❑New construction employees full and/or part-time).* have hired the sub-contractors t 7. remodeling . 2.❑ 1 am a sole proprietor or partner- listed on the attached sheet. ship and have no employees These sub-contractors have 8. ❑Demolition working for me in any capacity. workers' comp.insurance. 9. ❑Building addition [No workers' comp.insurance 5. ❑ We are a corporation and its 10.F1 Electrical repairs or additions required.] officers have exercised their 3.El 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 we have no 12.❑Roof repairs insurance required.] employees.[No workers' q ]� 13.❑Other comp.insurance required.] *Any applicant that checks box 41 must also fill out the section below showing their workers'compensation policy information. f Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new'affidavit indicating such. $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance CompanyName: L% C- Policy#or Self ins. Lic.#: Id�(s� "3 3 7 c ' ��� Expiration Date: 1� -17 D 11 Job Site Address: \k�_) \P\ �V City/State/Zip: No tJ 9L}e Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under 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 well as 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 may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby tify under pains andpenaldes ofperjury that the information provided above is true and correct. c Si ature: Phone#: ri _ y "� Official use only. Do not write in this area,to be completed by city or town official. City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town CIerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: 110 Massachusetts-Department of Public Safety t Board of Building Regulations and Standard's > Construction Supervisor License ': License: CS 54003 Restricted to: 1 G v DAVID wCGANN 7 CATHERINE AVE' WILMINGTdN;MA'01887 ?' �-- - -%y` Expiration: 11/8/2011 r�E (_"ommissioeet: Tr#F: 10832 ' BAUVu� mg e�uCatios an tans a"r�Ts a HOME IMPROVEMENT CONTRACTOR '{ RegWrat n; 113371 ' i� Expiration ,,i6/8/2011 Tr# 285295 -p-e-1-ndividual DAVID N MCCANN DAVID MCCANN . k7 CATHERINE WILMINGTON,MA 01887 Administrator iSZ� Brian J. Gargan, P.E. 8 Catherine Avenue Wilmington, MA 01887 October 28, 2010 Mr. Brian Leathe Local Building Inspector 1600 Osgood Street North Andover, MA 01845 Re: Proposed Renovations for Michael and Janet Gargan at 81 Linden Ave. North Andover, MA 01845 Dear Brian: This letter is to inform you that I have reviewed the plan for the proposed renovations at the above referenced property, and I have verified that the wall that will be partially removed as part of the proposed work is not a load bearing wall. In turn, the proposed renovations should not impact the structural integrity of the existing house. I have attached a copy of my Professional Engineer's license for your reference. Sincerely, ✓CIG�� Brian J. Gargan, P. . cc: mg 4i WAS pit Comtrio wea >� As of 'enlr;< vaut I�ureau MOW 60.ru tional, f#'atrs _ ol gym ` PO EBRoarr>tbur 05 X69 s <n �' i - 5 §WY Y: / L><cQnse T Ype 7 Ttc > "s Statua , jf ,,Rrofess ona#Engineer f Una d t00Yt �t� t�Iueense Date t'v5�' t-rAIR x1; MAW GARGAN 4z Nf ba Lrcenseumber S, t „ z 339 VIR 'twtsk, HAYf�i t?1fVN RA 19083 °(� j� r �` xpira, ob Jute 6 . �S' its p` tot / 0/2O1'i t 1 .. ummissloner:( Professional and Occupational Affairs710 r �...