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Home My WebLink AboutBuilding Permit #170-12 - 850 JOHNSON STREET 3/30/2016 TOWN OF NORTH ANDOVER . APPLICATION FOR PLAN EXAMINATION Permit N0: F l v ` S Date Received ' V� Date Issued: ' MPORTANT:Applicant must complete all items on this page r OCATTON Print PROPERTY OWNER /!.1!777L r,e Print MAP NO: PARCEL: ZONING DISTRICT: Historic District yes 6V Machine Shop Village yes no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building *Mne family ❑Addition ❑Two or more family ❑Industrial ❑Alteration No. of units: ❑Commercial )iepair, replacement ❑Assessory Bldg ❑ Others: [I Demolition -, c►f-n e Y'i; * aj .r w _, k aaterslied D strlcV ;� Septic► {�well y 1- p t=_ ; , �W ,, r Az3 . t r -- - DESCc_ i T ION Obi VdORIC TO DE PES iORM�D: r, rvb f �w s_a (Identification Please Yype or Print Clearly) OWNER: Name: !�;� ,�t er �� —��ti Phone: 3 /4s�er Address: 7 ��c�a hil i ti C 1 E- Jy�y e<aa ridy�-N CONTRACTOR Name: .ham � ��- 6<f!ze c Phone: 5 7z�'& , ¢ySy Address: _4al a Supervisor's Construction License: C-4 /,3,'z Exp. Date: Home Improvement License: 13 ¢ 3!!L!;' Exp. Date: ARCHITECT/ENGINEER Phone: Address: Reg. No. FEEscHEDULE.BULDING PERMIT.•$92.00R PER$9000.00 OF TOTAL ESTIMATED CO BAS DON$925.00 PER S.F. Total Project C6st: $ I FEE: $ 1. Check No.: Receipt No.: NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund - - —y�P- -- :e•:_ __ _— _.'', .�,,_ -_rci.c +-sa—..—;�,e'see:�' _ -_ i _ -;:Si' -iy.>� -:sem _ �r - r--=-= �=Si' nature.ofcontr ct �r='=�` - Si nature`pf' gerf/Owner_._ -- -- _,_9_.r,__..-.-_-•—_.= _ _ - - - Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ TYPE OF SEWERAGE DISPOSAL Public Sewer ❑ Tanning/MassageBody 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 CONSERVA T ION Reviewed on Si naWre COMMENTS HEALTH Reviewed on Siqnature COMMENTS Zoning Board of Appeals:Variance, Petition No: Zoning Decisionfrecelpt 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 1.24 Main Street Fire Department signature/date j COMMENTS i Dimension Number of Stories: Total square feet of floor area, based on Exterior dimensions, Total land area, sq. ft.: ELECTRICAL: Movement of 11 ter location, rust 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-$9000 fine NOTES and DATA— For department use ® Notified for pickup - Date DomBuilding Permit Revised 2008mi 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 ❑ !Alorkers Comz� 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 MOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit. Addition Or Decks o Building Permit Application - ❑ Certified Surveyed Plot Plan ❑ Workers Comp Affidavit ❑ Photo Copy of H.I.C. And C.S.L. Licenses ❑ Copy Oe Coi t aet ❑ Flo or/Crossection/E levation flan Of proposed Work With Sprinkler Pian 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 o 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.BuildingPermit Revised 2008mi Location No. / Date ` NORTH TOWN OF NORTH ANDOVER OL 9 i Certificate of Occupancy $ CMUs<�' Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # + O O 24521 Building Inspector TAORTH Tovm Of 0ON No. 7/ o _t�-_' LAKE o , dover, Mass., -,3b " COCHICHEWICK oRATED BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System l BUILDING INSPECTOR THIS CERTIFIES THAT'..............�... .- !^^-*�:«............ .i. GT ..................................................................................... Foundation has permission to erect..... ...................... buildings on �.,cc ^,!.� -....Cc K, � ......... Rough S Chimney to be occupied as ...... ....... .. .k?......A.......�:G..�.... .....�.Gi4.�,S.�......_""s........................................................... provided that the person accepting this permit shall in everyrespect 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 1 UNLESS CONSTRUCTIO ITSRough ................._...................................................... 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 j Smoke Det. o 19-TT 1�gnft Ae PROPOSAL HOWARD A. SQUIRES CUSTOM BUILDING & REMODELING Residential & Commercial Consulting Services Page 1 of 1 8 Valley Circle PEABODY, MASSACHUSETTS 01960 Telephone (508) 977-0401 Fax (508) 977.3331 PHONEDATE TO: Derek+Brittany Kittler JOBNA1%jL8CA4Q4Jl 1450 7/21/11 7 Laconia Circle No.Andover Mass Rehab Of 7 Laconia Circle No.Andover Mass JOB NUMBER JOB PHONE We hereby submit specifications and estimates for: We propose to furnish and install all labor and material for the following 1) Furnish&Install fire/smoke/carbons with certificate $1000 .00 2)Demolish and remove from site all insulation+blue board $3300 . 00 3) Furnish and install weil/mclean boiler to match existing $6500 . 00 4) Patch/Prime/Paint all walls ceilings 1+2nd floors $6500 . 00 5) Furnish and install new carpet+hardwood except for dining area $5500 . 00 6) Rehab of office area 1st floor front $3300 . 00 7) Remove and replace family room sliding door $1700 . 00 8) Clean and recaulk gutters were required $ 750 . 00 9)Remove and replace garage wall between doors $1500 . 00 10) Remove and replace broken concrete at garage entry area $2000 .00 11) Remove and replace entry trim-misc trim-recap chimney $2500 . 00 We Propose hereby to furnish material and labor—complete in accordance with the above specifications,for the sum of: dollars($ ), Pay1R"r eunaFouroiidThousand Five Hundred and 00/100 Dollars 34, 500 . 00 As per bank payment schedule "`"¢= " '' `? All material is guaranteed to be as specified.All work to be completed in a professional ';:;E ,;• manner according to standard practices.Any alteration or deviation from above specifica- Authorized ':r tions involving extra costs will be executed only upon written orders,and will become an extra Signature charge over and above the estimate.All agreements contingent upon strikes,accidents or :', delays beyond our control.Owner to carry fire,tomado,and other necessary insurance.Our N66-,This proposal may b >. workers are fully covered by workers Compensation insurance. withdrawn by; of accepted within days. � « ri• w �. •� 30 Acceptance of Proposal—The above prices, specifications and �- conditions are satisfactory and are hereby accepted.You are authorized to do the work Signature as specified.Payment will be made as outlined above. Date of Acceptance: Signature PRODUCT 13128 NBC,INC.,GROTON,M 01471.TO REORDER PHONE TOLL FREE 1.800.225.9550. FOLD AT(,)TO FIT COMPANION 771 DU•O•VUE ENVELOPE. ®PRINTED IN U.S.N. A JOHN VALSH INSURANCE Fox:9787459557 Jun 30 2011 14:02 P.02 n..Ee. CERTIFICATE OF LIABILITY INSURANCE ou TM cF$T*mAm tS IsSUM As A MAT=(W WI:MMTM OKY AND COMERS 90 Rt6M tRPCIN THE(mim R,'TE 1101- C€l*r-A'm Don HOT AFFmwmy OR mmA7NEt.Y ARM, mm OR ALT0 Tm COVBVM AFMRM Ff THE I BELOW. TMs Cffln!`M'M OF M U1iAHM DIES NOT CMTITUM A COMRACY BETWEEN THE OWING MURBW1 AUT RE>'RESENTATNE OR PRODUCER,ANDTME CERTIFW A'TE HO Dom. IMPORTA1YT: it Be eemcaft flog is an ADDRIONAL INSiWJA tin pWky&4 must be andome& B SLIBRO13AYM 15 MAIM,4 the term and*wKMkm of the Ptlft,eedit POWn mq mgWm an crldorsemull. A mem m lanItiftearMcabdomatcadwdo cee 1xAde: of acerb PROMMM 978-74 John J Walsh Im Age►,Inc 978-? P O Boat 4467 4541567 PHONE FM 881e1n,MA 01$704w David C Onrett ®* INmwtm Howard A.Squires W0MA--NO4hhI0dh=2=WC0 8 Vg ft artde 91 tee:IiarVoti Peabody,MA CM90 �P;commerm kmur ms 3 DMLNM a arterane e: COVERAGES 7E 11maER: ION THIS 18 TO CEIMFY THAT THE POLICIES OF INSURANCE LISTED BMM HAVE BEEN SSU®TO THE RISURED NAUED ABOVE FOR THE POI IC INDICATEII NOYYdt MANDM ANY REQMEMENT,TERRA OR COMMON OF ANY OONTRWr OR QTHER DOCUMENT W M RESPECT TO W CERTIFICATE MAY BE 13MM OR MaY PERTA61,THE INSURANCE AFFORDED BY TM PCA1CiES *�,� HSN IS%%MCT To ALL n EXCLUSIONS AND COMMONS OF SUCH POLiC1E$.LIMITS SMM WAY HAVE BEEN REDUCED BY PARI CLA1MlS. TYPEOFe1691AiAleLEWon= Am Lam G` -LeAt;@,M �cei Dcae�epa __ s A X emmm L tiEfERAL UABILtTY P$76430 CIUM11 66M211118mms MWMAAM Q occm tA�Ymee *�1 s 'AENERALAW41EMTE s GEMIL AGGREtWEi11eFtAPPLIESPE9t 4 LOC s AUTUNDIKELIA LnY t RiGt1$slGL7 Uel s Iia Ae"r"elrO eesalLvaul�Ya�•P�a s ALLOWNEDAUrDS �ppalFHW,R,rarlifaoaaR�q s G xSCHMXUMAUMS Walls 07117MI 67nln2 -rRflPErtTv nAmAca: s Hum Aums tPa,ao�la�d N0H4VMWAUF0S s s UNSIM11.A U00 H oceeeR EACHOCCURNMIXs ommuAn CtAME-MME s DOUCTIBIA s s vrorosewscaotma�AT,on - . B AMD�Loreee:LeleatrY X omC.ra:ae9e F 1110H7? 1 MIA C n1 I 9116!02 EA_EA04ACCKf N � :EL.owAsE-rA s otass�nooanPs>P�eA�oxsrtl�Tmsarv�,gs(�snAco�Ta�.Auwne�e8awmer,aa�ays�eb,equt.uf CER if0lq@i SHOULD ANY OF TNI'ADM DEAR PoLxM in CAWgLLV Howairdswib" THE E7V71DN RATE THMOF, NCIUM VISLL. BE DELA 8 valley Cirtle ACCORDANCE YIBTH THE POLY PROVISIONS. Peabody,MA 019N A9nKft=R9WJ0ki 7K f David C SrueU 0 ISM14M ACORD�TNK AQ dg�n A40RD 25.{ _ _ _ Theti ACORD now and tep are and moft_of ACORD j . ala anrtnu ett.�- Delbaan-ttnneent of Public as fete `. Board of Buildbtnp, Regulations and Standards ads Construction Supervisor License License:: CS 63825 HOWARD A SQUIRES S VALLEY CIR PEABODY, IIIA 01960 Expiration- 12/3162092 ( umme .i,rncr Tr#: 6668 �PrEat2 4rvk17:, F.ZP6��' Office.of Consumer Affahr,F,`.ansiness Regulation HOME IMPROVEMENT i6biGRACTOR 4�} � Registratiod 134345 ; .R.. Ex Iraho►t �r4f�d2011 Trla 190880 Types Jn��id�+al HOWARD A SQl lf3 1"UILDING t r HOWARD S(2U112ES '. 8 VALLEY CIR_ PEABODY,fUTA 0196d�` Undersecretary