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Home My WebLink AboutBuilding Permit #60-12 - 89 BRIDLE PATH 7/26/2011 TOWN OF NORTH ANDOVER f APPLICATION FOR PLAN EXAMINATION Permit NO: 0 ` Date Received Date Issued: IMPORTANT: /Applicant must complete all items on this age LOCATION r` `� PCW-1 rint/ PROPERTY OWNER 51/ , Unit# Print MAPNO:"GPARCEL: ZONING DISTRICT: Historic District yes o Machine Shop Village ye no 100 year-old structure ye no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building 0 One family ❑Addition ❑Two or more family ❑ Industrial ❑Alteration No. of units: ❑ Commercial WRepair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other ®'Septic Well 0 Floodplain 0 Wetlands Watersfied District E1 W_ater/Sewer .L4 ro 0 DESC TION OF WORK TO BE PERFORMED* � w I� Flooe aAvd ,(_L�) k- ll C �` (Identifl t'on Please Type or P.int Clearly) 7 OWNER: Name: d� D rGt Phone: Address: A Ald D V-.e Y- 10.4 CONTRACTOR Nam aZaM �e S Phone: Address: 5 A V l �/ /IJ J �� k ,`C " Supervisor's Construction License: 7d l 51 Exp. Date: /0 Home Improvement License: /57 / 0 Exp. Date: ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE:BULDING PERMIT:$92.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.0 Total Project Cost: $ 0 0-0 FEE: $ v Check No.: I I L�v Receipt No.: �3 NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund Signature of Agent/Own Si0nature of'contractor. - Locations No. Date 4d (e- Th TOWN OF NORTH ANDOVER Certificate of Occupancy $ Mus Building/Frame Permit Fee $ /0? Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # 24657 Building 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 i COMMENTS /F 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 drops 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 Call Email } Date Time Contact Name Doc.Building Permit Revised 2014 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 ease) ® Notified for pickup Call Email Date Time Contact Name Doc.Building Pennit Revised 2014 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 o Building Permit Application a Workers Comp Affidavit o Photo Copy Of H.I.C. And/Or C.S.L. Licenses ❑ Copy of Contract o Floor Plan Or Proposed Interior Work o 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 Pp Permit Application o Certified Surveyed Plot Plan o Workers Comp Affidavit o Photo Copy of H.I.C. And C.S.L. Licenses o Copy Of Contract ❑ Floor/Cross Section/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Mass check Energy Compliance Report (If Applicable) o 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 L3 Photo of H.I.C. And C.S.L. Licenses o Workers Comp Affidavit a Two Sets.of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (If Applicable) o Copy of Contract o Mass check Energy Compliance Report o 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:Building Permit Revised 2014 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/Cross Section/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:Building Permit Revised 2014 x,4ORTH Tovm Of (opo -Z7, - - _ - 0 o , dover, Mass., Q -- LAKE COCHICHE WICK ORATED PP¢�.�5 BOARD OF HEALTH PER IT T D Food/Kitchen Septic System BUILDING INSPECTOR THISCERTIFIES THAT............... ......... .O.W............. ... (,.IJP... ........................................................ /A10'W##1An5P0 Foundation has permission to erect.... buildings on ..........�'�....... ..�. �.. ....... Rough t0 b8 occupied as Chimney 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 Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTI S Rough g .................... ............... ...................................................I...................... 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. LIC# 072199 15 MARL YvRD �_'1 ' ' rfJ` �� ?rl REQ#I1b9119 Medea EIN#202926754 T . , CJ `T ,� L� 1� 1T Jiro Free Estimates RESIDENTIAL- COMMERCIAL 978-361-5697 PROPOSAL SUBMITTED TO rELEPHONE DATE .SYLM 617-596-5897 712112011 STREET IOB NAME 89 BRIDLE PA TH RD. SAME CITXa STATE AND ZIP CODE JOB LOCATION NORTHANDOVER MA. 01845 SAME ARCHITECT DATE OF PLANS JOB TELEPHONE# We hereby submit specifications and estimates for BA THROOM REMODEL L REMOVEALL EXISTING FIXTURESINA MASTER BATHROOM 2. REMOVAL OF THE EXISTING CEILING AND FLOOR AND SHOWER WALLS(SEAL OFF BATH WHILE REMOVINGMOLD AND USE NEPA SHOP VAC TO CLEAN ANYINFECTED AREAS) 3. THE REMOVAL OF I INTERIOR WALL INCLUDINGANY PLUMBING AND ELECTRICAL CONTAINED IN THAT WALL 4. FRAME A NEW INTERIOR'WALL TO ACCOMMODATE A NEW PL UMBING NEXT TO EXTERIOR WALL S. INSTALLATION OF NEW BATH FAN WHERE THE EXISTING FAN IS(CUSTOMER) 6. THE INSTALLATION OF THE NEW 4',VAN[TY,FAUCET,SHOWER VALVE FIXTURE,AND TOILET (CUSTOMER) 7 THE INSTALLATION OF ONE NEW 42"SHOWER TILE READY PAN,ROCK BOARD BACKING AND TILE TO THE NEW SHOWER AREA(CUSTOMER TO CHOOSE AND PURCHASE TILE) 8. THE INSTALLATION OF NEW R-30 INSULA 77ON TO THE CEILING AREA 9. THE INSTALLATION OF NEW MOLD RESISTANT WALL BOARD TO THE CEILING,SHOWER AND ANY ALTERED AREAS(DR.YWALL,COMPUND AND PAINT CUSTOMERS CHOICE) 10. THE INSTALLATION OF NEW 318S SUBFLOOR AND TILE TO THE ENTIRE FLOOR AREA(CUSTOMER TO CHOOSE TILE) IL THE INSTALLATION OF NEW DOOR CASINGS AND BASE MOULDINGS WHERE NECESSARY(MATCHING THE EXISTING) 12. All PLUMBING NECESSARY(NEWSHUT OFFS FOR THELAVATORYAND VANITYANDANY ALTERATIONS NECESSARY TO THE EXISTING SINKAND SHOWER DRAIN). 13. THE INSTALLATION OFANY ELECTRIC NECESSARY TO ACCOMMODATE 2 NEW SCONCES SEAL BATH AREA 14. THE INSTALLATION OF ONE NEW ROOF FLANGE TO ACCOMMODAT BATHROOM VENTING 15. THE INSTALLATION OF NEW 2'L OUVER VENTS TO THE FRONT OF THE EXISTING STRUCTURE 16. OBTAIN PERMIT NECESSAY 17. CLEAN-UPAND DISPOSAL OFALL DEBRIS I8. A FIVE YEAR PERSONAL GUARANTEE UPONALL WORK SPECIFIED INCLUDINGMOLD REGROWTHAS LONGAS VENTILATIONIS USED PROPERLY) 19. APPROX.START DAT JULY 30 2011 APPROX.FINISH DATE AUGUST 20 2011 It PROPOSE hereby to furnish material and labor-complete in accordance with above specifications for the sum of: NINE THOUSAND ONEHUNDREDDOLLARS dollars(S 9'100 ) Payment to be made as follows: I.PAYMENT OF$2,000 UPON SIGNING PROPOSAL.2.PAYMENT OF$2,000 UPON COMPLETION OF ROUGH PLUMBING.3.PAYMENT OF $,2000 UPON COMPLETION OF TILE AS LONG AS ALL PRODUCT IS PRESENT.4.FINAL PAYMENT OF$3,100 UPON COMPLETION All or dniatmn from material is gnarauteed to be as speettied.All work to be Authorized completed in a workmanlike manner according to standard practices Any alteration above specificatiarg imohiag extra costs will be executed only apse Signature: written order,and will become an extra charge over and above the estimate. AO agreements contingent upon strikes,accidents or delays beyond our NOTIir: This proposal may be withdra*-n by us if not accepted cnntrraL Owner to carry fine,tornado and other necessary insurance.Our rkersare(tally covered"byWork-man Compensation Insurance. within 'dais• ACCEPTANCE OfiRROFOSAL-fie above prices,speirreatioasaW DONOT I IFI HEREA EAN LANKSPACES conditions are satisfactory and re hereby accepted.Yon are authorized to do the work as specified.Payment will be made as outlined above. Signature' ' to crAscrP�»ac Signa �: �da1lilLt]lfll�Yl� -' �'�'ltil.'t12i'I�l. ��• �.li�)�1e "+��C't� Beard of Building Reg uU-ions aad Standartls Construction Supervisor Lic^nse LiCense: CS 72199 • Restrictsd tri: 0Q JADES 8 WALSH 15 MARLYN RD 81 LLER 1 CA, MA 01821 Expiration: 10122/2091 t►171!21 tile e. Tr- 8828 Ofri ce off osaime� rs dies�gu 44 stin HOME IMPROVEMENT CONTRACTOR Registration: ;:15909 Type: - ° Expiration: 8/5/2012 DSA 9 V* GENERAL 00NST-1 =: 1 JAMES WALSH 15 MARLYN RD ` BILLERICA MA 0182'i . - ' Undersecreia ry i � 1^ The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/Individual): � e rQ 0 N S/ Address: City/State/Zip:_ 1✓k„' CGl A D Phone #: q 7 $'' 3 ( / —S 6 � 2 _ Are you an employer?Check the appropriate box: Type of project(required): 1.❑ I am a employer with 4. ❑ I am a general contractor and I employees(full and/or part-time):* have hired the sub-contractors 6. El New construction 2.51 am a sole proprietor or partner- listed on the attached sh9et. 1 7• ❑Remodeling 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 required.] officers have exercised their 10.❑Electrical repairs or additions 3.❑ I 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.]t employees. [No workers' comp.insurance required.] 13.❑ Other *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. I 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 Company Name: Policy#or Self-ins.Lic.#: Expiration Date: Job Site Address: City/State/Zip: 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 hereb der the pains and penalties ofperju that the information provided ab ve is true and correct. Si nature: �l-� Date: 5 a 0// Phone 9` 3 6 F al use only. Do not write in this area,to be completed by city or town official.r Town: Permit/License# g Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: