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HomeMy WebLinkAboutBuilding Permit #516-13 - 901 JOHNSON STREET 1/15/2013TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATIONJql_=� Permit NO: Date Received / / Date Issued: I -IMPORTANT: Applicant must complete all items on this page i L®CATI®N CJ / .:_...tea- �✓Sd -./ I PRQF:ERITIVOW,NER- Pnnt 100_iYearr0ldlStructure) yes)ro,, MARINO FARC:EL:.O� _ Z®NLNG�®,IS�TiRIG�T:. Histonctpistnct? esa Machine+$hop,Village yes, TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building AOne family ❑ Addition ❑ Two or more family ❑ Industrial b Alteration No. of units: ❑ Commercial XlRepair, replacement ❑ Assessory Bldg ❑ Others: ❑ Demolition ❑ Other Rse tics 5W, 61 _p ❑,Flood taint 0 Wetland`s . _ _I? _ ._ , p W4tershecl09 ricf? !: D water/$:ewer DESCRIPTION OF WORK TO BE PERFORMED: Identification Please Type or Print Clearly) q OWNER: Name:_ // L /9 �e'2So�/ Phone: / %� rsrr= a ' °CONTRACTQR' Add" ress:t P�✓ . ��_ �:c%� 11,x_ f(,�%�1 a'3.5� 7 _ —�—, I Supervisor;'sJConstructionrLicense g'� 3. EXp'>> Hometilmptovement'Lcense:__ ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE: BOLDING PERMIT. $12.00 PER $9000.00 OF THE TOTAL ESTIMATED COST BASED ON $925.00 PER S.F. Total Project Cost: $ I'9 , � FEE: Check No.: t„ '�) Z. Receipt No.: o�`�U �J NOTE: Persons contracting with unregistered contractors do not have access to th g my nd Signature of,Agent/Owner _ Signature of,.contractor Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ TYPE OF SEWERAGE DISPOSAL ' Public Sewer ElTanning/Massage/Body Art ❑ Swimming Pools Q 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 COMMENTS HEALTH COMMENTS Reviewed on Signature Reviewed on Signature Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Conservation Decision: Comments Water & Sewer Connection/Signature & Date Driveway Permit . i DPW Town Engineer: Signature: Located 3M usgooa Street FI RE bEPARf M' LIN ' Temp .Dunipster on site yes no Located at -124 Mair Street e vire. Department.srgnatureldate 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 B Notified for pickup - Date F Doc.Building Permit Revised 2010 Building Department The foliowing 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 VOTE: 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 VOTE: 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 submAted with the building application Doc: Doc.Building Permit Revised 2012 Locationiyl \, �—o� vt S S Mn I Date ( � Check 26093 TOWN OF NORTH ANDOVER Certificate of Occupancy Building/Frame Permit Fee Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Building Inspector Enter construction cost for fee cal - North Andover Fee Calculation Construction Cost $ 155,000.00 m $ - $ 180.00 Plumbing Fee $ 22.50 Gas Fee 100 comm. $ 100.00 Electrical Fee $ 22.50 Total fees collected $ 325.00 901 Johnson Street 516-13 on 1/15/2013 second floor bathroom remodel !"O r L TTi�n V, • O O O n •Q. L n. 4) y m 23 - oo rm syr co N `' O O 2 E ai O c _ C O I- �• +r N z E• u u w � uj uai = Z z z a LL Q J N Z ujo O z Z u 0 m Q uj a0 Y. m J J O OOJ m O d W ++ N > > z V) v v v u v s c t t �_ v Y -O •Y C 0,0 (6 (0 3 :3 f0 3 _ i G1 O � O E 0 a)O O' N LL co N N LL cr U LL TTi�n V, • O O O n •Q. L n. 4) y m 23 - oo rm syr co N `' O " E ai u O �• c _ C O �• +r N 0 N , o=_a�> o - O = .� D N d E G o C z 0 0 ( '_ �• > 0 o • c OL - CL �--- i 4) don •N O O 3 Q' H o CO)� v m - W_ _ -0 - O O LLJ u.m • N N C N W . .0- O ��..+ y.,. E �J• V O 0.0 41++ F-� c N M •> 2 t6 o = 0 E L IL N t U) N A+ a� M W L O 0 N N O z 0 Q J 0 Em - Z G Z W w CL W F- LU W M • 0- H L"- It E O Z CL 0 w o � ' ^ c Q N •� •E L 0 d a, Ham-+ ^W i 0 �+ v G O CL C Q t = C� J � �CL0+; C Z V 0 CL V/ LLI W W 19 W V', i k, ACORO' CERTIFICATE OF LIABILITY INSURANCE Illlii�01/14/2013 ATE (MMIDDIYYYY) FD THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Phone: (978)475-0400 Fax: (978)475-2171 THE HOWE INSURANCE AGENCY 4 PUNCHARD AVE ANDOVER MA 01810 cCONTACTTina Grange PHONE FAX ac No Ext: 978 475-0400 ac Ne: (978) 475-2171 E-MAIL a ADDRESS: t gran 9_ @ _howeins.com INSURER(S) AFFORDING COVERAGE NAIC 0 INSURER : Travelers Insurance 6809B691084 INSURED SCOTT LEMAY INSURERS INSURER C DBA S LEMAY CONTRACTING C/O SCOTT LEMAY INSURER D-. 11 ALLEN RD WINDHAM NH 03087 INSURER E COMMERCIAL GENERAL LIABILITY - INSURER F COVERAGES CERTIFICATE NUMBER: 18444 REVISION NUMBER: THIS IS TO CERTIFY THAT 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 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. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADOL INSR SUBR WVD POLICY NUMBER POLICY EFF AMMIODmrrJ 07/16/12 POLICY EXP MM#M 07/16/13 LIMITS A GENERAL LIABILITY 6809B691084 EACH OCCURRENCE $ 1,000,000 X GE TO RENTED PREMI 300,000 COMMERCIAL GENERAL LIABILITY ES (Ea oo urence) $ CLAIMS -MADE '- I OCCUR MED. EXP (Any one person) $ 5,000 PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2,000,000 POLICY n PRO n LOC __JECT $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) $ ANY AUTO ALL OWNED SCHEDULED BODILY INJURY (Per accident) $ AUTOS AUTOS HIRED AUTOS NON -OWNED PROPERTY AMACE — _- $ AUTOS (per accident) $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAR CLAIMS -MADE AGGREGATE $ DED I RETENTION $ $ WORKERS COMPENSATION WCSTAT1T OTH TORY LIMITS ER $ AND EMPLOYERS' LIABILITY ANY PROPRIETORIPARTNERIEXECU IVE YIN E.L. EACH ACCIDENT $ OFFICERIMEMBER EXCLUDED? NIA E.L. DISEASE -EA EMPLOYEE $ (Mandatory in NH) E.L. DISEASE -POLICY LIMIT $ If yes, describe under DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) RE: 901 JOHNSON STREET NORTH ANDOVER MA 01845 CERTIFICATE HOLDER CANCELLATION TOWN OF NORTH ANDOVER SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE BUILDING DEPARTMENT THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE JiA91)&�� Attention: Christine J. Grange ACORD 25 (2010/05) ©1988-2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Massachusetts - Department of Public SafetN Board of Building Re!-ulations and Standards Construction Supervisor License License: CS 85235 SCOTT D LEMAY 11 ALLEN RD WINDHAM, NH 03087 Expiration: 1/21/2013 Co miissiuncr Tr#'. 8735 Office of Con�mer res & Business egu aGo HOME IMPROVEMENT CONTRACTOR Registration: ..155556 Type: Expiration: 4/23/2013 DBA S LEMAY CONTRACTING SCOTT LEMAY 11 ALLEN ROAD W►NDHAM, NH 03087: Undersecretary 4 Scott LeMay Contracting 11 Allen Rd. Windham NH. 03087 978-815-7876 Bill To: Paul Anderson 901 Johnson St. North Andover, Ma. Ship To: Project Master Bathroom Page: 1 Estimate Number: E101 Date: December 28, 2012 Description Amount Scott LeMay Contracting proposes the following: Full removal of all existing fixtures, interior and exterior wall sheetrock. Floor tile will be removed. We will take down a non -load bearing partion wall, in order to reframe it and move it approximately 2ft. towards the center of the bedroom. Exterior wall will be insulated, if need be, with faced R-13. New plumbing will be roughed in to accept a bigger shower stall and a double sink. New baseboard will be installed. All plumbing to code. We will wire in a new fan/light, a waterproof fixture in shower, and2 ?_ 1;_> ec eC r e'b 6- ftos Electric to code. Bathroom will be blueboarded and plastered. Walk-in closet will be patched, were existing wall was moved. New framed wall will be blueboarded and plastered. (2) Masonite, hollow core doors will be installed. v Scott LeMay Contracting 11 Allen Rd. Windham NH. 03087 978-815-7876 Bill To: Paul Anderson 901 Johnson St. North Andover, Ma. Ship To: Estimate Number: E101 Date: December 28, 2012 Project Master Bathroom Description Amount Carpet will be patched in, as best as possible. Basic white shelving will be installed in the new bathroom closet. SLC. will supply all materials and labor stated. Homeowner to supply the following: Shower Shower valve and sprayer. Toilet Vanity and top Faucet Tile and grout. Painting. 13,000.00 Quote includes all materials and labor stated. Quote does not include the cost of the permit or to upgrade any smoke detectors. Quote does not include the cost to repair unforseen code violations or damge due to water or insects. Total $13,000.00