HomeMy WebLinkAboutBuilding Permit #202-14 - 94 CORTLAND DRIVE 9/4/2013 Location2
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No. l Date
. • TOWN OF NORTH ANDOVER
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Certificate of Occupancy $
Building/Frame Permit Fee ,. $
Foundation Permit Fee $
Other Permit Fee $
TOTAL $
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BUILDING PERMIT 3? �4,,v-66, 0
TOWN OF NORTH ANDOVER F r o
APPLICATION FOR PLAN EXAMINATION -
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Permit NO: L Date Received
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Date Issued. (,
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MPORTANT:Applicant n7mst LVlll 1t Ct all ithdllJ V11 u11S u'i.
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LOCATION �G I A 3 C
PROPERTY OWNERM
Print
MAP N0: PARCEL: ZONING DISTRICT: Historic District yes no
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TYPE OF IMPROVEMENT PROPOSED USE i
Residential Non- Residential I
❑ New Building K One family
❑Addition ❑Two or more family ❑ Industrial
IN Alteration No. of units: ❑ Corr�^c
9 Repair, replacement ❑Assessory Bldg ❑ Others: i
❑ Demolition ❑ Other
i...�z. _._ iA.1.,..a,
- .,....y..,.,Y.W..4.. _....-... rched.District
❑Water/Sewer
S r W o G re mo d.A 614NCOD W,
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Identification Please Type or Print Clearly) I
OWNER: Name: ���'�A'`�-� � Phone:���"
Address: C\A
v eil it AC:I 01 dame. 6\1 cvr\ Phone: C118-NO-5316
Address: 1 Bch St- --- „ bo� � _t1nVto tbmy
Supervisor's Construction License: CS 1051 Exp. Date: -7 12-$I IH
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Address: Reg. No.
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FEE SCHEDULE.BULDING PE $12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. I
T otai eject Cost: $ 171 i0J60 23Ap'� FEE: $
Check No.: Receipt No.:
NOTE: Persons co cg with unre istered contractors do not have access to th aranty fund I
Signature of Agent/Own _Si ature of contractor
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Enter construction cost for fee cal - North Andover Fee Cakulation
Construction Cost I.
$ 237960.00 m
$ - $ 287.52
Plumbing Fee $ 35.94
Gas Fee 100 comm. $ 100.00 j
Electrical Fee $ 35.94
Total fees collected $ 459.40
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94 Cortland Drive
202-14 on 9/4/2013 I
Remodel Bathroom
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NORTy
own of
2 EAndover
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ver, Mass, 3
COCNICNEWICK
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BOARD OF HEALTH
Food/Kitchen
PERMIT ,T LD Septic System
THIS CERTIFIES_THAT M..Lto.I.940.6t 49.0................ ..................... BUILDING INSPECTOR
........ ........... ............. .
. . Foundation
has permission to erect..... ................... buildings on ..... ...... �1�r'�. . ...... . .......................
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'..dA 4 A Rough
to be occupied as .... �... ... .�. ���.e.1R .. ......A ....A
.... ..'#''.. �fif � Chimney
provided that the person accepting this permit shall in every respect conform to the terms of the application Final
on file in 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 CONSTRUC N - RTS
Rough
Service
.........It
...... ...................................................... Final
BUILDING INSPECTOR
GAS INSPECTOR
Occupancy Permit Required to Occupy Buildin 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.
Smoke Det.
SEE REVERSE SIDE
The Commonwealth of Massachusetts Print Form
Department of Industrial Accidents 1
Office of Investigations
UV 1 Congress Street,Suite 100
Boston,MA 02114-2017
www.mass.gov/dia
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Applicant Information Please Print Legibly
Name(Business/Organization/Individual): 1(1 S j(�
Address: $l So\AV S4-
City/State/Zip:
4-
City/State/Zip: A- ot2ri b Phone#: 1118-Sa1-5610 !
Are you an employer?Check the appropriate box: Type of project(required):
1.❑ I am a employer with 4. E] I am a general contractor and 1 1
employees(full and/or part-time).* have hired the sub-contractors
6. E]New construction
2.N 1 am a sole proprietor or partner- listed on the attached sheet. 7. $a Remodeling
ship and have no employees These sub-contractors have g, E]Demolition
working for me in any capacity. employees and have workers' i
[No workers' comp.insurance comp.insurance.: 9. []Building addition
required.] 5. We are a corporation and its 10.0 Electrical repairs or additions
officers have exercised their 1
3.El I am a homeowner doing all work 11.❑Plumbing repairs or additions
myself. [No workers' comp. right of exemption per MGL 12.0 Roof repairs �I
insurance required.]t c. 152,§1(4),and we have no 13.0 Other I
employees. [No workers'
comp.insurance required.]
*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 state whether or not those entities have
employees. If the sub-contractors have employees,they must provide their workers'comp.policy number.
I am an employer that is providing workers'compensation insurance for my employees. Below is thepolicy and,job site
information. I
Insurance Company Name:
Policy#or Self-ins.Lic.#: Expiration Date:
Job Site Address: City/State/Zip:
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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 certify and r the pains and penalties of perjury that the information providedd above is true and correct t,
Si afore: _ _—__--_ ___ --_ - Date: /'3 '/ I
Phone
Official use only. Do not write in this area,to be completed by city or town official I
City or Town: Permit/License#
Issuing 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#:
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Start Date and estimated completion time
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We will begin work within 10 days of signing the contract. We will begin with the demo so
owner may order cabinetry and get granite company in for template. There is no way to give a
completion date as we will be waiting on stock to be ordered and come in. We expect the job to take
15 days to be done,but again these will not be consecutive days.
Payments
Owner shall pay contractor the sum of ��,�.bd dollars in 3
installments. 1/3 due at the signing of the contract, 1/3 due half way through,and the final 1/3 due
upon completion. In the event an installment is not paid when due,contractor may stop work until
payment is made and for five days thereafter. In the event any installment is not paid within 10 days '
after it is due,contractor may take such action as may be necessary,including legal proceedings,to
enforce its rights here under.
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date \
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Lois and Michael Jacobs 9/3/13
Meeting House Commons
North Andover MA
This agreement made this r�
gre day of ,2013,by and between
I&6e 1 herein referred to as
"owner",and Kevin McSheehy of Victory Construction,herein referred to as"contractor". Owner
and contractor in consideration of the mutual covenants hereinafter set forth agree as follows:
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Structure and Site I
Contractor shall furnish all labor and materials necessary for the"base project"which includes
removing all carpet upstairs,installing and finishing hard wood floor*hardwood floor priced for 2 I
1/4 red oak*,providing new partitions,french door*with an allowance of$1000*,door#2*with a
$200 allowance*,new glass and aluminum shower door for upstairs bathroom*$500 allowance*, I
relocate existing return air grill in ceiling,relocate switches for 2 ceiling fans and thermostat in I,
bedroom 1,provide 2 new wall outlets in bedroom 1 and 2, patch and finish wall and ceilings to
match existing,Sheet rock and 2 coats of mud and primer,and install pre primed base board and
trim. Contractor will also verify locations of smokes and sprinklers and add/relocate as necessary.
For the"Master Bath" contractor will furnish all labor necessary to demo the existing cabinet and `
granite *owner to supply new cabinet and granite and the installation of granite*,install new cabinet
*supplied by owner*,hook up sink,install recessed mirrors*mirrors to be supplied by owner*, I
install the under cabinet*tile supplied by owner*,plumbing,re grouting and minor repairs to
shower. For the"Kitchen"contractor shall furnish all labor necessary to drop kitchen half wall to be
same height as sink,demo the granite upper and lower island and cabinet,swapping out base cabinet I
for slide out barrel cabinet.
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Permits
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Permit fees are not included and are as follows
Building Permit is$12 for every$1000 of project total estimated cost
Plumbing permit is a minimum of$55 with an extra$5.50 per fixture j
Electrical permit is$55 minimum with an extra charge of$35 for 1-15 outlets
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Unexpected Cost I
In the"Kitchen"if we need to replace skin on back of peninsula or replace any trim there will
be an extra charge. If granite company requires and mounts or brackets there will be an additional
charge. If no toe kick is ordered when cabinet is ordered there will be an additional charge for the
toe kick. If owner wants a garbage disposal we will provide one for an additional$150.When re
grouting the shower,if there are loose tiles there could be an additional charge. The electrician may
need to make holes in other walls in order to snake wires. Although I expect this to be minimal there
may be an additional charge. please note this will also require more from your painter.
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