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Home My WebLink AboutMiscellaneous - 148 MAIN STREET 4/30/2018 (13) I I I` r i �` '/ �� Location /4/8 M A (A) c-J 5 ld A No. �J�� Date 0- t U t MpRTM TOWN OF NORTH ANDOVER A Certificate of Occupancy $ Building/Frame Permit Fee $ ACNus Foundation Permit Fee $ Other Permit Fee $ TOTAL $ 57 Check # (J 17612 Building Inspector a TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR,RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING $dill Sedi"for+O Sc s>l tale . rn BUILDING PERMIT NUMBER: AS— DATE ISSUED: _ 7 , M SIGNATURE: 44 M �, 0�1 3 Building Commi sioner/I or of Buildings Date 7 eW/4-q4 ,)Le SECTION l-SITE INFORMATION I Z 1.1 Property Address: 1.2 Assessors Map and Parcel Number: O A 5/ nDyt� ^ r,�OD o r a +^n Map Number Parcel Number �/lJ /`C`yv CSC Y�', 3/ 1.3 Zoning Information: 1.4 Property Dimensions: () 1 Zoning District Proposed Use Lot Areas Frontage ft7-' 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide ReqWred Provided Repired. Provided v 1.7 Water Supply M.G.L.C.40. 54) 1.5. Flood Zone Information: 1.8 Sewerage Disposal System: Zone Outside Flood Zone ❑ Municipal ❑ On Site Disposal Public ❑ Private ❑ poral System ❑ SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT i ' �'� y M 2.1 Owner of Record tMC . Ci-.tSllwiF `Hee1tq Aito eek' Name(Print) Address for Service: Signature Telephone Q 2.2 Owner of Record: Name Print Address for Service: 0 ' M Signature Telephone SECTION 3-CONSTRUCTION SERVICES 90 3.1 Licensed Construction Supervisor: Not Applicable ❑ 524,jV- A S)"Q�— Licensed Construction Supervisor: 6s-(o 3 License Number Address/ I 2f 36 Q -7a S 2 Expira'on Date o Si ature Telephone r 3.2 Registered Home Improvement Contractor Not Applicable ❑ v Cc._ pang Name Z 71'T1 / c' ^A-)Y P1 c1� _ Registration Number r Address v CJ r Expiration Date Si ature Telephone G) SECTION 4-WORKERS COMPENSATION(M.G.L C 152 § 25c(6) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the building permit. Signed affidavit Attached Yes.......❑ No.......❑ SECTION 5 Description of Proposed Work check sil a HcabM New Construction ❑ Existing Building Repair(s) ❑ Alterations(s) 7Fdditi on ❑ Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify Brief Description of Proposed Work: W SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)to be OFFICIAL USE ONLY Completed by permit applicant 1. Building (a) Building Permit Fee S� Multiplier 2 Electrical (b) Estimated Total Cost of Construction 3 Plumbing Building Permit fee(.)X (b) �J� 4 Mechanical HVAC 5 Fire Protection 6 Total 1+2+3+4+5 Check Number SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT 1, as Owner/Authorized Agent of subject property Hereby authorize to act on My behalf,in all matters relative to work authorized by this building permit application. Signature of Owner Date SECTION 7b OWNER/AUTHORIZED �AGENT DECLARATION ✓1�v- s I, _ S 1 V�uvv� ,as Owner/Authorized Agent of subject property Hereby declare that the statements and information on the foregoing application are tn►e and accurate,to the best of my knowledge and belief rmt N 6 gigVature of Owner/Agent Date NO. OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR Tl vIBERS 1' 2ND 3 KU SPAN DIMENSIONS OF SILLS DIMENSIONS OF POSTS DIMENSIONS OF GIRDERS !! HEIGHT OF FOUNDATION THICKNESS 1 SIZE OF FOOTING X MATERIAL OF CHIMNEY R IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE maw^ Homefixns kitchens & baths July 31,2004 Ms. Christine Sheehy 148 Main Street,#A512 North Andover,MA 08145 PROPOSAL DEMOLITION For the removal and disposal of the existing tub unit and shower/tub valve. SHOWER UNIT For the supply,delivery and installation of a custom copper shower pan,the construction of curb at shower entry,the installation of blocking in walls to accommodate grab bar installation,the application of Denseshield wallboard in entire shower area,the application of wall and floor file in entire shower area,the grouting of all ceramic tile,the supply and installation of two wall-mounted soap dishes and the supply and installation of one 36"grab bar and one 24"grab bar. PLUMBING The rough plumbing associated with the installation of new 2"drain pipe and for the supply,delivery and installation of a KOHLER K-9674 adjustable personal hand-shower kit in chrome finish. (Allowance for plumbing labor and rough plumbing materials is$500.00.) SHOWER DOORS For the supply,delivery and installation of KOHLER focal bypass shower doors K 701120L in bright silver finish. PAINTING Paint any areas affected by the construction and installation of the shower unit. Painting will be done to match the existing bathroom paint. OTAL PROJECT COST $4 0.0 Meaaxe or VM 222 Merrimack Street Phone:978-683-8080 _ Methuen,MA 01844 FAX: 978-683-9444 ��.� www.homefixns.net j License: CONSTRUCTION SUPERVISOR Number: CS 056372 Birthdate: 01/29/1958 Expires:01/29/2005 Tr.no: 7114 Restricted: 00 FRANK A SIMONE 154 PITMAN ST t � METHUEN, MA 01844 Administrator _- - Board of Building Regulations and Standards HOME IMPROVEMENT CONTRACTOR Registration:. 124791 Expiration: 8/25/2005 Type:- Individual Frank Anthony Simone Frank Simone 154 Pitman Street Methuen,MA 01844ti- � Administrator F NpRTH Town of ? 4Andover 0 '�y z - dover, Mass., T Q - LAKE �• COCMIC KEWICK V AORA rE o BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System 4BUILDING INSPECTOR THIS CERTIFIES THAT........ ....h ` �"' ~ ................. e! ....................................................................................�......................................... Foundation has permission to erect.. �.�..L... ....... buildings on .. Y#....,/»! I J....b f...... .....57-1 Rough to be occupied as................. ../ ............ ..............�.~............ .M..:..�.. .�.r ...................... 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 thction Alteration and Construction of Buildings in the Town of North Andover. (/Oe speS 1 41 Am PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES IN 6 MONTHS UNLESS CONSTRUCTIONS TS - ELECTRICAL INSPECTOR Rough Service BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove Rnagh 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.