HomeMy WebLinkAboutMiscellaneous - 193 ANDOVER STREET 4/30/2018 (3) Location ` q3 Is, �L—
No. q S a _ Date -3 -3
MpRTN TOWN OF NORTH ANDOVER
a
Certificate of Occupancy $
9
Buiidin /Frame Permit Fee $
a,KMusE
Foundation Permit Fee $
Other Permit Fee $
TOTAL $ 6 U
Check # 8
'i 6 /- 71 IVGt (�-�-
Building Inspector
TOWN OF NORTH ANDOVER
BUILDING DEPARTMENT
APPLICATION TO CONSTRUCT REPAIR,RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING
sedm
f01iC181 SSCP
BUILDING PERMIT NUMBER. DATE ISSUED:
rn
SIGNATURE: /44"
Building Commissioner/I for of Buildings Date Z
SECTION i-SITE INFORMATION
1.1 Property Address: 1.2 Assessors Map and Parcel Number: O
A4d Sj
Map Number Parcel Number
1.3 Zoning Information: 1.4 Property Dimensions:
Zoning District Proposed Use Lot Areas Frontage fl
1.6 BUILDING SETBACKS ft
Front Yard Side Yard Rear Yard
Required Provide Required Provided Required Provided
v
1.7 Water SupplyM.G.L.C.40.1 34) 1_5_ Flood Zone Information: 1.8 Sewerage Disposal System:
Public 0 Private 0 Zone Outside Flood Zane 0 Municipal 0 On Site Disposal System 0
SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT rn
2.1 Owner of Record
Name(Print) Address for Service:
Signature Telephone yZ$ $S' 1?S/
22 Owner of Record:
.2j
C. 4!/Gr //sGc V ���L// O
Name Print Address for Service: z
M
Signature Tel hone
SECTION 3-CONSTRUCTION SERVICES 90
3.1 Licensed Construction Supervisor: Not Applicable E
�.,ation Supe sir. O
v,vP J�Y G License Number
f Mn
Address u f/'� e� s / `^ / 17—7/2l�03
SIJ eS �E C Yt ��
�!r Aix, Expiration Date
Signature Telephone r
3.2 Registered Home Improvement Contractor Not Applicable ❑
Xy5 S�/1 /J��f,e aL
130
3y �O
Company Name
L,rle7o! Registration Number
i1 ve!/
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Addres
z
Expiration Date
Signature Telephone vI
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.......0 No.......❑
SECTION 5 Description of Proposed Work(check alla licable
New Construction ❑ Existinrg Building ❑ Repair(s) VK�I Alterations(s) 0 Addition 0
Accessory Bldg. ❑ Demolition 0 Other Q� Specify
P.
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Brief Description of Proposed Work: J d
I-`SE4f—
SECTION
CTION 6-ESTIMATED CONSTRUCTION COSTS
Item Estimated Cost(Dollar)to be OFFICIAL USE ONLY
Completed by permit applicant
I. Building j�/ �,r,. (a) Building Permit Fee
Multiplier
2 Electrical (b) Estimated Total Cost of
Construction
3 Plumbing Building Permit fee la)x(b)
4 Mechanical HVAC
5 Fire Protection
6 Total 1+2+3+4+5 Check Number
SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN
OWNERS AGE/NT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
I> � /S 5 `/ /✓�/ ��r�i as Owne Authorized Age. f subject property
/ 7
Hereby authorize �t�,c s C//�-��f'twoy to act on
My b alf,in all atteys�elati to work authorized by this building permit application. A//-4
Si nature of Owner�� Date
SECfTTION 7b OWNER/AUTHORIZED AGENT DECLARATION
as Owne/i✓Autho zed A en of subject
property
Hereby declare that the statements and information on the foregoing application are true and accurate,to the best of my knowledge
and belief /
AllSSel�
Print ame
Signature of Owner/A/went Date
NO.OF STORIES Z SIZE
BASEMENT OR SLAB
SIZE OF FLOOR TIMBERS 1 Z Y$ 2No
3
SPAN Ja
DIMENSIONS OF SILLS 2,r
DIMENSIONS OF POSTS
DIMENSIONS OF GIRDERS L
HE-IGHT OF FOUNDATION THICKNESS '
SIZE OF FOOTING 2)e Z Z" X
MATERIAL OF CHIMNEY IV'
IS BUILDING ON SOLID OR FILLED LAND
IS BUILDING CONNECTED TO NATURAL GAS LINE
CONTRACTOR
RIISSEId.BARBEAU
(603) SALEIVI 870-96OO, CONCOIR13 227-9600 54 Elm Street
Nodhfle03276
(LAKES REGION) NOIZTIIFIELD 286-9600 Phone((603d,NH)286-3600 6-360
MANCHESTER 647-6(>0l Phone(603}2863600 � Y
Proposal
Submitted To: Work To Be Performed At:
Name(s): t1 A„y k•t pa r, k, t4�d d Proposal
Hereinafter #: v'j 0 6 0 31
referred to as: M l4 C M
Address: 14 3 /},,)aJe. S+ Address: f R3 A„jove- f¢_
Suite/Apt: Suite/Apt:
City: Qo,- -k 1tJovcr City: !�lor•}ts h•'ovtt-
State: "A Zip: vlg1/S State: MA Zip: b I I/S
Work: q73-6%1-o`uoo Date of Plans: 3-U- Zoog
Ho"t 6 Ext: Architect: lei/A
Signature: Signature:
Russell Barbeau U#Error
Date:
Signature:
Date: 3
Ald)
Wednesday,March 26,2003 Page 2 of 2
r
III?SSI;I,L BARRE AUT
(6003) SALEXI S70-9600, CONCORD 227-9600 54 Elm Street
(11AKES REGION) NORTHFIELD 2W3-9600 Northfield,NH 03276
X1ANf"III:SZ'TIZ (i47-(i(HYl Phone(603)286-3600
Proposal
Submitted To: Work To Be Performed At:
Name(s): Mw�y Vt;ipa-rl-ritl/.� para Mtirskgll
Hereinafter Proposal#: a ) D 6 0 31 y-3
referred to as: M K C M
Address: 1 q3 Atiaovu S-�, Address: i ci3 AJaver 54;
Suite/Apt: Suite/Apt:
City: Wor4-h A,divee- City: Nert-G h-,dov(r,
State: MR Zip: 0!&,rs State: M R Zip: 01064/5
Work: Q76- 6S i- 06DO DateofPlans: 3-26-2oa3
How e.%9 7S-6 g 5-16%16 Ext: Architect: NtA
Exceptional commitment contract statement and definition:
Contractor General,hereinafter referred to as CG, will maintain a high level of commitment and production for every
aspect of the job. This job shall be stocked and work begun within days of receiving funds for that portion of the
project(over one dollar). All charges to MKVI will be derived from this estimate dated 3-U-200 3,bearing the
name of M,,( tic J pw$r;,-k, Cara M.-1541411 and shall not exceed those prices for: !fit p a!r V-73" i,-,,,,+
parc4J NTE 415,515 f-or all 41.0, 5 [;S+tJ c.. 00 L06031411-3
Itemized work is as shown on attached estimate detail pages with each item broken out into labor and a material allowance.
PRICED AS ITEMIZED Total: $15,61.f.04
CG considers the work on the project to be completed in that it is suitable for the Owner to use for its intended purpose. The date
of this certificate shall be the date of commencement of all warranties and shall be considered as approval for final payment as set
forth in the contract. This certificate does not relieve the Contractor from any obligation of the Contract.
All material is guaranteed as specified and the above work is to be performed in accordance with the drawings(if applicable)and
specifications submitted for above mentioned work and completed in a substantial workmanlike
manner for the sum of F;F+eek� J! f X v1Jra b r4+ce^ Jot 1m r5 qJ 00 ce,+s
Respectfully submitted by:
Signature:
Acceptance of proposal:
The above prices,specifications and conditions are satisfactory and are hereby accepted. CG is authorized to do the work as
specified Payments will be made as outlined above. agrees to sign a Certificate of Substantial Completion and
acceptance when we are at that stage,time being of the essence.
Contractor General Representative Client(s)
Wednesday,March 26,2003 Page 1 of 2
�Te �� ria
go rd of 9iu� ing e-gulatiohs an tandards
HOME IMPROVEMENT CONTRACTOR `
_
Registration. 130406
E*piration 3/6/2004
,TYPe
Individual
RUSSELL BARBEAU t;,,
} RUSSELL BARBEAU p'`./
LOT207 �+
(i 288 LITTLETON RD\ ,
,
CHELMSFORD,MA 01824 Administrator
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Town of
Andover
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No. 4 :5 ;t
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o� coc"Ic <� dower, Mass.,
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?9 ORATED
S E
BOARD OF HEALTH
P., ERMIT T D Food/Kitchen
Septic System
h Q ` CBUILDING INSPECTOR
THIS CERTIFIES THAT.....MA. -44.............K11. ... �L.........................................
................................................ Rough
has permission to ewct... !. A 1..r'... build ings on.......RS. .....Amdow-0l'� C- Foundation
to be occupied as �. �.. ......... l...... d ..... ...... 4` ............................ 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 relatin to the Inspection, Alteration and Construction of
Buildings in the Town of North Andover. 4 &/ I Z I & O �� PLUMBING INSPECTOR
VIOLATION of the Zoning or Building Regulations Voids this Perm Rough
PERMIT EXPIRES IN 6 MONTHS Final
UNLESS CONSTRUCTION STARTS ELECTRICAL INSPECTOR
C
Rough
.......A.. .................................................................................. 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.