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HomeMy WebLinkAboutMiscellaneous - 8 KATHLEEN DRIVE 4/30/2018t 4.` a C z P-4 .5 h i V E CL C p m a E a e Cpc p 3 •° VN O p E c 0- 0 c .' e o ISA co a .o .c O p O O uWa 4• < a (� a aUA w a C z P-4 .5 h i V E CL C p m a E a e Cpc p 3 •° VN O p E c 0- 0 c .' e o ISA co a .o .c O p O O uWa F- < a (� a aUA +. N N N V LUAS W in ~ n ca Z ' J ' �. d U ♦A m d. ui ui a C z P-4 .5 h i V E CL C p m a E a e Cpc p 3 •° VN O p E c 0- 0 c .' e o ISA co a .o .c O a Py..RMIT NO. cz APPLICATION FOR PERMIT TO BUILD - NORTH ANDOVER, MASS. PAGR 1 MAP NO. LOT NO. 12 RECORD OF OWNERSHIP iDATE BOOK PAGE ZONE SUB DIV. LOT NO. LOCATION ✓f/",vv PURPOSE OF BUILDING (� " p _. :�SIZ`E OWNER'S NAME NO. OF STORIES OWNER'S ADDRESS BASEMENT OR SLAB ARCHITECT'S NAME SIZE OF FLOOR TIMBERS IST �.� 2ND 3RD BUILDER'S NAME SPAN /q `7 DISTANCE TO NEAREST BUILDING -� DIMENSIONS OF SILLS DISTANCE FROM STREET 5'G AT AT � "" POSTS DISTANCE FROM LOT LINES - SIDES REAR " " GIRDERS AREA OF LOT/ ��� ! FRONTAGE HEIGHT ------------------ THICKNE�S/S IS BUILDING NEW � SIZE OF FOOTING IS BUILDING ADDITION MATERIAL OF CHIMNEY IS BUILDING ALTERATION �Ci�n. SO„ _ _ O IS BUILDING ON SOLID OR FILLED LAND WILL BUILDING CONFORM TO REQUIREMENTS OF CODE I/� r IS BUILDING CONNECTED TO TOWN WATER BOARD OF APPEALS ACTION, IF ANY IS BUILDING CONNECTED TO TOWN SEWER IS BUILDING CONNECTED TO NATURAL GAS LINE INSTRUCTIONS SEE BOTH SIDES PAGE 1 FILL OUT SECTIONS 1 - 3 PAGE 2 FILL OUT SECTIONS 1 - 12 ELECTRIC METERS MUST BE ON OUTSIDE OF BUILDING ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS PLANS MUSTE FILED ,�AND //APPRnOVED BY BUIL%DING INSPECTOR DATE FILED SIGNATURE OF OWNER OR AUTHORIZED AGENT FEE PERMIT GRANTED 19 3 PROPERTY INFORMATION LAND COST EST. BLDG. COST -w- _ i EST. BLDG. COST PER SQ. FT. EST. BLDG. COST PER ROOM SEPTIC PERMIT NO. 4 APPROVED BY BOARD OF HEALTH PLANNING BOARD BOARD OF SELECTMEN BUILDING INSPECTOR BUILDING RECORD 1 OCCUPANCY 12 SINGLE FAMILYTOES MULTI. FAMILY #�L OFFICES APARTMENTS _ CONSTRUCTION 2 FOUNDATION 8 INTERIOR FINISH CONCRETE _ _ 3 1 2 13 CONCRETE BL K* PINE BRICK OR STONE HARDW'D PIERS PLASTER -FRY WALL UNFIN. 3 BASEMENT AREA FULL '14 , V_ °% NO B'M'T FIN. B'M'TAREA FIN. ATTIC. AREA FIRE PLACES MODERN KITCHEN: _ _ HEAD ROOM 4 WALLS 9 FLOORS CLAPBOARDS CONCRETE EARTH B 1 2 3 — DROP SIDING WOOD SHINGLES ASPHALT SIDING ASBESTOS SIDING VERT. SIDING STUCCO ON MASONRY _ _ HARDVJ'D COMMON ASPH. TILE STUCCO ON FRAME BRICK ON MASONRY BRICK ON FRAME ATTIC STRS. & FLOOR _ CONC. OR CINDER BLK. WIRING STONE ON MASONRY STONE ON FRAME SUPERIOR I� POOR ADEQUATE NONE 5 ROOF 10 PLUMBING GABLEHIP BATH (3 FIX.) GAMBREL MANSARD TOILET RM. (2 FIX.) _ FLAT SHED WATER CLOSET _ ASPHALT SHINGLES LAVATORY _ WOOD SHINGES KITCHEN SINK _ SLATE NO PLUMBING _ TAR & GRAVEL STALL SHOWER _ ROLL ROOFING MODERN FIXTURES _ TILE FLOOR TILE DADO 6 FRAMING II 11 HEATING WOOD JOIST PIPELESS FURNACE FORCED HOT AIR FURN, TIMBER BMS. & COLS. _ STEAM STEEL BMS. & COLS. HOT W'T'R OR VAPOR WOOD RAFTERS _ AIR CONDITIONING _ RADIANT H'T'G UNIT HEATERS 7 NO. OF ROOMS GAS OIL B'M'T 2nd ELECTRIC _ of 13rd NO HEATING s` THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND DISTANCE FROM LOT LINES AND EXACT DIMENSIONS OF BUILDINGS, WITH PORCHES, GA- RAGES, ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN. Ro" Te i �77 „ORT” �'.. •° .��, TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING R � f ,SSACNUSE This certifies that ..t<I - . ".( ........�. ...................... . has permission to perform .... .................... . plumbing in the buildings of ... %! .................. at ....� /-�.f�. ��1!ti.................. . North Andover, Mass. Fee. Lic. No.. IU ?.6 . ....... Y. PLUMBING INSPECTOR Check ;q i 6457 MASSACHUSETTS UNIFORM (Type or print) NORTH ANDOV,(EJR,,, JM�ASSACHUSETTS Building Location �\/� New 1:1 Renovation OwnerA Name T e of Occu nc Replacement 0 TION FOR PERMIT TO DO PLUMBING / n L Date 's -S- _�- 4- l "a'11 VS �C Permit # Amount S",F - FIXTURES Plans Submitted Yes 1:1 No (Print or type)J i r� x- �f Installing Company ame QC"Ir-cJ Check one: Certificate ❑ Corp. Address W., I,- Partner. usmess Telephone — Firm/Co. Name of Licensed Plumber: Insurance Coverage: Indicate the ype of insurance coverage by checking the appropriate box: Liability insurance policy Other type of indemnity D Bond Insurance Waiver: I, the undersigned, have been made aware that the licensee of this application does not have any one of the above three insurance Owner I hereby certify that all of the details and int rmation I have best of my knowledge and that all plumbing work and install; compliance with all pertinent provisions oft Massachu t; �. BySignatureorT Type of F Title 111031" City/Town iicense um APPROVED (OFFICE USE ONLY Agent (or en ) i ve a 'on are true and accurate to the o Perr1`ii s e or this application will be in m ' g C de xn 142 of the General Laws. Master Journeyman ❑ PERAMIT NO. o 3 /d I APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. PAGE 1 MAP NO. LOT NO. I 2 RECORD OF OWNERSHIP iDATE BOOK PAGE ZONE SUB DIV. LOT NO. LOCATION PURPOSE OF BUILDING 1 C� x ?/_ I ®�- { D aIICJ c*-`✓v�'�� Poo OWNER'S NAME,%/l/onl.aS l9,ePA.�A _ NO. OF STORIES SIZE OWNER'S ADDRESS 1�,.�.�•C l^�OF .IL% I>pf4V,C10v,c�p •` BASEMENT OR SLAB �a/`, r�Cm/ i/ ` ARCHITECT'S NAM e �L, SIZE OF FLOOR TIMBERS VIST 2ND 3RD /10 BUILDER'S NAME ;&e b S le SPAN DISTANCE TO NEAREST BUILDING DIMENSIONS OF SILLS DISTANCE FROM STREET 0 `l �oorr. POSTS DISTANCE FROM LOT LINES-AO� SIDES")S4 bS,�. REAR 75 .� " " GIRDERS AREA OF LOT FRONTAGE HEIGHT OF FOUNDATION THICKNESS IS BUILDING NEWIf"/! 2cJ �� SIZE OF FOOTING X IS BUILDING ADDITION �r MATERIAL OF CHI IS BUILDING ALTERATION is IS BUILDING ON SOLI OR FILLED LAND WILL BUILDING CONFORM TO REQUIREMENTS OF CODE Y�� IS BUILDING CON41ECTED TO TOWN WATER BOARD OF APPEALS ACTION. IF ANY N©�� IS BUILDING CONNECTED TO TOWN SEWER IS BUILDING CONNECTED TO NATURAL GAS LINE INSTRUCTIONS SEE BOTH SIDES PAGE 1 FILL OUT SECTIONS 1 - 3 PAGE 2 FILL OUT SECTIONS 1 - 12 ELECTRIC METERS MUST BE ON OUTSIDE OF BUILDING ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS PLANS MUST BE FILgD A/N)b APPROVED BY BUILDING INSPECTOR DATE LED SIGNATURE OF OWNER OR AUTHORIZED AGENT F E E PERMIT GRANTED &A-Z.-L5� 19 IF 3 PROPERTY INFORMATION LAND COST EST. BLDG. COST C?C '�' ® o EST. BLDG. COST PER SQ. FT. EST. BLDG. COST PER ROOM PERMIT NO. 4 APPROVED BY i BOARD OF HEALTH PLANNING BOARD BOARD OF SELECTMEN BUILDING INSPECTOR BUILDING RECORD 1 OCCUPANCY I 12 SINGLE FAMILY Si DRIES MULTI. FAMILY OFFICES APARTMENTS CONSTRUCTION 2 FOUNDATION _ 8 INTERIOR FINISH CONCRETE 3 1 2 13 CONCRETE BL K* PINE BRICK OR STONE HARDW'D PIERS PLASTER DRY WALL UNFIN. 3 BASEMENT AREA FULL FIN. B'M'T' AREA _ '4 y, 1/1 FIN. ATTIC AREA NO BMT HEAD ROOM FIRE PLACES MODERN KITCHEN _ _ 4 WALLS I 9 FLOORS CLAPBOARDS DROP SIDING WOOD SHINGLES B _ 1 2 _ 3 _ _ CONCRETE EARTH HARDW'D COMMON ASPH. TILE ASPHALT SIDING ASBESTOS SIDING VERT. SIDING STUCCO ON MASONRY _ STUCCO ON FRAME BRICK ON MASONRY BRICK ON FRAME ATTIC STRS. & FLOOR _ CONC. OR CINDER ELK. WIRING STONE ON MASONRY STONE ON FRAME SUPERIOR I� POOR ADEQUATE NONE 5 ROOF 10 PLUMBING GABLE HIP BATH (3 FIX.( GAMBREL I MANSARD TOILET RM. 12 FIX.) _ FLAT SHED WATER CLOSET _ ASPHALT SHINGLES LAVATORY _ WOOD SHINGES KITCHEN SINK _ SLATE NO PLUMBING TAR & GRAVEL STALL SHOWER _ _ ROLL ROOFING MODERN FIXTURES _ TILE FLOOR TILE DADO 6 FRAMING II 11 HEATING WOOD JOIST PIPELESS FURNACE FORCED HOT AIR FURN. TIMBER BMS. & COLS. _ STEAM STEEL BMS. & COLS. HOT W'T'R OR VAPOR WOOD RAFTERS _ AIR CONDITIONING _ RADIANT H'T'G UNIT HEATERS GAS 7 NO. OF ROOMS OIL B'M'T 2nd ELECTRIC _ ter 13rd NO HEATING -`< THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND DISTANCE FROM LOT LINES AND EXACT DIMENSIONS OF BUILDINGS. WITH PORCHES, GA- RAGES. ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN. J dry �2$�Br c 1 ` Location v No. 44C) �ssncNustt 4 Check # 18664 Date 4- � TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee TOTAL Building Inspect - TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REP RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING T n . " Y BUILDING PERMIT NUMBER: DATE ISSUED: Le C SIGNATURE: Building,commissioner/lfor of Buildin Date - — SECTION 1- SITE INFORMATION 1.1 froperty A ess: 1.2 Assessors Map and Parcel Number: Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: Zoning District Proposed Use Lot Area Fronts ft 1.6 BUILDING SETBACKS 00 Front Yard Side Yard Rear Yard Required Provide Required Provided Required Provided 1.7 Water Supply M.G.L.C.40. 54) 1.5. Flood Zone Information: 1.8 Sewerage Disposal System: Zone fide Flood Zone 0 Municipal ❑ On Site Disposal System ❑ Public ❑ Private 0 _. SECTION 2- PROPERTY OWNERSHIPAUTHORIZEDAGENT � M�� Toric, District; Y P"10 2. l IOwner of Record ;71� WA &m.,Pnnt) -/ Address for Service Signature Telephone 2.2 Owner of Record: Name Print Address for Service: Signature Tele hone SECTION 3 - CONSTRUCTION SERVICES 3.1 Licensed onstruction Supervisor: Not Applicable ❑ L4 ensed Construction Su rvlsor: License Numbe Address) n9 , r Telephone i ,� i 3.2 Registered Homg Improvement Co r r Not Applicable ❑ �✓ Company N k f�� Re stration Nu r dr ss � f Exp' a• n Date S,i n e J Tele hone � v 00 rn M z O 0 z M 0 ic r _r 0 F Item Estimated Cost (Dollar) to be OFFICIAL USE ONLY Completed b ' permit applicant 1. Building `�� (a) Building Permit Fee / Multiplier 2 Electrical �— (b) Estimated Total Cost of Construction , 3 Plumbing Building Permit fee (a) x (b) v 4 Mechanical HVAC 5 Fire Protection 6 Total 1+2+3+4+5 Check Number ua.a.aavi. ro v��i�ra�a-�v1a1v1�ivt�11V1I 1V DL' %,V1112'LMJLMl WMEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I, as Owner/Authorized Agent of subject property f Hereboatf oriz toactMyben matters repa�? work authorized by this building permit application_ Si t u•eof Owner / Date I TION 7b OWNER/A#fHORIZED AGENT DECLARATION 1, ,as Owner/Authorized Agent of subject property Hereby declare that the statements and information on the foregoing application are Late and accurate, to the best of my knowledge and belief Print Name Signature of Owner/Agent Date NO. OF STORIES SIZE —BASEMENT OR SLAB SIZE OF FLOOR TIMBERS 1 s 2' 3 RD SPAN DDAENSIONS OF SILLS DWENSIONS OF POSTS DMENSIONS_OF GIRDERS HEIGHT FOUNDATION THICKNESS SIZE OF FOOTING x MATERIAL OF CHIMNEY 1S BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE 0 4 f 00 q. co T r � V r ��♦♦ V. W Qo b �: 1 W V% to Q Z O `"' 0 b 0 U o L 0 1V rn r o N LL(n s p •�'O O Z 00 to V o 0 0 \\Yc� Q�r d m y V u OD �, in. c b> Z = mzwm x W - W Q Q J � M ta et O } p� x' � W Z w. LU zID 2.. F �. UJ m } d W. m O ON2 f q. � � V r ��♦♦ V. Qo b �: 1 2 b a a Uzi Q�r d 4 iC O O. W M ta et O — p� x' Z w. LU 2.. F �. m } d W. m O al P h W w O J ' C O a o co m � 3 f a Y= O l <u W 1 a Z F •�1�� Z r' -� u O`j • A. ' Q �N G C p m c :,C O to � Z � Ea 0 i C UW a ._a r E ti v CL A W z c� C.5 O r O C as U w a°' wcn Wi W h W w O J O F=4 ' C O m C co m � 3 f }� Y= O l <u W 1 r Z F •�1�� Z r' -� u O`j • A. ' Q �N O F=4 NJ Z co zip H C O re m m CD C m 0 cm c c IV m 0 Z 0 ..7 0 .v 9� F+� 0 0 II�w Y/ 0/ W W oc W U) ' C O m C co m C 3 o� .m C O y C O CJ C.3 d� G C m c :,C O to � Z � Ea 0 i C ♦m.. O O_ ._a r E ti E5 CL :gym W z c� C.5 O r O C NJ Z co zip H C O re m m CD C m 0 cm c c IV m 0 Z 0 ..7 0 .v 9� F+� 0 0 II�w Y/ 0/ W W oc W U) co m C 3 C � .m y W to E CD nt3 cm C OQ to � Z � 0 o a 0 0- o d ._a az w c E ���40 cm Oe Q C CL • 32 W z o�=� r Cr m NJ Z co zip H C O re m m CD C m 0 cm c c IV m 0 Z 0 ..7 0 .v 9� F+� 0 0 II�w Y/ 0/ W W oc W U) CONTRACT AGREEMENT J & J Builders 214 Hampstead Street Methuen MA 01 844 978-681-5368 Innovative Design & Construction— MA Licence# CS 040305 DATE: February 05,2005 FRED & MARIE GALINSKI 8 Kathleen Drive North Andover, Ma. 01810 978/475-6160 1. Kitchen renovations: Remove all existing wall and base cabinets except existing island. Existing island will be re -used. 2. Remove existing dinning room wall dividing kitchen from dinning room. Patch and repair ceiling and walls where needed. 3. Install new kitchen cabinets as outlined on plans supplied by Marie Galinski. Mr. & Mrs. Galinski are required to supply new kitchen cabinets. 4. Install new window casing and base -molding in kitchen area only. 5. Remove existing kitchen door, patch and repair interior/exterior walls. 6. Patch and repair all walls behind removed kitchen cabinets where needed. 7. Order and install new '/4" x 2 '/4" red oak flooring. New flooring to be installed in kitchen and will match dining room oak floor. New kitchen floor will be sanded smooth and three coats of polyurethane will be applied. Kitchen floor will be blended into dining room floor. Dinning room floor resurfacing is not included in this contract. 8. Wiring allowance of $1,800.00 is included in this contract agreement for kitchen and. new half bathroom in basement renovations. 9. Plumbing included for hook-up of new kitchen sink/faucets. Install new toe -kick heater in kitchen. Remove existing baseboard heat in kitchen. Also tie in new garbage disposal and new dishwasher provided by homeowners. Install cold water line for icemaker on new refrigerator. 10. Order and install new granite counter -tops chosen by homeowners - based on new kitchen plan. Color chosen by homeowners from European Quarry Importers. $3,758.00. 11. New kitchen sink chosen by homeowners $480.00. 12. New kitchen faucet chosen by homeowners $340.00. 13. Completely gut out half bath in basement next to laundry closet. 14. Supply and install new fiberglass shower stall. Supply and install new faucets for shower stall. 15. Build new closet for adjacent bedroom. No new paneling included. Existing window will remain in same location. Supply and install new door for closet and bathroom. 16. Homeowners will be invoiced separately for basement sink, faucets, and toilet for new bathroom. Page 1 of 2 17. Install new insulation in renovated bathroom; exterior walls only. Install %i" blue - board and skim -coat with plaster for new bathroom and bedroom closet. 18. Tile allowance of $1,500.00 is included in this contract for material and labor for renovated half bathroom. 19. No priming, painting, or staining included .in this contract agreement. 20. J & J Builders will be in compliance with all state and local building codes. 21. Any additional material and labor not included in this contract will be invoiced separately and is due upon receipt. 22. Total cost for this contract. $32,278.00 DEPOSIT SCHEDULE 1. First deposit of $800.00 is required for building permit. 2. Second deposit of $17.478.00 is required to begin construction. 3. Third deposit of $10,000.00 will be required after installation of kitchen cabinets and basement half bathroom plasterwork is completed. 4. Final payment of $4.000.00 will be upon completion of this contract agreement. Signature of Signature Homeowner(s) Signature of Signature of Homeowners) r� Date '�, Date Date Page 2 of 2 The Commonwealth of Massachusetts Department of Industrial Accidents OMCS of lnvesdgedons Boston, Mass. 02111 - WOrkers' C -CM ensatan Insurance AAidavit F71' I am a sole proprietor and have no one wonting in any capacity I am an employer providing workers' compensation for my employees working on this job. an(rar one yuan• impnsorrI-aa-naeo_r-ata-peaat W In Bohm d a ZMP Y.WM.0ROER..and-a.fkr understand that a copy of thismay be for*VW to the Office of Inveedgadora of the DIA for coverage verfficadon.I I db herwO cw*,uniMrl� t) and penelVppwJury that the lnftmstlon provtW above Is bus acrd caned. Print nam` Ptam OfflcW use only do not write in this area to be completed by city or town offider My or Town P i BudbUna Dept Check M immediate msponss Is nsquisd [3 L kenSlrf+� Board p Selectman's Ofllce Confect person: Phone # Health Department I] Other e- Location ' `� � 4, `� No. 6 Date_' NORTH TOWN OF NORTH ANDOVER � OL 9 Certificate of Occupancy $ '�s ••nO Eli' Building/Frame Permit Fee $ s�cwus Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # 18,189 -1 lc�� - Building Inspector Date....? I.. .. r NORTI °`'"`° :•'"� TOWN OF NORTH ANDOVER PERMIT FOR WIRING SSACMUS� Thiscertifies that.................................... ..... s.�,-....... has permission to perform .. W. ' .,A,..e��` ... wiring in the uiiding of ....,,.. ....K,! ................. 4 at..... Fee .••..... Lic. Nd*�NM. r Check #�� '578 •....a� L�V34 1114V ♦Yl� ELECTRICAL INSPECTOR JIM t.ULY1 muly "ritLd" Ur tnta.)]rxt,"V U1F1 i L3 �•••-- ��- �•�,� DEPS RME7V1'OFPUNKSAMY Permit No. f BOARDOFFIREPREVEMON 527CM12- Occupancy & Fees Checked APPUC,AHONFOR PERAff TOP ORM ELECTRICAL WORK ALL WORK TO BE PERFORMED IN ACCORDANCE WITH THE MASS HussTs ELECTRICAL CODE, 527 CMR 12:00 _ (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Dat % S Town of North Andover To the Inspector of Wires: The undersigned applies for a permit to perfornt the electrical work d scribed below. Location (Street & Number) A- \/\, \ \ VA (n Owner or Tenant o. Owner's Address Is this permit in conjunction with a building permit: Y No (Check Appropriate Box) Purpose of Building Utility Authorization No. 30= Existing Service �(i%� Amps. / Volts Overhead Underground � No. of Meters .1 New Service 1�� Arnps 2o�Volts Overhead Underground l:3 No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work A4- VA �G No. of Lighting Outlets No. of Hot Tubs No. of Transformers Total KVA No. of Lighting Fixtures Swimming Pool Above 11 Below Generator KVA ground ground No. of Receptacle Outlets No. of Oil Burner No. of Emergency Lighting Battery Units No. of Switch Outlets . No. of Gas Burner FIRE ALARMS No. of Zones No. of Ranges No. of Air Cord. Total Tons No. of Detection and No. of Disposal No. of Heat Total Total Pum s Tons KW Initiating DevicesNo. No. of Sounding Devices E of Dishwasher Space Area Heating KW No. of Self Contained Detection/Sounding Devices Local Municipal Other No. of Dryers Heating Devices KW Connections No. of Water Heaters KW No. of No. of Signs Bailads No. Hydro Massage Tuba , No. of Motor Total HP OTHER* batt =covage Aqua[tiD&mwaana cfNtma±ummCSleidlzm lh=aanatli& t b&=xaeFbLYiclditCanpl* arbakaffiddAmbt YES ED N0 M Ihares kmadvardpwdofsmebdrOff x± WSET r)ouharedvJWYFS,pk=itr I I dr rArcfaNmWby dmkir,gthe IlVSURANCE BOND OIfIER (PleaseSperify) Eq*adonDde Etirr *dVakrdE1MkEal Wade $ WodcbStA hspe=D*Regxsbd Ra* I land FIitMNAME K ► I_r Gr' 1 � — 3igrtatae LioerLseNo © , lBusirlessTid.Na �('J3,3i1,? - 0 7�b e 1 C� I 3 N `t1�� V� �� 039(-3— AkTdNa OW?,WSTNS<1RANMWAMIamawaedla ftLioase"nothmft mxaloeom*crtsakdUdeglriva=asmgamdby CcoWLaws arylthatmysignatineonftpeon[ffkadmwritesthism* mlmt (Please check one) Owner Agent r Telephone No. PERMIT FEE $ Signature w 1 tiC I.UIVIMUP Tyraft" n yr Lrl/iJ►]tfa,nULMI A L3 DF.PAKINWOMBIESAFEW Permit No. ` BQARDOFF=PRE'VFNIM 5i7adR12Bfl Occupancy do Fees Checked ASS APPT T 17ON FOR P TOP O0 ELECTRICAL CODE, RICA cmR LoWORK Au WORK TO ACCORDANCE WrrH THE STS pa (PLEASE PRINT W INK OR TYPE ALL INFORMATION) To the Inspector of Wires: Town of North Andover The undersigned applies fora permit to perform the electrical work Location (Street dt Number) R A-� Owner or Tenant Owner's Address Is this permit in conjunction with a building permit: No below. (Check Appropriate Box) " !" Utility Authorization No. 30 purpose of Building Existing Service ,�1� Amps 2O Volts Overhead � Underground New Service 42a. Arnps 2o�Volts 'Overhead P Underground ' Q No. of Meters 1 No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work .._ _e U— T..1- No. of Trns&mm Tool No. or Lignung vuucu No. of Lighting Fixtures No. of Receptacle Outlets No. of Switch Outlets No. of Ranges No. of Disposals No. of Dishwasher No. of Dryers No. of Water Heater KW No. Hydro Massage Tubs No. No. of Air Cond. Tont FIRE ALARMS Tons No. of Had Tool Total No. of Detection and Pumps Tons KW Initiating Devices Space Area Heating KW No. of Sounding Devices No. of Self Contained Detection/Sounding Devices Municipal Heating Devices KWLocal Connections No. of No. of Total HP No. of Zones �.�.�.�. iltanoeCowa plr®uettbdetec}itemaisafNC�Lawa YESNO hmesas�tLteb�'tyi�su�toeFbi�:Yn�B�'4� t7it4suf>�rriela}ivaiai Ifyouha�e�YES,pla�enicftte typed wmzwby dna,rrtitzsdva6d=dofsane1Dihe0lBZ YM E=ftdVAr fEbMC lWadeS irtpeci rtD*PaVe*d R0* 1i Other urder l&e Pg. , _ Lina�seNo. NAME ' H �a2 tip l� 5 5' G �A `�l 5' S G'� f2 t L , (� �. C _ �� LtomseNo &A=TdNa � b 7 5 d 0 AkTliNa SSM WAMl nmmd9d eLkuwdDmnothenelheilmtaioeeovez�oritssub�arialegtivaiaYffiDac}>iadbyMawadu GalaalLaws myspaxeandispmmit picattonwa�dx+ g ase check one) Owner ri Agent Telephone No. PERMIT FEE S ailparwo: Owner Of Agent T. io. or IJTi4 TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REP RENOVAT4 OR DEMOLISH A ONE OR TWO FAMILY DWELLING BUILDING PERMIT NUMBER: DATE, ISSUED: SIGNATURE: Building Commissioner/I for of Buildings Date SECTION 1- SITE INFORMATION 1.1 Property A 1.2 Assessors Map and Parcel Number: Map Number Parcel Number 4� 01 t> 1�'G'�-- P-1 1.3 Zoning Information: Zonin District Use 1.4 Property Dimensions: Lot Area Frontage 8 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide ReqWred Provided Required Provided 1.7 Water Supply M.G.L.C.40. 34) I.S. Flood Zone Information: Public ❑ Private ❑ Zone Outside Flood Zone ❑ 1.8 Sewerage Disposal System: Municipal ❑ on Site Disposal System ❑ SECTION 2 -PROPERTY OWNERSHIP/AUTHORIZED AGENT � I',!o 2.1 Owner of Record �/ U N me (Print) Address for Se ice Signature Telephone 2.2 Qwner of Record: N& a Print Address for Service: Signature Telephone SECTION 3 - CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: Licensed Constructio Supervi r: l` ss g re 'Telephone Not Ap{�licable ❑ C LiceGnse Number Expire ' n Date 3.2 Registered Home Improvement Contractor Company Name i Not Applicable ❑ / — Registra ion Number / 5 Z,-% Add ss Expi ' n Date Signature_ _ Telephone 0 SECTION 4 -WORKERS COMPENSATION (MLG.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 ....... 0 SECTION 5 Description of Proposed Work check a9. bk New Construction ❑ Existing Building ❑ Repair(s) Alterati "... ❑ Addition 0 Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify Brief Descrintion of Prnnn.wA Wnrkr I SRCTTON 6 - F.STIMATM r0NCT211rT1rn1v VncTe Item Estimated Cost (Dollar) to be Completed b permit applicant OVftC1AL USE ONLY 1. Building (a) Building Permit Fee Multiplier 2 Electrical (b) Estimated Total Cost of Construction 3 Plumbing Building Permit fee t.l x (b)� 4 Mechanical HVAC 5 Fire Protection 6 Total 1+2+3+4+5 nT lITTA1T A s Check Number ..... ...... ,« ....�....... aAa ^lavLT iv DL' a i ri m1rU wrmfv OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I• 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 I, as Owner/Authorized Agent of subject F property Hereby declare that the statements and information on the foregoing application are true and accurate, to the best of my knowledge and belief Q Print Si a er/Agent Date NO. OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TI1vIBF.RS 1 2 ND 3 RD SPAN DIMENSIONS OF SILLS DllvIENSIONS OF POSTS DIlv1ENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CHININEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE CONTRACT AGREEMENT J & J Builders 214 Hampstead Street Methuen MA 01844 978-681-5368 Innovative Design & Construction— AM Licence# CS 040305 DATE. MAY 05,2005 FRED & MARIE GALINSKI 8 Kathleen Drive North Andover, Ma. 01810 978/ 475-6160 fgalinski@yahoo.com 1. Gut out existing main bathroom and adjacent master bedroom bathroom. Both bathrooms will be strip out down to existing studs, including insulation. Existing partition wall diving bathrooms will be removed, and the small closet will be removed to create one large main bathroom. 2. Existing sub -floor boards will be removed from new main bathroom area. 3. Remove existing doors into bathroom that will not be needed for new layout. Patch and repair walls to match existing walls on exterior of new bathroom. 4. Install new 3/4" CDX Fir plywood to existing floor joists, New plywood will be glued and screwed in place. S. Wiring: install new 200 -amp service up grade for entire house. Install new ls` floor bathroom service, 5" shower ceiling can, Vanity and ceiling light (Light fixtures not included), fan/ light/ heat unit, 1 GFCI outlet, wire new circle jet tub, and wire new toe - kick heater. Cost for wiring $2,670.00 is included in this contract agreement. 6. Plumbing & Heating — remove all existing old bathroom plumbing and baseboard heat units. Install all new copper and PVC for one toilet; two under mount sinks for new vanity, neo -angle shower unit, and new circle jet tub. Install new high -output toe -kick heater located in vanity, toe -kick heat unit is included in this contract. Plumbing and heating cost of new bathroom is $4,500.00, which is included in this contract agreement. All new bathroom -plumbing fixtures are not included in this contract. 7. Insulation — walls; R-13 (exterior walls only), ceiling; R-30, floor R-19. Insulation to be installed in new bathroom area only. 8. Install '/2" M.R. sheet -rock to all walls and ceiling, tape compound primer seal, ready for paint. Also patch ceiling in basement under existing bathroom. 9. Install '/z" Dura -rock to new plywood floor. Dura -rock will be glued and screwed in place. Dura -rock is required for tile floor installation. 10. Order and supply bathroom vanity and bathroom cabinet chosen by the Galinski's from Jackson Lumber. Cost of cabinet is $1,743.00, which is included in this contract. 11. Order and supply granite counter -top for new vanity chosen by the Galinski's from European Quarry Importers. Granite counter -top will be cut for two sinkholes. Cost of granite is $934.00, which is included in this contract. Page 1 of 2 12. Order, supply, and install all tiles chosen by Galinski's from European Quarry Importers. Tile Allowance of $2,000.00, which is included in this contract. 13. Order and install window casing for existing bathroom windows. Bathroom windows are to remain in existing location. Install new base molding and install one new bathroom entrance door. All moldings and door in new bathroom will match existing moldings. 14. No painting or staining included in this contract. 15. This contract does not include bathroom fixtures and faucets. 16. J & J Builders will be in compliance with all state and local building codes. 17. Total price of this contract is $32,998.00 DEPOSIT SCHEDULE 1. First deposit of $800.00 is required for building permit. 2. Second deposit of $20,198.00 is required to begin construction. 3. Third deposit of $8,000.00 will be required after all sheet rockwork is completed unto completion of this contract. 4. Final payment of J4, 000.00 will be due upon completion of this contract. 5. Total $32,998.00. Sign o4hractoByrnes Date Signature of Signature of Homeowner(s) Signature of Signature of Homeowner(s) ate Date Page 2 of 2 K N) c- c- m # o o ) _ z z m K = p . z ] ) CD a z > > § § e o cn o 2 ° ±l p S ■ I # ¥ .c«<\ v., m c y § a o a - o 6 ® ~&: m . _ �u ■ * & % m A : ��/\ .| z \ 9 § o } � mk§ { \ I m ( : \ m�� � I>m� ecn x §z �. a / a lu g g q . ■ B o S $ \ ® / 2 §e § S ] §co �c ! ©�CD4 \ 0 C §kap °cm MC <� . E , kz (00 0 co c ■ The Commonwealth of Massachusetts Department of Industrial Accidents Ofte of InvoWgadons Boston, Mass. 02111 Workers' CompenwUW lnsurwm AfFid" Neat• Please Print I an a homeowner perlorming all wore rnysm. a sole proprietor and have no one working In any capacity 0 I am an employer providing workers' compermtIon for my employees working on this job. Falk" to lacus caverege • rs*gr" unoar soman zsr► a MUS 1 s can Iead to dw krposttlon d otknlnd pwain d.a flm up to !1,500.0 andfaroneymWImprinanmant.w.wW.w.chd4wnllashtwf=dAS1 V11OMDFOERAWAfbd.(SJWA AxftmgWW.W& I wx1wetand that ■ copy d this statement may be forwarded to Um Ofte d Invastlgatl m d the DIA for covarapa verMcatlon. I do hereby cw* unabr ��,#Pwwfflw dperjury th fIslydbrrnatf�MvWdW�bdaMWvwIstrue and ca, Signature Print name Panne�`�--��� Oftw use only do not wrRe In this area to be completed by city or town atfkial' City or Town Perrt�fllJceruina ❑ BUIICjIf fg Deft . ❑Check M lmmedlate respor►ss IS ►squied ❑ Ltem jt Board ❑ Selectmen's Office Contact person: Phone ❑ Hea/t/f Departfnent 13 OUW North Andover Building Department Tel: 978-688-9545 DEBRIS DISPOSAL FORM In accordance with the provision of MGL c 40 S 54, a condition of Building Permit Number is that the debris resulting from this work shall be . disposed of in a properly licensed solid waste disposal facility as defined by MGL c 11, S 150 A. The debris Mill be disposed of in: of ivI t Sign tur Permit Applicant Date NOTE: Demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector N iLIT f q o ,.� P ` a is •G. a CLC rc o 2 :og is Q v O w aPQ v C/)w cz p O r�4 v C U C w a p rs: G w" U W p u: u cm C w x no O o4 q w E c� ° z cn v .•� cn y y as CL caO _m y v .CL CA O R C cc CLW H z ev � 3� O 0 V O d CL cm< c O CD 9 Z CLy C UA 0 W LU cc W o ` is •G. CLC rc o 2 :og is s c v 0 CLO' N lb A �! oCL. c E m cL L N ♦: H m; Z c Nip .5 2 N c +' cc `! A :t C C N N O mo o, CLCD m 0 1;'cc =ID cm c C 0Q CL C tm m :mo cca a Z o % d C, C �c Q(a m m c t Q = 'r O N W;~ N Vi W cc �5�Z Z — .N .CL:s Wgo E �E .0 �N Z o C.3 02 h a •� O- _ ` GoO I=�a EmF y y as CL caO _m y v .CL CA O R C cc CLW H z ev � 3� O 0 V O d CL cm< c O CD 9 Z CLy C UA 0 W LU cc W