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Home My WebLink AboutBuilding Permit # 6/4/2015 t%O R Ty BUILDING PERMIT �4, TOWN OF NORTH ANDOVER 0 :� x APPLICATION FOR PLAN EXAMINATION Permit No##: Date Received '� A�RATEo PPR 4`� � ,s CHUSE� DateIssued: I1VIPORTANT:Applicant must complete all items on this page r LOCATION Print PROPERTY OWNER Print 100 Year Structure yes no MAP PARCEL:C _ ONING DISTRICT: Historic District yes no Machine Shop Village yes. no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building ❑ One family El Addition El Two or more family El Industrial El Alteration No. of units: El Commercial Repair, replacement ❑Assessory Bldg ❑ Others: Demolition ❑ Other J ''" rf+A s �' .,` •:`t''-'7M4 z E 7 -151,17", / C y 1Nell ❑ Flood lainWetlands, fir> 1]VatershedDistrrct ,❑ Septt c. ❑ w r DESCRIPTION IWO K TO BE PERFORMED: { �Jzx � � F Identification- Please Type or Print Clearly OWNER: Name: Address: �� 4L Contractor Name: � �' Phone: - 15 Email �e)-�111P _'e � Address: y Supervisor's Construction License: 2-3, Exp. Date: . Home Improvement License. Exp. Date: ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE.BULDING PERMIT:$92.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$925.00 PER S.F. Total Project Cost: $ }� �(. FEE: $ Check No.: Receipt No.: NOTE: Persons contracting with unregistered contractors do not have access to the guaranty f nd m , d i AM VAORTH flown of ndover CC) L^Kf h ver, Mass, coc"Ic Hl WicK 11L D BOARD OF HEALTH Food/Kitchen PERMIT T Septic System THIS CERTIFIES THAT . 1/.. ,,....�.,. ,. ..� R2�,fr4.47. ............. BUILDING INSPECTOR ... .... . .,. .. . .. Foundation has permission to erect .......................... buildings on ...... .......... ►elyii ... ....... .. �+y• Rough to be occupied as ..9.4 ......4�.I..1./.! ...•.......Q.�(!►.......�.kr....t...... ... 1.4�nb�lN. �- Chimney provided that the person accepting this permit shall in every respect conform to the 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 M NTS ELECTRICAL INSPECTOR LESS C ST CTI S Rough Service ................ ...... ....................................................... Final BUILDING INSPECTOR GAS INSPECTOR Occupancy Permit Reguired to Occupy Building Rough Islay 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. Page: 1 Scoft LeMay Contracting 11 Allen Rd. Estimate IftWindham NH. 03087 Number: EIOI 978-815-7876 Date: May 01, 2015 Bill To: Amy Stavros 57 Hitching Post Rd. North Andover, Ma Project Deck restore. Description Amount Scott LeMay Contracting proposes the following: To remove all the existing decking and rails. 4x4 posts will stay unless the strength of the post has been compromised. To remove stairs totaly. Debris to be disposed appropiately. Construct a new sets of stairs using (4) 2"x12" PT. (2) 10" holes will. be dug, for the support cradle, under the stairs. Decking: Fiberon Rosewood decking will be installed, using a hidden fastener system, in a pictured frame pattern. Trex 6"x6" sleeves will be installed with matching caps and skirts. Rails: Trex railings will be installed with the top cap macthing the decking. Stairs will also be installed using a picture frame pattern. Treads will be screwed down. The entire rim joist and stair sides will be covered in PVC. Attached with white matching plugs. ret.:I Scott LeMay Contracting 11 Allen Rd. Estimate IftWindham NH. 03087 Number: 121101 978-815-7876 Date: May 01, 2015 Bill To: Amy Stavros 57 Hitching Post Rd. North Andover, Ma Project Deck restore. Description Amount All support posts will be wrapped with Versa Wrap. (6) Trex Deck Rail lights will be installed, operated by a 17,000.00 photo-activated timer with a dimmer. Quote includes all materials and labor stated. Quote does not include any unforseens,such as water or Insect damage. Quote does not Include the cost of the permit. Total $17,000.00 1?15C /oil � � The Commonwealth of Massachusetts Department oflndustrialAceidents a a 1 Congress Street,Suite 100 Boston,MA 02114-2017 www.mass.gov/dia 5�• Workers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY.A licant Information Please Print Le ibl Name(Business/Organization/Individual): Address: City/State/Zip: G�'/�� Phone#: Are you an employer?Check the appropriate box: Type Of project(required): 1.❑I am a employer with employees(full and/or part-time).* 7. ❑New construction 2, am a sole proprietor or partnership and have no employees working for me in 8. []Remodeling 'any capacity.[No workers'comp.insurance required.] 9, ❑Demolition 3.❑1 am a homeowner doing all work myself.[No workers'comp.insurance required.]t 10 Q Building addition 4. 1 I am a homeowner and will be hiring contractors to conduct all work on my property. I will 11.❑Electrical repairs or additions ensure that all contractors either have workers'compensation insurance or are sole proprietors with no employees. 12.0 Plumbing repairs or additions 5.❑I am a general contractor and I have hired the sub-contractors listed on the attached sheet. 13.❑Roof repairs These sub-contractors have employees and have workers'comp.insurance.# 14.❑Other, 6.Q We are a corporation and its officers have exercised their right of exemption per MGL c. 152,§1(4),and we have no 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. Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. tContractors 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. Insurance Company Name: Policy#or Self-ins.Lie.#: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under MGL c. 152,§25A is a criminal violation punishable by 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.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby cert under thepains and penalties ofpeijury that the information provided above is true and correct, Date: ,Signature: Phone#: official use only. Do not write in this area,to be completed by city or town official. 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#: