HomeMy WebLinkAboutBuilding Permit # 7/1/2015 ®f
'�g4eD {; qHO
UIL ING PERMIT y`:,', 6oL
TOWN OF NORTH ANDOVER
APPLICATION FOR PLAN EXAMINATION -
Permit NO: Date Received *
A go
Date Issued:
�Rssgcrous�i�y
IMPORTANT: Applicant must complete all items on this page
! rr r
r�✓tr '1 1, /. r i ..r ,/.. rt / ,./ ,. Gr � % ,
/r�,. r,, i,r,, ,� ,i/ � r� ✓ � 9,1 �/ �r,✓/ r / r,�! rr rcrr/, /f�rr r,Ofr 1, ,, „i/r // � /f /
„�„faYv �+ ,!ls., / r,i � .,1� y ,: r „r///, , , �c//, .� r ✓ x// f ,/..F /,rir. :rir/� . "rr//f/ /r/,//�,r / d r/;:./
J'y„r;,„” i r�r.,'71����r}. ,�r±f��.. /k.,fr �r�% ,r / �.,,/f y�rir�l,,�,, ,I „✓% r ,r✓r,/�% / !,,✓rr/%�/r/�i.r�r/ ,.O r, �::/
,i,J/.Gr l✓,P/,;,,r1n�r i,�.,. �,O/�!/i..r,i,,,o..x✓�/,.,/-1.lj,i�✓rTr`.�„11!-/(rI,lJi/rlhCr/,,e/rS..,,ai,,r%1 rr,Jr r�r,,.,,I.rt��.„r.r..,,//C,.U/irl//, ,„�a,r,.r rI11r f,f/lrrrr,/,l,, ,1 r(/!�r ,,r.-,o, /rr r., I f,r15Jr
i
r
,
,
r/
„ e J / r ,, r r / ✓ „rr ,
.., ,,. /, /, r .f., .r ,. ,! /r cr ✓ / >'/i, r rr//, .../.../ !f /r. ,r/ / r� ,./iJ,
A f � /r=.N/di ,..,,��/,,,,P r.. ,, �.+ ;� ,ir//U,, J//2/ J ,JrG r r /.,,.�✓Il,
r,r i., / r �%?//... / / r // .r� 7l rrr, r�r .. / /✓.r:, ,,, r, ,.",. , '; //i, ,1/%, r /f G,,,.
� �;!�<i�f r/, 1,r,/,r/✓�,,>!,/ r �� ne Sh'a Ut11 ��///,/ /f ��// r/ �r1,/
K., ,r,,. � „_,,,”., r ,,,,r,rr,., „y. „�,,,...( ,...�r,,. , r ✓��rr ,�r f,r ��,. J�,:1
TYPE OF IMPROVEMENT PROPOSED USE
Residential Non- Residential
❑ New Building ❑ One family
❑Addition ❑ Two or more family ❑ Industrial
❑Alteration No. of units:--A ❑ Commercial
Repair, replacement ❑ Assessory Bldg ❑ Others:
❑ Demolition ❑ Other
r� .'/I�✓��.. l /�� r J �/r/. /// ✓/r 4r ,/ ,,,; / ,. �-�vr rr r i;.1/ r /r „ „'„ „��
//ky p,. ,, /„1�,Wel� / / ,l ❑ Flaod (a�n r , ❑�/1/et�arrds ❑ ,
Watershed D striotr/r
r�/!-.,,,e ,.. r��)/�J��, If; r J / %/y„Qr:" /Ir, ,,is✓F Poi i... F„ r :1� r// .r/�
AL//„,..{, //r/er, r Ir..✓ r/ ;� r %a /fill/ �l a �/% r// //� r/i ./..�
,u,/�/,��Ml:.,.,,r,.� cY,r,.r„!/l/rr+„�„1/A(%„Or///Ulf,,,/ii,/r,/,yAl✓i/,,,,, ,�,Er, !,v/1��,%G„n,. n!r ,%rYY!!�/ii/�,r, rr//„ ,rf/„/ ��, /r�//ern r..r�/ir�/,ya,/;��,
�r
Identification Please Type or Print Clearly)
OWNER: Name �”"
. ���: Phone: �� ., „���� ,
Address:
,.,,rrr f/�, ,.,f /,,,N,� ,,.„, r rJ ✓ r a,,,,,r:- ;,,, �„'.h ne�,Zi r r”✓,,,,,r,, r:.r rP9"”` ,..,,,. ff ,rrl/, ;.. >!r. / it:.
,,, A,- /i5r/r,r, -r.� �r/J�l „rig�fl/i eJ N,I ;,, ,..,i r �f ..,/,: ,/,/, r / '� /1 ,, / ,, � ,. ;: r ..r ✓r' /.�.,:
/;
,,1 r ✓,. ../�F
,,,,,„ �.�/ r, ,l,ai ld�/r�/ r(„,/�✓l /IL L.N'rr, ,// !,� „i„L,clr ,r/ r , ,,, //✓„r�.,,yr/f%rr, lam,,:, r, ,,,% a1r/,</rr;,, ,// //i r15, r r�rJ, /ir/r //»
;.�,,� jl��J 7,rrf ry,?�/��i�j 19,���� �/��s,h�i>✓� / i ,/„ ,, .r r � r,, r ,. /l,,,r/%/�, ,ld,,�:rr/u //i,�?/✓
„ v. ,✓” :Jr, r 7. rr t'•r %. Nfr r :, rl i. / / / f .rl, / ✓.
C1drsS✓Fal f,/,r 1„rtr�i ., , //a i / r. r i,fi „/ r>�i r .r / r i �/ // //f cl // r
oc,fa/ar/ r 1../ 1l; „, I/ r//I'. /./�:r ;, ,7 !/r% i. ,a. ,<,c! ,a r, i. l / t..//(f ✓ // r
,�arrr /e //�i, ,t ,, r/r/,,c ��ll ✓/ r, �,r/ / Jr1/J r. / r / / r r. / /�r
/, r�G �r,✓,�,, ( r r,. /9., r rr/„ / ,,./ ./a / / ;"•. ,i; r/ ,r r.I �r, ,.r r /.. ../f
/f"
,J�, %Vii.r Ui r /i 4,, r,f;,r rr//✓ ./ ;// „!�� r/ �r/ /�✓.J! r�////�!// / :// r ri or�4�. /sfr��f f ,,n, �,J r J // r r
�
r r bate
rr/ol.�l(/,, ,el�,�f('f/r,��,,„r�,,r./,/rI,r/�/..rrr;/�1”:„,✓f.n.�,�,„/,�ir fi,r;{,,,I�,�I r,r,.�,J,.iJ1 J�r�t,",,�r,,.l,,:,�,r,„r re!/.r.r,/,rr�',rr 1�.r,,r o-�ir�1✓.r'rr.r,t/✓.rrr„r//r.�rro,��,/.L,l/f(��1,J,�r�r l/,/c.//r,r/,�/,,er,,yr.1./I,�,.n/,>,GP...rr!9r/.s„/r,lr�/er/�/y///Jr/.�;�r r,/,/,�f,9./.iy/.r�/./rf,r�.�>„,„l:.„rp1rP,LR�,rr,./r/r!/,,/,r,„/J..-/.l rl/:,,,'//r,///r Grr..r/r r./✓d/r/r///,,✓.;/1rJr Yl�/I,/rf//�/fIhr,,,(:„..r.�:�:r.,,r,-.,,�r/r//irr r/r1fi J�,„rr�J,,///r_.rr�/1ro./..,/r.,;,/,/,r,rr//✓..i„r,.i.r�,r/..,r,I:,.�”,,,rr,.dr/rr rf
✓/riJr r
,
s
rf/Jp11
/F.>
.rr„5r
i,e r
„
l
„
,r.
i,(,Ic��.ri��r,✓��.,1�/G/ilo��y/rA���� l �,JrJ1ry,�/�l�//�,i, lrir 1. ,,, .:,., ,,r,;r ,;:/rr'i r o of/ � �/,r rl / /1 1 /,J,1 /„!���,/�;;rJ„/i,c/rtr r�� r l/
ARCHITECT/ENGINEER .r. Phone:
Address: Reg. No.
FEE SCHEDULE:BULDING PERMIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F.
Total Project Cost: $ FEE: $ fA
Check No.: n1Z > Receipt No.:
NOTE: Persons contracting with a regist red contractors do not have access to the ar 07pyrd°-,
Signature of Agent%Owner signature of contract
thORTH
Town of ndover
® ;'` 0%
No.
® ^K� ver, ass,
Coc"Ic"tw K
�®AoRATED
7. U BOARD OF HEALTH
K it
Food/Kitchen
Nor—
Septic System
THIS CERTIFIES THAT ••••••.. BUILDING INSPECTOR
Foundation
has permission to erect .......................... buildings on ... .... Q .. ....... :.................... .
.KLA-L-1
Rough
tobe occupied as ...... .... ............. ..-...�..... ................................................................ Chimn y
provided that the person accepting this permit shall in eve respect e
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
Rough
VIOLATION of the Zoning or Building Regulations Voids this Permit.
Final
PERMITEXPIRES Ihl_,6 MONTHS ELECTRICAL INSPECTOR
UNLESS CONSTRC Rough
Service
................................................................................ Final
BUILDING INSPECTOR
GAS INSPECTOR
Occupancy Permit Required to Occupy Building Rough
Display in a Conspicuous Place on the Premises — Do Not Remove Final
® Lathing or all ToBe Done FIRE DEPARTMENT
Until Inspected and Approvedthe Building Inspector. Burner
Street No.
Smoke Det.
Magloire Construction INVOICE
Haskell Ave.
Everett MA
Patrick Khoury Invoice Date 06/28/15
6 Walker Road
North Andover
DESCRIPTION
Replace all cabinets in kitchen, new granite counter top, 4 new windows, 1 sliding door, new carpet
(living room & 2 bedrooms), and linoleum in kitchen,tile in bathroom, and paint ceilings and walls
throughout condo. Ppe p p
..m
^a
Patrick Khoury M„„ ;'ristobo Magloire
Date. 6/28/15 Contract
f
Name: Patrick Khoury Email: khoury617(dgmail.com
Home phone: Cell phone: 617-852-2279
I
Property address: 6 Walker Rd.#7 North Andover, MA 01845
Payment 1: $2000.00
Payment 2: $2000.00
Payment 3: $1000.00 Total: $5,000.00
Description of work:
- Replace cabinets in kitchen $1100
- Install new granite countertop $1200
- Install 4 new windows and 1 sliding door$750
- Install new carpet to living room and 2 bedrooms and vinyl floor to kitchen $500
- Install new tile to bathroom floor. $350
- Paint ceilings and walls throughout condo $1100
Contractor Proprietor
A/
....... r p �ti
q
Magloire Construction
Phone: (617) 913-4998
INSURANCE` DIRECT BILL
The Commerce Insurance Company
Citation Insurance Company
211 Main Street,Webster,MA 01570 1508.943.9000
Homeowners New Business Declaration
ISSUED BY THE COMMERCE INSURANCE COMPANY
POLICY NUMBER POLICY PERIOD EFFECTIVE TIME AGENCY
H BGPVMM 6/22/15 6/22/1612 :01 AM STANDARD TIME MD2
NAMED INSURED AND ADDRESS AGENT
RONALD LOPEZ GORMAN INSURANCE OF CHELSEA, I
4 VERDUN ROAD 186 BROADWAY
WILMINGTON MA 018873420 CHELSEA MA 02150
BASIC ENDORSEMENTS SCHEDULED PROPERTY TOTAL ADDITIONAL/RETURN
PREMIUM PREMIUM PREMIUM PREMIUM PREMIUM
$202 .00 $53 . 00 $255 . 00
----------------------------------------------------------------------------
THE RESIDENCE PREMISES COVERED BY THIS POLICY IS LOCATED AT THE ABOVE
ADDRESS UNLESS OTHERWISE STATED.
LOCATED AT: 6 WALKER RD UNIT 7
NORTH ANDOVER MA 018451951
----------------------------------------------------------------------------
--------------------SECTION I----------------- ------SECTION II------
COVERAGE A COVERAGE B COVERAGE C COVERAGE D COVERAGE E COVERAGE F
DWELLING OTHER PERSONAL LOSS OF USE PERSONAL MEDICAL PAYMENTS
STRUCTURES PROPERTY LIABILITY TO OTHERS
$50, 000 $20, 000 $8,000 $300, 000 $5, 000
----------------------------------------------------------------------------
POLICY DED FORM TOWN/ROW CONST NO FAM CONSTR YR PROT CODE TERR NO APT
$1, 000 6 MA 1 03 E19 12
IN CASE OF LOSS UNDER SECTION I,
WE COVER ONLY THAT PART OF THE LOSS OVER THE DEDUCTIBLE AMOUNT.
----------------------------------------------------------------------------
----------------------------------------------------------------------------
ENDORSEMENTS ATTACHED LIMIT PREMIUM
HO-0006 04-91 Condo Unit-Owners Form (INCL.)
HO-0120 10-99 Special Provisions (INCL. )
HO-0496 04-91 No Day Care Coverage (INCL. )
CIC-907 04-96 Policyholder Notification (INCL. )
HO-0523 07-97 Amendatory Nonrenewal End (INCL.)
ACCT-CR 05-08 Account Credit 20% $16 . 00-
CIC-2064 05-10 Amend. Seepage/Mold Endt (INCL. )
Sect. I $10, 000
Sect. II $50, 000
CIC-2227 01-14 Value Added Pers Prop Svc (INCL. )
CIC-2237 05-14 Retail Benefits Program
DED AMT Deductible Amount $12 . 00-
GREEN-CR 05-11 Green Discount $2 . 00-
CIC 717(3192) M1101
1
O IN5uRArCE' DIRECT BILL
The Commerce Insurance Company
Citation Insurance Company
211 Main Street,Webster,MA 01570 1 508.943.9000
Homeowners New Business Declaration
ISSUED BY THE COMMERCE INSURANCE COMPANY
POLICY NUMBER FfjgM POLICY PERIOD JO EFFECTIVE TIME AGENCY
H BGPVMM 6/22/15 6/22/16 12 : 01 AM STANDARD TIME MD2
NAMED INSURED AND ADDRESS AGENT
RONALD LOPEZ GORMAN INSURANCE OF CHELSEA, I
4 VERDUN ROAD 186 BROADWAY
WILMINGTON MA 018873420 CHELSEA MA 02150
ENDORSEMENTS ATTACHED (CONTINUED) LIMIT PREMIUM
HO-0416 04-91 Protective Device Credit $2. 00-
2 PERCENT CREDIT
HO-0435 04-91 Loss Assessment Coverage $23 . 00
RESIDENCE PREMISES:
INCREASE IN LIMIT OF LIABILITY $49,000
TOTAL LIMIT OF LIABILITY $50,000
HO-1609 01-09 Water Exclusion Endorsmnt
HO-1732 04-91 Unit Owner Cov A Spec Cov $47. 00
HO-1733 04-91 Unit Owners Rent to Oths $17. 00
HO-2441 11-94 Lead Poisoning Exclusion $2. 00-
AGENCY AT CHELSEA MA DATE 6/21/15
AUTHORIZED COUNTERSIGNATURE
CIC 717(3/92)
2
f Massachusetts - Department of Public Safety
Board of Building Regulation,- and Standa
i
( Construction Supervisor
License: CS-101673
ris
ARISTOBOULH? AGLO
18 HASKELL AVE i
EVERETT MA
r,, H
✓. �� ' Expiration
Commissioner 04/16/2016
��/ze �(Lu11777017[Oefl��f/o�����1�lUicll�l�Jr J/J� '�,
Office of Consumer Affairs'&Business Regulation'
OME IMPROVEMENT CONTRACTOR
s�
egistration: 176926 Type:
Expiration: 40/10/2015 Individual
r
ARSTOBOUL MAGL.OIRE
ARSTOBOUL MAGLOIRE '
18'HASKELL AVE a
EVERETT,'MA 02149 Undersecretary ''