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HomeMy WebLinkAboutBuilding Permit # 7/24/2015 f CtORTtl 9 BUILDING PERMIT ...- O°etat.o a,6's'fir TOWN OF NORTH ANDOVER ° APPLICATION FOR PLAN EXAMINATION - -� H Permit NO: Date Received Date Issued: @ ACHus���� IMPORTANT: Applicant must complete all items on this page LOC 16 ,., . :w P Int v, PEEtTY UWN R g ,w µ wywrwm wwa 'q"""�r- ;;4r✓ wi .�, , m P " MAR'NO. '' ' PARCEL: ZONING'DISTRICT: Historic District es no �llachir a Shop.UiUage" yes % ,na, TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building ❑ One family Addition ❑ Two or more family ❑ Industrial ❑Alteration No. of units: ❑ Commercial ❑ Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other ❑ Septic ❑Well ❑ Floodplain ❑Wefilands ❑ Watershed District Identification Please Type or Print Clearly) OWNER: Name: Phone: Address: INTR, CTC11 t me: ` Phone: fi►diiress; Supervisor's Construction License: Exp: Dafie Name Improvement License: Exp: ©ate: ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE:BULDING PERMIT:$1200 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ FEE: $ m Check No.: 21- Receipt No.: with contractors do not have access to thT guaranty fund NOTE: Persons contracting unregistered Signature of Agent/Owne4; ignature of contractor , , i v%®RTH Town of ndover ® 1 Z 1� _n - `AK� h " ver, ass, -] cOCHIC"tWIC. y1' AoRATEO BOARD OF HEALTH Food/Kitchen r. ERMIT T LD Septic System ��. ��. ................. BUILDING INSPECTOR THIS CERTIFIES THAT ...5­7.�n... ............................ .......... ........ .. ..... ,y� has permission to erect .......................... buildings on � .......,,(,`f/4...... ....... ....��.'. .. Foundation Rough to be occupied as d ....... ............. ...... ................................................................................. Chimney provided that the person accepting this permit shall in every respect 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 VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT E I E IN 6 MONTHS ELECTRICAL INSPECTOR LESS CONSTRUCTIO T S Rough Service .................. ............................................................. Final BUILDING INSPECTOR GAS INSPECTOR Occupancy Permit Required t® 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 Approvedthe Building Inspector. Burner Street No. Smoke Det. C.E. CYR CONSTRUCTION July 23, 2015 Mrs. Dorothy Dolan 148 Main Street Unit A513 North Andover, MA 01845 Dear Dorothy: RE: Renovation to Sutton Pond Condominium UNIT A513 For the price of$13,500.00 the following scope of work is proposed: DEMOLITION 1) Remove existing cabinets, counter tops, sinks and associated debris. 2) Remove two bathroom sinks and vanities. CONSTRUCTION 3) Furnish and install new cabinets and granite countertops per Jackson Lumber sketches. 4) Furnish and install new vanities and sinks. 5) Furnish and install new plumbing fixtures. 6) Repaint condominium 7) Install new carpets and vinyl plank in kitchen. Very truly yours, Ed O'Connor Vice President 300 Canal Street PHONE 978-686-8627 Lawrence,MA 01840 FAX 978-686-7365 EMAIL edoconnor@cecyrconstruction.com WEB SITE www.cecyrconstruction.com i o � I ® ® D (ID ® ® Note:This drawing is an artistic DARLENE BENOIT Designed:7/16/2015 interpretation of the general JACKSON Printed:7/16/2015 appearance of the design.It is LUMBER not meant to be an exact rendition. .MILLWORK CE Cyr 148 Main St No Andover Unit A#513 CC All Drawing#: 1 LU-===A J Note:This drawing is an artistic DARLENE BENOfr Designed:7/16/2015 interpretation of the general JACKSON Printed:7/16/2015 appearance of the design.It is LUMBER not meant to be an exact rendition. -MILLWORK CE Cyr 148 Main St No Andover Unit A#513 CC All Drawing#: 1 102" -7 10 1 314 Natural Granite 3/4" "in the box (ITB)" ------- .... --- ------___ __-----_ - ­­--------------------------------------------------- tops ------ tops with white oval bowls in Burlywood or Wheat with back and (1) side splash I W3314 W3314 W3314 F3 25" x 22"w/4" drillings $220 31 x 22" w/4" drillings $230 I B33 24.DISHW B1 8.FF3 ....... S]324-R=---- - ------ ------- .. ........... Countertop, Kitchen with optional BS L_� VSB24 VSB30 =331 Granite BS Builders Series $2,762 $100 Classic Series $3,099 $115 Premium Series $3,660 $140 $171 $189 Quartz Cambria $4,220 $166 Silestone (Bldrs) $3,379 $128 Contractor's Choice, Standard Construction, Thermafoil, White Bartlett door style, Kitchen ' - 30R-REF B1 2-R C30- RANGE1 612-L --818-L $2,123 --OPTIONS-- 431 W3014 11230- W3012 W3030 I Using B30 in place of B12 and B18 deduct $87. Changing fridge/range wall to (2) B21 on either side of range deduct$138 Add vanity pricing above All dimensions-size designations DARLENE BENOIT This is an original design and must Designed:7/16/20151 given are subject to verification on JACKSON not be released or copied unless -Printed:7/1712015 job site and adjustment to fit job LUMBER applicable fee has been paid or job conditions. _MILLWORK order placed. CE Cyr 148 Main St No Andover Unit A#5'13 CC All Drawing#: 1 1 No Scale. The Commonwealth of Massachusetts Department of IndustrialAccidents 1 Congress Street,Suite 100 Boston,MA 02114-2017 www mass.gov/dia NVorkers' Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information Please Print Legibly Name (Business/Organization/Individual):C E Cyr Construction Co., Inc. Address:300 Canal Street City/State/Zip:Lawrence, MA 01840 Phone#:978-686-8627 Are you an employer?Check the appropriate box: Type of project(required).- 1.[D required):1.®✓ I am a employer with 10 employees(full and/or part-time).* 7. ❑New construction 2.❑I am a sole proprietor or partnership and have no employees working for me in 8, Q Remodeling any capacity.[No workers'comp.insurance required.] 9. El Demolition 3.®I am a homeowner doing all work myself[No workers'comp,insurance required.]t 10 n Building addition 4.❑I am a homeowner and will be hiring contractors to conduct all work on my property. I will ensure that all contractors either have workers'compensation insurance or are sole 11.❑Electrical repairs or additions proprietors with no employees. 12.❑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. p 6.❑We are a corporation and its officers have exercised their right of exemption per MGL c. 14.Q Other 152,§1(4),and we have no employees.[No workers'comp.insurance required.] *Any applicant that checks box#PI must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. $Contractors 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 ant an employer that is providing workers'compensation insurance for my employees. Below is the policy mrd job site information Insurance Company Name:Granite State Insurance Co Policy#or Self-ins.Lic.#:WC005471926 Expiration Date:02/01/2016 Job Site Address:148 Main Street, Unit A513 City/State/Zip:North Andover, MA 0184 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 q y u der the pains and penalties of perjury that the information provided above is true and correct Signature: Date: Phone#:978-265-7 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 Cleric 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: Massachusetts -Department of Public Safety Board of Building Regulations and Standards Umwrurtiun SuperNi+ur License: CS-052555 n EDWARD J OCOr,4NO _- 8 UPLAND RD S ANDOVER MA 0181b,� 0 Expiration 09109/2015 commissioner