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HomeMy WebLinkAboutBuilding Permit # 9/21/2015 txoRTH 11% S BUILDING PERMIT 0* q4e, IN TOWN OF NORTHA VE 0 APPLICATION FOR PLAN EXAMINATION 4( Permit No#. Date Received A E gSSAC US Date Issued: IMPORTANT:Applicant must coinplete all items on this page LOCATION i�4'lAide A8 Print PROPERTY OWNER ,4e , 'Print 100 Year Structure yes no MAP 0 "�O Lb_PARCEL: ZONING DISTRICT: Historic District yes no Machine Shop Village yes -no TYPE OF IMPROVEMENT PROPOSED USE Residential Non--Residential El New Building 0 One family Li Addition El Two or more family 11 Industrial El Alteration No. of units: 11 Commercial [I Repair, replacement 11 Assessory Bldg thers: El Demolition El Other s �r)7MPY usr���t��� ptic���yrlW�ll ,����/�% � r� , �i�,�later, ewes�,,���// �,,, � r, ' DESC Location ........) No. Date tc, )a x Q1, TOWN OF NORTH ANDOVER /0)1denti ic Awl----rr I"WNER: Name, Certificate of occupancy Address: Building/Frame Permit Fe e Foundation Permit Fee Contractor Name: Other Permit Fee Email: Zc, TOTAL Address'.' 91 aJ, Supervisor's Construction Licen 't Check# 4:1 A(2 Home Improvement License: Building inspector ARCHITECT/ENGINEER Address: Reg. No. FEE SCHEDULE.BULDING PERMIT. $12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. mj) ­1 Total Project Cost: $ t1* FEE: $ Check Np.:_ A Receipt No.: NOTE:1,�Pers s contrWtJ 'with unregistered contractors do not have access to the guaranty fund �er< 711 _7 771� Town of Andover No. _ T _ C% LAK& h vers Mass, coc Ic Nl WICK •�' l �•9 A°RATED ATP����S S U BOARD OF HEALTH FERMI �r Food/Kitchen LD Septic System THIS CERTIFIES THAT ....... ........ . . ........... BUILDING INSPECTOR has permission to erect.. ..Me... buildings on .... 4„� „�� Foundation .......... ................... to be occupied as ..... .�r.r..®.. .... .. .*,.............. ..o1r!I..1.. ... g Rou h P&A•• • ••• Chimney provided that the person accepting this permit shall in every respect c form to the terms of the application on file in this office, and to the provisions of the Codes and By-Laws relating to the Inspection,Alteratio d Final Construction of Buildings in the Town of North Andover. % ® PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. ® Rough Final PERMIT I ES I MONTHS 1 S ELECTRICAL INSPECTOR UNLESS C CTI TRough Service ................... . ... /� . .................. BUILDING INSPECTOR Final GAS INSPECTOR Occupancy Permit Required to Occupy Building- 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. Smoke Det. ZALANS"S CONSTRUCTION 34 BIRCH ROAD ANDOVER MA 01810 978-836-6194 GREG.ZALANSKAS0.CORQAST.,NET QUOTE# 32 Order# Date 8/18/2014 QUOTE SUBMITTED TO: WORK TO BE PERFORMED AT: Name Steve&Francine Jones Name SAME Address 75 Hillside Road Address City-State North Andover Ma Planned Date Phone 978-691-5385 /ceH 617-755-4808 lemail francine.jones(aftalMellon.corn ,Job Description: DECK RESURFACE The existing deck framing will remain the same. We will remove existing decking,remove railings,keep the 4x4'existing posts,remove risers on the steps, INSTALL New 5/4x6 Azek Tahoe PVC decking,blind nail and screw&plug system to attach decking,new 4x4 Azek composite sleeve over the existing 4x4 posts, install Azek PVC post caps and bases,new 1x8 PVC risers,WO PVC skirt board around outside perimeter of deck,White composite Radiance rail system With square balusters, Decking is special order. Materials cost$5,257.00 Labor $5120.00 Disposal$260.00 Permits$220.00 Once the old decking and railings are rerrioved , the structure needs to be inspected by the town, if changes need to be made additional cost may accrue. All material is guaranteed to be as specified,and the above work to be performed in accordance with the drawings and specifications submitted for above work and completed in a substantial workmanlike manner for the sum of. $10,847.00 PLEASE MAKE CHECK OUT TO ZALANSKAS CONSTRUCTION with payments to be as follows $5500.00 deposit to order product $2000.00 at start Submitted by, GREGORY ZALANSKAS $3347 due at completion OF ZALANSKAS CONSTRUCTION Acceptance of Proposal The above prices,specifications and conditions are satisfactory and are hereby accepted. You are authorized to do the work d above. Pay a t will be made as outlined above. ,Accepted by: 7= ..1 Z� /4 a& 00 15- Please note: -Tfiis pro iep,sal may tiCiwithidrawn by us if not accepted within 30 days 41d5),J-"m5 The Commonwealth of1Mlassachusetts Department oflradustrialAccidents .1 Congress Street,Suite 100 - _ - Boston,MA 02114-2017 www.mass.gov1d1a Workers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers- TO BE FILED WITH THE PERMITTING AUTHORITI'. A licant Information Please Print Le 'bl Name(Business/organization/Individual): Address: City/State/Zip: gJoo1,-- Phone Are you an employer?Checktlie appropriate box: Type of project(required): 1.❑Iamaemployerwith employees(Rill and/or part-time).* 7. ❑New construction 2.Ifl I 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.FJ I am a homeowner doing all work myself[No workers'comp.insurance required.]t 10 F1 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.Q Plumbing repairs or additions 5.❑I am a general contractor and I have hired the sub-contractors listed on the attached sheet. 13.0 Roof repairs These sub-contractors have employees and have workers'comp.insurance.t n n(� 6.FJ We are a corporation and its officers have exercised their right of exemption per MGI,c. 14.©Other 2e5yrhGt ec 152,§1(4),and we have nq 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. T 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 ispi dviding workers'compensation insurance for•my employees.'Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins,Lie.#: ExpirationDate: 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 certify under the pains andpenatties ofpeiyuiy that the information provided above is true and correct. Signature: Date: Phone#: Official use only. Do not 1prite 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#: ��e �poawuca�rcaeal�a��/f/�«��ac�u el7a Office of Consumer Affairs&Business Regulation License or registration valid for individul use-only ME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: UT—egistration: 126875 Type: Office of Consumer Affairs and Business Regulation piration 8!3/2016: . Individual 10 Park Plaza-Suite 5170 Boston,MA 02116 GREGORY J.ZALANSKAS GREGORY ZALANSKAS 34 BIRCH RD gn 1 ANDOVER, MA 01810 Undersecretary valid without signature t Massachusetts - Department of Public Safety Board of Building Regulations and Standards Construction Supervisor License: CS-072201 f` GREGORY J 34 BIRCH RD r Andover MA 01830 f+ Expiration Commissioner 03/18/2016