HomeMy WebLinkAboutBuilding Permit # 11/23/2015 %AO
BUILDING PERMIT 'T"RTD 1H
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TOWN OF NORTH ANDOVER
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APPLICATION FOR PLAN EXAMINATION
Permit No#: Date Received A ED
Date Issued,
IMPORTANT:Applicant must complete all items on this page
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LOCATION _2 Ee r- /- /t/0. dg12y,,-eL- M4
Print
PROPERTY OWNER a eme'v Ael4pdlly
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Print 100 YearSlructure yes n
MAP PARCEL: V-'h ZONING DISTRICT: Historic District yes
I Machine Shop Village yes
TYPE OF IMPROVEMENT PROPOSED USE
Residential Non- Residential
[I New Building "V One family
El Addition El Two or more family El Industrial
El Alteration No. of units: El Commercial
epair, replacement El Assessory Bldg El Others:
El Demolition [I Other
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DESCRIPTION OF WORK TO BE PERFORMED:
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Identification- Please Type or Print Clearly
OWNER: Name: Hap-;®rr v4 Phone: 5,41
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Address: ,V0. AoloveA- O/ Ft/f—
Contractor Name: Tgwe--s 4,0 112A7 Phone: - ,3 7 2�.
Email:
Address:
Supervisor's Construction License: C,5 - l ' 5'v'X— —Exp. Date: I
Home Improvement License: Exp. Date:
ARCHITECT/ENGINEER Phone:
Address: Reg. No.
FEE SCHEDULE.BOLDING PER190 $9000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F.
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Total Project Cost- $ FEE: $
Check No.: Receipt No.:
NOTE: Persons contractin t I unrevst ered contractors do not have access to ieguaranty fund
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AraNORTH
Town ot ndover
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�®AERATE V PP�,`'(�
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BOARD OF HEALTH
Food/Kitchen
PER T LD Septic System
THIS CERTIFIES THAT ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, BUILDING INSPECTOR
........ .. .. ..... ... ........... ......... ............. .
has permission to erect ......... buildi s on �,,,,,,, ,,,, ,,, ,,,, ,_,�,,,,,,,,,,,,,,,,,,, Foundation
................. . . ......
Rough
tobe occupied as ............. �;.. .............. .................... ..... ............................................................ 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 EXPIRES 16 S ELECTRICAL INSPECTOR
UNLESS CO ST CTI T 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
No Lathing or Dry Wall To Be Done FIRE DEPARTMENT
Until Inspected and Approved by the Building Inspector. Burner
Street No.
Smoke Det.
.; ACME RI CAN 10/02/15
ABINET
436 Broadway
Methuen, MA o1844
978-687-6825
Bill To:
North Andover Housing Authority
1 Moreski Meadows
North Andover, MA o1845
978-682-3932
PROPOSAL - z9A Francis St.
DE5�12IPTIbN
Cabinets — -- - --- — -- $ ^3,072.00-j
Contractor's Choice _ J}
Newberry Birch
Finish:Autumn
All Plywood Construction
Counters -_ $- --_820.00
Square Edge Laminate
Travertine-#3526-58 -
_4 Inch Backsplash — — - --�
Hardware --- _ - — $-
Allison Knobs#53012-EB (17)
Allison Pulls#53o13-EB(6)
Tx
------ -- — -- -n/a
x Exempt#:042427248
..Delivery -- _ --------._.-- �_._ __85.00-�
-- -l-._. ..__ . _._.-_... - ._._....--__...__ -...__ .._._.._....... .. ....._.._. _.._..__.. ......... .-T - - .....__..
Tota-l
ota ------ -- ------------- ------ -�--- 4,046.00_
Please sign and date below to confirm shown above and return a signed copy to American Cabinet to
place your order. A50%depo it is required at time of order. The remaining balance is due upon
delivery. Please under tan at,by signing this proposal,you will not be allowed to cancel or
return all or...pA'rt of thi r er. Price is subject to change once a field measurement has been taken.
Signatse;' -. Date: L J
Thank you for your business!
10/02/2015 16:55 9786876837 AMERICAN CABINET PAGE 05/08
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Note:This drnwtnK is Rn wistit Designed 9/30/2015
interpretation of the genernl print4Ct:1011./2015
appoamnoc of the dcvign.7t is
not meant to be an exoet condition. 2020
24a FreeaixSt_2 Atl Drawing fl:t
10/0212015 16:55 9786876837 AMERICAN CABINET PAGE 04108
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Notc:This drawing is aft artistic A 170..q;F ncd:9/30/2015
interpretation of the gonaral Prkntod: 10/1./2015
oppcomneeofthedeaign.Itlit �
not meant eo be an exact m-ndihan.
29a Frencin8t-2,,..__ _`W, Alt __ brewing fl:t
10/02/2015 16:55 9786876837 AMERICAN CABINET PAGE 03/08
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All dimensions.size dasigttatlons This it an original design and must_ De-signtd;9/30/2015
Riven aresubject to vermvjktyo+t on npt be released or copiccl unlom Printed; 1011/20i3
Job site And adjustment to f;t,ipb applicable rot lint been paid or job —
conditions. 2020 ONot placed.
293 rmfleisst 2 All 17rnw;ng#:1 No Scale.
North Andover MIMAP November 23, 2015
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08.0-'0040 28 PATRIOT ST 83 WAVERLY R
67 BALDWIN ST 013.0-0042
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34 BALDWIN 2 "F N I�"ST ;
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14 BALDWIN ST 1 014.0-0014 / 1 /
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014.0-0033 014.0-0031 113 SECONfD ST
6 BALDWIN ST� ( I I 5 UNION ST I
23 UNION ST 13 UNION ST 1a7 SECOND S
61 UNION ST 41 UNION ST37 UNION ST 74
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669.0-0068 ` 014.0-00218 UNION Sj2 UNION T / 114 SECOND �
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66 UNION ST 3a UNION ST 14 UNIi7NT
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609.0-0023 4 014.0-0019 ��
014.0-0035 014.0-0057
`10 ANNIS ST ' 147 WAVERLY RD 019.0-005
664.0-0046 014.6-6036
009.0-0009 014.0-0045 144 WA 14.0- 04
34 UNION ST 614.0-0048
13 ANNIE ST1'4 ANNIE ST ` 014.0-0015 014.0-0LY
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09.0-0021 - 1 151 WAVERLY RD
014.0-0044 148 WAVERLY RD
tl MVPC Be '...,..
( Municipal Boundary Horwrlat Datum:MA Stateplane Coordinate System,Datum NAD83,
- Rail Line Meters Data Sources:The data for this map was produced by Merrimack '....
Interstates MORT11 Valley Planning Commission(MVPC)using data provided by the Town of '.,..
-1 "11 'q y North Andover.Additional data provided by the Executive Office of
-SR } yb re's Op Environmental Affairs/MassGIS.The information depicted on this map is
Roads 3' G for planning purposes onty.It may not be adequate for legal boundary
d --. definllion or regulatory interpretation.THE TOWN OF NORTH ANDOVER
4µt Easements b MAKES NO WARRANTIES,EXPRESSED OR IMPLIED,CONCERNING
❑Parcelsit * THE ACCURACY,COMPLETENESS,RELIABILITY,OR SUITABILITY
OF THESE DATA.THE TOWN OF NORTH ANDOVER DOES NOT
- Trailsrf°o�q y'0 # ASSUME ANY LIABILITY ASSOCIATED WITH THE USE OR MISUSE OF
+r Hydrographic Features 4y o� �`" a� THIS INFORMATION
rso
Streams 1'SAC14U
?Wetlands A '...
f Exempt Lands 1"=128 ft
11/23/2015 11 : 13AM FAX 4135925218 DPtd Ct.iS FAIA
Z0002/0002
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MAS ;AGHUSE7T5�1
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GROUP ��
MASSACHUSETTS WORKERS' C MPENSATION AND;EMPLOYER'S LIABILITY
INSURANCE CERT FICATE INFORM TION PAGE
ITEM I. CERTIFICATE N0: WCMN0112
PARTICIPANT NAME AND MAILING ADDRESS:
North Andover HA FEIN: 042427248
Box 373
North Andover, MA 01845 ENTITY: Non-profit,public employer
ITEM 2.
CERTIFICATE EFFECTIVE FROM: 06/01/15 TO: 06/01116
Effective 12:01 A.M. Eastern Standard Time at the articipant's mailing address.
ITEM 3.
COVERAGE:
A. Workers'Compensation Insurance: Part One of this certificate applies to the Workers' Compensation Law
of the Commonwealth of Massachusetts.
B, Employers' liability Insurance: Part Two of this Wificate applies to work in the Commonwealth of
Massachusetts. The limits of liability under Part Two are:
Bodily Injury by Accident: $1,000,000 each accident
Bodily Injury by Disease: $1,000,000 certificate limit
Bodily Injury by Disease: - $1,000,000 each e iployee
C. Other States Insurance: Massachusetts Limite Other States Ins Trance
D. This certificate includes these endorsements anld schedules:
WCNG0000 Insurance Certificate
WCNGTERR Terrorism Risk Insurance Act En orsement
ITEM 4.
The premium for this certificate will be determined y our Manuals of Rules, Classifications, Rates and Rating
Plans. All information required below is subject to erification and change by audit.
SEE EXTENSION OF INFORMATION PAGE
o
on 4/2912015
This certificate is hereby countersigned by I Date
Authorized Slgnatur,
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_----Department of Public Safety
Massachusetts Dep ulations and.Standards
Board of Building R
Licenser CS-jpg052
Construction Supervisor
JAMES CAMIRE
9 WEYBOSSET 01
METHUEN MA,
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Expiration:
1112012018
commissioner