HomeMy WebLinkAboutBuilding Permit # 11/23/2015 OORTH
BUILDING PERMIT DE
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TOWN OF NORTH ANDOVER
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APPLICATION FOR PLAN EXAMINATION
Permit No#: Date Received
S
CHU
Date Issued: I/
4NIPORTANT: Applicant must complete all items on this page
4 v
LOCATION 3/ c
Print
PROPERTY OWNER
7
Print 100Year Structure yes-
MAP PARCEL: ZONING ZONING DISTRICT: Historic District yes
Machine Shop Village yes 96�)
TYPE OF IMPROVEMENT PROPOSED USE
Residential Non- Residential
EfNew Building '6 One family
El Addition Li Two or more family El Industrial
El Alteration No. of units: 11 Commercial
Repair, replacement L]Assessory Bldg D Others:
El Demolition 11 Other
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DESCRIPTION OF WORK TO BE PERFORMED:
Identification- Please Type or Print Clearly
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OWNER: Name: Phone: �,�F 41A, 3
Address:
Contractor Name: '7P107eA 0,401,0,124-* Phone: ol-
Email:
Address:
Supervisor's Construction License: l —Exp. Date: 0/ fr-
Home Improvement License: Exp. Date:
ARCHITECT/ENGINEER Phone:
Address: Reg. No.
FEES CHEDULE.BUL DING PERMIT.,1$'1'21(0N-PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F.
I
Total Project Cost: $ FEE: $
Check No.: Receipt No.:
NOTE: Persons contrccetzn wit un;ire 'stered contractors do not have access to the guaranty fund
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gentLow' e'r',V V,,U
tAORTH
Town ( E. ._ I}
Andover
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O LAKE h vert ass,
COC NICNEW/CK
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ADRAreD CO
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BOARD OF HEALTH
Food/Kitchen
MIT Septic System
PER T LD
THIS CERTIFIES THAT ........ BUILDING INSPECTOR
...... .. ... !. ... ... ......................
has permission to erect buildings on Foundation
. Rough
tobe occupied as .............K,. ...., !!.. .....................................:.................. 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 IN 6 MONTHS ELECTRICAL INSPECTOR
UNLESS CONSTRUCTION Rough
Service
.......................... ................................................ Final
BUILDING INSPECTOR
GAS INSPECTOR
.i
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 Approvedy the Building Inspector. Burner
Street No. j
Smoke Det.
l
A M E KI CAN 10/02/15
CABINET
436 Broadway
Methuen,MA o1844
978-687-6825
Bill To:
North Andover Housing Authority
i Moreski Meadows
North Andover, MA o1845
978-682-3932
PROPOSAL - 31 Francis St.
DESCRIPTIONr AMOUNT
---------
- _ . . _
Cabinets $ 3,072.00
Contractor's Choice
Newberry Birch .--- ------ ------------- ----_ --------------- --- --- - ---
Finish:Autumn
All Plywood Construction
-- - - - -- -
i Counters 499.00.
-Count-- -- ----- —----------- --- -..
Square Edge Laminate
iTravertine-#3526-5$---- ----- --- —
4 Inch Backsplash
jHardware ------- -- -- -- - ---- —----- -------- - --- -----$ - -- ---54.00
Allison Knobs#53oiz-EB (15) -- ------- ------ ---------- - --i -- -
.Allison Pulls#53oi3-EB-(3)
_ ---------
---------------
Tax
--Tax n/a
I Tax_Exempt#_o4z4Z7248
Delivery --. . $ 85-00
-------------
Total $ __...3,710.00
Please sign and date below to confirm shown above and return a signed copy to American Cabinet to
place your order. A 5o%dep it is required at time of order. The remaining balance is due upon
delivery. Please unde nd hat,by signing this proposal,you will not be allowed to cancel or
return all or part t Is or r. Price is subject to change once a field measurement has been taken.
Signature: Date:
Thank you for your business!
�C I s
125"
24" 1 30" 36" 33"
732" 31 '" 20
36" 1 XI
18" 3 3,
2
' 11
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All dimensions_size designations This is an original design and must Designed:10/1/2015
given are subject to verification on not be released or copied unless Printed: 10/1/2015
job site and adjustment to fit job ®A® applicable fee has been paid or job
conditions. 1 order placed.
Designl All Drawing#: 1 I No Scale.
10/02/2015 16:55 9786876837 AMERICAN CABINET PAGE 08/08
Nota:711is drawing is nn artigtiq Do dg%mcd:l oil/z015
intarp Otionofthcgeneral Printed-, 10/1/2015
appearance be a exact,Jt is
di 2020
not meant b lx an exact rendition.
_ — I Denignl n1t Drawing fl!1
North Andover MIMAP November 23, 2015
013.0-0021 018.0-0068 018.0-0059
'l1 7.1'WAVERLY RD
I
,, 018.0-0066 018.0-0060
4a PATRIOT ST ''�
31 PATRIOT ST
013.0-0023 75 WAVERLY RD
013.0-0,033 018.0-0061
008.'0-000!5
19 PATRIOT ST
013.0-0039 018.0-0064 018.0-0062
08.0-01040 28 PATRIOT ST `' 83 WAVERLY R
\67'BALDWIN ST 013.0-0042
12 GILBERT ST
���e� 013.0-004'4 019.0-0042
08.0-0012 22 GILBErtT ST 014.0-0001 91 WAVERLY RD
5 FRANCIS "
C
1�b 019.A-0013
27 FRANCI 014.0-0003 7 PATRIOT ST
7 A � ,„ 11 FRANCIS ST /
14
0
34 BALDWIN ST 013,9 Drt�47 SRF kNPI3�,I
14.0-0006
29 BALCBIN
S!" 5 RAI <�nG - 019.01
001
�
08.0-0x14 '2 BAL ,IST31' ' 3 FRANCIS 5T -
2"5f BAS. WIN T 014.0-0022
33 �1� 5 ST 6 FRANCIS ST 019:0-001
10 FRANCIS ST !
014.0-0020
009.0-0074014.0-0023 106 WAVERLY R
21 ALL ,ITS ST 014.0-0018 l
21 BALDWINS:;" '�. 24 FRANCIS\ST
014.0-0016 110 WAVERLY RCM
32 FRANCIS ST / I
009.0-0003 014.0-0024 114 WAVERLY RD
14 BALDWIN ST�� 014.0-0014
46 FRANCIS ST 014.0-0027 121 WAVERLY RD116 WAVERLY R
014.0-0028 �--014
t 014.0-0026 014.0-0025
014.0-0032 014.0-0030 014.0-0029 127 1tVAVERLY RD
009.0-0005 1 f O,s9.0-0022
BALDWIN ST,041'UNION ST014.a-0031 113 SECOND ST
' i 23 UNION ST 13 UNION ST 5 UNION ST 1107 SECOND S
61 UNION ST 37 UNION ST
/
�I 53, r 74' ,f
Union Street _. . _ ._..Main Street-
EI
treet-069' 014.0-0005 014.0-0037
009.0-0008 014.0-00218 UNLON ST2 UNICIN ST 114 SECOND S
42 UNICYN ST432 UNION ST30 UNION ST 14 UNION ST 118 SECONDIST
66 KION ST 014.0-0034 014.0-0047
069.0-0023 4
014.0-0057 014.0-0019
014.0-0035 147 WAVERLY RD 019.0-005
10 ANNIS ST
�� 'J may! 014.0-0046 014.0-0036
009.0-0009 01,46-0045-
IS
14.0-0045 144 WAVERLY RD
34 UNION ST 014.0-0048
13 ANNIS ST14 ANNIS ST L /,14.0-0015 014.0-0049
09x.0-0021 014.0-0044 151 WAVERLY RC1 14 WAVERLY RD
0 MVPC Be
13 Municipal Boundary Horizontal Datum:MA Stateplane Coordinate System,Datum NAD63,
Rail Line Meters Data Sources:The data for this map was produced by Merrimack
Interstates t►ORTH Valley Planning Commission(MVPC)using data provided by the Town of
-I Ot+t4�p rb�ti North Andover.Additional data provided by the Executive Office of
-SR } 4e *e 0 Environmental Affairs/MassGIS,The Information depicted on this map is
Roads 3' L for planning purposes only.It may not be adequate for legal boundary
O 'IM definition or regulatory interpretation.THE TOWN OF NORTH ANDOVER
gig Easements I, % MAKES NO WARRANTIES,EXPRESSED OR IMPLIED,CONCERNING
❑Parcels it 4 THE ACCURACY,COMPLETENESS,RELIABILITY,OR SUITABILITY
Trails # ' * OF THESE DATA.THE TOWN OF NORTH ANDOVER DOES NOT
- Hydrographic Features ^o µ +�ej r THIS PASSUME ANY LIABILITY ASSOCIATED WITH THE USE OR MISUSE OF
•+ro•��
Streams ��SgACHUS��
Wetlands
L?.Exempt Lands V=128 ft
11/23/2015 11 : 13AM FAX 4135925218 DPM CH-1S FAIA 140002/0002
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MAS .ACHUSETTS_��l
N KR
INSURANCE
GROUP
MASSACHUSETTS WORKERS' C MPENSATION AND;EMPLOYER'S LIABILITY
INSURANCE CERT FICATE INFORMAND
PAGE
ITEM 1.
PARTICIPANT NAME AND MAILING ADDRESS: CERTIFICATE NO: WCMN0112
North Andover HA
BOX 373 FEIN: 042427248
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.
S. Employers' liability Insurance: Part Two of this ertificate applies tlo 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 employee
C. Other States Insurance: Massachusetts Limite Other States Ins Irance
D. This certificate includes these endorsements and schedules:
WCN00000 Insurance Certificate
WCNGTERR Terrorism Risk Insurance Act En orsement
ITEM 4.
The premium for this certificate will be determined I 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 I
This certificate is hereby countersigned by on 4/29/2015
Authorized SignatureI Date
I
e a�ment of Public safety
14 iassachuseits BRegulations and.Standards I
Board of Building
!I
License: Cs-109052
ervisor I
construction Sup
I
JAMES CANi1REAN
y
g WEYBOSSETTT .
METHUEN MA,Q1844
elk,
Expiration:
w 11(2012018 .
Commissioner