HomeMy WebLinkAboutBuilding Permit # 1/13/2016 01 t%ORTH
BUILDING PERMIT
TOWN OF NORTH ANDOVER 0
APPLICATION FOR PLAN EXAMINATION
Permit NoAaq--''�- Date Received
Ll�l
Date Issued:
mpnItTANT:Applicant must complete all items on this page
LOCATION q kv RA
Print
PROPERTY OWNER
Print 100 Year Structure yes
MAP PARCEL-3-0-el ZONING DISTRICT: Historic District yes no
Machine Shop Village yes 6n
TYPE OF IMPROVEMENT PROPOSED USE
Residential Non- Residential
El New Building ,4'One family
El Addition Li Two or more family El Industrial
0 Alteration No. of units: El Commercial
El Repair, replacement El Assessory Bldg 11 Others:
El Demolition El Other
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DESCRIPTION OF WORK TO BE PERFO
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Identification- Please Type or Print Clearly
OWNER: Name: Rvckn!�Qci Phone: 76 1 71q 4,77
Address: T-vN L _VC
Contractor Name: VIZA ei,vN Phone: _t--? 1,5 4�LJ
Email: n cv-4%.
Address:
Supervisor's Construction License: C - C", 8 —Exp. Date: 6,Lgall-�
Home Improvement License: 1C1 L4 I'-J Exp. Date: '2/ mlri
ARCHITECT/ENGINEER 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: $ f' , rj--b FEE: $
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Check No.: Receipt No.: 0)
NOTE: Persons contracting with unregistered contractors do not have access to th gua,ranty fund
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'Town of ndover
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446.4. h
ver, Mass,
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COC NIC N!WICK
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RATED P' C> :I
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U BOARD OF HEALTH
Food/Kitchen
' PERMIT T
Septic System
THIS CERTIFIES THAT �, �� BUILDING INSPECTOR
buildings on 3( Foundation
has permission to erect g ...... . ...... . l s............. .... . ..
Rough
to be 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
y p� Final
PERMIT EXPIRES IN 6 MONT S" ELECTRICAL INSPECTOR
UNLESS CONSTRUCTION TS Rough
Service
.. Final
BUILDING INSPECTOR
GAS INSPECTOR
Occupancy Permit Required to Occupy Buildinz 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.
Residential+Commercial Q Property Solutions Estimate
ramcontroctorsinc@gmail.cam DATE ESTIMATE#
22 Earles Row 1/31/2015 103
Wilmington,Ma 01887
BILL TO
Michael&Kristina Heffron
96 Thistle Rd
North Andover, Ma 01845
ITEM DESCRIPTION QTY RATE AMOUNT
-------------------
Labor and materials to build 2 x 4 walls in basement to 2,750.00
define perimeter of(1)family area&(1) man cave This
framing includes rough openings for doorways and knee
walls where nessesary. Meetings will be set up with sub
contractors to aquire pricing for future work.Also covered is
time at town hall to deal with permit excluding cost of permit
Permit fee is to be determined due to each town being 33.00
different.
Payment stucture: 0.00
1,375 upon start
1,408 upon completion
Electrical worst case including permit 4,650.00
Insulation 1,065.00
Blue board and plaster 2,175.00
Carpentry materials and labor 3,275.00
Paint owner to buy paint.We will supply primer,filller and 1,625.00
any other prep supplies
Ceiling including finishing soffit work guesstimate 3,845.00
HVAC 1,000.00
Option 1:Tap into existing duct work to supplement heat and
cooling.Air will only blow in basment when upstairs
thermastat is calling for heat.
Option 2: create basement as own zone with own thermostat
and zoning controls and ductwork at unit then add supplys to
supplement heating and cooling in basement for 2 rooms.
This option is$3,125
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Checks made payable to Ken Minasian or cash
Total 20,418.00
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P I f" C C)
Residential*Commercial a PropertV Solutions Invoice
ramcon troctorsincogmad.cam DATE INVOICE#
......--------------------
8/19/2015 129
22 Earles Row
Wilmington,Ma 01887
BILL TO
Michael&Kristina Heffron
96 Thistle Rd
North Andover, Ma 01845
-------------
ITEM DESCRIPTION QTY RATE AMOUNT
Labor and materials to build 2 x 4 walls in basement to 2,750.00
define perimeter of(1)family area&(1)man cave This
framing includes rough openings for doorways and knee
walls where nessesary. Meetings will be set up with sub
contractors to aquire pricing for future work.Also covered is
time at town hall to deal with permit excluding cost of permit
Permit fee is to be determined due to each town being 33.00
different.
Payment stucture: 0.00
1,375 upon start
1,408 upon completion
Electrical worst case including permit 4,650.00 1,850.00
NOTE:amount owed is for work to date
Insulation 1,065.00 0.00
Blue board and plaster 2,175.00 0.00
Carpentry materials and labor 3,275.00 0.00
Paint owner to buy paint.We will supply primer,fillIer and 1,625.00 0.00
any other prep supplies
Ceiling including finishing soffit work guesstimate 3,845.00 0.00
HVAC 1,000.00 0.00
Option 1:Tap into existing duct work to supplement heat and
cooling.Air will only blow in basment when upstairs
thermastat is calling for heat.
Option 2: create basement as own zone with own thermostat
and zoning controls and ductwork at unit then add supplys to
supplement heating and cooling in basement for 2 rooms.
This option is$3,125
Money received -2,750.00
Checks made payable to Ken Minasian or cash Total 1,883.00
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-The Commonwealth ofMassachasetts
1partment of ffiduSirralAceldents
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i Z Congress Street,,Waite 100
B'os�t�o�.ny�,�M�A�0211)4,j 017 t
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Werhers'Compensation Insurance Affidavit:Buil.ders/Contractors/Netricians/PXumbexs.
TO BE FILED VITH TM REBMITTIM A.UTHOR[TY.
Applicant Information Please Print Le itbly
Namo (Business/Oxganizationftdividual):
.A.ddxess: Uh al"i
City/State/Zip: i 1 °t 180
Phono# ' " d
Axe you an employer?Check the appropriate box: Type of project(Ve[]uixed):
1.❑I am a employer with employees(full andlor part tirne).* 7. New construction
etion
2 I am'a sole proprietor or partnership and have no employees Working for me in $. Remo delirig
any capacity.[Noworkers'comp_insurance required.] 9. Demolition
3.0 I am a homeowner doing allworkmysel£[No workers'comp.insurance required.]t 10 r]Building addition
4.❑lam a homeowner and will be biting contractors to conduct all work on my property. I will
11.0 Electrical repairs or additions
ensure that all contractors either have workers'compensation insurance or are sole
proprietorswithnoemployees. __ Z2, P]umbing_repairs or additions.
S.E]I am a general contractor and I ha-ye hired the sub-contractors listed on the attached sheet. 13.Fj Roof repairs
These sub-contractors hada employees and have workers'comp.insurance.t 14El Other
6.Q We area corporation and its officrers have exercised their right of:exemption per MGL c.
152,§1(4),and we have m erraployees.[No workers'comp.insurance required.] y
*Any applicant that checks box#1
most also fill outthe section below showing their workers'compensationpolley information.
i Homeowners who snbriilf#his af.ddavit indicating they are doing all work andthen hire outside contractors must submit a new affidavit indicating such.
TContraotors 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 lfthe sub-c6i&c�ors have employees,lay'rimst prorrido their workers'comp.policy number.
Yam an erriployet'tlaatispNavidliagworlsers'compensation insuraneeformy employees. ,below is thepolicy andlob site
information.
Insurance Company Name:
Policy#or Self-ins,Lic.#: Expiration Date:
fob Site Address: City/State/Zip:
Attach a copy of the workers'compensation policy declaration page(shoving the policy number and expiration crate).
Failure to secure coverage as required under MGL c, 1.52,§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 WORD.ORDER and a line of up to$250.00 a
day against the violator.A copy of this statement may be forwarded to the Offco of Investigations of the DIA for.insurance
coverage verification.
_Tdo hereby certify under thepains andpenalties ofpeijur^y that the inforrrtutionpr^ovidecl above is true and cor^rect.
Si nature: Date: /
Phone#: l
official use only. Do not write in this area,to be completed by city or town offaciar.
City or Town!: Permit/License#
Issuing Authority(circle one): i
1..Board of health 2. 30dingDepartm.ent 3.CitylTown Clerk 4.Electrical Inspector 5.Plumbing Inspector
6.Other
Contact Person: Phone H: