HomeMy WebLinkAboutBuilding Permit #597 - 101 DUNCAN DRIVE 3/28/2006 HO oTM
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TOWN OF NORTH ANDOVER
�,'t :��. ,•�." APPLICATION FOR PLAN EXAMINATION
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Permit NO: Date Date Received:
Date Issued:
IMPORTANT: Applicant must complete all items on this page
LOCATION-"'-- JP1 CA
Print
PROPERTY OWNER GAg W -t M A-A e 1A ✓. Pte.k 2
Print
MAP NO.: A PARCEL: ZONING DISTRICT:
TYPE AND USE OF BUILDING HISTORIC DISTRICT YES ❑
TYPE OF IMPROVEMENT PROPOSED USE
Residential Non- Residential
❑New Building XOne family
❑ Addition 0 Two or more family ❑ Industrial
(Alteration No. of units:
❑ Repair, replacement 0 Assessory Bldg 0 Commercial
0 Demolition
0 Moving(relocation) 0 Other 0 Others:
0 Foundation only
DESCRIPTION OF WORK TO BE PREFORMED
Identification Please Type or Print Clearly)
OWNER: Name: �`i'Jam" pkvl� Phone:f 7 >-(o-
S1 nature
-(o-Signature
Address: 10/ G�ciJNGA N
CONTRACTOR Name: PAAkE.A- Phone: R710-7q,(-N56
Address: L9( 0 4 PC-s -J--� IPA ND i4p 4p j t - P1 A V I T �
Supervisor's Construction License: Exp. Date:
Home Improvement License: Exp. Date:
ARCHITECT/ENGINEER Name: Phone:
Address: Reg. No.
FEE SCHEDULE:BULDING PERMIT:$10.00 PER$1000.00 OF THE TOTAL EST/MATED COST BASED ON$125.00 PER S.F.
Total Project Cost :$ Z �v x10.00=FEF:$ 2-6-o —
Check No.: Receipt No.: "I b
Page I of 4
Location o I r� V nC 41,1 0(Z—
No. r7C�- V
Date ,�� ]- 0
NORTol TOWN OF NORTH ANDOVER
Oi`.♦e ,♦,1•C
F s
Certificate of Occupancy $
J,cMusE< Building/Frame Permit Fee $
Foundation Permit Fee $
Other Permit Fee $ r�
TOTAL $
Check # ti
Building Inspector
TYPE OF SEWARGE DISPOSAL Swimming Pools 11F1Tanning/Massage/Body Art Elg
Public Sewer
Well
Tobacco Sales 11 Food Packaging/Sales 11❑
Permanent Dumpster on Site 11Private(septic tank,etc. Electric Meter location to
project
NOTE: Persons contracting with unregistered contractors do not have access to the guarantyfund
Signature of Agent/Owner _ Si nat re of Contractor,•� '%
Plans Submitted ❑ .Flans Waived Certified Plot Plan, El Stamped Plans El
THE FOLLOWING SECTIONS FOR OFFICE USE ONLY
INTERDEPARTMENTAL SIGN OFF- U FORM
DATE REJECTED DATE APPROVED
PLANNING & DEVELOPMENT ❑ ❑
❑Water Shed Special Permit
❑ Site Plan Special Permit
❑ Other
COMMENTS
DATE REJECTED DATE APPROVED t�
CONSERVATION ❑ Fl-
COMMENTS COMMENTS
DATE REJECTED.,. �. DATE;A?PROVED
REALTHr ❑ ❑
COMMLNT� ,
ij T .. \ °��, ..ter, .. �`'• �.� •t
Zoning Board of Appeals: Variance, Petition No:
Zoning Decision/receipt submitted yes
Planning Board Decision: Comments
Conservation Decision: Comments
Water& Sewer connection signature&date
Temp Dumpster on site' y0 noe Fire Department signature/date
Building Permit Approved and Issued by:
Page 2 of 4
Building Setback(ft.)
Front Yard Side Yard Rear Yard
Required Provided Required Provides Required Provided
DIMENSION
Number of Stories: Total square feet of floor area,based on Exterior dimensions.
Total land area, sq. ft.:
NOTES and DATA— For department use)
Page 3 of 4
Doc:INSPECTIONAL SERVICES DEPARTMENT:BPFORM05
Created JMC.Jan.2006
Building Department
The following is a list of the required forms to be filled out for the appropriate permit to be obtained.
Roofing, Siding, Interior Rehabilitation Permits
❑ Building Permit Application
❑ Workers Comp Affidavit
❑ Photo Copy Of H.I.C. And/Or C.S.L. Licenses
❑ Copy of Contract
❑ Floor Plan Or Proposed Interior Work
Addition Or Decks
❑ Building Permit Application
❑ Surveyed Plot Plan
❑ Workers Comp Affidavit
❑ Photo Copy of H.I.C. And C.S.L. Licenses
❑ Copy Of Contract
❑ Floor/Crossection/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic
Calculations (If Applicable)
❑ Mass check Energy Compliance Report (If Applicable)
New Construction (Single and Two Family)
❑ Building Permit Application
❑ Certified Proposed Plot Plan
❑ Photo of H.I.C. And C.S.L. Licenses
❑ Workers Comp Affidavit
❑ Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And
Hydraulic Calculations (If Applicable)
❑ Copy of Contract
❑ Mass check Energy Compliance Report
In all cases if a variance or special permit was required the Town Clerks office must stamp the decision from the Board of
Appeals that the appeal period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and
proof of recording must be submitted with the building application
Doc:INSPECTIONAL SERVICES DEPARTMENT:BPFORN105
Page 4 of 4
NORTIy
Tovm of t 4Andover
No. S970 Ch
_
% dover, Mass.,
s '?,
COCMICHEWICK y�.
��A�RATED PPS` �5
�`T BOARD OF HEALTH
PERMIT T D Food/Kitchen
Septic System
BUILDING INSPECTOR
THISCERTIFIES THAT........ .... ...... ...410 !rtld ................................................................................... Foundation
has permission to erect........................................ buildings on........ ...0--%.......Do-A.C*n.......... Rough
tobe occupied as......... .. .14%.ke .. ........ 0 �.. ............................................................................ Chimney
provided that the perso accepting this permit shall in every respect conform to the terms of the application on file in Final
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
r tip` ,f, PERMIT EXPIRES IN 6 MONTHS Final
' ELECTRICAL INSPECTOR
UNLESS CONSTRU N ST
Y Rough
Service
BUIL R
Final
Occupancy Permit Required to Occupy Building GAS INSPECTOR
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.
SEE REVERSE SIDE Smoke Det.
NORTH TOWN OF NORTH ANDOVER
3a0�';``� N°oma OFFICE OF
° p BUILDING DEPARTMENT
400 Osgood Street
North Andover, Massachusetts 01845
�SSM1CHUskt
Gerald A.Brown Telephone(978)688-9545
Inspector of Buildings Fax (978)688-9542
HOMEOWNER LICENSE EXEMPTION
Please print
DATE:
JOB LOCATION: Wt V GlOCA-0
Number Street Address Map/Lot
HOMEOWNER P 'QQ k E2 ')qq`tel q S�— S hot L
Name Home Phone Work Phone
PRESENT MAILING ADDRESS 101 DatNGAu +�R-
Nv /NA19 ✓6Q rA VISH�
City Town State Zip Code
The current exemption for"homeowners"was extended to include owner-occupied dwellings to two units or less and
to allow such homeowners to engage an individual for hire who does not possess a license,provided that the owner
acts as supervisor). State Building (Code Section 108.3.5.1)
DEFINITION OF HOMEOWNER
Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to
be,a one or two family structures. A person who constructs more that one home in a two-year period shall not be
considered a homeowner.
The undersigned"homeowner"assumes responsibility for compliances with the State Building Code and other
Applicable codes,by-laws,rules and regulations.
The undersigned"homeowner"certifies that he/she understands the Town of North Andover Building Department
minimum inspection procedures and requirements and that he/she will comply with said procedures and
requirements.
HOMEOWNERS SIGNATURE
APPROVAL OF BUILDING OFFICIAL
Revised 10.2005
Foran Homeowners Exemption
BOARD OF APPEALS 688-9541 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-
9535
IMichael 234B Pleasant Street Methuen, MA 01844
James o KITCHEN AND BATH DESIGN PHONE: 978.689.4724 FAX: 978.945.8808
' EMAIL: michael@michaeljamesdesign.com
]Design
PROPOSAL 2
Customer: Gary and Marcia Parker
Date: March 24, 2006
Phone: 1-978-794-3456
Job Site: 101 Duncan Dr.
No. Andover, MA 01845
#1 Dynasty brand Morris Pure White Maple cabinetry $ 10,165.00
#2 Allowance for solid granite kitchen counters $ 4,800.00
#3 Top Knobs brand bar pulls in Brushed Satin Nickel $ 272.00
#4 Sales tax $ 761.85
#5 Installation of the cabinetry,moldings and handles $ 2,500.00
#6 Total: $ 18,498.85
f/mo K, 1-090
#7 The prices above include F I't c oo
#8 The design as represented on the perspectives provided with this proposal
#9 Wall cabinets to 84" from the floor(30" high upper cabinets)
#10 Flat stock molding for the tops of the upper cabinets
#11 Flat stock molding for the bottom of the upper cabinets 3 Y 9 g
#12 Scribe moldings matching wood toe kick moldings
#13 Integrated door panels at each side of the window area wall cabinetry
#14 Integrated door panels for the sides of the island
#15 3/4" panel and moldings for the back of the island
#16 Deep refrigerator cabinet with one side panel .
#17 One tray divider cabinet to the right of the dishwasher
#18 One spice door rack to the left of the microwave
#19 Double waste basket cabinet pullout to the left of the sink
#20 Delivery
#21 Price does not include: remodeling work, appliances, lighting fixtures, plumbing
fixtures, flooring, counter supports for the breakfast bar overhang, an angle end
cabinet at the end of the right wall area base cabinets, lazy susan, roll out shelves
or installation of appliances
#22 Please sign and date on Line#23 and return a signed copy along with a check for the
amount of$8,000.00 to Michael James Design, Inc. to place your order. A balance of
$7,998.85 is due prior to delivery. The balance of$2,500.00 is due upon completion
of the cabinet and countertop installation.
#23 signature: date:
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