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HomeMy WebLinkAboutBuilding Permit #852 - 11 WOODBRIDGE ROAD 6/29/2006 ISI s TOWN OF NORTH ANDOVER NORTF/ :)PPLICATION FOR PLAN EXAMINATION t Permit NO: � Date Received Date Issued: 'v ��— ��SSArea ACHUs���� IMPORTANT: Applicant must complete all items on this page LOCATIONf,,100)13114'�&(6- /Z(D Print PROPERTY OWNER Q-0 moi/ C:,4,iC/10 L— Print MAP NO.:-�/-3 PARCEL: C_ao ZONING DISTRICT: TYPE AND USE OF BUILDING HISTORIC DISTRICT YES ❑ TYPE OF IMPROVEMENT PROPOSED USE Residential Non-Residential ❑New Building One family ❑Addition ❑Two or more family ❑ Industrial ❑Alteration No. of units: Repair,replacement ❑Assessory Bldg ❑ Commercial ❑ Demolition ❑ Moving(relocation) ❑Other ❑ Others: ❑ Foundation only DESCRIPTION OF WORK TO BE PREFORMED Identification Please Type or Print Clearly) OWNER: Name: -J-0 Wtv C-44-120 L— Phone: C2S 41L14 3 Address: ___ 14 W LI O(D CONTRACTOR Name:-_t 01¢41 0 ��-Jt�'7� Cdw7 � Phone: `'( ??� C.?S 70/0 Address: /,) *�.- /3/?e'�)LF �4�(,z ��✓ D^'t11 c;` 61- Supervisor's Construction License: 6 S-b 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 ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost :$ pya x10.00=FEE:$ W Check No.: 3 Receipt No.: Page Iof4 r A 4 TYPE OF SEWERAGE DISPOSAL Tanning/Massage/Body Art ❑ Swimmint'�ools ❑ Public Sewer ❑ Well 11Tobacco Sales ❑ Food Packaging/Sales L1 Permanent Dumpster on Site ❑ Private(septic tank,etc. El Permanent Meter location to project NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund Signature of Agent/Owner Signature of contractor LC Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ 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 CONSERVATION ❑ ❑ COMMENTS • I DATE REJECTED DATE APPROVED 1 HEALTH ❑ ❑ . 0. COMMENTS , i Zoning Board of Appeals: Variance, Petition No: ; Zoning Decision/receipt submitted yes Planning Board Decision: Comments Conservation Decision: Comments Water&Sewer connection/Signature& Date Driveway Permit Temp Dumpster on site yes—no— Fire Department signature/date Building Setback(ft.) Front Yard Side Yard Rear Yard Required Provided Required Provides Required Provided / 1 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 C"ted JMC.Ja,.2006 I 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 o Workers Comp Affidavit ❑ Photo Copy Of H.I.C. And/Or C.S.L. Licenses ❑ Copy of Contract o 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 o 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 i 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:BPFORM05 Paan 4 of 4 FROM : RICHARD FLUET CONTRACTING INC. PHONE NO. 978 GG57010 Jun. 05 20OG 02:53PM P2 R PROPOSAL NUMBER: 557 RICHARD FLUET CONTRACTING INC. LU2 Bridle Path Ln, METI WEN, MASSACHUSET-TS 01844 (978) 585,7010 _ 10 John Carrott gala NLink"t ATION 11 WOQ bridge Rd. WINDOWS AND DOORS N. Andover, Ma. 01845 :OB NUPAb_A - .rob PliaNti NAP INSTALL 17 HARVEY WHITE MAt7ESTY DOUBLE HI�REENS.NG $410-00 EACH WITH FINE 6970.00 IN GRIDS IN UPPER SASHES ONLY. AND 1/2 SCBE INSTALL I HARVEY rAHITE 2 LITE MAJESTY CASEMENT 'WINDOW PZOVE SINK WITH PINE SNAP IN GRIDS. $850.00 SUNRO6Mf ;r INSTALLPAIR 11 S1 8. 'D RS: $18'5' .QO REPLA EXIS, NG Wi OWS 91 H 5 H� Y W; VI DOUBLE,, G REP CEMENT WINT7 S .SIT LOW GLASS GRxDd I UPPI+aR SASH D 1!.2' REIv�IS• P $E OC 0 INT IOR • EXTE IOR TRI AS NE EDS`' 'ADD T r�L H LY C GE. NO 'DRAT ROTI Y BE FO D AND ITL BE L WORK INCLUDES;INSTALLING, INSULAT ING,PERMIT,AND TRASH REMOVAL. OWNER TO DO ALL PAINTING. 7Lot v / Extreo or Changstr to be completed pt a rate of per hour, per man, ((( Uepaid•baiancws pubyaet to 11A%finance charge per month. PROP0C..t'E haroby to furnish rnstariad and tabor—ooroplatu!rt accordart.8 with trim aaovo spaolticatione,,for rhe sum 01: ,. ,_:tom•. .����, •--�-�-•—..�-..� Payntsrn a w roads afi follower 1/2 WITH ACCEPTANCE,,BALANCE UPON COMPLETION. Air inar�rlal W quarantDsd ttl be 86 gped(leo. All work to ho Camptci+rd iii b PratilSGtOna! �'�y fy�� ��.�„f t d rectiees. An nttoratlun or drviett nn Ilam shove npsoili0e- agria�d rna:rtsr a�cardinq to ctxnacu R 5rytt tion►involving EXWA aoatr wm be saoou,4n only upon wrl4en ut'oers,and vk s.acaidents nn 04ra Gltahte over and abovr 0-4 6"Ornaw All apfca"1—do,arltd ,rf r�te0esriuuY IrtYurance., Nata:'ri116 propoosi,gW+fG1.e.r70 3� or dalaya pay0na our Gonvoi. owncr w tarty se cayx- usbon tnaUranta. withdrawn by us,t not sccdplAd wilnir' put worlWnt.irra htlly aovtustl by Waltor'e CONpnr AC(;EF+TANCE OF PROPO!;AL,• Ina aboda prllles,rpaGificationts and cOnClitlons arta asidslactory and are hereby accepted. Yo,i are au1110rfnd $ig,leltuC to do Ina work as speciliod. Payment will o*maadla as outlined novel. 9nla 01 R6'G9ptLM o `1:1I I —T— TOWN OF NORTH ANDOVER 00RTM APPLICATION FOR PLAN EXAMINATION 41'a0 ,6�tio o c it Permit NO: Date Received ?'" + Date Issued:—,.4 � - � yy S TSD ITS TIC IMPORTANT: Applicant must complete all items on this page LOCATION13k )6a' (D Print PROPERTY OWNER L+V C- ,mc) L_. Print MAP NO.: -3 PARCEL: DISTRICT: TYPE AND USE OF BUILDING HISTORIC DISTRICT YES ❑ TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑New Building One family ❑ Addition ❑ Two or more family ❑ Industrial ❑ Alteration No.of units: ,Repair, replacement ❑ Assessory Bldg ` ❑Commercial ❑ Demolition ❑ Moving(relocation) ❑Other ❑ Others: ❑ Foundation only DESCRIPTION OF WORK TO BE PREFORMED Identification Please Type or Print Clearly) OWNER: Name: U-0 Wb / C,44 1 (.— Phone: C--2S `11(X3 Address: W t"OD ��'��6c� /2D CONTRACTOR Name: ('C-14114-1112h) %�:Jt-"7 CyW7 stn. Phone: (c, 70/0 Address: /J �:•[���( ,�7 ��6Z t-A,) D^ti( Ci`�6f . Supervisor's Construction License: U �O�/0 Exp. Date: -)-lo Home Improvement License: /04 C. A-a Exp. Dater ARCHITECT/ENGINEER Name: Phone: Address: Reg. No. FEE SCHEDULE:BULDING P RMIT.$10.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost :$ 7 9 .').0.-0•) x10.00=FEE:$ --- 1 Check No.: 3/ Receipt No.: Page Iof4 TOWN OF NORTH ANDOVER NORT1� APPLICATION FOR PLAN EXAMINATIONo`�.�to ,° gtio ? F _ p Permit NO: ©� Date Received— TED eceived t i Date Issued: SSAC HU IMPORTANT: Applicant must complete all items on this page LOCATION 1 fid'oo) 312t'd6cb1' IztD Print PROPERTY OWNER ZTi b-hV C'4'It4(! L— Print MAP NO.:�PARCEL: ) ZONING DISTRICT: TYPE AND USE OF BUILDING HISTORIC DISTRICT YES ❑ TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑New Building One family ❑ Addition ❑Two or more family ❑ Industrial ❑Alteration No. of units: Repair, replacement ❑ Assessory Bldg ' ❑Commercial ❑ Demolition ❑ Moving(relocation) ❑Other ❑ Others: ❑ Foundation only DESCRIPTION OF WORK TO BE PREFORMED Identification Please Type or Print Clearly) OWNER: Name: `7-0 VW ��4�1 fie+ (._ Phonel Address: t11 /12 CONTRACTOR Name: t �.�4 f �C� Cdv' ' Phone: Address: /J /3���r�L.�rz �'� �G,L "L) P"'h Supervisor's Construction License: C7O�/0 Exp. Date: Home Improvement License: /04 C A-a Exp. Date: ARCHITECT/ENGINEER Name: Phone: Address: Reg. No. FEE SCHEDULE:BULDING P RMIT.•$10.00 PER$1000.00 OF THE TOTAL ESTIMATED COST B SED ON$125.00 PER S.F. Total Project Cost :$ 7 gip, v• xI0.00=FEE:$ f Check No.: C, .3/ Receipt No.: Page I of 4