Loading...
HomeMy WebLinkAboutBuilding Permit #517 - 120 BRENTWOOD CIRCLE 2/3/2006 t NORTFI 9 O tta° aNO 3g e a OL p TOWN OF NORTH ANDOVER o °"•' APPLICATION FOR PLAN EXAMINATION 9SSACH�SEt Permit NO: Date Received: /-,3c-e Date Issued: IMPORTANT: Applicant must complete all items on this page LOCATION� `�,,�4/,V�� / L Print . PROPERTY OWNER ¢,Z�&J (-s-r e/9- Print MAP NO.: G 6 y. U PARCEL: ZONING DISTRICT: TYPE AND USE OF BUILDING HISTORIC DISTRICT YES ❑ TYPE OF IMPROVEMENT PROPOSED USE Residential Non-Residential ❑New Building JKOne family ❑Addition ❑ Two or more family ❑Industrial Alteration No. of units: ❑Repair, replacement ❑Assessory Bldg ❑Commercial ❑Demolition ❑Moving(relocation) ❑ Other ❑ Others: ❑ Foundation only DESCRIPTIONOFWORK TO BE//PREFORMED L Identification Please Type or Print Clearly) Q OWNER: Name: � 4/2 /Phone: ignature O Address: CONTRACTOR Name: Phone: �� - �`37 Address: / s Supervisor's Construction License: Exp. Date: (5, Home Improvement License: �� Cl C>c��� Exp. Date: / � 04� ARCHITECT/ENGINEER Name: Phone: Address: Reg. No. FEE SCHEDULE:BULDING PERMIT:$10.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON $125.00 PER S.F. Total Project Cost :$ 2,��) 6 o a x10.00=FEE:$ Check No.: Receipt No.: l Location No. Date TOWN OF NORTH ANDOVER 0 Certificate of Occupancy $ U Building/Frame Permit Fee $ J! Foundation Permit Fee $ Other Permit Fee TOTAL Check # 18966 Building Inspector 41,1 TYPE OF SEWARGE DISPOSAL Tanning/Massage/Body Art ❑ Swimming Pools El Public Sewer Tobacco Sales ❑ Food Packaging/Sales ❑ Well ❑ ❑ Permanent Dumpster on Site ❑ Private(septic tank,etc. NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund Sianature-of Agent/Owner:---:) Signature of Contractor�,�� 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 DATE REJECTED DATE APPROVED r' HEALTH ❑ ❑ COMMENTS 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 yes—no— Fire Department signature/date Building Permit Approved and Issued by: Q 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) 'Vo P16 1w ]�'v C)-a s . Doc:INSPECTIONAL SERVICES DEPARTMENT:BPFORM05 Created JMC.Jan.2006 i 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) G P16of -uCGtv,�; Doc:INSPECTIONAL SERVICES DEPARTMENTBPFORM05 Created 1MC.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 ❑ Debris Removal Form ❑ 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 ❑ Form U ❑ Surveyed Plot Plan ❑ Debris Removal Form ❑ 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 ❑ Form U i ❑ 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:BPFORM05 BOARD OF�U,ILDINREGULATIO,NS ;`' �� �Licenss CONSTR�JCTION=SUPERUIS.OR Numlfe� S 004947 Blrtdatev=. 9'56 y z r �r 1, n Was _ti/14124�©6 Tr. n6:.- 401.Q_ r - 1F�DANIEI HICK. 1� r '- 133 8THAUE PAVER'.ILL, i Commissioner;- '�`s;, 7,77 ✓�ie �aavr� / N f. Board of Building Regy`IaUona antl Stluthrds 1 HOME IMf+ROVEMENT CONTRAGTGR Reggstration�lug 109080 5-1 Effl�0irat!�s/A/2066 t YElIridivid8tai :: F.DANIEL HICK F.Daniel Hickey Vr: 133 8TH AX)P Atlmin�strator_ i � L 9 71/6 a 33 �� 11 9N 3�O 5` 7 0.0 BOARD OF BU.ILDING;fEGULATIONS ' License CONSTRUC}TIO.N SUPERVISOR NUrn e E CS 004947. � .! 1Blrth m,t-, =061 .'56 > , f 1 UP sA&/1hh', 6 Tr. n6- 40T1.0 � fj �ii1r est� Y 3, Re,{strlc�d F=DA'NIEL HICKE '{'m 1.33 8THAUE RA,VERIILL, 11i1A 010 s' � t -Cominls`sione,r= �i T4 - t. Board of Building Regvlation�antl Stl�fshrds. ! HOME IMPROVEMENT CONTRAGTGR Registrahor 109080 lug 5-Ez��on� 06 J p TYF. p : I'd�vidrtal Ai VIEL - F.Daniel Hickey 133 8TH AVE HAVERHILL MA 01830: L`- Admin 1strator l do O it Proposal Ilan Hickey Carpenter- General Contractor 133 8h Avenue Haverhill, Massachusetts 01830 Phone: (978) 372-2337 Fax: (978) 372-7529 E-mail danhickeyjrnearthlink.net Construction Supervisors License#004947 Home Improvement Contractor#1090809 PROPOSAL SUBMITTED TO:Lori Steigerwald DATE: 1-21-2006 PHONE:978 683-7973 email: lorijake@comcast.net STREET: 120 Brentwood Circle. CITY,STATE and ZIP CODE:North Andover,Ma.01845 i I We propose hereby to furnish material and labor-complete in accordance with specifications below,for the sum of:Twenty thousand six hundred xx/100 dollars.------------------------------------------------$20,6.0 Payments to be made as follows:$2000 at the signing of the contract.$6000 at the start of the job.4000 at the start of the electrical.$3000 at the start of drywall.$3000 at the start of finish work.Balance at completion. Authorized Signature F.Daniel Hickey Jr. Note:we may withdraw this proposal if not accepted within 7 da sy We hereby submit specifications and estimates for finishing the basement to include the following. • Frame the area as per plan. • Install electrical to code(allowance$2500) • Insulate walls • Drywall finished room area of new work. • Install three six-panel formed doors up to 36"in width. • Trim three windows • Install baseboard • Address the fust four steps to receive carpet.Carpet remaining stairs.Install two oak newels with primed balusters up to four treads.Add additional hand rail where needed. • Install drop ceiling to new created room. • Purchase and install carpet for floor and stairs(allowance$1200.00). i • Builder will obtain building permit. • Job related debris would be removed. • Price does not include painting or staining. Acceptance of Proposal-The above prices, 1, specifications and conditions are satisfactory and are Signature hereby accepted.You are authorized to do the work as specified. Payment will be made as outlined above. I/we Signature have read the attached Statement of terms and a� conditions.(Do not sign, if these terms are not attached.) Date of Acceptance: i I SL - - - - - - - - - - 3 " - - - - - - - - - — — — — ' I r — — - - - - - _ I I I I I I I Egress I I Existing Unfinished I I I I I I I I I I I I I I 7- 3068 I N I I I I I I I I I Playroom I I Sitting Room 16'-0" I I 14'-5" I I I I I I 1 I I I up— J, I I I I I I I t o I I I _ I — - - - - - — — — - - - - - - - - - - - - - - - - - - - - - - - - - LIVING - -LIVING AREA 936 sq ft