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Home My WebLink AboutBuilding Permit #Exception - 129 CARLTON LANE 5/1/2018 (5) BUILDING PERMIT pORTy O�ttLE� TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit No#: Date Received gSSACHUs�� Date Issued: �- IMPORTANT:Applicant must complete all items on this page LOCATION 4..1r �/ r PROPERTY OWNER l / �rint Print 100 Year Structure yes no MAP PARCEL: ZONING DISTRICT: Historic District yes no Machine Shop Village yes no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building OOne family ❑Addition ❑Two or more family ❑ Industrial ❑Alteration No. of units: ❑ Commercial ❑ Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other ❑ Septic ❑Well ❑ Floodplain ❑Wetlands ❑ Watershed District ❑Water/Sewer DESCRIPTION OF WORK TO BE PERFORME Ifs ntifleation- Please Type or Print Clearly OWNER: Name: �i/ �Cfit /At Phone: Address: Contractor Name3- ,g/we!"�OK Phone Address: S� Supervisor's Construction License: Exp. Date: Home Improvement License: 4?/ Exp. Date: ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE:BULDING PERMIT.$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASE ON$125 00 BERP.F. FEE: $ U Total Project Cost: $ � b r Check No.: Receipt No.: NOTE: Persons contracting with unregistered contractors do not have accessldVe guaranty fund Signature of Agent/Owner Signature of contractor 9 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 ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit Addition Or Decks ❑ Building Permit Application ❑ Certified Surveyed Plot Plan o Workers Comp Affidavit o Photo Copy of H.I.C. And C.S.L. Licenses ❑ Copy Of Contract ❑ Floor/Cross Section/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Mass check Energy Compliance Report (If Applicable) ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit New Construction (Single and Two Family) ❑ Building Permit Application o Certified Proposed Plot Plan ❑ Photo of H.I.C. And C.S.L. Licenses o Workers Comp Affidavit a 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 ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg. Permit 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:Building Permit Revised 2014 Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ _T_Y_P_E 0.1=SE3URA.GE-DIS.P_O.S.AL Public Sewer ❑ Tanning/Massage/Body Art ❑ Swinnning Pools ❑ Well ❑ Tobacco Sales ❑ Food Packaging/Sales ❑ Private(septic tank,etc. ❑ Permanent Dumpster on Site ❑ THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM PLANNING & DEVELOPMENT Reviewed On Signature_ COMMENTS CONSERVATION Reviewed on Signature COMMENTS HEALTH Reviewed on Signature COMMENTS r, La 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 DPW Town Engineer: Signature: Located 384 Osgood Street FIRE DEPARTMENT - Temp Dumpster on site yes no Located at 124 Main Street Fire Department signature/date _ COMMENTS ni.men.sion Number of Stories: Total square feet of floor area, based on Exterior dimensions. Total land area, sq. ft.: ELECTRICAL: Movement of Meter location, mast or service drop requires approval of Electrical Inspector Yes No DANGER ZONE LITERATURE: Yes No MGL Chapter 166 Section 21A—F and G min.$100-$1000 fine NOTES and DATA—(For department use) i I I ❑ Notified for pickup Call Email I Date Time Contact Name Doc.Building Permit Revised 2014 Location No. �� Date • - TOWN OF NORTH ANDOVER e .,. Certificate of Occupancy p Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ i ccl Check 4t UJ 27794 Building Inspector r i - TIORTH E I. Auc . : ver : - 1 h ver, Mass coc NIc"twic" �f.9s Rwreo V BOARD OF HEALTH Food/Kitchen PERMIT T LD Septic System THIS CERTIFIES THAT .......... .1.�.�................ .�C...�.!/.1!}..c.�.. ..+.....,................................................. BUILDING INSPECTOR has permission to erect ........ buildings on ..� � L W ,.....�, . .. .. . Foundation . / Rough to be occupied as ......... �(✓. .... 1 ��"\,�//�1- �. �.. . � ........................... ........................... Chimney provided that the person accepting this permit shall in every respect confor 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 Rough VIOLATION of the Zoning or Building Regulations Voids this Permit. / 0�� l ��--_ �J Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTION S RT 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. Rei'leWaVRenewal by Andersen Corporation 104 Otis Street•Northborough,Massachusetts 01532 MA Horne Improvement Contractor byAndersen• MA License#170810(expires WINDOW REPLACEMENT an Andmcn ampany Phone(SO8)381-2200•Fax(508)986-7072 12/23/2015) Federal Tax ID# 41-1918413 CONTRACT AMENDMENT This Amendment ("Amendment")is to the CUSTOM WINDOW AND DOOR REMODELING AGREEMENT("Agreement")by and between Renewal by Andersen Corporation and Bill Schmidt("buyers"). Contractor and Buyer(s)hereby agree to amend and modify the Agreement as indicated below. Other than as specifically indicated below,all the terms and conditions of the Agreement will remain in full force and effect. This Amendment is subject to the terms and conditions of the Agreement. The following additions,alterations,or deletions to the products and services Buyer(s)ordered are being made: Adding 6 double hungs to original contract. As a result of these changes, the following terms of the Agreement are also changing (if there is no change,an item will be left blank or marked as"N/A",indicating that no change applies: NEW Total Job Amount:$19,197.00 Payment Method: New Deposit Received:$9,598.50 Green Sky Finance New Balance at Start of job New Balance on Green Sky Finance Substantial Completion of job:$9,598.50 *Please Note-Your job will be delayed until amendment is signed and received. It is agreed and understood by and between the parties that this Amendment and the original Agreement constitute the entire understanding be- tween the parties,and there are no verbal understandings changing or modifying any of the terms of this Amendment. Buyer(s)hereby acknowl- edges that Buyer(s)has read this Amendment and has received a completed,signed,and dated copy of this Amendment on the date written below. Renewal by Andersen Corporation Buyer(s) — By: Signature of]Product Manager Signature Date rim Halloran J E-Signed.: 07117t2a14 W:51 AM csr 6/6/2014 Print Name of Product Manager William Schmidt Date Wils,chmidtl@gmai i.com Qocro:za:snaesr6 iia a isao Doc ID: 20140606101515770