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HomeMy WebLinkAboutBuilding Permit #008-15 - 130 REA STREET 7/1/2014 TOWN OF NORTH ANDOVER ('� + APPLICATION FOR PLAN EXAMINATION Permit NO: O 1 Date Received Date Issued: IMPORTANT:Applicant must complete all items on this page LOCATION Print PROPERTY OWNER Print 100 Year Old Structure yes n MAP NO: PARCEL: ZONING DISTRICT: Historic District ye n Machine Shop Village ye no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building ❑ One family ❑Addition ❑Two or more family ❑ Industrial ❑Alteration No. of units: ❑ Commercial )(Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other ❑ Septic 0 Well ❑ Floodplain ❑Wetlands ❑ Watershed District ❑Water/Sewer ASCRIPTION OF WORK TOE PERFORMED: Identification Please Type or Print Clearly) OWNER: Name: AA-rn Wyor) e-cc,< Phone: r Address: 772e-f7 De-v Det �9 CONTRACTOR Name: c5Az<� &) Aeae�41yL rl- Phone: /;2w Q;9y- 1 Address:l05- N �! Supervisor's Construction License: /06203 1 Exp. Date: 0??—,;?,/—��, Home Improvement License: Exp. Date: 03- 7-1 -16 U� ARCHITECT/ENGINEER Phone: 0 Address: Reg. No. \y FEE SCHEDULE:BOLDING PERMIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON ON$125.00 PER S.F. Total Project Cost: $ (:797o�-! FEE: $ ?2 J Check No.: �' J" ' Receipt No.: NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund Signature of Agent/Owner /i -g:nature of contractor Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ TYPE OF.SEWERAGE.DISPOSAL Public Sewer ❑ Tanning/Massage/Body Art ❑. . Swimming Pools ❑ Well ❑ Tobacco Sales ❑ Food Packaging/Sales ❑ Private(septic tank,etc. ❑ Permanent Dumpster on Site ❑ i THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM DATE REJECTED DATE APPROVED PLANNING & DEVELOPMENT ❑ ❑ COMMENTS CONSERVATION Reviewed on Signature COMMENTS HEALTH Reviewed on Signature COMMEN;"S 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 Driveway Permit DPW Town Engineer: Signature: Located 384 Osgood Street FIRE bEPART'ME'K'1T -'Temp Dumpster on site yes no Located at'124 Mair., Street Fire Departinerd signature/date COMMENTS_ Dimension 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.$10041000 fine NOTES and DATA— (For department use T rC�Yyle' v✓AC.--�,_ U ✓l e-," tI ® Notified for pickup - Date Doc.Building Permit Revised 2010 Building Department The flowing 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 ❑ 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) o 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 ❑ 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 ❑ 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 app•-al period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording must be subm.tted with the building application Doc: Doc.Buiding Permit Revised 2012 Location No. \ Date _ • - TOWN OF NORTH ANDOVER Certificate of Occupancy ! $� Building/Frame Permit Fee, $� Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check# 21733 Building Inspector 1 NORTH Town of s ndover No. C, ver, Mass, • A- COCMICMlWICK 7d 044 4TED H1? Cl) S V BOARD OF HEALTH Food/Kitchen PERMIT T LD Septic System A'V%Ijbkokd THIS CERTIFIES THAT ......... �.1��.�illr. .......... wwww .................................. BUILDING INSPECTOR Foundation has permission to erect .... .................... buildings on ......1.40...... ....... ..r.............. to be occupied as ........ �mok.. ' K/1. Rough ........ .� ..... .... .. ....... ... ................................... 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 Final 3900 PERMIT EXPIRES IN 6 M THS ELECTRICAL INSPECTOR UNLESS CONSTRUCTI0 Rough Service .................\61te......... ... Final BUILDING INSPECTOR GAS INSPECTOR Occupancy Permit Required to Occupy Building Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final J No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. Smoke Det. --------------- - - ...... - --- �"�� 7/0 J MOYNIHAN-NORTH READING LUMBER, INC. "QUALITY BACKED BYA DESIRE TO PLEASE" 164 Chestnut Street • FEIN:04-2261995 North Reading, MA 01861 Contractor Reg No.: 978-864-3310/781-944-8500 Exp. Date: Salesperson(s): HOMEOWNER INFORMATION /t ll rpm (�C �C)tr4C! c a c///' ,T 9 e/�--6 X 5 6_0S Z_ Name Daytime Phone Is r-1 Street Address(Not P.O.Box) Evening Phone AJ,&e` &rlAj & l9'1�J OI rLS' City/Town State Zip Code Mailing Address(if different from Street Address) WORK TO BE PERFORMED AND MATERIALS TO BE USED Moynihan-North Reading Lumber, Inc. agrees to perform the work set forth in Exhibit A for Homeowner and to use such materials in connection therewith as set forth also in Exhibit A,attached hereto and made a part hereof. The following schedule shall be adhered to unless circumstances arise beyond Moynihan-North Reading Lumber, Inc.'s control:Work scheduled to begin: _//— Expected date of completion: May be based upon arrival of special order material TOTAL CONTRACT PRICE AND PAYMENT SCHEDULE Moynihan- North Reading Lumber, Inc. agrees to performthe work, and furnish the material and labor set forth in Exhibit A for the Total Contract Price of: $ (which amount includes all finance charges). Payments sha be made by Homeowner according to the following payment schedule: $27 J Initial deposit upon signing this Contract(the initial deposit shall not exceed the greater of one-third (1/3)of the Total Contract Price as set forth above;OR the Total Cost of Special/Custom Orders as set forth below). $ �Id• by—/—/—or upon completion of delivery of materials $ 3 e_?6,u2V by_/ / or upon completion of install $ upon completion of the Contract In order to meet the completion schedule set forth above, the following materials/equipment must be special ordered before the Contract work begins,for a Total Cost of Special/Custom Orders of$ $ to be paid for 'ding permit $ to be paid for �� +{ - �t- 7� �-'j e k m ice' $ to be paid for DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES eV PL Moynihan-North Reading Lumber,Inc. Homeowner's Signature Date Contractor Date By: Dale Fuller Homeowner's Name(Printed) Installed Sales Coordinator You may cancel this Contract if it has been signed by a party thereto at a place other than an address of Contractor,which may be its main office or branch thereof, provided you notify Contractor in writing at its main office or branch by ordinary mail posted, by telegram sent or by delivery,no later than midnight of the third business day following the signing of this Contract. See attached notice of cancellation for an explanation of this right. See reverse side for additional Homeowner Terms and Conditions ;STIMATE )YNIHAN NO. READING LUMBER Est#: 171461 BOX 128 34 CHESTNUT STREET Route: NONE )RTH READING, MA 01864Page: 1 of 2 lone: (978) 664-3310 M NINAN LUM Estmt: 05/07/14 ]x: (978) 664-0872 Sched: 05/07/14 Printed Date: 06/26/14 To: CASH01 Ship To: Time: 12:40 PM WILLIAM WOODCOCOK WILLIAM WOODCOCOK 130 REA ST 130 REA ST N. ANDOVER MA 01845 N. ANDOVER MA 01845 :OB: DLVD Entd By: AF62 Via: CUSTOMER PICK UP Contact: Phone: (978) 685-5052 Type: WHSE In: 62 / Out: 08 Terms: CASH Your Order: WOODCOCOK WILLIAM Customer Instructions Net -ine # Item Number Quantity Description Net Price Extended ********** THIS IS NOT A RECEIPT ** UNTIL FURTHER NOTICE - PRICING OF ALL ROOFING METAL AND PETROLEUM BASED PRODUCTS ARE SUBJECT TO CHANGE W/O NOTICE. ALL LUMBER PRODUCT PRICING IS GOOD FOR 7 DAYS. )001.00 M 1.00 CO JELD WEN SP692FG3 SIDELIGHTS 1,115.00 E 1,115.00 SP662FG4 S601SL-LE (FULL LITE) SIDELITES, 5" PRIMED FRAMESAVER JAMB, SGL BORE, NO CASING. DULL BRASS HINGES. MILL FINISH ADJ COMPOSITE SILL (SEE HUTTIG QUOTE #SQW000512-1 FOR MORE DETAIL) - DO NOT USE FOR SPECIAL ORDER (NO PO) )002.00 WM8753 24.00 LN 11/16X2-1/2 COL CASING - 8753 1.37 E 32.94 Tally (Qty/Len): 3/8 3003.00 14RO 8.00 LN 1X4 SE RED OAK KD FAS+BTR GRDE 1.70 E 13.58 Tally (Qty/Len): 1/8 0004.00 IMI 1.00 CO INSTALL FRONT DOOR STORM 1.120.00 E 1.120.00 0005.00 M 1.00 CO EXTERIOR TRIM B-4 220.00 E 220.00 :STIMATE )YNIHAN NO. READING LUMBER Est#: 171461 ) BOX 128 AA &A 54 CHESTNUT STREET on R9 Route: NONE )RTH READING, MA 01864 ff1�1�' u 1t� Page: 2 of 2 lone: (978) 664-3310 MOYNIHAN LUM Estmt: 05/07/14 3x: (978) 664-0872 Sched: 05/07/14 Printed Date: 06/26/14 To: CASH01 Ship To: Time: 12:40 PM WILLIAM WOODCOCOK WILLIAM WOODCOCOK 130 REA ST 130 REA ST N. ANDOVER MA 01845 N. ANDOVER MA 01845 =06: DLVD Entd By: AF62 Via: CUSTOMER PICK UP Contact: Phone: (978) 685-5052 Type: WHSE In: 62 / Out: 08 Terms: CASH Your Order: WOODCOCOK WILLIAM Net -ine # Item Number Quantity Description Net Price Extended 1006.00 18VT 1.00 EA 1"X8"X18' VERSATEX TRIMBOARD 51.35 E 51.35 CELLULAR PUC TRIMBOARD 18' 1007.00 PLYKIK 1.00 EA SCHLAGE F51 PLY 605 PLYMOUTH 32.38 E 32.38 BRIGHT BRASS KEYLOCK LATCH W/TRIPLE OPTION LATCH AND DUAL STRIKE 7008.00 ISWR 1.00 EA INSTALL SALES - BUILDING 45.00 E 45.00 MATERIALS DISPOSAL FEE Merchandise. . . : 2,630.25 Tax. .. . . .. .. . . : 91.58 Misc Charges. . : 0.00 Estimate Total : 2,721.83 � NORTI�/ Town ofndover : � O „ 0 No. U)S. h ver, Mass, coc"Ichewicw� 1''OO P`� s u BOARD OF HEALTH Food/Kitchen PERMIT T LD Septic System THIS CERTIFIES THAT ......... ,1��.�iA! ......... . .. .. .................................. BUILDING INSPECTOR Foundation has permission to erect .... .................... buildings on ...... ...... ...... .. .................... Rough to be occupied as ........ �►.. ' K/I. ......... . �..... .... .. �....... .. .� ................................... 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 Final 3SPERMIT EXPIRES IN 6 M THS ELECTRICAL INSPECTOR- UNLESS CONSTRUCTI0 Rough Service ................... ...... ............. ... Final BUILDING INSPECTOR GAS INSPECTOR Occupancy Permit Required to Occupy Building 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.