HomeMy WebLinkAboutBuilding Permit #Exception - 131 DUNCAN DRIVE 5/1/2018 TOWN OF NORTH ANDOVER
APPLICATION FOR PLAN EXAMINATION
Permit NO: Date Received
Date Issued:
IMPORTANT:Applicant must complete all items on this page
LOCATIONlyrC -i-¢
Print _
PRiOPERTY OWNE#� �` 1i11-41L
Pfint
MAP NO: PAR CE ZONING D1STR;ICT:=Historic District yes no
:
Machine Village yes � 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 Well 'Floodplain : " 1�etlands Watershed District
1Nater/Sewer.
DESCRIPTION OF WORK TO BE P FORMED:
:.;
iLex �
Identification Please Type or Print Clearly)
OWNER: Name: Phone:
Address:
CONTRACTOR Nam.0' 2f -Iq . Phone• 2.7 ` Z
Addres-s : A;?C[#4 azlz�A-oCwt/
Supei�tsor's Construction License. e� Ex Date:
Horne.ImprovementLice nse Exp-p Date-
ARCHITECT/ENG I NEER
atedARCHITECT/ENGINEER A' Phone:
Address: Reg. No.
FEE SCHEDULE.BULDING PERMIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F.
Total Project Cost: $ 7� Gc)o FEE: $
Check No.: Receipt No.:
NOTE: Persons contracting wit nregistered contractors do not have access to uaranty fund
Signature of Agent/Owner Signature of contractor
Plans Submitted Plans Waived Certified Plot Plan Stamped Plans
r
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
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 /A7 D 9 Signature
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 Driveway Permit
DPW Town Engineer: Signature:
Located 384 Osgood Street
FIRE ,EPARTMfNT - Temt) Durnpster.on site.-yes no
Located at 124Wain Street
:Fire Department signature/date
COMMENTS
== tae C;omnarzwealfit ofM4=achusettc
f f i DePartmeP&ref, Industrial Accidents•
Eift,, � ,f IIIVeS�LdOttolLF
• � 600 Nlczshin;ton Street
i Boston
, MA 02.111 - • '
Workers° Com usafion . �' =►» '�grry/diQ
Pe Iasitrance A,flitlavit: Eaders/Contractors/Eiectticiants/Pinmbers
.�. licant Information
NPlease Print LeQibf
aMe(Bustress/organizatiOrAndivideal)• d'�ll.
Address:
Citylstatejzi :— M M
/d-
Are you 8a employer?Cbeak.tbe apProPrieete•hoz:
-=
1.F] I•am a employer with4, Type of projets(regni*:
❑ I am a general contractor and I
ernploYcs(full and/or part-time).* have hired the sub-contractors 6' ❑Naw construction
2.0 I am zaoie proprietor.or pier- listed .
ship and have no employees �,on the attached seet.
h 3 7. ❑.Remodeling
working for me in any capacity. work S�-contractors have
ty 8. Q Demolition
(No work=,corp.insurance.
n iasi rmce 5. e 8� a camosaiian and 9• ❑Building addition
required.) rp
3•❑ Iain a homeowner doing all work right have czorcised their 10.[]Electrical repairs or additions
of expinption per MQL l 1.
myself»[No•wark�•s'��. .� �� �P1um6ing repairs or additions
insurance requir-wLI't §1(¢),and,we have no 12 Roof
anplc ye r, (No work=! repairs
• yapplirarttti�t comp• W' MLU�ancerequired_] 1IMOther P � ��,
cknxks bob�I moat abio flit out the section below s{ho +
Fiomto"M who submtt this atfi avit indicating th � $t�irworicars omapeosafim oi'
Canoed w that check this box must dQ +ask end the hue Dalai&contrft,must s bmcy ft a tion
ac addit'DwJ whet siwwim.the a of tip sub. ubmit a.aew a vis indica*
n.
I am.an earpfoyer tha7 is arnoviararg:wQr�..�'.^vr• etz.a COO O`s and their WMic=•cD irfnrtnation.
irfora►tatiofz �risrcruneej•Qr nry.e�PjaVe�: B'�rrw is tF.e
�'�j 'ma�¢;joe•srir
insurance Company Name:
Policy#or Self ihs.Lie. #:
Job Site.Address: Hxpirstion Date:
Attaah a copy of the workers' cone CitylSlstelZip:
Peesation Policy deefi�Lratioo showioa
Failure to secure covert c as page( e the PDftcy number and expi�oo dstte} .
fine to g requirai under Section 25A of MaL c. 152 can 1=6 to the imposition of caurt•
up $1,500.00 and/or one-year irrprisonmerrt as welt as civil �l pmahin of a
Of up to 5250.00 a day against.the violator. Be advised that perratfres in the form of a S71DP WORK ORpER mtd a fine
Investigations of the DIA-for ins a copy of this statement may be forwarded to fhc
iaarrce coverage venin"cation. Office of
Ido hereby certify der e p allies o e
�°1� lP rJ+rry afim`the urfor»ratioet provided above h•true and aontcb
Si
Phone#: — Date:
Y
O,j�'icial use Deity. Do not write int•this
arra,to bt enmptex�!�' 'or town.official
City or Town:
Issuing Amo Permit/License#
b rdy(circle one):
I. tbof Health
C OtbeL Buiidiug Department 3.City/Town•Cleric 4. Electrical Inspector S. Pm
lubing Iety r
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Contact persott:
Pboue#:
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BARRY
Fine Homes & Renovations, Inc.
P.O. Box 3057
Andover, MA. 01810
(978) 475-5443
(978) 475-6564 fax
Dan & Linda Bums ,
131 Duncan Drive
North Andover, Ma. 01845 June 27, 2009
Estimated start date: July 13th
Estimated time to complete project 2-3 weeks
Scope of work: Demo existing deck. Build new deck approximately 14'x 37'w/ 10'wide
stairs to the backyard. Pour 12" sona tubes as required. Framing to be 2"x10" pressure
treated. Built with galvanized fasteners. Install hangers, flashing and lag bolts as required.
Install Timber Tech decking and railing system. Using hidden fasteners for the,necking.
Trim the deck with composite/vinyl trim and privacy lattice w/access under the deck for
storage. Install trim using stainless steel fasteners. Build a.pergola/trullas type structure
approx. 10' 12' using pine /spruce materials. A dumpster will be on site and all building
materials and debris will disposed of properly.
Estimated costs for the project: $15,600* Includes all necessary building materials
and labor to complete this project.
All work and decisions made on this project will be made solely
By: Barry Fine Homes & Renovations, Inc.
* includes drawings and permits as required by the town.
Exclusions: If a certified plot plan is not on file. A fee will need to be added to the contract
for this service.
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Bar o ui , eQu ati
an ar s
HOME IMPROVEMENT CONTRACTOR
Regist'aJon: 136892
Expirafion 9/10/2010 Tr# 279442
fT�+Pe DBA
BARRY FINE HOMES-£&--NOVATIONS
BRIAN BARRY `
30 RIVERINA RD `�
ANDOVER,MA 018, `
— Administrator "
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m fie-(iar�uneaazwe�a�,./f�aaoa�a�Zuaeda
# Board of Building Regulations and Standards '
Construction Supervisor License
License: C5 82026 g
- :ExpiraTr# 11952
1 ¢ Restriction 00
BRIAN R BARRY r'
30 RIVERINA RD
ANDOVEF7,NIA 01810 - Commissioner
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