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HomeMy WebLinkAboutBuilding Permit #97 - 134 MILK STREET 8/7/2007 " BUILDING PERMIT TOWN OF NORTH ANDOVER 0 i p APPLICATION FOR PLAN EXAMINATION qq cxwcw Permit N0: Date Received �,ySSACHus��cy Date Issued: /0-7 IMPORTANT Applicant must complete all items on this page i` • s• S� g!- 3"M .,,F � WWI , v a'a • �, x %ar,��" .tr"r rtrat�.F'•��'n .., "• F �rysw'•�s. ' , HE �< meas 8 TYPE OF IMPROVEMENT PROPOSED USE Residjential Non- Residential ❑ New Building One family ❑ Addition ❑ Two or more family , ❑ Industrial ❑ Alteration No. of units: ❑ Commercial epair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other LI F"' 1� DESCRIPTION OF WORK TO �E PREFORMED: c Identification Please Type or Print Clearly) OWNER: Name: &eft4 C,e)KM(3!-& Phone•l??, -13 6,3 Address AA�" x t "` "�" P mow,•a• ' _ '"'+ �� �, . yA , � .y �`�p ss,<�� ? .. �„ - x � � ✓..ter-�'� a•v. � - �`w a ��' *,�.a- _ '°��"' d c �"• a `���' 1 v a� '�k f �l��Ynk�ky �� $a.���a A�4OUR dres� '� T.. q,.�. 4�^��'e ��iA �G��w��yo���.� i.��q�• ���� p k„�s`5 .�' x? ��..A:.� � xN` �x��rt+ '�'�' �4� ` 7�7�C:..^$`1fi���•4 , ., ':syax y :..4 ,,i - `n a ",' +;•.'' t `rF� a, ew �' 1's "+�'. �: ?' a. �,' � �� .; lye x ��- *F ¢�r •,.'` ' s ".'3 a�•^x -�a R 3. " 1Z ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE:BOLDING PERMIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ �,�5 FEE: $ �� VD Check No.: V� D Receipt No.: ,2 6 4L/CZ NOTE: Persons contracting wit unregiste a ontractors do not have access to guaran fu d mp �-sz Signature ofAgnl/©wnery• . Signae ofontt�actor_ rail .. } G 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 Workers Comp Affidavit ,Photo Copy Of H.I.C. And/Or C.S.L. Licenses a�Copy of Contract ►"4u Floor Plan Or Proposed Interior Work A-fa Engineering Affidavits for Engineered products NOTE:�I 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) ❑ 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 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:BPFORM07 Revised 2.2007 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 ElPrivate(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 ❑ I COMMENTS j CONSERVATION ElDATE REJECTED DATE APPROVED ❑ COMMENTS DATE REJECTED DATE APPROVED HEALTH El ❑ COMMENTS 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 Located at 384 Osgood Street Driveway Permit f44 EP ►RT11�EITTmDrpso Fre Oeparxrnen s�gnaur�lt�ate � > ��� ��*„������• "? 77`a � "�`,�� � � sk ' � „at+ y 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.s100-s1000 fine NOTES and DATA— For department use skcAlw A 6� �s ❑ Notified for pickup - Date Doc.Building Permit Revised 2007 Location No. 97 Date 0 7 �ORTM TOWN OF NORTH ANDOVER F 9 Certificate of Occupancy $ Building/Frame Permit Fee $ � � SACHUSE Foundation Permit Fee $ Other Permit Fee $ TOTAL Check # 20468 4 Build ncd Inspector NORTH ovm Of ., over 0 No. o o dover, Mass., If, COCMICME W ICK A. sRAT E O F'?a` �5 BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System ��jj f ` BUILDING INSPECTOR THISCERTIFIES THAT............./:-1:.?..... O/V. S.��,z/ / ........................................................................................... Foundation a has permission to erect........................................ buildings on . ,, .. ... 1 . .. .. .......Sfr................................... Rough �. S' !� /r•Gf ,C� Chimney to be occupied as............... 1� 7.9t( ...... ........... .... .....v.�. ................................. ...........�... .. ..�............................ provided that the person accepting this permit shall in every respect conform to a terms of the application on file in Final 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 PERMIT EXPIRES IN 6 MONTHS Final UNLESS CONSTRUCTI STARTS ELECTRICAL INSPECTOR Rough ......... ..... Service ..... . .. . ................... UILDING INSPE R Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Rough Display in a Conspicuous Place on the Premises - Do Not Remove Final Na Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. SEE REVERSE SIDE Smoke Det. i --- fie Po7.�nxo�uoealt� o�� acfivael.� � _ Board of Buitdmg Regulat►ons and Stan_dards•. M Cdn'strucfian Supervisor License Lic�fi'e,GS. 44-'W B�F%da�. 1 /2/195.0 KT tr ti' n 1 ^00$ T4 LESTEE .B STREEt 314 THOREAI�, V.¢. �., CONCORD MA,O'1742 Coinm�ssoner a ---r----------.-,�-----Win-•--- and �o yrL r l /1041 O orgui1di" ad ReiblEiMPROVEReguiarin��nT� � gistrati MENr Sty�.nd t.Qe i Expiration 74502(3cONTR4c7'0& ds / CFSr TRFFTFR* Type; O21112008 314 ryp SrRFFTA SSOC/AYES Tom` 12650 CONCORDFMq o; R / 42 traror The commonwealth of Massachusetts S Depadment of Fire Servi' Office of the State Fire Marshal P.o;Banc 1075 State Road, Stow,MA 01775 /tel PERMIT Date: v �� North Andover 1'ermitNo ( City,of Town) Of�+PPlicable) Dig Safe.Num er. In accordance with the provisions of 1bL G I 1 LE$.Chapter1(Z as provided in section S 7. f Mg 34 Start Date /'v - Thi5wPermtt is granted to FWI name o£person,Firm of Corporation Permission to locate dumps.ter for construction/renovation/demolition of building. Comment:.: dumpster must be . 25 ` from structure if unable to place with' re uired Restrictions'clearance dumpster must :be covered with plywood or tar -work end of k -da Y (Give location by street and no.,or des nbe m such N-ero prQ d,adequate identification of location) Fee Paid$ 50.00 Fire Chief This Permit will expire S igna e o offrcal granting permit) O rjcal grantingVcnTdt (Title) Lester B. Streeter 314 Thoreau St. Concord, MA. 01742 978-828-0410 July 28, 2007 Aaron and Melissa Constable 134 Milk St. North Andover, MA. 01845 1. Strip roof, install ice and water to entire roof, shingle with GAF pewter arch. shingles ( 30 Yr ), clean up to dumpster on site ( $600 ) allowance. Note; no ridge vent at this point. We need to look at existing roof and see how it was built. $ 6,600.00 2. Cut roof and install 2 skylites with curb flashing kit. install interior trim to finish off. Painting/staining by others. $ 2,350.00 Total Job Costs $ 8,950.00 Payment schedule: 1St - Deposit paid on Skylites $ 805.25 Pd on Melissa CC 2nd - Upon delivery of materials $ 5,000.00 3rd - Upon completion of contracted work $ 3,144.75 Homeow Date Zk//�7-- Contractor Lester B. Streeter �Date 7 � Midwest-Customer-Home Page I of I r,73_T, - -- - ' -- - a.. Customer Cat" Insured : SUE STREETER ij Health ID Number : 02404618637 Effective Date : 6/1/2006 Paid to Date : 9/1/2007 Certificate Status : Active Billing Control Number : 2494618637 k" Billing Frequency : Quarterly s rx« Billing Amount : $2,459.76 p0 Street Address : 314 THOREAU ST City : CONCORD _02, . _ I I I I i State : MA -- Zip : 01742 ®,p First Last Date Of Effective Paid ' Name Name Birth Date Date E) owlSUE ---STREETE 11/11/1952 6/1/2006 9/1/2 ESTER STREETER 12/2/1950 6/1/2006 9/1/2 CARLY 9/4/1989 6/1/2006 9/1/2 If you have any questions regarding your premium or payment, ' . contact the Customer Care Center at 1-800-733-1110 or through t the Contact Us page. 41 Financial Privacy Notice I Notice of Privacy Practice ©Copyright 2006 HealthMarkets Administrative Services Group.All Rights Reserv. Version 6.2.2 (server 25) httt)s://www.midwestlife.com/CustHome.aspx 8/7/2007