HomeMy WebLinkAboutBuilding Permit #97-12 - 1511 GREAT POND ROAD 8/3/2011 TOWN OF NORTH ANDOVER
APPLICATION FOR PLAN EXAMINATION
Permit NO: Date Received
Date Issued: l
IMPORTANT: Applicant must complete all items on this page
LOCATION I . ,
Print
PROPERTY OWNER Q1,d� f �c :5c in+1-, Unit#
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MAP NO: (al2- PARCEL: 7-0 ZONING DISTRICT: Historic District TyesnoMachine Shop Village100 year-old structure
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 11 Well ❑Floodplain Wetlands ❑ 'Watershed District
El Water/Sewer
Re 5;jC0_rr1r_\ DESCRIPTION OF WORK TO BE PERFORMED:
(Identification Please Type or Print Clearly)
OWNER: Name: Ad C; rs ke, N-/a.-5 .- Phone
Address: l 5 11 Cr ect ' 2 r„ fid.
CONTRACTOR Name: �_e so L&,_ ` Phone: R 7g-,39
Address: Y_ AJ.�
Supervisor's Construction License: 1 d al a Exp. Date: 16 - 13
Home Improvement License: ( L1 q q(p 7 Exp. Date: IO —d k - ;->o I �
ARCHITECT/ENGINEER nr 14 Phone:
Address: Reg. No.
FEE SCHEDULE:BULDING PERMIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$925.00 PER S.F.
Total Project Cost: FEE:
/ $ U
Check No.: l Q 2,2-- Receipt No.:
NOTE: Persons contracting with unregistered co tractors do not have access to the guaranty fund
Signature of Agent/Ownd :Signature of contractor: . -
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
❑ 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
o 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: Doe.Building Permit Revised 2008mi
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.$100-$1000 fine
NOTES and DATA— For department use
❑ Notified for pickup - Date
Doc:.Building Permit Revised 2011 June/mi
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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 ❑
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
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 DEPARTMENT - Temp Dumpster on site yes no
Located at 124 Main Street
Fire Department signature/date
COMMENTS
Wordell's Home Solutions LLC Estimate
9 Park Ave
Methuen, MA 01844 Date Estimate#
Y (978)-397-5248
HIC#144467 CSL#103272 7/21/2011 1416
Name/Address
Adarsh Vasanth
1511 Great Pond Rd.
N.Andover. MA 01845
Due Date
7/21/2011
Item Description Qty UM Total
NOTE: Costs for all materials will be actual costs itemized on final invoice verifiable if
required. An up-front payment of$2500.00 will be required to cover material and
permit costs two weeks prior to starting project. Items or changes not listed would be in
j addition to original quote. A signed copy of this quote will be required at the start of
project and can either be mailed or handed over before the start of the project
Terms and Conditions
1) Scope of Work; Contractor agrees to furnish all labor, services, materials,
installation, supplies, insurance, equipment, tools and other facilities required for
prompt and.efficient execution of the work described herein in a professional and
workmanlike manner
2) Quote Amount; Owner agrees to pay Contractor for the strict performance of his
work, the sum as indicated above subject to additions and deductions for changes in
the scope of work as may be subsequently agreed upon.
3) Payment Schedule; Owner agrees to pay Contractor in progress payments as
follows:
Payment#1 $200.00 Upon signing contracts
Payment#2$3200.00 Two weeks prior to start date.
Payment#3$700.00 completion of demo
Payment#4$1100.00 completion of decking and trim
Phone# E-mail Web Site Total
(978)-397-5248 les@wordellshomesolutions.com wordellshornesolutions.com
Page 2 Contractors Si
Home Owner Sig: g;
LocationS� U/��
No. Date
NOATM TOWN OF NORTH ANDOVER
F A
D �
Certificate of Occupancy $
cMusEs Building/Frame Permit Fee $
Foundation Permit Fee $
Other Permit Fee $
TOTAL $
Check # I v 2,�/
2 4 c:: 'I
Building Inspector
Wordell's Home Solutions LLC Estimate
9 Park Ave
Methuen, MA 01844 Date Estimate#
l' (978)-397-5248
HIC#144467 CSL#103272 7/21/2011 1416
Name/Address
Adarsh Vasanth
1511 Great Pond Rd.
N.Andover. MA 01845
Due Date
7/21/2011
._x_
Item Description Qty UM Total
Final Payment#5 Full Balance of Invoice Upon 100% completion of project(the
stair platforms)
4)Work Schedule; Contractor shall complete the work as required by agreement with
the home owner. Contractor is agreed to be no more than 7 days late to start or finish
per agreed schedule. Work schedule may be amended based on additional work
inclusions and deductions and by agreement between Owner and Contractor. Not
subject to delays caused by other contractors or their agents.
The parties hereto have executed this Agreement for themselves, their heirs,
executors, successors, administrators, and assignees on the day and year written
below.
Phone# T E-mail Web Site Total $511856.86
(978)-397-5248 les@wordellshome§olutions.com wordellshomesolutions.com
[Home Owner Sig:
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, dover, Mass.,
COC HIC NE WICK ���
RATED PP�`�.(5
S U ` BOARD OF HEALTH
PERMIT T D Food/Kitchen
Septic System
BUILDING INSPECTOR
THIS CERTIFIES THAT...........fr.� ..........v C�. '!!...............................................................
Foundation
has permission toe buildings on ......�.a ��........�!.�... 0 .... �........... Rough
to be occupied as....... . Is.11. .... .... ......... chimney
Provided that the person accepting thi ermit shall in ev res ctAonm tothe terms of thea lin on fife inP Pd 9 P PePP 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
ELECTRICAL INSPECTOR
' UNLESS CONSTRU ON TARTS
Rough
........... ... ... .........u.................................................................... Service
.
BUILDING INSPECTOR
Final
Occupancy Permit Required to Ocmpy Building GAS INSPECTOR
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.
SEE REVERSE SIDE Smoke Det.
Wordell's Home solutions LLC Estimate
9 Park Ave Date Estimate#
Methuen, MA 01844 1416
(978)-397-5248 712112011
HIC#144467 CSL#103272
Name/Address
Adarsh Vasanth
1511 Great Pond Rd.
N.Andover. MA 01845 Due Date
7/21/2011
Qty UM Total
Item Description 600.00
Labor Remove all deck boards and
d iligs fro ed fm a current existing
are permanen323 sq ft deck and tly pose of
1
materials. (Additional cosmaybe
connected to the deck frame and have to be cut.) Item will be discussed and agreed to 1 1,500.00
by client with a work change order.
and matching screws
Install new Azek decking
with
asteners
Labor as required. A matching perimeter trim, width to deckbe determined, An Azek 8"white trim
skirt. Add two platform stair components height and width yet to be determined, with
construction possibly being completed after landscaping has been completed. 1 estimated 3,206.86
Materials As required to refurbish existing awritrim. HIDfast deoned deck. Price ecklnail fasteners,s,
using Azek
Acacia Decking for surface along ith a perimeter
Azek matching deck screws. Azek 1x8 White deck skirting trim. 2x6 Pt for construction 1 375.00
of two platform steps and Pt for perimeter blocking as required. 75.00
Disposal Costs Disposal Costs for Project(dumpster on site) estimate
Permit Costs Construction Permit Costs only
100.00
Miscellaneous Miscellaneous Materials and Overhead Expenses
Total
Phone#
E-mail Web Site
(978)-397-5248 les@wordellshomesolutions.com wordellshomesolutions.com
,----- -�-- Page 1 Contractors Sig;
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