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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# Print 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 -- - --------..----------- r- 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: I LI-111' Page 3 Contractors Sig; ` a r� , NORTH TO" of No. 0 ..... �s 0 ?7 - 0 , 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; I ,__�n...,.o.c;n• I