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HomeMy WebLinkAboutBuilding Permit #865 - 157 BERKELEY ROAD 6/29/2007 BUILDING PERMIT ofµDor"Ati TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit N0: a 'g Date Received �9S gAye* SAC11Us Date Issued: IMPORTANT:Applicant must complete all items on this page ,3 � ,..... � cz2 •2v. TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building ❑ One family ❑Addition ❑Two or more family ❑ Industrial ❑ Alteration No. of units: ❑ Commercial Pr'tepair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other • 09 _ R � DESCRIPTION OF WORK TO BE PREFORMED: s-w.JePlh) txzr4lhI L!g6a.,1d sra,y�r ra ;,14*r1i1K4 ne-W c.las. Identification Please Type or Print Clearly) OWNER: Name: Saved j II r wv Phone: Address: S�7 � keJey 2� . �►� aav�r MIN, y y ARCHITECT/ENGINEER 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: $ #-2- ?,-7- 0 — FEE: $ .33 Check No.: . //?' / Receipt No.: d3 NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund Signature of Agent/Owner Y� 'C0146W411� Signature of contractor Location No. Date NaRTM TOWN OF NORTH ANDOVER 0 9 * Certificate of Occupancy $ s' Eta Building/Frame Permit Fee $ _ sACHUs Foundation Permit Fee $ Other Permit Fee $ TOTAL $ �— Check # 20551 73 .di - ng Inspector Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF-U FORM DATE REJECTED DATE APPROVED PLANNING & DEVELOPMENT ❑ ❑ COMMENTS DATE REJECTED DATE APPROVED CONSERVATION Fl— COMMENTS COMMENTS DATE REJECTED DATE APPROVED HEALTH ❑ ❑ COMMENTS TYPE OF SEWERAGE DISPOSAL Public Sewer ❑ Tanning/Massage/Body Art ❑ Swinuning Pools ❑ Well ❑ Tobacco Sales ❑' ' ' Food Packaging/Sales ❑ Private(septic tank,etc. ❑ Permanent Dumpster on Site ❑ Zoning Board of Appeals: Variance, Petition No: Zoning Decisionlreceipt submitted yes Planning Board Decision: Comments Conservation Decision: Comments Water& Sewer Connection/Signature&Date Drivewav Permit Located at 384 Osgood Street ,EEgy� e'� },�J fi e�� Fi r � �_ A 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.sloo-sl000 fine NOTES and DATA— tFor department use i I i ❑ Notified for pickup - Date -----_... __._.......-_..._.._....--- _ 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 ❑ Copy of Contract ❑ Floor Plan Or Proposed Interior Work ❑ Engineering Affidavits for Engineered products 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 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 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 DEPARTMENTMFORM07 Revised 2.2007 I 91te olio' of BuildingRegula, n�s and Standards One Ashburton Place - Room 1301 Boston. Massachusetts 02108 Home Improvement Contractor Registration Registration: 147143 Type: Ltd Liability Corporation Expiration: 6/14/2007 LIFETYME EXTERIORS, LLC. CHRISTOPHER RIPLEY 119 BRAINTREE ST. SUITE 106 ALLSTON, MA 02134 ------ Update --Update Address and return card.Mark reason for change. Address Renewal ❑ Employment (i Lost Card DPS-CA1 $ 50M-04/04-G701216 IF WM XT RI Rs� �Vr N 5074 L E E E E o 119 BRAINTREE STREET SUITE 106 617-987-2011 MA HIC#136824 BOSTON, MA 02134 FULLY INSURED INFO@UFETYMENE.COM This agreement entered into this day of Between Hereinafter referred to as theurchaser(s),and Lifetyme Exteriors LLC,hereinafter referred to as the Con actor. Address 5- Telephone ) & 2'7SIC S City tE r State M: Zip 003 Work to be done at Address (if different) ,ET'Cifetyme Exterior Smart Coat❑ Other. Check box to indicate whether item is included(left)or not included Notice of specific exclusions and exemptions: A. We will not be responsible for electrical fixtures,(Lights,doorbells,etc., PREPARATION which are not working prior to our work commencing. Included of Included B. We will not be responsible for plants,shrubs,or landscaping,which we I• ❑ Protect work area to avoid damages to furniture, must trim back to facilitate our work,except that we will,at our discretion, plants,etc. replace or reimburse the cost of reckless or unintended damage to plants, 2• ❑ Additional specified carpentry.If YES see Work shrubs or landscaping. Order. C. We will not alter to any way nor perform work upon any existing roof,• 3• "El, ❑ Pressure wash surfaces to be coated to remove therefore we accept no liability for any unrelated roof failure. surface debris. D. When it is necessary to remove gutters to accomplish our work,and we are 4. ❑ Scrape,sand,and/or feather sand where indicated not installing Lifetyme gutters,we will attempt to re-install old gutters. to prepare surface. However,we hereby place the customer on notice that old gutters may leak 5. ❑ Use Lifetyme Warranty Sealant around window as a result of having been disturbed. and door casings in work area as needed. E. In the unlikely event that the customer has a dispute with Liferyme 6. ❑ ❑ Other Exteriors LLC,customer hereby agrees that the dispute shall be settled by Smart Coat arbitration through the American Arbitration Association. 7• ❑ ❑ Apply Lifetyme Smart Coat©to the following I have read and fully understood the terms of this contract and my rights areas only... an ii ilities and those of the contractor. ❑ Wall and Gables Color Customer Initials ,2' ❑ Soffit Color ` '21 ❑ Fascia Color S:�'JI� ❑/ Foundation Color Carpentry ❑ Shutters Cot -W Exteriors is able to provide our customers with ❑ Entry Doors Colo _ carpentry repair work to ensure the longevity and enhance ❑ Hand Rails Color 't the aesthetic value of your Smart Coat©installation. ❑ )2"" Gutters/Down Spouts Color ,,2-' ❑ Windows/Doors Facings Color W---VJ�c ❑ j2t- Window Sash Color Carpentry work is to be performed as a portion of this Other `A'rea Color(P contiact. General A Y ES g.� nll �eZm�ov�'^any job related d bris. g, � El Each job is over shipped to avoid delays.Remov The exact scope of carpentry work?obe performed is and restock any excess materials. outlined on the attached Work Order form. 10 ❑ Issue warranty 45 days after job completion form is submitted and job is paid in full. PLEASE BE ADVISED that any additional carpentry work not included in the Work Order will come at an Specic Items(Coating on y) LdIdItional cost of$50 per hour. t Customer Initials �- L t � The price greed upon r work is Total Price �I $ Zf ©Q Deposit k4o $ Due at arrival $ 1 01ca.Q Items not includes Due at bonding $ Due at completion $ CA Payment terms: 1.) Cash It 2.) Finance ❑ "Yes,I would like the contractor to set up financing and I agree to execute all documents required. Desired monthly payment approx.$ x Months Any other wardone at homeowner's expense If this contract is to be financed,the agreement for credit is contained in a separate document which is incorporated herein by reference and made part -r hereof. I/we are hereby authorizing the contractor to verify and review my/our credit record with an independent contractor reporting agency and do release contractor from all liability incurred from inadvertent errors or omissions. There are no promises,agreements,nor understandings not expressed in this proposal,and this writing constitutes the entire agreement.All agreements are contingent upon strikes, accidents,WEATHER,or other causes out of our control,and are subject to approval and acceptance by the company. If this is a credit transaction,credit documents will contain information as to scheduled payments and interest rates in case of legal action,Owner agrees to pay all attorneys fees and costs of collections.In the event that the owner/customer had any dispute with the contractor concerning damage of the premises by reason of the work of the contractor,the customer will pay the agreed to price plus any extra fees upon presentation by the contractor to the owner/customer of a copy of the insurance policy providing coverage for such claims and proof of submission of the claim to the insurance carrier. This message applies to door to door sales only;you the purchaser may cancel this transaction at any time prior to midnight of the third business day after the day of the transaction. Purchaser understands that if this agreement is canceled after the recession period,that the purchaser is liable for twenty-five percent(25%)of the total sales price as damages to the contractor. This is not an"Estimate",t ' is a legal binding contract. In witness,whereof Purchases�have r n signc th t m day of and acknowledges re of a true coZontract, it is the understanding of the contracto t rchaser s ready vork to begi Customer Signed to 1�4�alesperson Sig Date NORTH Town of _ � _ Andover 'AVT �� O .'4W l�..l.•. �1' ,1,. � ' o SSSS/%% o dower, Mass., q O LAKE A- COC HICHEWICK ORATED PC2 BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System BUILDING INSPECTOR THIS CERTIFIES THAT..........�1�.�.<.�:... .... ...�.�' �.................................................................................... , 1 7 Foundation has permission to erect........................................ buil 'ngs on...(1..�,..... �.... �G./il' ........ ......... Rough to be occupied as....... !, ... ''. ......,�G"S` ...�.. 1��...r...... . .. G..l` .. .. Chimney provided that the person accepting this permit shall in every respect confor�fto the terms of the�pplication on fil in Final relating to the Inspection, Alteratioh and Construction of this office, and to the provisions of the Codes and By-Laws a g p , Buildings in the Town of North Andover. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final 3 17 PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTIO ARTS Rough Service BUILDINGINSP Final Occupancy Permit Required to Occupy 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.