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HomeMy WebLinkAboutBuilding Permit #735 - 158 DALE STREET 4/13/2012 ORTH BUILDING PERMIT O*tN` D '6 6 6 O TOWN OF NORTH ANDOVER o APPLICATION FOR PLAN EXAMINATION A. •1 Permit NO: 3> Date Received gSsaTED cHusE��S Date Issued: LIC ( 3 a )Z IMPORTANT: Applicant must complete all items on this page z LOCATION f�" ►��„ltZ � fT _ 'Print Ff20PERITY OWNER ,� -+�•� � �'' "'� - - iP.CA :I?ARCEL.000 7— GIDISTRICT' Historic District yes Machine Shop`Vi lage yes n TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building gOne family ❑Addition ElTwo or more family ❑ Industrial ❑Alteration No. of units: ❑ Commercial `16Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other Septic +_�kWelt ❑ Floodplain 0 Wetlands q`UVatershed pistnct DESCRIPTION OF WORK TO BE PREFORMED: Identification Please Type or Print Clearly) OWNER: Name: Phone: Un -510 Address: c A - CONS FACTOR Name:_ _ �,... ,. -S73 33--- A dd Q s§: U, —AddressU, �t _ Ex 'Date..-,-. Supervisors{Consfruction License:: D�i� D°l`'� . ..-- - ... Home improvement License; - Exp-.. Date: - ARCHITECT/ENGINEER p,/��t.�-t-t Phone: Address: Reg. No. FEE SCHEDULE:BULDING PERMIT:$92.00 PER$9000.00 OF THE TOTAL ESTIMATED COST BASED ON$925.00 PER S.F. Total Project Cost: $ �-�q FEE: $ nrr.-'— Check No.: Receipt No.: NOTE: Persons contracting with nregiste d contractors do not have access to the guaranty fund S anafureiof Aaenf/Qwner SignatuFT, contracto _.r-1 Location No. I Date • - " TOWN OF NORTH ANDOVER • e „ k Certificate of Occupancy $ '` Q; Building/Frame Permit Fee $--AW, i/ ' M � Foundation Permit Fee -b�� �. Other Permit Fee $ �r TOTAL Check#1,n s-d 25.187 Building Inspector Plans Submitted ❑ Plans WaivC63 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 OMMENTS .ti 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 FLRE IDEPARTMENT Temp Dumpster onsite yes _ no. Lot-46dtat 124�MainrStreet Fare'Departnient,sgnature/date' w. - 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 2008 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 o 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) o 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 i 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 I i Doc:INSPECTIONAL SERVICES DEPARTMENT:BPFORM07 Rrviaed 2.2009 NORTH Tovm of 6Andover . ..........:: No. o dower, 1Vlass., ' " 13 COCHICHEWICK ADRATE D `S U BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System 1 • `` BUILDING INSPECTOR THISCERTIFIES THAT........ A.&I �►...��................................. . ... ��..................................................... Foundation has permission to erect...:.................................... buildings on ...�.............. Rough ............. ......... ................ . to be occupied as N 0VY4., - Chimney ............................ ....:..... .....4 o....... ...........:'I......... ��..1'1►...................:: :.- provided that the person accepting this permit shall in every respect conform to the terms of the application on file in Final this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Altdration and Construction of Buildings in the Town of North Andover. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUC S TS _ Rough ....................... ................................................................................ Service BUILDING INSPECTOR 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 MPARTMENT. Until Inspected and Approved by the Building Inspector. Burner Street No. _ I SEE REVERSE SIDE Smoke Det. 2 a � ,, �� Murphy • Nor Boxford Street x North Andover,MA 01845 • PH:978-688-5335 Building Contractor FAX:978-688-XXXX Proposal To: Kevin McLellan 158 Dale Street AB Home improverr>ent Contactors and Subcontractors ergaged in ham invrmernerd contracting,unless North Andover, MA 01845 specificality exernpt ftm registration by Provoons orCraarier 142A of the genecal laws,mast be registered with tie Conmonweam or Massachusetts.Inquiries about registratim and Status should be made to the Director,Home Imp overrcent Contract Registration,One Ashburton Place, From: Kevin Murphy Room 1301,Boston,MA 02108.(617)-727 8598 cc: Date: 3/24/2012 .lob: Repairs Date of plans: None Architect: None Location: Same Section I-Work Schedule Contractor will begin the work or order the materials before the third day following the signing of this agreement, unless specified here in writing contractor will begin work on or about 3/26/12. Barring Delay caused by circumstances beyond Contactors control,the work will be completed by 4/20/12.The owner hereby acknowledges and agrees that the scheduling dates are approximate and that such delays that are not avoidable by the Contractor shall no be considered as violations of this agreement. Section 11-Warranty The Contractor warrants that the work furnished hereunder shall be free from defects in materials and workmanship for a period of 1 year following completion and shall comply with the requirements of this Agreement In the event any defect in workmanship or materials, or damage caused by the Contractor, his subcontractors, employees or agents, is discovered within one year after completion of any job, including cleanup,the Contractor shall,at his own expense,forthwith remedy, repair correct, replace,or cause to be remedied, repaired,or replaced, such damage or such defect in materials or workmanship. The foregoing warranties shall survive any inspection performed in connection with the agreed-upon work. Section III-Scope of Work Page 1 of 4 Kevin Murphy Page 2 of 4 Building Contractor 169 Bo)dord Street North Andover,MA 01845 PH:978688-5335 FAX 978-6WXXXX General Proposal is to perform minor repaires to existing bam. Building permit will be provided by contractor. Building Any miscellaneous material required to perform repairs will be provided. Existing beam in loft area will be reinstalled, doors to bam cellar will be repaired / rebuilt, cove/ crown molding around roof will be reinstalled, floor joist in basement( below shop)will be doubled up. Basement windows to be supplied by owner/installed by contractor. Waste Removal Any construction debris will be disposed of by contractor. Items Not Included No allowance has been made for any painting. Kevin Murphy Page 3 of 4 Building Contractor 169 Boxford Street North Andover,MA 01845 PH:9785885335 FAX:978588-XXXX Kevin Murphy Page 4 of 4 Building Contractor 169 Boxford Street North Andover,MA 01845 PH:978688-5335 FAX 978ZWXXXX Section IV-Price Schedule We hereby propose to furnish material and labor—complete in Accordance with above specifications for the sum of... ... ... ... ... ... ... ...... ... ... ....$ 2100 Payment to be made as follows: Percentagelitem Description Amount 1 Job complete $2100 Total 1 $2,100.00 "*Notice:No ageenwIt for Home urproverr erd mrtading work stO mq re a down payment(advance deposit)of more that crte-tfird of the total oor r t pice of the total amoral of a0 deposits or paymmts which the ooritradar mat retake,in advarm b ader ardor oBtawise obtan dekvdry of speaal order ma mEis and eWpnerd,whidw"is geatw Contractor. Kevin Murphy 169 Boxford Street No.Andover, MA 01845 Registration No: 101874 Section V—Acceptance Acceptance of Proposal—I have read this document and accept the prices,specifications,and conditions stated. I understand that upon signing,this proposal becomes a binding contract.You are authorized to do the work as specified. Payment will be made as outlined above. You the buyer may cancel this transaction at any time prior to midnight on the third business day after the date of this transaction cancellation must be done in writing /DOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES Signature Date J? 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