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.
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Permit NO: 3> Date Received gSsaTED
cHusE��S
Date Issued: LIC ( 3 a )Z
IMPORTANT: Applicant must complete all items on this page
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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?
Signature Date
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