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HomeMy WebLinkAboutBuilding Permit #662 - 159 FRENCH FARM ROAD 5/11/2007 ,,ORT#1 Of O TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION SS^tHUSE z Permit -No: Date Received: Date Issued: it 0 INIPORTANT: Applicant 111LIS1 complete all items ori this pau LOCATION PROPERTY OWNER— t Print MAP NO.: PARCEL ZONING DISTRICT: TYPE AND USE OF BUILDING HISTORIC DISTRICT YES El TYPE OF IMPROVEMENT PROPOSED USE Residential Non- ResidentialNew Building J�(Dne family x dditiori I Two or more family Industrial --. Alteration No. of units: V-Repair, replacement Assessor} Bldg L' Commercial Demolition Moving(relocation) Other Others: Foundation on1v DESCRIPTION OF WORK TO BE PREFORMED Vroj1 (5 -X�!� �J� J , q:c') slentification Please Type or Print Clearly) OWNER: Name:– L( 5--L--p c, Phone: Signature Address: CONTRACTOR Name: co --P42-konc: Address: 0— SupervisoCs Construction License:_ CS E)� Exp. Date: z !g a f-lonic llnpro�enlent License: Exp. Daft:: /&/e. 6 Name: Phone: Address: Reg. No. FEE SCHEDULE:RULDING PERMIT. 510.0 PER S100.00 OF THE TOTAL EST1,11A TED COST BASED ON 5125.00 PER S.F. Total ProJect Cost x10.00 FEE:$ Check No.: Receipt No.: p, Location rtfi.G� ntivt No. tj Date „oRT„ TOWN OF NORTH ANDOVER � e 9 :i; Certificate of Occupancy $ Eta' Building/Frame Permit Fee $ S cMus -- Foundation Permit Fee $ 57 Other Permit Fee $ r ----TOTAL $ Check # 19130 Building Inspector TYPE OF SEAS.URGE DISPOSAL Swimminu Pools Tanning-Massage Bode ,art PUblic Sewer Tobacco Sales - Food Packaging- Sales \vell Permancnt Dempster on Site i Private(septic tank, etc. NOTE: Persons cuntradim with anre;;istererl c•onh•ac•tory do not have ace•ess to the gu( w thj, Signature of Agent/Owner > Signature of Contractor i Plans Submitted !i Plans Waived u Certified Plot Plan _l Stamped Plans ! THE FOLLOWING SECTIONS FOR OFFICE USE ONLY �I INTERDEPARTMENTAL SIGN OFF- U FORM DATE REJECTED DATE APPROVED PLANNING & DEVELOPMENT ❑ []Water Shed Special Permit L-J Site Plan Special Permit ❑ Other COMMENTS ATE REJECTED DATE APPROVED / t CONSERVATI ❑ COMMENTS— DATE REJECTED DATE APPROVED HEALTH COMMENTS Z:filing Board of appeals: Variance, Petition No: 6 yZoning Dccision,'receipt submitted yes -- -- i Planninu Board Decision: Conservation Decision:_ \k ater b Sewer connection signature&date n D artment:;i_nat!n-e'date ltm- D um stcr on :;its N'-CS p _ — ------------- � Building. Pcrmit ,approved and Issued by: '`J I Building Setback (ft.) Front Yard j Side Yard Rear Yard -cd Provided--' ReqUired �IRecpircd Provides Prop Required DIMENSION Number of Stories: Total square feet of floor area, based on Exterior dimensions._ Totalland area. sq. N O'll'S and DATA—Wor department use) F 7 R 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 :j Debris Removal Form ❑ NVorkers Comp Affidavit ❑ Photo Copy Of H.I.C. And./Or C.S.L. Licenses j Copy of Contract zi Floor Plan Or Proposed Interior Work Addition Or Decks ❑ Building Pen-nit Application ❑ Form U ❑ Surveyed Plot Plan ❑ Debris Removal Form ❑ Workers Comp Affidavit ❑ Photo Copy of H.I.C. And C.S.L. Licenses ❑ Copy Of Contract ❑ Floor/Crossection/Elevation Plan Of Proposed p Work With Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Mass check Energy Compliance Report (If Applicable) N i New Construction (Single and Two Family) ❑ Building Pen-nit Application ❑ Form U ❑ 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 j Mass check Energy Compliance Report In all cases if a i ariance or special permit ..as required the Toi�it 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 cope and proof j of recording must be submitted H ith the building application Doc:1\s11EC`1'10N.\1.SERV ICES DF.PART\1G­,T:BPP0RN105 I M t F NORTH Town of over No. , dover, Mass., —)*A COC MICC E ME WICK � RATED P"' S BOARD OF HEALTH PERMIT T Food/Kitchen Septic System BUILDING INSPECTOR THIS CERTIFIES THAT..... ...... a.14.. ......... .cQ.l..-AM...oo........................................................................ Foundation has permission to erect.4/ x,41.` .............. buildings on ..../ ....... ..ilneoicff .... 11... Rough to be occupied as.... -. �. '�` .... Chimne 'VrJ IZdO�1!1.....o�.�.....� 1�•... ....,^I.C ..... . y 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, Alteration 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 CONSTRU N 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 DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. SEE REVERSE SIDE Smoke Det. ''° t ffi r i 1 U n� S ARD 4 6 '4 o cat F. �- "a r- vN ;Apaw dt;� F (, Go T C 07 - w r w o.a ra 5q ...-..., it . I r I EF' 4 Y'A � MMfaT'� K .. 14NpOv. � IH� P1 rPr CQa � 4 c f 1 t"iId;r): `k 6 � A 1:/r 3. � .� �TvuC%t2: t9 �9w _ n"� .S t�IC?r� a �C7Cc ��t csYt 1fE+Z r�f'C)Urt� ( _`i �i 0\""' �1i`ld 1 -10'( i4 3 q i r l 9 1W te..:? ?.:, �.. � a _. ...... __. ....N o Fl T t-1 , N a•a v t _.._ _.... Ge.LrNA5 k Ass ac �. °''i7s n rr)n� ,jcfi(Z.c�; E, n 13f'd R i tQdS FEE-03-2006 11 :55 AN EETTEPLIVING 1 508 870 5756 P. 01 CERTIFItM AT Q- LIABILITY INSURANCE Z2t�iOm�:/72�:�Pkaouosle - - JRbeph McK,aone THIS r✓ERTtP1CATE 1s Issuea A>1tAYtER Of IN FORAAATraN ONLY ANIS CoNFElte No RIGHTS UPON TME CEF IFICATI�i JP ML�Ketltle lnsurs�� A inch,Er;c. HOLDER tree CERTIFICATE bOEB NOT ,�MaN��, EXTBNO Ori P.O. BOX 333 THE C.OVERA08 AFFQ D BY TWIT P LbgEa 8ItLo1N. Ann Arbor, ARI X106-0339 INSURERS AFFORDING COVGRAOE Nom° New kelmpahkrr Petfn NAIC a �i00IM.Inr dbsl ue9upERA; FlsftrUAng SUM Fiootna of Now 1-1mr pshtre M�1rRExzti 1 Action Blvd Unlet 5 and a 1 - Londonderry,IVH. 030s3 R D: 00VEPA0 98 1 @: THE POLICIES OF INauPAMCE LIMD BEU)W IMVE BEEN R68UFD To THE INSURED NWED ABOVE EOR THE POLICY?EPJW INDRCAITED.NnTwirHgTANOtN4 ANY Ot MT IN.THE I TERM OR CONAR DEI)OF THE CONTRACT Ca;OTHER DOCUMENT WITS RESPECT TO Wftc"THI6 CERTIFICATE hULY SE 18SUED OR MAY PES.Aip,THE INSURANCE OWN MED KA E BEEN RMB DESCRIBED H9kpIN 15 SUBJECT TO ALL THE TER",EXCLUSIONS AN D CONDRIGk$OF SUCH POLICIES.AOOREtIATE Lamin 8 SHOWN hfAY HAYfi BEEN REDUCED By PAID CLAMS. DO1 . �*t"Y MuY�I POUN lel -�.... A �Iwlw,uAmLtTr uMln M6JYCl4L GEN 1!T'y 35$BW PD 5984 01/01MD8 01101/2007 eAavo xuRa�e a CLAMR UAW CCOLIR _ q PBREpNALiADY1WURY = GO&AWREBAtE LMR`APPLE$(o 0$1145RAL AOpIO,',TjA POLICY - LOC WIDUM- A06 2 R _ r +ursrTY 35 UBG UK 86A3 ALIYAUTO 'v1�1�"�000 vI Ijlfzut f OQMnc nsl &ELIMrr ALLoVWWMAUTOS tom ' 9 1.OQC,OQQ SCHEOLUDAuTOg BObILYatp HIRibAUTO@ (Palpehon) 1L M?N-OWNEOAUT08 (11IM4YUQU Y E C LV�fllry - O;Ka r WARE _ AWAUTO AM ONLY-EAA=DENT = n,,,�„ EAACp A �s"A� kWA A UAftrT r Y: AGO cLA>Wa wAcs 25 SBW PD 5184 01101/2008 41/o1/2b07 EAaK -Rau= D&pLICTIEILE _ I A RLTlhRit t 100 � DLI7dMgNO 292ANY 583@ ! ,....` 01ro1120p6 o ��wexecarrva 01/01/2007 D2�? _ 6.L EACH Ao=eNT y B daotMl 15f r EL DREW-K mmPLOM Ind (7 O'TM�11 a-t-VI MU-PCs=uYR 110 OF {�' +4!L0.YiTiQNi!V@ika./A1 gp AW7lD eY lIAORMmff 1 gPtaC,NL PRQ warns CE ICAC cert CANCE"Anopt � 11ILD AMY OF TRE Mars DNS 0 Insured Crs �eArNxel.�oTm apK,lnolr THsle� '+�suwa tdwft~WCL M1DiJ41101t TA MA{L MAY$ "mT'LJf NOT""TO TIM 0waWAT!N-am Lum TO THE LER,CU!r-AlwIa Tp Do■4 MbY.L Nrod' ��� �+MN.IIY 4e Aj((I1110 tilgt TNp .ryD AiCW11 OR A ACOM 26(2tl0i ) 0ACOM IONIM I --kmW140 rb d e 10 _.. -- ,yJill-11 ME 11 h1 y,� O l The Massachusetts State Building Code MO CMR) includes provisions to ensure that houses and house additions meet energy efficiency standards. This supplemental CONSUMER INFORMATION FORM is to be fled as part of the building permit application when a builder/contractor or homeowner, constructinonstalling a house addition with very large percentage of glass to opaque wall, seeks to utilize a special energy conservation exemption option for "sunroom" additions. to an existing house (780 CMF' Appendix J, Section This FORM is not intended to prevent a homeowner from selecting a "sunroom"of any size,configuration, orientation, form of construction or percent glazing, but rather is only intended to assist homeowners in becoming aware of some of the important energy conservation and year- round comfort considerations involved in selecting and utilizing'a"sunroom"addition, The connection of "sunroom" structures to residential buildings MAY create comfort and energy consumption issues due to uncontrolled solar gain or uncontrolled radiation cooling of the main house. In the selection and constructionrmstallation of"sunrooms", included below is a non-required, open-ended list of product and design considerations that a homeowner may wish to consider before actually co nstructing/i,nstalling a"sunroom". It is recommended that consumers carefully review these options with their designer, builder, or contractor, in order to minimize potential energy consumption and/or house discomfort issues. In addition, the qualifications and reputation of the company or individuals to be hired are important considerations. PRODUCT RM DESIGN CONSILDERATIONS RELATED,TO "SUNRO MS" + Solar Orientation and Natural Shading • Type of Glazing • Insalating value - . . ._..., .,., ---,. ._ ... •._ Solar he-Lgain�.. .�.... .. .. + Frame materials • Glazing to frame sealing and gasketing materials/seal durability and/or weather tightness of the sunroom • Adequate ventilation-Operable windows and fans • Applied Shadia;g Systems • Insulatian levein floors,walls,and ceilings • Possible Sunroom isolation from the main house via a wall andlor door or slider • Heating and Cooling Methods: Efficiency,Zoning and Controls Homeowner Acknowledgment The Massachusetts State Building Code, Section 11.1.23,1, requires that the ctualro caner(not th owner's agent or representative)acknowledge receipt of this CONSUMER INFORMATION FORM prior to issuance of a Building Permit for, a project that includes "sunroom" additions to an existing residential building. In accordance with this requirement, the undersigned hereby acknowledges that she/he has read the information in this document concerning sunroom comfort and energy conservation. a 06 Signature of1 BuildingOwner Date t. �lGf � /$Print Name �ietavCH F�9sz,►`'f Address of Permitted Project Owner Address{if different-than location) Owner's telephone number gi LAYOUT FLAN5 Q WALL SECTIONS EXISTING BUILDING ti b v 5' S' D n a Y STUDIO SIDE WALL(A) STUDIO 51DE WALL(C) ASSEM6LY DETAILS SEE ALLOWABLE LOAD DIA � � TABLE FOR PANEL SIZES I� 5.5'D ' 5.5'D CSS MINIMUM SLOPE 1:12 0 GUTTER FASCIA B 12ALL © 5' S.5' «� 5"fUD10 FI.ODR PLAN HEADER 5UPPORT BEAM TRAN50M(OPTIONAL) (� 0 5LIDING DOOR OR WINDOW 1 STUDIO FRONT WALL(B) TEMPERED GLA55---- , ALLOWADLE LIVE LOAD TADLE FOR 13 FT. f ANEL WITH 12 FT.OR LE55 SPAN mi 25 P5F 30 PSF 35 P5F 40 P5F 45 P5F 50 P5F 55 PSF 60 PSF FLOOR CHANNEL 3"HC 3"HG 3"IIG+H 3"HC+H 4.5"HG 4.5"HG 4.5"HC+H h.5"HC+I-I 3"EP5+H 3"EPS+H 3"EP5+H 4.5"EPS+H 4.5"EP5+H 4.5UEP5+11 4.5"EP5+H 6"EP5+H DECK/SLAB NOTES FOR 5TUDIO CONSTRUCTION 1.AI-LOWA15LE LOAD5 ARE BASED UPON 8.PANELS MAY ONLY BE U5ED IN ROOF5 AND WALLS WHERE 16.ABBREVIATION5: TYPICAL STUDIO SECTION THE LESSOR OF THE ULTIMATE LOAD/2.5 CLA55 B OR CLA55 II INTERIOR FIN15HE5 ARE PERMITTED D=DOOR GBM=CRAFT-GILT MANUFACTURING DM=DOOR MULLION PSF=POUNDS/5Q.F007 OR THE LOAD AT 5PAN/120. BY CODE. W=WINDOW FT=FEET 2.HC/EI'5 REFER5 TO CBM 5TRUCTURAL 9.HORIZONTAL JOINTS BETWEEN THE ENDS OF PANELS ARE WM=WINDOW MULLION BC=BUILDING CODE PANELS WITH ALUMINUM SKINS BONDED TO NOT PERMITTED.. HC=HONEYCOMB PANELS IBC=INTERNATIONAL BC � \� HONEYCOMB/POLYSTYRENE CORES(3",4'/z" 10.CONTRACTOR TO PROVIDE FALL PROTECTION PER LOCAL CODES, EP5=POLYSTYRENE PANELS UBC=UNIFORM BC AND 6"IN THICKNE55).ADJACENT PANELS FOR SUNROOMS WITH A FINISHED FLOOP.LEVEL OF 30" H=THERMALLY-BP.OKEN NBG=NATIONAL BC na 0 ARE CONNECTED U51NG VINYL CLEATS OR Hs, OR GREATER ABOVE AN EXTERIOR SURFACE. ALUMINUM H-STIFFENER SBC=STANDARD BC - � 3.NINETY 90 MPH DE5IGN WIND 5PEED, P=PANEL MFG=MANUFACTURER �� 0 ( ) 11.5TRUCTURAL FRAMING AND CONNECTIONS TO BE INSTALLED L"=WALL HEIGHT 5PEC5=5PECIFICATION5 EXPO5URE A OR B. 4.DESIGN ROOF PANEL DEAD LOAD=5 P5F. PER APPLICABLE CODES AND GBM/MEGs SPECS. MPH I 5 PER HOUR MAX=MAXIMUM 14C IN 12.CONTRACTOR TO INSPECT ALL EXISTING CONDITIONS Of yf PROJECT: CONTRACTOR: 5.DOOR AND WINDOW L PER MFG'5 5PEC ARE AND A5 NECE55AKY REPAIR AND/OR REPLACE ALL j Assgc INTERCHANGEABLE PER MFG'S SPECS. ,• ` 6.WIDTH OF 13-WALL MAY VARY PER MATERIAL5 A5 REQUIRED TO RENDER THEM STRUCTURALLY $ canto J. Tal12' x 12' DOOR/WINDOW LAYOUT UPTO 24FT. 5OUND AND COMPLETE. le ca Joss 7.PANELS MAY ONLY BE U5ED IN ROOFS 13.L"=96-3/8"(MAX)FOR ALUMINUM ENCLOSURE. STRUCTURAL 5TU D10 ENGL051LIRE 40324 DWG NO.: AND WALLS OF ONE STORY BUILDINGS OF L"=107-114!"(MAX)FOR VINYL ENCLOSURE. p qFs s1E0�o��e� DRAWN BY:CJJ GENERAL LAYOUT CONSTRUCTION:TYPE VB FOR IBC/NBG, �� em50 12x12' ( ) 14.AUTHORIZED FOR BE7TERLIVING DEALER/MATE �rt ORLY. 3'sioen�ca TYPE VI(FOR 513C)AND TYPE VN(FOR UBC). 15.STUDIO FLOOR PLAN&SECTION NOT TO 5CAL_ 'p SCALE:1"=4' DATE:4/30/2003 SISI°�' b FYJ5-nN6 6'1700 FROM HOUSE PROP05ep WW 2r1.K 12'X28'(APf"WX) 1.20 Pt FRA-W a 16"O.C. 2,L;PaR eGLf:G 1/2110"LM516"O.C. 1015'WW -IRS e 130TH E\105 i PU,05:G ROOM OPEN 17ECK L•7/ 5 f 1 JOIStS 3,2X8 PfPJPI.E CREAM(LINGER) 3,(/) 12"O X 48"2EEP FIGS VJ/ANCHORS OK'1; KO-?05"5 6.5/4"196 P.Y MIlAY UVG:R ROOM 1.6X6 PO5f5 8.(2)5 NR5 9.5/L"X E"PT 2ECKWG I'OR OPEN 9EU,5TIV5 MLIN65 10,WSU.ATE 2ECK FOR ROOM AREA 1' I' 28' P10P05W 5 5-'6%PORCH 17,X IT(flPPROX) 5WIO 5-)U ENO,U i 5"rr5 i- H ROOF 5Y,:N (12'SPAN) VrIN 6'[70015 FROM PORCH (NOf 5W VN 1N5 VIEIV) I I 1 1 I I I I I I I I I I LJ LJ LJ LJ LJ LJ LJ 5'N1&RAJ, A ® 56"HI611 RAIL O II"1�A2 115E L"C ULFirR SPA,Cr Project; 5cale:I/8"-1' 0" b-ankq: Betterlivoing K05KOp�5 19\�5MU SlJ N ROOMS 159 MNCI-FAWA P&O A- NMI AWONRT,tAA 018 5 Phare(603)9379215M F z(603)NH 537 9258 Pate:4/ 06 5hee;I of I i EX15fN6 6'DOOR FROM HOUSE FRO1905R9 NEW DECK 11,00,(APPROX) 1.2X8 PT FRAME @ 16"O.C, 2.LEDGER f3OMED I/2"X5"LAfn516"O.C. 3.J0.15T-M6FR5 @ 130TH FNDS 4.PM 510E JO155 I I 5,2X8 Pf MPLE BEAM(UNDFR) 6.2X8 Pf TRIPLE END BEAM(HIDDEN) PROPOSED DOOM OPEN DECK 7.02) ITO X 98"DEEP FIGS W/ANCHORS OR SCHNO-PO5f5 8,5/411 f&G PLY OVERLAY UNDER DOOM 9.6X6 POW?10,(2) 5fA1P5 II,5/4"X 6"Pf DECKING FOR OPEN DECK, STAIRS&FAILINGS 12,INSJ.ATE DECK FOR ROOM AREA 8' 2' PROPOSED 3 5FA5ON PORCH 14'X 18'(APPROX) 5fUPIO STYLE ENCLO5UIT 3"EP5+ H ROOF 5Y5fN (14'SPAN) NEW 6'DOORS FROM PORCN (NOf MOWN THIS VIEW) II I I I I I I I I I I I I LJ LJ LJ LJ LJ LJ 51AF$RAIL LJ LJ 36"HIGH RAIL II"aAt7 n ® 7-3/1"FIT O I"13ALLU5V 5WF Pro)ect; 5cale,1/8"=1'-0" Drawlrq; Betterl ivi ng 05KOPT 5 F�51PFNC� SUNROOMS 159 FffNCH FARM ROPD A— i Action Blvd.,Londonderry NH 03053 NORTH ANDOVER,MA 0185 Phone(603)537 9256 Fax(603)537 9258 Date,5/9/06 Sheet I of I I ' I This section to be filled out in home and signed by customer Property Owner Must Complete and Sign This Section If Using A Builder A491 �,reag—r , as Owner of the subject property hereby au'thorize Betterliving Patio Rooms (d.b.a.—Patio Rooms of America) to act on my behalf, in all matters relative to work authorized by this building permit application for(address of job) �/. Signature of Owney Date ------------------------------------------------ This section to be completed by Betterliving Cf ce �tafr Owner or Builder (as Agent of Owner) Must Complete and Sign This Section I, `ylfjvet 706--53 ilMf , as Owner/Authorized Agent hereby deare that the statements andiinformation o the foregoing application for (address of job) / 39 �/",OeC1 /'��'� are true and accurate,to the best of my knowledge and belief. Signed under the pains and penalties of perjury. Print Name Signature of Owner/Agent Date II . -`✓:<.e '�am✓nzoacueceGt.� c�✓lboer�itcG� . 'w 67 BOARD OF BUILDING REGULATIONS license's .CONSTRUCTION SUPERVISOR Number.`CS 081580 Birthdate 02/19/1950 Expires 02/19/2008 Tr.no: 16699 Re'str!cfed:�00 i PATRICK A STEVENS ` 24 FORD RD I STERLING, MA 01564 Commissioner �� ✓�ie "too�rrvrreooaus�,cz� Cy��/%Ge�6CtcJ�tcGs�6 ! `?, � rn Board of Building Regulations and Standards r a t HOME IMPROVEMENT CONTRACTOR ' = Registration:. 14.8576 Ezpi[afiori: [0/��.6/2007 '.. 9�Pe Supplement Card NH Patio Rm(dba)BetferLivmg•Suir Patrick Stevens —c 1 Action Blvd. LondonDerry,NH 030.53 Administrator TOWN ( 4, N. GR'TH ANDOVER BLUL B INC, DEPARTMENT FAPPLICATION TO CY)NSTRIIr'r REPAIR,RENOVATF OR DEMOLISH A ONE OR TWO FAMILY DWF.I.I.INC, .. . ; ,.,. BUILDING PERMIT NUMBER: DATE ISSUED: IT1 SIGNATURE: Building Commissioner/Ins or of Buildings Date SECTION I-SITE INFORMATION Z 1.t Pmpety Addrec¢: 1.7 Assessors Map and parcel Number: 0 Zo 74 Map:Number PanrJNumber 1.3 Znning Tntimnatia )•4 Property Dimrnaons: Laning Disinct Pr asod Usr j nt Area st1 ytv ]y0 E rz�rtta e fl �7�.• v� � 1.6 BUILDING SETBACKS #1t Front Yard IT Side Yard Rear Yard Required Provide Rwuircd Provided ReqLdred Provided v / 3-�- c7 /(Q. 1.7 Water Upply M.G.L.C,40, 54) I S' Pbpd Zoar Iaf.D LR Sewerage Dkpo%.1 Syrlemr puht4; ❑ Nivatt ❑ ?Ona Outside Flood Zoac U Muaidow U On Site t)uporal syatem n SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record + �ed -- Address for Service: / Iti—Nio/L G...,a.,,.- e.. . . t atepnonc -- - 2.2 Owner of Record: Name Yrinr Addre"fnr icrvicc: - -- ------ -- rn Silwaturc Tc1e home - ---•------ SECTION 3-CONSTRUCTION SERVICES Qfa 3.1 Liccnsed Construction Supervisor: Not Applicable D p- Llccnscd Ctmstrvctinn Superviscrr: :f/ 6U Q O _300 License NumberMn -- Address Expiration Date Signature Telephone 3.2 Registered Hcxnc Improvement Contractor Not AppIicablo D 1�7 Company Name 5 76 Registration Number AJdregs -.. ...... / _ Expiration Bate 5i tlanuc 1-ele hone i SECTION 4-WORKERS COMPENSATION(M.G.L C 152 § 25c(6) Worriers Compensation Insurance a davit mast be completed and submitted with chis application. Failure to provide this affidavit will result in the denial of the issuance of the build* rmit. Si nedatlidavitAttaehcd Yes.,,,... No.......0 SECTION 5 Mscrf cion of Prooied Work dwcicall applicabic New C(nistrUtion ❑ Existing Building ❑ Repair(s) n Alterations(%) I I Addition Ac ewy ildg ❑ Dernolition fl i)ther Specify /J Brief Ik cription of Proposed Work: SECTION 6-ESTIMATED CONSTRUC:'I'ION COSTS ltern Estimated Cost(Dollar)to be OMCLAL USE ONLY Com lctcd b• tmit a licant 1. l:iuilding �v (tt) Building Permit Fre Multiplier 2 faectrical (b) Estimated Total Cost of Construction 3 F'Ittmbin Building Pennit fee(■)r (b) 4 Mechtuucttl HVAC) 5 Fire I'rntectiop 6 Total t+2+;+4+33 Check Number SECTION 7a OWNER AUTHORIZATION 'TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT a%()umer/Authnrized Agent ofcuhiect propcnv I hereby tuithor1Z.e to act on My lxhtllf,iti all Mutteta relritive.to work uuthurited by thus building pcnirit upplicution. --- Si nature of 0%kucr Tate SECTION -7b OWNER/(AuTH6RIZE0 AGENT DFCLARATi ION /'�2f J�f 4,0'JS a% Rter! uthnri�e lgent f Subject Property I lerchv declare that lbe.materttcnty aild inlunn0on on the foregoing application ttre true and accurate,to the lx st of my krtowlcctgc and belief Ae-:I e�S Print Na Si Ict ()POwtler/A ent -T _._.__._..... __ ---... ---- Date I NO.OF STORIES SI7.E oZ /7 i BASEMENT OR SLAP /� OD ,� S SIAF:'OF I,1,OOI(TIMI ERS 1 2ND 3 RD SPAN DINIENSIONS OF SILLS I)IMI:NSIONS OF 110STS f.)IM1.',NSIONS OF UIRO RS Ittilt,IfC OF FOUNDATION r/ THICKNESS SVE OF FOOTING X MA I'T,RTAI.OF CI11MNE"Y IS T3lAI.DINO ON SOLID Ok FILLED LAND 15 BUILDING CONNEC-I1(1)TO NA-I HRAE GAS LINK; �J I ; I e SUNROOMS 1 Action Blvd.Unit 1 Londonderry,NH 03053 phone:603-537-9256 fax: 603-537-9258 AFFIDAVIT In accordance with Article 1 Section 114.1.3 of the Massachusetts State Building Code, I certify that all debris resulting from work associated with Permit # will be properly disposed of at Betterliving Sunrooms 1 Action Blvd. Londonderry, NSI 03053 licensed solid waste disposal facility as defined by MGL C11,S150A. Name&Address of Project: Inn, ✓�S Street Address /✓% / /1� d �a r� City/State/Zip O � 4116 b0r �f���-� Name of Permit Applicant (please print name) Signature of Permit Applicant (please sign name) Date: h3h 6 Betterliving Sunrooms 1 Action Blvd.Unit 1 Londonderry,NH 03053 View Document Page I of 2 FEB-24-2006 08:09 PM P.07 New Hampshire Patio Rooms,Inc. d/ble VINILAMEM Contractor Anistration Number, �Tle Musachasetts-No,148870 Home improvement contract �tterlfivinq rhp 164"7 SUNROGMS New Hampshire Patio Rooms,be,a 1 Action Blvd.-Londonderry,NH 03053•T*60.537M-179m 60-07-M Contract Date; Z�Uoko Product Manager, PACt IAXN"-Itz,10 Owner's Name(s). WICX tt- MOW., &Q1XpV-6 Street Addras:JV� FW-tN3C14-- C-D Cl /Town: state- ZIP:01&C Home Pholte.- 278-&AB—YL/97 Daydane Phone: I &Mail Address: Job Site Address if different) Materials to be provkW and work to be performed by Betterliviat Sunrooms rContnotor"): it Bert i Wort 13 While U Dcscrt Sand StylL 49 Studio 0"A"Frame trolumuloWdr. I?, x 11 x I r- NALL CLASS.Low-FiDbi I'mt/AtVii Filled A.-Won:0 Insulated Door(s)A ScreWs) ff Insulated Window(s)&Screen(s) =am; kFullviaw 130randview fing3jja18" C3Other_ XSolid 0401ass A;VAI:CO Insulated Door(s)&Screen(s) A Insulated W Indow(s)&Screen(s) 1runiam! J&Fullview 00tandview KnUAiall;a18" [3 Other 13Solid VGlass GahisiGhts., 0 Full GlesswItrensoms onA&C C3 Glass w/6"fill block on ends QWBlh 9 Insulated Door(s)At Screen(o) !insulated Window(s)&Screen(s) Transom! dFullview 0 Grandview Knarawill;&S" 13 Other — C3 Solid ArGlass )OFoarn. ftuiti-in Gutter System V Thermal"H" Colori A WhiteWhite 13 SendlRand Room to he built on: 0 Owner's existing dttk If properly footed and up to code,Contractor to add sub-floor and upgrades needed to tneet code. NOPE.By doing upgrada nawwry,iwillruclor will wymnly owner's aw5dag dock for I-year jqggag he built on- X.Foundation built by Contractor(includes sub-floor) 13 Stop togradc off waU(s) Additional Deck/Additional Work(d9riners,open deck descrilign gtc.): IZX 1))—(1 t P"Aaklq 71801W b&k LAI V"S71LP 7M Work not to be done: , _kMgAnz ^ S 15 1<L^rtlD 1_44C�P_ q,* jdUs7nU W-5 elxe-�C.- rf_ Required Permits:A plot plan Is required by all aid and towns to obtain a Entire Aqr"mena:This Cantruirt old the Gsnitm Ott An Tru tilaht Foot parmll. it owner cannot provide Contractor with 8 valid Plot plan within five 1=conflimic the entire agroomaill between Owner and Commetar. owner (s)days of the Conhut Dole.Contractor tvill order a#161 PIdn 61 OW001"t 1121'M to ft based by thr Wft Collect afthig Calis Written, Thm am no other UP06110 tall1liffil $500-00. Contractor agens to obtain all Wilding permits understodiftlis bomm Owner and Contractor•either orally or in writing. Two mquitod,but if ilto perftt 111 N,0—Y!0dWW"I Met vd;l be Ow Wheal ftPI"of the CORMI are to 90 co"Ictc4 end signed. One copy is to mWnsiblittynfawner. be retained by Owncr and the other copy by Contractor. Do eat itp this cultomrvwltiaftixll YAM9" X Contract If there or*any blank oposes or If It goo set Weluda ivit"al sgrsordlupon. Project Completion;Cutare b Opal stay 91"9n, Then TFAMATIVE dates assume ag unforeseen permitting, "a 10 compleelm to complate 111.1 slid d financing,or weather delays. See terms&conditions. cultentor must Initial: X Work is tentatively scheduled to begins kMT.jew.k of L C4MRACT PRICS INCLUDR8 ALL A?PLICAlaLIL DISCOUNT& Wavit tentatively scheduled is be substantially ampLeted by; AND PROMOTIONAL CONSIDERATIONS OF M2!:l jQQNj%&0 — . 1,Contract Prics'.s— Us-us I.Contract Price;S inlaid D#Mft;jl/3)S TOO 311 P0 Cille-W 2.Initial Deposit:(5-Y.)$ 1,Material Ordered Installment;(113)S'- $14(o 3.Material Ordered IrAtallment:(60%)S 4.Balance Due UVanComnlctIon:jl/3)$ fi,aqi- 4.Balance Due Won Completion:(35%)S ..httP://Pra-Patios-coni/ViewDocuments.asp?image=2-27-2006-641-34-Contractipg 3/29/2006