HomeMy WebLinkAboutBuilding Permit #764 - 1779 GREAT POND ROAD 6/7/2006Ilulic
Permit NO:
,*— 4
Date Issued: s
TOWN OF NORTH .kN DOVER
,VPPLICATION FOR PLAN EXAMfNATION
Date Received:��
IMPORTANT: Ar)vlicant must complete all items on this pate
LOCATION / CY- �(:. N Vy O o iE
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PROPERTYOVINER ��MR0 Tt ��2 LS �� � EE
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NIAP NO.: PARCEL: ZONING DISTRICT:
TVP1F ANn i?SF. OF BUILDING
HISTORIC DISTRICT YES ❑
TYPE OF IMPROVEMENT
PROPOSED USE
Residential
Non- Residential
= New Building
= Addition
Alteration
One family
= Two or more family
No. of units:
=Industrial
Repair, replacement
Demolition
Assessory Bldg
_ Commercial
Moving (relocation)
= Other
Others:
Foundation only
DESCRIPTION OF WORK TO BE PREFORMED
Identification Please Type or Print Clearly) '
OWNER: Name: �%(�,'p Iv y Y Phonel 9g3i a9
J
address:
CONTR.'VCTOR Name: Phone: \--j S S (o9 5975 _
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address: �
Supery isor's Construction License: in U\ -2- +1 C� -2— Exp. Date: o
I Ionic; Improvement License:
Exp. Date:
\RCI -111'I. -'CT I:N'CINEER \_imc:: Phcne:
\ddress:
Reg. No.
FEE SCHEDLZE: ESTLN. I TED COST 4, ISED O:1 l�S.bO i'F_R S.. t'. i
Total Project Cost :$...___ � c�� b x10.00= FEE:Sarek
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(::heck No.: 10 2, � Receipt No.: ;
P:1r.c M' 4
TYPE OF SEWARGE DISPOSAL- — S%mm
iim' Pools
_ . -. .. ;TanningAlassage Bodj%
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
u \Workers Comp Affidavit
'j Photo Copy Of H.I.C. And/Or C.S.L. Licenses
_j Copy of Contract
a Floor Plan Or Proposed Interior VVork
Addition Or Decks
Building Permit Application
Surveyed Plot Plan
❑ Workers Comp Affidavit
a Photo Copy of H.I.C. And C.S.L. Licenses
�j Copy Of Contract
o Floor/Crossection/Elevation Plan Of Proposed Work With Sprinkler Plan And Hy
Calculations (If Applicable)
a Mass check Energy Compliance Report (If Applicable)
New Construction (Single and Two Family)
Building Permit Application
.j Certified Proposed Plot Plan
j Photo of H.I.C. And C.S.L. Licenses
Workers Comp Affidavit
a 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 variance or special permit was required the Town Clerks office must stamp the decision from the Board
%ppeals that the appeal period is over. The applicant must then get this recorded at the Registry of Deeds. One cop3 aa,
proof of recording must be submitted with the building application
Jur:I`.SI'F.l"I.I( NAV'A:R\1('1"iDEP `.R'IIIF' I':UP1,014"OS
Location 7�� oa "
No. �IDate ' ?'
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MpRTM TOWN OF NORTH AWDOVER
9 r
Certificate of Occupancy $
s�CMUs <� Building/Frame Permit Fee $ ;
Foundation Permit Fee $
Other Permit Fee $
TOTAL $
Check # S
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U BOARD OF BUILDING REGULATIONS
.t License: CONSTRUCTION SUPERVISOR {
Number..CS 042762
,.*.I Birthdate: 01/12/1960
Expires;, 01/12/2008- Tr. no: 15442
Restricted: 00 p
DAVI6A BUOTE r' .
( 54 JUNIPER ST C,
LOWELL, MA 01852 r ., areern..ur
BO Q�12yy�Q,7j
lMP riding Regulation
RSV Sand
Re9istratio,,. EN/ENTCON Standards Expiration: 112184 T/?AcT oR
3/
rMSS
R
Ypq 2� a/OGq<<AOH E:Inv
519 BLACGGBER`%vFelOIVST
Mq j
01850
�AdMijstrator I
D. • 9 RFALTr
Construction
Dave Frank
(978)569-5375 (978)994-5104
Fax (978)465-9920
P.O, Box 612
Dracut, Mass 01826
V
Proposal submitteM Ramon Elbeery- 57 GIOAwood N. Andover 61, 845
D.F.S Realty has been requested to submit a proposal for the following.:
Proposed/ Renovate water Damage
Work includes:
• Secure permits.
• Sprayito kill mold. (16t floor)
• Demo existing cabinets.
• Insulae exterior wall'. ,
• Drywk mudznd,tape as needed.
• Install 7 interior doors to match.
• Install base board molding,etc.
• Paint all walls and trim. (ceiYing only if needed)
• Install toilet, vanity, and mirror.
• ln�tall 3 pcs' tub surround.
• Electric and Atat nod iticluded
Kitchen:
• Install cabinets as agreed.
• Counter tops sq edge laminate.
• Install sink tmo facet.
• Appliances not included.
• Back splash will be painted.
Floors:
• Install 3 rooms with carpet.
• Install tile; kitchen, hath. and (6ath.
• All prep work included.
• Colors to be as discussed.
Total -$7,000.00
Total -$6,980.00
Toth -$6,180.00:
Terms:
• D.F.S Realty will supply all materials and labor�to complete propodsed contract.
• D.F.S Realty will leave the house/property cyan after completion of contract.
• D.F.S Realty will perform all work to ma!�-=deys.
• D.F.S Realty will begin work upon schedule of ca.ntract.
• Payments made as agreed up$n.
Total -$20,980.00
Owner's signature C""— ntractor's signature
Date Date o
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