HomeMy WebLinkAboutBuilding Permit #11-13 - 189 BRADFORD STREET 7/3/2012 BUILDING PERMIT OF °RTy q
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TOWN OF NORTH ANDOVER
APPLICATION FOR PLAN EXAMINATION
Permit NO: Date Received
gSSACHUs��
Date Issued:
IMPORTANT: Applicant must complete ll items on this
LOCATION '� �
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PROPERTY OWNERS !Z e'- Pis
Print
'MAP NO:�4-PARCEL:4+ZONING'DISTRICT: Historic District yes: no
Machine.Shop Village ye no
TYPE OF IMPROVEMENT PROPOSED USE
Residential Non- Residential
New Building One family
Addition Two or more family Industrial
Alteration No. of units: Commercial
Repair, replacement Assessory Bldg Others:
Demolition Other
Septic Well Fi'oodplain Wetlands_ Watershed District
Water/Sewer
DESCRIPTION OF WORK TO BE PREFORMED:
/ a 0/
Identification Please Type or Print Clearly)
OWNER: Name: a- e Phone:
Address: r�
CONTRACTQR Name: o P h o n elY /2J—
Address: ✓�—, u�(
Supervisor's Construction License:'e S L-. /.yyr/.Exp. Date: _-5- /0,// 2
Home ImprovementLicense:l z- �� �_ _ Exp. Date:
ARCHITECT/ENGINEER Phone:
Address: Reg. No. /
FEE SCHEDULE:BOLDING PERMIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BAPqD ON$125.00 PE ,S F.
Total Project Cost: $ L o i�f�� FEE: $
Check No.:)V�g9lUlq � Receipt No.:
NOTE: Persons contracting with unregistered contractors do not have4accs t thear myfund
Signature of Agent/Owner Signature of contr
Location
No. Date '
• . " TOWN OF NORTH ANDOVER
Certificate of Occupancy $
is Building/Frame Permit Fee $
Foundation Permit Fee $
. Other Permit FeeN� $ '
TOTAL
Check# 26-j�)z rvfi'
25481 Building Inspector
Plans Submitted Plans Waived Certified Plot Plan Stamped Plans
TYPE OF SEWERAGE DISPOSAL
Public Sewer Tanning/N4assageBody 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
COMMENTS
0
Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes
r'
Planning Board Decision: Comments
Conservation Decision: Comments
Water & Sewer Connection/Signature &Date Driveway Permit
DPW Town Engineer: Signature:
Located 384 Osgood Street
FIRE DEPARTMENT -Temp Dumpster on site yes no
Located at 124 Main Street
Fire Department signature/date
- i
COMMENTS
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
i
Doc.Building Permit Revised 2008
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
❑CyVorkers Comp vit
❑ Photo Copy Of .I. . And/ r C.S. . Licenses
❑ y of Contra
o locr 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
❑ 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) j
❑ 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)
I
❑ 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
NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit
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 DEPARTMENT:BPFORM07 C
I
Revised 2.2008
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------------------------------Proposal..............................
Greg's Construction 19,816
North Reading, MA 01864
Phone: 978-423-3581
www.gregsconstructioncompany.com
Proposal Submitted To: Date:
Street: /�,Bhon
�/ �E ✓ � ,� Work:
Home:
City, tate,Zip Code:
Cell:
We hereby submit specifications and estimates for:
1. Strip and reshingle.
' t all utter edges, valleys, and check walls.
2. Install 6' of ice and water shield under shingles a g g y ,
�3 Install afwhitel rown aluminum drip edge.
t„4;Install fiberglass underlayment.
�5-Reflash dormers and wall areas.
-6,. Veave all valleys.
IDInstall new roof flanges on vent pipes. 1
I-)Install new counter base flashing on chimney base.
9 Replace all rotten roof boards up to 50' no charge, ? per ft after 50' or JS� per
_ square ft t/2” CDX overlay.
1-0:Renail all loose roof boards.
11�over house and shrubs with tarpaulins for their protection.
1_L2.-Clean and remove all debris.
�iI- ***Magnetic clean up for nails.****
_ Chimney lead reflashing if necessary. (market price)
5 entilation.
30 Year Manufacturers Warranty on Materials.* s '
c.
10 Year Craftsmanshipon installation. � �
�
Certain teed-GAF-IKO-TAMKO-CERTAINTEED.
-Fiberglass and organic shingles available. d C
*We take no responsibility for dust and debris in your attic.*
*Please remove or cover valuables.* r
5 �/ea
All material is guaranteed to be specified, and the above work to be performed in accordance with the
drawings and specifications submitted for above work and completed in as substa�al workmanlike manner for
the sum of, �~ J' ,i R -�' '% .�t . .� - -�4/fdollars($ )
with payments to be made as follows.
50% due at start of job ($ 12 Q> )
Balance due upon job completion ($ /_^ C )
Payment will be accepted in either cash, personal check or money orders payable to Gregory J. Pineo.
Respectfully submitted
Per Gregory J. Pineo J `-
-Note- This proposal may be withdrawnfrom us if not accepted within X days.
Any alteration or deviation from above specifications
involving extra costs will be executed only upon
written order, and will become an extra charge over
and above the estimate. All agreement contingent
upon strikes,accidents,or delays beyond our control.
. :Acceptance ofProposal m �'
The above;prlces,.specifications:and conditions are satisfactory,and are.hereby accepted 'You are:authorized to.,
do.the�.work•as specified and payments will`be made'as outlined3above:
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Signature. Date
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Date
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NORTH
own of 2 EAndover
No. I *
h ver, Mass, • 3
�I- COCNICMlWICK
ArED
S lJ
BOARD OF HEALTH
Food/Kitchen
PERMIT T LD Septic System
M..(A.r .. W......... BUILDING INSPECTOR
THIS CERTIFIES THAT ............ .......... ........ .......:..... ..............
. Foundation
has permission to erect.......................... buildings on ..� .. .......�.� ..... 'j!�.•........
......................... Rough
to be occupied as .............. ..�tihippermit
......`.F........ .I Chimney
provided that the person accepting shall in every respect con to the terms of the application Final
on file in this office, and to the provisions of the Codes and By-Laws relating o the Inspection,Alteration and
Construction of Buildings in the Town of North Andover. PLUMBING INSPECTOR
Rough
VIOLATION of the Zoning or Building Regulations Voids this Permit.
Final
X 1 PERMIT EXPIR 6 NTHS ELECTRICAL INSPECTOR
114 •
UNLESS CONS U I TA TS Rough
Service
...... ..... .... ......................................................... Final
BUILDING INSPECTOR
GAS INSPECTOR
Occupancy Permit Required to Occupy Building 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.
Smoke Det.
SEE REVERSE SIDE
OORTH
Town of t E ndover
o .;. - ..
No. I * t77-
h ver, Mass, • 3
coc04IcNlW1CK y1'
�d A°RArED
S U
BOARD OF HEALTH
Food/Kitchen
PERMIT T D Septic System
•
THIS CERTIFIES THAT ............�L .r .., .�i . . �1......... BUILDING INSPECTOR
.......... ........ . ........ ....... ..............
has permission to erect ....... buildings on .* Foundation
Rough
2Ato be occupied as .......... ... ...... . ......+......... /.. .......................... Chimney
provided that the person accepting thi permit shall in every respect con to the terms of the application Final
on file in this office, and to the provisions of the Codes and By-Laws relating o the Inspection,Alteration and
Construction of Buildings in the Town of North Andover. PLUMBING INSPECTOR
Rough
VIOLATION of the Zoning or Building Regulations Voids this Permit.
Final
I 1 PERMIT EXPIR 6 NTHS
• ELECTRICAL INSPECTOR
UNLESS CONS U 1 TA TS Rough
Service
...... ..... ..... ......................................................... Final
BUILDING INSPECTOR
GAS INSPECTOR
Occupancy Permit Required to Occupy Building 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.
Smoke Det.
SEE REVERSE SIDE