HomeMy WebLinkAboutBuilding Permit #435-2017 - 191 GRANVILLE LANE 10/24/2016r
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✓ BUILDING PERMIT
TOWN OF NORTH ANDOVER °
- APPLICATION FOR PLAN EXAMINATION
Permit NO: y 3 S a CI! Date Received 10-D 4 0+ <=:=.�•,4 +
Date Issued: IO �/��o%G
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IMPORTANT:Applicant must complete all items on this page
LOCATION y' L-3,:: J-N
Print
PROPERTY OWNER hM tk�.
Print
MAP NO: _PARCEL: bo(r �- ZONING DISTRICT: Historic District yesnn
Machine Shop Village yes
TYPE OF IMPROVEMENT PROPOSED USE
Residential Non- Residential
❑ New Building ❑ One family
❑Addition ❑Two or more family ❑ Industrial
❑Alteration No. of units: ❑ Commercial
,KRepair, replacement ❑Assessory Bldg ❑ Others:
❑ Demolition ❑ Other
❑ Septic ❑Well ❑ Floodplain ❑Wetlands ❑ Watershed District
❑Water/Sewer
Identification Please Type or Print Clearly)
OWNER: Name: bmtt!�, L-ANtbk- Phone: Q1--lS (bC90 19EH
Address: Ickk ( vpolsglwp�
CONTRACTOR Name: Phone: 9-48 -ggSBd-kb
Address:
Supervisor's Construction License: Exp. Date:
Home Improvement License: Exp. Date:
ARCHITECT/ENGINEER Phone:
Address: Reg. No.
FEE SCHEDULE:BOLDING PERMIT:$1200 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$12500 PER S.F.
Total Project Cost: $ 100.9!a g FEE: $ � 3 d`
Check No.: -/ 0 Receipt No.: 3 / 0 7
NOTE: Persons contracting with unregistered contractors do not have access to the aranty fund
Signature of Agent/Owner _Signature of contractor
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Location
iq/ Cr1;N,1,LLLr"✓.
No. S/3 S'���7 Date /!I a`{/. a0l e
• - TOWN OF NORTH ANDOVER
•7r •
Certificate of Occupancy $
Building/Frame Permit Fee $ 13
Foundation Permit Fee $
Other Permit Fee $
TOTAL $
Check#
i b
` � ' Building Inspector
Plans Submitted ❑ Plans Waived 0 Certified Plot Plan ❑ Stamped Plans El
TYPE-OF SEWERAGE DISPOSAL
Public Sewer ❑ Tg/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
PLANNING & DEVELOPMENT Reviewed On Signature_
COMMENTS
CONSERVATION Reviewed on Signature
COMMENTS
a
HEALTH Reviewed on Signature
COMMENTS
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
FIRE DEPARTMENT - Temp Dumpster on site yes no
Located at 124 Main Street
Fire Department signature/date
r
MMENT ,
Plans Submitted ❑ Plans Waived 0 Certified Plot Plan ❑ Stamped Plans ❑
F
WERAGE DISPOSAL
❑ Tanning/Massage/Body Art ❑ Swimming Pools ❑❑ 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
PLANNING & DEVELOPMENT Reviewed On
Signature_
COMMENTS
CONSERVATION Reviewed on Signature
COMMENTS
HEALTH Reviewed on
Signature
i
COMMENTS
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:
FIRE DEPARTMENT' - Temp Dumpster on site es Located 384 Osgood Street
Located at 124 Main street Y no
Fire Department signature/date
COMMENTS
Plans Submitted ❑ Plans Waived ❑ 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 ❑ ❑
COMENTS
CONSERVATION ❑ ❑
COMMENTS
DATE REJECTED DATE APPROVED
HEALTH E1--
COMMENTS COMMENTS
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
Located at 384 Osgood Street
FIRE DEPARTMENT -Temp Dumpster on site yes no
Located at 124 Main Street
Fire Department signature/date
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.$10041000 fine
NOTES and DATA—(For department use)
❑ Notified for pickup
Date
Doc.Building Permit Revised 2012
Building Department
The following is a list of the required forms to be filled out for the appropriate permit to be obtained.
r
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
❑ Photo Copy of H.I.C. And C.S.L. Licenses
❑ Copy Of Contract
❑ Floor/Cross Section/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)
❑ Copy of Contract
❑ Mass check Energy Compliance Report
❑ Engineering Affidavits for Engineered products
40TE: 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:Building Permit Revised 2014
NO #iRT
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0
No. 44
A
th ver, Mass
0 LITH! 7
COCHICHl WICK
�a �R�TEO PPa��S
S U
BOARD OF HEALTH
Food/Kitchen
PERMIT . T LD Septic System
THIS CERTIFIES THAT .......... BUILDING INSPECTOR
. ........Q...C....Q. ........� .........................................
g ...1.. .�....... �. . ...��. .....400 Foundation
has permission to erect .......................... buildings �. .... ..........
Sr. R C Rough
tobe occupied as ................. .... .. .......................... ......................................................................... Chimney
provided that the person accepting this permit shall in every respect conform to the terms of the application Final
on file in 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 CONSTRUCTIONySTARTS 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.
203 WASHINGTON ST.#2S6
PRESERVE SALEM.MA 029701
E R E carperarri�.painting:roofng gutters PHOut:978.745.87451
FAX:
ax 97$.745.3476 '
SALES@PRESERVESERVICES.COM
i
David Lynch
191 Granville Ln Date Bid:10/4/2016
Estimator:Victor Calumby
North Andover,MA 01845 Mobile:(978)594-3590
(978)660-1954 Email:victor@preserveservices.com
dtlynchphdagmai l.com
ROOFING ESTIMATE
COMMENTS
The estimate below is to replace the entire roof
PRIOR PREPARATION
PERMITTING: All permits will be obtained in accordance with the law as required.
DISPOSAL: A dumpster will be placed in an area designated by the homeowner.
ROOFING PREPARATION
COVERING: Tarp the exterior of the house so as not to damage the siding.
SHINGLE REMOVAL: Remove all layer(s)of old shingles.
NAILING: Re-nail roof decking as necessary.
UNDERLAYMENT
FELT: Install 15 lb felt on all areas not covered by ice and water shield.
ICE AND WATER SHIELD: Install 6 feet of ice and water shield on eves and valleys. Install as
necessary on other areas.
OTHER: *GRACE ICE AND WATER SHIELD**ICE AND WATER ALL ON FRONT LOWER
SECTION
FLASHING
DRIP EDGE: Install 8 inch drip edge on all perimeters.
WALL JUNCTION: Install or rework flashing where the roof meets the wall.
VENT PIPES: Install new boot or flange around vent pipes.
CHIlVINEY(S): Install new flashing around all chimney(s).
VENTILATION
RIDGE VENT: Install ridge vents.
ROOFING MATERIALS
ASPHALT SHINGLES:Architectural Limited Lifetime shingles either: GAF Timberline HD or
Certainteed Landmark
PRICING
Basic $10,998
Sales Tax $0
Total Price $10,998 Including Labor and Materials*
Payment Terms:20%deposit(day of start); 30%progress; 50%end of job Mc/Visa/Amex
-4 _
Victor Calumby C ignature
ADDITIONAL TO ABOVE ESTIMATE:
BID 1: WALL JUNCTION: Remove the siding,ice and water shield the junction,reflash with step
flashing. (SIDING: the siding would have to be replaced on those areas.Price of new siding not
included. We will only know once removed)
Price$985 Including Labor and Material
Important Installation Note: If you have an older home that has dimensional lumber for roof decking you will
need to cover your attic because shingle debris may fall into the attic and create a mess.
**Above additional prices includes all discounts and coupons discussed prior to estimate. The above quote is
valid for 60 days
***Warranty: Craftsmanship:Kyron Inc.DBA Preserve Services warrantees all work performed for a period of
2 years. If any problems occur we will cover the cost of labor and materials. For the warranty to be valid the
invoice that was presented at the time of completion must have been paid in full.Materials:The duration of the
manufacture's warranty is specified in the materials section above. Acts of god are excluded in the warranty
such as but not limited to ice dams,tornados,and hurricanes.
Licenses:
Home Improvement Contractor Preserve(HIC): 123553
Construction Supervisor Sean O'Connor(CS): 93403
EPA Renovation,Repair and Painting(RRP) Nat-21650-0
Insurances:
Worker's Compensation:
)ur policy is under Kyron Inc.DBA Preserve Services
rotection: Covers the injury of a worker employed by the contractor doing work at your home.
To check our policy or our competitions go to http://mass.gov/dial on this page go to"check worker's
compensation proof of coverage"our license is under Kyron zip code 01970.
Liability Insurance
)ur policy is under Kyron Inc.DBA Preserve Services and has limit of$4,000,000.
rotection: Covers your property in the event of accidental damage up to a dollar limit specified
n the policy. To check our policy we will provide a certificate from our insurance company.
Massachusetts Department of Public Satety
r Board of Building Regulations and Standards
_ l
License: CS-093403
Construction Supervisor
x �
SEAN OCONNOR -
26 CHESTNUT ST
SALEM MA 01970 `����
Expiration:
Commissioner 12/3112017
1
•��a, ( O%JlJJJOII((JtU���p ry1J(C(�C(JCffJ
�l Office of Consumer Affairs /s
OME IMPROVEMENT CONTRACTOR Regula Non
egistration: 123553 RACTOR
xpiration: 3/6/2017 Type:wo J
DBA
Preserve Painting
Sean O'Connor
203 WASHINGTON ST.4256
SALEM,MA 01970
z —
Undersecretary