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Home My WebLink AboutBuilding Permit #171 - 197 MASSACHUSETTS AVENUE 9/1/2006 L TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION o` No°T 6,�'t'o n / Permit NO: � Date Received %��a y Date Issued: /� �9SSACHU`�� IMPORTANT: Applicant must complete all items on this page LOCATION � 7 m �+5 5 4 V-p- Print PROPERTY OWNER (214-el 1-4:11 Print MAP NO.: PARCEL: ZONING DISTRICT: TYPE AND USE OF BUILDING HISTORIC DISTRICT YES ❑ TYPE OF IMPROVEMENT PROPOSED USE Residential Non-Residential ❑New Building ❑ One family ❑ Addition ❑Two or more family ❑ Industrial ❑ Alteration No. of units: epair, replacement ❑ Assessory Bldg ❑ Commercial ❑ Demolition ❑ Moving(relocation) ❑ Other ❑ Others: ❑ Foundation only DESCRIPTION OF WORK TO BE PREFORMED T{ r C U in ti d a <v r S T'✓�-11 154 5i2e- r4-e, SC, V s 0 �ru.�,�- 1701C-& rjtnd ?Urf,-.0 Aerpe P' Identification Please Type or Print Clearly) LAatidJw5 "� C' �✓ �> OWNER: Name: YL 1� 1� Phone:S'J_(& 6a �``�-3 2 i Address: l CONTRACTOR Name: Ro .e r R P ��24- ` Phone: CI- 3 7 q6 3 A%7 O l T ve Address: 15-7 � d4 � ln'tYid! S 1� � ✓ k i'1/ Supervisor's Construction License: C D w Exp. Date: / eZ _-2 y— Home Improvement License: 5"_U� Exp. Date: ARCHITECT/ENGINEER Name: Phone: Address: Reg. No. FEE SCHEDULE:BULDING PERMIT:$12.0 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost :$ FEES Check No.: I Receipt No.: S Page 1 of 4 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 Addition Or Decks ❑ Building Permit Application ❑ 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) ❑ Mass check Energy Compliance Report (If Applicable) New ConstructionSin le and Two Family) ( g Y) ❑ 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 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. j One copy and proof of recording must be submitted with the building application I Doc:INSPECTIONAL SERVICES DEPARTMENT:BPFORM05 i i i i Paan 4 of 4 y TYPE OF SEWERAGE DISPOSAL pt Public Tanning/Massage/Body Art ❑ Swimming Pools 11Sewer dCl� Well ❑ Tobacco Sales ❑ Food Packaging/Sales ❑ ❑ Permanent Dumpster on Site ❑ Private(septic tank,etc. Electric Meter location to project NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund Signature of Agent/Owne Signature of contracto Plans Submitted ❑ Plans aived ❑ Certified Plot Plan ❑ Stamped Plans THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF-U FORM DATE REJECTED DATE APPROVED PLANNING & DEVELOPMENT ❑ ❑ []Water Shed Special Permit ❑ Site Plan Special Permit ❑ Other COMMENTS DATE REJECTED DATE APPROVED CONSERVATION ❑ ❑ `.COMMENTS a . DATE REJECTED DATE APPROVED HEALTH ❑ ❑ 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 Temp Dumpster on site -yes no !� Fire Department signature/date Building Setback (ft.) Front Yard Side Yard Rear Yard Required Provided Required Provides Required Provided Dimension Number of Stories: Total square feet of floor area,based on Exterior dimensions. Total land area,sq. ft.: NOTES and DATA—(For department use) I I Page 3 of 4 Doc:INSPECTIONAL SERVICES DEPARTMENT:BPFORM05 Created JMC.Jan2006 I Building Setback (ft.) Front Yard Side Yard Rear Yard Required Provided Required Provides RequiredProvided Dimension Number of Stories: Total square feet of floor area,based on Exterior dimensions. Total land area, sq. ft.: NOTES and DATA—(For department use) I I�� I I Page 3 of 4 Doc:INSPECTIONAL SERVICES DEPARTMENT:BPFORM05 Created JMC.Jan.2006 I TYPE OF SEWERAGE DISPOSAL p41 Tanning/Massage/Body Art E] Swimming Pools ❑ Public Sewer l� Tobacco Sales ❑ Food Packaging/Sales ❑ Well ❑ Permanent Dumpster on Site ❑ Private(septic tank,etc. ❑ Electric Meter location to project NOTE: Persons contracting with unregistered contractors do not have access to the guarantyfund Signature of Agent/OwneA�c0' Signature of contracto Plans Submitted ❑ Plans aived ❑ Certified Plot Plan ❑ Stamped Plans THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF-U FORM DATE REJECTED DATE APPROVED PLANNING & DEVELOPMENT ❑ ❑ []Water Shed Special Permit ❑ Site Plan Special Permit ❑ Other COMMENTS DATE REJECTED DATE APPROVED CONSERVATION ❑ ❑ ^'COMMENTS DATE REJECTED DATE APPROVED ¢, HEALTH ❑ ❑ COMMENTS Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes f Planning Board Decision: Comments Conservation Decision: Comments Water&Sewer connection/Signature& Date Driveway Permit r � Temp Dumpster on site yes no Fire Department signature/date 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 ❑ Workers Comp Affidavit ❑ Photo Copy Of H.I.C. And/Or C.S.L. Licenses ❑ Copy of Contract ❑ Floor Plan Or Proposed Interior Work Addition Or Decks ❑ Building Permit Application ❑ 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 i Hydraulic Calculations (If Applicable) ❑ Mass check Energy Compliance Report (If Applicable) 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 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:BPFORM05 A I Paoe 4 of 4 TOWN OF NORTH ANDOVER NORTH APPLICATION FOR PLAN EXAMINATION "Eo ,6 q�o 6 OL O A Date Received " a4-0 ; " Permit NO: � � /� '1jgSS�nouS��,��J Date Issued: / CH IMPORTANT: Applicant must complete all items on this page LOCATION ! � 5 V-4?,, 3 Print � / PROPERTY OWNER C 14 e f Y G 14` l Print MAP NO.: PARCEL: ZONING DISTRICT: TYPE AND USE OF BUILDING HISTORIC DISTRICT YES ❑ TYPE OF IMPROVEMENT PROPOSED USE Residential Non-Residential ❑New Building ❑ One family ❑ Addition El Two or more family ❑ Industrial ❑Alteration No. of units: —19�epair, replacement ❑Assessory Bldg ❑ Commercial ❑ Demolition ❑ Moving(relocation) ❑ Other ❑ Others: ❑ Foundation only DESCRIPTION OF WORK TO BE PREFORMED T-e-,.r C(OLL/ti ✓c� �vt S 1`✓�� V S �3 S t�/nS� � � �`e��va'`L�, S14v1� e 5i2e- 12e%'G>�-c. e SG/ee.v S oma. f iu.�r na��14, t1-4,� j�u1'1LAaf �-� �Ler�G Identification Please Type or Print Clearly) ti d w OWNER: Name: �'/�2✓ ��. �-� Phone:SUS '6(02 Address: l ? 1� )4%55 CONTRACTOR Name: RU e t R P Phone: 3 Address: 1,5- -7 0 pr 44 S T� ve✓ Supervisor's Construction License: C O Y'3 !aU Exp. Date: / eZ ' y-U Home Improvement License: /Sy�;7, -7 Exp. Date: ARCHITECT/ENGINEER Name: Phone: Address: Reg. No. ' FEE SCHEDULE.BULDING PERM T.$12.0 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost :$ FEE:$ 4S Check No.: Receipt No.: r Page I of 4 , Location t �fS� '✓�--- ( /. •,� No. f�` Date It: . NpRTM TOWN OF NORTH ANDOVER K. p�...•° .•,tip Y Certificate of Occupancy $ — �'� NUBuilding/Frame Permit Fee $ 'gyp, ACS - r Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # W 19544 r' Building Inspector Robert G Pelletier Jr. Date:06-26-06 157 Boardman Street Haverhill,Ma 01830 978-374-6397 Proposal submitted to: Cheryl Hill Address: 197 Mass.Ave City,State,Zip code: N.Andover MA. Phone Number: 508-662-6732 I hereby submit specifications and estimates for: PORCH Replace all windows with double hung American classic style and trim. Install storm windows and trim. Replace screen door with an exterior door with V2 glass and V2 solid panel with 908 casing, install mail box in door(mail box not included).. Install new trim where needed. Contractor will dispose of all material. Install pet door on side of door(pet door not included). Tear down, dispose of stairs, reframe with top landing,add balusters on both sides, add stairs with hand rails going down both sides and fix concrete with new sauna tubes all the way around I hereby propose to furnish material and labor complete in accordance with the specifications for five thousand five hundred and seventy six $4,776.00 Payment to be made as follows: $2476.00 prior to starting.$1,700.00 on day we begin.$600.00 on day of completion. All matter is guaranteed to be as specified. All work to be completed in a workman like manner according to standard practices. Any alteration or deviation from specifications involving extra costs will be executed only upon written orders, and will become an extra charge over and above the estimate. All agreements contingent upon accidents, or delays beyond my company. I carry all necessary workman's compensation insurance. Authorized signature.,- Note: ignature:Note: This proposal may be withdrawnby my co ny if not accepted wit days. NpRTEy Andover Town of - 4 ) 71 , �,o z== LAKE dover, Mass., • COCHICMEWICK %®ADRATED P' �� `T BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System BUILDING INSPECTOR THIS CERTIFIES THAT...... 64#f7t��....... ......... ...................................................:............................................... Foundation / .. ...... .�r.as ��►�. has permission to erect........................................ buildings on... ..... ........ .. ...... ....� Rough &.. of to beoccupied as....... .fif.1.fa�i i...... �� ......... ....... �. 5. .� .� Chimney provided that the erson acce tin this er-m---' all in eve res ectconform tothe te. the%a lication on file inP P 9 P N PPP 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 LESS COl V S 1 R V 1 ^ 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 T No Lathing or Dry Wall 1 o Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. SEE REVERSE SIDE Smoke Det. BOARD OF BUILDING REGULATIONS .i License: CONSTRUCTION SUPERVISOR Number: CS 093560 1 �s Birthdate. 12/24/1969 Expires: 12/24/2009 Tr.no: 93560 Restricted: 00 1 ROBERT G PELLERIER JR• 157 BOARDMAN ST �`.. . HAV;v R.HILL, MA 01830• Commissioner ., _ ✓lee -�orvrno�ure�tl 4-~��/�:uzclutaella �" Board of Building Regulations and Standards ' HOME IMPROVEMENT CONTRACTOR l a Registration: 150927 Al r Expiration:x 5/8/2008 t , Type: DBA HOME IMRPOVEMENTS .BY BOB. s POPPPT PFI I FTIFR JR. i PER)i1T NO. f ------------- APPLICANON FOR PERMIT TO BUILD'— NORTH ANDOVER, MASS. MAR-,FID PA G H : LOT NQ. _ MON ZONE -1 .OF OWjVERSHiP DATE BOOK PAGE _ _ SJB DIV LOT NO ATION If ILDING OC -- . r• OWN[R6 i2 •B NAM[ i 1 / , �l�J - - • •- T f1 yF I / SIZEOWNtR'S ADDRESS �/L♦e.:-.ARCHITECT'S NAMtIMBERS ISTD y g 2ND eUllO[R'f NAM[ !� 3RO SPAN /? i N . DISTACE TO NEAREST BUILDING — (� _ DIMENSIONS OF SILL! DISTANCE FROM STREET 5/ - C POSTS DISTANCE FROM LOT LINES - SIDES �/ REAR / oe oc X t7 GIRDERS AREA 0I LOT soco g� a FRONTAGE SO/ HEIGHT OF FOUNDATION p l �" THICKNESS tf BUILDIVO New e ,�o ,V SIZE OF FOOTING /` x IS BUILDING ADDITION - �V MATERML OF CHIMNEY 19 BUILDING ALTER♦TION ^ ' 'V If BUILDING ON SOLID OR FILLED LAND WILL BUILDING CONFORM TO REQUIREMENTS OF CODE e IS BUILDING CONNECTED TO TOWN WATER BOARD O/ArP(ALS ACTION. IF ANY �j 13 BUILDING CONNECTED TO TOWN Stwaft v li fU1L011iG CONNECTED TO NATURAL GAS LINE Ve- INSTRUCTIONS s PROPERTY INFORMATION SEE BOTH SIDES •LAND COST _ t EST. ;11111111:i'' COST /*,�Arq PAGE I FILL OUT SECTIONS 1 • ] IJI A ) ' FAT. .BLOG. COs I PER SQ, FT, PAGE 2 FILL OUT SECTIONS 1 t2 •`, f EST. BLDG. COST PER ROOM ELECTRIC METEPf MUST BE ON OUTSIDE OF BUILDING SEPTIC PERMIT NO. S ATTACHED GARAGE! MOOT CONFORM TO STATE FIRE REGULATIONS APPROVED By PLAN! MUST B[FILED AND APPROVED BY BUILDING INSPECTOR DATE FILED /f t7t�/ l _ • SIG ATURE OF OWNER OR AUTHORIZED AGENT •UILa114O INBPtCTpp SEE T OWNER TEL I PERMIT GRANTED 19 92449 HTR.UC n-. tl. .yrr .n.ri... w,. .. -.. . .. .:..:. ..a ., _..;,,x.,_.n rc tr'/Y.xY.•'Y+ ,. '1, .a .,.�-. ..x .Y? u.. .y.. .;:. _ :- ....:..�., T.,.._., R. +d�,A.. •5 Ws:'' sa a`11 ..- x m-ra..,�.,, w+: .'i'. -.•..a ;_r .'"�"-d�•"'� .�Ya,... °ie,•� µ;: F rpORTjy OVM .Of over 3 55- ft- dower, Mass., 19fi 0 lAK 9A.COCMICMEWICK aP"1• S E BOARD OF HEALTH 4 PERMIT T Food/Kitchen Septic System / BUILDING INSPECTOR THISCERTIFIES THAT................................. -I �............ ...1(.............................................................. Foundation has permission to ........ buildings on ......../..9.7............M..A.:S.S..........4 .VE............. Rough to be occupied as '. cP�-/�C.L.. 1�sQQNT �d 4�1-� Chimney ............................................ t ........ .. 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 F UNLESS CONSTRUCTION 'ST ELECTRICAL INSPECTOR Rough f Service BUILDING INSPECTOR Final Occupancy _Permit Required to Occupy Building GAS INSPECTOR - Display in a Conspicuous Place on the ':Premises Do Not Remove Rough Final No Lathing or Dry Wall To Be Done Until Inspected and Approved by the Building Inspector. ; DEPARTMENT q Burner Street No. Smoke'Det. = f2-L, 7() rte_ �--_v_�, d E 5---vf. -Ms. ELTI ._.NSA - S-o r } vEu 7,-S�.4-�a- f _ --- - - 1. 0-0-1 v Lt til-_- - -- ------ ------- %% OF r-ec�1.�r� :�us�ter0.r -_ - GDOOWN sem/c c 01 a� &-ool7S7y e� -YA � � ssjv( L Town of North Andover BUILDING DEPARTMENT Homeowner License Exemption 'Lease print) DATE 1a 1 L? JOB LOCATION `�( M�55 V� Number Street Address Section of town y' a ,)MEOWNER" 'agaG L 8/0 Name Home Phone Work Phone 'RESENT MAILING ADDRESS y4 1+5 110C A). Q 16U-jr e M4 6I<jq-S- City Town State Zip code The current exemption for "homeowners" was extended to include owner occupied- dwellings of six units or less and to allow such homeowners to engage an individual for hire who does not possess a license, provided that the owner acts as ' supervisor. (State Building Code, Section 109 . 1 . 1) DEFINITION OF HOMEOWNER: Person(s) who owns a parcel of land on which he/she resides or intends to reside , on which there is , or is intended tq. be', a one to six family dwell- ing , attached or detached structures accessory t.o such use and/or farm :, tructures . A person who constructs more than one home in a two-year r period shall not be considered a homeowner. Such "ho " meowner shall submit , to the Building Official, on a form' accep table to the Bulding Official , that he/she shall be responsible for all such work performed under the building permit- (Section '109. 1 . 1) the undersigned "homeowner" assumes responsibility for compliance with the State Building Code and .other applicable codes , by-laws , rules and _ regulations . i'he undersigned "homeowner" certifies that he/she understands the Town of ;Orth Andover Building Departme,.t m;_nimum inspection p procedures and ,,qui.rements and that he/she will comply with said procedures and equirements . iOMEOWNER' S SIGNATURE �✓L�✓ .`,PPROVAL OF BUILDING OFFICIAL "Dote : Three family dwellings 35,000 cubic feet or lar , will be > > ger� .7equired to comply with State Building Code Section 127 .0, Construction ;�ntrol . " The Commonwealth of ylassachuseits . Deparanent of IndLcrtrial Accidents - Mel/t Cas 600 Washing on Street Boston,.Nass. 0'111 Workers' Comnen_sation Insurance Affidavit hart e: 50-o� 1�wny,I a-PaTe y 10 tics: L) to( ��1`V1�i Id✓l 70y ctrl AQ bol) ;A _ _ ^cre 4561-q7 y77� I am a,Omeowner=trfonrningail wort TvSe . I am a soie orecr'e:cr and have no one wcr.;c�=g y =y=ac::-. I am an d nciover provicing workerscomce^._saran -or=v =,ziovees woricin;on MS oo. corn2anv pante-` ........ address: - Cin+: nhone insurance co. blit-3 77 I act.. a soie creneral contractor. act:zoclenawmer _=ine, anc have ..__ r._ cont:--c:ors iist=oetow woo ;.ave the ;oilowing wor ars' compensation ooiic_s- contpanw name: address• -.- horte insurance co. nolicy 3 ComoanV name address: - .. • IflSII r7rtGe_CD. - .. .. 90 rGv if. _'�ezi3alaonat_sae:• ne:emrv�.__ Failure to see-ire coven-ge as required under Sccnoo_S:a oC N I G L I-=an .oa M Me:03DO3lp012 of crlminat penalnes of a tine up to Sl z-00.00 and/or one years'imprisonment as-ell as Civil penalties in the Cora of a STOP WORX ORDER and a tine of 5100.00 a day s-,ainst me. I understand that a copy of:his statement may he forwarded to the Ot iice of lavac,adoos of:te JI.a or coven;e veriGcanon. 1 do herebv certify under the`pains and penalties ajpc;lra-t=:he Zmior.-n=on provided shove is T.re and correct Signature '1 s / /21 / J-2 Print name �) e C)-�-F • 'i�l« 1�► Phone.d_ �(� - '7 7 5—y 7 7� AO ottcial use poly do pot write in this area to be compiead Sw city or wn ofncW city or town: itticease 3 —3uildipg Department Cueeasing Board C check if immediate response is required C�eleetmen's Otriee CHealtb Department Contact person: p►o.e s; ^-OtAer • (ow-ft"lA1 PIA) Location f { No. f Date � I N°"T" TOWN OF NORTH ANDOVER F p Certificate of Occupancy $ Building/Frame Permit Fee $ r �M�s Foundpti�n. ermit Fee $ Other Permit Fee Sewer Connection Fee $ WattlZo nection eef9g1 $ t TOTAL `41141fet $ _ Building Inspector Div. Public Works E. Location. ° No. •/ Date NORTIy "f9ft"' N� F NORTH ANDOVER A fjV� p CerttWicate of Occupancy $ BuildingUronlefPermit Fee $ 2, SACHUS ' 40490� �Jones �� ',emit Fee $ Sewer Connection Fee Water Connection Fee $ TOTAL $ /UT Building Inspector Div. Public Works