HomeMy WebLinkAboutBuilding Permit #854-13 - 201 CARLTON LANE 6/6/2013 (4) TOWN OF NORTH ANDOVER
APPLICATION FOR PLAN EXAMINATION
Permit N0: Date Received
Date Issued: 1 l
IMPORTANT:Applicant must complete all items on this page
L0-CATION_ -. 217. Ln+., __
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PROPERTY OWNER
Print 100 Year OldiStructu�e yes,
MAP+NQ: _PARGEL:0 ZONING'DISTRICT: H_stonc[7istncf yes
Machine Shop,Village .yes
TYPE OF IMPROVEMENT PROPOSED USE
Residential Non- Residential
❑ New Building One family
11 Addition Two or more family ❑ Industrial
Iteration No. of units: ❑ Commercial
❑ Repair, replacement ❑Assessory Bldg ❑ Others:
❑ Demolition ❑ Other
e tic ❑,well -70 Flood laini
p ". . ❑Wetlands p Watershed`Qistrict�-
. Sewer
DESCRIPTION OF WOR 0 BE PERFORMED: ,
OD
Identification Please Type or Print Clearly)
OWNER: Name: ����,..'� Phone: 68—1 — b bbg
Address:
CQNTRAC 0,R Name - Phone: _
- ,
Supervisor-sConstructon License: (753 t _q°ti __ Expo Date
Horne linproyement License.: 't_ _ Exp. Date:
ARCHITECT/ENGINEER Phone:
Address: Reg. No.
FEE SCHEDULE:BULDING PERMIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F.
Total Project Cost: $ 2�;0S0 FEE: $ 253
all
Check No.: Receipt No.:
NOTE: Persons contracting with unregistered contractors do not have acce s to the guarantyfund
Signature of�Agerit/Ovuner�" � ', Signature of contractor _
Plans Submitted ❑ Plans Waived Certified Plot Plan El Stamped Plans
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. No. — Date
• TOWN OF NORTH ANDOVER
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• Certificate of Occupancy $
Building/Frame Permit Fee $"__"=" C,
4 — Foundation Permit Fee $
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Other Permit Fee $ '
TOTAL ..
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Check#! "� G�^�� -
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26492 [ ,�, ��
Building Inspector l "_-
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Plans Submitted ❑ Plans WaiveCertified Plot Plan ❑ Stamped Plans El
TYPE OF SEWERAGE DISPOSAL ,
Public Sewer ❑ Tanning/Massage/Body Art ❑ Swimming Pools ❑t
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
I
COMMENTS
HEALTH Reviewed on Signature
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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 Tovwu ]Engineer: Signature:
Located 384 Qsqoqtd Street
FIRE DEPARTMENT -Temp Dumpster on site yes no
Located at 124.Main-Street
Fire De a`rtment si natureldate .
p 9 .
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
Doe.Building Permit Revised 2010
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
o Building Permit Application
❑ Workers Comp Affidavit
o 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
L3 Building Permit Application
o Certified Surveyed Plot Plan
❑ Workers Comp Affidavit
o Photo Copy of H.I.C. And C.S.L. Licenses
o Copy Of Contract
o Floor/Crossection/Elevation Plan Of Proposed Work With Sprinkler Plan And
Hydraulic Calculations (If Applicable)
o Mass check Energy Compliance Report (If Applicable)
o 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)
o Building Permit Application
o Certified Proposed Plot Plan
o 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
Li Mass check Energy Compliance Report
o 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: Doc.Building permit Revised 2012
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BOARD OF HEALTH
Food/Kitchen
T D Septic System
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THIS CERTIFIES THAT
PERMIT.
Q,, BUILDING INSPECTOR
............ 6,W%44
...... ... ... ............
1, .. As Foundation
has permission to erect .......................... buildings on ...&D. ......... .. ......
Rough
to be occupied aspic..,.......(, N?...�... �....�........�.�ol .... ..... .�...0.. Chimney
provided that the person accepting this permit shall in Jery respect conform to the> rms 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 MO THS ELECTRICAL INSPECTOR
UNLESS CONSTRUCTIO R Rough
C�
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
98 Forest Street
Kevin Murp hry 0North Andover,MA 01845
• PH:978-688-6335
Building Contractor FAX:978-688-7207
Proposal
To: Rob&Michelle Doherty `
201 Carleton Lane All Flame improVement Contractors and Subcontractorsengaged f
unless
North Andover, Ma 01845 �y em.home�rio contracting, of Chapter
142A of the general laws,must be registered with the
Commomveallh of Massachusetts.Inquiries about
registration and Status should be made to the Director,Home
Improvement Contract Registration,One Ashburton Place,
From: Kevin Murphy Room 1301,Boston,MA 02108.(61 Ty727 8598
CC:
Date: 6/6/2013
Job: Kitchen wall/Front door/Windows
Date of plarm None
i
Architect: None
Location: Same
Section 1-Work Schedule
Contractor will begin the work or order the materials before the third day following the signing of this agreement, unless specified here in
writing contractor will begin work on or about 5/15/13.
Barring Delay caused by circumstances beyond Contactors control,the work will be completed by 6/15/13.The owner hereby acknowledges
and agrees that the scheduling dates are approximate and that such delays that are not avoidable by the Contractor shall no be considered as
violations of this agreement.
i
Section 11—Warranty
The Contractor warrants that the work furnished hereunder shall be free from defects in materials and workmanship for a period of 1 year
following completion and shall comply with the requirements of this Agreement In the event any defect in workmanship or materials, or
damage caused by the Contractor, his subcontractors, employees or agents, is discovered within one year after completion of any job,
including cleanup,the Contractor shall,at his own expense,forthwith remedy, repair correct, replace,or cause to be remedied,repaired,or
replaced, such damage or such defect in materials or workmanship. The foregoing warranties shall survive any inspection performed in
connection with the agreed-upon work.
Section III-Scope of Work
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