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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+., __ � f?rint 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 , . -- - - �---_- - -. _ - 1. - . . - . . . _ w; a, - . . .. . - .. _ . ... . . .. . _ _..... . . . . _. . :: .: ..._:. . .y.. .. ......... ..:. .... .. .. . - .,. ,.. .. ..:... - 11 . .. .. .. ... _ _.. ..... ... -. >l .. �_. _ - Locatio ' ..r �. �. . No. — Date • TOWN OF NORTH ANDOVER S I. -4 _. I. ; --. 6 . - �.n , - . • Certificate of Occupancy $ Building/Frame Permit Fee $"__"=" C, 4 — Foundation Permit Fee $ k _. Other Permit Fee $ ' TOTAL .. it Check#! "� G�^�� - 6,11,... Le��_ �--_--z_-,, �:J 26492 [­ ,�,­ �� Building Inspector l "_- k _.,:: . " . .... Lr7r +vZ - .:'. _ _ '. - --:.. . -.:: _� —"j .-..�...:. �:. - ... ... �.. ... .,.. :.- _.. .. t-- - I. . - .'R .s,. - 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 b 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 �4O R Ty own o E 1, ndover 0 . - : 19L No Y �O - LAN■ h ver, Mass, �j' � " 13 . coc NI(NlWKR S U BOARD OF HEALTH Food/Kitchen T D Septic System dO 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 Page 1of4