HomeMy WebLinkAboutBuilding Permit #239-14 - 21 FULLER MEADOW ROAD 9/17/2013 TOWN OF NORTH ANDOVER
I�f APPLICATION FOR PLAN EXAMINATION
Permit N0: t 1 Date Received
Date Issued: —
MP TANT: Applicant must complete all items on this page
LOCATIONU���/�
� Pfjr�t .
PROPERTY OWNER /�,� gp 'Ys'
/ Print 100 Year Old Structure yes COAP NO: ! PARCEL:d/ ZONING DISTRICT: Historic District yes
Machine Shop Village yes o
TYPE OF IMPROVEMENT PROPOSED USE
Residential Non- Residential
❑ New Building ne family
❑Addition ❑Two or more family ❑ Industrial
❑Alteration No. of units: ❑ Commercial
4-11'&Pair, replacement ❑Assessory Bldg ❑ Others:
❑ Demolition ❑ Other
❑ Septic ❑Well ❑ Floodplain ❑Wetlands ❑ Watershed District
❑Water/Sewer
DESCRIPTION OF WORK TO BE PERFORMED:
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5����
entification Please Ty a or Print Clearly)
OWNER: Name: e TGA f��� ��� Phone:
Address: �U���-��//��OG�✓ ��
CONTRACTOR Name: LI�
Address: 3
Supervisor's Construction License: 06 Exp. Date: �O
LHome Improvement License: X13 Exp. Date: 11'ez
ARCHITECT/ENGINEER Phone:
Address: Reg. No.
FEE SCHEDULE:BOLDING PERMIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F.
Total Project Cost: $ l�� _ � FEE: $
Check No.: 4 ` T Receipt No.:�
NOTE: Persons contracting with unregistered contractors do not have access to thegu ranty and
Signature of Agent/Own Signature of contractor
Plans Submitted ❑ ans Waived ❑ Certified Plot Plan 11 amp' ans ❑
Location ;D I f::; ' te, Med"V)
No. Date
• - TOWN OF NORTH ANDOVER
. Certificate of Occupancy A v
Building/Frame Permit Fee AQ l
Foundation Permit Fee $
Other Permit Fee $
TOTAL $
Check#
`� I Building Inspector
r
Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑
TYP&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 ❑
COMMENTS
CONSERVATION Reviewed on____o 13 3 Signature - O�
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 Tovv;: Engineer: Signature:
FIRE DEPARTMENT - Temp Dumpster on site yes Located 3n4oOs Osgood Street
Located at 124 Mair 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.$100-$1000 fine
I
NOTES and DATA— (For department use
0 Notified for pickup - Date
Doe.Building Permit Revised 2010
Building Department
The foLswing is a list of the required forms to be filled out for the appropriate permit to be obtained.
Roofirg, 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
Li Floor/Crossection/Elevation Plan Of Proposed Work With Sprinkler Plan And
Hydraulic Calculations (If Applicable)
❑ 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)
❑ Building pp 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)
o 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 apu%-al period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording
must be subm.tted with the building application
Doc: Doc.Buhding Permit Revised 2012
r 1 V NORTH
w E ver
No. 2-.m- ILI * ,�
rh -A ver, Mass,
coc.ic«ewKu
S U
BOARD OF HEALTH
Food/Kitchen
PER IT T LD Septic System
THIS CERTIFIES THAT .J( L�„r.�. . . ...................................................... BUILDING INSPECTOR
......... . ...... . ...........................
has permission to erect buildings on ( ( .:E �.l : 1,...{���.Ic(� �................ Foundation
.......................... . . ...... .....
Rough .
to be occupied as ...............(aY.I.Z. .......... ..Ign
. r... ...:77:=.............................................. Chimney
provided that the person accepting this permit s all 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
l orb _ PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR
UNLESS CONSTRUCTION S RTS Rough
Service
......................... ..... ........................................ Final
BUILDING INSPECTOR
GAS INSPECTOR
Occupancy Permit Recruited to Occupy Buildinz 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
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57.00' �` ° WETLANDS
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c� �FOGE \#104 #105"' 40,575 S.F.
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110 E #109 #108 /
PLAN OF LAND
IN 9�E.49 #109 / P
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NORTH ANDOVERNA.
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FOR1 1 Z� N69°3 w 2g s � o
JAMES PALUCH LOT 51 sss,
SCALE: 1"=40' DATE. 12/12/95; REV. 1/18/96
SCOTT L. GILES , R.P.L.S.
NORTH ANDOVER , MA. .
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Chiw. Residential m ommerci l Ri3c,,finq
cm2fidmEys POIN ED-REBUILT- 4,PP D, All Types Of
roars Toll t-tg(, Expert Masonry Work
1-800-W i.r._US LSE-ef1SE:Cl�x �i $
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132 dt ) � ` L icense#034200
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Proposal To: Bill & Natalie Kissel Date 7/2/2013
Street: 21 Fuller Meadow Rd. 978-688-3125
N.Andover, MA
Composite deck proposal Bill.kissel@comcast.net
1. Remove and dispose of existing deck. 13. Install white composite fascia board to entire deck
Approximately 2'x12' of deck against sunroom perimeter.
will remain. New frame will be mechanically 14. Install new siding to all removed areas.
fastened and secured to existing frame. 15. Building permit included
2. Construct new 6'x 12' pressure treated frame 16" 16. Removal of all work related debris
on center with double rim, 4"x6"support post and 17. Contractor workmanship warranty: 6 years
4"x4"rail posts. (1) 4' set of stairs leading down
towards the backyard all to MA state code. Note:
3. Dig and pour new 12"x 48"support footings and Proposal cost contusive of town building dept and or
6"thick cement pad to accept new stair stringers conservation dept allowances. Additional cost may
all to MA state code. occur; will be discussed and confirmed with
4. Remove existing siding where new deck will homeowner before work is to be performed.
connect to house, install new pressure treated
ledger board and lag to house and chimney Note:
according to MA state code. All installation procedures will be followed to
5. New deck will be flashed with ice and water minimize mfg, acceptable tolerances for expansion
shield and vinyl ledger flashing. and contraction.
6. All joists will be mechanically fastened with
galvanized joist hangers. Total cost: $10,500.00
7. Install galvanized post bases to all footings.
8. Install Timbertech Reliaboard deck boards to Payment schedule:
entire deck and stairs. -Half of total cost due on project start date after
9. Perimeter of deck will be"picture framed"and material is shipped and delivered.
mitered. -Balance including any extras due upon project
10. Deck boards will be solid with no seams and butt completion.
ends will be routed.
11. Main deck boards and stairs treads will be fas- Highly rated member of the accredited BBB and
tened on the face with color matched split stop ngl
Aes' List
screws. -
1.2. Install Timbertech white Radiance rail system to Thaw!
entire perimeter and stairs.
Acceptance of Proposal--The above prices, specifics ons and conditions are
ce satisfactory
ted. You are or and are he -
p aut Y herby horized to do the work asspecified. Payment will be made ac n„tHnPrl n1
Acceptance
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tutNunlc: tllBusiness Rcgulation - MaSS.t,ro\
r. JttiLiai Website U"vie -mce of Consurner Affairs&Business Regulation(OCABR) 1 "
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REGISTRANT RESPONSIBLE REGISTRATION ADDRESS EXPIRATION STATUS
GATE
NAME INDIVIDUAL NUMBER
�M t uraoER ONE F(-)o+ I ANZAFAME
137057 166 A FINACHARO 10/02-2C 14 C,urrt'itt
iOHN BUILDING
METHEUN, MA 01844
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iblassacnusr[ts ilN=�,a,uncnt
of Public 5atety
Board of Bu;ldiny Regulattons and Standards
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