HomeMy WebLinkAboutBuilding Permit #81 - 21 SAWYER ROAD 8/7/2006Permit NO: 1
Date Issued:
TOWN OF NORTH ANDOVER
APPLICATION FOR PLAN EXAMINATION
Date Received f I q 0 G
IMPORTANT: Applicant must complete all items on this nage
LOCATION a2 JQ wt, Ke
Print
PROPERTY OWNER 73e+sy Lee-
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ee
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MAP NO.:,I, c; -,V/ PARCEL:
TYPE AND USE OF BUILDING
ZONING DISTRICT:
HISTORIC DISTRICT YES ❑
TYPE OF IMPROVEMENT
oy
a
Non- Residential
❑ New Building
❑ One family
TYPE OF IMPROVEMENT
PROPOSED USE
Residential
Non- Residential
❑ New Building
❑ One family
❑ Addition
L'Alteration
❑ Two or more family
❑ Industrial
No. of units:
❑ Assessory Bldg
❑ Repair, replacement
❑ Commercial
Demolition
❑ Moving (relocation)
❑ Other
❑ Others:
❑ Foundation only
TICCf! TTTWrTlIAT
1 iviv yr vv vnlL I v t5r rKLr VKMtJ
PetAode % %� +chp,v 66tiyv-e f 2vioIRce
Identification Please Type or Print Clearly)
OWNER: Name:T9e4S.. ee i4pr1j . Phone: 97�- 97�" 3i F3
Address: W H t(— (. q
CONTRACTOR Name: M c. Tri w Ix - Co w -V f Ac � "
97k-z/68-�480
`i7 - 26S- ZZ38
Address: e� W 0qM ll?A
Supervisor's Construction License:
Exp. Date:
Home Improvement License: i L/ S to Exp. Date:_ 2 — A — O
ARCHITECT/ENGINEER A(/W • Name: Phone:
Address: Reg. No.
FEE SCHEDULE. BULDING PERMIT. $12.00 PER $1000.00 OF THE TOTAL ESTIMATED COST BASED ON $125.00 PER S.F.
Total Project Cost :$ '?a4 00 x12.00=FEE:$ 0 --
Check No.: Receipt No.: J � `3ZZ
Page 1 of 4
TYPE OF SEWERAGE DISPOSAL
Tanning/Massage/Body Art ❑
Swimming Pools ❑
Public Sewer [_��%
❑
❑
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
''guaranty fund
Signature of Agent/Owner ' Signature of contractorV�r.,6✓ Lbw
Plans Submitted ❑ Plans Waived ❑ ! Certified Plot Plan ❑ Stamped Plans ❑
THE FOLLOWING SECTIONS FOR OFFICE USE ONLY
INTERDEPARTMENTAL SIGN OFF - U FORM
A .PLANNING & DEVELOPMENT
COMMENTS
RCONSERVATION
COMMENTS
1HEALTH
COMMENTS
DATE REJECTED DATE APPROVED
❑ ❑
❑Water Shed Special Permit
❑ Site Plan Special Permit
❑ Other
DATE REJECTED DATE APPROVED
❑ ❑
Fol
DATE REJECTED
0
DATE APPROVED
Zoning Board of Appeals: Variance, Petition No:
Zoning Decision/receipt submitted yes
Planning Board Decision: Comments
Conservation Decision: Comments
Water & Sewer connection/Si nature & Date (� Driveway Permit
Temp Dumpster on site - ye no_ Fire Department signature/date
Building Setback (ft.)
Front Yard Side Yard Rear Yard
Re wired Provided Required
Provides Required
Provided
Dimension
Number of Stories:
Total land area, sq. ft.:
Total square feet of floor area, based on Exterior dimensions.
NOTES and DATA — For department use)
Page 3 of 4
Doc: INSPECTIONAL SERVICES DEPARTMENT:BPFORM05
Created JMC. Jan.2006
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 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
Paur 4 of 4
`-71 —
Location
No. Date Wil!
HORTM TOWN OF NORTH ANDOVER
MP
i `-C I Irate of Occu $
cHus `�' Building/Frame Permit Fee $
Foundation Permit Fee $
Other Permit Fee $
TOTAL $
Check # C9;)O-)
1 Building Inspector
6
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More the expirationdate. Iffound return to..
nark of Building Regulatiods and Standards
oe A.Aburton Place Rin 1301
`
Dovetail Kitchen
Custom Cabinetry, Design & Installation
Date: July 13, 2006
Contract prepared for: Ms. Betsy Leeman
21 Sawyer Road
North Andover, MA
Dovetail Kitchens is pleased to provide the following services:
1. Cabinetry $12,000.00
2. Demolition and removal
of eidsting cabinetry $ 1,250.00
3. Installation of new cabinetry $ 21750.00
4. Countertops $ 3,000.00
5. Wall/Ceiling repair 1000.00
TOTAL DUE ................................. $20,000.00
TERMS:
Accepted By:
Date: July 1?
One-half payment upon delivery of materials; Balance due upon
completion of work.
274 Main Street, Gloucester, MA 01930
T: 978-282-3100 / 800 -993 -Dove (3683) • F: 978-282-3103
E: dovetailkitchens@verizon.net
C�=
Dovetail Kitchen
Custom Cabinetry, Design & Installation
Contract Prepared for:
Job Name:
Date: July 13, 2006
Ms. Betsy Leeman
21 Sawyer Road, No. Andover, MA
Kitchen Cabinetry
Dovetail Kitchens is pleased to provide you with the following proposal:
Cabinetry by: Omega
Wood Species: Maple/MDF
Style: Brookside Square (Dynasty)/Lexington Square (Omega)
Finish: Pearl
Overlay: Designer
Drawer Fronts: Slab
Cabinetry Hardware: Excluded
Box Construction: Plywood
Drawer Box Construction: Dove Tail
Countertops: Excluded
Total price delivered to your home: $12,000.00
**Proposal does not include installation**
"Proposal does not include electrical or electrical products**
"Proposal does not include anything not listed on contract* *
Terms: One-half payment upon order, Balance upon delivery.
This is a custom order: Custom orders cannot be modified, cancelled or returned.
Accepted By: J
Date: 7- / -6
274 Main Street, Gloucester, MA 01930
T: 978-282-3100 / 800 -993 -Dove (3683) • E: 978-282-3103
E: dovetailkitchens®verizon.net
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All dimensions -size designations given are7/'\
subject to verification on job site and
adjustment to fit job conditions.
T2LCHVt+owc!es
This is an original design and must not be
released or copied unless applicable fee
has been paid or job order placed.
Designed: 4/10/2006
Printed: 8/4/2006
LeemanSawyerRdKitchenFinalAll Drawing #: 1
JOHN WALSH INSURANCE Fax:9187459557
Aug 4 2006 14:17 P.02
PID D
CERTIFICATE OF LIABILITY INSURANCE 9y8IN02
DATE(MWDDMYYI�.
08104/06
ACORD
OF INFORMATION
THIS CERTIFICATE IS ISSUED AS A MATTER
PRDoucER
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER CERTIFICATE DOES NOT AMEND, EXTEND OR
Johss Walsh Ins' Agency, Inc
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ALTER THE COVERAGE AFFORDED BY THE POLICIES 6ELOW.
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THE POLICIES OF INSURANCE USTED BELOW NAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICAT
ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE
MAY'PERTAIN, THE INSURANCE AFFORDED ,BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND
POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
NbR NSR TYPE OF INSURANCE OLICY EFFEW
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OPERATIONS I LOCATIONS I VEHICLES Y EXCLUSIONS ADDED
Town of North Andover
Building Department
120 Main Street
North Andover MA 01845
25 (2001108)
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ED. NOTWITHSTANDING
MAY BE ISSUED OR
CONDITIONS OF SUCH
LIMITS
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PREMISES' F,a'acanm S
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El D1SEr►3E,- EA EMPLOYE $ ,1; O:0 0 04''
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SHOULD ANY OF TNR ABOVE DESCRIBED POUCIES BE CANCELLED BEFORE THE EXPIRATKH
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAUL 10 DAYS WRr(YEN
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THF LEFT, BUT FAILURE TODO 60 SHALL
IMPOSE NO OBLIGATION OR LM BILff*ft*WAb*WM"5W*ft**4*3 OR
REPRESENTATMES. /,—). / n i1 I i 1)
President
SHOULD ANY OF TNR ABOVE DESCRIBED POUCIES BE CANCELLED BEFORE THE EXPIRATKH
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAUL 10 DAYS WRr(YEN
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THF LEFT, BUT FAILURE TODO 60 SHALL
IMPOSE NO OBLIGATION OR LM BILff*ft*WAb*WM"5W*ft**4*3 OR
REPRESENTATMES. /,—). / n i1 I i 1)
President
r;` \ The Commonlivealth oplassachuselts
y Department of industrial. lccidents
Off►ee of Investigations
600 Washington Street
t' t Boston AL4 02111
IVIVIv.ntass.,;