HomeMy WebLinkAboutBuilding Permit #735 - 230 GRANVILLE LANE 5/25/2006f NORTN 1
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Permit NO: J
Date Issued:
TOWN OF NORTH ANDOVER
APPLICATION FOR PLAN EXAMINATION
Date Received:
IMPORTANT: Applicant must complete all items on this page
LOCATION �250 rl Carl VI ! 0- Gk
PROPERTY OWNER.1 )phrin
MAPNO.: /6,CPARCEL: 000
l Print
TVPF AND INV OF RIT11,I)ING
ZONING DISTRICT:
HISTORIC DISTRICT YES ❑
TYPE OF IMPROVEMENT
PROPOSED USE
Resid ntial
Non- Residential
❑ New Building
❑ Addition
Alteration
One family
❑ Two or more family
No. of units:
❑ Industrial
G Repair, replacement
❑ Demolition
❑ Assessory Bldg
❑ Commercial
❑ Moving (relocation)
❑ Other
❑ Others:
Foundation only
DESCRIPTION OF WORK TO BE PREFORMED
OWNER: N
11
Identification Please Type or Print Clearly)
(e e,A-4 S
g,7&- a Sb - g99v
Address:
CONTRACTOR Name: 14 I) Phone:?CSC.
Address: � 4
I`1
Supervisor's Construction License: Exp. Date:
Home Improvement License: �oz--L,k� qz Exp. Date: E 113 -0(
ARCHITECT/ENGINEER Name: Phone:
Address:
Reg. No.
FEE SCHEDULE: BULDING PERMIT. $10.00 PER $1000.00 OF THE TOTAL ESTIMATED COST BASED ON $125.00 PER S.F.
-2 x10.00=FEE:$ DTotal Project Cost:$ Z �-
Check No.: 1 J-4 `^ Receipt No.:-Zl 62/((
Page I of 4
Location'��
No. Date
r i �
TOWN OF NORTH ANDOVER
a
Certificate of Occupancy $
a""°' Eta Building/Frame Permit Fee $��
ACHUS
Foundation Permit Fee $ _
Other Permit Fee $
TOTAL $
Check # / 0�co 5�
1512-14
Building Inspector
TYPE OF SEWARGE DISPOSAL
Tanning/Massage/Body Art j
Swimming Pools I�
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 guarantyfund
Signature of Agent/Owner
Plans Submitted ❑
Plans Waived ❑
Signature of Contractor
Certified Plot Plan ❑
THE FOLLOWING SECTIONS FOR OFFICE USE ONLY
INTERDEPARTMENTAL SIGN OFF - U FORM
Stamped Plans ❑
DATE REJECTED DATE APPROVED
PLANNING &-DEVELOPMENT ❑ -
[]Water Shed Special Permit
❑ Site Plan Special Permit
❑ Other
COMMENTS
DATE REJECTED
CONSERVATION
COMMENTS
IN
DATE APPROVED
DATE REJECTED DATE APPROVED
HEALTH ❑ ❑
COMMENTS
Zoning Board of Appeals: Variance, Petition No:
Zoning Decision/receipt submitted yes
Planning Board Decision:
Conservation Decision:
Water & Sewer connection signa u
Temp Dumpster on site yes_no
Comments
Comments
re & date /
Fire Departme signature/date
Building Permit Approved and Issued by: /)-) IAA
Page 2 of 4
Building Setback (ft.)
Front Yard
Side Yard .
Rear Yard
Required
Provided
Required
Provides
Required
Provided
Ti1RT �iri��•
vilvir,il mull
Number of Stories:
Total land area, sq. ft.:
NOTES and DATA —( For denartment use)
Page 3 ul'4
Total square feet of floor area, based on Exterior dimensions.
viviu or.n v it -ca vr_r:Nn t MEN I :i3pFO RMU5
Cmated J.C. lan. V�o6
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
o 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 DEPARTNIENT:BHORM05
I'age 4 of 4
•May 13 06 07:36a J. Tristen Fletcher 9788872462 P.6
---•— --•-..-v r .....auc� a ✓Will i 1
��2 �� 6 Sold, Furnished and Installed by:
Branch Name: .s� Date: THD At -Home Services, Inc.
d/b/a The Home Depot At -Home Services
345A Greenwood Street, Worcester, MA 01607
Branch Number: Job #: � ,75'r j Toll Free (800) 657-5182; Fax: 508-756-2859
/ Federal ID 9 75-2698460 ME Lic k C 02439 RI Cont. Lic# 16427
CT Lic 11565522; MA Home Improvement Contractor Reg. 8126893
Installation Address:/L
City
City State Zip _ %"'T
Last 4 Dieits of Driver's Lie.
Work
( )
of � r --fl I LTVV qgz
Phone:
Home Address: �f}1y%•v-
(If different from installation Address) City State Zip
E-mail Address (to receive updates and promotions from The Home Depot):
Pro iect Information: I/We/You ("Purchaser"), the owners of the property located at the above installation address, offer to
contract with Home Depot U.S.A., Inc:. ("Home Dt") to furnish, deliver and arrange for the installation of all materials as
described on the attached Spec Sheet #:— Z� �epo07 y , incorporated herein by reference and made a part hereof.
Home Depot resen•es the right to cancel this contract if, Upon re -inspection of the .job, Home Depot deterntinm C':11t et_
C.<nnot i)erfoltn :is onlitia tions due to a titructuraid prv)bkmz with tI1C 1'e()mC, 1)rlCincrr Cr rors or because wort, tela?:cd Cra
Complete the job was not included in the Spec Sheet or Contract.
�.'.t�ll1''L•`�i'_t,,: F'<Cb'r.r.`r;tz'2
*LESS DEPOSIT
BALANCE DUE
ON COMPLETION
'Minimum 25% of Contract Amount due upon executio:r
If this contract.
Indicate Payment Method For
BALANCE DUE ON C ONTPLETION:
or G-) .
3zol�734 %11`Y
1@EPOSE7 PAZ(iWwlE T OPTIO S
�cils
W"ck, .as'heck or S 1'osl:el Sarvicu Aioncy Order
(l-I::d. ,iayxfilo It,'i1w I eume .11cpol ).
2. Credit Card" and/urothor payment options - Circle Orre'Etelors
Visa -MasterCard Discover America ress
The Home Improvcnwnt Lain
1.1 New Account _. 1?sislino acrnunt - CC ONLY)
Available C•: tdit: 5 (111L & 1IDCC ONLY)
Acctiq
Name as it appears on card:_ // 0 N AJ.4— All
By my%our signature below, I/Wc agree to allow Home Depot to charge the alr-rvc
referenced credit card for the deposit indicated.
aC rditolticr's Signature Date --
HiL or HDCC Authorization Codes
Deposit T Final Payment
# #
P,,uchaser agrees that, immediately upon satisfactory completion of the work, Purchaser will execute a Completion Certificate
and pay any baiance clue. Purchaser also agrees to be jointly and severally obligated and liable hereunder.
Entire Agreement: This agreement and its attachments, including any financing agreement, contain the complete agreement
between the parties and cannot be amended or modified unless in writing in a separate agreement signed by both parties.
NOTICE TO PURCHASER
Do not sip i this contract brfot c you react ii. You are entitled to a completely filled-in copy of the contract at the time you sign. Keep
it to protect your tights. Do not sign a Com letio. Certificate before this project is complete. Law prohibits home repp:ut
contractors from requesting or accepting a Completion Certificate signed by the owner prior to the actual completion of the wot•k to
be performed under the contract.
You may Cance! this transaction at any time prior to midnight of the .hira business ;tary after the date a` this contract. See Notice of
Cancelta,ion�or an explanation of thislright. There wiii be a service clrr•ge ec;ual .0 2540 of the cunttaet :[mount if the job is
rurccltt c. Ir; , ures ascr AFTEP EF ti:e thirc busi;_ess way.
BY MY%UUR S101,4A1 URE BL•:LDW. ii W'L;1ii Li 'l'i) B3 D0 U;JU By 'rill; TL' Hrvls .)F YlLs ,!A'i;';ti_('i'. I:1t'i.: AC K_NC')W1_LV0L
RECEIPT OF A COPY OF THIS CONTRACT AND TWO COMPLETED COPIES OF TIIF NOTICE OF CANCELLATION.
By MY/OUR SI(iNA'1.1JR i 131=LOVv', 11"WE UNDERSTAND TIAAT TLIF, f:CTREEMENT IS SU}3JFC'f ro uvir.,, OF MYrOUR
CRE1116IT 11i5fORY AW) b'Nli AUTHORIZE H0: -VF. DEPOT 1'r) WRIFY AND REVI}iiW 10"iOUR- CREDff RLC:ORD WLI'I! AN
I_i LI'I:N!2EN"?' CR'.f)i! I;1;1'OR`l ASiENC: ;N ,t21,LFASF '1HRM FROM .'i [. 1.•I: 1;!LI"I'Y ih(.'UP.RIrI) 1'ROrd,
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May 13 06 07:36a J. Tristen Fletcher
A'
Branch: � ROOFING SPEC SHEET
Branch M .3 DESCRIPTION OF WORK
r
9788872462
P.1
Spec Sheet #: R ! t' r
Job#: 237 �9
CUSTOMER INFORMATION
Home Phone #:
Customer Name: �N� 14 C&2if- C,� � r Cell Phone #: (�0)
L� Work Phone #: S )
Job Address:
Street A�ddreDssN Email Address:
lf^140 Jes /%7� Drop Location:
City Slate Zip Code A n
Dumpster Location: /Jr(,�
./J4
0//
'(�(
(A) SHINGLE
APPLICATION AND REMOVAL
SHINGLE
SPECIALTY ROOFING
REMOVAL
METAL FLASHING
Product Color
Product Color
Check alfthat appfy
Step,
Timberline 30
Low Slope
Asphalt
Counter or
Royal Sovereign
Flat
Wood Shingles
Base
Timberline Ultra Olt
Tile
Tile
Grand Slate
Metal
Modified
Chimney
Grand Sequoia
Class IV
Tar & Gravel
Skylight
Price Includos: Shingles (field, starter, hip & ridge). Leak Barrier and
Other'
Drip Edge
Underlaymenl.
`Name:
*'# Layers
Other.
Peace of Mind Installation Yes No
System: a
*Style:
" See add'I charges below
Color:
(B) VENTILATION
(C) SOFFIT, FASCIA & GUTTERS
(D) MISCELLANEOUS
Exhaust
Intake
Product
Color
Soffit & Fascia
Cricket
Ridge Vent
Soffit Vent �
Wrap Fascia Only
Addl. Stori
Turbine Vent
Vented
Cover Frieze Board
Poor A ess
Low Profile
Drip Edge
Gutter & Downspout
Stee harge
Cover Frieze Bo
Ith: Tuck Fascia under Gutters:
R
ace Fascia
Colo v
/ `
Color: 4 �� '�
PVC T ' it
Yos = No
F1
ical Soffit
INSTALLATION NOTES List locations of metal flashing.!guttersisoffit & fascia to be installed and any other special considerations.
� G `t✓ r /J
PRE-EXISTING CONDITIONS Describe any preexisting conditions (stains on ceilings, bont or damaged gutters. etc.) and list locations below.
bAValls
Ceilings
Windows C,
Si i
Gutters
Driveway
Landscaping
ADDITIONAL CHARGES
If rotted or damaged wood is discove d AFTER removing the existing roofing, or co not be identified at the time of sale, there will be an
!�eper foot lumber.
additional charge of $ sheet of 4x8 sheathing and/or $� per linear of dimensional
**If additional layers of roofing are discovered AFTER removing the first layer, or could not be identified at time of sale, there will be an additional
charge per square to remove each additional layer based on product to be removed:
$ 2 for composition shingles, $ for wood shingles and $ for low slope roofing.
I have reviewed and agree " the job specifications describabove:
Customer Signature: �OJDate:
8-17-04 SFC -R
Y
AT-HOME Installed
= N AV Siding and Windows
��
Board of Building Regulations and Standards
HOME IMPROVEMENT CONTRACTOR
Registrati'on's 126893
E7t^'fatlOP
,�- P ,���3/2006
`,u'TypSuppiement Card
THE Home Depot?.At=ghie=Srv►
6T1NROEUN CFIHOU' t%
3200 COBB GALLERI(�ITN #20�
ALTANTA, GA 30339 ti Administrator
Proudly sold, furnished and installed by RMA Home Services, Inc., a Home Depot authorized contractor.
345 Greenwood St. Unit 2 • Worcester, MA 01607.508-756-6686 • Fax 508-756-2859 • Toll Free 800-657-5182
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