HomeMy WebLinkAboutBuilding Permit #93-13 - 24 HEWITT AVENUE 8/2/2012TYPE OF IMPROVEMENT
PROPOSED USE
Residential
Non- Residential
New Building
One family
Addition
Two or more family
Industrial
Alteration
No. of units:
Commercial
Repair, replacement
Assessory Bldg
Others:
Demolition
Other
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DESCRIPTION FWORKT BEPREF R ED:
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Identification Please Type or Print Clearly)
ARCHITECT/ENGI NEER Phone:
Address: Reg. No.
FEE SCHEDULE: BULDING PERMIT. $12.00 PER $1000.00 OFTHE TOTAL ESTIMATED COST BASED ON $125.00 PER S.F.
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Total Project Cost: $ //9,/) FEE: $
,*;vu a Receipt No.: C�L
Check No.: -
NOTE: Persons contracting with unregistered contractors do not have acc s o the guarantyifund
- —",Sic re o cbnte6b141-:.--..--
Plans Submitted Plans Waived Certified Plot Plan Stamped Plans
TYPE OF SEWERAGE DISPOSAL
-
Public Sewer
Tanning/Massage/13ody Art
Swimming Pools
Well
Tobacco Sales
Food Packaging/Sales
Privke (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 Siqnature
COiTiMENTS
HEALTH
COMMENTS
Reviewed on Simature
Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes
Planning Board Decision:
Comments
Conservation Decision: Comments
Water & Sewer Connectio nisignature & Date. Driveway Permit
DPW Town Engineer: Signature:
LOcatea 3M USgOOa titreet
I R E' Q E PARTM E N TI.In"'T-6-m" p''Dju m psier. o n s it ---,y4,e,
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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 LITERATU ' RE: Yes No,
MGL Chapter 166 Section 21 A —F and G min.$100-$1000 fine
NOTES and DATA — (For department use
Ll Notified for pickup - Date
Doc.Building Permit Revised 2008
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
a Building Permit Application
L3 Workers Comp Affidavit
a Photo Copy Of H.I.C. And/Or C.S.L. Licenses
u Copy of Contract
o Floor Plan Or Proposed Interior Work
a Engineering Affidavits for En ' gineered products
NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit
Addition Or Decks
u Building Permit Application
u Certified Surveyed Plot Plan
a Workers Comp Affidavit
u Photo Copy of H.I.C. And C.S.L. Licenses
a Copy Of Contract
u Floor/Crossection/Elevation Plan Of Proposed Work With Sprinkler Plan And
Hydraulic Calculations (if Applicable)
u 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 Permit Application
9
• 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
• Engineering Affidavits for Engineered products
NOTE: All d.umpster 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: INSPECTIONAL SERVICES DEPARUVIENTMFORM07
Revised 2.2008
Location,,) � 4��, /,/- 4,,e
No.q�
Dateff , ;L , ld�'-
TOWN OF NORTH ANDOVER
Certificate of Occupancy
Building/Frame Permit Fee
Foundation Permit Fee
Other Permit Fee
TOTAL
Check # �34 () U C� �q 44
25575
Building Inspector
WORKORDER
Builders Installed Products (340)
Job: 2352498 Phase: 4083113 - IB -I IB - Residential New Blow Final Completion Date:
Date Printed: 8/1/2012 Date Of Work Order: 07/26/2012 Signature(s):
Sales Rep: Bob Pouliot
Bill To: ROCK14 Phase Name: Rock Valley Realty LLC - 24 Hewitt, No Andover,MA - Blown
Rock Valley Realty LLC Job Name: Rocky Point Realty LLC - 24 Hewitt, Contacts:
PO Box 40 Job Site: 24 Hewitt
Newton, NH 03859 603-479-3289
NORTH ANDOVER MA 0 1845 sherwoodne@yahoo.com
Lot
Phase Notes: COD
Directions: 1-93 s Take exit 44A to merge onto I -495N toward Lawrence Take exit 42A to merge onto MA -114
E/Salem Turnpike/Winthrop Ave toward Middleton Turn left onto MA-133/peters St Continue onto
Andover St Turn right onto Cypress Terrace Take the Ist left to stay on Cypress Terrace Continue
onto Hewitt Ave
--------- Work Area ---------- Square --------- Install --------- ------------ Labor -------
Footage ------ Material ------- Bags Pieces Rate Amount
Main Ceilino, 1,330.00 GCO-R30 50.00 0.00 0.0540 71.82
b
Vents 87.00 1/2 EAVE VENTS 87.00 0.00 0.2100 18.27
Estimated Labor Cost 90.09
I-Im =I
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Begin Mileage: Job StartTime: Job EndTime: End Mileage: InstallDate:
Material to Load
1/2 EAVE VENTS - 1/2 EAVE VENTS
Loaded
Bags Pieces
87.00 0.00
50.00 0.00
Installed
Bags Pieces
Installed
Bags Pieces
Installed
Bags Pieces
GF Loosefill INS51OLD - INS51OLD
Installed By:
8/1/2012 Page I of I
Builders Installed Products (340)
PO Box 5111
Manchester, NH 03108
(603) 668-4411
(603) 668-2545 Fax
Customer Address
ROCK14
Rock Valley Realty LLC
PO Box 40
Newton, NH 03859
Date: 07/26/2012
Work Area
Main Ceiling
Vents
NOTES:
CUSTOMER SERVICE AGREEMENT
4083113
As of: 08/01/2012 4:18 prn
Job: 2352498 - 113 PO #
Inventory Item
R-30 Cellulose Loosefill
1/2 EAVE VENTS
Job
Rocky Point Realty LLC - 24 Hewitt, No andover,MA
Phase
Rock Valley Realty LLC - 24 Hewitt, No Andover,MA - B
Job Address
24 Hewitt
NORTH ANDOVER, MA 01845
Please Pay This Amount -+
Option Price
Base Price
Option Pric e
$1,045.00
$0 .00
Totall*
$1,045.00
Retainage
Job Deposit
Payments/Adjustments
Received
$0.00
($1,045.00)
$0.00
Balance Due
$0.00
* The amount being paid is a quote for merchandise and services. The actual amount may vary due to merchandise used and services rendered.
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