HomeMy WebLinkAboutBuilding Permit #105 - 25 MASSACHUSETTS AVENUE 8/11/2006 TOWN OF NORTH ANDOVER
NORT1y
APPLICATION FOR PLAN EXAMINATION of4,�.0
Permit NO: Date Received
Datc Issued: Arl►c o
IMPORTANT: Applicant must complete all items on this page
LOCATION 5tv` �� Ay
\ Pri;T,
PROPERTY OWNER �'M2S �" C LArr-alQ
Print
MAP NO.: _PARCFL: � ZONING DISTRICT:
TYPE AND-USE OF BUILDING - -•--- - --____.:_ HISTORIC.DISTRICT YES 0
TYPE OF IMPROVEMENT PROPOSED USE
Residential _ Non- Residential
New Building One family
-- Addition Two or more family = Industrial
✓Iteration No. of units:
;! Repair, eplacement Assessory Bldg Commercial
Demolition
i- ivloving(relocation) Li Other Others:
I-: Foundation only
DESC5gTION OF WORK TO BE REFORMED
G I(1 S
Identification Please Ty a or Print Clearly)
OWNER: Name: CL MCS S CC a-LA, Phone: -7F590
Address: jC W1..Q
CONTRACTOR Name: / � Phone: °11f<" 5 1�g"57(6
Address:
Supervisor's Construction License: Exp. Date:
[-Ionic lmpro,anent License: a ��3 Exp. Date:
\RC1-IITECT. ENGINEER Name: Phone:
Address: Reg. No.
FEE SCHEDULE:BULDLVG PER,VIIT:510.00 PER,51200.00 OF THE TOTU ESTIMATED COST BASED Oh ,5125.00 PER S.F.
Total Project Cost :S x12.00-FEE:$
Check No.: Receipt No.:-���
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)
o Building Permit Application
❑ 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
❑ 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
Dor.INSPECTIOIV.U..`ER/I<'IS DEPARTNIB.N[A111FORN105
I:-o tol I
i
TYPE OF SE�k'ERAGE DISPOSAL _
Tanning./Massage;Body Art Swimming Pools
Public Sewer _
_ Tobacco Sales Food Packaging;Sales
Well
_ Permanent Dumpster on Site
Private(septic tank, etc. Electric deter location to
project
NOTE: Persons contracting with unregisterer/contractors do not have access to the guaranle./und
Signature of Agent/Owner Signature of contractor
Plans Submitted Plans Waived 1 Certified Plot Plan ❑ Stamped Plans
THE FOLLOWING SECTIONS FOR OFFICE USE ONLY
INTERDEPARTMENTAL SIGN OFF- U FORM j
- -- - DATE REJECTED 'DATE APPROVED
PLANNING & DEVELOPMENT ❑ ❑
[]Water Shed Special Permit
I
❑ Site Plan Special Permit
❑ Other
E COMMENTS
DATE REJECTED DATE APPROVED
CONSERVATION �, ❑ ❑
COMMENTS
DATE REJECTED DATE APPROVED
HEALTH ❑ iJ
COMMENTS
Zoning Board of Appeals: Variance, Petition No:
Z_onimJ Dec is ion,receipt submitted yes
Planning Board Decision: Continents
Conservation Decision: Comments
Nater& Sewer connection;Signature& Date Driveway Permit
Tcmp Dumpster on site yes no Fire Department signature.date
{
Building Setback (ft.)
Front Yard Side Yard Rear Yard
Required Pro N1ided Required Provides Required Provided
Dimension
Number of Stories: Total square feet of Floor area, based on Exterior dimensions.
Total land area, sq. ft.:
NO,rrs and DA rA—(For department use)
i('l S!)I_P/\R I MLN 1',N11!:1•:.'rht�
Location •2 ,o�is
No. Date 6
NaRT� TOWN OF NORTH ANDOVER
Certificate of Occupancy $
Building/Frame/Frame Permit Fee $
J.+cMusE 9
Foundation Permit Fee $
Other Permit Fee $
TOTAL $
Check # v 2"
Building Inspector
On R TT
o -� Kr, Andover
Town
No.
o dover, Mass., 0�
COCMICHEW CK
RATED P'PG
4 BOARD OF HEALTH
Food/Kitchen
PER IT T D Septic System
BUILDING INSPECTOR
THIS CERTIFIES THAT.... .... .......fI � ................................:*.:................ Foundation
has permission to erect........................................ buildings on ...........�. ..�� ..... ........... Rough
to be occupied asi�.......: .�.......,/ ..i .�a.�I�,,.�,........ ... 'r� � Chimney
I
provided that the pe o g this permd shall in every respect conform to the terms of the application on file in Final
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
/fAPERMIT EXPIRES IN 6 MONTH$ Fina
ELECTRICAL INSPECTOR
UNLESS CONSTRUCTIONr TS Rough
0 04 ...... Service
BUILDING INSP Final
Occupancy Permit Required to Occupy Building GAS INSPECTOR
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.
SEE REVERSE SIDE Smoke Det.
409- T-1 09 F Nlltwl F-401
Z) IlandarJfje&
One Ashburton Place - Rooui 1301
Boston. Massachusetts 02 108
Ptome Improvement Contractor'Registration
THE Home Depot At-Home Servicesz'.
BOYD LIPHAM
3200 DOSS GALLERIA PKINY #200
AtIANTA, GA 30339 ........
Optlate Address and return card.,N1 gi-k raq no fur change.
address nenewni Efriployr"erit i Lubt Card
UPS-CA! 0 6:M-oW06.F'C&A9Q
Swidnrds License or registration valid for individol use only
HOME WROVEMENT CONTRACTOR liefore the expiration date. If found return to:
Tdo,%rd of Building Regulations and Standards
126893 OneAshburcom Mme Ain 1301
Expiration: 8/312006
Boiton,Mo.02W8
Type: Private Corporalior,
THE Home Dopol'-dI-Home.s.ecwlces
BOYD LIPHAM
k
5200 C05E GALLER!A.PK';Vy#20
No4 njid out Si outiare
A-IAN7A,GA 30339 Deputy Adminiamor
Aue 10 06 09: 00P Michael Bedard 1 -401 -246-2868 P. 3
KIHELY FOX I Z- Au 9, 07 200E P6
HOWE 11MJ1P(lVEN%Ei1T CONTRACT
Sole,'ritinishtid iad kstAbd by:
-1-RD At-Plante SeMce"-It"'
Dve: The Home Dopotkj-Komp.sepilei
aril lie Is Name: 17
345A Glee-
Fo 73 1 till Free(800)657418z; Fax:n084s&29&9
Ur3rich 75.
201100 ME.L,,,0 C 02430 RI coill, .6471
, JMPFtA-lre"t Corqrclor Reg.0 12,0443
�dv
Stow zip
City
te Zip
IiQmt uy
,to receive uqdups and PrarlOticnl'-ff0m The baritePInliall Address at t1le abovelmstAllst Lddress,offer 10
--
Pro.Cot 1(iformniatia Tr to ver and 21TATt I
l t L' C"located
""R,f"he imtallatio"
INVel *ei.1,),-.�a owtiers of the Fm
y&j("Purchase;
tv,e 4 S.A.,Bic. ;depot) furdih.do. made a Pan-holoof.
-%tvt W wi[R�Ovt DN ;incmporated� ellibyrefiltericeand
F atract i fit
d""ibed On the attached Spec S116-ul
resk!reis tilc right to t2accl tbir.CoBtradt 1f,""FOO re-Inspection of the lob,14vole D"Ticit.dttermiWs that i
Home Depot its obligdon,due to 2.structural Problem vAtththe home,pricing rrvej or tIt-A-gge.work required w
c,anaot pts-form,
Complete the job Wilt mot indaded is the SOCC Sheet or Cw)jtncL M9NT OPTfONS
DM91T PAY
US RAW sor*."Gory rw
C0NTRA17T',k,A0U.'T
MOU�
2. C,*#,,,ttCwtai,dinldherP-)-,n�ff--P,1cn'-CLT
*LESS DEPOSIT 5 vla hiwacam Dtwover
9.ALANCE-DUE The F=v Dopa Home impevalnera Loan 71w)IM P.4AW CmOitctrd
0*4 ComPLETION 4=21d— kle SLY) .
-ect Atn*vilt Age vvoa Crcclitt 3 (Hit-&IEDCC ONLY)-
Lu
"ilinimuku 15%at Coon
..j,atjoia of this Cgnfriket-
is appege;Go CArd:
a�11Dwmnu Depot tr
ITIdicute rayulenA."24hod For
?the above refempcm id 116i else
DUE'ON'C"PLEVO thavdit vai dipcsit iii dicalw]
-Date
911..or HTCC Codes
Pa, tot,
Pb%r�aer apwvs that,immediately kpvl conli letion of the-work,Purchase will execute 21 c:4-mrl'-wri ce7tirlCate and pa 311Y
doe
Purchaser also agre,- ve Obligated W je ilertando
;•tabu ralYO iglite
e. q, 1U', 1rC'!SF -j eelrii'a
y i,'tto jAto LE7
thg agfeeirehi,covW11 the
n�en this agreemenTitin Ina �atatea ee�menlI;kpk-d Iniolh pwtks,
'h ties Are tan not Lt amended o. /T K
be (,�.V I P, 0/'67 '
Jvl',�glg -ro , , R XSE�U'i -I
Do lot'liga this cantyn ct before yott,relkd it. vau,sire entitled to a comPlet*nkild-i"'COPY of tlk-r"inte'"t il't t1he Vane
4 compltdi;m Certificate before this project is complete- t';iw
Keep it to protc��'kiur elghM DO 4or ti;.m a Coinpicii,01,certificate sit:nrd IrY the 0'-vDQr Ptw to
hQmi!ve v air cootractors frutti requesting Or AcUplin
0 ptrthrmed under the conts'40-
Pro
iii, rt..l compiettor of the W.work t time priar to tioWnight of the third bilitioess day
after the data Of IWS COnwract;
yvil U12Y cancel tW imnsAct'too at 2)JR81tiou Of ULW vight. Tbere Will bt A st!ryiz#charge equal to 25V.Of the Coll tract
See Nnficv of CIncelLution for an vA" third btisuiess Jay.
jj,13ount if the iob Is cancelled by Purchaser AFTER 11110 di TERNS O. TV15 CONTRACT. I)V/F TAX
SIGNATURE BELOW, VNE AGREE TO BE SOUND B 'THE
'6',D TWO CoMpLETED CoplE,;OF'�JJE NCTICI:
�6y my"GUIR S -1 OF A C6ii-OF THIS CION',[RAC-1
,N.Ci<,�OWLEI)CE RECFLP
G•?CANCLUA170N.
IrwS UND8RSTAND TiLkT THR AGR=%�WNT IS SUBJF'CrT To REVIZ-W OF
DIT
;Y b4Y!O'UR S�j NATURF BELO w hlOUR CRE
AND NVE AUTHORME HOW,DEPOT FU VFRIFY AND REVTF.
r RF G 14CY AND THEM FIZO.'v
mYloup.CREDIT RISTN"y' ALL LIAR'LLITY
jic,-OPD Wn'H M L _pEtOF-TqT CR _pORTM
ir41-TJPRFD FR,,),,V*I $ER-'n'T 0�ft-!IONS OR,ERROR&
5 'MO Dol:
I % %COOS% Ii
o pate: JV_J6,6'Z� —
V /P*t
rKr
ACCLIM1,I)B'
.10
-6 ARE STATEDON THE REVERSE SIDE
NOTICEZ AnnillaN AL TERM%AND CONDITIOT
AND ARE PART OF THIS CONTRACT
4'041." C.sc WHO-6mwth File Yaliow-CUA01-mr PiI*--Gales C0MUlt1r!
Rue 10 06 09: 00P Michael Bedard 1 -401 -246-2868 P. 1
FP.&N . K I M:DLY FAX HO. 6033629579 Hug. 07 2006 11:22PM P`
HOME MPROWNIENT CONTRACT
Said.Fwrai5hea;W InsiallO by.
171111)At.4cirro.Servirm inc�
dlbf& The How Depot At.Kortte SO.rJLLe5
16W-$1112; Fax:54-7%-2359
Branch Nurnbci, Job Tog Fme ISM,
Fr etas It7#7S.'e9U64,MFLis
CTUOW,W, MAX'Wn2m k covar"Peg 4 Lam
h5
1 14
In!t"luatiol)Address! Ll Aw-g 6'aax-
City swat Zip
LASSi ID Wokk trimer Home z&.
(-Tf di fli reAl frord LaW12111i ft ALdW-) city State Zip
E. sit Ad6,kftt 0welve updates and pnornwons frcm ne Haiti.Deptit).
Wdermatiol: lAvelyou('Purclizer'),the owners dtlw progrity located at the above itikmAxtion addres&offer to
w'. nota iXTOt U.ZW.A,111C. ("Home Depot')tc(4rniah,de ver and arrange for the IntwDrtion of an huwwls As
JeSciibed n the attached Spec Sheet M incorporated himminty rtferew*ard trade pm hatooE
Mame Depot rcsini-ves thr right to cancel thlic*atract If,lipon're-LospWion.of&e lab.,iloaar.Fiepat deterw4net that It
niniat,r perform its obiigiiiocls 4lut to a str.ucturEd problem with 11to homer pkichir errors or bereW room:required to
ulaplate the lob was not indliatel is the Spec Sheet or Contract..
DEPOSIT p4ybf ENT QPVONS
L Chrd;.CulVemChmkot LIA Pang Qw"w'Acoeyo�:
Ct11 Rw CT AMOUNT
"LESS ORPOSIT S 2, crea ad'sr4w oftr Pay=I.d afeto=-C.IFEU 00.11.1"
\Asa MatW 01sewei Ar clan PXPAU i
BALANCE DUE Tot Ham rArt ftno Liproverridw LAM
ON COMPLETION S S �_y It
e :+cudoa of tb<z contract AA�* CP"W!54_4��Ca (ML&krzwx ONL'V).
�,,.Mac
ladicat"Payment Fair 'By-y!oar signaturesignatureWow.Mye agree to aillow ROTA Depot to
BALANCIr.I)VE'ON CONIPLETION: charge abcmie tefom aced avdit'caA for ihe ifepmfj"led,
Darr
HIL or KDCC Atirliori2ation CoddLw
LFinal?a meat1# ece,5-b
llnr baser igren that.imtriedintky upon cm,?Ietlon of dhe work,Purchaser Mil execute Crinpeetloi%Cartincate and PAY Any
bal.Lw�,e due. Purchaser also aorzes to k jointiv and severally oblVted and liable hereunder.
na agfet=nt and its avachmerlls,incltiding am ftnatcltg*areernm,r4nriiin tie owri:;!ete ageernent
---nn the pestles and can nat he amended oettodifted unless Inwriting in 1,separate igteemwat signarl by both parties.
-NOTICE TO PURCIWER
Do rut sign this contract before you read sL You are entitled to a completely falled44 copy 61 the toetr2ril ic the tlmc
tau 6;1;p, Keep P to protect your rithis. On net sign it Cowpietion Cerlifieste before this project is complete. Caw
prohibits iorne repair contractors tram requtilfil)t Or IccePtI59 9 COMP10600 Cel"firwMirt SiZacd by the Owner prior to
iiie actual ermplarlan of the wank to be Performed tinderthe contr2ct.•
you may cIdcei this tr%os2z*n At any!irtie pr-'6r to roloorghs or the third bushle"day after the date of toil contract.
.ice Notice of C;i acullation for sa explanation or%it ritht.
amount it ttw job is cancelled by Purcli-mci AETER the third business day,
BY%AY/CUR!;TrN*.ATL;RF BELOW,UWE AGREE'CO B2 SOUND BY THE TERMS OF THIS CONTRACT. ME 4:4, v
PE':Eln OF,A CCFY CF THIS CONTRACT AND COMPLETED COPIFS OF THE NOTICL
3Y MYfM'.R SIGNATURE BELOW,VWE UNDERSTAND T14AT THE ACREWEN'T IS SUBJECT TO REVIEW-OF
V. Y!0Z:R 1,7TZED17 HISTORY AND DWE AUTHOR=HOME DEPOT TO VERIFY AND ASY1W My'OUR CRMT7
RECORDWITH AN INDEPFNI) VT CREDIT REPORnK,G
AGENCY'AND RELEASE THEM FROM ALL LIABILITY
iNCURRED FIR 10M! D C ;,A 0WP;ONS OR ERRORS.
szj aw-m-rLD oya Date:
BY:
Data;
Due
NOTICE:ADDITIONAL TE&M5 AND CONDITIONS ARE STATED ON THE REVERSE SIDE
AND AKE PART Or THIS CONTRACT
Aug 10 06 09:00F Michael Bedard 1 -401-246-2868 p. 2
FRZ11 I<IHBLY FAX NO. ! 6033629G79 Au,:;. e7 200L� 11.'18f"I'
Pra ch 40fli C: I'D 5-MMU SIDING SPEC SHEET ':P-o shoil$v
DESCRIPTION OF WORK J,-,.')
-INFORM 1
ri n rm t%51,oni,#
cwor,�!Name; A?
SIding!Lrmp Lcla,iol
Addross!
_67 b Q...
AREAS be SIDED PAODJCT S PROFILES COLOR
qiA,rn
From Select soll�W'Z* C.wrms
Leis
codry PremitArn
%H""no$nlit CORNERS
0.5 S"an Kro
titianTrip e 3" Flut:ad.
cn;y House Wren
iN!"P
ARW to bo COVERED ?4Ew GUT-ERS&DOWN SPGUT!z
Fon I LER Back r1; ht OTHER AREA yps 1,40
—7
-'as_b COY -7 -1 _.— CcAor.
Tuck F�sd"4.— t-j rt, -
Denti VoLir�.,, New G_iiterp Down 00(41VO
El� . ...-WM IT r-.CNL, be ImLailwd in exisib'w i"atlom,.
Covs.r Pfiazo ROWO Witm: PvCA1.jm.troll= crv!drf.EcffI� Ilolcw.
1 07TOMM-ME,ME
F ()'v
Windows":.Iocra Stonri Andvwx Awnings up Ic 3, =J t
'1101m Qo*r�,. Aw
Garage I Patio O=E_-=� ------
Z.
SurglarLlar Exi_�zimg Sh-,t-..,, I
Euild Ots!Frame
No= 4 Yes: viny,.Ucod Alurnlnurn=
.',mmm.:ii ng mbD tm.1060.W*nto f;:q*ctwdl NYT
GAELF VENTS
Y!114 COLOR* Window Door Suveund Ka�7
From marlm, W! w;redirvori' SlcrL'
74-77 Dal—4W --- .-i
Left S<44" 044"-88' slnq�q �6 —
'
'COLOR' k-aft
LOLYGm-d F31CK
Raised Pane
r, Collar:
110..Iod 8 Y I N 'COLOR'
oes
KI)I0 Sntll.
--->'COLOR' TriantLUF
Wlop
Wrap Florarl Posts
.,Ak m"NMEM0 R !Qe6iY the cicaltons:
4n
I h:kV*mvirlwod and agree wIth the job speclAcadDris described Above,And I MAVO mviowad wid zgmo whh the
Speolat Tar&d&6d Cardiflow;lWod an the roVDr-.e Sieo 6T the VbjjoW(CUZtorntV)copy Jf Jbia Spec SN)tt
It rotted wwod is diz--crod AFTr;.zk removinq the n.t.svct srfimp,or R it...ld not b.kfarittitd al tho Un.of*410,
there wily be 31h additicnal Charge of 34,00 per 82,Ft.for fllvwood and$5.00 oor Un.Ft.f.,Dim—i—el Rambo,.
Custctner Signature: -,„ Dale:
2/2
wm1w•IA.—D.P.1 vcjluw rg•talc%Cw qR