HomeMy WebLinkAboutBuilding Permit #635 - 26 TURTLE LANE 4/10/2006Of ,NORTH
O
TOWN OF NORTH ANDOVER
`• ;' �� APPLICATION FOR PLAN EXAMINATION
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SSACHUSE� h
Permit NO: 63 Date Received:
Date Issued: Llho X'/
--� - IMPORTANT: Applicant I11LISt complete all items on this page --
I
LOCATION
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PROPERTY oWNER,/O L
I Pri
MAP NO.: PARCEL:
TYPE AND I1SF. OF RI III.DINC.
ING DISTRICT:
t11Q1rnD1!` n1cTDif"r iI ti•t n
TYPE OF IMPROVEMENT
vl )l
PROPOSED USE
Residential
Non- Residential
_. Ne« Building
J Addition
Alteration
One family
- Two or more family
No. of units:
=: Industrial i
I
Commercial
l,Repair, replacement
Demolition
- Assessor), Bldg
Moving (relocation)
'Other ,
_ Others:
Foundation only
Kir JJUIN Ur WUK& I bt FKrkUKMhIJ
OWNER: Name: , -.� - /-)ic4�4 _ Phone:
Address:
CONTRACTOR Nanle:
Address:
Supervisor's Construction License:
0A Exp. Exp. Date: C%
ITonle Illlpro%elllellt Liccllse: �y, God Exp. Date: l
ARCIIITE C'L FNGINI'I"R
Address:
Ile: Phone:
Reg. No
FEE .SCHEDULE: BOLDING PERMIT. • 510.00 PER S/000.00 OF THE TOTAL EST1M14TED COST BASED ON
4'12.1.00 PER S.F. '—
Total Project Cost :$ j x10.00 FEF.:$
CheckNo.:__//W� Receipt No.:—/ 0
Soy
I TYPE OF SES' ARGE DISPOSAL I Sw immin� Pools
j Tanning -Massage Body Art i
Public Sewer j
j Tobacco Sales - Food Packaging Sales
Well I
iPermanent Dempster on Site
j Private (septic tank, etc.
NOTE: Persons cotrlruc•linl; with wiregislered c•on/twelory do nut have uc•eess to the guarunit, f and
Signature oCAgentiOwner Signature of Contractor
Plans Submitted , Plans Waived ElCertified Plot Plan - Stamped Plans
THE FOLLOWING SECTIONS FOR OFFICE USE ONLY
INTERDEPARTMENTAL SIGN OFF - U FORM
PLANNING & DEVELOPMENT
COMMENTS
CONSERVATION
COMMENTS__
HEALTH
COMMENTS
Zoning Board of flppeals: Variance, Petition No:
Zonine Dccision,rcccipt submitted yes _
DATE REJECTED DATE APPROVED
F-1 El
Water Shed Special Permit
L_� Site Plan Special Permit
❑ Other
DATE REJECTED DATE APPROVED
D El
DATE REJECTED DATE APPROVED
Planninu, Board Decision: -----_—_---Comments.
Conservation Decision:_ „_ _Comments, —
",ate!" & SE:NCl. connection signature & date _
Temp Dempster on site yes_ no_ Fire Department si,nattn•e'datc
Building Permit ,approved and Issued by:
Building Setback (ft.)
---Front
Y� - -d Rear Yard
Yard Side Yard
1
ReqUired Provided Required P �rqvi d C _�S[ Required Prov*ded
DIMENSION
NLIIIIbCI- of Stories: Total square feet of floor area, based on Exterior dimensions.
Total land area. sq.
1.(. J :'I i:l I',!\, I _Ij :,; ;T! (W*,
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
u Building Permit Application
• Debris Removal Form
lKorkers Comp Affidavit
Photo Copy Of H.I.C..And; Or C.S.L. Licenses
j Copy of Contract
Floor Plan Or Proposed Interior Work
Addition Or Decks
u Building Pen -nit Application
u Form U
u Surveyed Plot Plan
u Debris Removal Form
u Workers Comp Affidavit
u Photo Copy of H.I.C. And C.S.L. Licenses
u 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)
New Construction (Single and Two Family)
u Building Permit Application
L3 Form U
u Certified Proposed Plot Plan
u Photo of H.I.C. And C.S.L. Licenses
j Workers Comp Affidavit
Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic
Calculations (If Applicable)
• Copy of Contract
u plass check Fnergy Compliance Report
In ail cases if a �ariancc or special permit eras required the Toi�n 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 A ith the building application
Doc: IWIEC IONA . SER\ K'ES DE1'AR'rNn'N'r:BTF0RNI05
-1 !2
Location-,L_j-
No. C23 Date 40A
TOWN OF NORTH ANDOVER
cc --v
-9 Certificate of Occupancy $
Building/Frame Permit Fee $
ACMU
Foundation Permit Fee $
Other Permit Fee $
TOTAL $
Check#
0
Building Inspector
V-11
No. l of
Supervisor CS 068461 I
P
• Fully Licensed Insured Home Construction Reg. # 146722
l C.
Keefe a
y� •
Roofin
North Reading, h1
978-276-3p 3
PROPOSAL SUBMITTED TO , /// �✓
PHONE I�
DATE �-
STREET
CITY, STATE AND ZIP CODE ,
JOB LOCATION
We hereby submit specifications and estimates for: Recommended
(Included in price)
Optional
(Not included in price)
Rip & Remove all shingle debris from roof & job site: 1 layer 0 2 layers ❑ 3 layers or more
t •� Repair/or Replace any roof decking; not to exceed 50sq. ft.
�• j Install 8" aluminum drip-edge/and rake -edge along entire perimeter. Choice of mill, white or brown
(• ICE & WATER underlayment along horizontal eaves, valleys, sidewalls and sky -lights & chimneys
--,—Install
�• Install premium base sheet underlayment between roof deck and roofing shingles ❑ 15 Ib. felt (30 #. felt
•f Install 25yr,)CertainTeed/GAF/IKO traditional 3 -tab roof shingles ❑ 30 year
l� �IC.-
Install 30yr CertainTeed/GAF/IKO architectural roof shingles
❑ 40 year -------- ❑ 50 year
30
❑ Lifetime
* See manufacturer warranty policy for more details
{ • ; Install new aluminum vent -pipe flange (s)
• Chimney (s) -counter-flash and re -step existing flashing
❑ Cut & Install new lead flashing
• , r'Ridge-veriLhaust vent with low profile design, hidden by shingle caps
`` (J -So it -ventilation ❑ Roof louver -vents
• Seamless style aluminum gutters - custom fabricated at job site
❑ downspouts
• Other
O'Keefe roofers will properly dispose of all roof debris in our own dump truck.
*Please Note: All items in roof attic should be removed or covered due to failing roof particles, at time of roof tear -off
Price includes all items above that are checked only / others may be priced separately upon request.
Pe ]ramp :se hereby to furnish material and labor - complete in accordance with above specifications, for the sum of:
Total price not including options. dollars ($ �5-0
Payment to be made as follows:
30% deposit required upon delivery of materials. Balance due in full upon day of completion.
Please make all payments out to Michael O'Keefe, 21 Francis St., No. Reading, MA 01864
Late charges of $50 per week for all outstanding bills due upon day of Authorized % .
completion. Signature
- Accepting proposal means agreeing to the terms of the enclosed binder Note: This prorb!§51'may be /
enntrant Flaacn cine rnntrart R ratum too coov (white). withdrawn by us if not ac6eoted within /' -3 days Jj
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