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Home My WebLink AboutBuilding Permit #164 - 268 RALEIGH TAVERN LANE 8/31/2006 TOWN OF NORTH ANDOVER NORTH APPLICATION FOR PLAN EXAMINATION c&,1 6 6 O A Permit NO: A0 Date Received • qq<x.n<..e.. . .n SSACHU�9 `''��y Date Issued: V IMPORTANT: Applicant must complete all items on this page LOCATION L �L'. vL' Prpn (zd O PROPERTY OWNER M IC-holt. _ Print MAP NO.: Gw L PARCEL: ZONING DISTRICT: TYPE AND USE OF BUILDING HISTORIC DISTRICT YES ❑ TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑New Building 4 One family ❑ Addition ❑Two or more family ❑ Industrial ❑ Alteration No. of units: 'Repair, replacement ❑ Assessory Bldg ❑Commercial ❑ Demolition ❑ Moving(relocation) ❑ Other ❑ Others: ❑ Foundation only DES RIPTION OF WORK TQAE PREFORMED v ol- V Identification Please Type or Print Clearly) OWNER: Name: ic.hr P ( Po Phone: q7IR Address: ZY h CONTRACTOR Name: C Ma 6(' l Phone:(qT b 96 7-1q I Address: l h S Supervisor's Construction License: Exp. Date: j i Home Improvement License:19 tD `i '1 I Exp. Date: "I 7 ARCHITECT/ENGINEER Name: Phone: Address: Reg.No. FEE SCHEDULE:BULDING PER IT.$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$115.00 PER S.F. Total Project Cost :$ FEES I � Check No.: `'I Receipt No.: 19 S Page I of 4 TYPE OF SEWERAGE DISPOSAL Swimming Pools El Art ❑ Public Sewer Well F1Tobacco Sales Food Packaging/Sales 11 lPermanent 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 contractor ,MOZCA Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF-U FORM DATE REJECTED DATE APPROVED PLANNING & DEVELOPMENT ❑ ❑ ❑Water Shed Special Permit ❑ Site Plan Special Permit ❑ Other COMMENTS DATE REJECTED DATE APPROVED CONSERVATION ❑ ❑ COMMENTS A DATE REJECTED DATE APPROVED HEALTH ❑ ❑ COMMENTS Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments 1 Conservation Decision: Comments Water&Sewer connection/Signature& Date Driveway Permit Temp Dumpster on site yes_no Fire Department signature/date I i Building Setback(ft.) Front Yard Side Yard Rear Yard Required Provided Required Provides Required Provided Dimension Number of Stories: Total square feet of floor area,based on Exterior dimensions. Total land area, sq.ft.: 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 F ❑ 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 i Doc:INSPECTIONAL SERVICES DEPARTMENT:BPFORM05 I c I Noe 4 of 4 NORTH Town of ? Andover 1 r, z • 3t4- acy �. odover, Mass., lei COCMICW :".CK y1. Ids RATED 7 4 BOARD OF HEALTH Food/Kitchen fIERMIT T D Septic System ` BUILDING INSPECTOR THISCERTIFIES THAT.......... .......... .................. ....... .. .. .......................................... Foundation has permission to erect........................................ b ' ins on .. . . ....... ... .. . �/� Rough to be occupied as.........��.1.P.........t...... .............�. ...... Chimney e provided that the person accepting this permit shall in every res pe onform 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 I38' - Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR N L LESS CONS TARTS. Rough . ......NA................................................................... Service BUILDING INSPECTOR Final Occupancy hermit 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. C. MASCI 80 Smith Street unit C4 Lowell, MA 01851 Phone: 978-454-7141 Fax: 978-453-1285 Mass. Reg. #146491 Proposal Submitted To: Michael Po Date: August 17, 2006 Job Address: 268 Rai eigh Tavern Road N. Andover Phone: 978-397-3100 We hereby submit specifications and estimates for: Strip and roof entire house 1. Cover house and shrubs with tarpaulins for their protection. 2. Strip entire roof area of house. 3. Re-nail all loose roof boards. 4. Install 6 feet of ice and water shield under shingles at all gutter edges, valleys and chimney. 5. Install aluminum drip edge to all edges. 6. Install 15 Ib. felt underlayment. 7. Re-flash dormers and wall areas if any as necessary. 8. Weave all valleys if any. 9. Install new roof flanges on vent pipes. 10.Install new roof shingles to all roofs on house (manufacturer, style) 50 Yr. Certainteed/ Presidential LT Ultimate — Weathered Wood Color 11. Install new counter base flashing on chimney base. 12. Replace all rotted roof boards up to 50' no charge; $3.00 per foot thereafter. 13. Install ridge vent to all peaks. 14. Install new lead chimney flashing. Magnetic clean-up for nails. All debris to be removed. Fully licensed 146491 and insured. We take no responsibility for dust or debris in your attic. Please cover or remove valuables. All material is guaranteed to be as specified, and the above work to be performed in accordance with the drawing and specifications submitted for the above work and completed in a substantial workmanlike manner for the sum of: Eleven Thousand Four Hundred Sixty Dollars ($11,460.00) Payments to be made as follows: Deposit- $5,660.00 Balance upon completion- $5,800.00 Make all payments payable to: C. Masci Any alterations or deviation from above specifications involving extra cost, will be executed only upon written orders, and will become an extra charge over and above the estimate. All agreements contingent with strikes, accidents or delays beyond our control; you, the owner are to carry fire, tornado and other rnecessary insurance upon above work. Workmen's Compensation and Public Liability Insurance on above work to be taken out by: Respectfully submitted: Michael Mondazzi Per: C. Masci NOTE: This proposal may be withdrawn by us if not accepted within 30 days. Acceptance of Proposal The above prices, specifications, and conditions are satisfactory and are hereby accepted. You are authorized to do the work as specified. Payment will be made as outlined above. Date: Signature: Si nature: 8/ �7 adro 9 .-. '�f9C -VOYIYIIZ(NZII�PQ�L �✓"C ° , ate\ Board of Building Regulations and Standards HOME IMPROVEMENT CONTRACTOR Registration: 146491 + Expiration: 4/27/2007 Type•' DBA C.MASCI CHRISTINA MASCI , 21 OAKLAND ST. G L,,"� , r�✓ } LOWELL,MA 01851 Administrator F s III '46-04-0£ 06:3!m FrwAi 6 +671 331 6646 T-511 P.00'/364 F-SZc THIS wiCA 15 lubU AS TTlrR OF I IFICATE R00* 11 UC ONLY AND CONFi'RS NO RIC3f{TS UPON THE CEptTIFtCATE Red G.C Ilur,.tk Insurance HOLDER.TM CERTIFICATE DOES NOT AMt.NO,EXT END OR � '. Cannsew Ratk ALTER Tt1E COVERAGE AFFORDED F1Y THE POLICIES BELOW !-- et wslwam srw Cp61PAN1tE3' AicF011talmild INSLIOa!!CE LcvAf.MA 076'7 CWpANY A GRANITE STATE INSURANCE COMPANY I 1NS�� Chnsdnne L Mesa 11 Oakland StreSt i.avavN;11A 91857-0000 ' uta 8ELE1W HAVE NMH ISBUED TO THE>NSUAI:D D ABOVE FOR THIS!BTO CERTIFY T,ua 70E POCK"OF tNVJRAf4M nON OF ANY COMTpACT OR OTHER i THE POLIC'�f PIRIOJ WDCAMO.NOT W('{MSTANt> ANY RCE1lI1REMENT,TBI CSR CONDI AFPO> D THE i ppWMENT YY rH REBNEC -M V#,m �k TM CERTIFICATE MAY BE 188UE0 OR MAY PERTAIN,THE INSURANCE i pOti tGES DlBCR►"p HERcMI is SuB.IR'CT t0 ALL THE i Ei�N6,I:XCWglow AND CQNDkiS01�O{•SUCH POLICIES.UI�tTS 5MCSW N MAY HA,4E BEEN"DucED BY PAID CLAIMS, 4F uMITS A iMw GVM�s,L1M JTv :f weoe►alr . I ! i a I 7h9J2407 �A'�roar wcTB .. .,',;, ' acs c 8748�f1 7!1 �,�ee+� s 5pa,a (ra.eno.fir+ m awe ovr+ew a^n, a ra:ICY uM1c s !rtiO.GOq t a ooc� r—1— ANCELLATION CERTIFICATE BOLDER _ n+E ------- -- ----- ---------- a�aw,y a++ew t►e�aww aesara�vouc�s re tJv+cauo WrnleE i. 1tON0ATE Tr�irroa�. b raltinte W~Mnli-W"'OR 0 AWL U W04j QAliiwwnm%armTo?wosr*WATG1OLM bToTMELe0r,iLT PWM!10 WN&SWM NQT=*VU"ONM v0 0N1011TM"011 WD11 tT(Q i ANY!qN0 ii�011 TMa COMPAw:fl�{A6lMrt on IT�T1VLi' AlU-rHORIZEO R pRE6FNTATW Location r) �Q P k"vi / No. Date R MORTF� TOWN OF NORTH ANDOVER f s Certificate of Occupancy $ MUS E< Building/Frame Permit Fee $ J t Foundation Permit Fee $ Other Permit Fee $ TOTAL $ tj Check # -7 1 19536 Building Inspector