HomeMy WebLinkAboutBuilding Permit #067 - 28 QUAIL RUN LANE 7/19/2013 TOWN OF NORTH ANDOVER
APPLICATION FOR PLAN EXAMINATION
Permit NO: Date Received
Date Issued: t3
IMPORTANT:Applicant must complete all items on this page
LOCATION 5? 20 A 1 L
Print
PROPERTY OWNERu l }�ek-JzV\4 5l
Print 100 Year Old Structure yesno
MAP NO: PARCEL: ZONING DISTRICT: Historic District yes no
Machine Shop Village yes no
TYPE OF IMPROVEMENT PROPOSED USE
Residential Non- Residential
❑ New Building ne family
❑Addition ❑Two or more family ❑ Industrial
❑Alteration No. of units: ❑ Commercial
❑ Repair, replacement ❑Assessory Bldg ❑ Others:
❑ Demolition ❑ Other
❑ Septic ❑Well ❑ Floodplain ❑Wetlands ❑ Watershed District
❑Water/Sewer
DESCRIPTION OF WORK TO BE PERFORMED:
Identification Please Type or Print Clearly)
OWNER: Name: 16;L l �_ -e �'✓� °� Phone: 9,q,
• u
Address:
CONTRACTOR Name: �a�v� � �12�( G-� Phone: ` �•
Address:
Supervisor's Construction License: 1 0I Exp. Date: Z 1.
Lz� �� i
Home Improvement License:__L3y
1� Exp. Date: II
ARCHITECT/ENGINEER Phone:
Address: Reg. No.
FEE SCHEDULE.BULDING PERMIT.$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F.
Total Project Cost: $ bb I a (3 FEE: $ �� 4000,
Check No.: Receipt No.:Q (AQ 4/0
NOTE: Persons contracting with unregistered contractors do not have access t e guaranty fund
Signature of Agent/Owner Signature of contractor
Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ to ped lans ❑
Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑
TYPE OF SEWERAGE DISPOSAL _ �^
Public Sewer ❑ Tanning/Massage/Body Art ❑ Swimming Poo�lsr
#V
Well ❑ Tobacco Sales ❑ Food Packaging/Sales ❑
Private(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 Signature
COMMENTS
HEALTH Reviewed on Signature
COMMENTS
Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes .
Planning Board Decision: Comments
Conservation Decision: Comments
!later & Sewer Connection/Signature Dace Driveway Permit
s .
DPW Town Engineer: Signature:,
�; Located 384 Os oold,Stre@t A
FIRE DEPARTM=iNIto emp Dumpster on site yes no
Located at 124 MainStreet '
Fire Departmer t signature/date
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 LITERATURE: Yes No
MGL Chapter 166 Section 21A—F and G min.$10041000 fine
NOTES and DATA— (For department use
® Notified for pickup - Date
Doc.Building Permit Revised 2010
Building Department
The folowing 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
❑ Engineering Affidavits for Engineered products
NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit
Addition Or Decks
❑ Building Permit Application
❑ Certified 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)
❑ 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
❑ 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 dumpster 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 appaal period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording
must be submAted with the building application
Doc: Doc.Bui?ding permit Revised 2012
Location 2�' CPQ C-t t c.A N
No. 'T Date
r
• • TOWN OF NORTH ANDOVER
Certificate of Occupancy
Building/Frame Permit Fee $
Foundation Permit Fee $
Other Permit Fee $
TOTAL $
Check# -
Building Inspector
� NORTy
Town of t ndover
No.
zh ver, Mass
o,Q «. > >
COC
NIC.2.,C.
�,4 A°RATE0 ►P�,��(y
s u
BOARD OF HEALTH
Food/Kitchen
PERMIT T LD Septic System
THIS CERTIFIES THAT ....................a-III....D.4 .q ..I��.�...�..T" .... BUILDING INSPECTOR
has permission to erect .......................... buildings on ......... .....qvia
FoundationLf .....Rij.r"................ g
• R u h
to be occupied as ...............�.. .. .. .......... /.d. ......!° d.......��. r..�.�....C.Otl�!!tti V f Fin.aI y
provided that the person accepting this ermit shall in every respect conform to the terms of the app kation
p Final
on file in 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
Rough
VIOLATION of the Zoning or Building Regulations Voids this Permit.
Final
PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR
`3,31 UNLESS CONSTRUCT N S TS Rough
................................ Service
............ .............. ... ..... Final
BUILDING INSPECTOR
GAS INSPECTOR
Occupancy Permit Required to Occupy Building Rough
Display in a Conspicuous Place on the Premises — Do Not Remove Final
No LathingD Wall To Be Done FIRE DEPARTMENT
or Dry �. , E
Until Inspected and Approved by the Building Inspector. Burner
Street No.
Smoke Det.
SEE REVERSE SIDE
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ple} PPFC
M Thank
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5 _ f
al & Com€ erciai Roofip
All "Types Of
Siding &Hi��AtV5 POINTED-REBUILT-CAPPEDExpert Masonry Work
'r, of €_ra�T Licensed & Insured
Mass Toll brae L�.,�nseu
1'-800-VIAI T-4-US I. ):(.'L.r1FYl�[ C J7(.':"TIC[.'{I.S f::t;C j"-" License#034200
(924-3487) � fix& Worm -e tff�s� '> We Work.rk. hear ROtAnd
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Proposal To: Bill & Christine Dewhirst Date 4/23/13
Street: 28 Quail Run 978-686-9746
N. Andover, MA
Vinyl Siding Proposal Page 1
1. Remove all existing masonite clapboards from 10. Install all new vinyl accessories: light blocks,
entire house. Existing staggered Coin corner split blocks, meter block etc. (Removing and re-
boards will remain. Repair approximately 3' of installing electrical meter by licensed electrician and
rotted corner board on left rear. permit included in proposal)
2. Inspect all wood components of entire house. 11. Removal and in,;callation of fight fixtures and
Any compromised material will not be left. Any doorbells included. New fixtures and doorbells must
existing damage or rot will be discussed, be provided by homeowner if wanted.
confirmed with homeowner and replaced at an 12. Install composite kick plates under all entry doors
additional cost of time and material. I st 32sq/ft of where applicable.
plywood at no additional cost. Do not expect 13. Existing front entry will remain as is. Install new
much, house is built very well. customer supplied storm door if wanted.
3. Carefully remove all gutters. 14. Clean as best as possible all gutters and re-install.
4. Install Tyvek housewrap to entire house. All New gutters can be quoted per request of homeowner.
seams will be taped for air infiltration and
maximum R-value. 15. Rear addition:
5. Install Mastic T-Loc Barkwood .048 premium • Remove all existing pine trim.Not fascias and
vinyl siding to entire house. Proposal includes rakes. They will be covered with white aluminum
standard colors only. to match house. Install Tyvek housewrap if and
6. Install white vinyl perforated triple 3 (2") where needed.
Invisivent soffit panels. More of a headboard • Remove all existing lattice and pine trim from
appearance. bottom.
7. Install j-channel to all areas that need to accept • Construct new pressure treated frame around all
vinyl siding. All j-channel will be self-flashed three sides of bottom.
and mitered for neat and clean professional • Install all new white PVC composite lattice and
appearance. trim on all three sides of bottom.
8. Install custom bent Alcoa white aluminum trim • Install all new white PVC composite trim to all
coverage to all fascias, rakes, window casings three sides of addition
and sills. All trim mitered where applicable and
sealed with white caulk for neat and clean
professional appearance.
9. Install white PVC composite trim,casing and
weather bands around both garage doors.
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--- - __ All Types Of
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€ i lCa Rnt3 t -o o Expert Masonry Work
Licsnseo Insured
Pvlass Toll Fret -d �.,
Owned rl .Oil r�t<�if � ,� °• f .v-----•..
_ License#434200
9-800-WAIT-4-US ,
(924-348T) ?�Xtle 2ltx 7C ZVtfiC � W... W,rk V.. 8.111-d -
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Proposal To: Bill & Christine Dewhirst Date 4/23/13
Street: 28 Quail Run 978-686-9746
N. Andover, MA
Vinyl Siding Proposal Page 2
L Proposal does not include any painting or
Staining. Total siding cost: $23,800.00
2. Removal of all work related debris. year addition cost: $3,800.00 v
3. All permits included.
4. All material will be fastened and installed (Angie's List discount applieda d included) oa a
according to MFG specifications. - a
5. All material covered by MFG.Limited Lifetime Payment schedule:
warranty.Not contractor.
6. Contractor workmanship warranty: 10 years 0 1/3 on project start date after material delivery
under normal weather conditions. • 1/3 at project halfway point
• Final balance including any extras due upon pro-
ject completion
Local References available upon request
Highly rated member of the Accredited BBB and
Angie's List
Thank you!
Acceptance of Proposal—The above prices, specifications and conditions ar satisfactory and are herby
accepted. You are authorized to do the work as sp ified. Payment will be in as o ined above.
Date of Acceptance: '1 Z> Signature:
Sign
ACORD CERTIFICATE OF LIABILITY INSURANCf- I
DATIF,(**10f)(Ifffy I
10104/2012
THIS CERTV:ICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Per ry Insurance Agency HOLDER THIS CERTWMATE DOES NOT AMEND,EXTEND OR
522 Chickering Road ALTER THE COVERAGE AFFORDED S'Y THE POUCIES BELOW.
0T;h Andover, MA 01845 INSURERS AFFORDING COVERAGE "C It
INSURER A ATLANTIC CASUALTY INSURA!
JOHN LANZAFAME jNSUp,;_zR 9 AIM
08A ALL UNDER ONE ROOF INSURER C
30 TEMPLE DR rtlSURERD
METHUEN, MA 01844 INSURER E
rOVERAGES To THE INSURED NAVIEDABOVE FOR THE POLICY PERIOD""IDICATED NOTWTHSTANDING
'HE POLICIES OF INSURANCE LISTED OF-LOW HAVE BEEN ISSUED RESPECT TO WHICH THIS CERTIF�-RITE
MAY BE ISSUED OR MAY
A-NY pEOUIREMENT TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH
PERIAM THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS.EXCLUSIONS ANO COSIDITIONS OF SUCH
POLICIES AGGREGATE LiMrTS,SHOWN MAY HAVE BEEN REDUCED BY PAID CLANS.
p(mi'm LIMITS
TYPE OF INSL"ItAHCE POLICY NUMBER ow f1wt - --
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9111/2012 9/11rt20l37;E7ACHOCci'F ?E
A GENERAL LLABnJ" L118000227 KN
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CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF T"r:ABOVE DESCRIBED pOUCles BE CANCELLED BEFORE TIIICEXPIVAr�,
DATE T"EjReor,THE ISSUING INSURER"LL ENDE P-VDR TO MAIL DAYS You T's
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NAtAE INDr4IDUAL N166A FINACHARO
7AL oNe RoofAN7-AFAME. _Q7_05, BUILDING
jOHN mETHEUN. MA 01844
�1 jpftUrfm"We Massachusetts
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