HomeMy WebLinkAboutBuilding Permit #743-14 - 281 WAVERLY ROAD 4/23/2014Permit NO: o�
Date Issued: L
TOWN OF NORTH ANDOVER
(APPLICATION FOR PLAN EXAMINATION
"1 Date Received
ANT: Applicant must
_ -- -- . - .
LOCATION -.
- P
PROPERTY OWNER. _.. _��
Prin
MAP NO: Q=PARCELtA ZONING DIS
all items on this
100. Year Old Structure yes no ,
'Historic District yes n.o
g'Ma.-chine Shop Village yes no _
.TYPE 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
Q Septic ❑ Well :
❑ Floodplain 0 Wetlands
0 Waters hed.D i strict
❑ Water/Sewer_ _
DESCRIPTION OF WORK TO BE PEK1-UKMEU:
e.
l {1 �� Q` c !�
Identification Please Type or Print Clearly)
OWNER: Name: Phone:
Address:
CONTRACTOR Name, a.' f ' ...Phone: -_� 7
r=
Add°ress:
_ ..12
Supervisor's- Construction'License:I_ _ Exp Date:
Home Improvement L
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: $ FEE: $
Check No.: 1_�2 Receipt No.: LQ'_�_ 4
NOTE: Persons contracting with unregistered contractors do not have access to thiaranty fUV
d
Si nature ofAgenf/Qwner'_ S�gature of confract`or14
Plans Submitted Li Plans Waived ❑ Certified Plot Plan ❑ mped Pia ❑
,7(f
-:.:Plans Submitted ❑ Plans -Waived ❑
--_Certified Plot Plan ❑ Stamped Plans ❑
:TYPE-OF:;SEWERAGE.DISROSAL"
Public Sewer ❑
Tanning/Massage/Body Art ❑
Swimming Pools ❑
Well ❑
Tobacco.Sales 0 .:
Food Packaging/Sales ❑
Private' (septic tank, etc:_ ❑ - _:.
Permanent Dempster on:Site
THE.FOLLOWING SECTIONS FOR OFFICE USE ONLY
INTERDEPARTMENTAL SIGN OFF'- U FORM
.. DATE REJECTED
PLAN'NING'& DEVELOPMENT ❑
COMMENTS
-CONSERVATION
COMMENTS
HEALTH
COMMENTS
DATE: APPROVED
Reviewed on Signature
Reviewed on Signature
Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes
Planning Board Decision:
Comme
Conservation Decision: Comments
Water & Sewer Connection lSignafure &Date Driveway Permit
DPW To -,,v;, Engineer: Signature:
Located 384 Osgood Street
FIRE -DEPARTS ,.L-" VT . -:"Temp "Dumpster on site yes no
r�
Located at .124;Mair Street
- FireDepartine►�f�signature/date Y- , �° ,- s � •`�.., .- - . _ . -:,. '
C0MM.EN" TS ``
-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.Z®NE LITERATURE: -Yes No
MGL.Chapter 166. Section 21A —F and G min.$100-$1000. fine
NOTES and DATA — (For department use
® Notified for pickup - Date
Doc.Building Permit Revised 2010
Building Department
The fol owing is�'a list of the required:forms to be filled outfor the appropriate -permit to .be obtained.
R.00fivg, Siding, Interior Rehabilitation Permits
o Building Permit Application
❑ Workers Comp Affidavit
o Photo Copy Of H.I.C. And/Or C.S. Licenses
o Copy of Contract
o Floor Plan Or Proposed Interior Work
o 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
o Certified Surveyed Plot Plan
❑ Workers Comp Affidavit
o Photo Copy of H.I.C. And C.S.L. Licenses
❑ Copy Of Contract
o Floor/Crossection/Elevation Plan Of Proposed Work With Sprinkler Plan And
Hydraulic Calculations (If Applicable)
o 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)
o Building Permit Application
o Certified Proposed Plot Plan
o Photo of H.I.C. And C.S.L. Licenses
o Workers Comp Affidavit
❑ Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And
Hydraulic Calculations (If Applicable)
o Copy of Contract
o 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 apu;gal period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording
must be subm-.ted with the building application
Doc: Doc.Building permit Revised 2012
Location .GQ
No. I — t Date
TOWN OF NORTH ANDOVER
Certificate of Occupancy $
Building/Frame Permit Fee .$
Foundation Permit Fee $
Other Permit Fee $
TOTAL $
Check #=
Z— 9
27485 Building Inspector
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Quote: 1514
H Ben Fontaine 14a Mercury Lane Pelham NH 03076 (603) 635-3499
Cell # (603) 661-7429
Job Name: Amy Grose & Cherry Bennett
281 Waverly Rd
N. Andover Mass 01845
Job location: Same
Description:
Date: 2\26\14
Type: Roofing
Replace shingles on the front part of the roof, and siding on each side of the dormers
Will install six feet of ice & water shield at the edge of the roof, three feet in all the
valleys, three feet on each side of the dormer 18" on the wall 18" on the roof, new
flashing at both windows and dormers
Will install new cedar clad board and corners and paint , Paint not ii luded
Material & Labor ...............$ 51987.97 �� L -b
Replace back roof shingles, work included six feet of ice and water shield, roof
underlayment and new drip edges,
Material & Labor................$2,732.00
Replace sun room roof shingles and side door roof; work included T of ice and water
shield 18" along the house, roof underlayment and new drip edge
Material & Labor................$1,235.00 7 C3
*All shingles will 30 years architectural, color to be Owner choice, all debris will be
remove from the job site All work is guarantee for one year
Acknowledge & Agreed: Date
Contractor �M- Date
Pleas �gn & �Returiwone copy)
*Price can only be held for ten days*