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HomeMy WebLinkAboutBuilding Permit #278 - 285 RALEIGH TAVERN LANE 10/10/2006 TOWN OF NORTH ANDOVER %10RTF/ APPLICATION FOR PLAN EXAMINATION Q`�t�au �'VO ° i Permit NO: Date Received Date Issued:Z-0 ��� �9SSACHU5���� IMPORTANT: Applicant must complete all items on this page LOCATIONg 5 c e l Gl�oe ✓ Al . - o r' i PROPERTY OWNERqaQ OLYe 62 Ll Print MAP NO.- 0 (0 Q PARCEL: ZONING DISTRICT: TYPE AND USE OF BUILDING HISTORIC DISTRICT YES ❑ TYPE OF IMPROVEMENT PROPOSED USE Residential Non-Residential ❑New Building )( One family ❑ Addition ❑Two or more family ❑Industrial Alteration No. of units: Repair, replacement ❑ Assessory Bldg ❑Commercial ❑ Demolition ❑ Moving(relocation) ❑Other ❑ Others: ❑ Foundation only DESCRIPTION OF WORK TO BE PREFORMED C s�r► oo-� 'IC Ck.C--e, l n � O+ 1 C e U,)o�t-r,>✓ Identification Please Type or Print Clearly) OWNER: Name. Po IV 2 V,C&Y- l Phone: CAL — u-0 67 } Address:c�W J A6 e 1 C�� ,V e Vy-1 r CONTRACTOR Name: Phone: y5y 3 1 u j Address: b� J w� 1A Supervisor's Construction License: j 1 f, Exp. Date: Home Improvement License: �� (gyp(�I 7 Exp. Date: U I A)7/0 7 ARCHITECT/ENGINEER Name: Phone: Address: Reg. No. FEE SCHEDULE:BULDING PERMIT.•$12.00 PER$1000.00 OF THE TOTAL ESTIMATEDC ST BASED ON$125.00 PER S.F. Total Project Cost :$ q dy FEE:$ 46 f Check No.: () D t!yrI"J� Receipt No.: Page W4 4 TYPE OF SEWERAGE DISPOSAL Swimming Pools El Art ❑ Public Sewer Well 11Tobacco Sales ❑ Food Packaging/Sales El Permanent Dumpster on Site ❑ Private(septic tank,etc. ❑ Electric Meter location to project NOTE: Persons contracting with unregistered contractors do not have access to the gu ranty fund Signature of Agent/Owner Signature of contracto , Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ElS ed Plans ❑ THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF-U FORM DATE REJECTED DATE APPROVED PLANNING & DEVELOPMENT ❑ ❑ I COMMENTS i DATE REJECTED DATE APPROVED CONSERVATION ❑ ❑ i COMMENTS DATE REJECTED DATE APPROVED HEALTH ❑ ❑ COMMENTS FIRE DEPARTMENT - Temp Dumpster on site yes V no Fire Department signature/date COMMENTS Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments Conservation Decision: Comments Water&Sewer connection/Signature& Date Driveway Permit 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 1MC.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 �I ❑ Floor/Crossection/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Mass check Energy Compliance Report (If Applicable) New ConstructionSin le and Two Family) ( g Y) ❑ 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 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 Doc:INSPECTIONAL SERVICES DEPARTMENT:BPFORM05 I Page 4 of 4 NOF�Tiy Town of over 0 No. v178 dover, Mass., O - LA E COCMICMEwICK V 7 ADRATED BOARD OF HEALTH PER IT T D Food/Kitchen Septic System • BUILDING INSPECTOR THIS CERTIFIES THAT.......... ....AJI.....A&/-V�r..,�A..�............ Foundation 4t�L1�1 has permission to erect.................�..................... bui400n ��............ -4j*.... ..... .... Rough to be occupied as........ ... 40� Chimn y provided that the person accepts this permit shallctconformtothetermsoftheapplication on file in Final this office, and to the provisions of the Codes and g 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 lor Final PERMIT EXPIRES IN 6 MONTHS UNLESS CONSTRU ST TS ELECTRICAL INSPECTOR Rough Service BUILDING INSPECTOR 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. a � �aminzaouaea�C/ o ✓!ie ���aoaacicuae� --- Board of Building Regulations and Standards { HOME IMPROVEMENT CONTRACTOR Registration: 146491 Expiration 4/27/2007 # Type:--DBA !. r C.MASCI !!! CHRISTINA MASCI 21 OAKLAND ST II The Commonwealth of Massachusetts Department of Fire Services Office of the State Fire Marshal P.0.Box 1025 State Road,Stow,MA 01775 PERMIT North Andover Date: w%�o —�^—' Permit No Dig Safe Num er (City of Town) (If Applicable) In accordance with the provisionssof M_G.L.l 4 g Chapter 10 as provided in section 5 2 7 CMR 34 Start Date � This Permit is granted to: ! ,'J/,moi Y_°. f a L ! (f i 69 j L7,1 Full name of person,Firm or Corporation Pernussionto locate dumpster for construction/renovation/demolition of building. Comments: dumpster must be . 25 ' from structure if unable to place with required Restrictions: clearance dumpster must be covered with 1 wood or tar end of work -day at c4,Ila.1 4 "1 r� y[,'/'✓1 /zt n �i (Give location by street and no.,or describe in such manner as to provied adequate ident ation of location) Fee Paid$ 50 .00 Fire Chief This Permit will expire j2 3 4' (�StLn'at._r11f,6fEcal granting permit) Offical granting permit (Title) C. MASCI 80 Smith Street unit C4 Lowell, MA 01851 Phone: 978-454-7141 Fax: 978-453-1285 Mass. Reg . # 146491 Proposal Submitted To: Paul and Betty Polverari Date: October 2, 2006 Job Address: 285 Raleigh Tavern North Andover MA Phone:978-794-0367 We hereby submit specifications and estimates for: Entire House- Except upper shed dormer roof and Sun room roof - 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. /� `Ca Q r> W- 9.. -9.• Install new roof flanges on vent pipes. 0Af 7;mst r l t o,,-- 30 \ .0. Install new roof shingles to all roofs on house (manufacturer, style) 30 Yr. GAF Architectural Shingle; color of choice. 1. Install new counter base flashing on chimney base. .2. Replace all rotted roof boards up to 50' no charge; $3.00 per foot thereafter. .3. Install ridge vent to all peaks .4. Install new lead chimney flashing. L 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. -gj400 ' All material is guaranteed to be as specified, and the above works to b e performed in accord nce 9 P � with the drawing and specifications submitted for the above work and completed in a sub antial workmanlike manner for the sum of: Nine Thousand Four Hundred Fifty Dollars ( . 0} Payments to be made as follows: Deposit-rr 00 Balance upon completion-$6,300.00 Make all payments payable to: C. Masci t ©10 c Any alterations or deviation from above specifications involving extra co Abe ee/�ift'�y upon written orders, and will become an extra charge over and above the estimate. All agreements contingent with strikes, accidents or delays beyond our control; you, the owner are to carry fire, tornado and other necessary insurance upon above work. Workmen's Compensation and Public Liability Insurance on above work to be taken out by: Respectfully submitted: Michael Mondazzi Per: C. Masci i p Y NOTE: This proposal may be withdrawn by us if not accepted within 30 days. Acceptance of Proposal The above prices, specifications, and conditions are satisfactory and are hereby accepted. You are authorized to do the work as specified. Payment will be made as outline above. Date: Signature: Signature: "/x11/12-0 k :8-04-0E 08:3!am Frr41-Ai6 +8P3 331 0580 7-514 0 011402 P-9Po 1001SWIFICAlS lt3SlS AS TIER OF I FORMA71 U1jC ONLY AND CONFERS NO RiUKTS UPON THE CLRTif{GATE Prod C.Chur,.h Insurance HOLDER,THIS CERTIFICATE DOES NOT AMEPIO,gXt cND OR Connect ►P�rlr ALTER THE COVERAGE AFFORDED AY THE POLICIES BELOW 41 Wei""svnet CONPANIEit.tNSUIZANCE Lowen.MA 01851 COMPANY A GRANITE STATE INSURANCE COMPAW Chnadna L i 868 i ! ?� Oakland 8tree4 I LowW.WA 01851-000o ir f:tl ID To TMF!NSU$IgD I�AMED ABOVE FOR SUE TH15+s TO CFfMFV T4AT THE POUC OF tN6URAt ANY FtpC1lJIREMEN,TERM OR OF ANY CONTRACT OR OTMER THE PDXY PLMOD WDICAMD.NOT yy(Ta CgNI nFr AFFORDED THE i DOGJMEMT W'Tli RESPECT TO V44MM THi3 CERTIPC•ATE MAY SE ISSUED OR MAY PERTAIN.T}I6 INStJiRA�E ppL{CIES Dti6CR168t�wEREfN tS 5u8.WT TO ALL THA;FANLS,tz'Z MONS AND CONAL IONS OF SUCH POLICIES.Llt�'CF5 5Mowa I I Ay HAVE W.EN IWOUC.FD BY PASO CLAIMS. i LiMITS ! tAittN�AM MJECM IVF ' CIO orals �t7CE11S AAc. 874$4$0 MUM7l1 MIG.D MXC�O ; i 5p,7,G� �yrert0�R9FM+�oMAO'raAaaolMf' ipACietw IJMR S W0,000 l m i ?OG.oOLti f I rCERTI tF GATE HOLDER _ ANCELLATION t----..--------.._.._._.------------ oqa"Aw OF TW OAK ' Camm"PaJCn�ecANC&LwdIFQRE+wE I f exm uATtoN CAT!THUMP'nG 0"a COMlAW WM L '0 MAL Uj DAVM W1tlR61 AOera To T11t( ?1FICA7f HO�D6�NAr16DZO THl,LMt.MLT IIA"MM:10 MAN,MAH NUMM 84"iMMei�C aMrM7ATI0N 011 yAMi�RY AF j ANY ego vom THE eoMPA.v1:VO AQeW$oR(1�ls�NTA11Vfii AL7THORIZEDRepREB1:NTAT E iii Locatio 6 'tea e"A No. Date NORTh TOWN OF NORTH ANDOVER A • i ; . Certificate of Occupancy $ us�� Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check #o 76PS-?- 19670 Building Inspector