HomeMy WebLinkAboutBuilding Permit #220 - 345 CHESTNUT STREET 9/22/2006 TOWN OF NORTH ANDOVER NORTp
APPLICATION FOR PLAN EXAMINATION °�s+ 6
O
(� Date Received
Permit NO:
p�gATEO
Date Issued. Z
IMPORTANT:Applicant must complete all items on this age
LOCATION
Print
PROPERTY OWNER -,�O N2 ►1 b Y U r
Print
MAP NO.:-b PARCEL:__U ZONING DISTRICT:
TYPE AND USE OF BUILDING HISTORIC DISTRICT YES ❑
TYPE OF IMPROVEMENT PROPOSED USE Non-Residential
Residential
❑New Building W One family
❑Addition
❑Two or more family ❑Industrial
Alteration No. of units:
❑Assesso Bldg [I Commercial Repair,replacement n
❑Demolition ❑ Others:
❑Moving(relocation) �i Other
❑Foundation only
DESCRIPTION OF WQ�RK TO BE PREFORMED e Sh
l ►� C�o-F l
Identification Please Type or Print Clearly)
Phone:
OWNER: Name:
Address: , 1
L4
CONTRACTOR Name: C Phone:
MG�� } t l
Address: b 0 S I"'1 R LO lam.
Supervisor's Construction License: Exp. Date:
Home Improvement License:.
Exp. Date:
ARCHITECT/ENGINEER Name: Phone:
Address: Reg.No.
FEE SCHEDULE:BULDING PERMIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMAT�®ST BASED ON$125.00 PER S.F.
Total Project Cost I Z U FEE:$
Check No.: v� 3ZL5 Receipt No.: d
Page 1 of 4
`s e-�1�j Ago-
Location
No. _U Date Z
NORT►l TOWN OF NORTH ANDOVER
H • Op
4L 'I Certificate of Occupancy $
s'KMUS Building/Frame Permit Fee $
Foundation Permit Fee $
Other Permit Fee $ �—
TOTAL $
Check #
19606
Building Inspector
TYPE OF SEWERAGE DISPOSAL
Public Sewer
Tanning/Massage/Body Art ❑ Swimming Pools ❑
❑
Well ❑ Tobacco Sales ❑ Food Packaging/Sales ❑
❑ 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 guaranty fund
Signature of Agent/Owner Signature of contractor r
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 ❑ ❑
COMMENTS
DATE REJECTED DATE APPROVED
CONSERVATION ❑ ❑
COMMENTS
DATE REJECTED DATE APPROVED
HEALTH ❑ ❑
COMMENTS
,ew
FIRE DEPARTMENT -Temp Dumpster on site yes 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/Sianature&Date Drivewav Permit
Building Setback(ft.)
Front Yard Side Yard Rear Yard
Re uired Provided Required Provides I
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
i
I
Page 3 of 4
Doc:INSPECTIONAL S ER V IC ES IDE PARTIM ENT:BPFO RM 05
Creased IMC.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
❑ 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
Page 4 of 4
AORTH
No. Zoe) o0 0
f
LA over, Mass.,
COCKICKEWICK ^
SRATED PpG �y
4 BOARD OF HEALTH
PERMIT T D Food/Kitchen
Septic System
THIS CERTIFIES THAT3_16�
BUILDING INSPECTOR
.......L.1... ..6r.m.V1....t ............................ ...................................................... Foundation
has permission to erect........................................ buildings-on .......5.94-C..... vfna. ......, ./-'... Rough
to be occupied as..... ........�-.. .tt.O. ,..................................................................................:........
Chimney
provided that the person accepting this permit shall in ery respect conform 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
Final
5� PERMIT EXPIRES IN ONTHS
-
UNLESS CONSTRU ON TARTS��A 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 j 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: John Libront Date: September 12, 2006
Job Address: 345 Chestnut Street N. Andover, MA Phone: 978-685-2087/978-390-4341
We_hereby submit specifications and;estimates for: Rear of main house'and rear of garage
house and shtuubs with to saulins for their protection -> — --�
-
2. Stn entire roof area y
p: -. -
3 --Re-nail all loose•roof boards.
4 Instail`6 feet of ice and water shield under shingles at all gutter edges.
5.+-Install aluminum drip edge to all edges.
6. Install 15 Ib. felt underlayment.
7. Install new roof flanges on vent pipes.
10. Install new roof shingles to all roofs on house (manufacturer, style)GAF 30 Yr. Shingle, color to match.
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. Remove and re-pitch existing gutter rear of house.
*Price for rear of house ONLY- Four Thousand One Hundred Eighty Dollars ($4,180.00_
Deposit- $1,380 Balance upon Completion- $2,800 See below o age price. -
Magnetic clean-up for nails. All debris to be removed. Fully licensed 146491 and insured.
We take no responsibility for dust or debris in your attic. Please cover or remove valuables.
All material is guaranteed to be as specified, and the above work to be.perforFndd in accordance
with the drawing and specifications submitted for the above work and=completed in<a substantial
workmanlike manner for the sum of: Rearf oGarage- un
One TtiovsaQ SU-Hdred Eighty Dollars
• '�-x:($t,68�:t10) ,..�:"� o`er - -., � .. � v . _ .
P is to be"made as folio rs. Dept-$584" Ba#ar aa,upon,complied$1;100.t�D
a
l!sake
all'paynients payable to:C.Masci
Any a%mtions or deviation from above specifications involving extra Dost,wilt nly be executed oupon tvnttea Yor+dexs ands
will become an extra chargerover anis above the estimate.>Ail agreements contingent with strikes,accidents ar,delays -
,i•;�.e 5-.•r'y nn, y )h.
K °beyorid,our control;you,the gwner are to ca�ry.fire ttornado and;othergnecessary insurance upon above,w.d&Workmen s
Compensation-and Public Liability Insurance on above work to'tie 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: Signature:
eyo ig X76
Board of Building Regulations and Standai
HOME IMPROVEMENT CONTRACTOR
= Registration:. 146491
- Expiration: 4/27/2007
Type: DBA
C.MASCI
CHRISTINA MASCI
21 OAKLAND ST. �
LOWELL,MA 01851 Administrator
76-04-0: (IMI a Fro-AIS 4-173 331 6510 7-574 P.50'/302 P-SZo
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