HomeMy WebLinkAboutBuilding Permit #590 - 35 PETERS STREET 3/23/2006 NORTN
TOWN OF NORTH ANDOVER
APPLICATION FOR PLAN EXAMINATION
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,isACNUSEt
Permit NO: ` �0 Date Received: _ Q3—`��
Date Issued:--------_3 — c23.Ob
IMPORTANT: Applicant roust coi»plete all items ori this page
_VOCATION
Print i
PROPERTY ON'NER��ec, ?-ere2.
Print
yIAP NO.: PARCEL: _ 1 �J ZONING DISTRICT:
TYPE AND USE OF BUILDING HISTORIC DISTRICT YES ❑
j TYPE OF IMPROVEti1ENT PROPOSED USE '
Resid ltial Non- Residential
New Building 4W
W-e family
Addition o or more family Industrial
J. Vteration No. of units:
epa' r,-replacement Assessory Bldg C Commercial
_i Demolition
Moving(relocation) Other _ Others:
Foundation only
DESCRIPTION OF WORK TO BE PREFORMED
Identification Please Type or Print Clearly)
OWNER: Name: hebbrok flerei, - Phone:
signature
Address: 2✓ �"'�r� �-�'' CI'14's�Cv $13 5�
C1 ?c.C.-
CONTRACTOR Name: Phone:
Address: '7-2 4Ij Gv--ect--j wOy---c>
Supervisor's Construction License: _Exp. Date:
Hotnc Impr«%cnicnt License:- l�- �o D cl� Exp. Date:
1RC'lJITE C , I".1141G 'F.I.R Nanle: Phone: _
:address: _ Reg. No. _
FEE SCHEDULE:BULDLVG PERMIT:.510.00 PER$1000.000F THE TOTAL EST1,11ATED COST BASED ON
5125.00 PER S.F. G�
Total Projcct COSI : I / -70 x10.00 -FEE:S �a
Check No.: -- _Receipt No.: t —b
[TYPE OF SE\kARGE DISPOSAL -- Swimming, Pools
Tannin�a lv1assage Body ,art
' Public Sewer _-- i
-- Tobacco Sales
Nell' - I Food Packaging:Sales
Permanent Dunlpster on Site
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Private(septic tank,etc.
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NOTE: Pervoin contracting with unregistered contracton(I)not have access to the guaranly f lllul
Si,,nature of'Agent/Owner (Urt Cor•-r gr_Ac c Si�;natitrc:o`t ContractWr , .A_
- .... . -
Plans Submitted ❑ Plans Waived°'-❑ Cellitied Plot-Plan ❑ Stamped Plans !i
THE FOLLOWING SECTIONS FOR OFFICE USE.'ONLY
INTERDEPARTMENTAL SIGN OFF- U FORM
DATE REJECTED DATE. APPROVED
PLANNING & DEVELOPMENT U ❑
❑Water Shed Special Pen-nit
U Site Plan Special Permit
❑ Other
COMMENTS
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DATE REJECTED DATE APPROVED
}.t
CONSERVATION �;R'❑ J �a '�, .` :_.:❑> "�:' x�
COMMENTS
OATE"REJECTED , DATE APPROVED
CTI
IiEALTH
v v
i r COMMENTS . E.
Zoning Board of Appeals: Variance. Petition No:
Z_onim, Dccision,receipt submitted yes
71
Plannim,,, Board Decision:
(_onservation Dccision: C0111111c11ts
1 ater& Sewer connection si-nature& date ---
' Temp Dunlpsster on site yes__no-- Fire Department signature.'date
Building Permit approved and Issued by: f P
Building Setback (ft.)
Front Yard Side Yard ! Rear Yard I
Required Provided Rec aired I Pro\,ides I Required Provided
I I I
DIINIENSION
Number of Stories: Total square feet of floor area, based on Exterior dimensions.
Total land area,sq. ft.:
NOTI:,S and DATA—(I or ilr artment use)
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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-
Debris
pplication-Debris Removal Form
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
❑ Form U
❑ Surveyed Plot Plan
❑ Debris Removal Fonn
❑ Workers Comp Affidavit
❑ Photo Copy of H.I.C. And C.S.L. Licenses
Li 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
❑ Form U
❑ 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)
j Copy of Contract
❑ Mass check Energy Compliance Report
In all cases if a N ariance or special permit rsas required the ToNrn Clerks office must :;tamp 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
it
noc:I\tiPE( rIOVAL SF.RN ICES DEPARTME\T:111"FORM05
Location 2-)_S
No. ��U Date -3 --de,
TOWN OF NORTH ANDOVER
O
9
Certificate of Occupancy $
Ist<� Building/Frame Permit Fee $ `
Foundation Permit Fee $ - 4
Other Permit Fee $
TOTAL $
Check #
,le�5b
905
Building Inspector
NORTH
Town of , t over
No. s9
r � • 23 • 0 � ,
O LA Clover, Mass.,
COCHICKEWICK ��
ADRATED O'P�\
S BOARD OF HEALTH
PERMIT T Food/Kitchen
Septic System
BUILDING INSPECTOR
THIS CERTIFIES THAT................. �.�.b...o r.41\... .....:... .........P'... .... .................................................... Foundation
has permission to erect........................................ buildings on......`�r....... ...C.. . . ..5...........YAE:I►:r........ Rough
to be occupied as l.T..�it.. �r� ........W.t&\4.Q 0...t...................................................................... Chimney
provided that the person accepting this permit shall in every 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
PERMIT EXPIRES IN 6 MONTHS
ELECTRICAL INSPECTOR
UNLESS CONSTRUC TARTS Rough
............... ........ ............. .................. ........... Service
BUILDIN IN OR
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. Bumer
Street No.
SEE REVERSE SIDE Smoke Det.
AT-HOME Installed
ZEN) r U Siding and Windows
Board of Building Regulations and Standards
HOME IMPROVEMENT CONTRACTOR
Registrati'on:_..126893
Expiration $%3/2006
Type' Supplement Card
THE Home Depot At HomeServc
BUNROEUN CHHQUY -
3200 COBB GALLERIA PKWY#20 rz
ALTANTA,GA 30339 Administrator T
Proudly sold,furnished and installed by RMA Home Services,Inc.,a Home Depot authorized contractor.
345 Greenwood St.Unit 2•Worcester, MA 01607.508-756-6686•Fax 508-756-2859•Toll Free 800-657-5182
F)IM a<IMBLY FAX NO. 6033629679 Mar. 15 2006 12:24AM P4
HOME IMPROVEMENT CONTRACT
Sold,Furnished and installed by:
BranchName: Date: 1� THD At-Home Services,Inc.
d/b/a The Home Depot At-Home Services
345A Greenwood Street,Worcester,MA 01607
Branch Number: Job#: a�tsToll Free(800)657-5182; Fax:508-756.2859
Federal iD#75-2696460 ME Lic#C 02439 RI Cont.Liofl 16427
CT Lic#565522; MA Home Improvement Contractor Reg.011226893
Installation Address: 1-L �1 t S St" /YO//'! Aced ��$7✓
City State Zip
Purchaser(s): Last 4 D''ta of Driver's Lac#&EER.MoNr: Work Phone: Ho
me P//hone!
221) :22t
Home Address:
(if different from Installation Address) City State Zip
E-mail Address(to receive updates and promotions from The Home Depot);
Proieet information: I/We/You("Purchaser"),the owners of the property located at the above installation address,offer to
contract with Home Depot U.S.A.,Inc.("Horne Depot")to furnish,deliver and arrange for the installation of all materials as
described on the attached Spec Sheet#: incorporated herein by reference and made a pan hereof.
Home Depot reserves the right to cancel this contract if,upon re-inspection of the gob,Home Depot determines that it
cannot perform ita obligations due to a structural problem with the.tome,pricing errors or because work requilmd to
complete the job was not included in the Spec Sheet or Contract.
DEPOSITPAYMENT OPTIONS
(Subject to fund verification and/or credit approval;)
70 1, Chc6c,Cashiers C:htxk or US Postal Service Money Ordcr
CONTRACT AMOUNT S (Macle payable to'I'be Hoare Depot),
*LESS DEPOSIT S ^� 2. C:rcdil Cani"and/or other riayment options-Circle one.Below
CDisr Magfoec.nnl Diwpvcr
CD Amencaa)r%prCYS
BAT,ANCE DUE1�� 1'hc Home Imannvcment IAW1 'Ilia Home Defwl.Credit Card
ON COMPLETION /)
$
C New Aa'coiun 0 Existing;Amount (1111,&11DCC ONLY)
•Mininntut 25%of Contract Amount due upon execution AWailablo Credit:S (HIL&HD C ONT.Y)
f this contract.
..... .. _. Acon
tt: .y t212s,?1��.,1.j0,,Jpty .Lxp.Date..:_,
Indicate PaymentM.ethodF'or Nan.as itappcarsoncard:.PbrA. Jasjow -
BALANCE.DUF.ON COMPLETION: •Hy my/our signature below,l V✓e agrcc t .low}ionic,Depot to ollarge,the above
refe arA for the Acposit in ca .
Cardholder's Signature Date
HiL or HDCC Authorization Codes
Deposit Final Payment
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Purchaser agrees that,immediately upon satisfactory completion of the work,Purchaser will execute a Completion Certificate
and pay any balance due. Purchaser also agrees to be jointly and severally obligated and liable hereunder.
Entire A regiment:This agreement and its attachments,including any fiitiancing agreement,contain the con,pTete i}gteement
etween t ie parties and cannot be amended or modified unless in writing in a separate agreement signed by both parties.
NOTICE TO PURCHASER
Do not sign this contract before you read it. You are entitled to a completely filled-in copy of the contract at the time you siwt, Keep
it to protect your rights. Do not sign a Completion Celtifieate before this project is complete. Law prohibits home repair
contractors from requesting or accepting a Completion Certificate Signed by the owner prior to tine actual completion of the work to
be performed under the contract.
You may cancel this transaction at any time prior to midnight of the third business day atter the date of this contract. See Notice of
explanation of this ri t. fhere ,,31'%e a service charge,e. ual to 25%of tLe.contract sunount if the Joh i.
Cancellation for an exp Khq v
cancelled by Purchaser AFTER the third business day..
RY MY/OUR SIGNATURE BELOW,IIWE AGREE TO BE BOUND BY THE TERMS OF THIS CONTRACT. 1/WE ACKNOWLEDGE
RECEIPT OF A COPY OF THiS CONTRACT AND TWO C;OMPf.FTfiD COPIES OF THE NOTICE OF CANCELLATION,
BY MY/OUR SiGNATURE I1PLOW, 1/WF, 11N1)RR9TAN1)THAT THE AGREEMENT IS SUBJECT TO REVIEW Or MY/O(JR
CREDIT IIISTORY AND UWE AU'1'IIORI%F.HOME;i)f>POT TO VERIFY AND REVIEW MY/OUR CREDIT RECORD WITH AN
INT)6PFNDENT CREDIT REPORTING AGENCY AND RELEASE TIILiM FROM Ai.I, MAWLITY INCURRED FROM
INA DV ERTENI'OMISSIO O&ROS NOT SIGN TFIIS CONTRACT F' F ERF,ARE ANY BLANK SPACES.
SiIBMITTEDBY: Date:S e
ACCEPTED BY: Date:
Homeowner
--... ."—
Hmncowncr
NOTICE;ADDITIONAL TERMS,CONDITIONS AND WAnRANTn•:%Attic NJ A IED ON'I'I 0,REVERSE SIDE AND ARE PART OR Tf aS CONTRACT
White-Brawn Filc Yellow <:uacmer 1'ink..Sal«Qmmltant
12-5-05 C-SC
D W SPE IFICATION SHEET - Spec. Sh et #A �46487 Sheet:
'•
Qf
Customer: A&MX�I&Qzi' E?,loh#: csnsultant: __��- ----- Gate: j(
CL
Existing Window - Now Window-
CE Measurements Grids Pattern' paittern'z Pattern''2 Window Hinge Locations s
N _
N o &Glass Misc. CSmt,CPC,Bay,Bow,
cv Rough Opening o to o o ° c
2 Location Style Metal Style Series O Cp o m Y 'y se .2 ^_ Options Items Patro&Garden DomCL
Lu '
m H (Room l Floor) "Code" YIN "Code" "Code" L) Width 1rJidth Height UI U > _ > T > _ 'Code" "Code" (fromoutslde,Lt to Rt}
m _
2
ra
2-1 3
4
5
0) 7
r-
w
N a
U]
r'1
r''1 3
[9
tD
7-
x
X 12
CE
LL Grid Pattern and Location MUST be indicated. Color of
ITP
2 If a s:ngls window or mulled winclaivs require multiple grid patterns,indicate location and pattern in the additional spacas provided" Window l Door Wraps
J -------
3 For Csmts,CPC.Bay or Row,use"L","R"or"S"(Stationary). For Patio&Garden Doors,use"S"{Stationary}or"k"(flperating).
BAY;BOW WINDOW GARDE!WINDOWS
Projection Angle: (Say:3d or 4e) Top of Window to Soffit(incgmaterial
WALL THICKNESS; {inches)
Bay Window Fla nkers•DH 1 Csmt. width of Overhang(inches) SEATBOARD MATERIAL
Sea tboard Material-Birch or Oak If tied to Soffit,color of SoffiSpecify Birch or Oak Veneer or white Pionite
New Interior Casing(Bay.+BowlGardenlPatio Doors) - Construct Roof 3 f Yes/No a Additional'Charge for wall thickness of G"or more.
Clamshell(CL)ar Colonial(CO) 3 There is no guarantee that new shingles will match existing color.
I have reviewed and agree with all of the
SPECIAL CONSIDERATIONS: 010 / jab specifications described above.
Y GUT- fU Sul d
Customer Signature Date
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