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Home My WebLink AboutBuilding Permit #015 - 37 FAULKNER ROAD 7/13/2006 NORTH Of ,�.o r1ti0 ° TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION ,SgwCHUSE� _ Date Received: / 1_3 Permit NO: G Date Issued: 6 IMPORTANT: Applicant must complete all items on this page LOCATION Print PROPERTY OWNER CC.`"l h l Print MAP NO.:=q _PARCEL: ZONING DISTRICT: TYPE AND USE OF BUILDING HISTORIC DISTRICT YES ❑ TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential C:New Building One family ❑ Addition ❑Two or more family ❑ Industrial N"Alteration No. of units: Repair, replacement ❑ Assessory Bldg ❑Commercial G Demolition C Moving(relocation) ❑Other ❑ Others: ❑ Foundation only - DESCRIPTION OF WORK TO BE PREFORMED Identification Please Type or Print Clearly) C OWNER: Name: M�� `"�� r�n� Phone:ct- &-(,Q-?-6�33 Address: CONTRACTOR Name: _ Phone: 3u� G Address: �,2r�wvu St, VJorces+er- -7 15&.cl - S A, C ' � Supervisor's Construction License: Exp. Date: Home Improvement License: t 3L 9 3 Exp. Date: �'�'_p ARCHITECT/ENGINEER Name: Phone: Address: Reg. No. FEE SCHEDULE:BULDING PERMIT.•$10.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost :$ (Ll oZ x10.00=FEE:$ lu- Check No.: Receipt No.: C) Pa-e W4 r' Location s '" i t r No: ; Dae MaRT TOWN`OF NORTH ANDOVER V • i. a , Certificate of Occupancy, ` $ �'s'•^ tt� Building/Frame Permit Fee $ Fowid Other Permit Fee $ `-- TOTAL $ j Check # L? Building Inspector F TYPE OF SEWARGE DISPOSAL i w Smmin Pools ❑ 11Tanning/Massage/Body Art ❑ g Public Sewer Well Tobacco Sales ❑ Food Packaging/Sales 11❑ ❑ Permanent Dumpster on Site ElPrivate(septic tank,etc. Electric Meter location to project NOTE: Persons contracting with unregistered contractors do not have access to the guarantyfund Signature of Agent/Owner Signature of Contractor 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 ❑ ❑ ❑Water Shed Special Permit ❑ Site Plan Special Permit ❑ Other COMMENTS DATE REJECTED DATE APPROVED CONSERVATION ❑ ❑ COMMENTS DATE REJECTED DATE APPROVED HEALTH ❑ ❑ % COMMENTS Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments Conservation Decision: Comments Water& Sewer connectioXsign ure&dateTemp Dumpster on site yo_ Fire Department signature/date3��' Building Permit Approved and Issued by: Page 2 of 4 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 DEI,4R1'MCNT:f3PFORMO5 Created J,IN1C.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 11 ❑ 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 DEPARTNIENIAPFORA105 Page 4 of NORTH Town ofdover .: 0 160b VIA dower, Mass. T '-- LAE COC." WICK ADRATED S BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System BUILDING INSPECTOR THISCERTIFIES THAT.......... .��.. ....... ......... . ............ to A.t........................................................... ......... Foundation has permission to erect........................................ building on ... ' ..........��w.. ................. ......... Rough Chimney to be occupied as.............. �.�.......' .... . Q. �.�..... ......................................................... provided that the arson ecce tin tl~is ermit shall in res ect canfarm a terms of the application on file in this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Final Buildings in the Town of North Andover. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final a1-- PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUC STARTS_ Rough .. .. .. .. .... . ... .... . ... Service G 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. FROM : OUIMET FAX NO. : 12074389359 Jun. 14 2006 01:12PM P6 4 HOW IMPROVEMER T CONTRACT r Branch Name Date: (� G Sold,Furnished and installed by: THD At-Home Services,Inc. d/b/a The Home Depot At-Home Services j 345A Greenwood Street,Worcester,MA 01607 Branch Number Job#: ��L�C3 f �7 Toll Free(800)657-5182; Fax:508-756-2859 Federal ID#75-2699460 ME Lie#C 02439 RI Cont.Lie#16427 /CT I•ic#565522; MA Ilomc Itiprovemcgt Contractor Reg.#126$93 Installation Address: ( - � _,41" t()Ua • a S City State Zip Purchase s: L tat 4 016ts of Ddveeb Lie &1; .Mo/Yr: Worst Phone: home Phone: �a 117 z�07 c ) es Z.4z A3 Home Address: (If different from Installation Address) City State Zip E-mail Address(to receive updates and promotions from The Home Depot): Proicef 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.(" a epot'�to furnish,deliver and arrange for the installation of all materials as described on the attached Spec Sheet P incorporated herein by reference and.made a part hereof, Rome Depot reserves the right to cancel this contract if,upon re-inspection of the job,Biome Depot determines that it cannot perform its obligations due to a structural problem with the home,pricing errors or because work required to complete the job was not included is the Spec Sheet or Contract. DEPOSIT PAYMENT OPTIONS (Subject to fund verification and/or credit approval.) CONTRACT AMOUNT S-z � 1. Check,Cashiem Check orUS Postal Service Money Otder • (Maas payable To he Homo Depot). "LESS DEPOSIT S ?/ S �' 2. (;red it Card-and/or other payment options-Circle Onc Below 1'isa Discover Ao,crican Express BALANCE DUE /, The home improvement Loan no Home Depot.Cretdt Card ON COMPLETION $ ❑ New kxoun4 CP xlsting Aceotint (HIL&HDCC ONLY) "!Minimum 25%of Contract Amount due upon eaccutioln Available Credit:$_74- (Hit &HDCC.ONI. Df this contract. nevi 6&M_ 20,2�U;OLU Due: Indicate Payment Method For Name a$it appears on card: . BALANCE DUE ON COMPLETION: •13y my/our signamrc below,I(We agree to allow home Depot to charge the above rofcreaced credit card for the deposit indicated. fig (06 i ffiL or HDCC Authorization Codes 1� LJv De oslt Final Pa mcut Purchaser agrees that,immediately upon satisfactory completion of the work,Purchaser will execute a Completion Certiftcat`� and pay any balance due. Purchaser also agrees to be jointly and severally obligated and liable hereunder. Entire A reemcnt:This ageemcnt and its attachments,including Itny financing agreement,contain the complete agreement e ween t. c parties and can not be amended or modified unless in writing In a sepande agreement signed by both parties. NOTICE TO PURCBIASER Do not si this contract before you read it. You are entitled to a completely filled-in copy of the contract at the time you sign. Keep Ir it to protect your rights. Do not sign a Completion Certificate before this project nr to the act al otLaw nrletuln or hC wotkato contractors from requesting or accepting a Complete letion Certificate silted by the owner p P be performed under the contract. You may cancel this transaction at any time prior to midnight of the third business day after the date of this contract.'See Prones"uf. Cancellation for an explanation of this'right. 'There will be a service charge equal.to 25%of the contract am6untif the job'is cancelled by Purchaser AFTER the third business day. BY MYlOUR SIGNATURE BELOW,I/WE AGRL'il TO BE BOUNT)I)Y"CHP.'rERMS OF'PHIS CONTRACT• I/W[i ACKNOWLEI)GR RECEIPT OF A COPY OF THIS CX)NTRACT AND TWO COMPLETED COPIES OF THE NOTICE OF CANCELLATION. BY MY/OUR SIGNATURE BELOW, I/WE UNDERSTAND THAT 1,11E AC3ItFEMEN•1 IS SUB)E(:T TO REVIEW OF MY/OUR CREDIT HISTORY AND I/WE AU'l-ilORiZE HOME I)ItPOT TO VERIFY AND REVIEW MY/OUR CREDIT RECORD WITH AN INDEPENDENT C112DIT RFPURTING AGENCY AND RL•LEAS?. THEM PROM ALL LIABILITY INCURRLD FROM TNADVE.RTENT tia�O O NQT SIGN THIS CO�ITRACT IF THERE ARE ANY BLANK SPACES- 5TJF1MiTTED 13 ^7- Dale: d %ilea Consultant ACCEPTED BY: ��r �- o�Date: y e5 Data: Honnowner NOTICE:ADDITIONAL TERMS,CONDITIONS AND WARRANTIES ARE STATED ON THE REVERaB SMR AND ARF.PART OP TIVS CONTRACT White-arauch Fita Y<Ilaw-Caetnmcc S.I.coawnacr EL E ROOFING MEASURE SHEET Job 1: 7�J Customer) ✓moi _ CoasullsM emu: 6l SHINGLE .-r FTashfnQlGAtpsrs a Oowmpams �!P.Cpwnw or W FULL. _ FAia WISID Aquetau DPI aun a,imns s u a n CD LLaeatlan tenpRl WIOIh S%J:L muIllpiew eq•P1 Fauber $qr Ft tt EA LF A ,�/ t� •i 31t Z 1 rl "R ,fes✓ 11?� A �z/Q' v� 7 . of1 777 2 G 72— ,o ¢- $�2— D Z9 U /•Qq 3�:s !5 �-G e F sSM&Wlndo.rComers AbpagFL U) l _ awolot + Vol.. roV r� Tout P CD Toul9grWni{9q.FLF100) (foullp� "ToUF Squares ground up 1p[lrp+Mola W nefy ADDITIONAL LAYER REMOVAL O VENTILATION MYBO Z LOW FFLOAH/FLATMalorbr Lay" Addll Sg Ful Tout E[aaust !maks X Q ! / ese0an La.eatlasr Lsn h LL B .FL NWPitch Camposlsan II Iter F oltO F7. Writs Factor Ad usl Ft ' f LF Kt EA 'EA IYI F wodo ShInOA ° Tn. Low Grope Sn7Etanal � � �g S' Tar 6 Gravel TolalBqurrn traunelo.w>tlMlslssawra} TOLII t3gals Fbrl t��'�" • Totalaguaras�RwndadtaWholsFq,} �� • WASTEFACTOR LOW W vawys r sa T• tuP ttl PW&MULTFPLIERTABLE . E 9hrerpts Fsclor 1.1a 1,ta 1.74 4.10 P.1" .2012 ylx W42 Vtx QJ7: OHx -M2 t%2 603 111/12 11nY UnA IMIS 14PW IM2 tOl1: IT11? 1F 71Z TOaFsclor t.ta t.1a 1,t6 p utv.. 1,00 1.117. tAC 106 iAp 1.17 1.16 1.21 1.26 LS1 1.36 1A2 t.AI 1.a4 1,01. tm 1.74 7a1 Q� LL FF,011 : OUIMET FAX NO. : 12074389359 Jun. 14 2006 01:09PM P1 Brand ROOFING SPEC SHEET Spec Sheet R Branch M DESCRIPTION OF WORK .tub ft.; VC/ 2as 47 C "T 10. Customer Name: --o" 7 Home Phone#: Z-3( 2 7k) 6 9 7-, 6 -3 Cell Phone#: Work Phone#: Job Address, -7 Z! 6,- Stmc.,T Add=* Email Address: Drop Location: city state zip opdr- Dumpster Location: r t `AN A&CI UA .2 -a- . N D SHINGLE SPECIALTY ROOFING REMOVAL METAL FLASHING Product Color Product Color Chec*if/thilt Ipply Timberline 30 Low Slope Asphalt Step, Counter or Royal Sovereign Flat Wood Shingles Base Timberline Ultra Tile Tile Grand Slate Metal Modified Chimney Grand Sequoia Class IV Tar a Gravel Skylight Price includes:shingles(field,Marter,hip&ridge),Leak BaiTiar and Other* Drip Edge-1Z Underlflymerrt. `Name: Layers— Other Peace of Mind Installation on d) Scv ridd'l charges b0ow System; "Style: Color: 77. 77 ;:E Exhaust Intake. Product Color . Soffit&Fascia Cricket Ridge Vent 7-1 Soffit Vent Wrap Fascia Only Addl.Stories Turbine Vent VentedCover Frieze Board Poor Access I Low Profile Drip Edge Gutter&Downspoutp Steep ChargeE:d k Cover Frieze Board with'. Tuck Fascia under Gutters: Replace Fascia Color: Color: PVC Torn Coll Yes = No Vertical soffit List locations of metal Mahing1gutteralsofrit&fascia to be inalalleCl�ind nny othui4peci3l consIderallolls. I - OL Y- I -4- M2 &0- IT9811W Deocriba any n axiatieIg tlmAditioilft(90ift an CelliAga,bent or dsmagm,gi tfl(,r-t-te and 11—st locations opw Walls 11024 Or .�de+l Ceilings t2 el n,0--Y- &=bt�mz--�e Windows Siding Gutters Driveway Landscaping P V k— If rotted or damaged wood is d' oove:rq�d�AFT'l removing the existing roofing entified ad at the time of sale,there will be an o r char 10, linear foot of dimensional lumber. additional char A er Sheet of 4x8 sheathing and/or �err-n d "If additional layers o r vered AFTER removing the first layer,or could not be identified at time of sale,there will be an additional charge dr square to remove each additional layer based on product to be removed: or s-.62- composition shingle-t,$—,.-- for wood shingler,and for low slope roofing. I have reviewed and agree with the job s e tions de'scribegala9ve: Customer Signatur - — Date: (0. 8-17-04 sr-C-R AT-HOME Installed - :anis> Siding and Windows J� Board of Building Regulations and Standards HOME IMPROVEMENT CONTRACTOR RegistraN'on'. 126893 Expiration:-_0%3/2006 _=: T.yP4Supplement Card a <a THE Home Depots X H' S¢cyi 9TJNROEUN CHHQUY 3200 COBB GALLER P, #20 p RLTANTA,GA 30339 Administrator 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