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HomeMy WebLinkAboutBuilding Permit #257 - 429 MASSACHUSETTS AVENUE 12/9/2007 NORTH BUILDING PERMIT o* qti TOWNF N O NORTH ANDOVER o � APPLICATION FOR PLAN EXAMINATION '' 70 Permit NO: Date Received ., gcaus���� Date Issued: IM/P�ORTANT:Applicant must complete all items on this page LOCATION a "l` IGT55tJ- Print PROPERTY OWNER_, )Gr-' Print MAP.NO: � PARCEL ZONING DISTRICT. Historic District yes no Machine Shop Village yes no TYPE OF IMPROVEMENT PROPOSED USE Residential---_ Non- Residential New Building ne family Addition Two or more family Industrial Alteration No. of units: Commercial Repair replacement Assessory Bldg Others: Demolitio Other Septic Well Floodplain Wetlands Watershed District Water/Sewer DESCRIPTION OF WORK TO BE PREFORMED: 'R IaCt 1 Identification Please Type or Print Clearly) OWNER: Name: ( !aac/e-:�. kvPhone: Address: CONTRACTOR Name:"" � o� �k Phone: Address: Lkvr= Supervisor's Construction License: Exp. Date: r Home Improvement License: iS Q Exp. Date: 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.: 0/77 Receipt No.: �� ` NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund Signature of Agen#/Owner �A N. _Signature of contractor 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 ❑ Engineering Affidavits for Engineered products NOTE: All dumpster r I rmi permits require sign off from Fire Department prior to issuance of Bldg Permit Addition Or Decks ❑ Building PP Permit Application • Certified Surveyed Plot Plan ❑ Workers Comp Affidavit ❑ 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) ❑ Mass check Energy Compliance Report (If Applicable) ❑ 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) ❑ 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 ❑ 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 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:BPFORM07 Revised 2.2007 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 ZONE LITERATURE: Yes No MGL Chapter 166 Section 21A—F and G min.$100-$1000 fine NOTES and DATA— (For department use I ❑ Notified for pickup - Date Doc.Building Permit Revised 2007 Plans Submitted Plans Waived Certified Plot Plan Stamped Plans TYPE OF SEWERAGE DISPOSAL Public Sewer Tanning/Massage/Body Art Swimming Pools Well Tobacco Sales Food Packaging/Sales Private(septic tank,etc. Permanent Dumpster on Site 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 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 Located at 384 Osgood Street FIRE DEPARTMENT - Temp Dumpster on site ,yes no Located at 124 Main Street Fire Department signature/date _ COMMENTS Location No. a5 Date v �aRTM TOWN OF NORTH ANDOVER F S . Certificate of Occupancy $ ' ♦ i S EMUSE<�' Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ 1 TOTAL $ Check # 20661 Building Inspector NORTH Town of No. - �` o dover, Mass.,�� ' O �. COC MIC ME WICK � A0RATE D P'P�,`�� `s BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System BUILDING INSPECTOR THIS CERTIFIES THAT........&h4 Yki.e.-Of.............. .. ............................................................... Foundation has permission to erect............................. .. . buildings on ... .9........MA ..... ......ow ................. Rough to be occupied as............/D...�............t .. ....... � .dQ Chimney provided that the person accepting this per it 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 PERMIT EXPIRES IN 6 MO S Final ELECTRICAL INSPECTOR UNLESS CONSRough ............ ........... Service MiE;............ 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. SSP-28-2007 09:14A11 FROM-HOA DEPOT 978 640 4206 T-321 P.004/004 F-773 riV1viL' 11"ricu y r lvusl\A%,"LN a aaeaa.a f / Sold,Furnished and Installed by: Branch Name- Date: 1e!d 7 THD Ai-Home Services,Inc. d/b/a The Home Depot At-dome Services 345A Greenwood Street,Worcester,MA 01607 $reach Number• `-'i Job#: 3�b 7� Toll Free(800)657-5182; Fax:508-756-2859 Federal ID#15-2696460 Me ue#C o2439 R1 Cont Lic#16427 CT Llc p 565522: MA Rome Imprvemem Conmmcior Reg Installation Address: a^t'�g /V14 `r— A., `w ` p cis zt 'b Last 4 Digits of Driver's Hame Phone Purehaser(s). Lic.#&Fin,MOW- Work Phone: S&1,41 obo p. 7) Igo ( ) home Address: G( 1< t- I..L( A) 'a»�Q--��/'� �E State Zip (if di.fkrent from Installation Address) City E-mail Address(to receive updates and promotions from The Home Depot). Project Information: UWe/You C Parchascel,the owners of the property located at the above installation address,offer too contract with THD At-Home Services,Inc.("Home Depot'")to furnish.deliver and arrange for[he installation of al ria as described on the attached Spec Sheet# -r 1 R 1 J- ,incorporated herein by reference and made a part hereof. Home Depot reserves the right to cancel this contract if;upon re-inspeedon of the job,Home 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 in the Spec Sheet or Contract. DEPOSIT PAYMENT OPTIONS (Subiem to Enna verification mmd/or credit approval.) CONTRACT AMOUNT 1. Chcek•.Cashiers Checker us Postal Service Money Order (Made payable to The Home Dcpot). •(LESS DEPOSIT $ 2- Credit Card"and/or ocher payment options-Circle Oaa Below I BALANCE DUE Viae tvl:msterCard Discover American Expra;S ON COMPLETION $ A 3 'rhe Hume Depot Home improvement Loan The flume Depot Credit Card ')•Minimum 25%of Contract Amount due up*,) 0 New Account C EAsting Acenunt (H]L&ADCC ONLY) execution of this contract Avw1zble Credit:S_ (HIL&HDCC ONLY) I Indicate Payment Method For AaGrbd '�1 p84yZ•o Y+14-7 exp.tate. BALANCE DUE ON COMPLETION: Name as it appears on card: (� ­By my/our signature below,I/We agree to allow Home Depot to �f J charge ih ov tri ced cred. card for thea deposit indicated. 'When you provide it check as payment,you authorize us either to to use infatmation @am your check to make a one-6me clec ranir Cam 'a Sign fund irmsfer from ymr account or to process Vic payment as a check transaction.When we use information from your ehcck to II,or HDCC Authorization Codes matte an electronic fund transfer,funds may be withdrawn from Deposit I final your so P meat yoaccount as on as the payment is rcccivcQ and you wit!not # ©Z Q receive Your check back. +! Poreheser agrees that,immediately upon complexion 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. Entiree t:This agreement and its attachments,including any financing agrtxment,contain the complete agreement A between the parties and can not be amended or modified unless in writing in a separate agreement signal 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 sign. Keep it to protect your rights. Do not sign a Completion Certificate before this project Js complete- Law prohibits home repair contractors from requesting or accepting a Completion Certificate signed by the owner prior to the actual completion of the work to be performed ander the contract. You may cancel this transaction any time prior to midnight of the third business day after the date ofthiscontract See Notice of Cancellation for an explanation of this right. There will be a service charge equal to 10%of the contract amount if job is cancelled by Purchaser AFTER the third business day,but BEWRE materials are ordered.There will be a service charge equal to 25%of the contract amount if jab is cancelled by Purchaser AFTER materials are ordered. BY MY/OUR SIGNATURE BELOW,I/WE UNDERSTAND THAT THE AGREEMENT MAY BE SUBJECT TO REVIEW OF MYIOUR CREDIT HISTORY ANI) UWE AUTHORIZE HOME DEPOT TO VERIFY AND REVIEW MY/OUR CREDIT RECORD WITH AN INDEPENDENT CREDIT RF,PORTING AGENCY AND RELEASE THEM FROM ALL LIABILITY INCURRED FROM JNADVERTENT OMLSSIONS OR ERRORS- BY MY/OUR SIGNATURE BELOW, t/WE AGREE TO 816 BOUND BY THE TERMS OF THIS CONTRACT. 1/WE ACKNOWLEDGE RECEIPT OF A COPY OF THIS CONTRACT AND TWO COMPLETED COPIES OF THE NOTICE OF CANCELLATION. Date: SUBMITTED B e76 t r�7 vl m Date: ACCEPTB F� Y Pu Done:r er NOTICE!ADDITIONAL TERMS AND Cor4D1TIONS AIM STATED ON THE REVERSE SIDE AND ARE PART 01F TWS CONTRACT 6-1-07 rev 42.07 C-SC white-Branch Ffle Yellow-Customer Pink-Seles Cunsultant