HomeMy WebLinkAboutBuilding Permit #763-12 - 45 HOLLOW TREE LANE 4/24/2012BUILDING PERMIT
TOWN OF NORTH ANDOVER
APPLICATION FOR PLAN EXAMINATION
Permit N0: / X
Date Received
TYPE OF IMPROVEMENT PROPOSED_ USE
fResidential Non- Residential
❑ New Building
❑ Addition
❑ Alteration
❑ Repair, replacement
❑ Demolition
❑ One family
❑ Two or more family
No. of units:
❑ Assessory Bldg
❑ Other
❑ Industrial
❑ Commercial
❑ Others:
DESCRIPTION OF WORK TO BE PREFORMED:
v -t'
A��UD�'in
Identification Please Type or Print Clearly)
OWNER: Name: Phone:
ARCHITECT/ENGINEER Phone:
Address: Reg. No.
FEE SCHEDULE: BULDING PERMIT: $12.00 PER $9000.00 OF THE TOTAL ESTIMATED COST BA ED O $125.00 PER S.F.
Total Project Cost: $06 kdOFEE: $
Check No.: L✓ / Z Receipt No.:
NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund
_r -
Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑
TYPE OF SEWERAGE DISPOSAL
Public Sewer ❑
Tanning/Massage/Body Art ❑
Seng 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
PLANNING & DEVELOPMENT ❑
COMMENTS,
CONSERVATION
COMMENTS
HEALTH
COMMENTS
C
0
DATE REJECTED
DATE APPROVED
DATE REJECTED DATE APPROVED
DATE REJECTED DATE APPROVED
Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes
Planning Board Decision:
Conservation Decision:
Comments
Comments
Water & Sewer Connection/Signature & Date Driveway Permit
Located at 384 Osgood Street
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
MGL Chapter 166 Section 21A —F and G min.$100-$1000 fine
NU si is ana UA 1 A — (I -or aepartment use
❑ Notified for pickup - Date
Doc.Building Permit Revised 2007
No
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 permits require sign off from Fire Department prior to issuance of Bldg Permit
Addition Or Decks
❑ Building Permit Application
❑ Certified 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)
❑ 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
MOTE: 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
4
Location
No.
�](o3'/z Date
• -
TOWN OF NORTH ANDOVER
64
Certificate of Occupancy
$
Building/Frame Permit Fee
Foundation Permit Fee
h
Other Permit Fee
$
TOTAL
Check # 2-
25223 Building nspector
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MILLENNIUM
Construction Co.
32 Woodland Ave
Salem, NH 03079
ALL PHASES OF REMODELING & CONSTRUCTION
John wells Phone/Fax: (603) 893-8905 Jake Wells
PROPOSAL SUBMITTED TO:
BRIAN AND ANN FEENEY
HOLLOW TREE LN
NORTH ANDOVER, MA
PHONE DATE
978-688-6155 1.2/8/11
PROPOSAL and CONTRACT
We hereby propose to furnish materials and labor necessary for the completion of:
RENOVATIONS TO KITCHEN AREA PER PLAN SUPPLIED BY CUSTOMER. WORK TO BE PERFORMED
AS FOLLOWS.
DEMO:
REMOVE EXISTING KITCHENCABINETRY, CEILING, AND FLOORING.
FRAMING:
ELECTRIC:
REFRAME EXISTING CLOSET AREA TO ACCEPT NEW CABINETRY
FRAME HALF WALL FOR TWO TIER ISLAND AREA
INSTALL RECESSED LIGHTS, PENDANT LIGHTS, WIRING FOR ALL APPLIANCES, AND
RECEPTACLES PER CUSTOMER LAYOUT. REWORK SWITCHES AFFECTED BY NEW
LAYOUT.
PLUMBING:
PROVIDE ROUGH AND FINISH PLUMBING TO ALL FIXTURES
INSTALL KICK SPACE HEATER
INSTALL NEW RANGE HOOD VENT
INSTALL ALL APPLIANCES
WALLBOARD:
BLUE BOARD AND PLASTER TO MATCH NEW ADDITION
FINISH TRIM:
INSTALL CABINETRY
INSTALL FINISH WOOD WORK TO MATH EXISTING
FLOORING:
INSTALL OAK HARDWOOD TO MATCH ADDITION
INSTALL TILE BACKSPLASH
NOT INCLUDED :
PAINTING
KITCHEN CABINETS
COUNTER TOPS
APPLIANCES
LIGHT FIXTURES
PLUMBING FIXTURES
PERMIT FEE
NOTES
I
i
Total Cost TWENTY TWO THOUSAND SIX HUNDRED
Payment to be made as follo s: 2000.00 UPON ACCEPTANCE
8000.00 UPON START
%, cC +UPON ROUGH INSPECTIONS
7,600.00 FINAL PAYMENT
//,, llle�
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Authorized Signature
CCEPTANCE OF PROPOSAL specifications and conditions are
satisfactory and hereby accepted. You are authorized to do the work
as specified. Payments will be made accordingly with no retainage.
Date of Acceptance: * li
Dollars ($ 22,600.00 )
/ " G &V, Gb
ovd6
Note: This proposal may be withdrawn by us if not
accepted within days.
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Reg,sf aMun EArr
r,. Exp►ra�o11 �� Q8G'6g
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