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HomeMy WebLinkAboutBuilding Permit #03 - 46 WEYLAND CIRCLE 7/5/2006 TOWN OF NORTH ANDOVER tiORT1i APPLICATION FOR PLAN EXAMINATION o`,t��° 6 • o Permit NO: U Date Received e �' +� ° ,> RATe° Date Issued:--a( IMPORTANT: Applicant must complete all items on this page LOCATION , Print PROPERTY OWNER__A Print MAP NO.:__6�5— PARCEL: ZONING DISTRICT: TYPE AND USE OF BUILDING HISTORIC DISTRICT YES ❑ TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑New Building ❑ One family ❑ Addition ❑ Two or more family ❑ Industrial Alteration No. of units: ,fi'Repair, replacement ❑Assessory Bldg ❑ Commercial ❑ Demolition ❑ Moving(relocation) ❑ Other ❑ Others: ❑ Foundation only DESCRIPTION OF WORK TO BE PREFORMED -� Identification Please Type or Print Clearly) OWNER: Name: Phon ti Address: .��� CONTRACTOR Name: _ tu- Phone: A9, 07 Address:�� J� /� ,� ,��� ��r /l'z Supervisor's Construction License: 07a$4/9 Exp. Date: Home Improvement License: / IS Exp. Date: O�' ARCHITECT/ENGINEER Name: Phone: Address: Reg. No. FEE SCHEDULE:BULDING PERMIT:$10.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S. Total Project Cost :$ l�==FEE:$ So Check No.:� zWa,,& Receipt No.: t t� PHap I of 4 TYPE OF SEWARGE DISPOSAL Tanning/Massage/Body Art ❑ Swimming Pools ❑ Public Sewer ❑ 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 Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped 61 s ❑ 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 connection/Signature& Date Drivewav Permit Temp Dumpster on site yes_no-K Fire Department signature/date I Building Setback(ft.) Front Yard Side Yard Rear Yard Required Provided Required Provides RequiredProvided 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) k I Page 3 of 4 Doc:INSPECTIONAL SERVICES DEPARTMENT:BPFORM05 Created JMC.Jan.2006 - - - r Building Department The following is a list of the required forms to be filled out for the appropriate permio be obtained. <--� c. 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 r ` � ❑ Floor Plan Or Proposed Interior Work Addition Or Decks ❑ Building Permit Application 0Ge r� �C� ❑ 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) S� �,� �. � r ❑ 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 Pave 4 of 4 1 Location 4nd Cl No. Oo Date 7' ,d NOR'r TOWN OF NORTH ANDOVER 3? •. • O Certificate of Occupancy $ s Building/Frame Permit Fee $ � " J^CHUB Foundation Permit Fee $ Other Permit Fee $ (�- TOTAL $ Check # � t 4 U Building Inspector N©RTH '9 own of 4Andover 003MAW" o - A K E dover, Mass., 07 a COCMICKEWICK ADRATED PPS\ "♦y `r BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System BUILDING INSPECTOR THIS CERTIFIES THAT.......... .......�.�..�......... ..... Foundation has permission to erect........................................ buildings on ...$46... .f1... .01d....., ... Rough to be occupied as....W.1rdo.j TT..... ... -ni.......A4.0f. T.9 ................ .�0. ��� Chimney provided that the person accepting this permit shall in every respect conform to the terms of�a kation on file i pp e n Final this office, and to the provisions of the Codes and By-Laws relating to the Ins ction, 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 CONSTRU ST TS_ Rough .... .. Service L ............... B INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove R Rounal No Lathing or Dry Wall To BeDone FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. SEE REVERSE SIDE Smoke Det. �fze �omonarusielz�l� _/ Board or Building Regulations and Standards HOME IMPROVEMENT CONTRACTOR P14—ANU iRegistration: 136029 Expiration: 6/3/2008 Type: DBA CARL GRENIER CARL GRENIER 52 STILS RD SUITE 101 Deputy Administrator SALEM, NH 03079 ,P �rrvtnfyyzuualC/r �l'./l� "—. a�uic6!llve� BOARD OF BUILDING REGULATIONS ,�y;• License: CONSTRUCTION SUPERVISOR f Number. CS 072449 ,,,at „ . ,- Birthdate: 04/11/1972 ' Expires: 04/11/2008 Tr. no: 21877 Restricted: 00 CARL G GRENIER 14 MEADOW LANE SALEM, NH 03038 C Commissioner GC Contracting 52 Stiles Rd. Suite 101, Salem, NH. 03079 Full Service Woodworking Carl Grenier Licensed Insured Tel: (603) 870-9000 Fax(603) 893-1050 Proposal Submitted To: Date: Mike Thomas 5-24-06 Street: Job name:01 Wayland Circle City,State Zip Code: Job Location: North Andover Telephone: All prices are based on estimated stock price, (978)689-1872 availability and quantities. We hereby submit sp6cifications and estimates for: Carpentry*Carpenters responsibilities • Full tear out on Architect Series Clad Model ,White, Half vent/match Half Vent,5/8" InsuSheild IG Glazing, Full screen, Champagne Hardware, 3/a"REM Traditional grille Lites Wide=03, Grille Lites High Upper sash=02, Grille Lites High Lower Sash=02), Fins (single units per design),Std Prime Interior. These specifications carry throw on all replacement windows (Exceptions are fixed pain units Qty 13 Qty Fixed 2 Qty Awning 1 • Casement windows are from same series and match specifications and grille work Qty 3 • Sliding doors are from same Architect series with sliding screens, Brass hardware and with Champagne Footbolts includes grille work Qty 2 • 3 Wide double hung with stud pockets provided for living room • All trims to be similar to existing and primed finishes (not including paint) TOTAL LABOR FEES $33.000.00 Additional cost to town and disposal • Dump runs $800.00 • Permit fee $408.00 We propose hereby to furnish labor and materials—complete in accordance with Massachusetts and or New Hampshire Building Codes and in a manner compliant with standard practice. Materials supplied by customer,contractor will not be responsible for condition or warranties of installation mv Estimated Completion Date: 6 working days Payment to be made as follows:First payment upon acceptance of proposal$23,400.00 Final payment upon completion$9,600.00(prior to punch list) All material isuaranteed to be as specified. All work to be completed in a workmanlike manner according g P P g to specifications submitted,per standard practices.Any alteration or deviation from the above specifications involving extra costs will be executed only upon written orders,and will become an extra charge over and above the estimate.All agreements contingent upon strikes,accidents or delays beyond the means of the contractor.Proposal price estimated on current lumber and material prices.Changes in stock prices will the responsibility of the customer and will be reflected in the final bill. Balances unpaid for period of(30)days will have a finance charge assessed,computed at a periodic rate of 1.5%per month, which is an APR of 18%. Legal fees and costs accrued from unpaid balances in an attempt to resolve monies owed will be added to assessed charges and balances entailed all to be responsibility of customer. Owner to carry fire,tornado and other necessary insurance. Our workers are fully covered by liability insurance. Authorized Si gnature: Note: This proposal may be withdrawn by us if not accepted within 30 days. Acceptance of Proposal:The above prices,specification and conditions are satisfactory and are hereby accepted.You are authorized to do the work as specified.Payment will be made as outlined above. 6 J �Q Date of Acceptance. 'Z � Signature Signature