HomeMy WebLinkAboutBuilding Permit #359 - 48 HUCKLEBERRY LANE 11/2/2006 TOWN OF NORTH ANDOVER
APPLICATION FOR PLAN EXAMINATION O NORTH
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Permit NO: � Date Received
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Date Issued: �o ss�caus����
IMPORTANT: Applicant must complete all items on this page
LOCATION I,C'l�l l� / V
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PROPERTY OWNER
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MAP NPARCEL: d ZONING DISTRICT:
TYPE AND USE OF BUILDING HISTORIC DISTRICT YES ❑
TYPE OF IMPROVEMENT PROPOSED USE
Residential Non- Residential
El New Building One family
❑ Addition ❑ Two or more family ❑ Industrial
❑ Alteration No. of units:
Repair, replacement ❑ Assessory Bldg ❑Commercial
(� Demolition
Movin (relocation) ❑Other ❑ Others:
C Foundation only
DESCRIPTION OF WORK TO BE PREFORMED
jo M4,-e 04�CA e�Vt`��70,
Identification Please Type or Print Clearly) /
��>� /`t /J�� Phone•1����� �'-�D 7S
OWNER: Name: ��
Address: �C�k &- 2!' Ld-n/E-7 . IVII�ql—y 4n112'j,GC4
CONTRACTOR Name: FJV)/r'4 /UE1- QWSJ70( . ZZ;v Phone: r
Address: �('`71�L e
Supervisor's Construction License: Exp. Date:
Home Improvement License: Exp. Date:
ARCHITECT/ENGINEER Name: Phone:
Address: Reg. No.
FEE SCHEDULE.BULDING PER IT:$12.00 PER$1000.00 OF THE TOML ESTIMATED COST BASED ON$125.00 PER S.F.
Total Project Cost :$---1993 vv 00.E-- FEE:$ c
Check No.: Receipt No.: / fG
Page lol'4
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
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:INSPF.CTIONAI.SERVICES DEPARTMEN'r:BPFORN105
Page 4 of 4
Building Setback (
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 d
Doe:INSPECTIONAL SERVICES DEPARTMENT:BPFORM05
Crewed AMC.Jan 2006
TYPE OF SEWERAGE DISPOSAL Swimming Pools E
�] Tanning/Massage/Body Art ❑ g
Public Sewer
F Tobacco Sales ❑ Food Packaging/Sales E
Well I--,
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, T T 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 ❑ ❑
COMMENTS
DATE REJECTED DATE APPROVED
CONSERVATION ❑ ❑
COMMENTS
DATE REJECTED DATE APPROVED
HEALTH ❑ ❑
COMMENTS
FIRE DEPARTMENT - Temp Dumpster on site yes no
Fire Department signature/date
COMMENTS
L Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes
Planning Board Decision: Comments
Conservation Decision: Comments
Water& Sewer connection/Sienature& Date Driveway Permit
Location—,,V""'-
No.
y""'No. I Date
NORTH TOWN OF NORTH ANDOVER
Of+tom•° :•,�O
3: � • OL
1 Certificate of Occupancy $
. o, __ • .
�'�S'•• Est' Building/Frame Permit Fee $
sACMus
Foundation Permit Fee $
Other Permit Fee $ `
TOTAL $
�n erJ
Check #
19761
Building Inspecty
TOWN OF NORTH ANDOVER
OFFICE OF
BUILDING DEPARTMENT
` 46 4 1600 Osgood Street Building 20, Suite 2-64
-ACHU51�t`' North.\-ndover, :Massachusetts 01345
Gerald A. Brown
Inspector of Buildings Telephone(974)644-9545
Fax (974)644-9542
HO%. IEOWNER L"'SE EXENvIPTION
Plcasc print
DATE: L��__Lo-b
JOB LOCATION:��`
Number Street;\ddress --
Map/Lot
HOMEOWNER -~
Name Home Phone
Work Phone
PRESENT MAILING ADDRESS
City Town
State Zip Code
The current exemption for"homeowners"was extended to incl
to al include owner occ
low such homeowners u ied dwellings
meowners to engage an individual for hire who does n P Ie,Pr to two units or less and
acts ass of Possess
supervisor). State _ P a license Provided
Building (Codi,Section 108.3.5.1)
.P ovided that the owner
DEFINITION OF HOMEOWNER
Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to
be, a one or two family structures. A person who constructs more that one home in a two-year period shall be
�•onsidered a homeowner. not
The undersigned"homeowner"assumes responsibility for compliances with the State Building Code and other
Applicable codes, by-laws, rules and regulations.
The undersigned"homem ner"certifies that he,'she understands the Town of North Andover Building Department
minimum inspection procedures and requirements and that He/she will comply with said procedures and
requirements.
110-IEOW-MFRS SIGNATURE
APPROV/w.OF RC'ILDING OFFICIAL
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Emmanuel Construction
DAVID CRAIG
8 Linnell Circle
Billerica, Massachusetts 01821
0� ® (978) 808-1325
DATE: November 1, 2006
TO: Naga Donti PHONE: (978) 376-4043
STREET: 48 Huckleberry Lane
North Andover, MA 01845
JOB NAME: Trim Replacement
We hereby submit specifications and estimates to:
Replace trim boards as discussed with Jay Unick on exterior of residence. Permit shall be acquired from
the town by the homeowner and homeowner shall properly dispose of all debris. Painting and paint
material costs are not included in this quote. A cost shall be provided upon viewing the material,
quantity and location. This quote does not include any electrical, plumbing or mechanical work.
We propose hereby to furnish material and labor—complete in accordance with above specifications, for the sum
of: ONE THOUSAND EIGHT HUNDRED NINETY THREE dollars ($1,893.00).
Payment to be made as follows: '/2 prior to work start and '/z upon completion
All material is guaranteed to be as specified. All work to be completed in a workmanlike Authorized
manner according to standard practices. Any alteration or deviation from above Signature:
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 our control. Owner to carry fire.tornado and other necessary Note: This proposal may be withdrawn by us if
insurance. not accepted within 1-5 days.
Acceptance of Proposal—The above prices.specifications
And conditions are satisfactory and are hereby accepted. You are authorized Signature:
To do the work as specified. Payment will be made as outlined above.
Date of Acceptance: Signature: