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HomeMy WebLinkAboutBuilding Permit #359 - 48 HUCKLEBERRY LANE 11/2/2006 TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION O NORTH N � p Permit NO: � Date Received n Date Issued: �o ss�caus���� IMPORTANT: Applicant must complete all items on this page LOCATION I,C'l�l l� / V Print PROPERTY OWNER e Print 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 i rm Hnmc„snrr.;1=.��,ni�iirn ,,.,- 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: