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HomeMy WebLinkAboutBuilding Permit #820 - 50 DEER MEADOW ROAD 6/11/2007BUILDING PERMIT TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit NO: Date Received Date Issued: /NORTF1\ O tt�eD �6�1a1.0 T - h \P O 'a4pDRA7ED TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building ne family w�m ❑ Addition ❑ Two or more family ❑ Industrial Iteration No. of units: ❑ Commercial Wepair, replacement ❑ Assessory Bldg ❑ Others: ❑ Demolition ❑ Other ` F a 'the 4strict D Water/Se6wer .. ...� DESCRIPTION OF WORK TO BE PREFORMED: UUN I KAW UK Na jrraorte:4A 11 w�m AadEss;A Supervlsor!,Js Construcbon Jc-e1'15' Nome Improvement License. a g. Epp, [}ate ARCHITECT/ENGINEER Phone: Address: �'Jtii`-" Q, 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: $ 2uy FEE: $� ' D Check No.: c� 3 Receipt No.: C9o0AV NOTE: Persons contracting wit unregisAved contractors do not have ac ess to the guaranty fund Signature of Agent/0wrier Signature vf'cantract :`Y Location SD I-�� « n 6(`>'j No. 6xc-? Date ' TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ f Check # 2GL5J Building Inspector Plans Submitted ❑ Plans Waive Certified Plot Plan ❑ Stamped Plans ❑ TYPE OF SEWERAGE DISPOSAL Public Sewer ❑ Tanning/Massage/Body Art ❑ Swimming Pools ❑ Well ❑ Tobacco Sales ❑ Food Packaging/Sales 11Private (septic tank, etc. permanent Dumpster on Site ❑ THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM PLANNING & DEVELOPMENT ❑ COMMENTS CONSERVATION COMMENTS DATE REJECTED DATE APPROVED ■ DATE REJECTED DATE APPROVED ❑ ❑ DATE REJECTED DATE APPROVED HEALTH ❑ ❑ OMMENTS 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 Dumpstero°n-site, yes ' , no Located at 124 Main Street A Flue: Department signature/dated TA , COMMENTS . w_ w 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 ti0 r s� � khan ❑ Notified for pickup - Date Doc.Building Permit Revised 2007 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 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 0 z 6 0. 43 W c � 0 0 c ` O H a �o 4c� m c o m Ea m C +'+ :164 rr v O d E c �o m c� O o p u cp CL c cR mm L ` o �z3 h �p cm m J t � � . � m N O E� :aB0 mm o CIO oa acs mom 'cc:0Z • c� o F- C a � ym� = m :moo CL mom~ W C ,On+=+'OL LL IS C `� ~ •N G.Z O C v -mo t c m o C** o.m ca FE s�ramO E h t co 9 cm CD y C 0 cp S 0 m 0 cm N CD s O 2 O g 0 Cn l� i O U U) a �911-' CD O O v Z O O. O CO) c C w CD cm I O O � V� O O m m 43 0 CD O_ ~_-+ 3.0 iDm% CD O G O R O a M C Q CODc ev as c Z � �..� N! O C c _c d CO2 0 LLI 0 U) W 19 W 19 w N 2 o w y ri v cn v ►,� C'. b o w x a: x U G x w a o w x a w 1 av w o w v� w" a o to o w —W i�, z cq cn aJ -114o v� c � 0 0 c ` O H a �o 4c� m c o m Ea m C +'+ :164 rr v O d E c �o m c� O o p u cp CL c cR mm L ` o �z3 h �p cm m J t � � . � m N O E� :aB0 mm o CIO oa acs mom 'cc:0Z • c� o F- C a � ym� = m :moo CL mom~ W C ,On+=+'OL LL IS C `� ~ •N G.Z O C v -mo t c m o C** o.m ca FE s�ramO E h t co 9 cm CD y C 0 cp S 0 m 0 cm N CD s O 2 O g 0 Cn l� i O U U) a �911-' CD O O v Z O O. O CO) c C w CD cm I O O � V� O O m m 43 0 CD O_ ~_-+ 3.0 iDm% CD O G O R O a M C Q CODc ev as c Z � �..� N! O C c _c d CO2 0 LLI 0 U) W 19 W 19 w N # / � ■, a \ \� c ��m a m _ 40 n \ ) o Gƒ 1�y��y ) o Q co � �zJ0,§ JLU CO q ■ \./.... q r @ / \ 2 au\a 2 .°t ®© / . @ � Q J Imz C) � # . . ■0 L 0 4) � .. ... 2 » » g OX o ' � CO /ix± a ® § CL 2 ■ # Q # � � ■ co � �zJ0,§ JLU CO q ■ \./.... q r @ / \ \ 2 / «. = .0 a' , Imz C) � # . . 0 4) � .. ... 2 » g /ix± a ® § CL / 0 / \r \ \ a t / co 2 _ { x Proposal To: Scott Giles 50 Deer Meadow Road North Andover, Ma. 01845 Frons Kevin Murphy CQ Date: 6/10/2007 Job: Repair existing porch Date of plans: None Architect: None Location: Same Section 1- Work Schedule 0 169 Boxford Street • North Andover, MA 01845 • PH: 978-688-5335 FAX: 978-688-7207 All Home improvement Contractors and Subcontractors engaged in Fame improvernerd contracting, unless speaficalN exempt from registration by Provisions of Ctrapter 142A of the general laves, mast be registered with the Conxra meafth of Massachusetts. Inquiries about registration and Status should be made to the Director, Home Improvement Contract Registration, One Ashburton Place, Room 1301, Boston, MA 02108.(617Y727 6588 Contractor will begin the work or order the materials before the third day following the signing of this agreement, unless specified here in writing contractor will begin work on or about 6/11/07. Barring May caused by circumstances beyond Contactors control, the work will be completed by 7/30/07. The owner hereby acknowledges and agrees that the scheduling dates are approximate and that such delays that are not avoidable by the Contractor shall no be considered as violations of this agreement Section 11- Warranty The Contractor warrants that the work furnished hereunder shall be free from defects in materials and workmanship for a period of 1 year following completion and shall comply with the requirements of this Agreement In the event any defect in workmanship or materials, or damage caused by the Contractor, his subcontractors, employees or agents, is discovered within one year after completion of any job, including cleanup, the Contractor shall, at his own expense, forthwith remedy, repair correct, replace, or cause to be remedied, repaired, or replaced, such damage or such defect in materials or workmanship. The foregoing warranties shall survive any inspection performed in connection with the agreed-upon work. Section 111- Scope of Work NORTH ANDOVER BUILDING DEPARTMENT Tel: 978-688-9545 DEBRIS DISPOSAL FORM In accordance with the provision of NfU c 40 S 54, a condition of Building Permit at: 3b Us that the debris resulting from this work shall be disposed of in a properly licensed solid waste disposal facility as defined by N1GL , 11, S 150 A. Also, note Permits are required under Fire Prevention laws Chapter 148 Section 1 OA. The debris will be disposed of in: (� V tion of Facillty) Fire Department Sign off: K,�t) Dempster Permit Signa o Permit Applicant Date w meevim it ,Ray 13=0ding Coaatfractorr 169 Bo)Qad Stteet North Andover, MA 01845 PH: 978Z88-5335 FAX 978.6W)O= Section IV - Price Schedule VIM Page 4 of 4 We hereby propose to furnish material and labor — complete in Accordance with above specifications for the sum of ..................................... $ $5200 Payment to be made as follows: Percenta e/ltem Description Amount 1 Permit obtained $1200 2 Job 100% complete $4000 2 $5,200.00 Notice: No aWeerneO for Home inprovement contracting mk diall regime a down payment (advance deposit) of ff a Ovd one4wd of the total conbart price of the total arrant of eJI deposits or pay heft vAh& the oonb=tor must make, in advance, th order and!or otherwise obtain delivery of special order materials and eW prnenL wfhi tmw is Waaler Contractor: Kevin Murphy 169 Boxford Street No. Andover, MA 01845 Registration No: 101874 Section V - Acceptance Acceptance of Proposal — I have read this document and accept the prices, specifications, and conditions stated. I understand that upon signing, this proposal becomes a binding contract You are authorized to do the work as specified. Payment will be made as outlined above. You the buyer may cancel this transaction at any time prior to midnight on the third business day after the date of this transaction cancellation must be done in writing O NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES Signage r Date ti Signature Date, Egevfin ffimqphy BuBding Contractor 169 Boxford street North Mdover, MA 01845 PH: 978Z88 -6M FAX: 978-688-)000( Page 2 of 4 General Building permit will be provided by contractor. Proposal is to repair existing screened porch. Demolition Existing decking, screens, and door will be removed. Building New Trex decking will be supplied to replace existing floor. Existing floor joists to remain. New wood frame screens will be supplied in existing openings. Existing openings to be retrimmed. New screen door will be supplied and installed. Waste Removal All demolition / construction debris will be disposed of by contractor. Painting No allowance has been made for any painting. The COMMMW 111, of MUSOC'64se la =s y IkP*nWWau of InduMtrial Ac6*.,ts Office of Investigations • �t f 600 WatW , ngtos Street ` NATION. MA 02111 i WIVIO-MmugovIdiaa Workers' COMPIDnalttion Insurance Affidavit: BuiMera/CoAtrartors/EkctticianalPiu+mbers NalttC tIlflldill`fM�r�lMliilNjlyf/tgt�IVkWiJi}: �---------!mss-�-�..__ City/State/Zip: N,,. b.f• a�.r.,_.,, r _.Ll Phone #: wtra Are yott as etnpleyer+ Cheek the appropriate be:: 1 LP I ❑ am a empk►yer with. _ 4. i stn a general contractor and I employees (1611 and/or part-time).• 2. Q t am a sole proprietor or partner. have hired the sub-contractory listed on the attseW sheet, ; ship MW have no employmA Thesesub-contractors have wottinj for me in any ealwity, workers' comp. insursace. (No wntifem' can¢. insurance S. Q We are a corporation and its ..� 3. Q 1 tun a homeowner• doing ail work Officers have exercised their right of exemption per MGI_ myself. [Nu ti 01*era' comp, C. 152, § 1(4). and we have no irm *I ce regpired. ) anployees. (No workers' COMP. inaunanoe required.] 'Any 4PMwW Nee circdas hn t ff t meat ntso tilt tier the maim below xts+winR rtWir wrxkers eo*M>"Mirw► ftpartNwrtars Tree Of pre jeet (required): fi. ❑ New consrnfction 7• ( Refrwdeling R. D nemelition 9• RLBuilding addition I0.❑ Electrical repairs or additiorfs 1 1.0 Plumbing repairs or additions 12.0 Roof repairs 13•Q tither st hoMt Ntsr sll4d yx r4r1f,-rMa dwy ste 4-% sit w*& Mrd th4nbice onbide txwr ---y ."""5MM M, < ' 0WfflMftM IW d** *k bBr111U1M t/ I o I AAs W*tjeW 4Md tM*Wp IbC sesta rtt Ibe SMtti7 .6 n�"MeM"it 4 mew atfi tvit Wdmm* aMclt, bra aMtArir wKtrers on". Rdicy intilrMahon ��AWh � wwatns ` �n iamrnaactfa' aq er»pm� Aefla"WIMw M rlrt i saMlh► a/f1r InafrrafKxCompany Name:�a,,� �.._1�-s ,•___Cv • __._.........__..�__.__._ _..__.__.._.__.._.....--- Policy Nor Self -into. I.it. Ex pirntion Date: M Site Address: Attach a eat •f dre worbefrs' e - a, p +Ntltiea p eltey deeelandba page (sh"I t you tK tft pMlcy effimrrer and cxpiefftiodaaej, Failure to secure coverage as required undor Section 25A of W)L c. 152 can lead to the NMfasition of criminal penalties of a tine up to S 1.300.00 and/or one-year i nprisonenent, as well as civil pena)ries is the kanra of a STOP WORK ORDER alk! a !'one Of up to $230.00 It !lay against the vioiatof• Be advised that a tWy of this statement /nay be forwarded to the ()Rice of InvaatigOWN of the DIA for inane covemW verification. ! ib eater petits rant aflf�+Nf�ry dart NIR iafoa�fear/rirr tfnfa�iilefd,�,� atr titer pard c torrascr C' pntmL. M• �ri'1 M � f er-Q� .. tPAYO l noir wnip. 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