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Home My WebLink AboutBuilding Permit #212-12 - 50 WEST WOODBRIDGE ROAD 9/13/2011 i TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit NO: Z Date Received Date Issued: ls' /r IMPORTANT:Applicant must complete all items on this page LOCATION u,/1)0 lee d Print PROPERTY OWNER ®- " Unit# Print f MAP NO: -? PARCEL:_ZONING DISTRICT: Historic District yes no Machine Shop Village yes no 100 year-old structure yes no 70Addit IMPROVEMENT PROPOSED USE Residential Non- Residential uilding ❑ One family on ❑Two or more family ❑ Industrial ❑Alteration No. of units: ❑ Commercial I ❑ Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other (]}Septic OFWell p ❑Flood lam (] Wetla sd r z ❑ Watershed;fi V i f �.� ..� tic Water/Sewer4' DESCRIPTION OF WORK TO BE PERFORMED: P[(' Al:A..G G G I A-C CS U,6A (Identification Please Type o Print Clearly) OWNER: Name: AA Al—, A C., Phone: ` ��'- 969— 9/l5; Ale Address: o llo ,4 ! CONTRACTOR Name: Phone: 7>09 S��?;�` TCICC Address: D s All Of-%e ' Su ervisors Construction on Liccnsc: Zli?�33 Exp. Date: Home Improvement License: 4 G S'�� Exp. Date: ®? ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE.BULDING PERMIT.,$92.00 PER$9000.00 OF THE TOTAL ESTIMATED COST BASED ON$925.00 PER S.F. 3 i Total Project Cost: $_ f. .� � FEE: $_ �� Check No.: A2 730 Receipt No.: NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund ,Signature of'A ent/ ner� cto - i y Signature of con Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ TYPE OF SEWERAGE DISPOSAL Public Sewer ❑ Tanning/Massage/Body Art ❑ Swimming 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 DATE REJECTED DATE APPROVED PLANNING & DEVELOPMENT ❑ ❑ COMMENTS CONSERVATION Reviewed on Signature II COMMENTS f HEALTH Reviewed on Signature COMMENTS i Zoning Board of Appeals:Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments N� conservation Decision: Comments l InDriveway Permit tl l Vater & Sewer Connection/Signature& Date mi DPW Town Engineer: Signature: Located 384 Osgood Street FIRE DEPARTMENT - Temp Dumpster on site yes no Located at 124 Main Street Fire Department signature/date COMMENTS i 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 I f i icku ❑ Notified for pickup - Date Doc:.Building Permit Revised 2011 June/mi 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 I a Mass check Energy Compliance Report o Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg .Permit j 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: Doc.Building Permit Revised 2008mi Locationy (�t/�S� Q 64 r f No. ` �2- Date NORTq TOWN OF NORTH ANDOVER OLt � R 9 i » • i ; . Certificate of Occupancy $ Building/Frame/Frame Permit Fee $ s�CHust 9 Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # 12 w 24575 Building Inspector NORTH T -0 M- M Of . No. — o Q-- Ti o , '� dover, Mass., O LAKE COCMICMEWICK �. - BOARD OF HEALTH Food/Kitchen PEMMIT . T D Septic System BUILDING INSPECTOR THIS CERTIFIES THAT............ ... ............... .....: ......... ..�v.....................................................................................:.... ........ Foundation has permission to erect........:............................... buildings on ......................... ................................,/............................ Rough 4o be occupied as.................................G... . .°c.c�d. ........................................................................................................ Chimney provided that the person accepting this permit shall in every respect conform to the terms of the application on file in Final this office, and to the provisions of the Codes and By-Laws relating to the Inspection, 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 CONSTRUCTION TS Rough ` ................................... Service BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final No Lathing or Dry. Wall To Be Done FIRE-DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. SEE REVERSE SIDE Smoke Det. U RDOCH NT"EAP�iSES 7 Connors Road Peabody, Massachusetts 01960 535-5400 Kerry and Brian Perry 50 Woodbrigde Road North Andover, Ma 01845 Sept. 13 ,2011 For the reroofing of their home, the following will be done. Completley go over: existing roof with I K 0 Driftwood 30 years shingles. Add ridge vent where needed, add soffit vents as needed. . Clean all gutters and remove all existing roofing materials. Total cost $ 7 , 500 . 00 Payment schedule $ 4 ,000 . 00 starting work 3 , 500 . 00 upon completion. 1 @9/10/2011 09: 01 7815937260 DUFFY INS �ENC� PAGE 0TRO�UCER NAME.4C IE 7gl 593,7260'N 78 3,7260HONE 781-S93-1200 (AIC Nouuffy Insurance Agency, Inc. All_ No I`xt),IL1 DATE(MMIDEV"" CERTIFICATE OF! LIABILITY INSURAN 09/12/2011 LPON E!ERTI (3 POLICIES ACORIQ E HOLDER,THIS COVERAGE AFFORDED By THE POLICIES BELOW. T certificate holder in ijou of such endorsernent(s)- GT TIAIIE � 317 Broadway �4,AJC 0 5q ' - INSURtR A' j Lynn, MA 01904-2602 mnvnno mar"vco rail E=^ p' "~~~ --~ h INSURER — / Connors Road 2NSUREP,11 � | Peabody, MA 01960 INSURER C: LIJI REVISION NUMBER* COVt�RAGES CERTIFICATF-NUMBER' 18 PERIOD CI�RTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES Drf SCRIBEO HEREIN IS SUBJr=CT TO ALL THE T5RMS, LIMITS LTH EACH OCCURRENCR MSD LXP ES PER: PRODUCTS-COMPIOPAG(� PRo- F7 Jr I LOC Ea wxidsnO AU705 NON-GINNED PR FIZHII � RETENTION DED 000 ANY PROPRIE'.ORI9AR7NEPjEXECLIT-IV (Mflndazory In NH) 11,DISEASE-EA EMPLOYEE: Dr3�-PIP-fION OFOPF;FIATIONS I LOCA-PONS i VEHICLES (Attath ACORD 101,Additional Fkamarkn SrhedujL,if more space iz-Mptrad, FAX; 978.935.5400 SHOULD ANY OF THE THE EXPIRATION DATETZt,crAOTIrr"r;WILL.BE DELIVERED IN AUTMORIZLO RE RE N Town of North Andover N. ,Aniover, MA ACORD 25(2010106) The ACORDI name and logo are regi�te 'marksofACORD � � � ` � � ' ^y Bi Oft Cl.l:S-7ta'iTs ��i�ie,' Y ' HOME IMPROVEMENT CONTRACTOR F +'"Rep,,istrKatic,n: 106998 "type: 11t~Xpiraticsw 7,2,8120 ;2 DBA IT ,lames MUrdo0i 7 Connors Roan Peabody, MA C 19Gv �- Under.secretart Nlassachaaa 't€ Tllcl��arta-nent of Public S�afet` Board of Builtlin- Regulations and Standards Cotistruc�ion Supervisor License License. CS 4L'.533 Restricted to. 0 JAMES K MUR(;)tJr;.`-i 7 CONNORS RD PEABODY, MA 0.19,,30 Expiration: 6/8/2012 Co fill)I ission el. -. .. Tr#: 23220 s