HomeMy WebLinkAboutBuilding Permit #690 - 515 BOSTON STREET 3/30/2012BUILDING PERMIT
TOWN OF NORTH ANDOVER
APPLICATION FOR PLAN EXAMINATION
Permit NO: V�0 Date Received
TYPE OF IMP
El New Building
D Addition
0 Alteration
El Repair, replacement
El Demolition
PROPOSED USE
Residential
0 One family
0 Two or more family,
No. of units:
0 Assessory Bldg
0 Other
Non- Residential
Ei Industrial
0 Commercial
Ei Others:
VX
Floodplain
t-Y-
"D'Wetlands"
ffI N ate
DESCRIPTION OF WORK TO BE PREFORMED:
r—oil , (11DV_�� I ( 5 1
Identification Please Type or Print Clearly)
OWNER: Name: Phone:
ARCHITECT/ENGINEER Phone:
Address: 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: $ FEE: $
C
Check No.:—( aqq - Receipt No.:
NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund
F.
i
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Check #�4
25149
Date 3.30 . 44—
TOWN OF NORTH ANDOVER
Certificate of Occupancy $ yy
Building/Frame Permit Fee
Foundation Permit Fee $
Other Permit Fee $
TOTAL $
Building Inspector
Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑
TYPE OF SEWERAGE DISPOSAL
Public Sewer ❑ Tanning/Massage/Body Art ❑ Swimming Pools ❑
Well ❑
Private (septic tank, etc. ❑
Tobacco Sales
❑ I Food Packaging/Sales ❑
Permanent Dumpster on Site ❑
THE FOLLOWING SECTIONS FOR OFFICE USE ONLY
INTERDEPARTMENTAL SIGN OFF - U FORM
DATE REJECTED DATE APPROVED
PLANNING & DEVELOPMENT ❑ ❑
COMMENTS
CONSERVATION ❑
COMMENTS
DATE REJECTED DATE APPROVED
C
t
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 Driveway Permit
Located at 384 Osgood Street
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
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
o 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
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OD
SIDING
Hi -Tech Window & Siding, Inc.
MA Reg. # 118836 143 Washington Street, Haverhill, IIIA 01832
MA Lic. # 016201 1-800-851-0900
www.windows-siding.com
MEMBER
Date: �c. ! / 12- Consultan - Till C�q e0—
JobJ�VJAU Telepho 653 �II� �
�.�rJ
Job Address: t)-�� Town: o Q
CONTRACTOR agrees to start described work on/or about weeks after final fittings and complete described work in about
CONTRACTOR shall not be held liable for delays due to causes beyond our control. 'Dohi ( The following work includes all labor and materials needed to complete your job in a workman ip`fi4anne2r()'2—.
.lqb Itbludl3S"":
Combination Job - Siding With Other Work
Building and Elec Permit
Fascia Trim
® Siding Removal
Soffit Trim
Preparation Package
EM Window and Door Trim
Accessory Package
Shutters
Underlayment Insulation
C] Gutters
Siding
Downspouts
Remove Debries
Lock. Elec. Meter
Preparation ihciudles
Replace isable Rot
Co Vented as Needed
Energy Savings / Bug Guard Starter VNIt
Acceas Package lnc�udes
Color:
Vinyl Light Blocks
Vinyl Dryer Vents
Vinyl Electric Outlet Blocks
Vinyl Exaust Vents
Vinyl Faucets Blocks
Vinyl Gable Vents
t1ndp meet lnsulRtiatt T 8e Used
Hi -Tech 3/8 Other
Location
Ar Tfa Be $f,d
Complete House
Garage
:Siditn • lJ lie' $t3tl
Color
Brand r ,.-
Profile
txf�r'n�;E' Po�tTfl ed
Y�
Corner Post Color
Wide Insulated
[] Wide Non -Insulated
Q Reguiar insulated
® Regular Non -Insulated
11
working days.
'l't'ittt
[_]
PVC Coated Alum. Aluminum
Fascia Treatm nt
Fascia Color WUP
I LA] Full Custom r, l 1 None ,
SUffit Treat ertt
Soffit Color
Center Vent Q Fully Vented Non -Vented
Location
Window An Door Galin iTtatment
Window And Door Casing Color
ENK FuU Custom Formed J -less Full Custom Formed
0 Blind stop capping None
Location
Shim@r
Shutter Color Amount
Location .ti -
Total investment
1/3 Deposit
1/3 Payment At Halfway Point
1/3 Balance Day Of Completion
You may cancel this agreement if it has been signed by a party thereto at a place other than the address of the seller, which
may be his main office or branch thereto, provided you notify the seller in writing at his main office or branch by ordinary mail
posted, by telegram sent, or by delivery, not later than midnight of the third business day following the signing of this agree-
ment. See the attached notice of cancellation form for an explanation of this right.
An interest charge of 1-1/2% per month (18% per year) will be a-�,i_ A-
added to any amount unpaid after 30 days from invoice date. Date of Acceptant
In the event of default in payment of this order or any part thereof and the account is referred Signature
to an attorney for collection, the purchaser agrees to pay reasonable attorney fees. (Homeowner} I
I / We give Hi- echh perfnission to obtain all necessary erm s. Signature I
Ilki� �.- it I` 5 �1 i 1 (HiTech)
Rinnnturp ♦♦
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