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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 . / 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 Ln rn / / \ � / � / o.\ � rn 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 ♦♦ I O z s•: c� o CD c o O y C.) C3 •d •cc CL c ea to O � E a ie: �mc ,� ts ts o n H a C joe m � o •� u m c= CA y R m m cm 40. � •O yC R H CD v m O CL V W.: y O O `r r o a== mgr v•y=. 5 : c � O F" c OQrf-.nc = m O. �' 30 H •O+ VJ O y0„ ~ CO3 Wul �M=..•pZ y.. C CO) dt ea c_ 'J 0, .y V •m C3 10 O IID;� C COD CL O C = W 16. y O Z CL r E a h O N C O R O cm O CD m O cm S C N CD t r.+ 0 2 O F. foil r 2 O ai • L O Z p. 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