HomeMy WebLinkAboutBuilding Permit #596 - 58 COLGATE DRIVE 4/6/2010 BUILDING PERMITO� NORTH q
TOWN OF NORTH ANDOVERN `itLlD ,6* tiOO�
APPLICATION FOR PLAN EXAMINATION * 0
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Permit NO: Date Received � °Ca I?
�SSACHU`��t
Date Issued:
IMPORTANT:Applicant must complete all items on this page
LOCATION7e
PROPERTY OWNER G /7l'r Print
Print
MAP 210 PARCEL: ZONING DISTRICT: Historic District yes nn Machine Shop Village yes
TYPE OF IMPROVEMENT PROPOSED USE
Residential Non- Residential
New Building One family
Addition Two or more family Industrial
Alteration No. of units: Commercial
Re air re lacement Assessory Bldg Others:
Demolition Other
Septic Well Floodplain Wetlands Watershed District
Water/Sewer
DESCRIPTION OF WORK TO BEPREFO��ED:
Q
� nti catio Ple a Type or Print Clearly)
OWNER: Name:_ /�v �� &�i;2,1Q Phone: ,
Address:
CONTRACTOR Name: 65' . ' 4 L / : '' Phone:
Address:
Supervisor's Construction Licensed l�W/0"Po Exp. Date:
r
Home Improvement License: k -; 7/ Exp. Date: l
ARCHITECT/ENGINEER Phone:
Address: Reg. No.
FEE SCHEDULE:BOLDING PERMIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F.
Total Cost:Project r
t' $_�l � �� FEE:
A;01
Check No.: 3 0119 Receipt No.: 6
NOTE: Persons contracting with unregistered contractors do not have access to th uar ty nd
!Signature of Agent/Owner _ Signature of contract
f
Plans Submitted Plans Waived Certified Plot Plan Stamped Plans
TYPE OF SEWERAGE DISPOSAL
Public SewerTanning/MassageBody 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
COMMENTS
HEALTH Reviewed on Signature
COMMENTS
ZoningBoard of Appeals: Variance Petition No: Zoning Decision/receipt t submitted es
PP � 9 p Y
Planning Board Decision: Comments
Conservation Decision: Comments
Water & Sewer Connection/Signature&Date Driveway Permit
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
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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)
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❑ Notified for pickup - Date
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Doc.Building Permit Revised 2010
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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
❑ Notified for pickup - Date
Doc.Building Permit Revised 2010
Location
No. `7 Date
NORTH TOWN OF NORTH ANDOVER
O
A
s
• ; , Certificate of Occupancy $
Building/Frame Permit Fee $
+cHus
Foundation Permit Fee $
Other Permit Fee $
TOTAL $
Check #-
2 2 SO,22 ;
Building Inspector
F NORTH
TO" , of Andover
0
No.
z y dover, Mass.,
W4*
o �A �•
COC MIC KE WICK V
A0OATED
`S BOARD OF HEALTH
Food/Kitchen
PERMIT T D Septic System
BUILDING INSPECTOR
CERTIFIES THAT
THIS CER S . ... ......... ..........................N.. ....................... ..............................................
•••••••••••• ••• Foundation
has permission to erect..?a� ep�tin,'
.... g .wg..... ..Q�rN... . Rough
to be occupied as............. �.ii.i ........ ��........... .......... .........i�.....................
Chimney
provided that the personhis permit shall in every respect conform to theterms f the applicationonfilein Final
this office, and to the prs 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 CONSTRU STAR Rough
Service
_ BUILDING.INSPECTOR
Final
Occupancy Permit Required to Ocmpy 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.
SERVPRO of Lawrence
PO Box 328
Lawrence,MA 01842
800 535-6322
Client: Winn _
Winne,Bob
Home: 978 686 0910
Property: 58 Colgate Dr.
N.Andover,MA
Operator Info:
Operator: MMORIN
Type of Estimate:
Date Entered: 4/1/2010 Date Assigned:
Price List: MAEM5B_MAR10
Restoration/Service/Remodel
Estimate: WINNE2
SERVPRO®
Fire&Water-Cleanup&RestorationTM
Like it never even happened.
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- - y ftM - SERVPRO of Lawrence
PO Box 328
Lawrence,MA 01842
800 535-6322
WINNE2
Main Level
-� - Basement Height: 8'
1258.67 SF Walls 1526.86 SF Ceiling
2785.53 SF Walls&Ceiling 1526.86 SF Floor
169.65 SY Flooring 157.33 LF Floor Perimeter
157.33 LF Ceil.Perimeter
DESCRIPTION QUANTITY UNIT COST RCV DEPREC. ACV
9. Tear out wet drywall,cleanup,bag, 157.33 LF 2.52 396.47 (0100) 396.47
per LF-up to 2'tall
Totals: Basement 396.47 0.00 396.47
Total: Main Level 396.47 0.00 396.47
Line Item Totals: WINNE2 396.47 0.00 396.47
Grand Total Areas:
1,258.67 SF Walls 1,526.86 SF Ceiling 2,785.53 SF Walls and Ceiling
1,526.86 SF Floor 169.65 SY Flooring 157.33 LF Floor Perimeter
0.00 SF Long Wall 0.00 SF Short Wall 157.33 LF Ceil.Perimeter
1,526.86 Floor Area 1,579.75 Total Area 1,258.67 Interior Wall Area
1,440.00 Exterior Wall Area 160.00 Exterior.Perimeter of
Walls
0.00 Surface Area 0.00 Number of Squares 0.00 Total Perimeter Length
0.00 Total Ridge Length 0.00 Total Hip Length
WINNE2 4/2/2010 Page: 2
gw - SERVPRO of Lawrence
PO Box 328
Lawrence,MA 01842
800 535-6322
Recap by Room
Estimate:WINNE2
Area: Main Level
Basement 396.47 100.00%
Area Subtotal: Main Level 396.47 100.00%
Subtotal of Areas 396.47 100.00%
Total 396.47 100.00%
WINNE2 4/2/2010 Page:4
--. SERVPRO of Lawrence
PO Box 328
Lawrence,MA 01842
800 535-6322
Recap by Category
Items Total %
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GENERAL DEMOLITION 396.47 99.29%
Subtotal 396.47 99.29%
Material Sales Tax @ 6.250% 2.85 0.71%
Total 399.32 100.00%
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WINNE2 4/2/2010 Page: 5
License or registration valid for individul use only
Office of Consumer Affairs&Business Regulation
HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to:
`'✓ Office of Consumer Affairs and Business Regulation
Reg istratio n .�X58271
Expiration;- 213'1%201110 Park Plaza-Suite 5170
Tr# 291205 Boston,MA 02116
Type irj�i?dY9 e GoTpo'ration
;ORPORAY4JO
ELIN ST40 l'
:NCE, MA 0184 ° = Undersecretary
Not va ithou signatur
r
(FAe tpominxuae �
Board of BmldingooReg�,I ti n' d S n ard�
Construction Supervisor License
License: CS 67690
Ex rataon :=212012010 Tr# 15168
� � ftestrietion 00"
GREGG M WHITE t 'i
4 CHATBURN
WINDHAM,NH 03087'x' Commissioner
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