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HomeMy WebLinkAboutBuilding Permit #464 - 62 KARA DRIVE 12/18/2006i Permit NO: Date Issued: TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Date Received -12, k-'� Z NORTH O`�t�eu �s�tiO OL 0 A 1► i f t `� �4_< •.fie At IMPORTANT: Applicant must complete all items on this page J LOCATION Z 441?4 Print PROPERTY OWNER D6� ���� , C- /J Print MAP NO.: PARCEL: TYPE AND USE OF BUILDING ZONING DISTRICT: HISTORIC DISTRICT YES ❑ TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building ❑ Addition ❑ Alteration P'One family ❑ Two or more family No. of units: ❑ Industrial ❑ Repair, replacement ❑ Demolition ❑ Assessory Bldg ❑ Commercial ❑ Moving (relocation) ❑ Other ❑ Others: ❑ Foundation only DESCRIPTION OF WORK TO BE PREFORMED Identification Please Type or Print Clearly) OWNER: Name: 0a /Q e/U S G A) Phone: Address: (V 2 1 <111-? /4 0%1 /yA CONTRACTOR Name: J okn )/-1/'1 ?4/11'16 Phone:�7?�-9 j % TC--4t2l t !9 /7 Supervisor's Construction License: 6C9l 2 o Exp. Date: Home Improvement License: a S�'% Exp. Date: Z ARCHITECT/ENGINEER Name: Phone: Address: Reg. No. FEE SCHEDULE: BULDING PERMIT: $12.00 PER $1000.00 OF THE TOTAL ESTIMATED COST BASED ON $125.00 PER S.F. Total Project Cost :$ $ S^° ° FEE:$ Check No.: Receipt No.: J Page I of 4 TYPE OF SEWERAGE DISPOSAL Public Sewer 11Tanning/Massage/Body Art ❑ Swimming Pools ❑ Well ❑ Tobacco Sales ❑ Food Packaging/Sales ❑ Private (septic tank, etc. ❑ Permanent Dumpster on Site ❑ Electric Meter location to project l�Tl1TT _ C13U,13 cantrtic«ng wun unregisrerea contractors ao not have access to the guaranty f d Signature of Agent/Owner Signature of contractor\4 Plans Submitted El Plans Waived ❑ Certified Plot Plan El tamped Plans ❑ THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM DATE REJECTED PLANNING & DEVELOPMENT ❑ COMMENTS DATE REJECTED CONSERVATION COMMENTS DATE REJECTED HEALTH COMMENTS FIRE DEPARTMENT - Temp Dumpster on site a Fire Department signature/date COMMENTS a . ❑ DATE APPROVED DATE APPROVED DATE APPROVED no / 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 Building Setback (ft.) Front Yard Side Yard Rear Yard Requireq__L Provided Required Provides Required Provided Dimension Number of Stories: Total square feet of floor area, based on Exterior dimensions. Total land area, sq. ft.: NOTES and DATA — (For department use) Page 3 of 4 Doc: INSPECTIONAL SERVICES DEPARTMENT:BPFORM05 Created JMC. Jan.2006 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 Addition Or Decks ❑ Building Permit Application ❑ 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) 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 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:BPFORM05 Page 4 of 4 Location No. 46_ Date T- 01 TOWN OF NORTH ANDOVER O� ,.s° �ti 0 9 Certificate of Occupancy $ s' Et Building/Frame Permit Fee $ 16 AC Mus Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # (a' O 1903 Building Inspector IMP;b'db. u-,ubhrjq, . 1c,pi Home Improvement Contractor Look Up I-,nter Search terms separated by spaces. Search terms 6n he Town/City, Nurne, or License nurni ilarmafame -Select Search type: AND C OR Search Results Reg- No. Applicant ,itreet city state zip Natue Title Expi AL f- ratio" 137057 LINDER 166 A LANZAFAME, ' ' MERRIMACK METHE�UN MA 01844 ONE ST. jOFN OWNER 10/2/2008 ROOF Total of I Rewords matched. 10/'?/2006 1136 PIVI ,y © ® a • ¢ , ` MEE MOODY Chimneys Residential & Commercial Roofing All Types Of CHIMNEYS POINTED -REBUILT -CAPPED Siding Expert Masonry Work Mass Toll Free I * Roof Leaks Experts * Licensed & Insured Locally Owned & Operated Since J976 ...... = 1 -800 -WAIT -4 -US ® _ License #034200 : (924-8487) IKO Guff WBozw oz �olin t� We Work Year Round CIIJ L.IyJIJ�J�3daJJ1►' l•1 • • - 1 � � � C.l'i vw..+y�`-".-"'W � "u'' � � � � mittedTo Proposal660 Eli Is i,c-A) Phone % / (� 9 �� 0 I 4711 � / Date //%Lr)o Street -` Job Name City, State & Zip Code Ob J &-n M ASJ 6UyY Job Location Job Phone We Propose hereby to furnish and labor in accordance with specifications below, for the sum of: 1 rL n �r�n Jv jl� Dollars ($ T& ShWe- A/Z e,1770 X Y"U1,46 All material is guaranteed to be as specified. All work to, be completed in a workmanlike Authorized to Any alteration or deviation from specifications be- 94 manner according standard practices. Signature: ✓•k low involving extra costs will be executed only upon written orders, and will become an extra charge over and above the estimate. All agreements contingent upon strikes, accidents NOTE: This pro osal may be or delays beyond our control, Owner to carry fire, tornado and other necessary insurance. Our workers are fully covered by Workmen's Compensation Insurance. withdrawn by us if not accepted within days. We hereby submit specifications and estimates for: swpf �?-c aoo)r a4stall 3 feet of special "Eave Seal" ice and water barrier protection along all bottom edges of roof and top to bottom in each valley. If roof is stripped, we will apply conventional ice and water shield ( 3 ) ft. high in the same locations previously described and tar paper will cover the remaining bare wood. Any rotted or damaged boards will be replaced at ( ��' ) per linear ft. or per sheet of plywood. U001"nstall heavy gauge aluminum drip edges along every edge surface of each roofline. 3Wt.;-rt; 01"Cover entire roof (s) wit it, W -fiberglass, premium grade shingles J���G��� 'tial-�n��C]/-l��*l�/%2��/L/=�'_ (Color of choice).0 U"R* eplace all pipe boots where possible. +a Seal all flashings with clear Geo -Cel sealant. No black tar unless previously applied. &Remove all work-related debris. Contractor warrants roof against all leaks due to defects in his workmanship for 12 years under normal circumstances. k/ Local current references and proof of workman's compensation insurance gladly given. `3 b of u 3 --tic �•1/�'f'Gf✓( �,I�� c l'�` �'T f/� �G � ! �' wtj(� cll � aV3 Gr C/�c Lv, Acceptance of Proposal - The above prices, specifications (�� and conditions are satisfactory and are hereby accepted. S`'r You are authorized to do the work as specified. 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