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HomeMy WebLinkAboutBuilding Permit #330 - 673 GREAT POND ROAD 11/13/2008 BUILDING PERMIT pORTFr O Of�tL!° Ib�� TOWN OF NORTH ANDOVER �2 `� APPLICATION FOR PLAN EXAMINATION # f +� o ^e Permit NO: (�/ .ate Received /� �,y"°RATED•�"�cy 24- ` SCHUDate Issued: ORTANT Applicant mustmplex�e all items o this page ald'i t°i� Slih irmww. 2mizi� F , t,.Sc `�dt s -� .-r ,�,.,•�„.::� s: ,a ( �.- �- � '. 'x �rv..Q..: �nptk `a �,. .: ..,,mss �� -�'s� ',. s#� � - TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential New Building One family i Addition Two or more family Industrial Alteration No. of units: Commercial i Repair, replacement Assessory Bldg F 1w Others: Demolition Other_ is s error ic1'!(sell K ono SIV"r � � rsxi �str atgg - .7 DESCRIPTION OF WORK TO BE PREFORMED'. r ro K(, Identification Please Type or Print Clearly) OWNER: Name: lu Phone: 976. 36c)-_QZCQ� Address. ot mod� z r> c"""'fi :,t ° %; .. _"' ^^�' ` k "S, t �� `§E + '�`,vd zvF�-`axR,+ L }�,j'g v >xf3� µ x ' `Tss z .. . "a :. :x 411 �' t',=Y��dfi 5. �. � � IN WIN- a{ �'.'wP � r'kzr4 Xq `'*`.,„5 ,.. s 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: $ 12 Ica a FEE: $ 47 Check No.: / Receipt No.: � � NOTE: Persons contracting with unregistered contractors do not have access to the guaran .fd Plans Submitted Plans Waived Certified Plot Plan Stamped Plans PWell WERAGE DISPOSAL Tanning/MassageBody,Art—�"'� Swimming Pools ! T Tobacco Sales ' Food Packaging/Sales Private(septic tank,etc. Permanent Dumpster on Site THE FOLLOWING SECTIONS FOR OFFICE USE ONLY f INTERDEPARTMENTAL SIGN OFF - U FORM DATE REJECTED DATE APPROVED PLANNING & DEVELOPMENT COMMENTS CONSERVATION Reviewed on S Si nature COMM NTS - — LTH Reviewed on Si nature COMMENTS t 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 DPW Town Engineer: Signature: Located 384 Os ood Street �iPl�l R P Caeflatnr 'ry}� �� 911i°a" 1rela ' b 2 p�� [ 5 p 1 Y TAT M jY s����'�`���'-�` 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 -- I NOTES and DATA— (For department use I I I n a ❑ Notified for pickup - Date Doc.Building Permit Revised 2008 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 ❑ --Buitding 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 ❑ Mass check Energy ComplianceReport ❑ Engineering Affidavits for Engineered products 9 9 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 2.2008 k4. Location rT No. Date ;, NQRTh TOWN OF NORTH ANDOVER y• F R i Certificate of Occupancy $ Building/Frame/Frame Permit Fee $ s.+cMust 9 { Foundation Permit Fee ` Other Permit Fee $ TOTAL $ Check # 216b1 {` .0Build(ng Inspector Y" r 000, PEPPER POT FARM ca. 1/77j0 1729 Linvale Harbourton Road Order Confirmation Lambertville,New Jersey 08530 DATE: October 7, 2008 ship to: G. DEMOULAS, 673 Great Pond Road,North Andover MA 01810 CLIENT' Ken LaRose PHONE: 508.509.9172 89 North Main Street EMAIL: ken@andoverequitybuilders.com North Andover, MA 01810 PRODUCT DESCRIPTION: Nellies Cottage, 12'-0"x 14'-0" $ 7,224 3`Arch Chevron $ 700 5'Double Arch Chevron $ 1,050 Gable End Dovecote (2) $ 400 9-Lite Window $ 375 Window Screen $ 85 Single Skylite $ 800 Loft/Ladder $ 325 Cypress.siding w/bead profile included White oak floors included Special Order Roof Shingles: 215 IKO, Cambridge color: weathered wood Roof Sheathing $ 250 (full roof sheathing required as nail backer for shingles) 2-color Exterior Paint $ 1,600 Siding: Cabot,Ashley Grey Trim: BMMoore Gard Low Luster Annapolis Grey - Doors: Cabot, Ashley Grey TOTAL: $ 13,024 50%Deposit Req'd: $ 6,512 paid by check Balance due upon completion $ 6,512 Estimated Delivery: Approx. 8 weeks from receipt of order with deposit. Orders are scheduled for production according to date of order receipt and deposit. Foundation pad must be in place prior to delivery. Shipping/Installation $1500 est, Payable to ZST Trucking upon delivery; includes 1 hour off=load time; add'l time billed at$55/hr.; BOB machine required for delivery Thank you for the opportunity to provide you with this price quotation. If you have any questions,please don't hesitate to call— check payable to:Gardensheds,Inc. Ken Smith all major credit cards accepted Owner-Designer www.gardensheds.com • LL FREE: 1-877-SHEDS-1 Ii The Cornnzonwealtlz of Massachusetts D..epartment of Xndustrial Accidents P? Office of Xnl estigations . • � d 600 Washington Street Boston, 1114 02111 www.ntass:gov/dia Workers' Compensation Insurance Affidavit:;Builders/Contractors/E:ectricians/Pluno.bers Applicant Information Please Print Legibly Name (Business/Organization/Individual): ►�` - Q c L7\�' L \t T-) - c Address: "�Ct City/State/Zip:' l.)m,) ��__ l RI f� Phone #: q'� - ►�'�© - r-7 � Are you an employer? Check the-appropriate box: Type of project (required): l.-YJ I am a employer with 4_ ❑ I am a general contractor and I 6. ❑ New construction employees (full and/or part-tune).* have hired the sub-contractors 2. ❑ I am a sole proprietor or partner- listed on the;attached sheet. 7- ❑ Remodeling e ship and have no employees These sub-contractors have 8. ❑ Demolition working for me in any capacity_ workers' comp. insurance. 9, ❑ Building addition [No workers' comp. insurance 5. ❑ We are a corporation and its 10.0 Electrical repairs or additions required.] officers hav6.exercised their 3.❑ 1 am a homeowner doing all work right of exeipption per MGL 11.❑ Plumbing repairs or additions myself. [No workers' comp. c. 152, §1(4), and we have no 12.❑ Roof repairs insurance required.] t employees. '[No workers' 13.❑ Other comp.insurance required.] *Any applicant that checks box#I-mist also fill out the section below showing their workers'compensation policy information: t Homeowners wbo submit this affidavit indicating they are doing all work and t en hire outside contractors must submit a new affidavit indicating such- =Contractors that check this box must attached an additional sheet showing the nte of the sub-contractors and their workers'comp.policy information_ I am an employer that isproviding workers'.contpmsation insurance far my employees. Below is the.policy and job site info rnr¢tion_ Insurance . mpanyName:AS�OLtA-T Policy#or Self-ins. Lic. #: E)O --a>4 1 (o 1 a0+ Expiration Date:_ ac0�- job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of.up to $250.00 a day against-the violator:-Be advised that a copy of this statement may be forwarded to the Office of Investigations"of the DIA-150r insurance cover2g�_verification. I do hereby certify under the pains and penalties of pe1juy that the information provided above is true and correct Signature Date: Phone# Official use only. Do not write in this area, to be completed by city or town official. City or Town: Perrnit/Liceme# Issuing Authority (circle one): 1_ Board of Health 2.Building Department 3. City/ToNvu Clerk 4- Electrical Inspector 5. Plumbing Inspector 6. Other Contact Person: Phone #: v4ORTIy Town of ''' `' Andover No. 330 o w 1 4 r VA _ ..... ... C o dover, Mass., 11.5.1 , r O LAKE It. COCKICKEWICK V ADRATE D PPS\ -`� S BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System �^ BUILDING INSPECTOR THIS CERTIFIES THAT............( ,......9.1�. .0..1.. Foundation has permission to erect.................................:...... buildings on ....... .. ,... .....C< r�ct................'f .... ................ Rough to be occupied as ` 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 PERMS EXPIRES IN 6 MONTHS UNLESS CONSTRUCTION ST TS ELECTRICAL INSPECTOR.Rough .. `•• '�"'y. .. Service B LDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Display in a Conspicuous Place'on the Premises — Do Not Remove Rough 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. % - REBUILDING ANL7 GRFAT,FOND ROAD REAUGNINGOF. _ E<15nNG WAL0.5 DEMOULAS I'JUNE rd.Z.DOE PROPEPTY UNE RESIDENCE 11 - \ S^" I /--•� , It I , / // �✓' `�\•� �c �- I '.1. 673 GREAT POND ROAD NORM ANDOVER.MASSACH USETA PXL. �"—L =WiLLAS APPPDV«O5Y R:STACKINCi-DFJ�S711JG � •-._��-�� .��. : +.. i 1— ., tl NACC-ON JUNE 15.2906 ••. '.+,v .. I i % WALL AS APPROVED BY 30`SETBACI: `'::'.`�[:. }--ti-'-_ tll !. _IIi __'te'✓l•i-- __iINACC ON JUNE 13.2008 - - Bull. ------ �WETIAND NOTE: ENTRE IAT FALLS VMHN 71M 325' t \\�. 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