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Home My WebLink AboutBuilding Permit #197-12 - 68 SUTTON PLACE 7/8/2011 NORTH q BUILDING PERMIT St�Eo �o TOWN OF NORTH ANDOVER X2.5 "J- Y APPLICATION FOR PLAN EXAMINATION = _ � o Permit NO: 'Z Date Received �'�s R.,TED 0 ACHU`5 Date Issued: � �J IMPORTANT. Applicant must complete all items on this page �I .00ATI®N� k — Pant ""'. ft 04— ERkTYNERa � – 1 �l I _ w. b �1Pn�nt •, < ""` EZONINGDISTRICT._ #Histrc#District des- o jMAP1N0 y C� P'ARC,EL� ' _ �Macime�Shop�Ul.lage4 sye ono . TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building ne family ❑Addition ❑Two or more family ❑ Industrial ❑Alteration No. of units: ❑ Commercial Vz4;.Iqpair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other °0 - `� ` �®4�Wa�tershed_Ristr ct; Skeptic (�tWell � +a�Flo dplain ❑Wetlands,4 �5 �t _ ®1Water/Ssewer _ - DESCRIPTION OF WORK TO BE PREFORMED: Identification Please Type or Print Clearly) OWNER: Name: �C71P )� - 1)1& - Phone: - Address: 1� �°'D Pj-AC_F- _, e. _ -'N� lPh�o eo CgNTRACtT�OR - _ ��-Ta S, isors'Construction�License /. 9_ � IExp LIDate Home�l__mpr�ovement License;_T_ ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE.BULDING PERMIT.x$92.00 PER$9000.00 OF THE TOTAL ESTIMATED COST BASED ON$925.00 PER S.F. Total Project Cost: $ I f FEE: $ �J Check No.: Receipt No.: NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund nature'of _�_xontractor ...._��.��._.�._ f Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ TYPE OF SEWERAGE DISPOSAL M Public Sewer ❑ Tanning/Massage/Body Art ❑ Swimming Pools '. ❑ i Well ❑ Tobacco Sales ❑ Food Packaging/Sales ❑ Private(septic tank,etc. ❑ Permanent Dumpster on Site ❑ r THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM DATE REJECTED DATE APPROVED I PLANNING & DEVELOPMENT ❑ COMMENTS i i CONSERVATION Reviewed on Signature i COMMENTS HEALTH Reviewed on Signature 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 DPW Town Engineer: Signature: Located 384 Osgood Street FIR-f- DEPARTMENT T,hiptDum_ PIP o onsite eyes Located a 124jMaiga,5t�eef l y E it Departmentisignatu a/date __ ...._ 3r`nnnnnncniTc' 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 r�qu"res 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 I L ❑ Notified for pickup - Date E 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. Roo 'ng, Siding, Interior Rehabilitation Permits � jBuilding Permit Application a Workers Comp Affidavit ❑ Photo Copy Of H.I.C. And/Or C.S.L. Licenses V ❑ 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 li ❑ 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 Compliance Report ❑ Engineering Affidavits for Engineered products MOTE: 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 Location �✓ TT�� E4t-4-- No. Date NORTH TOWN- OF NORTH ANDOVER Oi�«•o �,a0 p ► w Certificate of Occupancy $ CHUS tBuilding/Frame Permit Fee $ 4 Foundation Permit Fee $ Other Permit Fee $ tL— TOTAL $ Check # _ 24558 wilding Inspector f , gay"ine✓S Regulation �S NTdsRACTOR Consumer A Type: pffice of PROVEMENT HpME OA 1.11990 LLC tratlon:: 4;.... Regis 21-11.1.2013 =. ... xpiration.:-_= --=s GL1C• E = &REMp�DIN RO I-PIN ERIN F ga ROBpALE ST UndeYsecretar9 195 N ANDOVER, Pub us��►chusctts: Dep�ument of lic Sufct� - - . NI Rc��ulutions anc4 Standards Board of BuCti n'-' ervisor License Construction Sup License: CS 2685 Restricted to: 00 fly L ANGEVIN 2PIL 795 DALE ST01845 I N ANDOVER, MA Expiration: 2/2412012 I 15366 } (,�mn�issivncr, NORTI-� TON- M Of over ,, . , No. 097. ao,A no dover, Mass., COCHICHEWICK S RATED 9' �C7 BOARD OF HEALTH Food/Kitchen Septic System ..PERM IT T D BUILDING INSPECTOR ti,�-fir" . o k� THIS CERTIFIES THAT...................... ................... ......................................................... Foundation has permission to erect........................................ buildings on ......b. ........t�. v.. ......1r ...... ................................. Rough to be occupied as....... �. h�!!!...... !N.t !l�.tt"..:....Sl y.�.... Chimne ............ -s' . . . y provided that the pers 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 PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTIOT T Rough Service BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final No Lathing or Dry Wall To Be Done FIR_ E"DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. SEE REVERSE SIDE Smoke Det. The Commonwealth of Massachusetts u Department of Industrial Accidents Office of Investigations 600 Washington Street. 3 :`.t•, 1 Boston,MA 02111 www.massgov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information ! 1 -Please Print Legibly Name (Business/Organization/Individual): Address: '79<_ J?A-� ST City/State/Zip: X10 /V l7�'� Phone#: F ?W'3�O 7 Are you an employer?Check the appropriate box:; Type of project(required): 1.❑ I am a employer with 4• ❑ 1 am a general contractor and I 6. ❑New construction employees(full and/or part-time).* have hired the sub-contractors 2. I am a sole proprietor or partner- listed on the attached sheet. 7. El Remodeling These sub-contractors have 8. E]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.❑Electrical repairs or additions required.) officers have exercised their 3.❑ 1 am a homeowner doing all work right of exemption per MGL 11.0 Plumbing repairs or additions myself.[No workers'comp. c. 152,§1(4),and we have no 12.0 Roof repairs insurance required.]t employees.[No workers' 13.0 Other comp.insurance required.] *Any applicant that checks box#i must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins.Lic.#: Expiration Date: 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 for insurance*coverage verification. I do hereby c ify u er the pai and penalties ofperjury that the information provided ve is t u/e and correct 671 Si ature: Date: t ` Phone#: Official use only. Do not write in this area,to be completed by city or town offrciaL City or Town: Permit/License# Issuing Authority(circle one): 1. Board of Health 2. Building Department 3.City/Town Clerk 4.Electrical Inspector 5. Plumbing Inspector 6.Other Contact Person: Phone#• Pagel of 2 ®® Building& Remodeling, LLC 795 Dale Street North Andover, MA 01845 (978)686-3607^- HIC# 111990 FID#26-0816298 www.LangevinBuilding.com Proposal Jonathan&Dina Yorke 68 Sutton Place North Andover, MA 01845 We hereby submit specifications and estimates for: Siding,trim and window repairs • Remove siding,trim and 2 windows from end of house facing driveway • Install new Harvey vinyl classic windows,house wrap,primed pine trim, and red cedar R+R#1 shingles • Install new fascia, soffit and strip vents along front and back of main house • Replace approx. 100 sq. ft. of red cedar shingles on rear of the house • Install a Harvey vinyl casement window over kitchen sink • Redirect upstairs bathroom vent through roof • Install 2 new gable end vents • Replace sill and casings on one window • Install a metal brace to help secure the chimney • All necessary permits, cleanup and trash removal We propose hereby to furnish material and labor—complete in accordance with the above specifications, for the sum of. $11,185 Payment to be made as follows: $5,000 at start of job, $6,185 upon completion. The law requires most home improvement contractors and subcontractors to be registered with the Director of Home Improvement Contractor Registration.You may inquire about contractor registration by writing to the Director at One Ashburton Place,Room 1301,Boston,MA 02108 or by calling 617-727- 3200 ort-800-223-0933. You may cancel this agreement within three working days following the signing of this agreement. t Page 2 of 2 Authorized Signature Date U Note:This proposal may be withdrawn by 6s if not accepted within 30 days. Acceptance of Proposal—The above prices,.specifications and conditions are satisfactory and are hereby accepted. You are authorized to do the work as specified. Payment will be made as outlined above. Do not sign this contract it there are any nk spaces. i Date of Acceptance % Signatu Signature MLV"V�