HomeMy WebLinkAboutBuilding Permit #557 - 69 PROSPECT STREET 2/22/2006 90 S® TOWN OF NORTH ANDOVER N "T�•
��� PLICATION FOR PLAN EXAMINATION of '�
Permit NO: �� Date Received _�Z�G •
roe
Date Issued: r� �s�`
IMPORTANT:Applicant must complete all items on this pag;
LOCATION 9 Prz�Sps-
PROPERTY OWNER eveLA
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MAP NO.: () PARCEL: ZONING DISTRICT: _l
TYPE AND USE OF BUILDING HISTORIC DISTRICT YES ❑
TYPE OF IMPROVEMENT PROPOSED USE
Residential Non- Residential
0 New Building 0 One family
0 Addition. 0 Two or morefamily 0 Industrial
0 Alteration No.of units:
0 Repair,replacement 0 Assessory Bldg 0 Commercial
0 Demolition
❑ Moving relocation 0 Other ❑ Others:
0 Foundation only
DESCRIPTION OF WORK TOB PREFORMED
Urtd, MG„ fc5 FI)
Identification Please Type or Print Clearly)
OWNER: Name:-' 1 Phone•
Address: -Q-C/1' -s
CONTRACTOR Name: C., - Pis oyl Phone:9S'Y -979t/
F
Address:® r,,�'c,l ,-�r=D 0 n r�
fi
Supervisor's Construction License: 0 8-7.?a Exp. Date:
� r^
Home Improvement License: I�f `E/� Exp. Date:
ARCHITECT/ENGINEER Name: Phone:
Address: Reg.No.
FEB SCHEDULE:BULDING PERMIT.•x12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F.
Total Project Cost :$ ��7�ep0 FEE:$ 3(,o
Check No.: t Receipt No.: 1 C'
Page 1 of 4
TYPE OF SEWERAGE DISPOSAL `
Public Sewer ❑ Tanning/Massage/Body Art ❑ Swimming Pools,,,,_` ❑
"I
Tobacco Sales
Well Y ❑ ❑ Food Packaging/Sales ❑
Private(septic tank,etc.
Permanent Dumpster on Site ❑
❑ Electric Meter location to
project
NOTE: Persons eontraetl with anregls7 d contractors do not have access to the guarantyfund
Signature of Agent/
Signature of contracto
Plans Submitted laps aiv
Certified Plot Plan ❑ Stamped Plans ❑
THE FOLLOWING SECTIONS FOR OFFICE USE ONLY
INTERDEPARTMENTAL SIGN OFF-U FORM
DATE REJECTED DATE APPROVED
PLANNING& DEVELOPMENT ❑ ❑
COMMENTS
D CTED DATE APPROVED
CONSERVATION ❑
COMMENTS
DATE REJECTED DATE APPROVED
HEALTH ❑ ❑
COMMENTS
FIRE DEPARTMENT -Temp Dumpster on site yes no
Fire Department signature/date
x COMMENTS
Zoning Board of Appeals:Variance,Petition No: Zoning Decision/receipt submitted yes
Planning Board Decision: Comments
Conservation Decision: Comments
Water& Sewer Connection/Sianature&Date Driveway Permit
Building Setback ft. I
Front Yard Side Yard
Rear Yard
Required Provided geguired 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
i
Page 3 of 4
Doc:INSPECTIONAL SERVICES DEPART MENT:BPFORM05
Crated JMC.Jan.2006
f
Building Department
artment
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
o Building Permit Application
o Workers Comp Affidavit
a Photo Copy Of H.I.C. And/Or C.S.L. Licenses
a Copy of Contract
o Floor Plan Or Proposed Interior Work
Addition Or Decks
® Building Permit Application
a Surveyed Plot Plan
a Workers Comp Affidavit
a Photo Copy of H.I.C. And C.S.L. Licenses
a Copy Of Contract
o Floor/Crossection/Elevation Plan Of Proposed Work With Sprinkler Plan And
Hydraulic Calculations (If Applicable)
o Mass check Energy Compliance Report(If Applicable)
New Construction (Single and Two Family)
o Building Permit Application
a Certified Proposed Plot Plan
a Photo of H.I.C. And C.S.L. Licenses
o Workers Comp Affidavit
a Two Sets of Building Plans (One To Be Returned)to Include Sprinkler Plan And
Hydraulic Calculations(If Applicable)
o Copy of Contract
o 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 most then get this recorded at the Registry of Deeds.
One copy and proof of recording must be submitted with the building application
Doe:INSPECTIONAL SERVICES DEPARTMENT:aPFORMOS
I
Page 4 of 4
t I
NORTH
O" of Andover
0 .�...�a
No. SSS -_
E over, Mass., do
COCHICHEWICK
RATED_7�S I
BOARD OF HEALTH
Food/Kitchen
PER . IT T Septic System
D
BUILDING INSPECTOR
THISCERTIFIES THAT............ I ............................ ........... ... ... .......................................l ..................... Foundation
...... ......... ........................ Rough
has permission to erect.................................. ..... Ildings o .................... .. ...
04 Chimney
to be occupied as..... ........ ... .... . . .. .............................................................................
f� g-- iiii conform to the terms of the application on file in
provided that the person ceptin it shall in every res Final
)is �g
this office, and to the p slons of the Codes and By-Laws rel ng to the Inspection, Alteration and Construction of
i
Buildings in the Town North Andover. PLUMBING INSPECTOR
VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough
Final
PERMIT EXPIRES IN ONTHS
IN 0 S ELECTRICAL INSPECTOR
UNLESS CONS Rough
................................................... Service
........ ..........................N
BUILDING INSPECTOR Final
Occupancy Permit Required to Omvy 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.
�?Tl. � u
Board of Building Regulations and Standards
HOME IMPROVEMENT CONTRACTOR'
Registration: 142446
Ex{iration:, 415/2006
Typi.
BRAVIN HOME SERVlCEt'. :'
SEAN PARSONS
100 A KENT FARM
HAMPSTEAD,NH 03841 Deputy Administrator
✓fie r�anv.,wnu�ea/,/� a�✓ ac�uaeda
4 1 BOARD OF BUILDING REGULATIONS
j License: CONSTRUCTION SUPERVISOR }�
4 •�' 1
t ` Number CS 087726
-121
" Birthdate 05/2 /1969
Expires 05/2512E�07 Tr.no: 87726
Resolcted `00
SEAN P PARSONS F,`'
39 BATES RD
SWAMPSCOTT MA01907" .k `'
Commissioner
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B R A V I N
Home Services
100 A Kent Farm Road
P.O. Box 682
Hampstead, NH 03841
Sean P Parsons Owner
978 420 9996
HOMEOWNER INFORMATION
1
el
Nam
Streetddrrp-�s(not PO Box) City/T w State Zip
\ 3�� �', s'6����bd
Daytime Phone Evening Phone
Mailing Address(if different than above)
WORK TO BE PERFORMED AND MATERIALS TO BE USED
Bravin Home Services agrees to do the following work for homeowner:
Materials expected to be us d:
Ce
�G
SCHEDULE
The following schedule will be adhered to unless circumstances beyond our control arise.
Homeowner agrees and understands that, due to unforeseen conditions, Bra vin Home Services
cannot guarantee a specific date for completion:
Work to begin:_ L'�xpected date of completion:
I
TOTAL CONTRACT PRICE"AND PAYMENT SCHEDULE -
Bravin Home Services agrees to perform the work, furnish the material and labors specified above
for the Sum of$ 3O till p
Payments will be made according to the following schedule
s -.. 4Ai JA..� 1✓ SV-FYY � .
V
$
due upon signing contract{
by= or upon completion of c,� =Qc-� \ Lam-_ s '
upon completion of contract.
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TERMS AND CONDITIONS
1. Unless otherwise noted within this document, this contract shall not imply that any lien or
other security interest has been placed on the residence.
2. Applicable Law: This Agreement shall be governed and construed in accordance with the
laws of the Commonwealth of Massachusetts.
3. _Entire Agreement: These terms and conditions represent the entire and integrated
Agreement between Homeowner and Bravin Home Services and supersedes all prior
negotiations, representations or agreements, either written or oral, and may be
amended only by written instruments signed by both Homeowner and Bravin Home
Services.
4. Legal Actions: Should it become necessary for Bravin Home Services to enforce any
term of the provisions of this Agreement, or to collect any portion of the amount
payable under this Agreement, then all litigation and collection expenses, including
but not limited to witness fees, court costs, and attorney's fees shall be paid by the
Homeowner.
5. Binding Agreement: Homeowner and Bravin Home Services respectively, bind
themselves, their partners, successors, assigns and legal representatives to the other
party to this Agreement and to the partners, successors, assigns and legal
representatives of such party with respect to all covenants of this Agreement.
6. Severability: If any provisions of this Agreement are held to be in violation of any law or
ordinance, they shall be deemed stricken and all remaining provisions shall continue
to be valid and binding upon the parties.
I understand that this is a legally binding contract and have read and fully understand the terms
and conditions contained therein.
H owner Date Bravin Home Services Date
Homeowner
Date
F t
_
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CERTIFIED PLOT PLAN
LOCATED IN NORTH ANDOVER, MASS.
SCALEI"=10': DATE:1/15/2007
1/18/2007
Scott L. Giles R.P.L.S.
Frank. S. Giles R.P.L.S.
50 Deer Meadow Road
North Andover, Mass.
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3
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MAP 80 PARCEL 7
EXIST. HSE.
FND.
10' --- #69 16,
w w EXIST. w�YI ---- - -- ---
# C COVERED w I
w SLAB
(4,
ENTRY
6'
50'
PROSPECT STREET
OFFSETS SHOWN ARE FOR THE USE � of
OF THE BUILDING INSPECTOR ONLY 0 .
AND SUCH USE IS FOR THE sc
DETERMINATION OF ZONING=
CONFORMITY 0.'?NON-CONFORMITY 97z oy
WHEN CONSTRUCTED. LAO
"STERES �i
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CERTIFIED PLOT PLAN
LOCATED 1N NORTH ANDOVER, MASS.
SCALE 1"=10`. DATE:1/15/2007
1/18/2007
Scott L. Giles R.P.L.S.
Frank. S. Giles R.P.L.S.
50 Deer Meadow Road
North Andover, Mass.
O
U DECK O
U
O O
0
� N
MAP 80 PARCEL 7
EXIST. HSE.
FND.
10, #69 16'
w w EXIST. HE
6- COVERED OP. COVERED AND
SLABENTRY CLOSED ENTRY
6' IST. DOOR
50'
PROSPECT STREET
OFFSETS SHOWN ARE FOR THE USEaVi or
OF THE BUILDING INSPECTORe�
ONLY
SC y
AND SUCH U
G
SE IS FOR THE
DETERMINATION OF ZONING
972
CONFORMITY OR NON-CONFORMITY '� rEREOr�
WHEN CONSTRUCTED. TER
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