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HomeMy WebLinkAboutBuilding Permit #Exception - 73 CARLTON LANE 5/1/2018 (2) „ORTH OE TOWN OF NORTH ANDOVER ' EXAMINATION APPLICATION FOR PLAN MINATION Permit NO: 1�� Date Received: 0 Datc Issued: 0 EMPORTANT: Applicant must conipicle all items on (Ills page LOCATION �.���/�� Print PROPERTY OWNER a”, 7�— <- Print NIAP NO.: PARCEL: ZONING DISTRICT: TYPE AND USE OF BUILDING HISTORIC DISTRICT YES El TYPE OF IMPROVEMENT PROPOSED USE ResidentialResidential New Building IC"10ne family __j Addition Two or more family Industrial Alteration No. Of Ll1litS: 1 Assessor), Bldg Commercial 'Repair, replacement L Demolition Moving(relocation) - )cher Others: Foundation only DESCRIPTION OF WORK TO BE PREFORMED 1(knfification Please T or Print Clearly) OWNER: Name: Phone:Mr 673 Af,Z Snature Address: n 14 CONTRACTOR Name: Phonc: 72, '�a' 9.( 30 Address: 2/ ToALLn�—,4 Supervisor's Construction License: .(---,S. 0 U Exp. I Ionic 1111pl-m-ellicilt License: Exp. Date, R C I I ITE("F I-"N G I NJ`F R Nanie: Phone: Address: Reg. No. FEE SCHEDULE:3L'LDL\'G PERMIT.-S10.0 PER 5I1100.00 OF THE TOTAL EST1,41A TED COST BASED ON S 125.00 PER S.F. Q 'cw oce Total Project Cost S S x10.00 FEES - )- -"leck No.: Receipt No.: )0 J - _ 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 j Building Permit Application j Debris Removal Form ❑ � orkers Comp Affidavit ❑ Photo Copy Of H.I.C. And;'Or C.S.L. Licenses Copy of Contract j Floor Plan Or Proposed Interior Work Addition Or Decks ❑ Building Pen-nit Application ❑ Form U ❑ Surveyed Plot Plan ❑ Debris Removal Form ❑ 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) i ❑ Building Permit Application ❑ Form U ❑ Certified Proposed Plot Plan ❑ Photo of K.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) a Copy of Contract j Mass check Ener.gyy Compliance Report In all cases if a iariance or special permit was required the Toiin 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 Registr} of Bleeds. one cope and proof of recording must be submitted%ith the building application Doc:I\9PECTION L SFR%ICTs nF.PAR'UNIV\r:BPFORNnK i ■ TYPE OF SE\k ARGE DISPOSAL I Swunnung Pools Tanning"MassaE:e Body ,fir[ � ' Public Sewer _ Tobacco Sales - Food Packavinf-',Sales Well iPermanent Dumpster on Sitc i Prirate(Septic tank,etc. MOTE: Percan-s rnntrarlinti with unregistered c•untrac•lom du iuN have arcesv to the gnaranll-find Signature oC;X(yent/O\Nmer Signature of Contracto ' Plans Submitted Plans Waived V Certified Plot Plan L Stamped Plans _j THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN (IFF-U FORM DATE REJECTED DATE APPROVED PLANNING & DEVELOPMENT ❑ ❑ ❑Water Shed Special Permit L] Site Plan Special Permit ❑ Other COMMENTS DATE. REJECTED DATE APPROVED CONSERVATION LJ ❑ COMMENTS DATE REJECTED DATE APPROVED HEALTH ❑ 171 COMMENTS e Zoning board of Appeals: Variance, Petition No: Z-oninu Decision."receipt submitted yes Plannin-, Board Decision: -------------conurtents _ Conservation Decision:----.. _Continents. Water& Sewer connection si(nature&date Temp Dempster onsite yes no Fire Department SiTnature date — — -------------_ Building. Permit Approved and Issued by: Building Setback (ft.) Front Yard Side Yard Rear Yard 1 RcqLlii-cd i Provided RC(]Llil'Cd Provides j Required Provided DIINIENSION Number of Stories:--------- Total square feet of floor area,based on Exterior dimensions.--- Total land area,sq. ft.: NO TI and DATA—Wor dcPartiliclit IISO I L—_, ?. Location -% No. Date KORTN TOWN OF NORTH ANDOVER f � • s ^o Certificate of Occupancy $ 14Us tt' Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # .1611,13 .w Building Inspector NORTH Town of 4 4Andover 0 No. G z Z ' LA O dover, Mass., COC MICHEMCK y^ AD'QATED PPS\ `S BOARD OF HEALTH PER IT T D Food/Kitchen Septic System BUILDING INSPECTOR THIS CERTIFIES THAT............ . ........ ....... ................................. ..................................................... Foundation has permission to erect........................................ buildings on.....7.3......4:4o-� Hom.........tooJ................ Rough to be occupied as.............. Chimney provided that the person accepting thi itshall 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 UNLESS CONSTRUCTI ARTS ELECTRICAL INSPECTOR s;� Rough .. . .. . . . .. ....................................... Service BUILDING INSPECT 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 FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. SEE REVERSE SIDE j Smoke Det. Page No. ,/ of / Pages Supervisor CS 068461 Fully Licensed & Insured Home Construction Reg.#146722 Keefe S • Roofmg North Reac fn.% MA 978-276-3043 PROPOSAL SUBMITTED TO /'R •---""f� PHONE t^ DATE STREET I JOBNAME r� f' a - {_ ' ' CITY,STATE AND ZIP CODE J JOB LOCATION We hereby submit specifications and estimates for: Recommended Optional (Included in price) (Not included in price) f Rip&Remove all shingle debris from roof&job si(e: J6 1 layer 0 2 layers ❑3 layers or more Repair/or Replace any roof decking;not to exceed 50sq.ft. _ • Install 8"aluminum drip-edge/and rake-edge along entire perimeter.Choice of mill,white or brown Install ICE&WATER underlayment along horizontal eaves,valleys,sidewalls and sky-lights&chimneys _ �nstall premium base sheet underlayment between roof deck and roofing shingles 0 15 lbs lb.felt 1260#.felt i f Install 25yr CertainTeed/ AF)IKO traditional 3-tab roof shingles ❑30 year Install 30yr CertainTeedlGAF)IKO architectural roof shingles ❑40 year ❑50 year ❑Lifetime _— See manufacturer warranty policy for more details �! Install new aluminum vent-pipe flange(s) -------- • Chimney(s)-counter-flash and re-step existing flashing ❑Cut&Install new lead flashing - Ridges--e e tl xhaust vent with low profile design,hidden by shingle caps ❑Soffit-ventilation ❑Roof louver-vents _ • Seamless style aluminum gutters-custom fabricated at job site — — ❑downspouts ---- • Other , .- O'Keefe roofers will properly dispose of all roof debris in our own dump truck. 'Please Note:All items in roof attic should be removed or covered due to falling roof particles,at time of roof tear-off Price includes all items above that are checked only/others may be priced separately upon request. We Propose_ hereby to furnish material and labor-complete in accordance with above specifications,for the sum Q' of: Total price not including options. dollars($ /� L '%f1` )• Payment to be made as follows: 30%deposit required upon delivery of materials.Balance due in full upon day of completion. Please make all payments out to Michael O'Keefe,21 Francis St., No. Reading,MA 01864 Late charges of$50 per week for all outstanding bills due upon day of Authorized completion. Signature > t y t -Accepting proposal means agreeing to the terms of the enclosed binder Note:This proposal may be F�' contract.Please sign contract&return top copy(white). withdrawn by us if not accepted within ��i days NORTH Town of Ilk G C% �- LA O dover, Mass., A 0/14 /A COC HI C HE WICK �.4S RATED PPP BOARD OF HEALTH PER IT T D Food/Kitchen Septic System THIS CERTIFIES THAT BUILDING INSPECTOR ...........1. ........o*....... m..5.................................................. .....................................: Foundation has pefmlSSlOrI t0erect........................................ buildings On .....'1...3......�..�'�'��..........(..1J............... Rough to be occupied as..............(30... 0... Rfli-In ........ .............. .......................... Chimney ...............................................provided that the person accepting thi 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 CONSTRUCTI ARTS Rough ....... .... ........ Service .. . .. . . . ... ....... .................. .... BUILDING INSPECT Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove RoughFinal No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. [E SEE REVERSE SIDE Smoke Det.