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�— <-
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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.