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Home My WebLink AboutBuilding Permit #1098-15 - 75 SURREY DRIVE 6/25/2015 BUILDING PERMIT of Na°T bq"o TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit No#: tel• Date Received R TEo�Pa"cy gSSACHUS�� Date Issued: IMPORTANT: Applicant must complete all items on this page LOCATION U>2 (2 L� /P� Print PROPERTY OWNER LSV 4, Lu r; Print 100 Year Structure yesno MAP �PARCEL:�ZONING DISTRICT: Historic District ye no Machine Shop Village ye no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building ❑ One family ❑Addition ❑Two or more family ❑ Industrial ❑Alteration No. of units: ❑ Commercial Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other El Septic Well Floodplain ❑Wetlands ❑ Watershed Qstrict p Water/Sewer DESCRIPTION OF WORK TO BE PERFORMED: 5 7 Tau 1 fid- r-)-7 tL r40 1-td-- Identification- Please Type or Print Clearly OWNER: Name: C, 71 L 15d r;.'L-L�' G th,.� Phone: Address: '7 j S Un/I Contractor Name: l2 L t64" 1-1[,t7-7 Phone: G$ �S— 701 a Email: f? i C 10;L P— y t�'�o� t-,5,7 Address: /0 � F,3 n, qLJ ,/7W-rte LN 1%.A (,; Z&� vim, ✓u P17 Supervisor's Construction License: TO -?/0 Exp. Date: It Home Improvement License: Exp. Date: > ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE:BULDING PERMIT.$12.00 PER$9000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ J3 G v FEE: $ A0 7.0U Check No.: /S.3 Z-- Receipt No.: Pr#70 NOTE: Persons contracting with unregistered c ntr rs o t hava o the guar and _ 9 Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ TYPE OF SEWERAGE DISPOSAL Public Sewer ❑ Tanning/Massage/Body Art ❑ Swimming Pools ❑ well ❑ Tobacco Sales ❑ Food Packaging/Sales ❑ Private(septic tank,etc. ❑ Permanent Dumpster on Site ❑ THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM PLANNING & DEVELOPMENT Reviewed On Signature_ COMMENTS CONSERVATION Reviewed on Siqnature COMMENTS WEALTH Reviewed on Signature COMMENTS Zoning Board of Appeals:Variance, Petition No: Zoning Decision/receipt submitted yes r- _Planning Board Decision: Comments Conservation Decision: Comments Water& Sewer Connection/Signature& Date Driveway Permit DPW Town Engineer: Signature: Located 384 Osgood Street I*::RE�DEPAR�TMENT' Ternp,,,�®umpsfer onsite ayes '`{ t i Locateciaf'124[MamtStreet 'Fi_rte�Departmentyignatuie/date _ { F - •i- i x r... .....c -. .s.«-_...._4 ,...... «.�_�s:s- _x -:c r�-re.�zY.a-. t COMMENTS. 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 NOTES and DATA— (For department use) ® Notified for pickup Call Email Date Time Contact Name Doc.Building Permit Revised 2014 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 -I Building 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 OTE: 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/Cross Section/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 . OTE: 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 2012 IECC Energy code Engineering Affidavits for Engineered products OTE: 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:Building Permit Revised 2014 Location No. d Date . - TOWN OF NORTH ANDOVER • Certificate of Occupancy $ t Building/Frame Permit Fee $ "- - Foundation Permit Fee $ Other Permit Fee $ r_ TOTAL $ Check# /53 1 I Building Inspector Enter construction cost for fee cal - North Andover Fee Caku/ation Construction Cost $ 139690.00 m $ - $ 164.28 Plumbing Fee $ 20.54 Gas Fee 100 comm. $ 100.00 Electrical Fee $ 20.54 Total fees collected $ 305.35 75 Surrey Drive 1098-15 on 6/25/2015 Reno 1 st floor bath r 1• - F NORTH - . w: 1 c . . ve: .. 0 No. _ (oxtjoe z6#2wT % ver, Mass, [OC NIC Nt WICN_y1 7.4 q°Rwreo S U BOARD OF HEALTH Food/Kitchen PER D Septic System THIS CERTIFIES THAT ............ ... ! .ONJ....... BUILDING INSPECTOR has permission to erect ..................... buildings on ................. 5.....3Ck .. ....`Y. Foundation s - Rough to be occupied as ........+. :..%CbJ1W�►M... .. ....T..� ... •� .S�. h Chimney provided that the person accepting this permit shall in every respect conform to the terms of the application Final on file in 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 CONSTRUCTION STARTS Rough Service ..................... ...... . .................. Final BUILDING INSPECTOR GAS INSPECTOR Occupancy Permit Required to Occupy Building 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. Smoke Det. HRIDLCONTRACTING,INC 02 BRIDLE PATH LANEPROPOSAL METHUEN,MA Ol 844 Date Estimate# 5/18/2015 508 Name/Address CAITLIN GILLIGAN 75 SURREY DR. N.ANDOVER MA.01845 Description FIRST FLOOR BATHROOM;REMOVE EXISTING FIXTURES AND WALLPAPER.FRAME FOR NEW SHOWER.MODIFY EXISTING CLOSET AND ADD NEW DOOR FOR CLOSET.SHEETROCK AS NEEDED.PRIME ONE COAT AND PAINT WITH TWO COATS OF BEN MOORE.RETRIM WINDOW AND DOOR IN BATHROOM.INSTALL ALL NEW BATH FIXTURES AS DESCRIBED IN QUOTE FROM PEABODY SUPPY.FLOORING AND SUBFLOORING BY OTHERS.PLUMBING AND ELECTRICAL AS PER ATTACHED QUOTES.PERMIT AND TRASH REMOVAL IS INCLUDED IN PROPOSAL. FIXTURE ALLOWANCE AS PER PEABODY QUOTE DATED 5/9/15.$4306.01.PLEASE NOTE;TAX NEEDS TO BE ADDED TO QUOTE. PROPOSAL IS VALID FOR 30 DAYS. EXTRAS OR CHANGES TO BE COMPLETED AT A RATE OF$85.00/HR/MAN. MA.LIC.#50710 HIC.# 106620 FINANCE CHARGE OF 1 & 1/2%PER MONTH FOR UNPAID BALANCES. 1/3 WITH ACCEPTANCE, 1/3 WITH ROUGH INSPECTIONS,BALANCE UPON COMPLETION OF INSPECTIONS. Total $13,690.00 Signature Phone# Fax# E-mail 978-685-7010 978-685-7010 RFC102@verizon.net