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HomeMy WebLinkAboutBuilding Permit #219 - 8 ALCOTT WAY 9/20/2007 13UILv1IVV rCRmM I TOWN OF NORTH ANDOVER p APPLICATION FOR PLAN EXAMINATION Permit N0: r Date Received T.°•�"'`c5 �SSACHUS�� Date Issued: A Z IMPORTANT Applicant must complete all items on this page I' OF .f'�""c �.`d• " " 1 3' 3 +._�7 ag:�„ Fa? 4 'q. /' f•�;�, e�� �7 � �r,�rS�� .`�t� .3 � v ���� ''�,.k'��.��^sd q��'Y" 1F3 �'��E � � � w` .�y� k• � Y H : r TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building 0 One family ❑ Asidition ❑Two or more family ❑ Industrial Alteration No. of units: 0 Commercial [-Repair, replacement 0 Assessory Bldg ❑ Others: ❑ Demolition ❑ Other MOOt DESCRIPTION OF WORK TO BE PREFORMED: I Identification Please Type of Print Clearly) OWNER: Name: Phone: �() 3 Address '�:g $x ;1 r �'",• q 1 s'1-s ''�'P "�yyS� ya, s„[{�ti::RC s �� to ro� x." ., e i a4. •r v,t� z`,is .c- %a - ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE:BULDING PERMIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ o06 FEE: $ Check No.: 7 Receipt No.: v����•� , NOTE: Persons contracting with u registered contractors do not have access to th u anty fund r SFSllew t Location /l � co No. Date 2U N�RTN TOWN OF NORTH ANDOVER 0 9 + Certificate of Occupancy $ CNUs<� Building/Frame Permit Fee $ 7,R Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # 20616 Building Inspector Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ TYPE OF SEWERAGE DISPOSAL Public Sewer ❑ Tanni.ng/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 DATE REJECTED DATE APPROVED PLANNING &-DEVELOPMENT ❑ COMMENTS I DATE REJECTED DATE APPROVED CONSERVATION ❑ ❑ i COMMENTS i DATE REJECTED DATE APPROVED HEALTH ❑ ❑ COMMENTS 1 I� Zoning Board of Appeals:Variance, Petition No: Zoning Decision/receipt submitted yes i Planning Board Decision: Comments G i Conservation Decision: Comments Water& Sewer Connection/Signature 8Date Driveway Permit Located at 384 Osgood Street WIRE) ttiFl i y";m���;� ��������� s v�rv�lf�'�.. � ''�Y�S� x���• w- �.i�~ ��-`. ��`" �s'�"�i��"� I fil �«. r as .�nss sr:' .�, ^k,, ��3..w�a��,"��Sx� -�'.�,�`%''�. "��>��.�,'� za;'`� v` � �� •e � i 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 21 A—F and G min.$100-$l 000 fine NOTES and DATA— (For department use) 13 Notified for pickup - Date Doe.Building Permit Revised 2007 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 ❑ 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 NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit Addition Or Decks ❑ Building Permit Application u Certified Surveyed Plot Plan u Workers Comp Affidavit ❑ Photo Copy of H.I.C. And C.S.L. Licenses ❑ Copy Of Contract o 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 � e 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 NOTE: 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 2.2007 SEP-20-2007 10:12 From:DEMELLO INSURANCE 508 880 0972 To:9786889542 P.2'2 �. tuc1 11:34A ASSOClAT.D INSURANCE DATE - 1ODUCER A Del dlo Inbum" TO CSRTMICATS IS IOUBD AS A MATTER OR IM'OMMATION ONLY ANO CONPBRS NO 1tOH"UPON THB CERW rATE HOWW.THIS C51trPiCATE Y DOES NOT AMEND,1; 7M OR ALT81l TIiB OOVEMOE AIR�ORDF.D HY THB 115 sdleol soroet roL1C1E.9 BrO,oW�, ouDroD,MA 02760 CONI(eAM A"ORD1NG COVERAGE rl:u Rci ba Rrri Gbne{tuglon COMPANY A AIM.Mumd 7DaW uo Co 0Tamon AvRnue 6$TtBR .MA 02766 tHISIS Ct'JtTIfY[HATTIiflpOLIC(ESOFlN9l91ANC$USTSD98LOWNIWE1118M SU TOTMRGUMUNAMRDABOVE ltyfir pLICY MUDD WICATPD,NOTWI'I A'XDINC,ANY RMP U18MEMT,TEAM OR Co 0111 N Op ANY C0INTMCT OA OTHE1 ppCUIMBNT wITH aeSrtY:r TO At,L D THIS CERj=LtTE MAY d6139UEDOR MAY P11ItTA1N,THE INSURANCE APPORDBD BV THEFOLICIN DBSCR BBD HWABrN IS SUSIZCT TO A tL THB TER1yS r7aCUrs ON ANC CONCYMNB oP 9UCH POWCB?S,tJMnS SNONM MAY v$BEEN D 9Y AAIO CLA WS. Ps 7Y1LbO1:1IMA`/Ca r01aLYNuMOJt POUCTLIem"s roI.IL wRAno w.Tenr�vrr► wnpiMwenn areae CeNLILIi uAeearr MWALAaOeee.re Q C010r41C1At.0 W vA�titw•p,rtY ©�GuM7NAo0(�OCLUe eeeeo�LAAovppwr i � [�oeaoaYooan.Ac?airear �e � IAoaAMAOeP"W$ ACrauoea(a L1AMM.{T' Mea eine LOW COMMON" ANVAuro ALL OWMA" N�YNAeIY kllpD:M1®Ayroe 1�.wW i MaeCAveee Ho�owido Armor eae`reaAr cM,ee Lwertr (hrlyde�l iTf.ZNLtAeq,ltr MIdeMITa,WpO♦ eAG1t oONllile'Kt WOULLW IIDMY AaaeWllTe i OTW*TN{�1 WINWLA reeM WORrJM CO)OW"TIDN AND �TAMW UUM W4PLovta9 UAt1:1d1Y x runWau $.EACHACCIDBNi A �r�rL urn. 100.000 AM si,, Ohm 7020572012007 02104447 OV0412001 +W msAaD.mucyt"T 500,000 DIS UCH tOQ,000 COb1mgxlw l)v CwrnoN OF ORga—loris-a 40CATIO UNAS ILEI is NOT COYCRICD IIY Ta Wool irco muTION Powy, I AMr OF TMa AYOva OIACww rOMM 0I CAltOiUJI)aeM01u THE lRPsA110H DA" �WIVOPSWHUAY Iw10PTDT1�IRmKow�rr,e�rr�AOLroVM 9mf bolow?a DEPT OF tUE LIC WORM IJA8n,1PY OF Am Xpa tM TIM C*VAMY.ft AOiDlffOR�D1I ATNHt OLD LANCAM]t RD DDRURK,KA $1776 ISEIPPAT W3 SEP-20-2007 10:12 From:DEMELLO INSURANCE 508 860 0972 To=9786889542 P.1/2 j _... N0.741 P.2/2 P-3.?W— 12,05p, Alm KMQ- RAA= �yualYh CERTMgATE (J CCin iftiv � Donald A DeMeUo bmmo COWANW AMRDVW COVE"" ABa w 145 3401 Sum Tev =,MA M780 I AI1Y A A.LM.M Co LOW Rd dM Rei Can O° 269 tOMA AV*= NOtson.MA 02766 qTvrm an ccv A xeuzr,ffi or ....Oil;o��N+r1° UDD ffisus TO R� rrTO Aa TEE— mipIC/►'l'8D NO TA1Y8 MU L'LAMB � �gfiAYAB �BUmtlOLUMSI ROW@�W► YHS�i�ED11f�W VAM g�yplml@S AND C011>S�' �0{fCt i� LLunm � �O/D1�A1b ��� �� ����» WA�W�➢QATB i �u,Di�A4ivaG�1N 1.iA0�'•"MY f Ott f is wo d ! �v�p4lOGM�w e �o f Aero Yrain f owa�aaAtfeO! rf°! 1ppap�ppAMd 1 AUM X10 A" DA�IIG4 i 1�A06LIAi/.t'rr OCCYRppNCg ! aAmm wQ/M "="A m11RlLhtar X Mme{AND yNp�,oYGI!' 7QrI�d79d1'100'f ; �..-- 00� X i acow�A C�t74RlQATI�BOLDER O ibL1�968CAtiQ�.t►� T� ' 0 C01WNf1t WEJ.3CVO&%Vm To TOWN OF MANS c�r�acATsxo> ► To?>� �. SBALL 1D0'o�NoUAW.VV OP A" DiLTOA'['tON 03 Y CR4NY� r" AQiQRa QA Oi 6 FAM ROW MANSIUM M& 02M NORTH ANDOVER BUILDING DEPARTMENT Tel: 978-688-9545 DEBRIS DISPOSAL FORM In accordance with the provision of MGL c 40 S 54, a condition of Building Permit at: is that the debris resulting from this work shall be disposed of in a properly licensed solid waste disposal facility as defined by MGL c11, S150A. Also, note Permits are required under Fire Prevention laws'Chapter 148 Section 10A. The debris will be disposed of in: v1 T (Location of Facility) Signature of Permit Applicant i Fire Department Sign off: Dumpster Permit /Q-2 Date i i NORTH Town of 0 No. _ l yo '� dower Mass. ' 7 T O � LAK 1 CO CKIC..WICK �d ADRR7E Di `S BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System BUILDING INSPECTOR THIS CERTIFIES THAT ...... .14/ 1,0 . ..... "' Foundation 0 t has permission to erect........................................ buildings on.......... ..... .. .kco.. .. .......... .. .............. Rough to be occupied as........................Ser 0.....V4..... ......... ............................... Chimney .... ............................ provided that the person 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 PERMIT EXPIRES IN 6 MONTHS Final UNLESS CONSTRUCTION S T ELECTRICAL INSPECTOR Rough -'�--`-- BUILDING INSPECTOR 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. SEE REVERSE SIDE Smoke Det. i �x eowtw�� 04,1 - Board of Building Re ulatibns and Standards One Ashburton Place - Room 1301 Boston. Massachusetts 02108 Home ImprovementC7.6tractor Registration n Registration: 139280 t` Type: DBA ry _ = Expiration: 6/26/2007 REI CONSTRUCTION LUKAS REI =. 269 TAUNTON AVE. NORTON, MA 02766 Update Address and return card.Mark reason for change. DPS-CAI 60M-04/04-G701216 Address E] Renewal 0 Employment F, Lost Card Ci - .r. _ �� �amvnzoozuiealC�z a�,/G�a4eachuaetia Board of Building Regulations and Standards License or registration valid for individul use only HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: 4A Board of Building Regulations and Standards Registration t 39280 One Ashburton Place Rm 1301 Expiration Y6/26/2007 7 Boston,Ma.02108 r Ii�� Tppe:�[7Bk REI CONSTRUCTION WAN LUKAS REI `, € 269 TAUNTON AVE. 4 � � --- - — y - NORTON,MA 02766 Administrator. Not valid wi t signature ' f Prop0sa( Dale:8!21107 REROOFING 2768 Taunton Ave•Nanton,Ma 02766 4(508)726.8910 Nalllle: Alcott Vlla�t Street: 12 A ICM Way City,State end Zip Code:N.Andover,Ma 01845 Phone:(603)7664547 We bank ERM to f m ish mg—mials sect lahor_moea'mthe qmwsn-of. 1. Strip off exWft roofshingles to oelginal wood dung I tatcall 3'lcdvratler shield and 301b molting fdt gaper wWataymem 3. maw r alsatiamo drip edge at sit facia and sloes 4. Install 30 yea cmu&mml 3 tab shingle m Bask We of bA t8ag S. Iosmll cobra rWp Yondbakm an entae building 6. minora clapboards from all deeek galls in actor to iee/vrater shield wails 7. dpbw a4'dtmgpd gong walla.dtiroerey'r.eaves as necessary 8. ranine and tlipiace 6 skylighu with at■dard vdox dVIO s 9. Reowve A exidba depboatd siding 00 4 ehitmar 10. b mll mw Auk atlases ad v*I adding small cbimms 11. ckmupand A""aLfallsoofingdoin 12 Roof comes with s 10 year vironls and dp vramt mW 13. Roof is to be kept 100%wvW Or darag eatsaaWoo 14. Plywood rapkroeareat is M per sheet:iF seeded 15. N plywood bee to be eenmeed dee to verNihtaoo wtd Styrsfoaen tbaffies have to be in�aglled as e�ma coat of 11,200 w�be added to aasr0aet We In hereby d fmalsh mata•tat acrd tabor_oo Iow in ecooa 4 ce vitb the above spoefficadom for die smn of sky diouimnd thtse baedaed SRy(560,350} Paymaots tD be made as tblilows Deoaais of�Sl6 die ossa amt of iwfoa; 'e� Lg�yn>e due upm aoomksim of iob All onaterial is 0araat1 1 late u specified.AD wodc is to be cu mploted ins Me- dal Workmwdiko aooxft to speei6anions t,l e 0--, pa+uta pis Amy Aken6 a or dovlaios Desi dee spoMmaias tovolvisg extra cost wff1 be executed Only upon vrriltm cidas aid a extra dmV over and a chc momaw Adioo, SWmdws. Data 11 d� Leas Nei Acrept see ofp.rapD.I. SMMSdnbom 71re above pica,spoe9Co" and- O" lare 3at6fadmy ad are booby aoaepted.Yon lire aelhoriad to dodo work u ti Nolo:TI&proposal may be widtdrawn if ud scoop ted widaa 60 days if dors is a snack ir(:rease