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HomeMy WebLinkAboutBuilding Permit #252 - 800 MASSACHUSETTS AVENUE 10/5/2007 BUILDING PERMIT of AORDTH qti TOWN OF NORTH ANDOVER �� 4`t' -,6 ° �0 0 . APPLICATION FOR PLAN EXAMINATION p �^o ear Permit NO: C:;;,CDate Received 4 Ar D SSACHUS� Date Issued: /®­'6-V IMPORTANT:Applicant must complete all items on this page x LOGATIO.N� Pnnt z PRO F2`f PEY DINNER ` + x t f t 1 Vr MA►P NO PARCEL ZONING D'JSTRICT w ; istoric District yes -o, - � ti Mackie Shop Village ..Yes 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 Septic; 11Ve11' ;, Floodplain Wetlands, 'UI/atershed Dist- W, eter/SsinrerFzy' a DESCRIPTION OF WORK TO BE PREFORMED: Idenffication Please TVDe or Print Clearly) OWNER: Name: tM U U © -�>i- LTi NSA Phone: Address: CONTRACTOR Blame . _ _ Phone C ' 7 p Supervisor's Construe#ion License Exp Gate _ p t v Horne ICnprovernent Licensew �`� 1=xp fiDate �` ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE.BOLDING PERMIT.$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ r dG FEE: $ Check No.: Receipt No.: J 6 6� NOTE: Persons contracting with unregistered con -actors do not have access to th ntv and Signature of Agent/Owner Signature of contractor. 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 DATE REJECTED DATE APPROVED PLANNING & DEVELOPMENT COMMENTS DATE REJECTED DATE APPROVED CONSERVATION COMMENTS DATE REJECTED DATE APPROVED HEALTH COMMENTS Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments Conservation Decision: Comments Water & Sewer Connection/Signature&Date Driveway Permit Located at 384 Osgood Street :FIRE;DEPARTMENT TTemp, um1pster on site yes no Located at 124Main Streets - 'Fre Department signature/date - r " x :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 - Date _..........._....__.....__........._...........-__.............__...__....._-............_..__......_............_.._...-_..........._---...- Doc.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 ❑ Certified Surveyed Plot Plan ❑ 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) ❑ Engineering Affidavits for Engineered products NOTE: 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 ❑ 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 Locations No. c- Date RT TOWN OF NORTH ANDOVER s i Certificate of Occupancy $ , Building/Frame Permit Fee $ ` CH Foundation Permit Fee $ ' Other Permit Fee $ TOTAL $ _ Check #_ r 20650 Building Inspector t4ORTH Town of _: Andover No. a S a- =- _ - o W dower, Mass. om O �= LAK 1 COCMICKEWICK 7,p0RATED 1 BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System • • BUILDING INSPECTOR THIS CERTIFIES THAT.................................................... ................... ......... Foundation has permission to erect..................... buildings on ......... Rough OD........... ..I.................. ...... to be occupied as.. ... Chimney provided that the person accep g 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 Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTION T Rough ..... Service BUILDING INSPECTOR 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 Smoke Det. }�� a X-.s�.° t' f�`��,�„�d�:'�,�`F��+�. '���'�✓ '�'/G1�'� �%'2.>/ .✓ wi�a .F-.a'C.rY✓ .r./"�'+t.' Board of Building Regulations and Standards r One Ashburton Place - Room 1301. Boston. Massachusetts 02108 Home Improvement Contractor Registration Registration: 152999 I ype: Ltd Liability Corporation Expiration: 10/23/2008 Tr# 253045 ON TOP ROOFING AND PAVING DONSTR WILLIAM NUTTALL 23 RIDGEWOOD DR AUBURN, MA 01501 Update Address and return card.Mark reason for change. Address Renewal Employment lost Card ON TOP ROOFING AND PAVING CONTRACTORS Proposal am Toll Free: 1-888-972-8464 Master Card PROPOSAL# T�p FREE ESTIMATES • FULLY INSURED Visa Card ROOFING AND PAVING COMRACfORS SHEET# 23 Years of Workmanship with references F FINANCING AVAILABLE DATE All Work 100%guaranteed in writing PROPOSAL SUBMITTED TO: WORKTO BE SUBMITTED AT: NAME ts. ADDRESS: .-t ADDRESS: - ff '.h S ,�i t •r L�) +\r4 S 1�"5 t' e•r `7 i C'£'1: ��°�.1 i i i t I/ C « i n,.... PHONE ARCHITECT:.,! .> - ON TOP ROOFING AND PAVING CONTRACTORS We hereby submit specifications and estimates for ROOFING 1. Cover house and shrubs with tarpaulins for their protection. - 2. Strip existing roofing up to 2 Layers(Extra-$50.00 per layer per SQ.FT.over layers) 3. Renail all loose roof boards.,v 4. Replace all rotten roof boards up to 50 sq.ft.no charge.$5.00 per sq.ft.thereafter.., / Y 5. Install `%', feet ice and water shield at all gutter edges,valleys and chimney. .� e t .1- '�1cn_ t c,rj 6. Install aluminum drip edges to all edges. color ❑White ❑Silver ❑Brown Ft. n ;r; p'5inch ❑8inch r 7. Install 7'r) Ib.felt underlayment. 8. Reflash dormers and wall areas if any as necessary. •�,� 9. Weave all valley,if any. - 10. Install new roof flanges on vent pipes.yr 11. Install new roof shingles to all roofs on house,ARCH orC3TABi a color sq._' #. ❑ Porch-Roofs 12. Install new aluminum chimney step flashing. 13. Install new ridge vent to all peaks. 14. Clean all gutters., 15. If needs plywood after stripping roof it will bean extra charge at fair market price. 16. OPTIONS: 11 Flat rubber roof ❑Soffit vents ❑New lead chimney flashing ❑Chimney rebuilt E❑'Dumpster and Extra's: ❑Garage D Hurricane nailing ❑Skylight or Flashing ❑Facia or soffit replacement ❑Gutters ❑Bay roofs ❑CDX plywood ❑Lowslope ❑Material supplied by customer All checks payable to ON TOP ROOFING PAVING CONTRACTORS - All dates are contingent upon adverse weather. We take no responsibility for dust and debris irrydur attic.Please cover and/or remove valuables.Magnetic cleanup for nails.All debris to be removed.Fully licensed and insured.All work warranted for 25 to 30 Respectfully Submitted ON TOP ROOFING AND PAVING CONTRACTORS years.You may cancel agreement if it has been signed by a parry thereto at a place other than an address of the seller,which may be his main office,provided you notify the seller in writing at his main office by Per ON TOP ROOFING AND PAVING CONTRACTORS ordinary mail posted,by telegram sent,or by delivery,not later than midnight of the third business day following the signing of this agreement. NOTE-This proposal may be withdrawn by us if not accepted within 15 days. f TOTAL `per YOU HAVE 72 HOURS TO CANCEL THIS PROPOSAL.AFTER 72 HOURS, DEPOSIT IS NON-REFUNDABLE. Payment Plan Date: Pcrept nre of Proposal 1/3 Deposit '! �• !"'`v r. The above prices, specifications,and conditions are satisfactory and are hereby accepted.You are ��' authorized to do the work as specified.Payment will be made as outlined above. 1/3 Start Customer Signature 1/3 Completion.. ' ; ;...r- Salesman Signature '� 5 r t �' !: