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HomeMy WebLinkAboutBuilding Permit #691 - 9 ROCK ROAD 3/30/2012BUILDING PERMIT TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit NO: / Date Received RTfj TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building ❑ Addition ❑ Alteration ❑ Repair, replacement ❑ Demolition ❑ One family ❑ Two or more family No. of units: ❑ Assessory Bldg ❑ Other DESCRIPTION OF WORK TO BE PREFORM a ❑ Industrial D Commercial ❑ Others: Identification Please Type or Print Clearly) OWNER: Name: Phone �QU-�f - OY 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: $ FEE: $ Check No.: i ) `f Receipt No.: ra NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund 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 a Workers Comp Affidavit o 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) o 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 o Photo of H.I.C. And C.S.L. Licenses o 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 C 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 ❑ COMMENTS CONSERVATION COMMENTS HEALTH COMMENTS ❑0 ❑■ DATE REJECTED DATE APPROVED V DATE REJECTED DATE APPROVED DATE REJECTED DATE APPROVED Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments Conservation Decision: Comments Water & Sewer Connection/signature date Located at 384 Osgood Street Driveway Permit 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 Doc.Building Permit Revised 2007 Location No. Date V -j a --- ' TOWN OF NORTH ANDOVER Certificate of Occupancy $ ` Building/Frame Permit Fee $ } Foundation Permit Fee $ _ " Other Permit Fee $ TOTAL $ Check #..—1 Y�. .. - . _.. 25376 A Building Inspector 1-10 4r 3 wIAVwz MA Reg. # 118836 MA Lic. # 016201 /1 eqs W Hi -Tech Window & Siding, Inc. P.O. Box 8234, Ward Hill, MA 01835 1-800-851-0900 www.hitechcorp.biz Date: ©� / / ' )- Job Name: u fj�" e o h Job Address: D OUSINESs tre � G wBBB> H f (, MEMBER Consultant: 14 Chtit TelephoIM i g o ,o Town: CONTRACTOR agrees to start described work on or about =� weeks after final fittings, and complete described work in about 5 working days. CONTRACTOR shall not be held liable for delays due to cause beyond our control. Hi -Tech shall not be held liable for any damage to lawns or plants. CONTRACTOR shall not be held liable for any damage to painting or stain during installation of windows or doors. Hi -Tech does not do any painting or staining. In the event that a punch list should accrue at the end of the job, a maximum of 2% is the allowable amount to be held back. The following work includes all labor and materials needed to complete ur ' b i II workmanlike manner. .t << I c e rhe o h int- Kt' ► s c ?74 s ' ' PPR MAW Of) d /il G C tr S ct,Ka nec W[AkJ QJ4k 0 P J Q I r 3 551,1k CV(M Q/V*I1'QUM s 35-o sea. 00 THE OWNER SHALL PAY FOR THE WORK ❑ In cash or check upon completion ❑ Hi -Tech will make bank arrangements ❑ By bank modernization loan ❑ Owner will make bank arrangements You may cancel this agreement if it has been signed by a party thereto at a place other than the address of the seller, which may be his main office or branch thereto, provided you notify the seller in writing at his main office or branch by ordinary mail posted, by telegram sent, or by delivery, not later than midnight of the third business day following the signing of this agreement. See the attached notice of cancellation form for an explanation of this right. All material is guaranteed to be as specified. All work to be completed in a workmanlike manner according to standard practices. Any alterations or estimate deviation from above Authorized Signature specifications involving extra cost will be executed only upon written orders and will become Date an extra charge over and above the estimate. All agreements contingent upon strikes, accidents or delays beyond our control. Owner to carry fire, tornado and other necessary insurance. Our workers are fully covered by Workman's Compensation Insurance. NOTE: This proposal may be withdrawn by us if not accepted within days. An interest charge of 1'/2% per month (18% per year) will be Date of Acceptance added to any amount unpaid after 30 days from invoice date. Signatu In the event of default of this order or any part thereof and the account is referred to an attorney for collection, the purchaser agrees to pay reasonable attorney fees. Signature_ A to cn r w y � w d � o O — ti C/' o 75 Cf1 CA 10 Cl) Q b H CD O Z CO2 b O �.o CL�... 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