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HomeMy WebLinkAboutBuilding Permit #027 - 96 FARNUM STREET 7/14/2008 BUILDING PERMIToI$ORT bgti TOWN OF NORTH ANDOVER02L'. ''` APPLICATION FOR PLAN EXAMINATION Permit NO: Date Received ��SSACHU5 Date Issued: �---- I PORTANT:Applicant must complete all items on this page LOCATION / ./5�AV A—,17 T ht PROPERTY 01NNERy � C"�,� '7 B l�t- ,,pJc�, 0` Print '-fir MAP NO: PARCEL: '" ZONING DISTRICT: Historic District yes no Machine'Shop Village yes no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential New Building One family Addition Two or more famil Industrial No. of units: Commercial Repair, replacement Assessory Bldg Others: Demolition Other Septic Well Floodplain Wetlands Watershed District Water/Sewer DESCRIPTION OF WORK O BE PREFORMED: Identification Please ype or Print Clearly) OWNER: Name: !2U g�4 ,PZ��� &,P2- o,w.ePhone: Address: ST �Do V /f,- CONTRACTOR Name:2-,k yl erg' Phone: s -IS K- 0,<e Com' Address: // , 4f6A,-79,0's4- �r /1 , w��'`/��� a Supervisor's Construction License: 40Z/ Exp. Date: Q Home Improvement License: Exp. Date: 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.: y�`l Receipt No.: NOTE: Persons contracting with unregistered contr s do not a� access to a guaranty fund �._..m.._____ _T_ _. . __. _ � signature off AgentJOwner gna 're, of - n- actor Location `'t/"/V UPAC-7 El No. ©a 7 Date NORT►, TOWN OF NORTH ANDOVER F • L i Certificate of Occupancy $ CMS t�' Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # r 2 1 Z 3 -18 8 Building Inspector 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 CONSERVATION Reviewed on Signature COMMENTS r HEALTH Reviewed on Signature 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 DPW Town Engineer: Signature: Located 384 Osgood Street FIRE DEPARTMENT - Temp Dumpster on site yes no Located at 124 Main Street Fire Department-signaturefdate 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 2008 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 2.2008 -————————---————— —A -515,RR-ime, Wl 0 M: CONTRACT#U O Oq qn7 MM 1A 1%1 S DD i)VXA STATE ZIP ITY STATE ZIP Jr; TELEPH TEL 7 DATE LOWE'S HOME CENTERS, INC.'SMAHIC NO.:148688 0 FEIN:56-0748358 M li-b. ------ 7.6 -ic% -"PLEASEREAD!}Ii TERMS AND I ON— INMION STREMDRESS enSTATE CITY Z a'P� le�e� S A",,1-;n�i 14 Aha� 4A Contract Total Are permits required for this installation?:[ es [ ]NO *applicable tax included q NOTICE TO CUSTOMER: Federal law requires Lowe's to provide you with the pamplet Renovate Right.By signing this Contract,Customer acknowledges having received a copy of this pamphlet before Work began informing Customer of the potential risk of the lead hazard exposure from renovation activity to be performed in Customer's dwelling unit. PHOTO RELEASE:Customer grants to Lowe's and Lowe's employees the right to take photographs of all work performed at the Premises related to this Contract,and irrevocably grants to Lowe's all right,title and interest in an.d to the.photographs for use in all markets and media,worldwide,in perpetuity. Customer authorizes Lowe's to copyright, use and publish the photographs in print and/or electronically, and agrees that Lowe's may use such photographs for any lawful purpose, including,but not limited to;marketing, advertising, publicity; illustration, training and Web content.By initialing here,Customer agrees to the foregoing. [Customer to initial to the left]. WorAistocpmmencetjp9A reasonable availability of Contractor and/or any special pirder or d G d(s)which Is anticipated to be L _OustoTe 440 044A T-/ [fille in date].Estimated completion date is //-042W,5 Tl�e oo[fiul date]. Said'Eistiriiated sd5stantial completion date is not of the essence. A statement of any confingencies thdt would materially change said estimated substantial completion date is as follows: .(if applicable,insert a statment of such contingencies). IF THE CONTRACTzTOTAL IS$1,000.00 OR LESS Customer must pay in full. COMPLETE THIS SECTION ONLY WHEN.1FJE�t'(SNTRACT TOTAL EXCEEDS$1,000.00: [ ]Customer ty Pay in Full, OR T-1 Customer to use the following payment schedule: (1)Deposit$ o &0. .-to be paid upon siging contract.Deposit should be 1/3 the total contract price;and (2)Payment of$ e; 4a�Z 0 5 6��11—to be paid anytime after this Contract is signed and before commencement of installation,I/We authorize Lowe's to do one of the following'(c-heck appropriate box below): I I Charge my/our credit card for the amount of the payment indicated above anytime after the date this Contract is signed; or Deposit my/our check for the amount of the payment indicated above anytime after the date this Contract is signed;and (3)Final payment of$100.00 to be paid upon completion of the installation and both parties'satisfaction. NOTICE REG RIDING ARBITRATION AGREEMENT R I.M. VE R ED BY M.G.L.c,142 A: LOWE'S AN OWNER HEREBY TUALLYAGREE �ADVANCPfTHAT IN THE EVENT LOWE'S HAS DISPUTE CONCERNING THIS CONTRACT,THAT OWE' UTE RBITR I I RMIM ON SERVICE WHICH HAS BEEN APPROVED BY THE SECRETARY OF THE EXECUT- �tVAT I E ONSUM jLf I 'i�, * LLB R" N �EO KA+B REQUIRED TO SUBMIT G 9W TO PCH ARBITRATION S P I GIL- -7 74 _4 Nwe!s�6 enterRe By:, Date: �caner sligrigm TH IGN kJRES p THE PARTIES ABOVE APPLY ONLY TO THE AGREEMENT OF THE PARTIES TO ALTERNATIVE DISPUTE RESOLUTION INITIATED BY LOWE'S PURSU T TO M.G.L.c.142A.THE OWNER MAY BE PERMITTED TO INITIATE ALTERNATIVE DISPUTE RESOLUTION EVEN WHERE THE .SECTION ABOVE IS OT SEPERATELY SIGNED BY THE PARTIES. DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES AND UNTIL YOU HAVE READ THE TERMS AND CONDITIONS CONTAINED ON THE REVERSE SIDE OF THIS PAGE AND THE FOLLOWING PAGES OF THIS CONTRACT. BY SIGNING BELOW,YOU ARE ACKNOWLEDGING THAT YOU HAVE READ,UNDERSTAND AND AGREE TO-THP- TERMS AND CONDITIO SET FORTH ON THE REVERSE SIDE OF THIS PAGE AND THE FOLLOWING PAGES OF THIS CONTRACT. E ITLED TO A COPY OF T"IS CONTRACT AT THE TIME OF SIGNATURE. YOU A E WIT ES OUR HAND( D L(S)BE THIS DAY OF Lo ' Ho r c S e 0 w &V Co-owner orWitnesis C stomer acknowledges receipt of—a!rue copy of this Appritract Akh was completely filled ini—prior Customer's execution hereof.You,the buyer,mai cancel this transaction at any time prior to midnight of theAkfird busi'llep _s day after the date of this transaction.See the.attached notice of cancellation form for an explanation of this eight. Massachusetts - Departrnent of Public SafetN a Board of Building Re�oulations and Standards .I Construction Supervisor License j License: CS 4021 Restricted to: 001 d r" DANIEL R WIRTH 11 WAGONTRAIL RD CHELMSFORD, MA 01824 I Expiration: 6/10/2010 ('ununissiuy�er Tr#: 26022 � ✓fie (/JG�Yq�ypryu�tr� o��/�•eaczc�zcc0elia ._ Board of Building Regulations and Standards HOME IMPROVEMENT CONTRACTOR Registrafori,•, 118893 Expiration 5%3/2009 Tr# 267114 { a ' Type: DBA C.S.P.CONTRAtrTIG DANIEL WIRTH ;1 "•',', ''�� i 11 WAGON TRAILS CHELMSFORD, MA 0984'' N Administrator d NORT1y 0 o _ Andover 7 o '� dover' ' Mass. Q Z' A_ COCMICMEWICK y�. '7,9 ADRATED S `S BOARD OF HEALTH PERMIT T Food/Kitchen Septic System BUILDING INSPECTOR THIS CERTIFIES THAT............... .s......r�`' s �� Foundation hasP 9 .� ermission to erect........................................ buildings on ... ......... ................................... ................................ Rough A r � to be occupied as............... ..Wim° 1' ........,.S���' %7eec!?�...0. 1.{`C,�1....... '.,..: ...,...;................... Chimney provided that the person accepting this.permit shall in every respect conform to the terms ofne 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 STARTS Rough .... ......... .......................;,:�4............ ........................ Service BUI �CTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Rough Display in a Conspicuous Place on'1the 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. PROPOSAL " PROPOSAL NO. f� SHEET NO. C7 fS _vZy 0/i _7Pd9/ DATE PROPOSAL SUBMITTED TTO:A WORK TO BE PERFORMED AT: NAME ADDRESS ADDRESS DATE OF PLANS PHONE N0. ARCHITECT We hereb p pose to furnish the materials and perform the labor necessary for the completion of l v ., 7-:: a Z p X Ole fe 49 IF 10 — All material guarantee to be as specified and the ab ve_work to be performed cordance with--the drawings-a specifi- cations s mitted fo ove work and-tom ted in a sub ial workirnplik er for t /m of C. o fa r wi payments to be made as folio _� r"�' t� .��_� - f Irl! � /'7 t' ,�_f•!!/4. espectfullf'submitte Any alteration or deviation from above specifications involving extra)rge will be executed only upon written order, and will become an extra c, Per over and above the estimate. All agreements contingent upon strikes, aC- cidents,or delays beyond our control. i w C Note— s proposal may be withdrawn n -oft jU y r by us if not accepted withiri==Zedays. / ACCEPTANCE OF PROPOSAL The abji , e. rices s e i otic p /, j n and conditions.are satisfactory and are hereby accepted. You are authorized to do the work as spe , . Payments i11 be m de as outlined above. Sea, tilc6e �c en) � �'/-c 1),<J !i f. �<� U r�/���✓!u-- ,��,. ham, ' �%u-d (/ry/oy l Signature / Date .J Signature a.,ade— NC 3818.50 PROPOSAL