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HomeMy WebLinkAboutBuilding Permit #735 - 981 JOHNSON STREET 5/25/2006O � w �ss�cNust Permit NO: Date Issued: TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAM NATION tNIPORTANT: LOCATION �( PROPERTY OWNER Q MAP NO.: PARCEL: Date Received: Z} v & icant must complete all items on this Jo41'150 4 57 - Print % Print �Di� L Print ZONING DISTRICT: TYPE AND USE OF BUILDING HISTORIC DISTRICT TYPE OF IMPROVEMENT PROPOSED USE Residential New Building XOne family = Addition = Two or more family Alteration No. of units: Repair, replacement Assessory Bldg .Ulic Demolition Moving(relocation) -Other Foundation onl DESCRIPTION OF WORK TO BE PREFORMED OVvNER Address: Identification Please Type or Print Clearly) YES 0 Non- Residential Industrial Commercial Others: U4,V Phone: 7 91_1�5g'52i3' CU`�ITIL�CTUR Manic: ✓�5`� Address: of � � �� g % Exp. Date: 121106 z ►d SuperN isor's Construction License:_ l f Ionic Improvement License: 1q fg 53 Exp. fate: -2 / ®$ KCI II I I C f E;N( [NCEIt Vinic: ('hent:: Address: Reg. No. FEE SCHEDL LE: U LDIAG pE R•b11T: 510.30 FER 5i 000.00 GF THE TUT I L EST1,21. I TED COSTS, ISEDOA S1= 5.0/1 PER S �• Total Project Cost :$.___moo°Q x1(1.0(1=FEE:$ -- (:heck's;; i �) 9 1 Receipt No.: C,2I TYPE OF SEIKARGE DISPOSAL Public Seiner Well PriNate (septic tank, etc. TanningAlassage Body .art Tobacco Sales Permanent Dempster on Site Su imming Pools Food Packaaini! Sales Electric deter location to project NOTE: Persons contracting with unregistered contractors do not have access to the gi n Signature of Agent; 0 -wrier of Contractor Plans Submitted Plans Waived Certified Plot Plan Stamped Plans THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - l: FORM PLANNING & DEVELOPMENT COMMENTS CONSERVATION COMMENTS IWALTH CO.tiI-Nv1ENTS I.oning Board of Appeals: % ariance. Petition No: DATE REJECTED ❑Water Shed Special Permit � i Site Plan Special Permit Other DATE APPROVED DATE REJECTED DATE APPROVED i� DATE REJECTED Zoning Decision receipt submitted N es ilanning llmrd 1�eci-.1011: Cnmmcnts C,)oscr\;&cn Dcci:;ion: '1, "kx ecrnection Jate Comments DATE APPROVED ;crop i7umpster Cn site es— no — Fire Department J,.,naturr date _ -- _--- --- _ -- Building Pcrmit .\ppro%cd and lssucd by: h'lysv'— Building Setback (ft.) Front Yard Side Yard Rear Yard Required ProN ided Required Provides Required Provided DIMENSION Number of Stories: Total square feet of floor area, based on Exterior dimensions. Total land area, sq. ft.: 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 a Photo Copy Of H.I.C. And/Or C.S.L. Licenses Copy of Contract Floor Plan Or Proposed Interior V1 ork Addition Or Decks Building Permit Application Surveyed Plot Plan 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 Hydra Calculations (If Applicable) Mass check Energy Compliance Report (If Applicable) New Construction (Single and Two Family) • Building Permit Application • Certified Proposed Plot Plan j Photo of H.I.C. And C.S.L. Licenses * Workers Comp Affidavit o Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (If Applicable) o Copy of Contract Mass check Energy Compliance Report In all cases if a %ariance or special permit was required the Town Clerks office must stamp the decision from the Board %ppeals that the appeal period is o-*er. The applicant must then get this recorded at the Registry of Decds. One cop3 ai proof of recording must be submitted with the building application I( E:; MAI `.R'I W', VAIV1')R �p5 Locationf k"<, 0 — S - / No. �� Date r►aRTN TOWN OF NORTH ANDOVER 0 s Certificate of Occupancy $ s�CH�s t� Building/Frame Permit Fee $ Foundation Permit Fee $ —; Other Permit Fee $ TOTAL $ Check # /0 5- ( 192'1 5 Building Inspector Dussaulft Carpentry l��_ ��99oJol�v�,sow st North Awdover, MA 01845 781-858-5134 dan_dussault@comcast.net Name / Address Gary Westphal 981 Johnson St. North Andover, Ma 01845 Estimate Date Estimate # 5/25/2006 7 Description Rate Total Building Permits 300.00 300.00 remove all wallboard, insulation and tile to sub -floor. 1,500.00 1,500.00 Electrical & Lighting (Jutras Electric) plan and fixtures See attached breakdown 4,775.00 4,775.00 Plumbing: (Soracco Plumbing) See attached breakdown heat and fixtures TBD 1,500.00 1,500.00 Interior Walls insulate walls blue board and plaster 2,000.00 2,000.00 Cabinets & Vanities install kitchen Cabinets and trim (cabinets and countertops 3,000.00 3,000.00 supplied by homeowner) Floor Coverings install hardwood flooring (Red Oak) kitchen and family room 3,500.00 3,500.00 sanded with 2 coats finish. on site container 600.00 600.00 Customer Signature: Gary W stp al Any questions please contact me at 781-858-5134 Total $17,175.00 The Co.mrnonwealth of Massachusetts Department of Fire Services Office of the State Fire Marshal P. O. Box 1025 State Road, Stow, MA 01775 PERMIT North Andover Permit No ( City of Town) ( If Applicable) In accordance with the provisions of M.G.L 14 8 Chapter -,.Q_ as provided in sccti0--qII--GMR 34 This Permit is granted to: Date: Dig Safe Plumber Start Date Full name ofperson, Firm or Corporation Permission to locate dumpster for construction/ re.novati on/demolition of building. Comments: dumpster must be 25' from structure if unable to place with required Restrictions: clearance dumpster must be covered with plywood or tarp end of work day at ( Give location by street and Fee Paid S 50.00 This Permit will expire��Sil a c er as to provied adequate identification location ) �ire Chief granting permit ) Offical granting permit ( Title ) CO) m m m CO) EPmm ) y d C � � d y Cl) CD n Z y CL O F• = ?O CL = y ''O O C07 o v CD CD o CLQ % d CD CD O CC CD mwaC CD y. C. CD CZ O CO) CO CD I � v H O 1 Z CD � oCD 0 C CD 0 le O 0 3 VJ cn n O VI US cn 2 O C =?� o ? 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