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
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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 )
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