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HomeMy WebLinkAboutMiscellaneous - 14 ROBINSON COURT 4/30/2018 14 ROBINSON COURT f 210/005.0-0042-0000.0 Location No,.!��. Date NORTH TOWN OF NORTH ANDOVER 4-i Certificate of Occupancy $ Building/Frame Permit Fee $ C U Foundation Permit Fee $ Other Permit Fee $ TOTAL $ 17 Check # 18879 Bbilding Inspector TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REP RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING Za��9d AW 1W ow BUILDING PERMIT NUMBER: .. DATE ISSUED: rn �s !s•/1�os— � MIMI SIGNATURE: Building Commissioner/12f for of Buildings Date Z SECTION 1-SITE INFORMATION O 1.1 Property 1.2 Assessors Map and Parcel Number: 0z"' t,uAo 41 & 1 (�/�2�/ Map Numbs Parcel Number 1.3 /Zoning Information: 1.4 Property Dimensions: Zoning DisLict Proposed Use Lot Area Fronts ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide Required Provided Re red Provided v 1.7 Water Supply M.G.L.C.40.§34) 1.3. blood Zone Information: 1.8 Sewerage Disposal System: Public ❑ Private ❑ Zone. Outside blood Zane ❑ Municipal ❑ On Site Disposal System ❑ SECTION 2-PROPERTY OWNERSHIP/AUTHORIZEDAGENT M:.*!:C;t;C DStf!Ct: ^; 1140 ITI j� 2.1 Owner of Record J rmr� � � Cc`C.nrl�rn _ ILA c-A- . No Name(Print) L j Address for Service: —7 Signature Telephone 2.2 Owner of Record: Name Print Address for Service: Z M II ignature, Tele hone 90 SECTION 3-CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: Not Applicable ❑ Licensed Construction Supervisor: F,.s/ License Number III Address ic Expiration Date MEEND Signature Telephone r 3.2 Registered Home Improvement Contractor Not Applicable ❑ D oral Roofing, I �} Company Name —"' /0 fes` M PO Box 637 Registration Number r No &-Ainu ZAA 01864 r— Add ess G' 0 Data G) Signature Telephone Y `r SECTION 4-WORKERS COMPENSATION(M.G.L. C 152 § 25c(6) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the buildingperinit. Signed affidavit Attached Yost...... No.......0 SECTION 5 Description of Proposed Work check aH applicable New Construction ❑ Existing Building ❑ Repair(s) ❑ Alterations(s) 0 Addition ❑ Accessory Bldg. %D&nolrtr n 0 Other 0 Specify ` Brief Description of Proposed Work: SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)to be OFII`ICIAL USE ONLY Completed by pmnit applicant I. Building (a) Building Permit Fee �—..— Multiplier � 2 Electrical (b) Estimated Total Cost of �— Construction 3 Plumbing Building Perm't fee(a)x (b) 4 Mechanical HVAC ( _ 5 Fire Protection 6 Total 1+2+3+4+5 — Check Number SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUELDING PERMIT as Owner/Authorized Agent of subject property Hereby authorize �tt u 01.t to act on My behalf,in all matters relative to work authorized bf this building permit application. Si ra ure of Owner Date SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION I, as Owner/Authorized Agent of subject property Hereby declare that the statements and infoLnnatio and belief L,i(111aY p�, } o� oplication are iii a gird accurate,to the best of my knowledge 1��""'�`s' i� PO Box 637 r►t.. ReadinQ, MA 01864 Pr• ature of Owner/.Agent Date ,.-2-ZZ NO.OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TINIBERS 3 SPAN DIMENSIONS OF SILLS DIIv1ENSIONS OF POSTS DIMENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CHIMNEY 1S BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE Nc�rc ��H Town of over No. - - dover, Mass., COC MICMEWICK 404 �RA7ED PPS` -`C2 S BOARD OF HEALTH PERMIT T Food/Kitchen Septic System LA BUILDING INSPECTOR THIS CERTIFIES THAT...... .. ....................................................... ..................... ............................. .............. Foundation .... . . has permission to erec ....................................... buildings on ..1 /.....7W..... ............. ... ....... ...... Rough to be occupied Chimney . . . . .Yions ................................................................................................................................. provided that a person g this permit shall in every respect conform to the terms of the application on file in Final this office, and to the proof 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 STARTS Rough :. Service BUILDING M PECTOR 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. Burnet Street No. SEE REVERSE SIDE Smoke Det. Page J�05of 6 ��Pages Builders License # 58443 Home Construction Reg. # 109288 DuvaIAL Roofing,, LLC (781) 944-1994 (978) 664-5557 "The Areas Oldest Roofing Company" P.O. Box 637, North Reading, MA 01864 PROPOSA IWITTE.9 TO Z/41�"-n /2/6�_X 23 2 STRE ;1 } r JOBNAME f f CITY,STATE ANDZIP CODE JOB LOCATION We hereby submit specifications and estimates for: Recommended Optional / (Included in price) (Not included in price) i Rip& Remove all shingle debris from roof&job site: ❑ 1 layer ®`2 layers ❑3 layers or more ✓ Repair/or Replace any roof decking; not to exceed 50sq.ft. Install 8"aluminum drip-edge/and rake-edge along entire perimeter. Choice of mill, hit or brown If ✓ Install ICE&WATER underlayment along horizontal eaves,valleys, sidewalls and sky-lights&chimneys •� Install premium base sheet underlayment between roof deck and roofing shingles • Install 25yr CertainTeed/GAF/Tamko or Owens&Corning traditional 3-tab roof shingles ❑30 year ✓ Install 30yr CertainTeed/GAF/Tamko or Owens&Corning architectural roof shingles ❑40 year ❑50 year ❑Lifetime See manufacturer warranty policy for more details l/ Install new aluminum vent-pipe flange(s) !� Chimney(s)-counter-flash and re-step existing flashing ❑Cut& Install new lead flashing • Ridge-vent/exhaust vent with low profile design, hidden by shingle caps ❑Soffit-ventilation ❑ Roof louver-vents • Seamless style aluminum gutters-custom fabricated at job site ❑downspouts ✓ Other I� ,. f+ +�j /�.FLV ' 'Please Note:All items in roof attic should be removed or covered due to falling roof particles, at time of roof tear-off Price includes all items above that are checked only/others may be priced separately upon request. Propose hereby to furnish material and labor-complete in accordance with above specifications,for the sum of: �j tf0 Total price not including options. dollars($ Payment to be made as follows: 30%deposit required before ordering materials.Balance due in full upon day of completion. Please make all payments out to Kenneth Duval, mailed to: P.O. Box 637, No. Reading, MA 01864 Late charges of$50 per week for all outstanding bills due upon day of Authorized / completion. Signature -Accepting proposal means agreeing to the terms of the enclosed binder Note:This proposal may be contract. Please sign contract&return top copy(white)with deposit. withdrawn by us if not accepted within�V days NORTH ANDOVER BUILDING DEPARTMENT Tel: 478-688-9545 DEBRIS DISPOSAL FORM In accordance with the provision of NGL c 40 S 54, a condition of Building Permit at: is that the debris resulting from this work shall be disposed of in a properly licensed solid waste disposal facility as defined by NIGL . III S150A. Also, note Permits are required under Fire Prevention laws Chapter 148 Section 10A. The debris will be disposed of in: (Location of cility) �C Signature of Permit Applicant Fire Department Sign off: Dumpster Permit Date � �� tom.. 1 JS ERMIT NO. APPLICATION FOR PERMIT TO BUILD - NORTH ANDOVER, MASS. PAGE 1 QGA� MAP 4-40. LOT NO. 2 RECORD OF OWNERSHIP (DATE BOOK ;PAGE '9Af/ ZONE I SUB DIV. LOT NO. LOCATION PURPOSE OF BUILDING OWNER'S NAME ` � ..5 �_A/ , NO. OF STORIES 312E OWNER'S ADDRESSBASEMENT OR SLAB ARCHITECT'S NAME V Ae7 4e7� SIZE OF FLOOR TIMBERS IST 2ND 3RDa��/ BUILDER'S NAME SPAN DISTANCE TO NEAREST BUILDING ,/y DIMENSIONS OFF SILLS DISTANCE FROM STREET •• --- " POSTS DISTANCE FROM LOT LINES -SIDES REAR GIRDERS AREA OF LOT FRONTAGE HEIGHT OF FOUNDATION .C! THICKNESS IS BUILDING NEW SIZE OF FOOTING 'D �O X 19 BUILDING ADDITION �� MATERIAL OF CHIMNEY IS BUILDING ALTERATION ^I IS BUILDING ON SOLID OR FILLED LAND WILL BUILDING CONFORM TO REQUIREMENTS OF CODE yc IS BUILDING CONNECTED TO TOWN WATER L1 BOARD OF APPEALS ACTION. IF ANY IS BUILDING CONNECTED TO TOWN SEWER IS BUILDING CONNECTED TO NATURAL GAS LINE INSTRUCTIONS 3 PROPERTY INFORMATION ,8 SEE BOTH SIDES LAND COST EST. BLDG. COS PAGE 1 FILL OUT SECTIONS 1 - 3 EST. BLDG. COST PER SQ. 1'T. PAGE 2 FILL OUT SECTIONS 1 - 12 EST. BLDG. COST PER ROOM SEPTIC PERMIT NO. i ,•,.!f� r, ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING 4 APPROVED BY /"�� '.`• ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS •^`�� ' PLANS MUST BE FILED kND APPROVED BY BUILDING INSPECTOR ' DATE FILED BUILDING INSPECTOR ' SIG AT URE W HORIZED AGENT E E OWNER TEL.# PERMIT GRANTED CONTR.TEL # 19 CONTR.LIC.# H.I.C.# FORM U - LOT RELEASE FORM TP/"� INSTRUCTIONS: This form is used to verify that all necessary approvals/permits from Boards and^-partments having jurisdiction have been obtained. This does not relieve the applicant and/or landowner from compliance with any applicable or requirements. q T ments. ***"APPLICANT FILLS OUT THIS SECTION APPLICANT4 rr�P�S �' C it Cf'Yla-!� PHONE 4 LOCATION: Assessors Map Number . PARCEL-L.� SUBDIVISION LOT(S) STREET ST. NUMBER, **'*"**OFFICIAL USE ONLY j REC M N 1ATIO S TOWN AGENTS: ' I f CONSERVATION ADMINISTRATOR DATE APPROVED DATE REJECTED I COMMENTS �� `^^a �'`l cJ � ll�CA*A�5 , TOWN PLANNER DATE APPROVED DATE REJECTED COMMENTS FOOD INSPECTOR-HEALTH DATE APPROVED DATE REJECTED SEPTIC INSPECTOR-HEALTH DATE APPROVED 1 DATE REJECTED COMMENTS PUBLIC WORKS -SEWER/WATER CONNECTIONS DRIVEWAY PERMIT FIRE DEPARTMENT RECEIVED BY BUILDING INSPECTOR DATE 90 X10(0 io"X /o, f ,�ols�� x io .r Opp � �''x�, X �g� -- /o ; ��.� � � � i �6sry yXy'x /o qb ' y - 4 8,4161� ?'x 4X/o' ROOF�kiAcl S ,� J �Z A' ING• �o FIR �18' O ph#6C PINE. UVI2, i %o.00 i _ 6 � ,� `.g l� swo,E� Cc--xr�n;�r�� 3Doao r �� � � ! � � • P.4ti,oz su'o s /i 2/cJ, y a 00-00 / — 30 X. 'y dOvBCCI' ,Wv wlyl>D �('=�q z.�sv�f►7ivtii,—900 moi, 777' ��►X80. I. o 7 0 C.4,�pcf ?�4b foo sg, �5 Xzo� V/°Nye /DE - JOo sQ, FT Qty ILII e'er f i/ SDivolL TgC vS /O .`'IiI?0 � I I , I - 6' A9.6HLr/Af/ X(" eOivsT2vcTio� - PA4 jo ry a � co Cow I - ., BEDRao I I � I � I 1 `J7/�E Oo Co �.ANb/NG I i I I 0 - e i I . 77. - I 10 I _ TOWN OF NORTH ANDOVER AFFIDAVIT Home Improvement Contractor Law Supplement to Permit Application MGL c. 142 A requires that the"reconstruction, alteration, renovation, repair, modernization, conversion, improvement, removal, demolition, or construction of an addition to any pre-existing owner occupied building containing at least one but not more than four dwelling units...or to structures which are adjacent to such residence or building" be done by registered contractors, with certain exception, along with other r irements. -// Type of Work: a �027 ��� Est. Cost�� Address of Work Owner Name'-1'--A/XAS Date of Permit Application: I hereby certify that: Registration is not required for the following reason(s): For office Use Only Work excluded by law Pemit No. Job under $1,000 Date Building not ownerwoccupied XOwner pulling own permit Other (specify) Notice is hereby -given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FIND LINER MGL c. 142A. Signed under penalties of perjury: 1 hereby apply for a permit as the agent of the owner: Date Contractor Name Registration No. OR: Notwithstanding the above notice, I hereby a ply for a permit as er of the above property: D Owner Name I HEREBY CERTIFY THAT THIS STRUCTURE IS - LOCATED ON THE GROUND AS SHOWN. PROFESSIONAL LAND SURVEYOR FOR OTTE AND DWYER, INC. 70.00' ACCORDING TO THE F.E.M.A. MAP FOR COMMUNITY NO. I f� 250098 0003 C DATED 06-02-1993 LOT AREA THE PROPERTY SHOWN FALLS IN A ZONE "X". 7,000 s.f. N I N 1 ACCORDING TO THE 'ZONING MAP FOR THE TOWN 1 20• I 25.0' OF N. ANDOVER THE PROPERTY FALLS IN A R-4 ZONE. PROP. - -,`- - - - DEED REFERENCE: 14•1' DECK PROPOSED ADDITION PLAN ESSEX (NORTH) REGISTRY OF DEEDS 25 S4.4' BOOK 1066 PAGE 10 0 PROP. N 24' x 25' 0 14 ROBINSON COURT rn ADDITION o NORTH ANDOVER, MASS. 0 LOT COVERAGE 14.4' O EXISTING: 1,202 s.f. (17%) — — PREPARED FOR PROPOSED: 2,050 s.f. (29%) EXIST. (2) STORY JAMES & ANN MARIE HECKMAN W/F sa©� N o. 14B Y .'��0� 9.7' 22.8' _ — — — — THEODO 154.00' TO MIDDLESEX STREET �' E 1 4byr,1 jut# M� 70.00 I. ROBINSON COURT LAND SURVEYOR 196 CENTRAL STREET SAUGUS, MASS., P.O. BOX 982 (781 ) 233-8155 SCALE: 1" = 20' MAY 21, 1998 0 20 40 60 SCALE G\8191 ,