HomeMy WebLinkAboutMiscellaneous - 164 BRIDGES LANE 4/30/2018 (2) r 164 BRIDGES LANE J 210/104.D-0082-0000.0 i Location No. Date 1 UZ NORTH TOWN OF NORTH ANDOVER F Certificate of Occupancy $ + o ... ITS Building/Frame(Frame Permit Fee $ 3 .. �►cHust 9 Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # W /V T 156 '11 Building Inspector TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR,RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING LIME BUILDING PERMIT NUMBER DATE ISSUED: ic SIGNATURE: Building Commissioner/12ELwor of Buildings Date Z SECTION 1-SITE INFORMATION 0 1.1 Property Addr 1.2 Assessors Map and Parcel Number: y 0qD Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: Zoning District Proposed Use Lot Areas Frontage ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide Required Provided Required Provided v 1.7 Water Supply M.G.L.C.40. 54) 1.5. Flood Zone Information: 1.8 Sewerage Disposal System: Public ❑ Private ❑ Zone Outside Flood Zone ❑ Municipal ❑ On Site Disposal System 0 SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT M 2.1 Owner of Record 1 L' / lr(aY� n l�U,t.� ;r.. /2✓;' (�f%'y. ./�%// /G 'i ✓i� s / fi�L� Name(Trint) Address for Service,. i C�c'4 C✓;1 OV-1 S. ? f - G f-F 57 Signature Telephone 2.2 Owner of Record: Name Print Address for Service: 0 Z m Signature Telephone SECTION 3-CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: Not Applicable ❑ -�-- CS. b S l-7 S G Licensed C(pstruction Supe r: n n License Number mn Address Expiration Date a re Telephone 3.2 Registered Home Improvement Contractor Not Applicable ❑ 0 -�- 1/ 63 -� Corn pa are Registration Number r Address �� 8 W, r 7 � � Expiration Date Si ture Telephone Y) P - � 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 building permit. -Signed affidavit Attached Yes.......❑ . No.......❑ SECTION 5 Descri tion of Proposed Work(check all ap plicable) New Construction ❑ Existing Building Repair(s) ❑ Alterations(s) ❑ Addition ❑ Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify Brief Description of Proposed Work- SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)to beOFFICIAL USE ONLYCompleted by permit applicant g / 0 (a) Buildin�. 1. Building % �� g Permit Fee Multiplier 2 Electrical (b) Estimated Total Cost of Construction 3 Plumbing Building Permit fee tel X (b) 4 Mechanical HVAC / 5 Fire Protection l 6 Total 1+2+3+4+5 Check Number SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNERS AGENT OR ONTRACTOR APPLIES FOR BUILDING PERMIT a thorized Agent subject property Hereby authorize to'act on My behalf,in all matters relative to work authorized by this building permit application. Signature of Owner Date SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION 1, as Owner/Authorized Agent of subject property Hereby declare that the statements and information on the foregoing application are true and accurate,to the best of my knowledge and belief Print Name Si at u-e of Owner/A ent Date NO. OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TIMBERS 1 2ND 3RD SPAN DIMENSIONS OF SILLS DINIENSIONS OF POSTS DDAENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CHIIvMY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE E The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations Boston, Mass. 02111 Workers'Compensation Insurance Affidavit Please Print Name: , C� a ' S Location: r` Ci /Z �� Phone am a homeowner performing all work myself. I am a sole proprietor and have no one working in any capacity 1 am an employer providing workers'compensation for my employees working on this job. Company name: Address Crliy' Phone* insurance C diom M name: Address r City: Phone# l,su �. Co. i f=ailure to secure ro"rage as required under section 26A or MGL 152 car lead to the kVosdton of criminal penaWM of a fine up to$1.500.00 and/or one years'Imprisonment as well as dvi penalties in the.form of a STOP WORK Ot2p�i artd a fine of(x100 00)a day against-me..6 1 understand that a copy of this statement may be forwarded to the Ofrrce of investigations of the DIA for coverage verification. l do herby certify under the p ins pen o1 perjwy Drat the intarmatiovr provided above is true aril correct Signature Date '/U O Print name 1 o rw 6111rlI ;CAA Phone# S 7 9_G PF- ?->�3 Official use only do not write in this area to be completed by city or town official' ❑ Building Dept OCheck ifimmediate response is required Building Dept 0 Licensing Board p Selectfnan's Office Contact person: phone# Q Health Department other ?M WORKMAN'S CoMp NSATlON. i e%%// 1/fW V0�7UI77.O I7,!(/2lGLLI"L (Y�.�.CtdJQ.C�2LlJ�GCd _= Board of Building Regulations and Standards HOME IMPROVEMENT CONTRACTOR Registration: 116328 Expiration: 6/6/04 Type: Individual RICHARD WILLIAMS RICHARD WILLIAMS 106 BEVERLY ST N.ANDOVER, MA 01845 Administrator BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR Number: CS 051796 Birthdate: 08/18/1958 Ad Expires: 08/18/2002 Tr.no: 1614 Restricted To: 00 RICHARD WILLIAMS 106 BEVERLY ST ((�"-e4 N ANDOVER, MA 01845 Administrator I WILLIAMS CONSTRUCTION COMPANY 106 BEVERLY STREET NORTH ANDOVER, MA 0184.5 978-688-7793 budderrickwee Cdaol.com William Hill Mary Alin Marcia 164 Bridges Lane North Andover, MA 01845 978-687-1495 RECLAPBOARD: Object to rework two sides of the building. The driveway side and the rear of the building including the porch. Clapboard on both sides naturally will be worked in the same manner and same standard of quality. We will remove all clapboard and shutters from the area to be reworked. Any trim board that are questionable will be replaced. When the sheathing is exposed we will replace up to 32 sq ft if needed. We will test every inch of sheathing and replace or renail what is necessary. Tyvek paper used with tNwek tape on every seam. Stainless steel nails are used to secure the clapboard. The cedar clapboard will be clear #1 and not fingerjoirm& a cedar will be clear and purchased from a quality lu water sea'1. We will apply 2 full. + Trim also to receive 2 coaof m. t REAR PORCH: The � tt The porchkih'%' 11 ;iii �iiiT1'ltil�(I11`; (h ' up to access damage. Any rotted frame will be replaced and any 4X4 posts r. r'a entire top sil where the screens sit on, needs to be replaced. Odds are that the entire lower framework will be replaced, since what is remaining is in worse condition than the small section we already repaired. If anything maybe a few posts are O.K. The ship lap 'lnterior boards will be reused. If we damage any in the removal we will replace those. After the porch is put back together and the 4X4 posts are permanently in place then, we will devise a module system to have removable and changeable stone units made of 1/8 lexan, also the screens made of 5/4 frame stock for strength. A small dumpster placed on site, all debri cleaned everyday. A 5% deposit and signed contact required to schedule your job and hold your time slot. Approx. start date would be May 15, 2002. two week allowance either way. Payment schedule: 1 ,000. Deposit at signing $10,000. 3 days before starting $ 6,000. When driveway side completed. $ 4,000. When completed. `kORT#y ® of aw A E o over, Mass., o v � COCHICHEWICK V DRATED �S BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System BUILD ING INSPECTOR THIS CERTIFIES THAT. ARY ..NMAtClN i' W& ll i . 1........ .......... ................................................................... . ... Foundation has permission to erect.... ►r �.. ...r....... build' son ....�. .......3.9.x.. ,5.......L A 1j Rough to be occupied as �• g�j" u m ' ... Chimney p .. 3>.W.46 .......................g ..................................................... provided that the person accepting this permit shall in every respect conform to i6le.-rms of the application on file in Final this office, and to the provisions of the Codes and By-Laws relating to the Inspe ion, Alteration and Construction of Buildings in the Town of North Andover. 1043> 18a I �� ® PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES IN 6 MONTHS UNLESS CONSTRUCTION ST ELECTRICAL INSPECTOR TS CRough ............ ........ .................................................................................. Service BUILDING INSPECTOR 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. Burner Street No. 4 SEE REVERSE SIDE smoke Det.