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.