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HomeMy WebLinkAboutMiscellaneous - 310 WINTER STREET 4/30/2018Location 310 U)IAHE2 No. qj8 Date MORT1y TOWN OF NORTH ANDOVER � A Certificate of Occupancy $ $ 34CM E<� us Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ C; TOTAL $ Check # qa C 15675 Building Inspector TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR, RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING BUILDING PERMIT NUMBER DATE ISSUED: _ r SIGNATURE: 16LIX, Building Commissionedlnspecfc r of Buildings Date SECTION I- SITE INFORMATION 1.1 Property Address: i i M G esvt/l cel i 1.2 Assessors Map and Parcel Number: lay 0037 Map Number Parcel Number 31() i - ^j -e `A r N A ( a oe r 11.3 Zoning Information: Zoning Dist c—t Proposed Use 1.4 Property Dimensions: Lot Areas Frontage ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide Required Provided R red Provided 1 1.7 Water Supply M.G.L.C.40. 54) I.S. Flood Zone Information: Public ❑ Private ❑ Zone Outside Flood Zone ❑ 1.8 Sewerage Disposal System: Municipal 0 On Site Disposal System 0 SECTION 2 - PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record J % M 640 WU L �1y L) Name (Print) Address for Service: Signature Telephone 2.2 Owner of Record: Name Print Address for Service: Signature Telephone SECTION 3 - CONSTRUCTION SERVICES 3.1 License, Construction Supervisor: Licensed Gaanstruction Supervisor: Address Signature Telephone Not Applicable ❑ License Number Expiration Date 3.2 Registered Home Improvement Contractor ��L Not Applicable ❑ l -0511t/Q CP - Company Name /2 L� o Q��`� � A � O� \ i1W Registration Number 22 77 Add ess u' hem Expirat on Dafe Signature Telephone 00 rn X Z O J I NJ 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 Description of Proposed Work check all applicable) New Construction ❑ Existing Building ❑ Repair(s) ❑ Alterations(s) 7 Addition ❑ Accessory Bldg. ❑ Demolition ❑ Other Specify Brief Description of Proposed Work: L 1 _ 1A r � Q � � �'`r`�L ��� t� l � Zc_c1% SECTION 6 - ESTIMATED CONSTRUCTION COSTS Item Estimated Cost (Dollar) to be Completed by permit applicant OFFICIAL USE ONLY 1. Building (a) Building 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 6 Total 1+2+3+4+5 Check Number SECTION 7a OWNER AUTHORIZA ION TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUII,DING PERMIT I, , as Owner/Authorized Agent of subject property Hereby authorize to act on My behalf, in all matters relative to work authorized by this building pennit application. of Ouner Date —Signature SECTION 7b// OWNER/AUTHORIZED AGEN�T� DECLARATION I, �) P � MGi,�( h �—`% 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 >r Pr arae &alure_of Owner/A ent Date NO. OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TMERS 1 2ND 3 SPAN DIMENSIONS OF SILLS DIMENSIONS OF POSTS DIMENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CHIMNEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE I BAY S'TAT'E R®OFING, INS. 978-664-0668 1 -888 -479 -ROOF Fax: 978-276-0888 Mailing Address.- P0. ddress:P.O. Box 324 No. Reading, MA 01864 May 21, 2002 Jim ell, 4T y n. over, 01810 RE: New shingle roof 34V I Business Address: 240 Park Street No. Reading, MA 01864 Bay State Roofing, Inc., proposes to furnish all material, labor and equipment necessary to perform the following scope of work: 1. Remove approximately 2,100 sq. ft. of the existing asphalt shingle roof down to the wood decking. 2. Install new ice and water shield along the 3' roof edge and around all the roof penetrations. 3. Install new 15 lb. felt paper throughout the roof area. 4. Install new white aluminum drip edge along the roof perimeter. 5. A new GAF 30 year architectural asphalt shingle roof will be installed over the prepared substrate. 6. All roof penetrations and flashing will be installed according to the manufacturers recommended specifications and details. 7. Cut and install new lead flashing around the chimney. 8. Bay State Roofing, Inc. will properly dispose of all roof debris in our own waste containers. Total price for this work: $ 4,525.00 Less $ 250.00 coupon Project total: $ 4,275.00 NOTE: Any wood decking that needs replacement will be an additional $2.00 per sq. ft. Any facia boards that need replacement will be an additional $3.00 per l.f. This price is final. No coupons or other discounts will be applied to this price. Payment Schedule Stock: $1,425.00 Authorized Signature: Completion: $ 2,850.00 Waste containers supplied by Bay State Roofing,"lnc. are for the sole purpose of roof debris. Under no circt=tance, is the homeowner to use these containers for personal refuse CONTRACT ACCEPTANCE The specifications, prices, payment schedule and attached Date: conditions are satisfactory and hereby accepted. BAY ` STATE ROOFING. INC. is authorized to perform work Signature: as specified. Payment will be made as previously outlined. NOTE: Unpaid bills over 30 days are subject to 1 1/2% finance charge per month (18% annual) Title: Cl)41 M C/) 0 m O H C) CD n Z y CL �. r c � � c CL y O CO') v CD CD O .7 cr d CD CCD O CCD c CCD H. c. v ri —• o cc cc) OZ O I C c n� O 0 _ O �•N O Q H a z (AC) y dO S m CL y 1 o �m n to Cl m n Z CO) •� n -o CO) n T O ]' 0 r z�� M ;d CL CD aid y O O Cl) y p N O-=rm 2 > > m j.O �0 cc o . Z S. cj O CA n �/ c =r 7R: ill no_ :� cc CLE -r 0', O N CO c n n� CL. CD p C,* w y O O C401 & CL Q CA r O m N m N . Vl ,� O O M m m :� W =.o : A 3 � SL'.... W 1 o : � 1 N � O a tj CD ?: CA ' CD M�: �� dd: CLM nom: W C_ Cn X. C7 rD (n 0 C� r d :Ti °� )C O a z (AC) y ',v Cf) �77 n. �1 O r O I] P1 O „� r" M 0 -x w n T O ]' T O CL °) r z�� M ;d (n C -< al O a x r to 0 O d O g 9 Omq 0 9 0 c CD U W Ily V"r-N Ci no &e)L)e- Phone am a homeowner performing all work myself. I am a -sole proprietor and have no one working in any capacity I am an employer providing workers, compensation for my employees working on this job. Fpgm nraI'VC o.. Z ->N N) Compmagme: Address CRY: Phone 6044P q - 0&(0 Failure t* secure coverage as mpred under Secdon, 2 and/or one yem, ir;Vdsonment as wellas dvo 6A Or WIL IM cm MQd I&ff*Wfwftn of ak*W p&IWft.0f afine up, to 1'.5m-06 penaftlems in 018ftmcf a9MMORKORDIM and affie ot($JOGLOD) a day against roe. I understand that a co0y of this stakment may be forwarded to the 00w of hhVWgW0M of the DIA for coverage Verificaum. I do herby certify under the pains and penaties ofpedury UW the kAwmadw ppovkbd above is Irue and - can -act Print name Official use only do not write in this area to be completed b" or town dWar ©.Check Yirnmedibte response is requked Building Dept Contact person: Phaw 'YORKMAY'S COMPENSATION Date (0 Phone 066 Cj El Building Dept - 0 Lke /7s/ng Board • S&Iectri an's offlc& • Health Departrnef, 0 t Of ter North Andover Building Department Tel: 978-688-9545 DEBRIS DISPOSAL FORM In accordance with the provision of MGL c 40 S 54, a condition of Building Permit Number 7J& is that the debris resulting from this work shall be disposed of in a properly licensed solid waste disposal facility as defined by MGL c11,S150A. The debris will be disposed of in: kN o c&Kj,4 C- R oe r mak+ (Location of Facility) `� Kra Signature of Permit 4pplicant (n-- 28-02— Date NOTE: Demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector