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HomeMy WebLinkAboutMiscellaneous - 35 ALCOTT WAY 4/30/2018C) TOWN OF NORTH ANDOVER • Certificate of Occupancy $ Building/Frame Permit Fee $ s�cHusE Foundation Permit Fee $ Other Permit Fee $ TOTAL $ C?4• Check # 12AIs 18813 Building Inspec_t6f TOWN OF NORTH ANDOVER ti BUILDING DEPARTMENT APPLICATION TO CONSTRUCT BY45 RENOVAT OR DEMOLISH A ONE OR TWO FAMILY DWELLING BUILDING PERMPr NUMBER: DATE ISSUED: .�- eu SIGNATURE: Buil Commissioner/1r of Buildings Date 77-7-77 SECTION 1- SITE INFORMATION 1.1 Property Address: 1.2. Assessors Map and Parcel Number: �Gol Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: Zoning District Proposed Use [Lot Area Fronts ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide Reqtured Provided ReWired Provided 1.7 Wator Supply MG.L.C.40. 34) 1.5. Flood Zone lnfomntion: 1.8 Sewerage Disposal System- ystemPublic Public0 Private 0 Zone outside Flood Zone 0 Municipal 0 On Site Disposal System 0 SECTION 2 - PROPERTY OWNERSHIP/AUTHORIZED AGENT Historic District: Yes _ No _ 2.1 Owner of Record C', Name (Print) Address for Service : d7803 _ 166 Signature Telephone 2.2 Owner of Record: Name Print Address for Service: Signature Tel hone SECTION 3 - CONSTRUCTION SERVICES 3.1 LicensedConstructionSupervisor: / Not Applicable ❑ Licensed Construction Su 'sor: C s o 7o2 S73 License Number Address �`3 i '� 5 iy 7 �c�o7 , Expiration Date Signature Telephone 3.;Kegist,efod Home Improvement Contractor Not Applicable 0 1-� s ase f"~6� Company Name I IS % Cr r4� Registration Number r�20 u[ Add N. - �j –�g / cm2b�e Expiration Date Si re Telephone 00 rn X Z O 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 it. Signed affidavit Attached Yes .......11 No ....... 11 SECTION 5 Description of Proposed Work(check aD a Ilcable New Construction 0 Existing Building ❑ Repair(s) ❑ Alterations(s) ❑ Addition ❑ Accessory Bldg. ❑ Demolition 0 Other ❑ Specify Brief Description of Proposed Work: 11 `� SECTION 6 - ESTIMATED CONSTRUCTION COSTS Item Estimated Cost (Dollar) to be Completed by permit applicant .� M, I . Building (a) Building Permit Fee Multiplier 2 Electrical (b) Estimated Total Cost of Construction 3 Plumbing Building Permit fee (a) x (b) 4 Mechanical HVAC 5 Fire Protection 6 Total 1+2+3+4+5 1�0 Check Number SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I, e C�C){� V 6W © ! as Own /Authorized Agent o subject property Hereby authorize to act on My be 1 in all tters r ive to work authorized by this building permit application. Si e of Owner Date SE TION 7b OWNER/AUTHORIZED AGENT DECLARATION I, ,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 Signature of Owner/Agent Date NO. OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TIMBERS 1 2 3 RD SPAN DIMENSIONS OF SILLS DIN ENSIGNS OF POSTS DRvIENSIONS 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 N f >oard of Building Regula and Standards One Ashburton Pla: - n_om 1301 -, _. _ Y ' '"'".'.^•� � __- tome Imvroverrneri't ,. for �Ze�istration on: 130768 f 4' Type: Registration: T DBA Expiration: 4/18/2006 U.S. HWEAV PF�?VEMENT JOHN CARROL I 10 C ROESSLERD: WOB.URN, MA 0.{01� r. f Undate Address and return card: Mark rc�son for change AddrMess Renewal n Emplgymeat ..0 .Lost Carl i PROPOSAL U/� / J��� P -�– l J PROPOSAL N0. J j`% •- /�'' 7/0VAC K h>/�v3c�-sl �7 /%?.�jOAl 1�! ° -,! J,35 �d�-C SHEET NO. %/ad .'� �r 9G c� �3-G�a s /G C er/ DATE PROPOSAL SUBMITTED TO: WORK TO BE PERFORMED AT: NAME 4 ADDRESS c. /Z PHONE N0 '07 - 3 DATE ARCHITECT We hereby propose to furnish the materials and perform* labor necessary for the completion of 'VV LAl- r 17"51, e k v 237 AJVA" All material is guaranteed to be as svecifiedand the above work to be performed in accordance With the drawings and specifi- cations submitted for above work and cbgmp el fedl a substantial workmanlike manner for the sum of Dollars ($ ) with payments to be made as follows. Respectfully submitted`` Any alteration or deviation fromabaue`specifications involving e will be executed only upon' _itter�`order, and will become an extra charge Per over and above the estim te. All agreements contingent upon strikes, ac- cidents, or delays beyond our control. - - Note —This proposal may be withdrawn •i �, by us if not accepted within days. ACCEPTANCE OF PROPOSAL The above prices, specifications and conditions are satisfactory and are hereby accepted. You are authorized to do the work as specified. Payments will be made as outlined above. Signature Date l,/ Ls, Signature MA 381850 PROPOSKL MADE IN USAA " �``'. ��'-{::'.Y.it-� ate �{:7+�. rLA, c--:. .t y...t�: _ {3,.�. a4s "i'a.T � .t-: �'+' .'{�. CF 7:'.t .!4"{':{{.{{�{,�+ ..Yt•1 _ ._. .. ..,'�., t'. [T1y.-P. nna:. r,' i.• �{"s•' CA M m m y M CA M v Cie 'v col Cl) C •c M O CD z CA CD O m CL r � C. S. y A o v co CD O CLQ 4C d CD CD o CD 0o w P. C O co) I CD EL - 0 co) CD � v CO) O CD CD z O �CD CD0 We'' A C O LL 0 ccr O N! = 0 d0 m [i �. m 0 -1ce 0 CL 0 ?�. o y rn h T maim m �Omti y = m G 0.0 CL O N Cf � Om o - CD �= CDCD 4 d N . C2- �I N � 7 m 0 rt N 0 a C* * * yJ N� m o • 'fl O O m . in co N o Co �. o W 0 Ct �C: 0 0 co z 0 1�1,11 4 �-: p '� °� a�n rri °� oKn o�n t" tv °= arc w C� C) ^ CP R 0.. n a1 d O 7d V1 O G CL 0 C CD