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Home My WebLink AboutMiscellaneous - 39 ELMCREST ROAD 4/30/2018Xv P PERIff NO.. APPLICATION FOR PERMIT TO BUILD - NORTH ANDOVER, MASS. PAGE 1 MAP KBO. LOT NO. 2 RECORD OF OWNERSHIP IDATE BOOK 'PAGE ZONE SUB DIV. LOT NO. �I EATION:.;39 .Ei-%iiGRE�I i`D ' PURPOSE OIf -D4NCy S -i' 'lp o j_� RE , ROo F ASod P11. OWNER'S NAME MIL-, ?X-0 M ^MAssp /Z NO. OF STORIES SIZE OWNER'S ADDRESS, - avAe - eft BASEMENT OR SLAB ARCHITECT'S NAME SIZE OF FLOOR TIMBERS IST 2ND 3RD BUILDER'S NAME 9A1� %1pM/1J-I,OUA /yC•- ' SPAN --� DISTANCE TO NEAREST BUILDING DIMENSIONS OF SILLS POSTS _ DISTANCE FROM STREET DISTANCE FROM LOT LINES - SIDES REAR GIRDERS AREA OF LOT FRONTAGE HEIGHT OF FOUNDATION THICKNESS IS BUILDING NEW SIZE OF FOOTING X IS BUILDING ADDITION MATERIAL OF CHIMNEY lS BUILDING ALTERATION IS BUILDING ON SOLID OR FILLED LAND WILL BUILDING CONFORM TO REQUIREMENTS OF CODE IS BUILDING CONNECTED TO TOWN WATER BOARD OF APPEALS ACTION, IF ANY IS BUILDING CONNECTED TO TOWN SEWER IS BUILDING CONNECTED TO NATURAL GAS LINE INSTRUCTIONS SEE BOTH SIDES PAGE 1 FILL OUT SECTIONS 1 - 3 PAGE 2 FILL OUT SECTIONS 1 - 12 ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS /PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR / `� DATE,FILED VLUL14 2-+i 11 7 "P SIGNATURE OF OWNER OR AUTHORIZED AGENT FEE 32 `� PERMIT GROO g �J ,9 3 PROPERTY INFORMATION LAND COST ''`EST. BLDG. COST 4. (PSV EST. BLDG. COST PER 8Q. FT. EST. BLDG. COBT PER ROOM SEPTIC PERMIT NO. 4 APPROVED BY BOARD OF HEALTH PLANNING BOARD BOARD OF SELECTMEN r 1 OCCUPANCY SINGLE FAMILY S ORIES _ MULTI. FAMILY _o FFICES _ APARTMENTS CONSTRUCTION 2 FOUNDATION S INTERIOR FINISH CONCRETE B t 2 13 CONCRETE BL K. BRICK OR STONE HARDW D PIERS PLASTER _D RY VJ-AL L 3 BASEMENT AREA I/, NO I 4 WALLS WOOD SHINGLES ASPHALT SIDING ASBESTOS SIDING VERT. SIDING STUCCO ON MASOP STUCCO ON FRAME V. B M T AREA FIN. ATTIC AREA FIRE PLACES MODERN KITCHEN 9 FLOORS B 1 CONCRETE _ EARTH HARDNIJ D _ COMMCN �J _ ASPH. TILE I ATT WIRING I II ADEQUATE I I NONE 5 ROOF 10 PLUMBING GABLE GAMBRELI_d FLAT I I HIP BATH 13 MANSARD TOILET RM.M. 12 FIX.) SHED WATER CLOSET ASPHALT SHINGLES LAVATORY WOOD SHINGES KITCHEN SINK SLATE NO PLUMBING TAR 8 GRAVEL STALL SHOWER ROLL ROOFING MODERN FIXTURES TILE FLOOR TILE DADO 6 FRAMING II 11 HEATING WOOD JOIST PIPELESS FURNACE FORCED HOT AIR FURN. TIMBER BMS. d COLS. STEAM STEEL BMS. & COLS. HOT W'T'R OR VAPOR WOOD RAFTERS _ AIR CONDITIONING _ 7 NO. OF ROOMS _W7. -AT 1 7...1 I RADIANT H'T'G UNIT HEATERS GAS OIL Cl CrTDir 1st 13rd I 11 NO HEATING { I BUILDING RECORD 12 THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND DISTANCE FROM LOT LINES AND EXACT DIMENSIONS OF BUILDINGS. WITH PORCHES. GA- RAGES. ETC. -SUPERIMPOSED. THIS REPLACES PLOT PLAN. r r ` f` S .'7 1• ::. RAYMOND E. DAMPHOUSSE, JR. AND SONS ROOFING COM". INC. MA. CONSTRUCTION ' BOX 431 LAWRENCE P.O. '. SUPERVISOR LIC. # 046636 LAWRENCE, MA 01842 HOME IMPROVEMENT TEL: 683-4588 REQ. # 101862 T,>rY"dv [r ROOFING - SIDING - INSULATION .. , Date v (N ame) (Address) RATYOND L DAMP109SK JD. AND SONS SOOF019 CO., INC., BOX 431 LAWRENCE P.O., LAWRENCE, MASSACHUSETTS 01842 hereby authorize the Contractor to furnish all materials and labor necessary to Install, construct and place the �Pfi `Ovementa described below In -on building located at No. Street, 0,4EJ "- State in accordance with the following specifications: GcJ,,'L L ..f 2r;2 .>� %7�L_ c�� /� %�� d f , / G= �" Cl ✓� /=ii��J/�C�J'I C i�!�,/J� -=7� � _ ,:-)ti y" L!—n.c1-z .Jf �/' C' oS/ � • �.% ,"•s'G , All of the above work to be done in a godd and workman -like manner. All men and equipment Insured. Premises to be left clean upon completion of work. For the total sum of J dollars. 0 C, - Entire Sum to be paid Immediately upon completion In accordance with plan as shown below. ..r• TOTAL CASH SELLING PRICE .......... � '� % �� 0,_ DOWN PAYMENT IN CASH ............. DEFERRED BALANCE UPON COMPLETION ........ I ......... ? The undersigned agrees to keep property mentioned in this agreement properly Insured against loss by fire including the Contractor's interest therein. This agreement shall become binding only upon the written acceptance hereof by said Contractor, and upon such acceptance this shall constitute the entire contract and be binding upon the parties hereto, there being no covenants, promises or agreements, Written or oral except as herein set forth. It Is the intention of the parties hereto that this contract shall be binding upon their respective heirs, executors, administrators, successors and assigns. .�. Customer agrees to pay a reasonable sum as attorney's fees and Court Costs if placed in hands of attorney for collection. y41AY The owner further agrees that in event of cancellation of this contract after acceptance by the contractor and before the work is e r;commenced the OWNER agrees to pay 20% of the total consideration herein named as liquidated damages for breach of contract. Said contractor shall not be responsible for damage or delay due to strikes, fires, accidents, or other causes beyond his Wsonable control. t ' p We, the undersigned, certify that we are the sole owners of the property herein described on which said work or repairs are %to be performed. IN WITNESS WHEREOF, the undersigned has (have) hereunto set his (their) hand(s) and seals) the day and year written above. r Accepted By RAYMOND E. DAMPHOUSSE, JR. AND SONS ROOFING CO., INC. 4'LvJZf signsturN$nd Title of Official) Husband Wife /`+ �dii,( .�ICtiTIr Jjc'-` Mail Address (If different from above) 1 J �L f //1.._. Gam/ 1 C: % J� / %✓ %'!. r i l %! r? /`/ lr i/ / �yz r `y�J/G� ��.1 t' ��_= c < Js'E: ✓li-�� , , J .fit �/ 6 .•-�� L /u/.�j'J; jt' --- " a �f jig% i f`/ G C C ✓ , L C �}%.�'dL1_ ��%�t� r`i� /%�i r./ C 1 L.✓ ,/ L ->"s Y �N/� i t" jZ j :[ : � r� ,� r- `-Y_ �/ • � G , All of the above work to be done in a godd and workman -like manner. All men and equipment Insured. Premises to be left clean upon completion of work. For the total sum of J dollars. 0 C, - Entire Sum to be paid Immediately upon completion In accordance with plan as shown below. ..r• TOTAL CASH SELLING PRICE .......... � '� % �� 0,_ DOWN PAYMENT IN CASH ............. DEFERRED BALANCE UPON COMPLETION ........ I ......... ? The undersigned agrees to keep property mentioned in this agreement properly Insured against loss by fire including the Contractor's interest therein. This agreement shall become binding only upon the written acceptance hereof by said Contractor, and upon such acceptance this shall constitute the entire contract and be binding upon the parties hereto, there being no covenants, promises or agreements, Written or oral except as herein set forth. It Is the intention of the parties hereto that this contract shall be binding upon their respective heirs, executors, administrators, successors and assigns. .�. Customer agrees to pay a reasonable sum as attorney's fees and Court Costs if placed in hands of attorney for collection. y41AY The owner further agrees that in event of cancellation of this contract after acceptance by the contractor and before the work is e r;commenced the OWNER agrees to pay 20% of the total consideration herein named as liquidated damages for breach of contract. Said contractor shall not be responsible for damage or delay due to strikes, fires, accidents, or other causes beyond his Wsonable control. t ' p We, the undersigned, certify that we are the sole owners of the property herein described on which said work or repairs are %to be performed. IN WITNESS WHEREOF, the undersigned has (have) hereunto set his (their) hand(s) and seals) the day and year written above. r Accepted By RAYMOND E. DAMPHOUSSE, JR. AND SONS ROOFING CO., INC. 4'LvJZf signsturN$nd Title of Official) Husband Wife /`+ �dii,( .�ICtiTIr Jjc'-` Mail Address (If different from above) ut-rft.r� ur: APPEALS BUILDING CONSERVATION HEALTH PLANNING US7NORTH ANDOVER DIVISION OF ` PLANNING & COMMUNITY DEVELOPMENT KAREN H.P. NELSON. DIRECTOR North Andover. MassachusettS O 1845 (6 1 7) 6854775 '. .0 . In accordance with the provisions of MGL c 40, S 54, a condition of Building Permit Number _�3 /0 is that the debris resulting from this work shall be disposed of in a prcperiv liccnscd solid waste disposal facility as dcfincd by MGL c 111, S 150A. The debris will be disposed of in: cztion of f=acility) Signature of Pcrmit Appiicant Date �-, NO'L: Demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector. C") O Z m D O Z T z r _v, y C � rF �. 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