HomeMy WebLinkAboutMiscellaneous - 53 WEYLAND CIRCLE 4/30/2018�� �
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Roger Dussault
General Contractor
April 21, 2010
James & Joan Corbett
53 Weyland Cir
No Andover Ma. 01845
Contract
Project address: Same as above
86 Oakcrest Ln.
Gilmanton NH. 03237
603-267-1786
603-770-4035 Mobile
Remove 25 existing windows.
Replace with new vinyl windows, Model: Harvey Industries Tribute.
Windows are energy star rated and comply with the federal incentive program for energy
efficiency.
All windows are to be trimmed back as original on interior, and wood trim on exterior will be
replaced as needed with composite material.
All debris will be removed and taken to Devito Trucking in Salem NH for disposal.
Total labor and material cost: $23000.00
Thank you for y� ou buses
Roger Dussault
Authorized Signature LAi,
Date
JI,
Location
No. -3 ca— Date t;AB I I
"ORT" TOWN OF NORTH ANDOVER
Certificate of Occupancy $
Building/Frame Permit Fee $
"°''•<�'
CMUSE Foundation Permit Fee $
SA
Other Permit Fee $_
Sewer Connection Fee $—
Water Connection Fee $
TOTAL $� —
m
��--zzj Building Inspector
AA �a �
C� 3 Div. Public Works
/7.
Location rt _
No. 2GC Date
lam- �S
7-Z445
t NORTh
TOWN OF NORTH ANDOVER
p ; A
Certificate of Occupancy $
Building/Frame Permit Fee $
Ss�CMUSEt�
Foundation Permit Fee $ CL
,4 ! " 1 p �/ Other Permit Fee $
.34- Sewer Connection Fee $
r
`,• Water Connection Fee $ 5
~ yTOTAL $
i •ej (G z Z+f8 Rljilld'Og Ins for
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8902 08/01/95 13:59 1, .5077 0 �,
e7 O G Div.? c�Works
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Location �:� L-A C lJ
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N 3 (� Date 31 9 J
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8612
1
TOWN OF NORTH ANDOVER
Certificate of'Occupancy
$
'
A
Building/Frame Permit Fee
$
M
Foundation Permit Fee
$
Other Permit Fee
$
Sewer Connection Fee
$
Water Connection Fee
$
_
TOTAL
$
S� M
Building Inspector o
a
Div. Public Works
PERMIT NO. 40C APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS.
m
PAGE 1
MAP K40.
LOT NO.
2 RECORD OF OWNERSHIP IDATE
BOOK 'PAGE
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SUB DIV. LOT NO.
LOCATION AT3 1u �YG/`�
PURPOSE OF BUILDING a rs 6� s7�
OWNER'S NAME
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I w O d �� c% e r�
NO. OF STORIES SIZE
a
cL
OWNER'S ADDRESS
BASEMENT OR SLAB Cc��n eA% ✓ %�
Z�Q Q2
ARCHITECT'S NAME / /
G`+/I (
SIZE OF FLOOR TIMBERS IST /a- t/1v 2ND I�j�3RD •�
BUILDER'S NAME
SPAN /711
w a
DISTANCE TO NEAREST BUILDING ^
DIMENSIONS OF SILLS ---
POSTS ZZ�/tI�Ed�
DISTANCE FROM STREET �i��
/�IA�
DISTANCE FROM LOT LINES - SIDES REAR
GIRDERS
AREA OF LOT n-(,t(f FRONTAGE �I/�
f� f,
�-e
HEIGHT OF FOUNDATION � THICKNESS
IS BUILDING NEW
S
`r
V
SIZE OF FOOTING / ry 9, X
�!
IS BUILDING ADDITION ) 1 0
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MATERIAL OF CHIMNEY d s,
IS BUILDING ALTERATION �] v
IS BUILDING ON SOLID OR FILLED LAND sA
p
WILL BUILDING CONFORM TO REQUIREMENTS OF CODE /.� v
IS BUILDING CONNECTED TO TOWN WATER
BOARD OF APPEALS ACTION, IF ANY
T
IS BUILDING CONNECTED TO TOWN SEWER
IS BUILDING CONNECTED TO NATURAL GAS LINE
INSTRUCTIONS 3 PROPERTY INFORMATION
PERMIT FOR FOUNDATION
p ONLY LAND COST 7 �I
SEE BOTH SIDES REGULATED BY PARA. 114.8-S. B.C. _EST. BLDG. COST Jj ai r.�-Y v 339- 70�
EST. BLDG. COST PER SQ. FTll ��I C.0
PAGE 1 FILL OUT SECTIONS 1 - 3
PAGE 2 FILL OUT SECTIONS 1 - 12 EST. BLDG. COST PER ROOMDATE 3 t FEE PAID _1_
dU ^ SEPTIC PERMIT NO.
•�+r
ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING S-1 4 APPROVED BY
v-
ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS
PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR
~ DATE FILED
_Q SIGNATURE OF OWNER OR AUTHORIZED AGENT
FEE I t
PERMIT FOR FRAME/BUILDING
PERMIT GRANTED
:1�4 19 �s DATE: FEE PAID•
iI,ESS FE � 10�
VA f RAME PERMIT $.All- �.�..,...
BUILDING
vz
OWNERTEL.J/
CONTR. TEL. #
CONTR. LIC. # 0 CQ -3A9
H.I.C. #
c39oZ -- 2294.
:yo
t2 ---�
ara L3 12 �o
BUILDING RECORD
1 OCCUPANCY 12 Y
SINGLE FAMILY
TORIES
MULTI. FAMILY
r�FFICES
APARTMENTS
_
CONSTRUCTION
2 FOUNDATION
8 INTERIOR FINISH
CONCRETE
PINE
B
2
13
CONCRETE BL'K.
BRICK OR STONE
HARDW D
_
PIERS
PLASTER
DRY WALL
UNFIN.
3 BASEMENT.
AREA FULL
lh 1/7 «/,
NO BMT
HEAD ROOM
FIN. B'M'TAREA
FIN. ATTIC AREA
FIRE PLACES
MODERN KITCHEN
4 WAILS I•
9 FLOORS
CLAPBOARDS
DROP SIDING"
WOOD SHINGLES
B
XI_
_
1
22
J 3
_
_
CONCRETE
EARTH
ASPHALT SIDING
ASBESTOS SIDING
HARDW D
COMRACN
ASPH. TILE
VERT. SIDING
STUCCO ON MASONRY
STUCCO ON FRAME
_
BRICK ON MASONRY
BRICK ON FRAME'
ATTIC STIRS. & FLOOR
_
CONC. OR CINDER'BLK.
WIRING
STONE ON MASONRY
STONE ON FRAME
SUPERIOR ADI� POOR
EQUATE NONE
5 ROOF
10 PLUMBING
GABLE
HIP
BATH 13 FIX.)
GAMBREL
MANSARD
TOILET RM. 12 FIX.)
FLAT
SHED
WATER CLOSET
_
ASPHALT SHINGLES
LAVATORY
_
WOOD SHINGES
KITCHEN SINK
SLATE
NO PLUMBING
_
TAR & GRAVEL
STALL SHOWER
_
ROLL ROOFING
MODERN FIXTURES
_
TILE FLOOR
TILE DADO
6 FRAMING
I 11 HEATING
WOOD JOIST
PIPELESS FURNACE
FORCED HOT AIR FURN.
TIMBER BMS. & COLS.
STEAM
STEEL, BMS, & COLS.
HOT W'T'R OR VAPOR
WOOD RAFTERS
_
AIR CONDITIONING
_
RADIANT H'T'G
UNIT HEATERS
7 NO OF ROOMS
'
GAS
OIL
ELECTRIC
B'M'T 12nd
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. _ 0
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FORM U - LOT RELEASE FOAM
INSTRUCTIONS: This form is used to verify that all necessary
approvals/permits from Boards and Departments having jurisdiction
have been obtained. This does not relieve the applicant and/or
landowner from compliance with any applicable local or state law,
regulations or requirements.
****************Applicant fills out this section******************
APPLICANT: C1( CY 117', C0 t- Phone
LOCATION: Assessor's Map Number
Subdivision ax (apoa/
Street t ^P�!' VI 01 Cl r -C /p_
Parcel
Lots) %S
St. Nu:zber 153
************************Official Use Only*******************x****
RECOMMMENDA 0 SOF TOWN GE1TTS : u C_
Date Aunroved
Cons er':ation Administrator Date Resected
Co,;� en
Town Planner
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Co ..era=
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Date Approved 7
Date Rej ec zed
Date Approved
Date Releczed
Date Apprcved
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f
M
Y
Location -
No. 3Date
TOWN OF NORTH ANDOVER
Certificate of Occupancy $
k.+��s'•" E<� Building/Frame Permit Fee $
sACMus
Foundation Permit Fee $
9
Other Permit Fee
TOTAL
$ 26
Check #
A Building Inspector
N
TOWN OF NORTH ANDOVER
BUILDING DEPARTMENT
APPLICATION TO CONSTRUCT !VA OVA OR DEMOLISH A ONE OR TWO FAMILY DWELLING
BMDING PERMIT NUMBER `j rDATTEUED:
/11-5
xv
SIGNATURE: Com.
Building Commission8r/T� or of Buildings Date
SECTION t- SITE INFORMATION
l .1 Property Address:
1.2 Assessors Map and Pared Number.
Map Number Parcel Number
1.3 Zoning Information:
1.4 Property Dimensions.
ZoninR Dialrid Proposed Use
Lat Area Fronto 8
1.6 BUILDING SETBACKS R
Front Yard Side Yard
Rear Yard
Reqwred Provide Required Provided
Required Provided
1.7 Wdw Supply AG.L.CA00. 34) 1.3. blood Zone Infomwion:
?ore Onside Flood Zone ❑
1.8 Sewerage Dispad System:
Municipal 0 Oa Site Disposal System ❑
Public ❑ Rwme 0
SECTION 2 -PROPERTY OWNERSHIP/AUTHORIZED AGENT
ilt3i.Cill{: �iStf! V (x.10
Ct; , �?;
2.1 Owner of Record
-3q^--es ` 7oqo,.j 68rh'jL*
Name (Print) Address for Se ice
Signature Telephone
2.2 Owner of Record:
Name Print Address for Service:
Signature Telephone
SECTION 3 - CONSTRUCTION SERVICES
3.1 Licensed Construction Supervisor:
Not Applicable ❑
r c i
License8 Construction SupervtIr.
L
License Number
,J 1 m-
(^� /lC `, � 2-v 6r
Address
Expiration Date
S' re Telephone
3.2 Registered Home Im/prrovement Contractor
Not Applicable ❑
Company Name
Registration Number
)�
Address
^7
Z/v3
Expiration Dau
Tel hone
SECTION 4 - WORKERS COMPENSATION (XG.L C 152 1 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 buildinIg permit,
Si ed affidavit Attached Yes ....... No ....... 0
SECTION 5 Description Proposed Work(check ait a 6k
New Construction ❑ Existing Building 0 • Repair(s) 0 Alterations(s) Addition 0
Accessory Bldg. ❑ Demolition . ❑ Other ❑ Specify
Brief Description of Proposed Work:
C4) 10Aa-11 kir �L C3
�f t�cc� lrr/5 ream
CRCTTnN 6 _ RCTTMATRfl rnNC7V11T1rTTnN rACTC
Item Estimated Cost (Dollar) to be
Completed by permit applicant
017KUL USE ONLY
1. Building
y U v
(a) Building Permit Fee
Multiplier
2 Electrical
(b) Estimated Total Cost of
Construction
SPAN
3 Plumbing
Building Permit fee tai x (b)
/ !/
4 Mechanical HVAC
5 Fire Protection
6 Total 1+2+3+4+5
Ai11
Check Number
............ .........�.-....aav u�r�aavis av DL' -VDLfLL' 1J m Wr A
OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
JJ CA-, �u r e as Owner/Authorized Agent of subject property
Hereby authorize e0 .-` , G -S S'4 C_ C� to act on
My behalf, in all matters relative to work authorized by this building permit application.
Si tore of Owner Date
SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION
I, * (C O j'Cr 0(' S 5w ,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
` D4 S
Print N e �,
Si tune of OwndPAgent Date
NO. OF STORIES
SIS
BASEMENT OR SLAB
SIZE OF FLOOR TIMBERS 07
2 3Ku
SPAN
DIMENSIONS OF SILLS
DIMENSIONS OF POSTS
DINIENSIONS OF GUMERS
HEIGHT OF FOUNDATION
THICKNESS
SIZE OF FOOTING
X
MATERIAL OF CHIMNEY
1S BUILDING ON SOLID OR FILLED LAND
IS BUILDING CONNECTED TO NATURAL GAS LINE
11
i
0
` ably PS A.0 1p,ecic
iI FORM U - LO
T RELEASE FORM
INSTRUCTIONS: This form is used to verify that all necessary approvals/permits from
Boards and Departments having jurisdiction have been obtained. This does not relieve
the applicant and/or landowner from compliance with any applicable or requirements.
APPLICANT FILLS OUT THIS SECTIO
. 1
APPLICANT , �
PHONE
LOCATION: Assessors Map Number PARCEL
SUBDIVISION LOT (S)
STREET_ 'L�-� (- ST. NUMBER
__
U%
OFFICIAL USE ON_L
VOE
E TI OF TOWN ENTS:
ATION ADMINIS TOR DATE APPROVED
DATE REJECTED
COMMENTS 4ilD UlZ1'I AV S 91 I LA /Any
TOWN PLANNER DATE APPROVED
DATE REJECTED
FOOD INSPECTOR -HEALTH DATE APPROVED
DATE REJECTED
SEPTIC INSPECTOR -HEALTH DATE APPROVED
DATE REJECTED
PUBLIC WORKS - SEWER/WATER CONNECTIONS
DRIVEWAY PERMIT
FIRE DEPARTMENT
RECEIVED BY BUILDING INSPECTOR
DATE_
R*vWW 9Wjm
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 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:
A-'
(Location of Facility)
Signature of Permit Applicant
Date
NOTE: Demolition permit from the Town of North Andover must be obtained for
this project through the Office of the Building Inspector
The Commonwealth of Massachusetts
Department of Industrial Accidents
Ofrice of Investigations
Boston, Mass. 02111
Workers' Compensation Insurance Affidavit
Name Please Print
Name:
Location:
City � )a&, / km S Phone
I am a homeowner performing all work myself.
F] I am an employer providing workers' compensation for my employees working on this job.
Company name:
Address
City: Phone #
Insurance Co. Policv #
Company name:
Address
Citt►: Phone #
Insurance Co. Policy #
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Roger Dussault
General contractor
86 Oakcrest Ln.
Gilmanton NH. 03237
603-267-1786
603-7704035 Mobile
May 22, 2005
James & Joan Corbett
53 Weyland Cir
No Andover Ma.01845
Contract
Project address : Same as above
Project date: 6/1/2005
Supply and install materials to construct 12'x14' deck and install one sliding patio door.
Supply pressure treated 2x12 to construct frame of proposed deck.
Supply Weatherbest Decking Gray in color. Install with Shadoe decking fastening concealed
fastening system. (some fasteners will be exposed due to there location)
Supply Weatherbest handrail components and install. Handrails will have concealed fasteners
where possible. ( fasteners will be stainless steel or ceramic coated.
Supply Weatherbest Trim to be applied as skirting around frame of deck.
Supply and Install one Anderson Frenchwood gliding patio door in dining area.
Interior wall will be blueboarded and finished with skim coat plaster.
New trim will be applied to match existing trim.
All siding removed to complete deck installation will be replaced.
Flashing for new deck to house will be copper.
One footing will be placed on outside corner of deck, Post will be 6"x6" and will be covered with
Weatherbest trim board.
No painting or priming is included.
Anything not stated is not included.
Any alterations from this contract will result in additional charge.
Total labor and material cost: $12549.00
Payment to be arranged as follows. 5021 $6274 50 down balance upon completion
6274.50.
Authorized Signature
er Dussault
Date I 1,� .2 3 -2 0-0 �
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Board of Building Regulations and Standards
HOMEIMPROVEMENTCONTRACTOR
Registration: 113566
Expiration: 6/28/2005
TYPe: Individual
ROGER C. DUSSAULT
ROGER DUSSAULT
137 MAY ST
LAWRENCE, MA 01841
Administrator
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BOARD OF BUILDINYa REGULATIONS
License: CONSTRUCTION SUPERVISOR
i Number: CS 046532
Birthdate: 08/90/1960
Expires: 08/10/2005 Tr. no: 7924.0
Restricted: 00
ROGER C DUSSAULT
137 MAY STS
LAWRENCE, MA 01841
Administrator 1
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