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HomeMy WebLinkAboutBuilding Permit # 10/29/2015 ' 1 _ BUILDING PERMIT NoerH f a9 0 TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit No#: 1-/ t!�k����y" Date Received Datelssued: �t" I �P7ORTANT:Applicant must complete all items on this pale LOCATION /S < "+l.-(f r='7a�✓�i�Y /` ':'-',. /� PROP RSY OWNER .1 t-�a9�� S JI✓T �` ., ter' Print 100 Year Structure yes no MAP 'S"] PARCEL:u L�d L� ZONING DISTRICT: _Historic District ye no Machine Shop Village ye no „,s TYPE OF IMPROVEMENT PROPOSED USE . Residential Non-Residential ❑New Building 4`One family ❑Addition ❑Two or more family ❑Industrial ❑Alteration No.of units: _ ❑Commercial ❑Repair,replacement ❑Assessory Bldg [I Others: ❑Demolition ❑Other DESCRIPTION OF WORK TO BE PERFORMED: Identification-Please Type or Print Clearly OWNER: Name: I�..Jc;`Gk( 1`I/=?F��'kr`� Phone: Address: Contractor Name e l`.�'< �> •�s2y�/"/%a��"lbw' Phone: c""` Email' -j,rnn - /` 5"`T !' W A,,0a:7 Address: 3< ]� ¢,a�-rar'/c:. Supervisor's Construction License: )Gli V2,r-' Exp. Date: Home Improvement License: /'3p7 A S / Exp. Date: ARCHITECT/ENGINEER Phone: Address: Reg,No. FEE SCHEDULE:BULDING PERMIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost:$ D �' a-`" FEE:$ L a Check No.:— otr}'>� ,n isle edcon. Receipt❑o,,. e c t D�IC!) NOTE Persons contracting w t/e on zstereal contractors Do not have access to t/a� unraaat eutrl % 8 YS �anati roof AGr1]t/O ' ..—.. _ Town of t%ORTH Andover No. 2-61 All Ver,Mass, BOARD 01 HEALTH F,,d Kit,h � RMIT T ILD Septic System THIS CERTIFIES THAT................Nc S 6.i4 ................................................. BUILDING INSPECTOR U has permission to erect..........................buildings on —uo -,— . '.<�.......... ..................................................... Rough to be occupied as S... ........ ....(2 Ch'—Y provided that the person accepting this permit shall in every respect conform to the terms of the application Fini on file in this office,and to the provisions of the Codes and By-Laws relating to the Inspection,Alteration and Construction of Buildings in the Town of North Andover. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Rm.] PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTIONA ......................................... . Rough ""i" ............................. .. ....... iiNB6�6GINSPECTOR GASINSPECTOR Occupancy Permit Required to Occupy Building Rough Display in a Conspicuous Place on the Premises—Do Not Remove Fi.1 No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. B°,­ st"'t No. Smoke Det. CPN- a r ;f k�c sdpiatra8 d.Coon. iai Roofing All Typ.Of taldlkEF'� c+esiuV ro-scr:ruirst,x'-cntas� q ue.11 F* -_ E,xpe,; Masonry Work Niass Toll Froe Lre sed K In N Livens #034200 1 800 WAIT 4 t3S 7 Ko '� EL s r 1 d i vV W k V.—ka—d (924-8487) Proposal To:Neal shapley Date 8/13/2015 Street: 75 French Farm rd. 978-973-7585 N.Andover MA Roof proposal nealshap@comcast.net Certainteed Landmark 1, Extra caution will be taken to protect house and 12.Removal of all work related debris.Planks will be landscaping as best as possible.(tarps etc.) placed under dumpster to prevent any damage to Magnets run at final clean up. driveway. 2. Remove all shingles from entire main house and 13.Building permit included. j garage.Not rear low addition 14.Contractor workmanship warranty:10 years under 3. Inspect and re-nail any loose or lifted plywood normal wind and rain conditions. Any compromised plywood will be replaced at an additional cost of$65.00 per sheet of 1/2"CDX Total roof cost:$11,000.00 fir. 4. Install heavy gauge 8"aluminum drip edge to all Certainteed 3Star extended direct MFG warrantv eaves and rakes.(white,brown or mill fi—sh) A fully transferable 100%coverage against 5. Install 6'of Certainteed Winter Guard ice and material defects for a fully non pro rated period of water shield along all eaves. 20 years.Offered to our existing customers and 6. Install Certainteed Diamond Deck synthetic included in this proposal at no additional cost. underlayment to remaining sheathing up to ridge. 7. Install all new pipe boots. Balance due upon completion 8. Install Certainteed Swift Start starter shingles to all eaves. References available upon request 9. Counter flash chimney lead and all roof protrusions with ice and water shield and seal. Highly rated member of the accredited BBB and 10.Install Certainteed Landmark Limited Lifetime Angie's List architectural shingles to entire house.10 year material MFG.warranty.(See extended Thank you! warranty)All shingles will be installed and fastened according to mfg.specs. 11.Install new Cobra ridge vent and cap with color matched Certainteed Shadow hip and ridge shingles. Acceptance of Proposal—The above prices,specifical ions and conditions are satisfactory and are herby accepted You axe authorized to do the work as specific 1.Payment will be made as outlined above. Date of Acceptance: Signature: o~ tem _g u, a � 2-1 n �.. }.� amEgg mH w o; k w 11 1 �El mS ' a 9Q9 ¢o oQa -arc ¢ - eF =N aoY a z =g Wtog Eli m' ¢ m� �..ti ow�o -ts� s� �oo Pw` Uta% z a�o�w� u Uo N 51 Of- Lu ¢� W a Pa {ma{y� n-b nOA F�u� YY UU P i NJ �5u S x In w IN � & � N a .� CE IS MESQNMI Wm `��_ -4t .�bg < r _ _NL,,.a The Commonwealth ofMassaehusefts Department of Industrial Accidents I Congress Street,Suite 100 Boston,MA 01114-2017 www,massg—ldia Workers'Compensation lum—re Affidavit:Builders/Contractors/ElecMrians/Plumbers. TO HE FILED WITH TILE PERMITTING AUTHORITY. Analicantl formation Please Print Leeibly Name(Business/Orgmib fi-(J dwid.al): Aft x%/1221 d1l'e'- Address: _4 J )'c—plt_ City/State/Zip: M 211•s-c""l /Gvi1A'J� Phone#: y�lj I):'7� ! Are Y.v—Ploy—teres ne ap Prhft roc Type of project(required): I.Ell...pbYa widr ovployae(full andm pmahve).• 7. New construction 2�lam esole pmpnoar or parmnsniO and Haut so m�plorees working Wr mein g, Remodeling -Y Mw MoZ. mmp.Z—rtanimd.l 9.O Demolition J.�I am s hommwva doing all wok myslf.IN.wo—mmp.ivmmnm m it e.l' 4.❑I am a bmveowne and will be hinn duel all wok on my propmy.I will I O❑Electrical additions g mnvaclon to mn 11.❑Electrical repairs .additions m rtlha all covvacbrs eiWuheve wohai canprnsation insurance or arc sok pmpnctors w;w ao empby— 12.Q Plumbing repairs or additions 5 agmml mnvacbravdl have M1irNrh abwnlaalors lista on due eluchetl shm. 13❑ROOF W i 'I Th�sbemtmnon bave evpbyma and love wohcri comp.inslvaMel tf]-rtawrp 6o.avditvoRcaahavc aocised dcir ngbl ofaanplivn pc MU 153,4114),avd we hev<vo mryby—IN.wvhvs'mmp.insmancc---J •AnY appliwm char chmks6ox pl mus.also fill ow the section below stowing lbcir wohari mvrpensarian polity mfvrmalbo. ,. 'Homcownas who mbmil Wis affidavit iMkaling Wey as doing all wok aM Ism him ounidcmnuanors mmI rvbmiu a vnv affidavit indiwling sacb. 'i IComravors dol cb=k Nu box miu almchM an addilimml shen showing Ux vamc of the sub-conuxYorsand sale wheWa or wtlbou mlilim have ', emploYar.If We aubcavuaclon nave emploYm,Uel'mus pmvide(heir wohaa wmv,poliq oumly. ,. /am an a Dloyer thatis providing workers'compensudon insuranre/or mY emp/ogees Below h the policyandjob sire f.motion, Insurance Company Name. Policy H or Self-ins.Li,-N: Expiration Date: Job Site Address: �S �R..n�l4 y�1�r City/Statdzip:nn'AJLvj AHach a copy of the workers'compeusatnm policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under MGL c.152,§25A is a criminal violation punishable by.fi e up to$1,500,00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a dayagainst the violator.A copy of this statement may be forwarded to the Office of lnvestigations ofthe DIA for insurance erageverification. l do hereby certify`u delIr��rhea pX�yrs' dpenout ofpequrythat the mfo,m don provided ubwe is true and correct SmN , ll'"'� (f s-�,�i,,LL�7IIDat 3 Phoret Ojjfcial use only:Do not write in this meq m be co pleted by city or mwn fciai City or Town: Per 091,iceme q Issuing Authority(circle one): I.Board of Health 2.Building Department 3.City/f—Clerk 4.Electrical Inspector S.Plumbing Inspector 6.Other Contact Person: Phone a: '. Maesachuset2s•Depav4m¢nt of Public Safo8y Board'f Building RegtllatlonS and Standards etoser:,rnaP s p 36'FE2.fftLE DR� 57`»-y)(,t � NLTfiUENriiA 8t&tU �, �lJ 11'itt t�$ ExpirAtlon COPR'(Pr1551¢n¢P iuraar2oft Click on the registration number to view complaint history.You can also view arb(tration antl Guaranty Pd hiun story, The list Wcurrent as of Wednesday,October 8,2014, Search Results REG NT RESPONSiSLE f3EGI5TRAY#tlN r'R[MA:T3GN f'hE INDIVIDUAL NUMBER DAa^E ADDRESS STATUI n�L u.toen Dire Hoot LANZAFAME, 197051 006 A MERRIMACK ST 70/02201G CUrrent JOHN M£THEUM,MA 01844 ©2012 Common-alt,of Massachusens. mass.co��sa,ay�ateroaaemca mors Duna camnanweaun or Massasnusens. I.