HomeMy WebLinkAboutMiscellaneous - 10 Harkaway Road11
Location
No. Date -7,3 —,) 2-,
TOWN OF NORTH ANDOVER
Certificate of Occupancy $
Building/Frame Permit Fee $
Foundation Permit Fee $
Other Permit Fee $
TOTAL $
Check #
15811
Building Inspeciz/
TOWN OF NORTH ANDOVER
BUILDING DEPARTMENT
APPLICATION TO CONSTRUCT REPAI RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING
M
BUILDING PERMIT NUMBER: 0 DATE ISSUED:
SIGNATURE:
Building Commissioner/1for of Buildings Date
SECTION 1- SITE INFORMATION
1.1 Property Address:
1.2 Assessors Map and Parcel Number:
Map Number Parcel Number
/G�h ,,� ��� t
1.3 Zoning Information:
Zoning District 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
Rapired Provided
1
1.7 Water S ly;Z.L.C.40. 54) 1.5. Flood Zone Information:
Public Private ❑ Zone Outside Flood Zone ❑
1.8 Sew a Disposal System:
Municipal On Site Disposal System 0
SECTION 2 - PROPERTY OWNERSHIP/AUTHORIZED AGENT
2.1 Owner
, oof Record /
���� �dtri�
Name (ntj/ Address �Service:
Sign ture Telephone
2.2 Owner of Record:
Name Print Address for Service:
Signature Telephone
SECTION 3 - CONSTRUCTION SERVICES
3.1 Licensed Construction Supervisor:
Licensed Construction Supervisor:
Address
Signature Telephone
Not Applicable ❑
License Number
Expiration Date
3.2 Registered Home Improvement Contractor
Not Applicable 0
Company Name
Registration Number
Address
Expiration Date
Signature Telephone
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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 buildme hermit.
Signed affidavit Attached Yes .......❑ No ....... 0
SECTION 5 Descri tion of Proposed Work check all applicable)
New Construction ❑ 4 tExistilm Itsildmal 0 Repair(s) ❑ Alterationv(pi ❑ 1_ Addition ❑
Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify, jjt t
Brief Description of Proposed Work: -.
Le "2 he kr , f l%Go
I SECTION 6 - F,STIMATF11 C0NCTU1Tf T1nN MCTc
Item
Estimated Cost (Dollar) to be
Completed by permit applicant
OFFICIAL USE ONLY .
1. Buildinga
() Budding Permit Fee
Multiplier
2 Electrical
(b) Estimated Total Cost of
Construction
3 Plumbing
Building Permit fee (a) X tb>
o�
4 Mechanical HVAC
5 Fire Protection
6 Total 1+2+3+4+5
/
Check Number °
is 1v DJ1 %—%J1YlYLIb1EU WU-EN
OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
1, as Owner/Authorized Agent of subject property
Hereby au orize�,.,,, to act on
My be f, in all matters relative o wor authorized by t wilding permit application.
✓' f -,P 3
Signature of erDate
--11011
I SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION
1> 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
N
t
1 51
r R.C. TAYLOR & SONS GENERAL CONTRACTING
27 BYRONSTREET PHONE: 978-521-0335
BRADFORD, MA 01835 FAX: 978-521-0472
PROPOSAL SUBMITTED TO:
NAME: Mesh.,
ADDRESS:
N• AN�au� MA -
PHONE: 3 7 8 3
PROJECT
PROPOSAL
1
WORK TO BE PERFORMED AT:
-04,41:-
Gb v r Pvu l Sw ,N c� xW Pev i I � u wy� c,le.� � 9 ( #tyyt I" `?0 7zi" J
T6� r
PROPOSAL INCLUDES:
All material guaranteed as specified and the above work performed In accordance with the
drawings and specfficatlons submitted for above work and completed in a substantial
workmanlike manner for the sum of: 4�/7 9�Q, all 2
PAYMENT TO BE MADE AS FOLLOWS: ms`s
U/JY!/yL
PC i C R -A IMAM ac, d ow.rr CL* -n r4.c 0 �- S o 3 t IF M A-TEtL[4 l S a_� c �n-, ezK
U t .
DUE UPON COMPLETION:
CONDITIONS:
` O&U,-avc ra D i sea s a- tr—
q i�o�s parcT' 1'NCLu�2 (oAn1p-�SGrts-� c3�.1�,rL Frnr/.1(���
SAw c ---t Ctrl, e,, -!0/Z S . en
/-mm' 4 a-RA00 A* t SOU,
�
ACCEPTANCE OF PROPSAL: HYD" se) - Zaz) ,
The above prices, specifcatfons and conditions are satisfactory and are hereby accepted.
You are authorized to complete this contract as specified.
Payment will be made as outlined.
DATE OF ACCEPTANCE:
SIGNATURE:'--���
SIGNATURE:
-
D. Robert Nicetta
Building Commissioner
.(978) 688-9545
°(978) 688-9542 Fax
Town of North Andover
Building Department
27 Charles Street
North Andover, MA. 01845
HOMEOWNER UCENSE EXEMPTmpN
Please print
DATE,
JOB LOCATION
Number
"HOMEOWNER
Name
'RESENT MAILING ADDRESS___1Y&k
Street Address
Home Phone
Map / lot
Work
-e_
I
City Town State
Zip Code
The current exemption for "homeowners" was extended to include twvner-occupied bungs
of two units or less and to allow such homeowners to engage an individuaFfior hire who does.
not possess a license,. provided that the owner acts as supervisor. (State Building Code Section 108.3.5.1)
.DEFINITION OF HOMEWOWNER:
Person(s) who owns a parcel of land on which he/she resides or intends to reside, on which
there is, or is intended to be, a one or two family dwelling, attached or detached stnxtures_
ceskry to such use and/ormuct
farstrures. A person who consbucts rr�o►e one hone c a
two-year period shall not bebonsidered a homeowner
The undersigned "homeowner" assumes responsibility for compliance with the state Building Code and other
Applicable codes, by-laws. rules and regulations,
The undersigned "homeowner" certifies that he/she understands the Town ct No- Andover
Building Department minimum inspection procedures and requirements and that he/she will '
comply with said procedures and requirements.
HOMEOWNER'S SIGNATURE :�.�+ ,�2
APPROVAL OF BUILDING OFFICIAL
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Location / e - / 2- � ��
No. Date
TOWN OF NORTH ANDOVER
rw& 4
Certificate of Occupancy $
Building/Frame Permit Fee $
CHU
Foundation Permit Fee $
Other Permit Fee
% TOTAL
Check #
181 6a
Building Inspeclih
. TOWN OF NORTH ANDOVER
BUILDING DEPARTMENT
APPLICATION TO CONSTRUCT REP RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING
TIW sEo" AWQll lliie
BUILDING PERMIT NUMBER: DATE ISSUED:
SIGNATURE: AOLIP
Building ComIniSSioner/I for of BuildingsDate
SECTION 1 -SITE INFORMATION
1.1 Property Address:
L&4-moK-N
1.2 Assessors Map and Parcel Number:
Map Number ParceNumber
1.3 Zoning Information:
Zoning District Proposed Use
1.4 Property Dimensions:
LA Area Frontage ft
1.6 BUILDING SETBACKS 00
Front Yard Side Yard Rear Yard
Required Provide Required Provided Re red Provided
1
1.7 Waw Supply M.G.L.C.40. 54) 13. Flood Zone Information: 1.8 Sewetap Disposal System:
Public ❑ Prm to ❑ Zone Outside Flood Zona ❑ Municipal ❑ On Site Disposal System ❑
SECTION 2 - PROPERTY OWNERSHIP/AUTHORIZED AGENT i`.ti iCt: r jo
2.1 Owner of Record
Name (Print) Address for Service
a Si a re Telephone
`
2.2 Owner of Record:
Name Print Address for Service:
Signature Telephone
SECTION 3 - CONSTRUCTION SERVICES
3.1 Licensed Construction Supervisor: L,
�r C,4 C,•1 /� � re";' t v
Licensed Construction Supervisor:
/`,A, � r `
Address
S' Telephone
Not Applicable ❑
6
License Number
Expiration Date
3.2 Registered Home Improvement Contractor
Not Applicable ❑
Company Name
Registration Number
Address
Expiration Date
Signature Telephone
U
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: /le
3
(Location of Faci
Signature of Permit Applicant
��z , 0 � -
Date
NOTE: Demolition permit from the Town of North Andover must be obtained for
this project through the Office of the Building Inspector
I
I
APR -13-2005
Ein # 51-05033313
MA Re��.HT0473f�
MA';! UCS Ot8130
4Si pfyLk. pf711 n
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16:23 978 475 8205 P.01r01
FAx a, r w,a�,wj 4a- lydr f ePN a
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H�o�•299x � �f � N N
37 Stevens Sheet, HoverhM, MA 01832.978 374.9224 1 MEMBER
e are: ✓ licensed we Insured ✓ Factory Trained ✓ Factory UAW Installers
,S 4P214-
mote for: P"" r
4A,* - MyR PH Y
Address: Ib / ig RK gwAy
Consultant. �y»
Telephone.l, T22,i'' d 43 A
City/fawn AJD6vtr2 State:Aff
I.R.C. agrees to commence described work on / or about and described work will be completed in about working don. L.R.C. shelf not be
hem liable for delays due to circumstances beyond out control. LR.0 shall not be liable for any dontage to landscape, onics and/at fixtures due to circumstances beyond our
cotnraL I.R.C. shall not be held liable for pre-existing conditions including but not Wiled to mold and/or wood rot. Defective, fouby, rotted or worn balding counterparts such
as but not limited to siding, gutters, masanrg plumbing, and wind= that jeopardize the watertight integrity of the bolding are not coveted under the roofing warranty.
The Mewing work 6drrles al labor and o teriols needed to complete yaw jab a a professional worknraabip Me mamter.
Steep sure Q"-9trote proposal to tarnish ad instal the f*%wing: Approximate roiarea 2660 y
fel New Roof O Re -roof O Gutter O Repair ❑ Ventilation'` ❑ Rmheathing of roof dock ustmg _ Plywood.
wrtremmove
re for re -roofing by ensuring all safety measures are taken in accordance to OSHA standard regulations and land ape a properly protected.
existing layers of roof material down to roof deck and inspect wood. If upon inspection we dscover any rotted wood replacement will be performed of
001 3�s per SF If wood is sound we well re4wil any foose wood to rafters, sweep deck and prepare for installation. �%VU
Mr Install 8" Drip edge O Install S' Drip Edge ❑ Install Hug edge (Re -roofs only) Color eOkV
VAAp i(e & water shield (UNDERIAYMENT) as per manufattureW specifications and/or 2 GovRs� S
O'Aly 30-0411 paper (UNDER(AYMENT) to the balance of the exposed wood deck.
Rehash all stock pipes, tie-ins, chimneys ond/or any r f netrations as required and dictated by good roof practice to ensure woter figMww
0/o -seal chimney bose„ sing cement & fabric la' Re•Leod & point chimney • ❑ Rebuild chimney S &<d
Install anew, 36
Year Ll Traditional 11 Architectural style shingle roof system (obr Motel.
Q Furnish and Instal a new shingle over style ridge vent system O Soffit vent system S .
❑ AD debris generated by lambert Roofing Co., Inc. will be cleaned up and disposed of from the job site in a legal fashion. Under no circumstances will the watertight
integrity of the building be compromised.
&
Warranty options: O Standard LRC O Manufacturers Upgrade
UPON COMPLETION AND PAYMENT IN FULL ROOF SHALL HAVE A WORKMANSHIP GUARANTEE FOR A PERIOD OF TEN YEARS HONORED AND ISSUED BY THE LAMBERT ROOFING
COMPANY AND YEARS HONORED AND ISSUED BY THE SHINGLE MANUFACTURER
Oils docearottt con serve aY a wake;& However lis a mere elaborate asrrtracr is desired we wit issue it at the owners request
Please slge and raterrt one copy iron accaptow. NOTE: H this 0000"t is not "led in 30 dors N gray be witb awn by LRC
NOTE: V% accept major aeditcw&o & flnaadng is avaslahtet 'Ttee to arenbaort related casts there wig be a 2.3% se►vw chane
Total Esthaote Price: S 40 ,OUD
Dote of Acceptance
Payment to be orale a follows; Y3 DE'Ros (Home/Business owner,
��nu+�� t� f.-di'i'►l�l rE %0✓ � �g re
Aflnafto charge of 14%� „ Signature
per mouth (18% per yew) Our Proof is on Your Roof,
will to charged on post due wwWombertroofinvilet
arn.wuw�� w��w� 9 A -
TOTAL P.01
To: 19786216791 From: Blue Jav
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