Loading...
HomeMy WebLinkAboutBuilding Permit # 3/15/2016 Pr , BUILDING PERMIT 0oRT� ��,Kq TOWN OF NORTH ANDOVER go APPLICATION FOR PLAN EXAMINATION xno-wc Permit No#o � "'' , Date Received � �Ct�1J Date Issued: :IFA6OKI'ANTa Applicant must complete all items on this page r r f� OC f, f/ Ellr / TYPE OF IMPROVEMENT PROPOSED SE Residential Non- Residential ❑ New Building ❑ One family ❑Addition ❑Two or more family ❑ Industrial ❑Alteration No, of units: ❑ Commercial [4 Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other �', /iir :,a /.r/i`ripi r�ii%�,i' /,,,,,, ./ r,. %///////r///r /( /,,,,/ir:✓ l// .a: a /..fir,,, .. r�,r ,..,,, i,r, - .,,/oi>/// ,,,. DESCRIPTION F WORK TO BE PERFORMED: P � Identification- Please Type or Print Clearly OWNER: Name. t r,.i Lh'0 Phone: 12? 1 (x,0 � � 7 2,5T Address: f / r / r r / / r. / r / r r r / r ,, I, `;'- S�c� ,� 1 e se ri� ��ll /i,✓/,%�r,,r/ �,, G�f� � I;�%�, , r / / r / ARCHITECT/ENGINEER ,I,- ll c. e L'G ,(/r4 Phone. Address: .. �.� R 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: $ i 000 FEE: $ Check No.: y Receipt No.: NOTE: .Persons contracting with unregistered contractors do not have access to the guaranty_fund Signature of Agent/Owner LA,Signature OT contractor µ ' t4®RTH- F Town 0E ![ T 1j' 46 W er An v ® ® _ $ h ver, ass, O A" LAKE 1 COCKICME WICK A°RATED \��(5 •9S ,� U BOARD OF HEALTH" Food/Kitchen PF. RMIT T LU Septic System THIS CERTIFIES THAT 4BUILDING INSPECTOR ... .. ..... .., ArA.1 kew.4%AJ .... Foundation has permission to erect.......................... buildings on ... .. ... ......... .......... kokRough tobe occupied as ....... ......... ................ .................. ....... ......... � ........................... chimney provided that the person accepting this permit shall in every respect conform to the terms of the application Final 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 Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTIO S ART Rough .J!�— Service .............. . .... ... ....... . . ........... Final BUILDING INSPECTOR GAS INSPECTOR ccuoancy Permit Reguired t® Occupy Building Rough Display in a Conspicuous Place on the Premises' — Do Not Remove Final No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approvedthe Building Inspector. Burner Street No. Smoke Det. Lynch Construction Est"Imate 243 North Street Salem, MA 01970 Date Estimate# 3/10/2016 256 Name/Address Robert Burkinshaw 119 Autran Avenue North Andover,MA 01845 Project Description Qty Rate Total For the application to apply for a building permit for work described 500.00 500.00 in this estimate.We will apply all documents needed for a building permit,pay fee&pick up permit for work described below in this estimate. For the rental use of a 20 yard container,to be brought to site for 575.00 575.00 construction debris.All construction debris form job will brought to container&removed when full.Container has all overage weight of, 125.00 per ton over,weight will be billed in an invoice.Container has a 30 day limit,additional cost for rental could incur. For removing the ceiling on the first floor in the living room,& 1,425.00 1,425.00 dining room.We will remove all debris to the container.For removing the wall board from the wall,where the fireplace is located,in the first floor.We will remove any wall board,from area's on the second,in the hallway,kitchen where needed,&the room off the kitchen.For removing all wall board from bathroom on second floor,we will remove all debris to the container. For the installation of wall insulation&ceiling insulation on the 3,600.00 3,600.00 first floor,in the kitchen,in the room off the kitchen,in the bathroom,in the small hallway,&in the living room&dining room ceilings only will install R-19 in the walls,& R-30 in the ceilings. For installing any insulation in open walls,where needed on the second floor.All insulation,&labor is included. We thank you for letting us estimate your work. Tot Page 1 Lynch Construction Estimate 243 North Street Salem, MA 01.970 Date Estimate# 3/10/2016 256 Name/Address Robert Burkinshaw 119 Autran Avenue North Andover,MA 01845 Project Description Qty Rate Total For the installation of 5/8 gypsum board on the kitchen ceiling, 8,500.00 8,500.00 living room,ceiling,dining room ceiling,den ceiling,&bathroom ceiling,small closet ceiling,all on the first floor of house.For the installation of 5/8 gypsum wall board on the wall in the den,that abuts the gat-age.For installation of 1/2 gypsum wall board to the kitchen,den,small hall area,closet off hallway,&the fireplace wall in the living room.for installation of 1/2 green mold resistance board in the bathroom on the first floor.For instillation of green mold resistance board in the bathroom on the second floor.For applying tape on all scams&joints where needed.for applying a skim coat of plaster on all walls,&ceilings listed above.The application will be a smooth finish,on all walls,&ceilings listed above. For installing new wood trim where needed on the first floor on 4,200.00 4,200.00 home.We will install new colonial door frames,new colonial window frames,all new base boards to match existing rooms.We will install a new 6 panel pine door to the linen closet.For installing new wood trim where needed on the second floor of home.We will install new colonial door frames,new colonial window frames,all new base boards to match existing rooms.So basically we will install trim where required,&needed to get house back to original condition.All supplies&new trim,along with the labor is included in this topic. We thank you for letting its estimate your work. to Page 2 Lynch Construction Estimate 243 North Street Salem, MA 01970 Date Estimate# 3/10/2016 256 Name/Address Robert Burkinshaw 119 Autran Avenue North Andover,MA 01845 Project Description Qty Rate Total For the plumbing work to be done on the 1st floor. We rough in 13,500.00 13,500.00 kitchen drain lines,vent lines,&water lines,for a kitchen sink, kitchen dishwasher,line for the refrigerator,gas oven in island.We will rough in bathroom drain line,vent line,&any water lines,for a lav,toilet,&corner shower.We will rough in drain lines,vent lines, &water lines for the 2nd floor kitchen sink,kitchen dishwasher, water line for refrigerator,we will rough in drain lines,vent lilies,& water lines,for bathroom,toilet,bathroom vanities,&a bathroom shower enclosure.We will connect heat where as required&install under cabinet heaters,in both kitchens.Owner will supply or purchase all toilets,all vanities&sinks,all faucets,for kitchen& bathrooms,shower enclosures"s,&shower valves,.All other materials&labor are included. Payments to made as follows:5 equal payments of($9,600.00)Nine 0.00 0.00 Thousand Six Hundred Dollars.I st payment of($9,600.00)Nine Thousand Six Hundred Dollars to start work,2nd payment of ($9,600.00)Nine Thousand Six Hundred Dollars,due after rough plumbing,&insulation has been inspected,&installed,3rd payment of($9,600.00)due after wall board has been hung&plastered& trim work has been installed,4th payment of($9,600.00)Nine Thousand Six Hundred Dollars,due after floors have been installed &coated.5th payment of($9,600.00)Nine Thousand Six Hundred Dollars,due when all work has been completed. We thank you for letting Lis estimate your work. Total $48,000.00 Page 4 I A-3 A-3 EX15T.12" � CONCRETE II WALL 0 0 a FAMILY ROOM l REMOVE EXIST. u BASEMENT BEARING WALL EXISTING 4" PROPOSED LVL U- 1 DIA.COLUMN SIZE TO BE VERIFIED _3(a BY GG EXIST.(4) I PROPOSED 2X10 ABOVE A_2 I 4X4 POST ALIGN A-2 PROVIDE NEA WITH P05T5 ABOVE 4"DIA COLUMN AND BELOA A/3'X3'FOOTING, - '-0"DEEP ALIGN AITH POST ABOVE FIREPLACE FIREPLACE EXISTING P05T I TO REMAIN J n BASEMENT rj--� 1ST FLOOR SCALE:1/4"=1'-0" SCALE:1/4"=1'-0" Zelloe+Weaver FLOOR PLANS ARCHITECTS,LLC JOB#: 16004 59PARK ST. 119 AUTRAN AVE SCALE: 1/4'.=1'-a' BEVERLY,MA 01915 North Andover,MA 01845 DATE: 02.22.16 m 978.921.6309 T 978.921.6316 F DWN BY: MR CROSS REF. nTrc ATTIC TTI — --�— - —- EXIST.2X8 PROPOSEDFLUSH FRAMES)LVL SIZE TO BE VERIFIED BY GG A3 T- FAMILY ROOM i 2ND FL00 EXIST.2X10 PROP05W FLU5H FRAMED .Vi- ;X - SIZE IGTO BE VERIFIED REMOVE EXIST. FAMILY ROOM BEARING WALL T FAMILY ROOM IST FLOOR -- -- —- _-- — y�=- PROPOSED LVL Y- EXIST.2X10 SIZE TO BE VERIFIED A-2 EXIST.(4)2X10 PROPOSED - 4X4 P05T ALIGN `� BASEMENT WITH F05T BELOW r PROVIDE 36"X 36"X 12" GONGRETE FOOTING FIREPLACEBA- SEMEr EXIST.4"SLAB ------------ n2ND FLOOR TRANSVERSE SECTION SCALE:1/4"=1'-0" SCALE:1/4"=1'-0" Zelloe+Weaver SECTION ARCHITECTS,LLC JOB#: 16004 59 PARK ST. 119 AUTRAN AVE SCALE: 1/4"=l.-0.' BEVERLY,MA 01915 North Andover,MA 01845 DATE: 02.22.16 978.921.6309 T 978.921.6316 F DWN BY: MR CROSS REF. — ATTIC ATTIC PROP05EP FLU5H FRAMED LVL PROPOSED 4"0 15'_1" COLUMN FAMILY ROOM 2ND FLOG PROPOSED FLUSH FRAMED LVL PROPOSED 4"0 COLUMN FAMILY ROOM IST FLOOR EXIST.(4)2X10 BEAM TO REMAIN EXISTING COLUMN EXISTING COLUMN PROP05ED 4"0 COLUMN BA5EMENT PROVIDE 36"X 36"X 12" 8'-8' CONCRETE FOOTING n LONGITUDINAL SECTION SCALE:114"=I'-O" Zelloe+Weaver SECTION ARCHITECTS,LLC JOB#: 16004 119 ADTRAN AVE 59 PARK ST. SCALE: 1 02.2 .16 - BEVERLY,MA 01915 North Andover,MA 01845 DATE: 02.22.16 978.921.6309 T 978.921.6316F DWNBY: MR CROSS REF, Residential Property Record Card Parcel ID: 210/045.D-0018-0000.0 MAP: 045.D BLOCK: 0018 LOT: 0000.0 Parcel Address: 119 AUTRAN AVENUE FY: 2016 PARCEL INFORMATION Use-Code: 104 Sale Price: 135,000 Book: 06998 Road Type: T Inspect Date: 05/0912015 Owner: Tax Class: T Sale Date: 08109/2002 Page: 0189 Rd Condition: P Meas Date: 0 510 912 01 5 BURKINSHAW,ROBERT Tot Fin Area: 3088 Sale Type: P Cert/Doc: Traffic: M Entrance: X Address: Tot Land Area: 0.310 Sale Valid: A Water: Collect Id: RB 119 AUTRAN AVENUE Sewer: Grantor: BURKINSHAW,GEORGE Sewer: Inspect Reas: R NORTH ANDOVER MA 01845 Exempt-B/L% 0/0 Resid-B/L% 1001100 Comm-B/L% 010 Indust-B/L% 0/0 Open Sp-B/L% 010 RESIDENCE INFORMATION LAND INFORMATION Style: DX Tot Rooms: 9 Main Fn Area: 2024 Attic: NBHD CODE: 5 NBHD CLASS: 5 ZONE: R4 Story Height: 2.00 Bedrooms: 5 Up Fn Area: 1064 Bsmt Area: 2024 Seg Type Code Method Sq-Ft Acres Influ-YIN Value Class Roof: G Full Baths: 2 Add Fn Area: Fn Bsmt Area: 1 P 104 S 13500 0.310 N 177,720 Ext Wall: AV Half Baths: 1 Unfin Area: Bsmt Grade: DETACHED STRUCTURE INFORMATION Masonry Trim: Ext Bath Fix: Tot Fin Area: Foundation: CN Str Unit Msr-1 Msr-2 E-YR-Blt Grade Cond !Good P/F/E/R Cost Class Bath Qual: T RCNLD: 261402 Kitch Qual: T Eff Yr Built: 1981 PG S 800 1988 A A /501/42 18,600 1 Mkt Adj: Heat Type: HW Ext Kitch: Year Built: 1973 VALUATION INFORMATION Sound Value: Fuel Type: G Grade: A Cost Bldg: 261,400 Current Total: 457,700 Bldg: 280,000 Land: 177,700 MktLnd: 177,700 Fireplace: 1 Bsmt Gar Cap: 3 Condition: AG Att Str Val I: Prior Total: 377,900 Bldg: 206,300 Land: 171,600 MktLnd: 171,600 Central AC: N Bsmt Gar SF: 960 Pct Complete: Att Str Val2: Att Gar SF: %Good PIF/E/R: 1100/[79 Porch Type Porch Area Porch Grade Factor P 40 T 100 W 100 Sketch Photo 10t➢0 0 � � ` o I FMI B ISH 2024 9W S*R S}Ft M rt 30 38 o, M1 5 5 T 1010© 0 119 AUTRAN AVENUE The Commonwealth of Alassachusetts .Department of 1"ndustrfialAecidents 1 Congress Street, Suite 100 X ` tl 021X4 2017 - Boston,MA. ~~ �r www.massgov/dia ' Vij'a3:�exs'compensation Insurance,Affidavit:Builder/Contractors/Electricians/;L'lumbexs. TOM',MED WITS TEM PERMITTING AUTHC1RfxX. Please Print LeOb bl A,-p _ '•licant Znfoxmation ation/Sndividual): t,t.•„/ E'l z Name(Business/Ox'gariiz ' Address; A'x� )t°r V­k,V­. Q � ; c � � d /11//'i c,;,�f�q 7�thane#: � � � R C:i�y/S1:ate/Zap: �� r r Are you an employer Ch"c ctlie appropriate box: Type of project oequixed); 1, T am a employer with_._._:_:--- employees(full and/or part time).'` 7. eW construe ion z, arn a sole proprietor or partnership and have no employees working for me in $, D. emodeliiig any capacity.[Noworlcers'comp.insurance required.- 9, Q Demoliti0ki 3,E]Iamahomeowner doing all work myself[No workers' comP.insurancarequired]' 10[]Building addition 4.�T am a homeownor and will be luring contractors to conduct all work on my property. Twill 1 itl r 1 Electrical l:e airs or addition s l� i?, ensure that:all contractors either have workers'compensation insuranco or ate sole � $�"����ixxg repairs or additions proprietors with no employees. 5.Fj I am a general contractortand Ihave hiredthe sub-contractors listed ontho attached sheet. 13`.[]Rbof repair These sub-contractors have employees andhaveworkers'comp.insurance. 14,'''1 Other 6,❑We aro a ecrporafion and i#s,officers have exercised their right of exemption per MGT,c. 1 152,§i(4),and wahavario employees:[No workers'comp.insurance required.] * pplicant that eck§6bi 1 exist also fill out the section below showing their workers'compensationpolicy information, Any a i lTorneowners who ckFD t tivs affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. 4i at` cot showing the name of the sub-contractors and state whether oX not(hose entities have $Conizaotors that ehecktluj box nxusti attached an additional sh employees, Ifthe sub actors have employees,they must provide their workers'comp.policy number- employees. X am an employer that is providing-wor'lcerYs'compensation insurancefor my empioyees. Beraw is the policy and)oh site information. fors rartco Company Name: f Expiration Datez I.. Policy#or Self-ins.Lie.#: City/State/Zip ' .2 Ll rob Site Address: expiration Attach a copy of the Ivo rltexs' compensation pokey declaration page(showing the policy number and e pixatxoxa date). .00 Failure to secure coverage as requited under MGL e.152,§25A is a a STOPnal IWORK ORDER.and a�e o�P to $250,00 a anal/or one-year imprisonment,as well as civil penalties iia.the to$1,500 foxed off a S arded to the O day against the violator.A copy Of this statement may be forwffice of Investigations of the DTA for insurance coverage verification. X do/zer'eby certify ander'the pains andpena/ties ofperjzzry t/zat t1ie information provided abave is h'Ue and correct 11 Date: Si attire � 4c' Phone#: ( C". :. ... r l official use only. Do not write ill this area,to be completed by city or•toxon offzeiaL Permit/License#� City or Town.' Issuing Authority(circle one): 1.Board ofIfeaith 2.Building]Department 3.City/Towxt Clerk d.Electrical Inspector 5.Plumbing Inspector 6,Other- Phone#: Contact Person; CERTIFICATE LIABILITY INSURANCE DATE((v@4'UDDIYYYY) 03/10/2016 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER IMPORTANT: ff the certificate holder is an ADD ONAL INSURED, the pOltcy(ies) must a endorsed. ff S BROGATIO WAS WANED, subject to the terms and conditions of the policy, certain policies may require an endorsement A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER -NAME.• Rchard P Bertolino Jr Insurance Agency + : (97g) 423 - 8995 (AIc,Ney:(978) 531 - 0718 1200 Salem St Unit 121 E-MAIL-ADDREs Lynnfield, Ma 01940 WSURER(S)AFFORDINGCOVERAGE NAIL# RavREtA:Western World INSURED INstmmB:AIM Mutual Lynch Construction INSURER C: Attn Bill Lynch 04SORMD: 243 North St INSURER E: Salem Mass 01970 978-808-6045 INSURERF: COVERAGES CERTIFICATE NUMBER- REVISION NUMBER- THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. POLICY C EXP LUTR F TYPE OF INSURANCE RB JWVD POLICY NUMBER MWVWIYYYY) (6'&DONYYY) LA'HTS A GENERAL LIABILITY TBA 01/18/201 01/18/2017 EACH OCCURRENCE $ 1,000,000 DAMAGE 10 KENILU }{ COMMERCIAL GENERAL LIABILITY PREMISES Me omrrerm) $ 100,000 CLAIMS-MADE ®OCCUR MEDEXP(Anyoneperson) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GENERALAGGREGATE $ 2,000,000 GEMLAGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOPAGG $ 1,000,000 S POLICY j�T LOC AUTOMOBILE LIABILITY (Ea acddeM) S BODILY INJURY(Per person) S ANYAUTO ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS NON-0WNID PS HIREDAUTOS AUTOS (Pernod PROPERTY racc�derd) S UMBRELLA LIAB OCCUR EACH OCCURRENCE $ '... EXCESS LMB CWMS-MADE AGGREGATE $ DED RETENTION S $ B WORKERSCOWPEIJSATION vwc 100 6021452 2016 a 02/29/201 02/29/2017 TORYUMITs EIR AND EMPLOYERS'LIABILITY YIN ANY PROPRIETORIPARTNERIEXECUITVE NIA EL.EACH ACCIDENT $ 100,000 OFFICEWRIEMBER EXCLUDED? El (Mandatory in NH) EL DISEASE-EA EMPLOYEE $ 100,000 Ifyes,desmbetder E.L.DISEASE-PODCYDMIT S 5'500,000 DESCRIPTION OF OPERATIONS Max DEWRHM NJ OF OPERATIONS I LO CA-nCM I VEHICLES(Attach ACORD IDI,AcIftonal Remarks ScheMe,ff more space is regiared) '.. Seperate cert has been ordered for holder from Mass Workers Comp Taiting Bureau 119 Autran Ave North Andover CERTIFICATE HOLDER CANCELLATION Toen Of North Andover SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN North Andover Mass ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE-- ©198$2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/OS) The ACORD name and logo are registered marks of ACORD 41 =7 j Office of Consumer Affairs and Business Regulation 10 Park Plaza - Suite 5 170 Boston, Massachusetts 02116 Home Improvement Contractor Registration ------ Registration: 127853 Type: Individual Expiration: 1/18/2017 Tr# 263169 WILLIAM E. LYNCH WILLIAM LYNCH 243 NORTH STREET -7-=- SALEM, MA 01970 Update Address and return card.Mark reason for change. E] Address F-] Renewal Employment Lost Card SCA 1 is 20M-05/11 671;, Office of Consumer Affairs&Business Regulation License or registration valid for individul use only ME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: egistration: 127853 Type: Office of Consumer Affairs and Business Regulation S xpiration: -1118/2017 Individual 10 Park Plaza-Suite 5170 Boston,MA 02116 WILLIAM E.LYNCH WILLIAM LYNCH 243 NORTH STREET. SALEM,MA 01970 Undersecretary Not valid without gnatu're Massachusetts -Department of Public Safety Board of Building Regulations and Standards l 1/111111.1 LL�1/11 Jfl�l;��tYl/l '. License: CS-098454 ``Vs� r rS Uri WILLIAM E LYNCH 243 NORTH STREETS e Im 1�m SALEM MA 01970 r ✓..�,.��J .•'v'n. ` Expiration Commissioner 04/23/2017