HomeMy WebLinkAboutBuilding Permit # 5/12/2016 BUILMIN(3, PERMIT
TOWN OF NOR".rH /0,,N DOVE R
APPLICATION FOR IPI AN EXAMINAT101'4
Permit NO: Date
Date Issued: cHtis
I s 1
IMPORTANT:
_Afflicant must complete all qtr"'Ills olhi )'t
LOGATION
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PROP RT
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TYPE OF IMPROVEMENT PROPOSED-08-
ResE- --------
—R�qntial Nc ro t-1,esidential
I--] New Building V one family
11 Addition Ll Two or more farn0y IndLIStrial
v�Alteration 'iu. :'A("J5 Wrj No. of
L..] Repair, replacement El Assessory Bldg I I Others:
F1 Demolition 11 Other
i Watershed District,
['Mfeflai s
Ai6'
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LAI-
(APJ
c
Identification Please type or Print C'Iearly)
o
WNER: Name: Phone:( Z
Address:
777--=-
7=11
F1
upervi's,
on's ruc,
ors�,b t'' 't I Licon se, Ep, Date;
Exp, Date"
ARCHITECT/ENGINEER
Address:
FEE SCHEDULE:BULDING PERMIT.$12.00 PER$1000.00 0: TWETOTAL ESTIMATED COSY-13ASED ON$125.00 PER S.F.
6)Li,bl-b
Total Project Cost: $ FEE:
Check No.: s.
NOTE: Persotis cowracting with tiiiregisteeed cowrmlor�,"do noe have eleee'v'v 0 the g"qr(a0;-' itlit/
P.,
Signature,of Agent/,Owner , Sigilaklffr Of contr
e X
Plans Submitted ❑ Plans Waived Plot Plan Starnpc.-A Plans
TYPE OF SEWERAGE DISPOS1,
Public Sewer 'Fanning/Massaoe/Body A0 Smin-11111,0, Pools i
Well ❑ Tobacco Sales 11,,ickaging/Sales I I
Private(septic tank,etc. ❑ Permanent DL1111pStff 011
THE FOLLOWING SECTIONS FOR OFFICE USE ONLY
INTERDEPARTMENTAL. SK3N OFF - 1.) FORM
DATE REJEC'['ED DATE APPROVED
PLANNING & DEVELOPMENT ❑
COMENTS IQ
T=z -77=--=TT--77PF70VEU-
C
CONSERVATION
COMMENTS
DATE DATE P PPRjVED
HEALTH
COMMENTS J
Zoning Board of Apeals: Variance, Petition yes_.__
Planning Board Decision:
Conservation Decision: Cornrnerit
Water& Sewer Connection/Signature& Date Dri e
en-nit
Located at 384 Osgood Street
empPOmOster 66 site
771 1
0"
tk®RTH
mi-Idover
_uown of
® �,
• _
� z _ h ver, Mass, ��
O LANA
4,
COC MIG N!wIC K
AERATED
S U
BOARD OF HEALTH
Food/Kitchen
PimmRMI �T� L D�p Septic System
THIS CERTIFIES THAT �1 ...® .®.��s ��� BUILDING INSPECTOR
.............. .................. .. .........................................................
Foundation
has permission to erect .......................... buildings on . .� �. .�. .. .... .....................
Rough
to be occupied as ,
..................%�4r. .. ..... �6.:. ?^! ��. Y............ �..................................... 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 STARTS Rough
Service
............ ..! 10 S
... ......... ... ............................................ Final
BUILDING INSPECTOR
GAS INSPECTOR
ccupancy Permit Required to Occupy Bualdtnz Rough
Display in a Conspicuous Place on the Premises — Do Not Remove Final
No Lathing r Dry Wall To Be Done FIRE DEPARTMENT
Until Inspected and Approved by the Building Inspector. Burner
Street No.
Smoke Det.
er
Iserwe Agreei -ent
Date: April 18,2016
Customer: Margie Rothschild (hereinafter the -0isi0mer")
Address: 315 Abbott Stre-et, North Andover, MA, (I lercipaller(fie"Project")
PR(XIECT OVERVIEW
This Agreement is for the extension ofan existing ck,,ck olffliv bwk of the house,the extension will
approximately 15' xg' and will be direct continua 6 n ofif tile existi fig stj-acturc.
PROPOSAL
for this Pr 'ed hemby offers to perform all of the work
TKG Services, Ll.,C(hereinafter the"Contractor' % (�J
described within and to provide all materials and labor required to complete the Proiect within a specified
litneframe. +
The Work will begin on or about 4/25/2016(the"'Start Date"), and(subject to the availability of special order
materials and project components) will continue expeditiously to completion,estimated to be on or about
15/15n016(the "Completion Date").
Subject to the Customers acceptance of this proposal,the Contractor agrees to perform the work- in accordance
with the terms of this proposal for the total sum of: _$71800.1 .0 which is inclusive of all materials and job
components.
We the Contractor represent and warrant to the Cust0mler that(a.) we are licensed and insured to perforru the
proposed work in the state where the Project is lowa!_d ai)d(b)we have the staffing capacity to complete the
Project as proposed. This proposal is respectfully submitted by'.
the Contractor:
By: TKG Services,LLC
Tom Morgan and Christopher Delper®
Its: Owner's/Operator's
Mass CSL 094297-Unrestricted
Mass RIC 180169
Mass RIC 174646
Prior to Start Date:
1.) Execute the Contract and collection of the initial deposit(s),
2.) Submit drawings and obtain all necessary peirnits,
3.) Begin to assemble other materials and caordinate sub-contractors scheduling.
The F-IROJEC"I"
! !gi_qct CiMerview
The Customer has an existing deck(approx, 3!Yx8 ) off One 1-,)ack t)f thf,!house and they are seeking to
double the size of the deck by extending OUMZIrd frena the existing, keeping the deck extension the
same height as the existing deck.
Dimensions:is,x a, w/ PVC Railing ystern
1.) Obtain permit to construct
2.) Dig footing holes(3)- 4'deep
3.) Purchase and install sonar tubes, pour crmc,,-.nX, and inst-fli 11"'A"giflvanized post plates
4.) Frame the deck extension off the using Pressure"treated joists,&4X6 posts secured with
joist hangers, galvanized nails and carriage bolts.
5.) Purchase and install maintenance free AZIK composite docking and secure using the hidden fastening
system (color to match existing),
6.) Finish the deck perimeter with paintable hni.,,f i board,
7.) Wrap the new support posts with paintable finish boaj d.
8.) Purchase and install additional PVC railing syslowt with bidusters&finishing trims.
9.) Repair the damaged section of railing on the e!xisting,deck melted by the gas grill
Pavment Terms:
%Prior to Start
20%Mid-point
20%Upon Completion
By signing below you acknowledge that you have read aiid. understand this Agreement and that you are
in agreement with the scope and payment tenns.
A
Customer Signature:
Date:
Coot-i-actor Signatur
Date: A-1
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r LAWRENCE H. OGDEN.P.E.
FA 11 E a,r w;6 up I vy P"" 198 FAST MAIN STREET
GE ORGETOWN, MA. 01833
978-352-8318, cell 978-502-5921
........... ........... —------ ...................
EXTERIOR DECKS, PORCHES & STAIRS 9-1043
DECKS, PORCIIEN AND EXTEM1011 !s"FAIRSTO BE DESIG�NED FORTHE
F'OLLOWINC LOADS.
LIVE LOAD 4011SK, SNOW DRIFTIF APPLICA11LE AND WIND I_,ATE11A1, AND
UPLIFTFORCES.
C'UARD AND HANDRAILS: 200 LBS. IN ANY DIRE(,,"FION ATANY POINT.
INFILL (I I ONIPONENTS: 50 LBS. HORIZONTAL ON AN ARE'A EQUAL TO I SQ. FT.
SI'AIRTUIps ADS: THE CREATER OF 40 DI D?. OR 300 1,13S.CO NCENTRATED LOAD.
DECK CONST'RUCTION IS COVERED IN SEuriON R502.2.2 OF THE 811, EDITION
OFTHE MASS. STATE BUILDING' CODE FOR RESIDENTIAL CON ST RUCTI()N.
NO'11',: NEW SECTION 11502.2.2.3 REQUIRES A DECK LA'I"ERAL LOAD
CONNEC"TION. SEE ALSO MASS. ACD EDMl.i,N'JI"'(.) SECTION 8602.10 FOR
UNCONDITIONED PORCUIES.
REFERTO AMMERK AN FOREST & PAPER ASSOClATION (AF&PA),j,,,
yy
A PRESCRIPTIVE, RESTDENTIAL WOOD DECK CONSTRUCTION GAIDE (I)CA609)
ASREVISED MAY 2013, MASS AMENDMENT R30I.I.I.
C( NSULTA REGis'"rERED DDD SICN PR(10ESSIONAL FOR I'I'EMSTHATADHD? NOT
IN COMPLIANCE W1111 'I"HIS GUIDE.
SIMPSON SI"RONG-TIE D. CD PUBLISI-JES 1111,I)FUL GUIDESTO DEC:'K
CONSTR(J(,,,,r ION.
ALI., WOOD FRACING MA'rER.DAL S TO RE PRESSURETREATEDD.
ALL EvrERIOR CONNECTIONSTO BE CORROSION PROTE(""TED.
CON'FRACTORTO, COORDINATETYPE, OF CORROSION PROTECTION
REQUIRED WITH '-rHE 'I'YPE OF Pit ESSU RETREATE 1) LUMBER SUPPLIED FOR
EXURIOR FRA NLDDC (",' AND 'rIIE CONNECTION MAN U FACTUE11S
RECOMME,NDATK)NS.
vas
LAWRENCE H. OGDEN. P.E.
198 EAST MAIN STREET
GEORGETOWN, MA.01833
978-352-8318, cell 978-502-5921
315 Abbott Street, North Andover, MA
= Proposed Deck
= New Footings(10"x 4' Deep)
15'
s' Existing Deck
15'
8' Proposed Extension
1 2 3 4 5
ELEVATION BENCH MARKS � ��
® DATUM: ASSUMEDY�I
K N0. DESCRIPTION ELEV. amu. °" K
1, SL1H COVER CENTER 100.93 I -
ra
D.C.macRiCCh.IC,Inc.
2
•rev°"v P, I �Sry 711111vi&ATe
--- Uc l,l,NI 103833
6035153572
D01a,Rillne.—n
J J
RESOURCE AREA LOCUS
DETERMINED BY WETI
=2,000'
IuWNAGEMEN'
I I
\ � 4
S 30 06'4I -,
h
7
,_– — sa }
J
50-FT NO BUILD ZONE
oM aam --...—_—_
IS '
mO zmoo 16
M �M
n t /
G
g ° / 15
/ 3 W
r-
I a q-/ TAX MAP 038. BLOCK 0020 LOT,
N/ BOMBA
/ 600/( /3 4 PAGE 780
IF I-V X730. ABBOTT
-
4 BDRM DWELLING
E -.__
CONSCDMMIREOTS 11013
tM1. �SCTEIPTIOIN LM1E
DESIGNED BY: DATE:
A DCM 10/1012013
_—
�, 4 PLOT SCALE: PLOT DATE:
D AS NOTED 9/10/2014
D
I FILE NUMBER:
—.- —. 34248.101-L2-L3-RD.DWG
w •-
.`` APPLICANT:
BOBERIN LLC
--- 9 WHITNEY RD
-" '- „----� BOXFORD,MA 01921
t_ 1 52.00' D
9787
6w --_ PROJECT
FG
nn- v1 � SITZ:DEVELOPMENT
CUMENT COMPLIANCE WITH MASS DEP ORDER OF TAX MAP 38 BLOCK 20 LOT 02
THIS PLAN IS PROHIBITED, 315 ABBOTT ST
N.ANDOVER,MA
OWNER OF RECORD:
- TI���`.._ r BOBERIN LLC,9 RD
i4,l,p 62.60' 1 N B XFI
TNEY
JORD,MA 01927
N 1850'47` -------
74N '� r SHEET TITLE:
�JJAc�
AS-BUILT PLAN
A LAYOUT 8c GRADING PLAN A ®1
RD
A 1 SALE: ,•�2Q' �..�®
2 3
14 15 SHEET 1 OF I
S_1\ The Commonivealth qf)VIassachuseds
Department ofinthesiriul Aceiden"S
i I Congress Street, Suile.100
Bavion,Ml 021,14-2017
IVIVIP.muss.govIdia
Workers'Compensation Insurance Affidavit-.
TO BE FILED WITH"PILE,PE RMITTINGAUTIIORITV.
Awlicant Information fleaso Print Legibly
Name(Business/Organization/Iiidividtial):--Ik,(t--'-O-f-l-u,-(-,.,C-�
<
L
Address:
City/State/Zip: It
Are y ran employer?Check file appropriate box: Type of project(required):
1.�K".a employer with—L-employees(full and/or part-time).'" 7. 1-1 New construction
2.[]1 am asole proprietor or partnership and have no employees working for nic in 8, r].Remodeling
any capacity.[No workers'comp,insurance required.]
9, Demolition
3.n I am a homeowner doing all work myself[No workers'comp.immianGe rcqllijvd:1
10 ]FBoilding addition
4.F_j I am a homeowner and will be hiring contractors to conduct alt work on my property. 1101
ensure that all contractors either have workers'compensation insurance or alesole I l.F]Plcctrical repairs or additions
proprietors with no employees, 12.❑Plumbing repairs or additions
S.n I am a general contractor and I have hired the sub-contractors listed on dic attached sliect. 13. Roof repairs
These sub-contractors have employees and have workers'comp.insurance t
6,F-1 We are a corporation and its officers have exercised their right of exemption per rVIG4,C. 14. Other -4
152,§1(4),and we have no employees.[No workers'comp.insurance required.]
*Any applicant that checks box H I must also fill out the section below showing 016 r%voi kci sco i i ipc.i isat ioi i policy inforniation.
t Homeowners who submit this affidavit indicating they are doing all work and thco hoc outside cootravlois must submit a new affidavit indicating such.
tContractors that check this box must attached an additional sheet showing the nanic of the sob-contractors and state whether or not those entities have
employees. If the sub-contractors have employees,they must provide their workers'comp.policy number.
Iaiiiart eitil)loyei,that ispi,oj)idiitgipoi-Icei-,v'cotitpetts(illoitinsurance ji)i-iityeiitl)lojlees. Below is the policy and job site
information. ASO,C I i'l
Insurance Company Name: v ye,"
Policy#or Self-ins.Lie,M I"Xpjratiolit Dato:__
Job Site Address:
Attach a copy of the workers'compensation policy declaration page(showing die policy number and expiration datel.
Failure to secure coverage as required tinder MGL c. 152,§25A is a criminal violation punishable by a fine tip to$1,500.00
and/or one-year imprisonment,as well as civil penalties in the form of it STOP WORK ORDER and a fine of tip to$250.00 a
day against the violator.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance
coverage verification.
I do here �tVY'Riffy-ZuJI et the�affll, ,n penalti peljfily that the injin,mati improvidediwove7irn ant correct.
pol ly,
S
re
ru 7""/r
Phone#:
Official use only. Do not ivilte in this area,to be completed by city or toji'll official
City or Town: 4
Issuing Authority(circle one):
1.Board of Health 2.Building Department 3.City/'I'own (,'jcy1c 4.Electrical Inspector 5.Plumbing Inspector
6.Other
Contact Person: ------
TKGSE•1 OP ID:;;
:���•� ':':''".
CERTIFICATE OF LIABILITY INSURANCE
DA7E(MMIbb1YYYYj'09/03/2015
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. TH) ':
j CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTI=ND OR ALTER THE COVERAGE AFFORDED BY THE POLICIVS
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZER
REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(les) must be endorsed. If SUBROGATION IS WAIVED,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
i certificate holder in lieu of such endorsements.
i— CONTACT
PRODUCERNA{qE F'hllhln Insurance Group____
tEdmund Flana an•Philbin Ins. PHONE � FAX —'
PHILBIN INSURANCE GROUP !yc N,yfxl)T781.272-82.10 (ac-�;781-584-4445
E-MAIL
One Mountain Road __-
BUFlington,MA 01803
Philbin Insurance Group __________ INSl1I2ENi AFI.ORDINGCOVERAGE
lNsuRERa:Arbella Protection Company 41360
INSURED TKG Services LLC INSURER B:Associated Employers Insurance
Thomas Morgan -- --
INSl1RER C: '..
420 South Main Street --------------- --- ._._.. - ---- - -- - -
Bradford, MA 01835 INsuaF_ie b
INSURER E
INSUPPR
:;()VERAGES CERTIFICATE NUMBER: REVISION NUMBER:
I I IIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE ULE N 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.
. _.....----....._._ /SOUL SU6.-.'.--- —._.__.-----__-- P01_ICY EFF POLICY EXP
'r TYPE of INSURANCE POLICY NUMBER— �MMrobmv�S(N-LDD YYY LIMITS
COMMERCIAL GENERAL LIABILITY EACH OCCUR_RENCE $ 1,000,000
---.�CLAIMS-MADE El OCCUR 15AMA�CTOR NTA=O._..__...._. .--__-
9520044634 10118/2015 10(1812016 PREMISES{Ga ocwrrence $ _ 100,000
X Business Owners MED EXP(Anyone person) $ 5,000
PERSONAL&ADV INJURY $ 1,000,000
GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000
PRO- lLOC PRODUCTS-COMP/OPAGG $ 2,000,000
POLICY EI JECT J
- - --
OTHER: $
_
AUTOMOBILE LIABILITY C R9B0NtD SINGLE LIMt7 $
ANY AUTO BODILY INJURY(Per person) $
--- .....- --- ----
ALL OWNED M- SCHEDULED BODILY INJURY(Per accident) $
AUTOS AUTOS
NON-OWNED PROPERTY DAMAGE $'"'�'—.—_.__..-_....._....._.
l HIRED AUTOS Per_acciJlenl)_____--___._.-_-------
EACH
.-._
AUTOS $
UMBRELLA LIAB OCCUR EACH OCCURRENCE $
EXCESS LIAB CLAIMS-MADE AGGREGATE $
DED I�RL-'fEN'I•ION$ $
f OTH• "
WORKERS COMPENSATION _ 51ATUTEJ I ER___
AND EMPLOYERS'LIABILITY ___60, -0
i ANY PROPRIETOR/PARTNERIEXECUTIVE Y❑ NlA WCC-500-5012300-2015A 07!18/2015 U7/18/201G E.L.EAGH ACCIDCNT $ 100,000
OFFICERlMEMBER EXCLUDED? DISEASE-EA EMPLOY $— — 100,000
(Mandatory in NN)
tt yes,describe under .E.L..EDI----------- -----------_._-.._...___..____
00
DESGRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000
Property Section PROPERTY 5,000
i
ii if RIPTfON OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If morn spaco Is required)
arpentry and Carpet Cleaning
I
I
t:ERTIFiCATEHOLDER CANCELLATION
j SHOULD ANY OF TH5 ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATIONDATE THEREOF, NOTICE WILL BE DELIVERED IN
TKG Services LLC ACCORDANCE W11,H THE POLICY PROVISIONS.
AUIHORIIED REPRESENTATIVE
11f� 1CLtii't9/�A��£
— 01988.2014 ACORD CORPORATION. All rights reserved.
ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD
f� ¢, i¢f-,.i_6�P" +r C t.T i � .d'
Office of Consumer A flair: anti BLISiness Regulation
10 Park Plaza - Suite 5170
Boston, Massachusetts 02116
Home Improvement Contractor Registration
Registration: 180169
Type; LLC
Expiration: 10/15/2016 Tr# 258915
TKG SERVICES, LLC:
THOMAS MORGAN
420 SOUTH MAIN ST
HAVERHILL, MA 01835
r IMMe Address anti return card.Mark reason for ehange.
Address Renewal Employment Lost Card
-'� office of Consumer Affairs&Business Regulation License or registration valid for individui use only
HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to:
Registration: i8416g Type: Office of C'oitstimer•.affairs and Business Regulation
Expiration 10/1 /2016 LLC
10 Park Phva-Suite 5170
t Boston,tl1A 02116
TKG SERVICES,LLC,
THOMAS MORGAN
420 SOUTH MAIN ST -51
HAVERHILL,MA 01835 Undersecretary Not valid without signature
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