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Home My WebLink AboutBuilding Permit # 7/1/2016 01 t%®F?aal BUILDING PERMIT TOWN OF NORTH ANDOVER 0m APPLICATION FOR PLAN EXAMINATION Date Received -yA��gTED Permit No#: Ss�ca�us� Date Issued: IIVIPORTANT: Applicant must complete all items on this page LOCATION Print PROPERTY OWNER KObe'' r (scar t' Print 100 Year Structure yes no no MAP PARCEL: /063 ZONING DISTRICT:_ Machine Shop Village ye no TYPE OF IMPROVEMENT PROPOSED USE Non- Residential Residential ❑ New Building One family ❑ Two or more family Industrial ❑Addition ❑ Commercial ❑ Alteration No. of units: ❑Assessor Bldg [I Others: '( -77777777777777777 Repair,Repair, replacement y g 10'Demolition [I Other C(Septic ❑Well ❑ Floodplain ❑Wetlands ❑ Watershed Dis rict p Water/SeNier DESCRIPTION OF WORK TO BE PERFORM Identification- Please Type or Print Clearly Phone: OWNER: Name: Qoj ,3c--z P 11, (fL Address: Contractor Namel,1 r �� r 7A) 4 Phone 2r� � �t4 Email: 6 TZ—A� ' 1� :-7- Address: Address: N � ��t ' Supervisor's Construction License: 4�S Ob2 Z9 Exp. Date: Ex Date: l " GO Z-0 1'6 Home Improvement License: ��)0-- 1 Z--� p' ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE:BULDING PERMIT:$12.00 PER$9000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ I ' , FEE: $ Check No.: �Vll Receipt No.: !26' ;11 NOTE: Persons contracting with unregistered cont actors do not have access to the guaranty fund Y igna t%®RTH okwn ofE � �. �'' ndover ° h ver, Massj 0 LAKE �. COCNICMEwo .4 A�RATEU 0�4�`,�'t� S V BOARD OF HEALTH Food/Kitchen PER T Septic System THIS CERTIFIES THAT ® BUILDING INSPECTOR ...... .............................. .. .............................................................. 002 0a Obt 11 Foundation has permission to erect .......................... buildings on ....... ............`. .............. .. ... ...... .. .... Rough tobe occupied as ...... ...... . .... ;.. ...... .... ....., ... ... ... .............. ............................... Chimney provided that the person accepting this perm hall in every respect co orm 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 CONSTiRUCTION. TSn Rough Service .. . .. . .... ................. Final DIN INSPECTOR GAS INSPECTOR Occupancy Permit Required to Occupy Bu 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. WM. J. ZANN®NI, INC. GENERAL CONTRACTING 806 Salem Road,Dracut,MA 01826 Ph./Fax(978)689-3444 License No. 050281 AGREEMENT #062316 To: Robert Driscoll June 23, 2016 200 Chickering Road, Unit 108 North Andover, MA (978) 683-9368 Location: 200 Chickering Road, Unit 108 North Andover, MA Description: Frame a New Opening In the Outside Wall To Allow For a New HVAC Unit. HVAC Unit To Be Installed By Others. Price Includes Permit. Total Labor& Material Cost $ 1200.00 Acceptance: RobergWiscoll, Owner Date KITTREDGE CROSSING CONDOMINIUM ASSOCIATION 180,, 190; 200, 210 Chickering Road, North Andover, MA 01845 UNIT OWNER.. HVAC WALL SPECIFICATIONS Specifications for the structural wall repairs in conjunction with the removal and replacement of any HVAC unit at Kittredge Crossing. Due to the fact that the originally installed HVAC units are no longer manufactured and parts are becoming increasingly difficult to purchase; contractors removing and replacing any HVAC unit will require structural changes to be done by licensed carpenter. The following document applies to any HVAC unit being replaced in a Kittredge Crossing Condominium Association homeowners unit. It is written to ensure that the structural integrity of the building is not compromised, included are pictures, an engineer's structural drawing and a list of materials and signature page needed to complete the work. Conditions • All work must conform to the engineering requirements (sketches provided by Iron Engineering). • All drawings must be reviewed. • Changes to the exterior aesthetics must be compiled with (see exterior of Building 200, Unit 205). • All permits must be secured before work may begin and copies must be provided to Property Management of Andover(PMA), P.Q. Box 488,Andover, MA 01810. • Prior to any structural work being done,meet with Property Management of Andover (PMA) representative. • All work to be monitored and inspected as work begins progress and ends. 0 An onsite meeting with the Carpentry and HVAC contractor, property manager and a carpenter from the managing agent must be done prior to the work commencing. • All contractors involved must provide proof of all required insurance and liability to the managing agent prior to any work commencing: ® Any changes to the building's exterior wall aesthetics must be approved by the Managing Agent and the Board of Directors before any work begins. Initials KC-180,190,200,210 unit Owner HVAC Wall Specifications All work is to be inspected and assessed by a representative of the Managing Agent prior to any exterior wall being closed up. It is the contractor's responsibility to provide said agent with a specifie,' -late and time for the inspection to occur. Note:To ensure the spec,.,cations have been compiled with,the area will be re- opened should this inspection not take place. Materials 9 6 inch 18 gage metal studs o 5/8"Gypsum wall board a Wood furring strips 5/8" Densglass and seam tape r 6 mil poly vapor barrier * R21 Batten insulation * 1/d"Azek only James Hardy fiber cement board (no exceptions) Cedar shakes (if applicable) Exterior primer 1-3/4"stainless ring nails 1/4 inch drip cap Caulking Weather Master byTite Bond Scope of work Exterior wall a Removal of siding,sheathing, insulation and interior wall board in the affected area. • Installation of new 6"18g steel framed opening to the specified requirements of the engineers report. • Frame the rough opening in coordination with the HVAC contractors sleeve opening specifications using the Engineer's drawing as a reference. Note also; The Engineers report and sketch under findings are to be followed. Only one stud bay may be increased by approximately one foot in the vicinity of the HVAC vents. Where metal stud spacing is increased for the HVAC vent repair, a track header should be added and the jambs should be nested stud and track. • Installation of new R21 6"batten insulation to all affected areas. • Installation of new 5/8" Densgiass sheathing to all affected areas and all seams will be taped and sealed. ® Installation of a new Azek trim panel and drip cap underneath the new sleeve opening and Azek trim around the new HVAC unit.This exterior work will duplicate the exterior wall aesthetics of building 200, unit 205. • Installation of new James hardy fiber cement siding to match the existing with stainless nails,seal with caulking all points of possible water intrusion along walls and the newly installed HVAC unit. Old siding will not be reused. Initials 2 KC-180,190,200,210 unit owner HVAC Wall specifications Interior of the HVAC closet Installation of 3/4"' wood furring strips secured to the steel frame. ot Installation of a 6 mil poly vapor barrier. a installation of 5/8" wallboard to the interior of newly framed opening,tape and seal all seams with wall board compound. a Paint the HVAC closet(if required). A carpenter contractor hired by the homeowner or subcontracted by the HVAC contractor will require a $1000.00 deposit and permit(s)prior to any work commencing which will be returned once the work has been inspected and signed off by the Property Manager or Agent's representative and the Town Inspector. If the Managing Agent's carpenters are used,a 50%down payment will be required. I have read the specifications for the structural work and the installation an HVAC unit at Building ---- Unit with respect to the changes to the common area during the process and as well as the finish work and agree to follow the specifications understanding that all applicable permits have been received,signed off by the Town and the Managing Agent has fully inspected the area prior to dosing the area up and a final inspection has been performed by the Managing Agent. Please be advised,you are under no obligation to use the Managing Agent's or Kittredge Crossing's preferred carpenters.You may use a licensed carpenter of your choice who must provide a Certificate of Insurance and the referenced de osit above. HVAC Contractor Company: Contractortel: MVAC Contractor's signature: Town of N.A. Permit#: Carpenter Contractor Company: _ Contractortel: Carpenter Contractor's signature! _ Town of N.A. Permit#: Building and Unit number: Chickering Road, Unit Unit/Homeowner's signature: Deposit check number# Property Management of Andover Tel: 978-683-4101 Property Manager's signature: Initials� 3 KC-180,190,200,210 Unit Owner HVAC Wall Specifications S eci`�tions p The Commonwealth ofMassachusetts f Departi, t oflndustr^ialAceldents d X Cotigress Street,Suite 100 Boston,MA.02114-2017 www.mass.gov/dia Workers'Compensation Insurance Affidavit:Builders/Contractors/Eleetricians/Plumbers. TO BE FILED WITH THE PERNHTTING AUTHORITY. Applicant Information Please Print_Legibly Name(Business/Organization/Individual): T, A /t'0%'u4 -EU<_ Address: rLt City/State/Zip: 010& Phone Are you an employer?Check&e appropriate box: Type of project(required): 1. ].am a employer with -. employees(full and/or part time). ], New coristtuction QI am a sole proprietor or partnership and have no employees working for me in 8.X.Remodelirig any capacity.[No workers'comp.insurance required.] 9. [1 Demolition 3,❑I am a homeowner doing all work myself.[No workers'comp..insurance required.]t 10 F1 Building addition 4.❑I am a homeowner and will be hiring contractors to conduct all work on my property. I will ensure that all contractors either have workers'compensation insurance or are sole 11.❑Electrical repairs Or additions proprietors with no employees. 12; Plumbing repairs or additions 5.❑I am a general contractor and I have hired the sub-contractors listed on the attached sheet. 13.F!Roof repairs These sub-contractors have employees and have workers'comp.insurance.t �l 6.FJ We are a corporation and its offigers have exercised their right of exemption per MGL c. 14.Q Other,rte 152,§1(4),and we have no,employees.[No workers'comp.insurance required.] 6� *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. f Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,%ey must provide their workeis'comp.policy number.' I am an employer that is providing workers'compensation insurance for my employees'Belo*is the policy and job site information. Insurance Company Name: �jy4 i✓�i`L / Policy#or Self-ins.Lic.#: tU [, Expiration Date: / ®"� fob Site Address: 0 6W c r City/State/Zip: illi if Attach a copy of the workers' compensation 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 a fine 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 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 Hereby certify under the pains and penalties ofperjury that the information provided above is true and correct. Signature: d Date: �? l Phone#: ��) 7 v- ' Official use only. Do not write in this area,to be completed by city or town official. City or Town: Permit/License# Issuing Authority(circle one): ; 1.Board of Health 2.Building Department 3.City/Town Clerk 4.EIectrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: Massachusetts -Department of Public Safety Board of Building Regulations and Standard r/# conitiUcii011�Uj3ei iSoi „f License: CS-050281 `WILLLWJ7.ANNONI , '00 806 SALEM RD1 D-RACUT MA 017826 fi Expiration 10/15/2016 Commissioner 2 Office of Consumer Affairs&Business Regulation 1 ��'OME IMPROVEMENT CONTRACTOR e9istration: 180372 Type: Expiration: 11/10/2016 Corporation WILLIAM J.ZANNONI INC. WILLIAM ZANNONI 806 SALEM RD g /� DRACUT, MA 01826 Undersecretary t