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HomeMy WebLinkAboutBuilding Permit #388 - 105 BROOKVIEW DRIVE 2/24/2003 TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAI RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING M BUILDING PERMIT NUMBER: a Q DATE ISSUED: a c2 �C SIGNATURE: Building Commissioner/Inspector of Buildings Date z SECTION 1-SITE INFORMATION 0 1.1 Property Address: 1.2 Assessors Map and Parcel Number: Oro Map Number Parcel Number p� 1.3 Zoning Information: 1.4 Property Dimensions: Zoning District Proposed Use Lot Area(so Frontage ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide Required Provided Required Provided Q 1.7 Water Supply M.G.L.C.40. 54) 1.5. Flood Zane Infomution: 1.8 Sewerage Disposal System: Public 0 Private 0 Zone • Outside Flood Zone 0 Municipal 0 On Site Disposal System 0 J SECTION 2 PROPERTY OWNERSHIP/AUTHORIZED AGENT m 2.1 Owner of Record &ae(Print) Address for Service Signature Telephone 2.2 Owner of Record: Name Print Address for Service: O m Signature Telephone 90 SECTION 3-CONSTRUCTION SERVICES 3.1 Licensed Constr4ction Supervisor:: Not Applicable ❑ Licensed Construction Supervisor: 2/'I 0 C/ 6 LlJ% -Tr a } n t License Number an Address �( �( Expiration Date ic 0 re Telephone r _ y 3.2 Registered Home Improvement Contractor Not Applicable ❑ ��.GE� Co � SfrLJc.�+a,y p Company Name 3 m �� , � �✓G I .� + � ,n Registration Number r 7,ss �. (�1 /j b " 6, l',j 7J0 Expiration Date (z re Telephone 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 buildin rmit. -Signed affidavit Attached Yes....... No.......0 SECTION 5 Description of Proposed Work check all a licahlc New Construction 0 Existing Building ❑ Repair(s) ❑ Alterations(s) Addition 0 Accessory Bldg. 0 Demolition ❑ Other ❑ Specify Brief Description of Proposed Work: � ti SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)to be # � UFFIGIAY.0 S>CO� ;�r� tt ; Completed b erm t applicant •k 11 1. Building O&PP(a) Building Permit Fee Multiplier 2 Electrical (b) Estimated Total Cost of Construction 3 Plumbing Building Permit fee(a) x (b) 4 Mechanical HVAC 5 Fire Protection 6 Tota] 1+2+3+4+5 Check Number SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I, as Owner/Authorized Agent of subject property Hereby authorize to act on My behalf,iii all matters relative to work authorized by this building permit application. Signature of Owner Date SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION I, �"C/C IJ P 6- I N R K E�' IJ as-QmatAAuthorized 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 PE- rin e Si ue ofer/A ent Date hiag NO. OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TINIBERS 1' 2ND 3 SPAN DIMENSIONS OF SILLS DIMENSIONS OF POSTS DIMENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MAT.ERLAL OF CHEVINEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE Location IPS 1-3/'oo� v/r`t, —Pl2 No. 3 88 Date a'-L 3 01 MORTN TOWN OF NORTH ANDOVER a� o 1M '• O ► D + Certificate of Occupancy $ _ Eco} Building/Frame Permit Fee $ s 140 ' Foundation Permit Fee $ Other Permit Fee $ TOTAL $ a Check # C)oga 16170 _A la Building Inspector Inspector F—l.�iS � 13aSefti�v� + • s' FORM U - LOT RELEASE FORM R e_c em a v INSTRUCTIONS: This form is used to verify that all necessary approvals/permits from Boards and Departments having jurisdiction have been obtained. This does not relieve the applicant and/or landowner from compliance with any applicable or requirements. *****************************APPLICANT FILLS OUT THIS SECTION*********************** M�c k. tl� N rj g e a J APPLICANT3�'e�-� �l r11(t '� PHONE g ` �S LOCATION: Assessor's Map Number 9014 PARCEL SUBDIVISION p LOT(S) STREET ST. NUMBER 1 L ************************************OFFICIAL USE ONLY*********************************** RECOMMENDATIONS OF TOWN AGENTS: CONSERVATION ADMINISTRATOR DATE APPROVED DATE REJECTED COMMENTS TOWN PLANNER DATE APPROVED DATE REJECTED COMMENTS FOOD INSPECTOR-HEALTH DATE APPROVED DATE REJECTED SEPTIC INSPECTOR-HEALTH DATE APPROVED ZI DATE REJECTED COMMENTS (.yd -�Uet 46f= W,Y i,e. PUBLIC WORKS-SEWER/WATER CONNECTIONS DRIVEWAY PERMIT FIRE DEPARTMENT RECEIVED BY BUILDING INSPECTOR DATE Revised 9\97 jm t3 1 O � ti• � 1 ( rrE §t Li ( -._......... _ Cv r -------------- 1 S KEEN CONSTRUCTION CO. 21 HEWITT AVE. N. ANDOVER,MA 01845 (978)691-5201 Nadeau, Michelle Hodlin, Steve 105 Brookview Rd. N. Andover,MA 01845 (978) 685-5891 Contract# 1492:Appendix A Date:12/9/02 Remodel basement: • Frame interior partition walls to create @ 865 sq. ft. of finished living space including: • office room • family room • entry area • %Z bath • Insulate&install vapor barrier on all exterior walls • Create %2 wall at bottom of stairs (one side only) • Blueboard& skimcoat plaster walls of finished areas • Install 6-panel hollow core masonite smooth doors as follows: • one unit pair • one bypass unit • five single units • Install trim on doors,windows &base to match existing • Paint walls&trim(2 coat finish, 2 neutral colors) • Install @ 85 sq. yd. of carpet($22.00 yd. Installed allowance) • Install @160 sq. ft. of ceramic tile ($320.00 material allowance) • Install 2'x 2' standard revealed edge suspended ceiling in all finished areas • The following areas shall remain unfinished: • HVAC room &area under stairs • closet in office • two small foundation jogs on front wall Electrical: • Install outlets and switching to code • Install four zones of electric heat(only two with wall mounted thermostats) • Install two phone outlets,two cable outlets • Install ten recessed ceiling lights on two dimmers • Install two fluorescent troffer light fixtures Plumbing: g • Install standard toilet, white vanity(as large as possible for the space allotted), Swanstone top with integrated bowl, standard faucet KEEN CONSTRUCTION CO. 21 HEWITT AVE. N. ANDOVER,MA 01845 (978)691-5201 • Install all necessary plumbing pipes for fixtures • Correct overflow from clothes washer on 2"d floor • Drop sprinkler heads through suspended ceiling Does not include smoothing of walls of stairway, cost of permits, or any changes required by inspectors. All extras&upgrades to be paid in full when ordered. Total price:$24,916.00(twenty four thousand nine hundred sixteen dollars Payment schedule:$1000.00 due upon signing contract $7000.00 due first day of work $4000.00 due when framing is complete $4000.00 due when rough electric&plumbing is complete $5400.00 due when work is complete except flooring $3516.00 due when all contracted work is complete Customer Kenneth B. Keen I� Date Date The Commonwealth of Massachusetts I = Department of Industrial Accidents - _ ' office of/nyestigatiow \�NJ_ � 600 Washington Street ''� Boston,Mass. 02111 Xt 7�4 Workers' Compensation Insurance Affidavit A hcant informafion eal 1 name `� . �� (� ,�ti�S�iZUc 7'i/j �1 E N tJ E �!6- Ji�J location: Z rr Crl 1 i I/ city Aln 2 �h T! NI / 4 d l S' phone#27 2 ' C/1 I am a homeowner performing all work myself p,l am a sole proprietor and have no one working in any capacity I am an employer providing workers' compensation for my employees working on this job. company name: d ad re ss: situ: phone# co. otic # insurance� p y I am a sole proprietor, general contractor,or homeowner(circle one)and have hired the contractors listed below who have the following workers' compensation polices: company name• address: Xx city phone ' - insurance co 'R hey`# company name: address: . city, phone insur•tnce co. policy# Att tch sidditional'sheif�f*cssar� .c,.,1.,✓X, -F..k.8x z: .fveStnautldi .L".. F:.�../ws✓.s XS:.•a�.E�� ,.��,�,s�. Failure to secure coverage as required under Section 25A of�IGL 152 can lead to the imposition of criminal penalties of a fine up to 51,500.00 and/or one years'imprisonment as well as civil penalties in the form of a STO[1VORK ORDER 9nd a fine of 5100.00 a day against me. I understand that a copy of this statement may be forwarded to the Office of Investigations of the D[A for coverage verification. I do hereby certi under the in a penalties o perjury that the information provided above is true and correct. Signature Date 7i c Print name �� �'/V/4 E ry _.._ ._. .._L phone# 7 b ' G C?/- ZO �� . ' Z"official use only do not write in this area to be completed by city or town official..., ... . city or town: permit/license# nBuilding Department �LicensingBoard` check if immediate response is required Selectmen's Office O (contact erHealth Departmentp son: phone#; Other n (revised 3/95 PIA) Q • ✓fie Uanzir�aoou� o�'✓�,Crooaclu�ae� j BOARD OF BUILDING REGULATIONS i y License: CONSTRUCTION SUPERVISOR Number: CS 0582.,45 .` Birthdate: 03/24/1-943 Expires: 03/24/2004 Tr no: 20021 1 _ Restricted: 00` KENNETH:B KEEN 21 HEWITT AVE (.�... , N ANDOVER,.MA 01845 Administrator. ✓tie Vo�n�noo�u�ecz� `���aaczc%�ae�Za Board of Building Regulations and Standards HOME IMPROVEMENT CONTRACTOR Registration: _108383 Ex iration: p 8/1•$/2004 Type: DBA KEEN CONSTRUCTION CO: i Kenneth Keen 21 Hewitt Ave I ' No.Andover, MA 01845 I i Administrator FROM : FLINTLOCK, INC. PHONE NO. : 19786834430 Mar. 07 1998 05:3FJPM P8 FROM THE OFFICE OF: L-C�he Prudential Howe& Doherty REALTORS 12 Bartlett Street ndover, MA 01810 1PASTANDARD FORM PURCHASE AND SALE AGREEMENT . RTI, ES AND MAILING Thls Agreement prepared this Sixth day of March, 1998 Time is of the essence. ADDRESSES Brookview Country Homes,Inc. of North Andover, Essex County,Commonwealth of Massachusetts hereinafter called the SELLER,agrees to SELL and Steven F.Hodlin and Michelle L.Nadeau of 10305 Paddington Ct.,Ellicott City, MD 21042 hereinafter called the BUYER or PURCHASER, agrees to BUY, upon the terms hereinafter set forth, the following described premises: A certain parcel of land together with the improvements to be constructed 2. DESCRIPTION thereon In accordance with the plans and specifications attached hereto as Exhibit xxx, and Exhibit xxx, said parcel being shown as Lot#7, North Andover, Massachusetts, on a plan recorded with the Essex North District Registry of Deeds Plan No. 13059. For Seller's title see Deed recorded with said Deeds, Book: 4779 Page: 69. 3. BUILDINGS, Included in the sale as a part of said premises are the buildings, structures andimprovements STRUCTURES, constructed thereon in accordance with the plans and specifications attached hereto, to be IMPROVEMENTS, FIXTURES 4.TITLE DEED Said premises are to be conveyed by a good and sufficient quitclaim deed running to the BUYER or the nominee designated by the BUYER by written notice to the SELLER at least seven days before the deed is to be delivered as herein provided, and said deed shall convey a good and clear record and marketable title thereto, free from encumbrances, except (a) Provisions of existing building and zoning laws; (b) Existing rights and obligations in party walls which are not the subject of written agreement; (c)Such taxes for the then current year as are not due and payable on the date of the delivery of such deed; (d)Any liens for municipal betterments assessed after the date of this agreement (e) Subject to easements and restrictions of record which do not substantially affect the use of the property. (f) As a single family residence. 5. PLANS If said deed refers to a plan necessary to be recorded therewith the SELLER shall deliver suchla deed in form adequate for recording or registration. P n with the 6.REGISTERED In addition to the foregoing, if the title to said premises is registered, said deed shall be in form sufficient to TITLE entitle the BUYER to a Certificate of Title of said premises, and the SELLER shall deliver with said deed all instruments, if any, necessary to enable the BUYER to obtain such Certificate of Title. , 7. PURCHASE The agreed purchase price for said premises is $ 503,000.00 of which PRICE $ 4:5,300.00 have been paid as a deposit this day and $ 457,700.00 are to be paid at the time of delivery of the deed in cas or by a ified cashier's, treasurer's or bank check. $ 503,000.00 Total 7 �� BUYERS INITIAL SELLERS INITIAL rNC. PHONE NO. : 19786834430 Mar. 07 1998 05:37PM P4 (S. - �'• Higher ceiling, as per Dave's house b'• Micro-lam beam �• Half bath rough-in (location to be discussed) V • "Two (2)windows and one 6' double swinging door to be provided on back �d0 wall (Eliminate above, instead provide (1) single mullion window, (1) double -'� mullion window and(1) 38"half glass door) Gr> $W.5,h*Lr , -PI fft s tNev�,�,�sscsl ��' v'• Furnaces (one basement, one attic), to be Trane Model with equivalent efficiencies to Amana (90% basement, 80°x6 attic) 7. Garages ✓• 'Provide three (3) automatic garage door openers (Eliminate from contract) V e Provide one door between garages, as per model S. Laundry Room r g e V 14 Remove closet SVP Provide laundry tub Dryer connection to be electric 9. Main Bath �'• Provide six foot (6') white Aristokraft cabinet as discussed with Rivco ✓• Provide one piece white, cultured marble vanity top ✓• Provide half wall at exposed end of vanity ✓ Provide (2) $65 allowance per faucet y: "Provide one piece standard tub,14' high x 30" wide x 60" long (provide two piece tub if necessary to accommodat for size) (Note: This is not the same size as the model) d � � ,,j �,e,/—ae4ry /�M Oee- 4e-- UrnF- ��� ��� jD 'trntbr. 7" J 1tl i r 131j'1 �L.-'�' I'L 15 . Ydil fY C: _ Zu)& 5 + Is1Sn d e. J! � ��- d cv� � •I de o v�i�VV t�"tom i i 7 o I/tCl LG e v1v r�'' k)ANS bLi i � S e pt. 0 I U' - r - - - - - - - - - - - - - - GP - --- - - - - - - - - - - - - --- - - - - - - - - - - - - - _ ( r� '1/� // - - - - - - - - - - - - - - - - i..i I I..I• - - - - - -moi•; it�' - - - - - - - - - - - - - - - - —< i I —J 4 J I .T nlL � � I Alf - - - - - - - - - - - - - - - - - - - - -- - - - - - - - - - - - � I - - - - - = - - - - - - - - �� i -`-�)�---- � � olI i I d� CONCR:M 5L:.3 -moi f •rl I _ ry t � c; _ j — y;,; - - - - - - - - - - - - -' — -- - - -- - - - - _— _— _— _ - -_ —_ _— �— _ _- - _ _— _— � _— _—�- - _— �=' _ = — — — — — — - - - i, - - - I 1 1 I LI -- - - - - - - - - - - - - - - ,� 8_ XS ,.;7, -,u 1 0 X 3 - 'r CK= _ •- I L=L- ,:- I`NS R � t lc�i I �•� I � � } a ` I i 1 I � I �•* , i (I �,t— nom= �� 4 � , r- — — — — — - — — — — — — — — — - I I I —� — _ _ �� v = v - — --�C' I� YG• — — o --, i I.` — -� — — — — tAORTH Town of V E '. over • No. 309 _ - 0 �OC.' dower, Mass., 07 RATED p` S H E BOARD OF HEALTH PEKMIT T D Food/Kitchen Septic System THIS CERTIFIES THAT-10-1 .eolfc.....t) of v�aV..S,.. AD&.a 1404101 BUILDING INSPECTOR 7156/p,S� Foundation has permission to erect.... .......... buildings on .... noQ ...................................... Rough to be occupied as.... *45 ....... ....W.g.......IF...4.......... ........................................ Chimney provided that the person accepting this permit 9all in every respect conform to the terms of the application on file in Final this office, and to the provisions of the Codes and By-laws relating to the Ins action, Alteration and Construction of Buildings in the Town of North Andover. qm PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough PERMIT EXPIRES IN 6 MONTHS Final UNLESS CONSTRUCTION STARTS ELECTRICAL INSPECTOR Rough ....14"..40... ........................................... Service BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove RoughFinal No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. SEE REVERSE SIDE Smoke Det.