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HomeMy WebLinkAboutBuilding Permit #686 - 11 WOODLEA ROAD 3/30/2012 pORTH BUILDING PERMIT TOWN OF NORTH ANDOVER o . APPLICATION FOR PLAN EXAMINATION Date Received Permit NO: p�q�TEn 4� �SSAG HU5�� Date Issued: IMPORTANT Applicant must complete all items on this page qr Ail F s & AP �&� L� b1�IN�► 16STt �M +F � �" ict� � ap tllg ? a TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Buildi ��' ❑ One family [I Addition [I Two or more family . [I Industrial y,AIteration � � No. of units: ❑ Commercial [IRepair, replacement ElAssessory Bldg ❑ Others: ❑ Demolition ❑ Other StEc X1 %11 �� lad to -��etaldsefF�dDistrtt DESCRIPTION OF WORK TO BE PREFORMED: �h�JJt (-4— �U Identification Please Type or Print Clearly) ©7 OWNER: Name: 1J a Ala C,64 Phone: Address � �. c�» �fi'r�,.� �' �t�. '� a S '� •� �s '� ' � ' � `� fie. ' ��'= ' •„ ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE.BULDING PERMIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST 8 SED ON$125.00 PER S.F. Total Project Cost: $ 3 S� FEE: $ Check No.: 0 bq Receipt No.: NOTE: Persons c tracting with unregistered contractors do not have access to th ra u Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ TYPE OF SEWERAGE DISPOSAL Public Sewer ❑ Tanning/Massage/Body Art ❑ Swimming Pools ❑ Well ❑ Tobacco Sales ❑ Food Packaging/Sales ❑ Private(septic tank,etc. ❑ Permanent Dumpster on Site ❑ THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM DATE REJECTED DATE APPROVED PLANNING & DEVELOPMENT ❑ ❑ COMMENTS DATE REJECTED DATE APPROVED CONSERVATION ❑ ❑ COMMENTS DATE REJECTED DATE APPROVED HEALTH ❑ ❑ COMMV,ENTS Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments Conservation Decision: Comments Water & Sewer Connection/Signature& Date Drivewav Permit Located at 384 Osgood Street - mp Dmt `X �tFIRE, EPAR77M�NT Tpa 4 �rrS ,Lbcatedat12e hd ,-� ., r� �epartmes�gnature/date , I MUM a Dimension Number of Stories: Total square feet of floor area, based on Exterior dimensions. Total land area, sq. ft.: ELECTRICAL: Movement of Meter location, mast or service drop requires approval of Electrical Inspector Yes No DANGER ZONE LITERATURE: Yes No MGL Chapter 166 section 21A—F and G min.$100-$1000 fine NOTES and DATA— (For department use I ❑ Notified for pickup - Date Doc.Building Permit Revised 2007 Building Department The following is a list of the required forms to be filled out for the appropriate permit to be obtained. Roofing, Siding, Interior Rehabilitation Permits ❑ Building Permit Application ❑ Workers Comp Affidavit ❑ Photo Copy Of H.I.C. And/Or C.S.L. Licenses ❑ Copy of Contract ❑ Floor Plan Or Proposed Interior Work ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit Addition Or Decks I ❑ Building Permit Application ❑ Certified Surveyed Plot Plan ❑ Workers Comp Affidavit ❑ Photo Copy of H.I.C. And C.S.L. Licenses ❑ Copy Of Contract ❑ Floor/Crossection/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Mass check Energy Compliance Report (If Applicable) ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit New Construction (Single and Two Family) ❑ Building Permit Application ❑ Certified Proposed Plot Plan ❑ Photo of H.I.C. And C.S.L. Licenses ❑ Workers Comp Affidavit ❑ Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Copy of Contract ❑ Mass check Energy Compliance Report o Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit In all cases if a variance or special permit was required the Town Clerks office must stamp the decision from the Board of Appeals that the appeal period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording must be submitted with the building application Doc: INSPECTIONAL SERVICES DEPARTMENT:BPFORM07 Revised 2.2007 � Location N.I D@ -2,9' \ TOWN OF NORTH ANDOVER , Ar© / 2 »+ . ^ «~ \®\ Certificate of Occupancy [ $ . § § \J - j Building/Frame Permit Fee � .s FunalonPermit Fee $ t . ^ Other Permit Fee $ \ TOTAL $ \\ Check# 4* \ Z / / 2�q�J BuildingInspector . : . : . . . . � . . . > NORTIy 0 f ? doverAn pr;. r "A No. r - z -. _ � • 3a • 1� 0 '� - LAKE o �, clover, 1Vlass., COC MIC KE WICK �q` �i9 ADRATE D S 'PERMIT T `S U BOARD OF HEALTH DFood/Kitchen Septic System BUILDING INSPECTOR THIS CERTIFIES ...........Mmoet^-WTHAT............. .... .P.o:�. ...........................:...........:.:....................... Foundation has permission to er ........................................ buildings on.....1.I..........c o c. *i 11lWR............................... Rough 4 t0 be OCCOpled as...... ............. Chimney .... Ch' e provided that the person accepting this permit shall i very 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 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 I PERMIT..EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONST UCTI T Rough - Service $UILDING INSPECTOR. Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final No Lathing or Dry Wall To BeDone FIRE-DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. Smoke Det. SEE REVERSE SIDE The Commonwealth of Massachusetts Department oflndustriglAccidents Office of Investigations kvi 600 Washington Street Boston,MA 02111 www.mass gov/dia Workers' Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Lezibly Name(Business/Organization/Individual): Address: l n q_� 9-u� _V p Lrl , City/State/Zip:_ si-ika ci Phone#: 7(f! `f 16 f Are you an employer?Check the appropriate box: Type of project(required): 1.❑ I am a employer with 4. ❑ I am a general contractor and I 6. ❑New construction employees(full and/or part-time).* have Hired the sub-contractors 2. [I am a sole proprietor or partner- listed on the attached sheet. �• Remodeling ship andhave no employees These sub-contractors have 8. ❑Demolition working for me in any capacity. workers'comp.insurance. 9. ❑Building addition [No workers'comp.insurance 5. ElWe are a corporation and its required.] officers have exercised their 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work right of exemption per MGL 11.❑Plumbing repairs or additions myself.[No workers' comp. c. 152,§1(4),and we have no 12.❑Roof repairs insurance required.]t employees.[No workers' comp.insurance required.] .13.[j Other *Any applicant that checks box Of must also fill out the section below showing their workers'compensation policy information. I Homeowners who submit this affidavit indicating they aie doing all work and then hire outside contractors must submit a new affidavit indicating such. $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information. lam an employer that is providing workers'compensation insurance for my employees Below is the policy and job site information. Insurance Company Name:. Policy#or Self-ins.Lic.#: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as requiredunder Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of 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. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DTA-for insurance coverage verification. X do h ereh der the pains and enalties of perjury that the information provided above is true and correct. Signature: �� Date: ( — 3 ' Z- Phone#: /— C) 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.Electrical Inspector 5.PIumbing Inspector 6.Other - - Contact Person: Phone#: - Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer-is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152,§25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced-acceptable evidence of compliance with the insurance coverage required" Additionally,MGL chapter 152,§25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers'compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractors)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers'compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)"A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to bum leaves etc)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth,of Massachusetts ]department ofZndustrial Accidents Office of Investigations 600 Washington Street Boston}NIA.02111 Tei,#617-727-4900 ext 406 or 1-877-MA.SSAFF Revised 5-26-05 Fax#617-727;7749 www'Mass,gov/dia Ted Grab—Interior Renovations Advanced Basement Finishing 1029 Humphrey Street Swampscott, Massachusetts 01907 781-430-0415 781-454-5609 cell advancedbasementoaa yahoo.com MA Home Improvement Contractors Registration# 140838—Exp 11/27/13 Construction Supervisor License#89566—Exp 11/24/13 Proposal To Renovate Basement with 3/4 Bathroom March 25,2012 HOME OWNER: Parveen and Anil Minocha 11 Woodlea Road North Andover, Massachusetts 01845 PROJECT DESCRIPTION 1. Areas to be created in unfinished basement CONTRACTOR SHALL supply all new materials needed to erect, according to State and Local Building Codes, build all walls along walls to create and finish areas as designated on scale drawing. The areas are as follows. ➢ Family Room/Home Entertainment Area ➢ Electrical/Storage Closet(unfinished interior) ➢ Bathroom with Stall Shower ➢ Water Heater/Storage Closet(unfmished interior) ➢ Utility/Furnace/Storage Room(unfinished interior) ➢ Central Vacuum Closet(unfinished interior) 2. Soffit Preparation ❑ 1" x 3" spruce strapping shall be installed (as needed) on ceiling joist 16" on center to support weight of new drywall ceiling. 3. Wall Structure ➢ Contractor shall make wall alterations as indicated (approximately, as needed) on scale drawing. All wall structure shall be built according to state & local building requirements. 4. Finished SuLsRended Ceiling ➢ Ceiling shall be constructed of standard 2 x 2 Armstrong Suspended Ceiling Tiles. Ceiling shall be installed by qualified ceiling specialist to code. 5. Insulation ➢ All exterior walls shall be insulated so that all living areas and spaces are insulated according to code(as needed). The insulation value is R-13. 6. Electrical Work ➢ A Massachusetts Licensed Master Electrician shall perform all electrical work.This project shall include the following. ❑ Up to 14-6 inch recessed lights in living areas. ❑ Up to 4 switches to control all recessed lights. ❑ Light fixtures for all unfinished areas separately switched. ❑ Up to 2 cablelbroadband wall connections. ❑ Up to 2 telephone wall connections. ❑ Electrical outlets through living area per code. These outlets are controlled by a GFI (ground fault)breaker. ❑ Bathroom Exhaust Fan and Light Combination ❑ 2— electric baseboard heat units control 1 wall mounted thermostats ❑ A separate and additional charge will be assessed in the event an additional sub panel is required to accomplish this electrical work properly. Z Finished Walls, & So fts All walls, and soffit of finished areas shall be enclosed with % inch "blue board". All blue board shall be veneer plastered to a smooth finish on walls and ceiling. 8. Doors ➢ All hinged doors shall be"6 PANEL" ➢ All Bi-Fold Doors shall be"6 PANEL" ➢ All doors shall include standard hardware and doorknobs. ➢ All doors to be installed with casing similar to existing casing on the first floor. 9. Baseboard, Door Casing ➢ Contractor will supply and install new baseboard, door/window casing for all finished areas. IO.Plumbing ➢ Contractor shall install toilet and create new draining system. ➢ Contractor shall create new water supply line for toilet. ➢ Contractor shall create proper drainage for new sink and shower. ➢ Contractor shall create new hot and cold water supply line for sink and shower. II.Materials SWIied by Contractor ➢ Contractor will supply and install all materials and fixtures. However the fixture listed below shall be supplied by homeowner and installed by contractor. ❑ Bathroom sink and faucet ❑ Bathroom Shower/Shower Mixer /Shower Head ❑ Bathroom Toilet and Toilet Seat ❑ Bathroom Tiles,grout, marble threshold for bathroom. 12.Flooring ➢ This proposal allows for no flooring. ➢ Contractor shall install ceramic tiles supplied by homeowner for bathroom floor. 13.Stairway ➢ Contractor shall create an angled one-half wall on both sides of the staircase to create an open view. Also contractor will finish underneath the staircase in an effort to also create open space. 14.Lally Column (support post) ➢ Contractor shall enclose all lally columns that exist in finished space. These columns shall be finished with blueboard and plaster just like walls. 1 S.Painting ➢ T or no y se 16.Scale Drawing ➢ Scale drawing attach shall be construed as an integral part of the proposal and agreement. All measurement are approximate and homeowners acknowledge the changes may be required due to building codes and obstacles in the unfinished basement. 17.Fire Sprinkler System ➢ Due mainly to the fact that you live in North Andover and your home is relatively new, you have the additional asset of a Residential Fire Sprinkler System. That system when installed was installed based on the building codes for an unfinished basement. Now, in order to utilize this system for a finished space certain alteration must to be made. 1) The individual existing sprinkler heads will need to be lowered to be flush with the new ceiling. 2) New sprinkler heads must be installed in all unfinished areas (except vacuum cleaner closet) This work must be dome by a technician, licensed and knowledgeable in these procedures. I have a relationship with such a technician. He has done all my work in North Andover which required sprinkler work. Each project is different. I can give you a rough cost when when meet. This will be bill separately. You are fortunate to have a fire sprinkler system, it should be maintained. �,,,Z i� cam,(( GST A=r I8.Provisions ➢ Homeowner acknowledges the following and hereby agrees to abide by these provisions: 1) Reasonable access must be made to the premises during working hours. 2) Working hours are from 6:30 AM through 5 PM Monday thru Thursday. Contractor may request the option of working on Saturday with homeowner's approval. Said approval shall not be unreasonably withheld. 3) The basement area is a construction site, therefore, children and pets should not be allowed in this area. 4) All personal property must be removed from construction site and contractor shall not be held responsible for this property. 5) Quite often, communications concerning the project and questions regarding the project will be done via "E-Mail". Homeowner agrees to reply immediately and acknowledges that these communications shall become a part or a change to this agreement. 6) Homeowner authorizes the reasonable use of bathroom facilities. 7) Homeowner acknowledges that this agreement is the entire agreement. Any changes or alterations to this agreement may be subject to additional charges.Any changes must be memorialized in writing. Project Investment - $ l ➢ Payment Due with Agreement $ 1000.00 ➢ Payment Due when Project begins $ 5300.00 (33%) ➢ Payment Due when rough Electrical Work is completed $ 5300.00 (33%) ➢ Balance upon completion At( ���-�`T•�s� a Commencement Date Project shall begin on or about April 23,2012 and shall be completed on or about June 9,2012.These dates are approximate. Accepted by: Date: March 25,2012 Anil Minocha Accepted by: p4� Date: March 25,2012 Parveen Minocha Accepted by: Date: March 25,2012 Ted Gr (may require additional fire sprinkler head fire sprinkler head Bathroom w/Shower _ 1. cl zo Amp Outlet 1 Utility Light w/Utility/Storage Roo 2.Exhaust Fan w/ ew Heat/Smoke g separate switch (unfinished interior) Ught Furnace Area /Detector 3.Tiled Floor Storage Ar a 32' unfinished area fini area) 1 Utility Light w/ 6'11 8'9 16'4 separate switch\ \ O (may re juire additional CO M fire spr nkle head Bo 5'1 `�✓') CID (V r r n M aD O O M - (may reqL ire additional fire prin ler head anc I BiFold Door CO UP C co \1 Utility ightw/ CO ser arat switch M iv Ele rica /Storage Closet V Central Vacuum Closet d interior) 2'5 13'8 12'6 3'5 32' LIVING AREA Existinnffnor Door 1046 sq ft toto Bulkhea /1GG '(D69TYI72092I.UC2GL/L o�i/(�GCtddp�l2UQP.� Office of Consumer Affairs&Bdsmess Regulation THOME IMPROVEMENT CONTRACTOR Registration:,,,4,40838 Type: Expiration: :.1x128!2013 Private Corporatic AZDNCEDBASEMENT FINISHING, INC. V � F = -.= THEODORE 1029 HUMPHREY ST Cs'a� ,H3aPr SWAMPSCOTT, MA 0;1;907= .;:'` _ �.;- Undersecretary a _._ . . Massachusetts-Department of Public Safety Board of Building Regulations and Standards Construction Supers isor License: CS-089566 j icy TTS h THEODORE XZRAB"�-`, 1029 HUMPHREYST p SWAMPSC(aTT:VIA 4,1901 � Expiration Commissioner 11/24/2043