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HomeMy WebLinkAboutBuilding Permit #587 - 114 GLENNCREST DRIVE 4/11/2008 ItSUILUINu rmmim i TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit NO: 7 Date Received �SSACHUS�� Date Issued: Z///119 IMPORTANT Applicant must complete all items on this page q. x SPR PERTEVMWNER" t .,y 7' ,;,,t nl�,p- ^+t ,-" � 4•c—'.az s^'��...`� ;;r -r w _ �' a7 }C 4. r 1Va ' NO 3b P�AR`r Fl. Z01i1�G 'I °TRACTisrl �©�str�of des fl ` 7 Y a -W TYPE TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building AKOne family ❑ Addition ❑ Two or more family ❑ Industrial ❑ Alteration No. of units: 0 Commercial ❑ Repair, .replacement ❑ Assessory Bldg 0' Others: ❑ Demolition ❑ Other �tic D `I fell 4 � F1ai3dpim Ci al1/jetiar�dsIn:WaErshetl�Distnc# J e-! zl DESCRIPTION OF WORK TO BE PREFORMED: 2zv 1°CiT1Ji�� t,✓"',/J'r�nl �kr�t-L� �Zo Identification Please Type or Print Clearly) OWNER: Name: neL n,17 0 Phone: Address. l 3 )NIS TF.jAA ti 2 r Y x7 7, a xtL + s { i i 1{dAV'V'1saf i eru�s iCot�strL�ota�r�Licerasef ARCHITECT/ENGINEER Phone: Address: Reg. 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: $ � ®U 0 FEE: $ Check No.: �X 49 Receipt No.: NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund �' - a" rnt � ` M r Location No. Date /1 i NORTq TOWN OF NORTH ANDOVER Certificate of Occupancy $ ;�s'•^�'E<� Building/Frame Permit Fee $ �4 '�CMUS Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # 119;F ` 21067 Building Inspector Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ i 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 ❑ ❑ COMMENTS Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments Conservation Decision: Comments Water$ Sewer Connection/Signature & Date Driveway Permit Located at 384 Osgood Street b R�ART�l71,E�R.— 4e ` yY s�0�dt2d fit I /lalr�Street hS G 1� Y Y T -a3" FreyyDeparrraeaat�arelc�ae x a r� �" r�. 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 p ent use ❑ Notified for pickup - Date jF — I Doc.Building Pen-nit 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 o Building Permit Application Li Workers Comp Affidavit ❑ Photo Copy Of H.I.C. And/Or C.S.L. Licenses ❑ Copy of Contract ❑ Floor Plan Or Proposed Interior Work o Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit Addition Or Decks o Building Permit Application o Certified Surveyed Plot Plan ❑ Workers Comp Affidavit ❑ Photo Copy of H.I.C. And C.S.L. Licenses o Copy Of Contract o 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 o Photo of H.I.C. And C.S.L. Licenses ❑ Workers Comp Affidavit o Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Copy of Contract o 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 r Revised 2.2007 I f tk TH O" of Andover 0 f 10 No. S8 =-� r7- C% 0 dover, Mass.,_�///`/6'p COCLA HICHEWICWICK 'fA-rED P' BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System BUILDING INSPECTOR THIS CERTIFIES THAT................0....C (/ ...... ............................................................................................................... Foundation has permission to erect........................................ buildings .'Of'............................... Rough to be occupied as.............................. I�. ... ... . Chimney /_:�? 7'L . X6.. .......7� provided that the person accepting this permit shall 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 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 EMPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTION STARTS Rough ........... Service INSPECTOR Final Occupancy Permit Required to Occupy Building GASINSPECTOR 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 Approved by the Building Inspector. Burner Street No. SEE REVERSE SIDE Smoke Det. s Na4r6 of Baimag Revo"W -and su-#anb Uptum or#vgbmutkw sad for bodhMW me oet° Foam ougm v**Fjn COWDU i YM art Eme apkSaim+oe. mtomdiivmrs sm Om--A*f'&m9dkWR C I dsnreM 5 +� Rte' 1371151 Olt Asbbwrtas Mom Rm 1381 Empkabw►: lW12OD8 TrO 128146 Abr.IrEfe� Type_ (]fid,. '%t&kPtUek ONE ROOF t' F JOHN LAWAFAME ! A,MERRIMACK:i{ .- �ww �. "ETHEUN.MA 018W raw CS W•LV Ft1R 1185] i JOHN W LAWMAIME The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 s� www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information ,,� L Please Print Legibly Name (Business/Organization/Individual): ALL U,%9&�C 0,1 2aW: r�t )-4/12��� Address: 3° =�GG� City/State/Zip: bW 4-f1 Phone 9 7J Are you an employer? Check the appropriate box: Type of project(required): 1.,r1 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 atm a sole proprietor or partner- listed on the attached sheet. EJ Remodeling ship and have 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. [:1 We are a corporation and its required.] officers have exercised their 10.0 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' 13.❑ Other comp. insurance required.] Any applicant that checks box#I must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are 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. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Af. /(4 U �y Policy#or Self-ins. Lic. ', �y1 2-­�`L Expiration Date: /� D Job Site Address: ZZ�/ C�e:� C12,c-1)7— 4�2?/ L5_ City/State/Zip: /V~6 fc�-7? Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under 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 DIA for insurance coverage verification. I do hereby certif under t pains and penalties ofperjury that the information provided above is true and correct. Si nature: Date: It A Phone#: 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. Plumbing Inspector 6.Other Contact Person: Phone#: Feb 05 08 06:13a Corsi 978-681-6229 p.1 AGREEMENT Owner: Orlando&Deb Corsi Date: - 0 114 Glencrest Drive North Andover,MA 01845 Contractor: John Lanzafame All Under One Roof O/Z 978-975-7531 �ktXW-,• v4✓.I-f 603-893-0310 General Requirements: L Laws,ordinances,permits: Cop-tractor shall give all notices,obtain all permits, licenses,certificates of inspection,of approval,of occupancy, and other such instruments required for this work,and shall pay all casts and fees for same, including the building permit. 2. Compliance: All work shall comply with all applicable Federal, State and Municipal codes, laws,regulations,ordinances and covenants. Contractor shall bear all costs arising from rectifying work knowingly performed contrwy to law or bestra t' p c ice. 3. Quality: All work shall be in accordance with accepted trade practice. All materials shall be new and suitable for their purpose. 4. Guarantee: Except as otherwise noted,the contractor shall guarantee all work against defects for one year from � (1)} date of substantial completion. Necessary repairs or changes shall include making good any defective or inferior work and all damages to property caused by such work,or by correcting it. 5. Remove from site and legally dispose of all construction debris in a timely mamier. Site shall be kept in a clean and orderly condition. 6. Protect all trees,plants, grass located in area of work. Roof Replacement Requirements: I. Strip all shingles from entire house. FAU 6FS 2. Install WR Grace Ice&Water Shield along all�of roof, around all protrusions, and top to bottom in valleys. A minimum of 9 ft of WR Grace will. be installed along the bottom edge of rear of house, 6ft in OM directions at valleys and 6ft along the bottom edge of front of house. The two front dormers. front and rear porch,and rear upper shed dormer will have a full coverage of WR Grace,Ice& Water Shield_ Application of WR Grace Ice&Water Shield will be in accordance of manufacturer's specification. 3. In areas where WR Grace Ice&Water Shield are not applied,a heavy 301b felt underlayment will be applied. 4. Install heavy gauge 8"white ahtminum drip edges along every edge surface on the roof line. 5. Replace all pipe boots. .." W%J.I7fl .."„a 978-681-6229 p.2 6. Cut and install Copra Ridge vents for added ventilation. _ hole le vents for added ventilation in two front dormers and in the meat of the house Oder section). 7. Cover entire roof with IKO Cambridge 503rn architectural shingles as approved by Owner. All shingles will be"hurricane-nailed". B. Replace flashings if needed. Seal all flashings with clear Geo-Seal Sealants. 9. Replace any roof boards if necessary. 14.Rermmv all work related debris. 11. Contractor warrants against aIl leaks due to defects in workmanship. 12. Work will be covered by TKO's ShicJdPRO IRON CLAD Extended Protection for IS Years 1005,9 coverage. 13. Full payment of g 12,400(twelve thousand four hundred)upon completion of 'KIO . 14- If work is not satisfactorily completed by May 15-2008,this agreement will be null and void. Window Replacement Requirements: I. Contractor will field measure for each window unit which will be replaced. Contractor will be fully responsible for emuring that each unit dimension is ordered in the proper size to fit into existing rough openings. 2. Remove 9 existing windows. 3. Install Owner supplied new construction windows: 8 double-hung units and I large picture casement uinit. Windows will be installed in accordance with manufacturier's specificattam 4. Insulate around every side of each widow using low expanding foam insulation. 3. Remove and replace exterior shapes where ceded. Grade A Red Cedar shingle siding,pre-primed shall be used to snatch existing. Align coming withexisting. 6. Prior to installing outside eQmpasite moulding(Az },irns#a,Il weather tc xisting. ight flashing tape along top and both sides of each window(not the bottom)- 7. Install flat stock Azek moulding on extaw of each window to match style of existing moulding to the rear addition of house. 8. Install all new pre-primed casing and interior sill trim to match 9. Contractor will unload existing moulding. windows whe�rn delivered and store there on site. 10.Full payment of$5,000(five thousand)upon completion of work_ 11.If work is not satiisfactorily completed by Apr 3Q 20M this null and void. � agreement will be Owner: jp�L- Contractor: 1 gq"i'�ttsht 1 )m3uKANut rax:"U/Ub(3/U149 par !� L(U�UO 1z:UI r, vI C CERTIFICATE OF LIABILITY INSURANCE DATE(YW6DfYYYY) F03/1912008 TW CERfiFII:ATE lB 13$UED AS A NATTER OF INFORMATION xftmet insurance k9ency C*&V AND CONFERS NO 1OWS UPON THE CE mmcATE MMAM TM CMWATE DOM NOT Ate,EXTEM oft X2 Chickering Ro kd ALTER THE COVE"69 AFFOMM MY YK POUCIEB BELOW, %ft Andovw, MA 01845 *44WERS AFFOR Meg COVIltA" NAIc s mum A NORFOLK t DRINAM INSURANCE COMPANY JOHN NZAFAME mum a AIM DBA A UNDER ONE ROOF INWAER C- 30 E DR odsom a ME MA 04844 POM MS OF 1 L16TED BELOW HAVE BEEN ISSUM TO TME INStOWD NA*D ABOVE FOR TME POLICY PBRIOD MDICATE0,NOTWITHSTANowo allAw REOUIREMmi'r. Olt CONDITM OF AW CONMACT OR OT"Elt DOCUMM tM N RESPECT'M MIMIC.II TINS cERWicATE MAY AME ISSUED OR MAY UN,TBI:IN AFFORDED BY TME POLICIES DESCASM 11MI M S SUBJECTTO ALL TW-TERM,EXCLU$iOIYfB AND CONDITIONS OF SUCH LICIES,A GREfslt L*XTS SHOVYN MAY HAVE t REDUCED BY PAID CLArM& Aw TYPL 0owtAw-E POUCT NtArMB[ RENEE Lam Q ENEVRAL w R0441433A ow03 oo? OSV3t (W &ACH OCCURREME i=.000 o0 GoMIIERC Q&&RAL LAWLITY trp Fi OOGifilTt! �1,000.000 oo CLAAW E E/ OCCUR 1EDE11P(M/arOMrtoni fj 8,OWcc PERSONAL t MV PNVRY 11.000.000.00 GEMBULAGQREGATE f 2.000,00000 WWL AGWEG kTE LM/TT APP11*9 PER. -COM14 P4G S Z,000,000.Do POLICY T PROJECT rl LOC ATIT»E ttTY G� I&W4UZ 04T S ALL OWM D AUTOS _ t106ItY tNjLfRY S $CHMU AU'1108 HOMO Atf DS BODILY AUTOS ((P-gumY S wFF Y)pll"QF i GARAGE LOW Ill AUTO OKY_EAACODENT t ANY AUTCEA ACC S 1r AGC. t SIIGESSAIIINtI LLA UAlIJTY 8AGt1 OGCtIRREIMCP i OCCUR L._.: CLAIMS MADE AQQREQATE S i oeDtx ri S RETE �M f li ff�YPROPM TRAWC7009464M12W/ 1!1moam Illo TORY Loz TNE XECUTIVE ELr EACHACCCENT S 100,000.00 00Pacbelow t�i wler LL 018OW POLICY LrATj S 51�•000.OD OTMER ;W19ICA-M tfOLW CANCELL IM OOMOAMWOP"OlAMCWDCWVMDpOUCMWCAMCMWgEFOWTHEEfINMTiOM MATE T1 THE iR11MQ NN1AEit MILL SSID(61tVOR T'Ri MAN. 30 DAYS YNiI}7EN �OT1C.6 m TME CEATlifCA$lIOL11E'RMiNiD TQ TIIE LEFT.aLR FAY.INIS TD Dq+<C►611Ai.t. Miti'O�E MQ Ot(fiNLYTMAi aR LiAttN,ITY Oi ANY KS1D 1iP01171tS tlllUAER,fT6 AQ#NTS OR 111TR�. 11�11�71TATIYE A /I