Loading...
HomeMy WebLinkAboutBuilding Permit #838 - 1149 OSGOOD STREET 6/19/2007 BUILDING PERMIT of NORTH TOWN OF NORTH ANDOVER 3? APPLICATION FOR PLAN EXAMINATION 6 -1 _ Permit N0431k Date Received �.'•o;"`"""�'` CHUS��. Date Issued: • d IMPORTANT: Applicant must complete all items on this page }a��� � v x r 9• x v. a TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building One family ❑ Addition ❑Two or more family ❑ Industrial .Alteration No. of units: ❑ Commercial ❑ Repair, replacement ❑ Assessory Bldg ❑ Others: ❑ Demolition ❑ Other IEEE �� . 011 DESCRIPTION OF WORK TO BE PREFORMED: 92JOUATIlU �_ ,lam I�rI�SM Identification Please 7QType or Print Clearly) OWNER: Name: if Li� Tom, Phone: Address: 11qqQ -5-r- 01g ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE:BOLDING PERMIT.$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ 32,129 , 7� FEE: $ Check No.: Receipt No.: 2 O NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ TYPE OF SEWERAGE DISPOSAL Public Sewer ❑ Tanning/Massage/Body Art ❑ Swimming Pools ❑ Well ❑ Tobacco Sales ❑ FoodT,$ftg4nqtest�* ❑ 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 ,u 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 z 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 ❑ Notified for pickup - Date - Doc.Building Permit Revised 2007 i i f 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 o Copy of Contract o 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 ❑ Building Permit Application o Certified Surveyed Plot Plan o Workers Comp Affidavit ❑ Photo Copy of H.I.C. And C.S.L. Licenses ❑ 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 ❑ 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) o 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 t 4. Location 116 } No. Date_ f NORTH TOWN OF NORTH ANDOVER 10. y S ` Certificate of Occupancy $ ♦ s ? i sMUs Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # —� t 2H�sa 7 --^-- �,Y Building Inspector -ORTH Town ofA-.�_ -� ..,����.��� � ndover 0 No. 838 0 over, Mass., (a �1 0 tL- LAK COCHICHEWICICK 7,9 ORATED BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System BUILDING INSPECTOR THIS CERTIFIES THAT............. ..... or....�..U'00.0............................................................................. Foundation has permission to erect........................................ buildings on ...........1-NA......0.11 ,�.. O-Ojd .................. Rough to be occupied as...............&A.C.Q.0 ... qt* -60y% Chimney provided that the person accepting this perm'f shaffl-iozie.4.4,.........RAP'to . ..... .... . .............................................. very respect conform to the terms of the application an 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 EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONS O� T TS Rough .................................................BU BUILDING INSPECTOR ................................................... Service 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 Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. SEE REVERSE SIDEJ Smoke Det. a' r FT INSTALL NEW FRENCH DOORS A5 SHOWN I INSTALL NEW 6A5 FIREPLACE I I I I V4AL< I REMOVE EXI5TIN6 PARTITION AND INSTALL (4)2X12 61RDER TO CARRY ATTIC FLOOR P05T EITHER END TO FOUNDATION - I I dJ REMOVE EXI5TIN6 WINDOW INSTALL NEW 5-1/2" STEEL LALLY ( LAND J AND INSTALL NEW 2'8/6'8 COL. IN BASEMENT ON 24"X24"XI2" r — — I %Q EXTERIOR DOOR GONG. FOOTIN6, IF NONE EXISTS I INSTALL NEN OOR AS SHOWN I I dJ I I REPLACE E 15TIN6 EXI5TIN6 HOUSE DOOR I 00 NEW b' VANITY FIRST FLOOR PLAN EXI5TIN6 TUB TO REMAIN '71-411 MUD ROOM DRAWN BY: MARTHA MAGINNIS TYLER RESIDENCE 55 REOENT AVE. BRADFORD, MA. 0Ib35 114`1 OSOOOD STREET (q'78)5-74-a-7Iq NORTH ANDOVER, MA The Commonwealth of Massachusetts U1Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 `Workers' Compensation Insurance Affidavit: Bu des/Contracto rs/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/organization/Individual): Address: L S� City/State/Zip: phone#: x'71_ 3 ;r& o Arer1am an employer?Check the appropriate box: 1 LiJ a employer with 4. ❑ I am a general con Type of project(required): employees(full and/or part-time).* have hired the sub-ontractor7. sl 6• ❑New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet.t 7.ship and have no employees ❑Remodeling These sub-contractors have 8. ❑Demolition working for me in any capacity, workers'comp,insurance. [No workers'comp, insurance 5. ❑ We are a corporation and its 9-Building addition required'] 3. I officers have exercised their 10.0 Electrical repairs or additions myself.[No workers'comp.❑ a homeowner doing pwork right of exemption per MGL "'0 Plumbing repairs or additions .d. t c. 152,�1(4) and we ha insurance required.] 12. Roof repairs q employees. ,oyees. [No ve 12.[]workers' comp.insurance required.] 13.0 Other *Any applicant that checks box#t must also Tilt 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. 1Contraetors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'cora policy I am an employer that is providing workers'compensation in information. surance for my employees Below is thepoicy and job site Insurance Company Name: ARP ccn S. Policy#or Self-ins. Lic.#: ?16 6 Expiration Date.--f//L Job Site Address:_ I �Gj h 56 60 2) S Attach a copy of the workers'compensation policy declaration Page(showingl�hetaolictpnumber dEN�W,�alluz Failure to secure coverage as required under Section 25A of MGL . 152canlead to the imposition of criminal ration datea fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties of a of up to$250.00 a day against the violator. Be advised that a copy off this staff mentimay be forwarded t TOP �ORDER nd a fine Investigations of the DIA for insurance coverage verification hereby1 do cerrrJyu er the ares »dPena/hes OfPerjury that the rnformahon provided above is true and correct. SiLynatt>_re- Date: g Phone#: Offlcial 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): I. Board of Health 2. Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person' Phone#: 08:58 5;EG15'EVE HAL P96E 19V02 AaQRD CERTIFICATE OF LIABILITY INSURANCE CSR CIE 0AIt(MMDrfYYY1 TORRI-I 1 05 19/7 PROnUCm THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CER71FICATE Segrave & Hall Insur.Assoc.1ric HOLDER.THIS CERTIFICATE DOES NO`f AMEND,EXTrND OR 305 Morth Main St. ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Andover MA 01810 Phoxxo:978-975-1300 INSURERS AFFORDING COVERAGE MAIC INSURM I MUKR A: A__4,*j3x vmrtjm TorrisRi Construction Imc- INSURE-RC: 110 Haverhill Road STE 364 �Lfll___ Amezbury MA 01913 COVERAGES T—Hr POLICIM OF INSURAMCCA ISTEM BELOW HAVE BEEN MUM TOTHE#4St3:M0 NALISO A90VE FOR THE POLICY{`'MOO WDICATM 10MINSTANDING, &RV REQUIREURNI,TEPRra OR CONDMON OFAMY CONTRACT OROTHER OCZUW_ATVVITH RE','%MCT TOffWCJ­i TKSCE9TF3CAWNKYEF_jS3I f:DOA MAY PMA44,TlINSURAWE APTURDED BY THE FOL CIES DEW"M HERON IS SUBJECT TO ALL THE TER 4S. _-,UrH POUCIES.ACPIAEC.ATE LV TTS SHOWN MAV HAVE BEEN R-tLx_CED BY PAID CLAIUS. LTR NSRft TYPE OF INSURANCE POLICY t, MB V�—_—'p�"E b�ppnlZ7 LPATS CENeM UAWUTY I EACH OCCURPENCI! i 10 0 0 0 0 0 Amrw rom �w XP COIAMERCIALCzENERALLIAMMiTY 8500034294 06108/07 06108/03 , I l " i I CLA"MAM if X I Of'XAM.if r mFD Ev, 00ny @m cry I 1-S5000 PERSONAL&A;)Vtr4."JRY S 1000000 GURAL AGGREGATE &2000000 Gm L AG%GC,k TE LffJiT APPLIFS PST, PwmtT-9 commop A--r. $2000000 rOuCC), %?T AUTOMOBILE LMLtTY COMOINM SIKGLm-LIFATT *IYAUTO S 100000 tc-.owdmfl ALL OWNED- AUTOS BODY A SC4N JLED AUTOS 9891.7400003. 09/03/01; IL 09/03/07 "'IJURv s3OOOOO HMO AUTOS iBODILYIN JURY 5 7LOOO(I3.00000 NOIJ-0MED AUTOS P.RQPER-Y DAMAGE H�RAGE L&APALITY AUTO 014LY-FAACCIDENT S _ MYAMO 9AACC S OTHER THAN AUTO OAA Am jS EXCESS tABRE"LtAMWTY EACH OCCUIVVZNCZ S G MOE DEDUCTIRLp- $ WORnr,S COMP01%ATON AND �TORY U11-5 CR 5000C j EN-LOYEW UASnITY i I AWiPROPR13:-:TDR-PARTNEPJFXECUTfVE AGCI;�NT A 910189 IDS/02/07 05/02/08 OMCZ4ENaM EKCLUDED? F.L.IDIS-.A.SE.EA r�KfrtOYFq S 500000 if de.- u is =Vim.Ste;&. S500000 OTHER DESCfIVMONOT!OPERATMSILOCATMStVFMCLESI ID(CLUMONSADUM 8Y MMRT I SPECIAL j�r—gMSMz RE: Tyler Residence 1149 Osgood Street North Andover glectrician --Steve cote CERTIFICATE HOLDER CANCELLAInON bTOR-MAN $HOULO ANY 6E THE ABOVE 0MCMIMM POLICIES nV CANCFLLED GUMIRE THE EXPIRATION DATE TREWOF_THE ISSUING IMUREP WILL ENDEAVOR TO rAAIL LAYS VMTTEN Town of NorthAndover NOTICE TO THE CERTIFICATE RDLDFR HAMM TOIHE LEFT.BUT FAILURE TO DO SO SIJALL Building Inspector Main Street IMPOSE NO OMMATIUM OR LukmLrrr'OF ANY Kt THE SHS ITS Aoe�rTs OR Worth Andover MA 01845 REPRF-3ENTATTWEE. AUTHORIZE0 REPRESENTATIVE Lawrence J. Hall ACORD 25(2001188) JDA40RD/cORPORATIONi-PaS JLYN 19,2.0{07 10:07 9789757596 Page 2 ul p//ryry fC ft@Py 25.5 �Stratioa�s `R/ 9NC< .Of"otlo yC �'�/ R l C q�f 00 Sq Ti h, 3�� 04, ryhUF ; q wDr rte, ¢l� /CSS `po uf'r r R kl•��y ��s� ioiyy4 �g 4R 4f p ! T t/,fir 1969 4„, TORRISSI CONSTRUCTION INC. 110 HAVERHILL RD#364 AMESBURY, MA 01913 978-388-6180 March 29,2007 C/S 066961 HIC 127852 Tyler 1149 Osgood St North Andover MA 978-682-9502 Proposal for Interior Renovations to Match Plans Provided by Homeowner #41 Scope of Work Demo • Contractor will remove all interior Partitions as needed for build out • Contractor will remove framing needed to install Stairs to Attic • Contractor will remove framing to needed to install Exterior Doors • Contractor will remove tile on walls and Floor of Bathroom • Contractor will remove Plumbing fixtures and Supplies where necessary • Contractor will remove Electrical needed for build out Framing • Contractor will Supply and Install 2"x4"Framing for all new Partition Walls • Contractor will Supply and Install Headers to meet Code for new Exterior Doors • Contractor will Supply and InstallBeam to Carry the Ceiling Joist in the Bedroom T-"" • Note one of the windows in the Bedroom will be Blocked off from the inside but will look the sarpe on the outside • Contractor will Supply and Install Stairway to Attic from Dining Room Doors • Contractor will Supply and Install one Therma-Tru Smooth Star Fiberglass Hinged Patio Door(Please see Sample from Contractor)this door will be Installed in the Master bedroom • Contractor will Supply and Install one Therma-Tru Smooth Start Fiberglass 9 Light Passage Door(Please see Sample from Contractor)this door will be Installed in the Back Porch to Patio • Contractor will Blend in Siding and around new doors Heating • Contractor will Relocate Heating where necessary for Renovation 1 Plumbing • Existing Tube upit will Remain and be-used in new Bathroom • Contractor will Install Homeowner Supplied Shower Valve (Note if Homeowner Picks a Shower Valve that Requires a hire Volume of water Pressure there may be a Extra Cost to Homeowner to Change Supply line Pipe Size) • Contractor will Install Homeowner Supplied Toilet(Note it will be the one that was Removed during Demo) • Contractor will Install Homeowner Supplied Bathroom Sinks and Faucets r Electrical/Lighting • Contractor will Install Receptacles-to-meet Code in Bedroom and Bathroom • Contractor will Install Homeowner Supplied Light in Closet • Contractor will install Homeowner Supplied Ceiling Fan Combo's in Bedroom • Contractor will Re-Install Homeowner Supplied Bathroom Light • Contractor will Supply and Install Exhaust fan in Bathroom(Note Fan will be Vented to the Exterior of the-House) Insulation • Contractor will Supply and Install Fiberglass Insulation to meet Code in Ceiling and Walls Sheetrock • Contractor will Install %2"Sheetrock-on-Ceiling and Wails • Contractor will Finish Sheetrock to a Smooth Paint Ready Surface Finish Trim/Doors • Contractor will Supply and Install Trim around Doors and Windows to Match Existing in House • Contractor will Supply and Install Baseboard to Match Existing in House • Contractor will Supply and Install Interior Doors(Please See Contractors Samples) Painting • Contractor Prime all Ceilings, Walls and Trim in Effected Areas • Contractor will Paint Ceilings with two Coats of White Ceiling Paint • Contractor will Paint Walls with two Coats of Eggshell wall Paint • Contractor will Paint Trim and Doors with two Coats of Semi Gloss Trim Paint • Note all Colors will be Picked-by Homeowner and will be Ben Moor Paint Flooring • Contractor will Patch Hardwood Flooring in the Bedroom where the walls where Removed • Contractor will Re-Finish Hardwood Flooring in Bedroom(note the Colors of the Hardwood flooring may not Match Exactly) 2 ( Tile l a Contractor Nv711 Install Homeowner Supplied Tile and Grout on the Floor of the Bathroom a Contractor will Install Homeowner Supplied Tile and Grout the Walls of the Bathroom in the Shower Stall area and four foot up from the Floor in the Rest of the Bathroom Cabinet s Contractor-*will Install Homeowner Supplied Vanity in the Bathroom Debris ® Contractor Avill Remove all Debris from Site Permit e Contractor will be Responsible for all Permits Total Cast of Renovation$32,129.76 With Payments as Follows 1'`Payment of$5,000.00 at Signing 2"d Payment of$5,000.00 at Start of Demo 3`a Payment of 5,000.00 at Start of Framing 4`h Payment of$3,500.00 at Start of Plumbing 5'h Payment of 53,500.00 at Start of Electrical 6'h Payment of$2.000.00 at Start of Sheetrock 7`h Payment of 52,000.00 at Start of Flooring 8`h Payment of$2,000.00 at Start of Tile 9`h Payment of$2,000.00 at Start of Painting , 10`h Payment of$2,129.76 at Completion of Renovation ontractorsSignature Date !L Homeowners Signature _ Date / C��, �-dr,- Rry /l� f> Homeowners Signature ate 6