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HomeMy WebLinkAboutBuilding Permit #303-12 - 15 WRIGHT AVENUE 10/7/2011 TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit NO: Q �� Date Received Date Issued: IMPORTANT:Applicant must complete all items on this page LOCATION I W R G I-�T WL Print PROPERTY OWNER 2105SC) Unit# Print MAP NO: a I Q PARCEL:073- ZONING DISTRICT: Historic Districtyes no Machine Shop Village yes no 100 year-old structure yes n TYPE OF IMPROVEMENT PROPOSED USE Resi ential Non- Residential ❑ New Building Wbne family ❑Addition ❑Two or more family ❑ Industrial ❑AWration No. of units: ❑ Commercial epair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other (j�Septic 'Well .❑0bo4plOh i 911, WatershedDist"rict DESCRIPTION OF WORK TO BE PERFORMED: �Q (D ntAcation Please Type or Print Clearly) OWNER: Name: uSSO Phone: O Address: NV CONTRACTOR Name: Zo�)A c C� a� Phone: -I G7J2 Address: oZc(J I rn. 38CK S--' L Aw2FNC en p , o t�y Supervisor's Construction License: �? 3 Exp. Date: ��j ao I �- Home Improvement License: 1 `f 1 as 2 Exp. Date: oll a0) ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE:BULDING PERMIT:`$-92.�0/0 PER$9000.00 OF THE TOTAL ESTIMATED COST BASED ON$925.00 PER S.F. Total Project Cost: $ 7 ` ® FEE: $ Check No.: WThave �96cw NOTE: Persons contracting with unregistered contracess to the guaranty fund ;Cirri nn+i�rA_of 4i-iant/(11ninPr, = ICJIIatUfP COrltraGtOr- Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ TYPE OF SEWERAGE DISPOSAL Public Sewer 11Tanning/Massage/Body Art E] Swimming Pools El 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 CONSERVATION Reviewed on 6J1 Signature' COMMENTS_- VJ p ' N t7 ��� r �Oc7 � HEALTH Reviewed on Signature COMMENTS i Zoning Board of Appeals:Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments I Conservation Decision: Comments Water& Sewer Connection/Signature& Date Driveway Permit i I DPW Town Engineer: Signature: Located 384 Osgood Street FIRE DEPARTMENT -Temp Dumpster on site yes no Located at 124 Main Street Fire Department signature/date COMMENTS i 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 de artment use r �v �C Notified for pickup - Date Doc:.Building Permit Revised 2011 June/mi i i 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 o Building Permit Application o Certified Surveyed Plot Plan o Workers Comp Affidavit ❑ Photo Copy of H.I.C. And C.S.L. Licenses o 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) o 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 o Certified Proposed Plot Plan o . 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 V®TE: 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 Doe: Doc.Building Permit Revised 2008mi Location No. 3 D3 r/2 Date NpRTh TOWN OF NORTH ANDOVER A i • Certificate of Occupancy $ cwuBuilding/Frame Permit Fee $ ,S"6 • as st Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # yi6 � Y /► L (� 1 Building Inspector �ORTIy � 0 of over 30 3 �d0 /.2— o , dover, Mass., Q - LAKE COCMICKEWIC K ✓�S RATED BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System BUILDING INSPECTOR C� v$� v THISCERTIFIES THAT............ .................................................................................................................................................. Foundation has permission to ect............. .......................... buildings on ../ /'`:��i.�..� E............................................... Rough �CC,s/� ��� �y 'C/dciS6s°* �o© l�� G Chimney r tobe occu ied ............ .............. .......................................... ... . ........... �.. / ................................... provided that the erson acce tin this permit shall in every respect conform to the erms of the application on file in Final P P accepting 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 CONSTRUCTIO TARTS Rough71- ................................... `.`.:-�............................................ Service BUILDING 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 Be Done FIRE_DEPA.RTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. SEE REVERSE SIDEji Smoke Det. r' i i 1 r I ✓�ie U6 a�a�nreaou c eai o�'.///laaaac,livaelta Office of Consumer Affairs&Business Regulation HOME IMPROVEMENT CONTRACTOR Reg istration:; : 141202 r r Expiration -g--1/2112012 Tr# 291702 Typelr_. .atd--Lability:;Gorpor :-f.^i�f , R+M GARPENTRYLLC." -= RONALD FINOCCHIARO - 165 MARBLEHEAD,ST?�� N.ANDOVER,MA 01845 "" Undersecretary I j:. t 1 4 i 7 JI J i i � I I I r` i lie OF LIABILITY INSURANCE OPID M4A DATE(MM/DDIYYYY) 09/26/11 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER to NAME: Macdonald & Pangione Insurance PHONE P.O. Box 428 AIC,No,Ext): (AIC,No): 104 Main Street ADDRESS: North Andover MA 01845 CUSTOMERID#: RONAL-6 Phone:978-688-6921 Fax:978-688-5350 INSURER(S)AFFORDING COVERAGE NAIC# INSURED INSURER A: Preferred Mutual Ins Co 15024 Ronald Finocchiaro INSURER B: Safet�y Insurance Company 39454 295 Merrimack St Lawrence MA 01843 INSURER C: INSURER 0: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR POLICY FIFF POLICY EXP LTR TYPE OF INSURANCE INSR WVD POLICY NUMBER (MM/DD/YYYY) (MMIDDIYYYY) LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A X COMMERCIAL GENERAL LIABILITY CPP 0180 56 51 46 12/06/10 12/06/11 PREMISES(Eaoccurrence) $ 100,000 CLAIMS-MADE ❑X OCCUR MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY S1,000,000 GENERAL AGGREGATE s2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $2,000,000 ROtEl X POLICY PLOC $ JEC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000 ANY AUTO 2980424 03/31/1103/31/12 BODILY INJURY(Per person) $ ALL OWNED AUTOS BODILY INJURY(Per accident) $ B X SCHEDULED AUTOS PROPERTY DAMAGE $ HIRED AUTOS (Per accident) NON-OWNED AUTOS $ $ UMBRELLA LIAB EOCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS'LIABILITY Y/N TORY LIMITS ER ANY PROPRIETOR/PARTNER/EXECUTIVE❑ E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? MIA (Mandatory in NH) E.L.DISEASE-EA EMPLOYE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT 1$ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required) Certificate holder as listed below CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Town of North Andover AUTHORIZED REPRESENTATIVE Osgood St North Andover MA 01845 ©1988-2009 ACORD CORPORATION. All rights reserved. ACORD 25(2009/09) The ACORD name and logo are registered marks of ACORD 9 Ron Finocchiaro 295 Merrimack Street Lawrence, Ma 01843 Fred Russo 15 Wright Ave No.Andover, Ma01845 Pool Enclosure Ron Finocchiaro is responsible for the following repairs at the above address 15 Wright Ave. Scheduling and all subcontractors, construction material,disposal of construction debris and Local building permits. All work to be performed is listed in job description.Any unforeseen or additional work will be subject to a change order agreed by both the home owner and the contractor. Job Description Remove existing pool enclosure and back deck. Frame new wall and roof system on existing foundation and footings. Install support beam to carry roof frame system. Frame new pressure treated deck with stairways and railing system. Structure will meet Local and state-building codes, roof frame for snow zone 2. Construction as follows: Construction segment (pool enclosure) A. Demo existing pool structure and back deck, disposal of debris B. Frame pool enclosure according to design and plans C. Frame 2x4 walls @ 16"o.c with%" plywood sheathing D. Install house wrap vapor barrier and vinyl siding to match, install gutter(reuse old) E. Frame roof with structural roof 2x8@12"o.c with 5/8"plywood F. Frame flat roof 2x6@12"to attach house and garage area G. Install rubber roof material to flat roof area H. Install ice and water shield with asphalt roof material to pitch roof area 1. Existing foundation is good to use. Construction Segment (pool enclosure) J. Install new footing with rebar along pool side for roof support K. Install structural beam to support roof system L. Install door unit supplied by home owner(labor only) M. Install 2 (4'x32" )rolling vinyl window units N. Repair gas supply and water supply 0. Install steel tube with plates for support beam P. Rework existing power to filter and heater units, rework electrical outlets Q. Frame 2 skylite units in pitch roof with curb (Labor Only) R. Total construction cost for pool enclosure $37,000.00 Construction Segment (deck) A. Frame pressure treated deck frame 17x16 area with rails and stairway. B. Deck frame p.t 2x10 @16"o.c with support beam ed decking C. Install 5/4 pressure treat g fasten with deck screws D. Install pressure treated 2x4 rail system with 2x2 p.t balusters E. Frame stairway on front side of deck,with rail system F. Install white vinyl lattice work to enclose lower section G. Frame doorway in lattice work for storage H. Frame privacy wall on deck I. Total construction cost of pressure treated deck $10,400.00 Construction Items All items listed in the construction segment are in the total construction cost. A. 1 building permit for pool enclosure and deck container for disposal and co nta B. 2 40y $ 37,000.00 C. Pool enclosure segment D. Deck segment $ 10,400.00 $47,400.00 E. Total construction cost F. Deposit received -$ 1,000.00 Total------------------ — - ----- $46,400-00 $46,400 .00 Designs and plans $4,000.00 Paid in full CSL D-3 a, Payment schedule Total construction cost $47,400.00 Schedule work/sub-contractors $ 1,000.00 Received permits/order material $ 24,500.00 Rough frame/start roof $ 13,250.00 Deck frame/siding $5,700.00 Balance on completion on job $ 2,950.00 *,116mehwner n Fino chiaro D.B.A Any additional work or unforeseen damage is subject to a change order agreed by both the home owner and Ron Finocchiaro. Change orders are additional work and can extend the length Of the job. 50%is required to start work and balance on completion. Change orders are not part of the contract. Sit o;.P�e15t.lndsi `Cuss:tchusctts Bosrel,ot, Bu. ... supervisor a Ucen$e Coristtuctlon - - 77344 License* E FINOCCHIARO JR j RONALD -e.. 165 MARBLEVAE �Sg45 N ANDOVER, Expiration: 7(2312012 �vl11114��� ('1/1711171. The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Le ibl Name (Business/Organization/Individual): ,J A �� �l �tC7CCl'1 �14)2o � Address: KO k 1 r--, n<J� g- City/State/Zip: Lam,,,,24N c,r- , m A -0)%yP Phone#: 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 1 6. ❑New construction 2.Aemployees(full and/or part-time).* have hired the sub-contractors I am a sole proprietor or partner- listed on the attached sheet. t 7. ❑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. ❑ We are a corporation and its required.] officers have exercised their 10.0 Electrical repairs or additions 3.❑ 1 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' 13.0 Other comp. insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. i 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 thepolicy 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 required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1 500nations 00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up tday aga' t the violator. Be advised that a copy of this statement may be forwarded to the Office of Investihe IA f r in coverage verification. I do he by c ti u er tl a pains and penalties of perjury that the information provided bove is true and correct. Sign tture. 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#: MORTGAGE INSPECTION PLAN BOSTON SURVEY, INC. 95-01618 One Thompson Square P.O. Box 220 Charlestown, MA 02129 (617)242-1313 MAIN (617)242-1616 FAX APPLICANT. ALFRED M. &MARYA. RUSSO LOCATION., 15 WRIGHT AVE DEED/CERT. 960/205 CITY, STATE: NORTH ANDOVER, MA PLAN REF: 609 50.00 A O 64 8310+/- S.F. 50.00 63 5540+/- S.F. I � DECK J Q, o _ o � O 0 O Q SPLIT-LEVEL iU D 50.00 50.00 WRIGHT AVE. 1994(c)Boston Survey Software PREPARED: 07-10-1995 SCALE. 1 inch =30 feet CERTIFIED TO: MORTGAGE PARTNERS The permanent structures are approximately located on the ZA u Ig According to Federal Emergency Management Agency ground as shown. They either conformed to the setback Dy.� �' maps, the major improvements on this property fall in all requirements of the local zoning ordinances in effect at �.� CARMEN area designated as Zone the time of construction, or are exempt from violation en- o A forcement action under M.G.L. Title VII, Chapter 40 A, o w Community Panel No: _)C i CAAL TESTA Section 7, and that there are no encroachments of major Effective Date: /1 L i ,S improvements either way across property lines except as A No. 184 Q 9 9 o NOTE:Zone C is areas of minimal flooding(no shading).This, shown and noted hereon. � designation is not based on an elevation certificate. � NOTE:This is not a boundary or title insurance survey.This plan was pre 9Act SJ rocedural and technical standards for Mortgage loan Inspections as adopted by the Massachusetts Board of Registration of professional engineers and 0 CMR 6.05,and use for any other purpose is prohibited.:This plan is not to be \ used for recording,preparing deed descriptions, or construction.