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HomeMy WebLinkAboutBuilding Permit #1093-2016 - 150 HILLSIDE ROAD 5/1/2018 NORTH 1 r v y BUILDING PERMIT S,?o``t` o TOWN OF NORTH ANDOVER 1 APPLICATION FOR PLAN EXAMINATION Permit NO: � Date Received Date Issued: �9SSACHUS���� IMPORTANT:Applicant must complete all items on this page �ffkj / LOCATION 1 J` �7 f5� 4'/ - " 'Pnnt a PROPERTY OWNI=Rg / l" Print MAPNO: PARCEL: ZONING DISTRICT: . Historic District yes no Machine Shop Village yes- no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building One family ❑Addition ❑Two or more family ❑ Industrial ❑Alteration No. of units: ❑ Commercial t5.Repair, replacement ❑Assessory Bldg ❑ Others: Y' ❑ Demolition ❑ Other ❑ Septic C1 Well ©Floodplain11 Wetlands ❑ Watershed Distract . Water/Sewer 1 44er/ hewed el- GvT� of 91/ M-1" 404 ra de d�c lrl / Gt;Ood Identification Please Type or Print Clearly) OWNER: Name: /��hs ]�� G�y�� r Phone:CM 05��'-.2 i Address: CONTRACTOR Name: % c e/_ 1;r� �i-✓e"moi z, Address: Supervisor's Construction License: Exp., Date.: -. ,7 Home Improvement License Exp. Date:` 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: $ FEE: $ �� 68 Check No.:, Receipt No.: �O 2 93 NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund gnature of_Agent/Ownerz Signature of contractor - L �osar� BUILDING PERMIT °&�s`eD °�"� TOWN OF NORTH ANDOVER io APPLICATION FOR PLAN EXAMINATION Date Received AOQwTEo P=" R5 Permit No#: ��SS�CHus�c Date Issued: IWORTANT: Applicant must complete all items on this page LOCATION Print PROPERTY OWNER Print 1oo.Year structure yes no MAP_PARCEL: ZONING DISTRICT:_ Historic District yes no Machine Shop Village yes. no . TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential s ❑ New Building ❑ One family ❑Addition ElTwo or more family El Industrial ❑Alteration No. of units: ❑ Commercial El Repair, rep - replacement ❑-Assessory Bldg ElOthers: El Demolition ❑ Other __ _te�sd Dsistc '' t e plaid e tla +; IxlSewer " J DESCRIPTIONOFWORK TO BE PERFORMED: Identification- Please Type or Print Clearly OWNER: Name: Phone: Address: Contractor Name: Phone: Email: Address: II License: Exp. Date: Supervisor s Construction Home Improvement Licenser Exp. Date: I , ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE;BULDING PERMIT.$12.00 PER$9000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ FEE: $ Y Check No.: Receipt No.: � NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund '71r_ �- -- --m_ ,- Flo e - [� c�. Q rn :e y r ., i Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ TYPE OF SEWERAGE DISPOSAL Public Sewer ❑ Swim in Tanning/Massage/Body Art ❑ g 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 m U FORM PLANNING DEVELOPMENT Reviewed On Signature s 'COMMENT'S I ,CONSERVATION Reviewed on Signature COMMENTS HEALTH Reviewed on Signature COMMENTS Zoning Board of Appeals:Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments J Conservation Decision: Comments f Water& Suer Connection/Signaturo& ®ate Driveway Permit DPW Town Engineer: Signature: r FIRE DEP�gRTj',' i"°° Located 384 Osgood Street - Temp Dempster on sit yes "° no ' t E , Located at 1x24 Main street >x x1> >� xb�'` - � A :r partment sign fere/da�tye '�' _ _r ��"* 'a ��', ''k :"„�� ` ��=• "f >:,} ;” -T- - _ Dimension Number of Stories: Total square feet of floor area, based on Exterior dimensions. Total land area, sq. ft.: ELECTRICAL.- Movement of Dieter location, mast or service drop requires approval of Electrical Inspector Yes No I 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 Call Email } Date Time Contact Name Doc.Buildiug Pon-nit Revised 2014 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 Copy of Contract Floor Plan Or Proposed Interior Work Engineering Affidavits for Engineered products OTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit .Addition Or Decks 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/Cross Section/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 OTE: 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 A� 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 2012 IECC Energy code Engineering Affidavits for Engineered products OTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg. Permit Im 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:Building Permit Revised 2014 . -.ti..w.�„..i-..sa..yu....4,0'^--.. ._•.1.A•1.1.w ,... '•- s .� •'.+•../...- F-'.z•A.,iM-4..i ,•- -.. r Location <-r No. 4 Date • ' TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $ yZe'— Foundation Permit Fee $ Other Permit Fee $ + TOTAL $ Check# �� Building Inspector 30263 ®BoiseCasesn. Double 1-3./4" /2"VERSA-LAW 2.0 3100 SP Floor Beam\171301 Dry 1 span ( No cantilevers 10/12 slope April 20, 2016 15:14:27 BC CALCO Design Report Build 4516 File Name: GOODWIN HILLSIDE N ANDOVER MA Job Name: MICHAEL GOODWIN Description:Designs\FB01 Address: 150 HILLSIDE Specifier: City, State, Zip: N ANDOVER, MA Designer: Customer: Company: Code reports: ESR-1040 Misc: a max: 11-00-00 BO B1 Total Horizontal Product Length= 11-00-00 Reaction Summary (Down/Uplift) (lbs) Bearing Live Dead Snow Wind Roof Live BO, 3-1/2" 1,595/0 782/0 B1, 3=1/2" 1,595/,0 782/0 Live Dead Snow Wind Roof Live Trib. Load Summary Tag Description Load Type Ref. Start End 100% 90% 115% 160% 125% r '" 1 Standard Load Unf. Area (Ib/ft^2) L 00-00-00 11-00-00 40 10 b7-03-00� 2 INT WALL-LOAD Unf. Lin. (Ib/ft) L 00-00-00 11-00-00 0 Controls Summary Value %Allowable Duration Case Location Pos. Moment 6,003 ft-lbs 43% 100% 1 05-06-00 End Shear 1,909 lbs 30.2% 100% 1 01-01-00 Total Load Defl. L/527 (0.24") 45.5% n/a 1 05-06-00 Live Load Defl. L/785 (0.161") 45.9% n/a 2 05-06-00 Max Defl. 0.24" 24% n/a 1 05-06-00 Span/Depth 13.3 n/a n/a 0 00-00-00 %Allow %Allow Bearing Supports Dim.(L x W) Value Support Member Material BO Post 3-1/2"x 3-1/2" 2,377 lbs n/a 25.9% Unspecified B1 Post 3-1/2"x 3-1/2" 2,377 lbs n/a 25.9% Unspecified Notes Design meets Code minimum (L/240) Total load deflection criteria. Design meets Code minimum (L/360) Live load deflection criteria. Design meets arbitrary(1") Maximum total load deflection criteria. Calculations assume Member is Fully Braced. Design based on Dry Service Condition. Deflections less than 1/8"were ignored in the results. �BoiseCaSt?de Double 1-3/4 x 9-1/2 VERSA-LAM® 2.0 3100 SP Floor Beam1F1301 Dry 1 span No cantilevers 10/12 slope April 20, 2016 15:14:27 BC CALC®Design Report Build 4516 File Name: GOODWIN HILLSIDE N ANDOVER MA Job Name: MICHAEL GOODWIN Description: Designs\FB01 Address: 150 HILLSIDE Specifier: City, State, Zip: N ANDOVER, MA Designer: Customer: Company: Code reports: ESR-1040 Misc: Connection Diagram Disclosure b d Completeness and accuracy of input must be verified by anyone who would rely on a output as evidence of suitability for • • • particular application.Output here based c on building code-accepted design properties and analysis methods. Installation of Boise Cascade engineered • • wood products must be in accordance with current Installation Guide and applicable building codes.To obtain Installation Guide or ask questions,please call a minimum = 2" c= 5-1/2" (800)232-0788 before installation. b minimum = 3" d = 24" BC CALC®,BC FRAMER®,AJSTM, Member has no side loads. ALLJOIST®,BC RIM BOARD TM, BCI(D, Connectors are: 16d Sinker Nails BOISE GLULAMTM,SIMPLE FRAMING SYSTEM®,VERSA-LAM@,VERSA-RIM PLUS®,VERSA-RIM0, VERSA-STRANDO,VERSA-STUDS are trademarks of Boise Cascade Wood Products L.L.C. Enter construction cost for fee cal - North Andover Fee Calculation Construction Cost is 5)2,000.00 m $ - $ 624.00 Plumbing Fee $ 78.00 Gas Fee 100 comm. 1$; 1J0:0,00 Electrical Fee $ 78.00 Total fees collected $ 880.00 I I 150 Hillside road 1093-2016 on 4/29/2016 Kitchen Remodel I ttORTH Town of _ Andover C% h ver, Mass O� 1 COC NICNE WIC 7,4 °RATeCO) S U BOARD OF HEALTH Food/Kitchen PER.MIT LD Septic System THIS CERTIFIES THAT ............ /V �a Al C V F ,� BUILDING INSPECTOR has permission to erect ................ ... buildings on .... ..........1:f...../�... ................................... Foundation ....... Rough tobe occupied as ...................... ................................................ Chimney provided that the person accepting this permit shall in every respect conform to the terms of the application Final on file in 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 Rough VIOLATION of the Zoning or Building Regulations Voids this Permit. Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCT STARTS Rough Service .............. . ................................... Final BUILDING INSPECTOR GAS INSPECTOR Occupancy Permit Required to Occupy Buildin, 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. Smoke Det. -173 4" 99'" 3i 37a 36111 a � a 4. UF1 W243UF1 W3018 W1 536 f c NU rn BWB1 B18R N : �.. U.1 M \ Cutlery Divider art' _ LLC UF696 as baseboard on island sides/back i N FP9648 cut and applied to sides on site A U N _ -C H _ is 00U N ! I ( Bread I W. 0)MDrawer rn co ! o0e') LA 4 LZ LL _ !(ncb J cp ° -' UL •$g N ! M N 1 ` TUI m N `M j M O LOO. �_ IF Cn N t� I 3:: LX- i TI r r I Corm L —CD U. M M VanDeventer, Mary °O Dayton Painted White All cabinets mounted 54"AFF IQR8 to be used at base of toe kick \ ! _ SMS to be applied vertically against � exposed wall cabinets on site Crown: UF1.596/CVM8 \ — 30 ' 2 N UF696 as baseboard on island sides& back Soft Close included { W3036-MFDtit *{ ' Cabinets not drilled for hardware Client responsible for all measurements. Please verify dimensions prior to ordering. N NOTE: Roor Lan To ensure accuracy client is responsible and has verified_all dimensions.Any changes after the order has been placed will result in a restocking fee. 130 Centre St. Proposal Box C-1 Danvers, Ma. 01923 978-423-8463 Hanz & Mary Van Deventer 4/4/2016 150 Hillside Rd. N. Andover. Project Description Total This Proposal is for the following work. 37,840.00 Kitchen remodel Scope of work; We will apply for the proper town permits. The areas outside of the work areas will be protected from dust and debris. The existing fixtures and appliances in the kitchen will be disconnected and removed. The kitchen and fireplace room will be demo'd down to.the studs, subfloor and the ceiling joists. The flooring in the hallway to the front door will be taken up. The wall between the two rooms will be removed. We will close up the wall from the kitchen to the diningroom as shown on the plans. The wall from the fireplace room to the livingroom will be opened up leaving a couple of feet of wall to keep some of the baseboard heat on. We will saw cut the right side of the chimney to make it the same width as the left side. The walls will be insulated with R-15 fiberglass batts. The walls and ceiling will be blueboarded and veneer plastered to a smooth Total Signature mfgoodwincompany@gmail.com Page 1 Mass.CSL #081670 Mass. HIC #105029 130 Centre St. Proposal Box C-1 Danvers, Ma. 01923 978-423-8463 Hanz & Mary Van Deventer 4/4/2016 150 Hillside Rd. N. Andover. Project Description Total finish. We will install 2-1/4" oak flooring in the kitchen and hallway. It will be sanded and polyurethaned. We will install the cabinets, moldings and hardware according to the plans from Cligstudios.com We will install new baseboards and trim out the window and doors to match the rest of the house. We will install all of the appliances. Electrical: Our electrician will rewire the kitchen to bring it up to code and for the new layout. 8 recess lights with LED trims will be installed and put on a dimmable switch. 3 pendant lights over the island and 1 over the sink. Wire in the two toe-kick heaters. Receptacles for the countertop, gas range, dishwasher, garbage disposal, refrigerator, microwave and island. All of the appliance will be wired and installed. A subpanel will be located under the kitchen area to accommodate the needed circuits for the remodel. Plumbing: I Total Signature mfgoodwincompany@gmail.com Page 2 Mass.CSL #081670 Mass. HIC #105029 Proposal 130 Centre St. Pro p Box C-1 Danvers, Ma. 01923 978-423-8463 Hanz & Mary Van Deventer 4/4/2016 150 Hillside Rd. N. Andover. Project Description Total Our plumber will rough in and install an island sink, install new shut-offs and install a sink and garbage disposal under the window, extend the gas line to the new stove location and install the gas stove with gas shut-off. Remove the baseboard heat leaving a couple of feet to the left of the back door. rough-in and install two toe-kick heaters under the cabinets. The dishwasher, garbage disposal and two sinks will be connected. A water line for the refrigerator will be installed and attached. Total Signature mfgoodwincompany@gmail.com Page 3 Mass.CSL #081670 Mass. HIC #105029 130 Centre St. Proposal Box C-1 Danvers, Ma. 01923978-423-8463 Z00001 In III IN 1111111 Hanz & Mary Van Deventer 4/4/2016 150 Hillside Rd. N. Andover. Project Description Total All rubbish will be removed from the premises. References are proudly given upon request. Town permit fees are additional and will be billed separately. The homeowners will provide the cabinets, appliances, plumbing fixtures, pendant lighting, cabinet hardware. Painting is not included but can be added if desired. To supply & install undercabinet LED lighting will be an additional $1200.00 All work shall be completed in a workmanlike manner according to standard business practices. Any deviation from the above specifications involving additional labor and/or materials shall be executed upon written authorization and may be an additional charge. Total: $ 37,840.00 Payment Schedule; A deposit of 11 3 50.00 is due p $ u upon starting. A payment of$ 11,350.00 is due upon completion of plaster. A payment of$ 11,350.00 is due upon major completion of cabinet and molding installation. Balance of$ 3,790.00 is due upon completion of the project. Tota Signature mfgoodwmcompany@gmail.com Page 4 Mass.CSL #081670 Mass. HIC #105029 130 Centre St. Proposal Box C-1 Danvers, Ma. 01923 Z0001 978-423-8463 Hanz & Mary Van Deventer 4/4/2016 150 Hillside Rd. N. Andover. Project Description Total Acceptance of Proposal; l Contractor: Date: 6 Homeowner: Date: y NOTE: This proposal may be withdrawn by either party within 72hours of signing. Total Signature mfgoodwincompany@gmail.com Page 5 Mass.CSL #081670 Mass. HIC #105029 0 130 Centre St. Proposal Box C-1 Danvers, Ma. 01923 978-423-8463 Hanz & Mary Van Deventer 4/4/2016 150 Hillside Rd. N. Andover. Project Description Total Total $37,840.00 Signature mfgoodwincompany@gmail.com Page 6 Mass.CSL #081670 Mass. HIC #105029 The Commonwealth of Massachusetts Deparhnent of Industrial Accidents Office of Investigations 600 J asliington Street Boston,MA 02111 wjviv.ntass gov/dia Yorkers' Compensation Insurance Affidavit: Builders/Co nicactoa-s/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/OrganizationTndividual): . le-, Address: 7 City/State/Zip: 67 � _phonejr: Are you an employer?Check the appropriate box: - I.2[I am a employer with 34• Q I am a general contractor and I Type of project(required):. employees(full and/or part tim6. e).' have hired the sub-contractors Q New construction 2.❑ I a►n a sole propHetor or partner- listed on the attached sheet. 7. P Remodeling ship and have no employees These sub-contractors have g• Q Demolition working for me in any capacity. employees and have workers' o workers'tom co t" 9• Q Building addition (N p.insurance comp.insurance. required.] 5. Q We are a corporation and its 10.Q Electrical repairs or additions. 3.Q I am a homeowner doing all work officers have exercised their I I.Q plumbing repairs or additions myself.NO workers'comp. right of exemption per MGL 12.Q Roof repairs insurance required.)t c. 152,§1(4),and we have no -- employees.(No workers' 1.3.Q Other comp.insurance required.] *Any applicant that checks box Ri must also fill out the section below si•:oaing their workers'compensation policy infarmation. t Homeowners who submit this affidavit indicating they are doing all wzrk and then hire outside contractors must submit a new affidavit indicating such. tContractors that check this box must attached an additional sheet showing the name of the subcontractors and smte whether or not those entities have employees. If the sub-contractors have employees,they must pro,'ide:Qr workers'comp.policy number. I am an employer that isproviding workers'compensation insurance for my emplo}-ees Below is thepolicy and job site infonnation. Insurance Company Name: •!17 Policy#or Self-ins.Lic.M t�rl5l 75nj Expiration Dau._ _77V a Job Site Address: City/State/Zip: , W.1d OI�G,� ✓li, Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date).- Failure.to secure coverage as required qutred under Section 2514 of MGL c. 152 can lead to the imposition of criminal penalties of a fine lip 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 coveraee verification. Ido liereby certify under the pains-and penalties of perjury that the information provided above is true and correct. Date: Phone#: Official use only. Do not write in tl:is area,to he completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Departm 6.Other ent 3.Cityfrown Clerk 4.Electrical Inspector 5.Plumbing Inspector - $ Massachusetts Department of Public Safety Board of Building Regulations and Standards License: CS-081670 Construction Supervisor MICHAEL F GOODIMN ..r 7 HOLT RD EPPING NH 03042 r ' Expiration: Commissioner 08/08/2017 C��e L oanorraarruea�f a��`a s�cc�u�efft Office of Consumer Affairs&Busi ess Regulation License or registration valid for individul use only OME IMPROVEMENT CONTRACTOR before the expiration date..If found return to: egistration .105029 Type Office of Consumer Affairs and Business Regulation 10 Park Plaza-Suite 5170 xpiratiom 7/16/2016 Individual Boston,MA 02116 MICHAEL F.GOODWIN JR t i Michael Goodwin _ �F 7 HOLT RD. EPPING,NH 03042 Undersecretary Not valid without signature