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Home My WebLink AboutBuilding Permit #257-14 - 1557 SALEM STREET 9/19/2013 TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit NO:V,) �� Date Received Date Issued: IMPORTANT: Applicant must complete all items on this page LOCATION . �S1t . S1 � Print. PROPERTY OWNER_J� ovI A C6 �_ Print 100 Year Old Structure yes no MAP NQ. PARCEL:_ ZONING DISTRICT: Historic District ye no Machine Shop Village yes no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building et5bne family ❑Addition ❑Two or more family ❑ Industrial ❑Alteration No. of units: ❑ Commercial ❑ Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other ❑ Septic ❑Well ❑ Floodplain ❑Wetlands ❑ Watershed District ❑Water/Sewer DESCRIPTION OF WORK TO BE PERFORMED: Sxyro Identification Please Type or Print Clearly) OWNER: Name: to 01743C-/,4 tit=� Phone�7`iY��'� Address: CONTRACTOR Name: �� 'j"�'�' Phone: '� ��IJ�'!S Address: c Supervisor's Construction License: Exp. Date: Home Improvement License: �, )� �S I 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: $ 91 C-3 C-3 Q� FEE: $ r Check No.: �[, Receipt No.: NOTE: Persons contracting with unregistered contractors do not have access to the guarantyfund Signature of Agent/Owner Signature of contractor Plans Submitted 171 ans Waved ❑ Certified Plot Plan ❑ amped Plans ❑ Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ TYPE_OF`SEWERAGEDISP.OSAL Public Sewer ❑ Tanning/MassageBodyArt ❑. . 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 ❑ ❑ Ali COMMENTS .CONSERVATION Reviewed on Signature COMMENTS I HEALTH e Reviewed on Signature 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 DPW Tody ! Engineer: Signature: Located 384 Osgood Street FIRE DEPARTMENT - Temp Dumpster on site yes no Located-at 124 Mair, Street Fire Departmeritsignatureldate ' COMMENTS 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 El Notified foricku - Date P p Doc.Building Permit Revised 2010 Building Department The foh".owing is a list of the required forms to be filled out for the appropriate permit to be obtained. Roofiv,g, 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 ❑ Building Permit Application ❑ Certified Surveyed Plot Plan Li 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 ❑ 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 apo•,al period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording must be subWted with the building application Doc: Doc.Buhding Permit Revised 2012 Location `_____ �--• No. Date . - TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $JJ - plc ] ; Foundation Permit Fee t $ Other Permit Fee $ TOTAL $ Check#l�26881 ~---- Building Inspector NORTH Town of t E : �� ndover 0 w.., 0 No. z C, ver, Mass coc«Ic«ewic« L �d A04ATEo Cl S U BOARD OF HEALTH Food/Kitchen PERMIT T LD Septic System *00 THIS CERTIFIES THAT BUILDING INSPECTOR ............ . ......:Gr ...... ..... ....................................................... Foundation has permission to erect .......................... buildings on ....� .5I.?.:...... .... ...a........... Rough to be occupied as .................. .........}.......�.. it�i .�.. ..®.......................... Chimney provided that the person accepting this permit shall in every respect confor the termSo f 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 VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR I�a UNLESS CONSTRUCTIO ARTS Rough Service ................... ......... ......................................... Final BUILDING INSPECTOR GASINSPECTOR Occupancy Permit Required to Occupy Building 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. SEE REVERSE SIDE - i T he,Commonwealth ofMassachusetts Department of Industrial Accidents Office of h vestigations 1 Congress Sti'eet .Suite 100'' Boston,MA 02114-2017 "".mass gov/dhi Workers' Compensation Insurance Affidavit- Builders/Contractors/tlectrieians/Plumlbers Applicant]Information. Please Print Legibly . Name(Business/organization/Individual): c�,— �2 0 Address: 3 b T- 12 I2 i2 4 City/State/Zip: /ij) aWq Phone#: Are you an employer?Check-the appropriate bog: Type of project(required): 1.0I am a employer with 4. ❑ I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. E]New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have g,.❑Demolition workingfor me in an capacity. employees and have workers' Y P h'• 9. ❑Building addition [No workers'comp.insurance comp.insurance.1 5. oration and its 10.❑Electricatrepairs or additions required.]" " ❑ We are a corporation 3.❑ I am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑ Roof repairs insurance required.]t c. 152, §1(4),and we have no . employees. [No workers 13 ❑ Other comp.insurance required.] *An applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. Y PP P P cY, 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 state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: <<", r" N Policy#or Self-ins.Lic.#: `"l ° `E ` q,°( `Z-1 `' Expiration Date: Job Site Address: /�� S -c-n S T City/State/Zip: N� 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 cern under tAe pains OdEenalfies o e 'u that the in ormation provided above is true and correct Si afore: -- - -- - -- - ---- -- Date Phone#: y j_-r7 S� 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#: NC _,ER-11]FI A't OF LIAR ��1� �� g� .��+yjFSC�l4'C �I�f� 'S'IfY9 tl$42SS G3'E _ WE � MG 2T[4 TpL tL2 T`d t6S.O4t TX25 GEFE7L . �MkTiC� two COY UV AR A C>1a9t Ai' gSCa1gASYefc Dn #.atYttlCEa, as' s'!'"t! ci[o'sSS10ETC. Lf II6fLH1.t t1ASI VJUr dam• �Ib FTAS ls)- irt7 _ s!<rC> ti+iT AfFZD#�+• VS&4 �r w Ga1>F41HC+' 1trr - f� jf STYgIIOpyaTYCbt 36 LWR1`!£L, soYf)�' xTrt[nrrarac& [loco NLSYrerr[= bo L'im PT aaer net the 3LsFtteet � sS[3R: chTe euti[L�aTe L�641i'SCASS #.r+ii36.11lIIlt. 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Searchi Sea 037051 nc,h by ReWS Number Search by Re9istrall, Name F_ Zip Code Seatch OY C6tY S,arc.rj Registrants YOU Can ajS0 Vi`eWr_43rUtr to view compotn' the regiSTra"f)"' nurnoe, 3y, September 20, 2012 --lip list is current Of Thursday. Search Resutts EXPsRATJON STATUS REGiSTRANT RESP O NSIBLE REGISTRATION ADDRESS DATE jNDjvjj)UAL NUMBER NAME ioi(. !2C '4 166 A FINACHARO V.j I ONF. pcy-,, I_ANZ-AFAME- BUILDING M. ETHEUN MAO 1844 mark of the ColyllytOrwaalth Of MOW61196" N4 asSAC 1-1 5c Inti CS-06+120 JOHN w LANZA ' 30-FENWLE'DR MF TULIEN MA `t2 ttYtt�1P0 w, r �up N. ^V'\O. R f p '� V .T owl <.3 � 31 M AL LC 12 ow Co 40 r _al & Commercial hoofing X111 Types f�f CHI1� KEYS POINTED-REBUILT-CAPPrED ial<iitrmg Expert Masonry Work Mass Toll Free € r ' Licensed &Insured —ally Owned cL Oprrrrred Since 7976 License#034200 "�o�-,"�� 1-800-WAIT-4-US �. ? I'i (924«8487) lKo 4?,Zff war-jW az*° `VA" icy We Worts Year Round s"�R.i � a _ „ 17, -a- 51 'M s .,:. =.a' 'y7. x.. r am x .1 t fN ? Proposal To: Donald Deadder Date 8/22/2013 Street: 1557 Salem St. 978-686-5496 N.Andover, MA Roof proposal berdon@comcast.net IKO Royal Estate 1. Extra caution will be taken to protect house 13. Removal of all work related debris. Planks will be exterior,sunroom,deck and landscaping as best placed under dumpster to prevent any damage to as possible. (tarps etc.)Magnets run at final clean driveway. UP- 14. Building permit included. 2. Remove all shingles from entire house. 15. Contractor workmanship warranty: 10 years under 3. Inspect and re-nail any loose or lifted plywood. normal wind and rain conditions. 4. Any compromised plywood will be replaced at an additional cost of$55.00 per sheet of 1/2”CDX. Total cost: $ 99350.00 5. Install heavy gauge S" mill finish aluminum drip Skylilght :-Remove existing bathroom skylight. Install edge to all eaves and rakes. 6. Install 6'of IKO Arrnourguard ice and water (i) new Wasco non venting, fixed, self flashed skylight in bathroom Please note that some minor shield along all eaves. MA state code. cosmetic interior finish carpentry may be needed 7. Install all new pipe boots. after installation. Not included in proposal. 8. Install IKO synthetic underlayment to the remaining sheathing up to the ridge. 9. Install IKO Leading Edge start starter shingles to Balance due upon completion all eaves and rakes. 10. Install IKO Royal Estate Limited Lifetime References available upon request architectural shingles to all roof lines of entire house. Color Sv )'atu eM year non pro rated H' rated membe of a ace iced BBB warranty by IKO MFG.All shingles will be mom' t r h red and Anaie's List installed and fastened according to mfg.specs. 11. Counterflash existing chimney lead, skylights and Thank you! all roof protrusions with ice and water shield,tie t into new shingles and seal.Coat chimney lead with clear fibrated Geo-Cel sealant. 12. install a new GAF Cobra ridge vent capped with color snatched IKO hip and ridge shingles. Acceptance of Proposal—The above prices,specifications and conditio a satis ct are rby accepted. You are autho ' to do the work as spec ed.Payment will a as ut ed bove Date of Acceptance: Signature: fit