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Home My WebLink AboutBuilding Permit #471 - 1635 OSGOOD STREET 12/18/2012 TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit N0: Date Received Date Issued: IMPORTANT:Applicant must complete all items on this page LOCATION r)oOt Print ROPERTY OWNER rh(�r YuS Print 100 Year-Old Structure yes . no MAP NO: PARCEL: ZONING DISTRICT: - Historic District yes no Machine Shop Village yes no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building 0 One family ❑Addition IN Two or more family 0 Industrial 0 Alteration No. of units: 3 ❑ Commercial Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other ❑ Septic 0 Well 0 Floodplain 0 Wetlands 0 Watershed District, ❑Water/Sewer DESCRIPTION OF WORK TO BE PERFORMED: 17r�o rS Identification Please Type or Print Clearly) OWNER: Name: ,� �,�<<�� Phone: 1711 �Sz Address: l0 3 QS oo CONTRACTOR Name: (29AI,67 60HU11 Phone: �� 7 33'1 3�&&Q Address: HZ RoyAL Cir,LLE SaL_cM, /VH 0-?07 � Supervisor's Construction License: C5-01 0405 Exp. Date: obb-llZolq Home Improvement License: J H s�- U Exp. Date: ZO 20( 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: $ -72j >> O0 FEE: $ 3Rq, Check No.: Receipt No.: NOTE: Person7l contracting with unregistered contractors do not have access to th aran d rSignature of- A' g'ent-/-O-wner Signature of contr Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ TYPE OF SEWERAGE DISPOSAL Public Sewer ElTanning/Ivlassage/Body Art ❑ Swunmmg Pools i ❑ 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 Signature i COMMENTS HEALTH 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 Tow Engineer: Signature! Located 384 Osgood Street , FIRE �"Temp,Dumpster on site yes no s Located at 124 MainStreet Fire Dep arfine V§ignature/date ' 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 i ® Notified for pickup - Date Doe.Building Permit Revised 2010 Building Department The fohowing 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 ❑ 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/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 o 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 ❑ 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 subm:-tted with the building application Doc: Doc.Building Permit Revised 2012 Location No. / Date 4 / a TOWN OF NORTH ANDOVER« \\j ... .> » , Certificate of Occupancy $ < , Building/Frame Peri! F e --- Foundation PrR Fee $ 2 OhePermit Fee $ \/ . TOTAL $ / � � �\. Check*� ' \ . 26040BiUmm9et . \ `j . � Location 11, 35 No. "� ��—� Date 3 • =" TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $ Foundation Permit Fee �t $ `R Other Permit Fee $� , TOTAL $ , r1 s� i?= / Check,�(76V 0 26260 Building Inspector O�Mo.Ty�h `r ,sS4CNUsdi CERTIFICATE OF USE & OCCUPANCY TOWN OF NORTH ANDOVER Building Permit Number 471-13 on 12/18/2012 Date: April 8, 2013 THIS CERTIFIES THAT THE BUILDING LOCATED ON 1635 Osgood Street MAY BE OCCUPIED AS First Floor Apartment Unit_IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. Certificate Issued to: Brian Mueskes 1635 Osgood Street N.Andover,MA 018445 a Building Inspector Fee: $100.00 Receipt: 26260 Check :4764 W. ve. . No. h ver, Mass, ec , « ZO IZ. o �... 1. coc Klc K.WIcK V ASR^TEO s U BOARD OF HEALTH RMI*T T LD Food/Kitchen Septic System P E THIS CERTIFIES THAT ...M�'�'� `1 '� BUILDING INSPECTOR ................. ............................................................................................... has permission to erect .......................... buildings &c)-:.......................... .Foundation '\ /"Rough , to be occupied as ..... .b. .:. ........ ..T....... s?.v.✓.L:.....v.!j E--L ....................................... zc�; "� �j\ t\ provided that the person accepting this permit shall in every respect conform to the terms of the application final c? 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 INSPECTO f Rough Q —VIOLATION of the Zoning or Building Regulations Voids this Permit. Final J ` PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTQI UNLESS CONSTRUCTIO T TS !,Rug ughs {, �, o 2 Service ................................................................................ er" nal BUILDING INSPECTOR '"°°�i" ' ✓' GAS INSPECTOR 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 one FIRE DEPARTMENT Until Inspected and Approved b ` sector. Burner ' ./ Street No. Smoke Det. SEE REVERSE 1 p c r . , TH c : ve" 'o. 0 : . No. _ 47 1 2-012— h / ... LA�M! IC , , COCMItM!wM 7� 0R�TED S U BOARD OF HEALTH Food/Kitchen PE RIMIT D Septic System THIS CERTIFIES THAT 6M A'n �' , ` 'j � `-�-- BUILDING INSPECTOR ................. ..... ............................................................................................... ' ^ ! has permission to erect ........................... buildings &,.L.-.,r........................ .Foundation 7 Rough to be occupied as ..... .... .b.�!. �.k�........ c..r.....:l-Zs.?v+ .....v.!v.k .......................................... ?al provided that the person accepting this permit shall in every respect conform to the terms of the application �c? 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 INSPECTO r Rough Q r2 —VIOLATION of the Zoning or Building Regulations Voids this Permit. Final G 1� PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTO. UNLESS CONSTRUCTIO T TS Rou h Service .............................................................................. ina BUILDING INSPECTOR '"' � �`✓ ✓' GAS INSPECTOR Occupancy Permit Required to Occupy Building Rough Display in a Conspicuous Place on the Premises - Do Not Remove Final-YY No Lathing or Dry all To Be Done FIRE DEPARTMENT Until Inspected and Approved b ector. Burner Street No. SEE REVERSE smoke Det. .I^, A.'ry Enter'construction cost for fee cal- North Andover Fee Calculation Construction Cost $ 32,800.00 m $ - $ 393.60 Plumbing Fee $ 49.20 Gas Fee 100 comm. $ 100.00 Electrical Fee $ 49.20 Total fees collected $ 592.00 1635 Osgood Street 471-13 on 12/18/2012 Renovation 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 Legibly Name (Business/Organization/Individual): /z k,PV4 Address:_ 3Z City/State/Zip: e C & a36,Z 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 I 6. ❑New construction employees(full and/or part-time).* have hired the sub-contractors 7. 2. I am a sole proprietor or partner- listed on the attached sheet.# 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.❑Electrical repairs or additions 3.E] I am a homeowner doing all work right of exemption per MGL 11.F1 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.]P q ] kny applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. :ontractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information. cpm an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site formation. tsurance Company Name: :)licy#or Self-ins.Lic.#: Expiration Date: lb Site Address: City/State/Zip: ttach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). iilure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a .ie 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 up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of vestigations of the DIA for insurance coverage verification. lo hereby certify'Olinder /ie pains andpenalties ofperjury that the information provided above is true and correct. afore: / Date: Z Lone 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#: r . - NORTH - W_ 4* c ve' . o - 47 1 No. �il) :i ;NAT.o9 DR�ITED- �1' ver, Mass, Tec . I i Z AcocHic«ewock S U BOARD OF HEALTH Food/Kitchen T T L PERMI D Septic System THIS CERTIFIES THAT6 BUILDING INSPECTOR ................. ...�!!!4!':!......�.`.. . :u-.............................. - ............. �— i�� i4.O..C�f • has permission to erect .......................... buildings ont.1f.as ....... . ...&t).. ........................ Foundation n Rough to be occupied as U�.bv.t.� ... �..T.......:lit?.v.✓.t:.....v.!v. ..r....................................... 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 CONSTRUCTIO T TS Rough Service ................................................................................ Final BUILDING INSPECTOR GAS INSPECTOR Occupancy Permit Reguired to Occupy Buildinz 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 -- 72 v►ACL Q, o. - i i *\ i C ✓jieaavrr�arzcirealCt ` t. t}fi�ce`bf C( sumer AfF3.trs BSc.3 s�ne5s R4e�uP��zok., ,� ' HQi47E IMPROVEh7Chi"�6PJiR4CTG��. Re,x tration i 148746 ExpIratio7. 1x/20/2013 Individual' H. C AIG C.OHEN f; 42'RO`�AL CIRCLE( * kr 1 IJi►4 rseci etary Office o�•�on-m r'�{fa.`rP'sa& u` na{1 HOME IMPROVEMENT CONTRACTOR Registration: _171109 Type: x Expiration: 413(2014 DBA �:_ M NIAM CONSTRUCT-FOX'-- JAKE JAKE WELLS ._: 32 WOODLAND AVS, SALEM, NH 03079 Undersecretary Massachusetts -Department of Public Safety Board of Building Regulations and Standards Construction Supenisor License: CS-096405 CRAIG R COHEN= 42 ROYAL CIRCLE SALEM NH 03079 Expiration Commissioner 06114/2014 PROPOSAL SUBMITTED TO: MILLENNIUMBRIAN MUESKES Construction Co. STREET 32 Woodland Ave 1635 OSGOOD ST Salem, NH 03079 CITY,STATE AND ZIP CODE NORTH ANDOVER, ALL PHASES OF REMODELING&CONSTRUCTION PHONE DATE 12/9/12 John wens Phone/Fax: 603 893-8905 Jake Wells PROPOSAL and CONTRACT We hereby propose to furnish materials and labor necessary for the completion of: RENOVATIONS TO FIRST FLOOR APARTMENT,AND VINYL SIDING ON EXTERIOR.WORK TO INCLUDE THE FOLLOWING. DEMO: BY OTHERS FRAMING: A)FRAME WALLS TO NEW LAYOUT DISCUSSED WITH CUSTOMER B)FRAME DOOR OPENINGS TO ACCEPT NEW DOORS C)INSTALL ADVANTECH SUBFLOOR THROUGHOUT D)REMOVE WINDOW AND FRAME PASS THROUGH IN KITCHEN E)IF AT ALL POSSIBL MAKE BATHROOM LARGER PLUMBING: A)ROUGH AND FINISH PLUMBING FOR KITCHEN B)ROUGH AND FINISH PLUMBING FOR TOILET AND LAV IN BATH C)INSTALL NEW BASEBOARD HEAT OFF EXISTING BOILER D)MILLENNIUM WILL PROVIDE ALL PLUMBING FIXTURES ELECTRIC: BY OTHERS INSULATION: A)INSULATE ALL EXTERIOR WALLS TO CURRENT ENERGY CODE B)R- 13 SOUND CONTROL FOR BATHROOM WALLS C)DRAFT STOP ALL PENETRATIONS WALL BOARD: A) 1/2"BLUE BOARD ON CEILINGS AND WALLS B)VENEER SKIM COAT WITH SMOOTH WALLS AND SKIP TROWEL CEILING KITCHEN: A)INSTALL PREFINISHED OAK CABINETS TO ADJUSTED KITCHEN PLAN B)INSTALL FORMICA COUNTER TOP FINISH TRIM: A)PAINT GRADE COLONIAL TRIM ON ALL WINDOWS AND DOORS B)ALL INTERIOR DOORS TO BE 6 PANEL MASONITE PAINT GRADE C)DUST FREE CLOSET SHELVING D)ALL DOOR HARDWARE E)NEW SHELVING IN HALL FLOORING: A)CARPET IN BEDROOMS B)ADURA LOCK AND GO RUBBER PLANK FLOORING IN REMAINING AREAS PAINT: A)PREP ALL CEILING WALLS AND TRIM FOR PAINT B)CEILINGS TO BE WHITE C)DOORS AND TRIM TO BE WHITE D)WALLS GET TWO COATS IN CUSTOMERS COLOR CHOICE COST 27,900.00 EXTERIOR: A)SIDE FRONT BUMP OUT WITH CEDAR IMPRESSIONS IN PACIFIC BLUE COLOR B)USE RECLAIMED SIDING TO REPAIR OTHER DAMAGE AROUND HOUSE C)COVER ALL WINDOW AND DOOR TRIM WITH WHITE ALUMINIUM D)BLOCK IN BASEMENT WINDOW COST 4,900.00 Total Cost THIRTY TWO THOUSAND EIGHT HUNDRED Dollars($ 32,800.00 ) Payment to be made as follows: 10,000.00 UPON START 10,000.00 UPON ROUGH INSPECTIONS 5,000.00 UPON COMPLETION OF WALLBOARD 5000.00 UPON COMPLETION OF SIDING 2,800.00 FINAL PAYMENT Note:This proposal may be withdrawn by us if not accepted within days. �k tho ignature 144 PTANCE OF PROPOSAL specifications and conditions are D. satisfactory and hereby accepted. You are authorized to do the work as specified. Payments will be made accordingly with no retainage. ignatu Date of Acceptance: Signature