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Home My WebLink AboutBuilding Permit #560 - 165 BRIDLE PATH 4/27/2009 BUILDING PERMIT c� ,,Ur. T6�� •p 0 TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION O /} PP Permit NO: - C9 Date Received �`SSACHUS�� Date Issued: - 0 IMPORTANT:Applicant must complete all items on this page :LOCATION v. :Print PROPERTY OWNER K� JT 14 M/rT tt Print 4 MAP NO: ( O VG.PARCEL: ZONING DISTRICT:-!Historic District yes . ('. o = Machine Shop Village yes TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential New Building One family Addition Two or more family Industrial A tera ion No. of units: Commercial cement Assessory Bldg Others: Demolition Other Flood lain w Wetlands Watershed District .Septic 'Well P ,Water/Sewer DESCRIPTION OF WORK TO BE PREFORMED: Identification Please ype or Print Clearly) OWNER: Name: ; �GA i? Phone: Address: CONTRACTOR .Name f& /Y)AR- /it Phone: 97,r�9.6z- 3 3�6c0 s 1 avT ()/rf� Address: 4C x'17 Supervisor s Construction License: �Exp. Datew Home-tm rovement-License: g� T- Exp.`-Date: p 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: $ /�1 1 � FEE: $ Check No.: ! Receipt No.: C_� j NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund Signature of Agent/Owner Signature_of contrac A _ r— L.L. Location /�J AL No. d Date NORTH TOWN OF NORTH ANDOVER i M],06vow • Certificate of Occupancy $ ��s'•^°•tt� Building/Frame Permit Fee $ _ �cMus 1 Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # 2�� Building Inspector r I _ Plans SubmittedPlans Waived ❑ Certified Plot Plan ElStamped Plans El T PE-OF:SEWERAGEDISPOSAL Swimming Pools ❑ d . .. Public Sewer ElTarvung/MassageBo y Art ❑. ❑ i Sales ❑ . Well ❑ Tobacco.Sales Food Packaging/ Private(septic tank,etc... ❑ - permanent Dumpster on Site ❑ THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM DATE REJECTED: DATEAPPROVED PLANNING'& DEVELOPMENT ElEl COMMENTS .CONSERVATION Reviewed on Signature COMMENTS HEALTH Reviewed on Signature i I COMMENTS Zoning Board of Appeals:Variance, Petition No: Zoning Decision/receipt submitted yes . Planning Board Decision: Comments Conservation Decision: Comments Nater & Sewer Connection/Signature «Date Driveway Permit DPW Town Engineer: Signature: Located 384 Osgood Street FIRE 6EIsARTMENT -Temp Dumpster on site jigs.. .. rig Located at 124 Mair Street Fire ®epartmerit signatur"eldate` COMMENTS I I _ DMConstrucdon Building with the QUALITY and Character of yesteryear. 44 Addison Ave Ext. Methuen, MA 01844 (978) 685-3037 Estimate Submitted To: Kara Schmitt 165 Bridle Path N.Andover,MA We hereby purpose to furnish the materials indicated and perform the labor necessary for the completion of: Roofing and exterior repairs (See specifications sheet) All material is guaranteed to be as specified, and the above work to be performed in accordance with the drawings and specifications submitted for above work and completion in a substantial workmanlike manner in the sum of. Eleven thousand eight hundred dollars-$11,800.00 Payments to be made as follows: $ 500.00 Upon execution of contract. $3500.00 When work begins. Remaining payments as work progresses. III Respectfully submitted: Darren Martino Any alteration or deviation from the above specifications involving extra costs will be executed only upon written order,and will become an extra charge over and above the estimate. All agreements contingent upon accidents,or delays beyond our control. Dote-This proposal may be withdrawn if not accepted within 10 days. Proposal Date 03/01/09 ACCEPTANCE OF PROPOSAL (o-, The above prices, specifications,and conditions are satisfactory and are hereby accepted. You are authorized to do the work as specified. Payments will be made as outlined above. -�> Date: 3 I"�� Signature: Sd'NM, 1ILI ANG" DE—P-7 CC-?' Y W i , Dpi SCHMITTRESIDENCE rLYr%,Uf�`' /' c/u-�s Specifications Sheet D h/) Go"S",:, , Scope of work: Replace roof in designated areas. Miscellaneous siding and exterior trim repairs. Provisions for additional flashing. PERMITS This estimate does not include the cost of the building and dumpster pet�nits. These vlp will be billed separately. � (Estimated permit costs:Building-$120.00 Fire Dept.-$50.00 Health Dept-$50.00) " DEMOLITION ROOF. The following areas of the roof will be stripped including shingles, caps, ridge vents, and drip edge: The front side of the main house only,the front and rear over the family room, and the front and rear over the garage. These areas will be stripped down to the existing roof sheathing. The entire rear side of the main house will remain as is, including the roofs over the bumpouts. Note: This estimate includes stripping one laver of shingles only,if there is more than one laver of shingles this will incur extra cosi SIDING: Remove the siding on both the front and rear cheek walls of the garage that are over the family room roof. Remove damaged clapboards along the front left downspout of the front porch. Remove the fascia and corner board of the front garage cheek walk A 10" band of siding will be removed on the front left gable of the main house above the family room roof. Note: This estimate does not include the removal or replacement of any wall sheathing, roof sheathing, or any other framing members that are damaged and may need to be replaced If deemed necessary replacement will incur extra cost. DEBRIS REMOVAL A container will be placed on site to ensure a clean work site. DM Construction is responsible for all debris generated CLEAN UP Debris will be cleaned up and loaded into the container by the end of each day(weather permitting). Tarps will be installed in an effort to protect the building and landscaping. ICE SHIELDIFLASHING Installation of 3'of ice and water shield along the front edge of all areas to be roofed Installation of ice and water shield in all valleys and any other areas deemed necessary. Installation of ice and water shield along garage cheek walls Installation of ice and water shield where 10"band of siding is removed above family room roof. Save and reinstall lead flashing around chimney. Install new step flashing on top of ice and water shield on gable ends. DRIP EDGE& VENTING Install new&"white aluminum drip edge. Installation of a continuous ridge vent along all ridges. i SCHMITT RESIDENCE Specifications Sheet ROOFING Installation of 30 year Igo architectural shingles on top of I Slb felt paper. Shingle color to match*existing conditions *Due to weathering, age, and different lots, the new shingles may vary in color from the existing shingles Ili EXTERIOR TRIM Install a new pvc trim boards and flashing where the 10"band of siding is removed above family room roof. Remove fascia board and corner board on front cheek wall and replace with pvc trim boards. SIDING Install new primed siding where siding is removed on the garage cheek walls and along front porch downspout. Note: Any additional siding or trim boards that need to be replaced will incur extra cost. MISCELLANEOUS This estimate does not include any painting.* *If desired DM Construction will paint newly installed siding and trim boards for an additional$400.00 above and beyond this contract price Change Orders Any changes from the existing plans or increased scope of work involving extra costs will become an extra charge over and above the contract price. Change order i agreements must be signed before any work commences. MEMBER OF THE BETTER BUSINESS BUREAU HOME IMPROVEMENT CONTRACTOR: 124961 CONSTRUCTIONSUPERVISOR LICENSE: CS 066342 i I DM C-lonstruction I Building with the QUALITY and Character of yesteryear. 44 Addison Ave Ext. Methuen, MA 01844 (978) 685-3037 2-YEAR LIMITED WARRANTY WARRANTY INFORMATION Owner's Name: Kara Schmitt I i Address Where Applied: 165 Bridle Path City: N.Andover State: MA Zip: 01841 Date Installation completed: TBD Expiration Date of Limited Warranty: TBD 2 YEAR LIMITED WARRANTY: This warranty is limited to leaks or wind damage caused by defective installation of roof shingles only. It covers the cost of materials and labor to replace or repair shingles that have been defectively installed All warranty work shall be done by DM Construction or someone so designated by DM Construction. This is DM Constructions Maximum Liability. NOTIFICATION TO DM CONSTRUCTION: The owner must notify DM Construction by phone at 978-685-3037 and certified mail at 44 Addison Ave Ext.Methuen,MA 01844 within 7 days of discovery of a problem. RIGHT OF INSPECTION: DM Construction shall have a reasonable time after notification to inspect the roof. The owner will allow DM Construction with reasonable access to the roof for purposes of inspection. If it is determined that the damage was due to defective installation,DM Construction has 60 days to complete repairs to the roof. TRANSFERABILITY: The owner may transfer this warranty one(]) time during the first year of the limited warranty. The transfer must occur simultaneously with the sale of the building. To transfer this limited warranty,the owner must provide DM Construction with written notice within 30 days of the transfer. The notice must include the name(s) of the new owner. I I EXCLUSIONS FROM COVERAGE: DM Construction is not liable under any circumstances for: I 1. Leaks or wind damage due to defective manufacturing of shingles. 2. Leaks or damage resulting from Acts of God, (including, but without limitation: lightning, wind(winds higher than 70 mph), hurricane,tornado, hail, or other I violent storm, or casualty.), impact from objects or damage to a roof due to settlement, distortion,failure or cracking of the roof deck, walls or foundation of the building. 3. Leaks or damage from ice dams 4. Leaks or damage from any cause than defective installation of shingles. S. Leaks or damage from chimney. 6 Leaks or damage from skylights or skylight flashing other than that installed by DM Construction. 7 The limited warranty is void if any work takes place on the roof by other than DM Construction including but not limited to: repairs to shingles, installation of skylights,siding, etc. 8. It is the responsibility of the homeowner to follow up and process any claims j from the shingle manufacturer. 9. Exclusions in the manufacturers limited warranty, with the exception of defective installation. ARBITRATION: The contractor and homeowner hereby mutually agree in advance that in the event that there is a dispute involving this limited warranty, the contractor may submit such a dispute to a private arbitration service which has been approved by the Secretary of the Executive Office of Consumer Affairs and Business Regulations and the consumer shall be required to submit to such arbitration as provided in the M.G.L.G 142A. OWNER: DATE: CONTRACTOR: DATE: I I I The Commonwealth of Massachusetts ` 44 ! Department of Industrial Accidents f I# Office of Investigations 600 Washing ton Street Boston, MA 02111 e ' www n:ass:gov/dia . Workers' Compensation Irance Affidavit Builders/Contractors/Electricians/plumbers Applicant Information Insurance Please Print Legibly Name (Busincss/Organiration/Individual): Al•e Ai Address: /f G i City/State/Zip: �f21 (J, Are you an employer?Check the appropriate box: 1.❑ I am employer with 4. Type of Project(require[: ❑ I am a general contractor and I 6. ❑New coristruction ployees(full and/or part-time).* have hired the sub-contractors 2. I am a.soie proprietor or partner- listed ori the attached sheet t 7. ❑Remodeling ship and have no employees 'These sub-contractors have 8. Q Demolition working for me in any capacity, workers' comp.insurance. [No worker;'comp. 5. 9. (❑ Building addition p ❑ We are a corporation and its required.) officers have exercised their 10•❑Electrical repairs or additions 3.❑ I am a homeowner doing all work right of exemption per MGL I t.Q Plumbing myself. p § g repairs or additions y [Nonworkers'cora , c, t52, 1(4),and we have no 12i oof repairs insurance required.]t employees. [No workers' �—' comp. izzsurance required] 13.[]Other 'Any applicant that checks boz!f I must also fill out the section below showing their workers'co t Homeowners who submit this affidavit indicating they are doing all work and then hire outside con 'Contractors that check this box must"—' tractocs Policy submit o�new affidavit indicating such, tacked sn addrfiunsl sheat a showing.the name of the sub•contnu tors and emir workers'ren�• r r Fr -y tng)msation. I am an employer that is providing:workers'compensation insurance for nr employees: Below is the policy and job site information. Insurance Company Name: Policy#or Self-urs. 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 dame). Failure to secure coverage as g 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 here 79figfry under the pains and penalties of perjury that the infnr»iation provided above is bw�r correct Si tore: Date: I Phone#: 7��— Z--33�J Fonly. Do not write in this area,to be completed by city or town ofcfal n: Permit/License# hority(circle one):Health 2.Building Department 3.City/Town Clerk 4. Electrical Inspector 5.Plumbing Inspector son: Phone#: Information and Instructions Massachusetts General Laws chapter 1 S2 requires all employers to provide workers'compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more li of the'foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. *However the owner-of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152,§25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence.of compliance with the insurance'coverage required." Additionally, MGL chapter 152, §25C(7)states'Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers'compensation,affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractor(s)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to cant'workers'compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage.. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not'the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department hes provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. in addition,an applicant that must submit multiple permitilicense applications in any given year,need only submit one affidavit indicating-cwTent policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy ofthe affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be fiDed out each year. Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Depart rent's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 TeL #617-7274900 ext 406 or 1-8.77-MASSAFE Revised 5-26-05 Fax#617-727-7744 www.mass.govldia 04-23-2009 04:26 LENNOX INSURANCE AGENCY 781 598 7337 PAGE1 cow CERTIFICATE OF LIABILITY ' T"I18 ISSUED AS A MATTER OF INFORMAIION PRODUCER Lennox Insurance ` PO Box 480 N ONLY C t1 LDER.'Mill CERTIFICATE DOES T AMEND.EXTEND OR LynnfR:ld,MA 01940 ___AkTER THE F -._E€ I , Phone(781)588-7132 Fax(781)598-7337 INSURERS F msuREo DARREN MARTINO INSU PE AMERICA INSURER 9: _ 44 Addison Avenue Extension INSURER C: _ Methuen,MA 01844 INSURER D: INSURER E: COVERAGES INSURER F:THE POLICIES OF INSURANCE LISTED HAVE BEEN ISSUED TO TME INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING I 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.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADD'LPOLICY FffECT1VE POLICY EXPIRAIM LTR, TYPEOFINSURANCE POLICY DATE NIUMDIW) DATEIMwoom�— L _— GENERAL LIABILITY EACH OCCURRENCE Mow. h/I COMMERCIAL GENERAL LIABILITY PAC6798431 06/13/08 08/13/09 nqws RE D ❑U CLAMS MADE S� OCCUR M A Fl r7 PRsaNL DS AINJURY 300,000 GENERAL AGGREGAT 600,000 I GEN'L AGGREGATE LMIT APPLIES PER: I PUC1 -C01At3G _ ❑ POLICY ❑PROJECT I I LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT U ANY AUTO Aotpdei� 0 ALL OWNED AUTOS BODILY INJURY U f.I SCHEDULED AUTOS ) - ❑ HIRED AUTOS BODILY INJURY I-I NON OWNED AUTOS q)w U00(le"0 PROPERTY DAMAGE (Peri GARAGE LIABILITY• AUTO ONLY-EA ACCIDENT U I I ANY AUTO OTHER THAN EA ACC• U — AUTOONLY: AGG WLCESSIUMSRELLA LIABILITY EACH OCCURRENCE OCCUR (-] CLAIMS MADE AGGREGATE ❑ DEDUCTIBLE -- ❑ RETENTION S .. WORKERS COMPENSAYM AND U We A _ U OTS EMPLOYERS'LIABILITY - ANY PROPRIETOR I PARTNER I EXECUTIVEE.L.EACH ACCIDENT OFFICER I MEMBER EXCLUDED? E.L.DISEASE-EA EMPLOYEE P Yee,describe under E.L.DISEASE-POLICY LIMIT — SPECIAL PROVISIONS below OTHER DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVORTO MAL kerle Schmitt 20 DAYS WRRTEN NOTICE TO THE CERTIWATE MOLDER NAMED TO TjECm_ BUT 165 bridal path p NY KIEREPRESENTATIVES.To on So SHAS I IMPOSE No OBLIGATIION OLUIBSJTY ND UPON THEINSURER,ITS AGENT$OR north andover,ma 01810 -.----• -•-- ---. _....... TH ILEO REPRESENTATIVE ACORD 25 j2001/08)OF — ®ACORD CORPORATION 1088 .f/ -�omi C �nasuue� Boardze of BpildingRegulations and Standards Construction SuPerysor License License: CS =86342 64rthddte: 811519971 . Tr#.2233 0 09 'on:.8/1512 " irat♦. Ex P 00 Restriction' BARREN'MARTINO �� .Jy 44 ADDISON AVE EXT Commissioner METHUEN,MA 01844 Board of Building Regulations and Standards HOME IMPROVEMENT CONTRACTOR Registration: 124961 E) - '-_'on;-g/17/2009 Tr# 132544 Type: Individual DARREN MARTINO Darren MARTINO- 44 ADDISON AVE.EXT. ^� METHUEN,MA 01844 Administrator i I I F NORTH own of t RAndover 0 hj'�� "k, 1000A K E dover, Mass., •• COC MIC ME WICK V AD'QATED `s BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System THIS CERTIFIES THAT / BUILDING INSPECTOR A .......... i.. .1.,...�+ ................................`..................... ...... Foundation has permission to erect........................................ buildings on ..... .......�. ...... �t�i�, ,,, �, Rough tobe occupied as.....go.��Fv ........op....... .. �. ..... .. .....................................................:............................ Chimney provided that the person atin is permit sha in eve respect conform to the terms of the application on 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 PERT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR. L UNLESS CONSTRU ST TS Rough ........ ........................................ Service BUILDING INLrTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove RoughFinal No Lathing or Dry Wall To Be Done FIRE DEPARTMENT' Until Inspected and Approved by the Building Inspector. Burner Street No. SEE REVERSE SIDE Smoke Det. Dimension Number of stories: Total square feet of floor area, based on Exterior dimensions. Total land area, sq. ft.: ELECTRICAL: Movement of Meter Ioeation, avast or service drop requires approval of Electrical Inspector Yes No DANGER ZONE LITER JURE: Yes No MGL Chapter 166 Section 21A—F and G min.$10041000 fine NOTES and DATA—(For department apse) ® Notified forickup Call Email p i Date Time Contact Name I Doc.Building Permit Revised 2014 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 o Building Permit Application o Workers Comp Affidavit ■ Photo Co Of H.I.C. And/Or C.S.L. Licenses o Copy of Contract o Floor Plan Or Proposed Interior Work a 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 a Workers Comp Affidavit o Photo CoPY of H.I.C. And C S.L. Licenses o Copy Of Contract ❑ Floor/Cross Section/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (If Applicable) E o 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) g u Building Permit Application o Certified Proposed Plot Plan o Photo of H.I.C. And C.S.L. Licenses a Workers Comp Affidavit o Two Sets.of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (If Applicable) a Copy of Contract u Mass check Energy Compliance Report u 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:Building Permit Revised 2014 Location No. Date MORTM TOWN OF NORTH ANDOVER � A + Certificate of Occupancy $ Building/Frame Permit Fee $ S�CMus a Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # � 3 + g y $ Building Inspector ---------------- TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR,RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING �q " a �,V .ti77, BUILDING PERMIT NUMBER / Q DATE ISSUED. S X ic SIGNATURE: Building Comnidsion6i/Inspector of Buildings Date Z r SECTION 1-SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map and Parcel Number: O /66 591PLE PhT7+ /101/,Cf /-Or Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: Zoning District Proposed Use Lot Area Frontage ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide Required Provided ReqWred Provided ago� 5t So 1.7 Water Supply M.G.L.C.40. 54) 1.5. Flood Zone Information: 1.8 Sewerage Disposal System: Public Private 0 Zone Outside Flood Zone ❑ Municipal 1k, OnSiteDisposal System 0 '�• SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT rn 2.1 Owner of Record GABRI eLLL SCHM DT 10 ?--A?, U -- `ice � Name(Print) Address for Service Si re Telephone 2.2 Owner of Record: Name Print Address for Service: s M Signature Telephone 90 SECTION 3-CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: Not Applicable ❑ Nrz&F.Aj MA[Z (0(o`3 Y� Licensed Construction Supervisor: 4q ADD�VyN A96- Ek License Number Address 15-05 > Expiration Date ic Sign a Telephone r 3.2 Registered Home Improvement Contractor Not Applicable ❑ Dfizaenf mv-T-llw Company Name rn Registration Number r Address q-17-7 U5- 7�- 33 ExpirationDate v -/ �^ \ Si natu G Telephone a SECTION 4-WORKERS COMPENSATION(M.G.L C 152 § 25c(6) ' Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the building permit. Signed affidavit Attached Yes..... No.......❑ SECTION 5 Description of Proposed Work check au appkable New Construction ❑ Existing Building ❑ Repair(s) ❑ Alterations(s) ❑ Addition Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify Brief Description of Proposed Work: rnur�►�,v �)F AAJ ADD IMAJ ?D djqqg AlLw 2 )m�r n &?1,ff6C SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)to be OFFICIAL USE ONLY Completed by permit applicant 1. Building 3'O /5 �y 04.2— (a) Building Permit Fee ISO/5 �V Multiplier 2 Electrical (b) 2� Q�� ( ) Estimated Total Cost of ��. O Qo f Construction 3 Plumbing / / s Q Building Permit fee(a) X (b) 4 Mechanical HVAC : 3t ^� 0 5 Fire Protection Com` 6 Total 1+2+3+4+5 Q r Check Number SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR 'AAP_PLIES FOR BUILDING PERMIT as Owner/Authorized Agent of subject property Hereby authorize � to act on M all matters r tive to work ed by this building permit application. Si a of Owner Date ' SECTION 7b ONERIAUTHORIZED AGENT DECLARATION 1, � m,9-n��c,� ,as Owner/Authorized Agent of subject property IIr Hereby declare that the statements and information on the foregoing application are true and accurate,to the best of my knowledge and belief P Si at of Owner/A e Date NO. OFTORIES SIZE ASEMENT R SLAB SIZE OF FLOOR TMERS 1ST 2XIO 16"Oc.2 b"' ,,r 3RD SPAN / DIlVIENSIONS OF SILLS 3 r DMIENSIONS OF POSTS DIIviENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS X SIZE OF FOOTING v a X Y IS BUILDING ON R FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE i FORM - U - LOT RELEASE FORM INSTRUCTIONS: This form is used to verify that all necessary approval/permits from ' Boards and Departments having jurisdiction have been obtained. This does not relieve the applicant and or landowner from compliance with any applicable requirements. ■w.f.■waawa■aaa•f.•aaf■!!aa'aaaawalawwafs■■wffaaf aw■wwawaawaaaa'a■■a■fffa■■aalaf APPLICANT �9EAJ mAXR1A� PHONE 0 90 Z-3 0U ASSESSORS MAP NUMBER b LOT NUMBER C(:�)' l0 SUBDIVISION /� L LOT NUMBER STREETSTREET NUMBER % 6 �aaaw.ssasawaawsfawwfssaawr••aaaa-■fsaaaasassaaaw■■aaaawaaaaasafausswasafwaa■ OFFICIAL USE ONLY �f■'a■.fasnow.aaaa.■aSURE mean aa aasl.a WE'RE*.a a a a a a-aamaa■s as a am a s as aaaa■a a.aasaaaaa■ ATIO S OF T WN AGENTS •wa■ a• as fa■fa.■ ■ •�auaaaa�af■aaafw�uaaraaw+aaa■ asslaaaasaa■■ CO SERVATION TRA DATE APPROVED DATE REJECTED CONRAa "I'S dt,J h S DATE APPROVED=. /I3Lo r MOWN PLANNER DATE REJECTED DATE APPROVED FOOD INSPECTOR-HEALTH DATE REJECTED ECTOR-HEALTH DATE APPROVED SEPTIC INSP DATE REJECTED CohevffuM PUBLIC WORDS-SEWER!WATER CONNECTIONS DRIVEWAY PERMIT DATE APPROVED . ` FIRE DEPARTMENT DATE REJECTED COMMENTS RECEIVED BY BUILDING INSPECTOR - DATE North Andover Building Department Tel: 978-688-9545 688 9545 DEBRIS DISPOSAL FORM In accordance with the provision of MGL c 40 S 54, a condition of Building Permit Number is that the debris resulting from this work shall be disposed of in a properly licensed solid waste disposal facility as defined by MGL c11, S150A. The debris will be disposed of in: TE L IAP� AjZk (Location of Facility) Signature of Permit Applicant Date NOTE: Demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector The Commonwealth of Massachusetts *r Department of Industral Accents Office of/nvestigatdons Boston, Mass. 02111 Workers`Compensation Insurance Affdavit Name Phase Print Name:ZAP-geN 129A L7 A L) Location: City A/` a cBg Phone # 7"/�'-96 x-33 sQ I am a homeowner performing all work myself. .IBJ I am a sole proprietor and have no one worivng inany capacity' . I am an employer providing workers'compensation for my emplayeesworking ort this job. Company name: Address QW, #: Insurance Co. Poliry# CornRM name: , Address: . Irmrance Co. Pone # Fed score coverage as regtiir�durides Section 2M of AiG;L lS2 cartlestt "eiipas�tion of adminr�.pd�ea;cfAfitte uptoS7 arrcllor one years'tmprisorirr�eot as_teeeLLas�cvgl �u3he�om��of� ]�1 ►. ,pi Mand that a cMy df this statement may be forwarded to the ofrece-bf hwe s gabons cif the MMkvc wesage mon. I do hereby cartry uncAgr dte pains and pen elGies of perj hw the k fdnma#w prov*kd above is titre andcdrimt signature Elate y 0-U Pri Pte# 970- 90,7-33 6Q Cwx*t use only do not write in this area to be cw pleied by city or town diciar 1134 of Tdrovn ::P rxr.. Btrlto5 � D(hedr I mmmdiate reponse isrequi►edr B p Setec*mw. contact person: Phone* I] HeaM [hep D Other I m� Board of Bmlding Regulati6ns and Standard HOME IMPROVEMENT CONTRACTOR ' Registration: 124961 Expiration: 9/17/2005 Type: Individual DARREN MARTINO Darren MARTINO 44 ADDISON AVE.EXT. _ METHUEN,MA 01844 - � Administrator ✓lee i�omzmza�uae �./f/Q�rac/zuae BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR Number. CS 066342 Birthdate: 08/15/1971 Expires:08/15/2005 Tr.no: 1770 Restricted: 00 DARREN MARTINO 44 ADDISON AVE EXT METHUEN, MA 01844 Administrator i ENERGY CONSERVAT[ON APPLICATION FORM FOR LOW-RISE RESIDENTIAL NEW CONSTRUCTION and AMMONS 780 CMR Appendix J (effective 3/1/98) - I Applicant Name: �A.ef�:u /yl/l��i,, :, Site Address: 16S �32/Ol,e /� }f Applicant Address: tf AWJ�f�>,: Mk tAC City/Town: N /41u/JUUE�2 rl'lEfi1r'k��N, /I'I,A-� h Ly Use Group: Date of Application: Applicant Phone: 176..r 40;x-33 80 Applicant Signature �. Compliance Path(check one): i ❑ Prescriptive Package p • Icag {Limited to 1-or 2-family wood frame buildings heated with fossa feels only) Package.(A through ICK from Table J5.2.1b): Heating Degree Days(HDD65)from Table J5.2.1a: (For items d.through i.,fill in all values that apply from Table J5.2.1 b:) a. Gross Wall Area sq.ft f. .Wall R-value R- b. Glazing Area' sq.ft. g. Floor R value R- c. GIazing%(100 x b_a) % h, Basement wall R- d Glazing U-value U- i. Slab Perimeter R- e. e. Ceiling R-value R- j. Heating AFUE ❑ Component Performancei "Manual Trade-Off'(Limited to wood or metal framed buildings only) Climate Zone(from Figure J6.2.2) ❑ Zone 12 ❑-zone 13 ❑ Zone 14 Attach Trade-Off Worksheet from Appendix J, [and,9rV2C Trade-Off Worksheet,if applicable) ❑ MAScheck Software Attach Compliance Report and Inspection Checklist printouts. I ❑ Systems Analysis OR ❑ Renewable Energy Sources Attach Mass Registered Architect of Engineer Analysis ALTERNATIVE FOR ADDITIONS ONLY: r i o a. Gross Wall Ceeiing Area 1 HOZ sq.fL b.Glazing Area_ c.Glazing !o(100 x b-a) "/o ❑ ADDITION with Glazing % (c.)up to 40% mcy use 780 CMR Table 11.1.2.3.1 below: MAXIMUM U-value iia N MUM R-values Fenestration Cemn, Wail Flexor Basement Will Slab Perimeter,Depth 039 R-37 I R-13 I R-19 I R-10 R-10,4 ft - i Glazing Area may be either Rough Opening or Unit dimensions. 2 Based on NFRC listing. Applies either to every emit,or to area-weighted average of all units. 3 R-30 ceiling insulation may be used in place o;R-37 if the insulation achieves the full R-value over the entire ceiling area (i.e.-not compressed over exterior walls,and including any access openings.) "SUNROOM"addition (greater than 40% glazing-to-wall and ceiling gross area) i Attach"Consumer Information Form"from 780 CNIR Appendix B. Official's Name: Official's Signature: Application Approved ❑ Denied ❑ Date of Approval/Denial: Reason(s) for Denial: (provide additional details as.needed on back side) �66114AJ6 DP-1 y DM Construction ® Building with the QUALITY and Character of yesteryear. 44 Addison Ave Ext. Methuen, MA 01844 (978) 685-3037 i i Estimate Submitted To: Gabrielle Schmidt 165 Bridle Path N. Andover,MA We hereby purpose to furnish the materials indicated and perform the labor necessary for the completion of- Addition £Addition and renovation of single family residence(See specifications sheet) i All material is guaranteed to be as specified, and the above work to be performed in accordance with the drawings and specifications submitted for above work and completion in a substantial workmanlike manner in the sum of: Three hundred forty four thousand seven hundred fifty dollars-$344750.00 Payments to be made as follows: $10000.00 Upon signing contract(deposit to cover window/door order) $15000.00 When work begins. Remaining payments as work progresses. Respectfully submitted: Darren Martino Any alteration or deviation from th a specificatio s involving extra costs will be executed only upon written order, and will become an extra charge over and above the estimate. All agreements contingent upon accidents, or delays beyond our control. Note-This proposal may be withdrawn if not accepted within 10 days. Proposal Date 04/20/05 ACCEPTANCE OF PROPOSAL The above prices, specifications, and conditions are satisfactory and are hereby accepted. You are authorized to do the work as specified. Payments will be made as outlined abov Date: = Signature: e f Schmidt Renovation Specifications Sheet Scope ofwork.- Construction of an addition, adding an additional 833 square feet. Providing an expanded kitchen and library and 3/4 bath on the main level and 3 new bathrooms and expanded bedroom and master suite on the second level. Central air conditioning will be added as noted. Permits-The price of the following permits required are included in this quote: building, electrical, and plumbing. Any special permits or variances required are not included in this estimate. Demolition-The house will be gutted as deemed necessary for the completion of the renovation according to the submitted drawings. DM Construction is responsible for all debris generated. A container will be placed on site to assure a clean work site. Containers on site are for construction debris only. Personal items to be disposed of will incur extra costs. Due to the nature of demolition-all pictures, decorations, mirrors, etc must be removed in all adjacent rooms so as to avoid damage. Precautions to control dust will be taken, however, it is expected that dust will travel throughout the house. Excavation-The site will be excavated for the addition as outlined in submitted drawings. 3/4" stone will be provided under the slab. A perimeter drain will be installed and tied into the existing perimeter drain system if applicable. Excavation of a trench from the house to the street for the new upgrade electrical service. The driveway will need to be cut for the electrical trench. The driveway will be patched in at that location. The existing 2000 gallon buried oil tank shall be pumped dry and removed from the site. The void left will be backfilled and compacted. The site will be finished graded ready for loam and seed. *This estimate does not include any landscaping-including loam, seed,plantings, mulch, etc. Conservation/Special Permit Requirements-This estimate includes providing and installing the erosion control(Hay bales/siltfence) as shown on provided drawings. This estimate does not include any other work that maybe outlined in the written decision from the planning board or conservation. After receiving the recorded decision you will be informed of any possible additional costs incurred. Foundation-A concrete foundation will be poured as outlined in submitted drawings. Cellar Floor A 4"thick concrete floor will be poured to a smooth finish. Framing-The addition and interior renovations will be framed according to submitted drawings. Changes from the submitted design could incur extra cost. Schmidt Renovation Specifications Sheet Siding-The addition will receive primed cedar clapboards to match existing conditions. Any adjacent areas deemed necessary will be stripped back and siding so as to match seemlessly. All exterior trim shall be primed pine. Roofing-The roof will receive 25 year architectural shingles to match existing conditions. The roof perimeter, valleys, and flashing points shall receive ice and water shield as necessary. Due to age, the elements, and different lots, there will possibly be a difference in color of new to old roof Insulation-The addition will be insulated as outlined in submitted drawings and as required by local building codes. Exterior walls and floor-R-19 Ceilings-R-30 Drywall-Walls and ceilings to receive %2"sheetrock The ceilings will receive a smooth or sand swirl finish. Exterior painting-Power wash entire house to remove debris and loose paint. Scrape and spot prime as necessary. Paint body and trim 2 coats. Paint all exterior wood doors. Trim and body color to remain white. If color change is required this could incur extra cost. Interior painting-The addition and all disturbed areas will be painted. All surfaces will receive a prime and 2 coats of finish. Finish All new baseboard, window trim, and door trim to match existing conditions. All doors unless otherwise noted will be 6 panel, solid core, smooth, masonite. Crown molding will be installed in the library,foyer, P floor 3/4 bath, 2nd floor hallway, master bath, and master bedroom. The stair case will have oak treads,painted risers, oak newel posts, and painted balusters. The face of the whirlpool will have removable raised or recess panels for access. Cabinet Installation All cabinetry including kitchen cabinets and bathroom vanities will be installed. The cost of all cabinetry and its associated hardware is covered under an allowance. Appliance Installation All appliances will be installed. The cost and delivery of all appliances is the responsibility of the homeowner and is not included in this estimate. Appliances must be ordered and ready for shipping as required by the project schedule. i Plumbing-Disconnect existing 2000 gallon buried oil tank and install 2 new 275 gallon tanks in basement. Increase water main size to accommodate renovation. Demolition of all water and drain lines as necessary. Provide new water and drain lines for: Kitchen-Provisions for a sink, two dishwashers, and refrigerator w/icemaker. I"Floor Bath-Provisions for sink I piece fiberglass unit, and toilet. 2nd Floor 3/4 bath-Provisions for a sink, 1 piece fiberglass unit, and toilet. 2nd Floor Full bath-Provisions for a sink 1 piece fiberglass shower unit, ]piece fiberglass shower/tub unit, and toilet. Masterbath-Provisions for a sink, toilet, custom shower, and whirlpool.(This includes a standard shower-any shower systems or body sprays will incur extra cost.) All plumbing fixtures are covered under an allowance. V • Schmidt Renovation Specifications Sheet Heating-Demolition of any heat lines deemed necessary. Installation of new baseboard heat as deemed necessary. All new areas will be tied into existing zones. If deemed necessary one new zone will be tied in to existing future zone. Toe kick heaters will be provide if deemed necessary. The existing heating system will remain in place. Electrical-Existing 200 amp service will be upgraded to a 400 amp service. Installation of 2 new electrical panels. Wiring for one new zone on boiler. Wiring for central air including-2 air handlers and 2 condensers. Demolition of existing wiring and fixtures as deemed necessary. Upgrade and add smokes to meet new fire prevention codes. Exterior 2nd Floor Full bath I coach light(rear door) Vanity light I GFI receptacle (deck) Fanlight 2 spot lights(locations to be determined) Recess light w/shower trim-(Lighting All) Kitchen-Appliances Double wall ovens Master bath Microwave Vanity light Electric cook top w/downdraft Ceiling fixture over whirlpool Trash compactor Fanlight Dishwashers(2) Recess light w/shower trim-(Lighting All) Refrigerator Recess light over toilet-(Lighting All) Kitchen-Li htin Whirlpool circuit General-Recess lights(LightingAllowance) Ceiling fixtures-4(3 over island--1 over table) Master walk-in/hallway Under-cabinet lighting Flourescent fixtures-2(1 in each closet) In-cabinet lighting-3(china cabinet) Recess light in hall(Lighting Allowance) 1 Phone jack and I cable outlet j Flourescent light in walk-in pantry 2nd Floor Hallway Recess lights(Lighting Allowance) 1 S'Floor 3/4 bath Vanity light Secondary Bedrooms Fan Flourescent lights in closets Recess light w/shower trim(Lighting Allowance Cable/phone jack Ceiling fixture Library 1 plug %Z switched Ceiling fixture Cable/phone jack ' i 2 Floor 3/4 bath Vanity light Fanlight Recess light w/shower trim(LightingAllowance) i F • I Schmidt Renovation Specifications Sheet Central Air Conditioning-Installation of two central air conditioning systems.(2-air handlers and 2 condensers)System #1 will service the P floor. The air handler(4 ton unit) and all duct work for system #1 will be located in the basement level. All returns and registers for the 1 S` floor will be located in the floor. System #2 will service the 2"d floor. The air handler(R2 ton unit) and all duct work for system #2 will be located in the attic space. All returns and registers I for the 2ndfloor will be located in the ceiling. This estimate includes all supply and return duct work, equipment, standard registers, thermostats, and start up. This estimate does not include air conditioning the space over the garage. The following options are available: Option #1-Sanyo wall unit, condenser, and wiring-$3000.00 Option #2-Convention central AC unit,prep, and wiring-$6500.00 Option #3-SpacpackAC unit,prep, and wiring-$7100.00 Central vacuum-Central vacuum outlets will be relocated or added as deemed necessary to reach all areas. TilelMarble Installation-This estimate includes the installation of the as outlined in drawings. ' This estimate is based on standard tile/marble installation. Diagonal,patterns, borders, etc will all incur extra cost. The cost of the tile/marble is covered under an allowance. Miscellaneous Appliances-The cost of all appliances and their delivery is the responsibility of the homeowner. All appliances will be installed. Accessories-The cost of all accessories(toilet paper holders, towel bars, mirrors, etc.) is the responsibility of the homeowner. Accessories will be installed if provided before the end of the project. Extras Any work requested that is not included in this contract will be billed at a rate of $40.00 per hour/per man + materials. Significant changes and extras may require an estimate before proceeding. Due to the nature of the region, it is not unusual for visible small scale cracking, shrinking, or separating of joints in drywall and trim to occur. This is not a defect in workmanship, rather a result in the drastic changes in temperature and humidity and the settling of the structure. i i Schmidt Renovation ALLOWANCES R The following allowances are included in this estimate. The allowances exist to cover the purchase of materials only, unless otherwise specified. Any amount in excess ofan allowance will incur extra cost. Any amount less than the allowance will warrant a credit. Upon completion of the project and extra costs or credits will be issued. I Windows/Exterior Doors-$9000.00 This allowance covers the cost of all windows(including screens, hardware, grilles, ext. jambs, specialty trim, etc) and exterior door units. Plumbing Fixtures-$15000.00 This allowance includes all plumbing fixtures in the kitchen and bathrooms, including sinks,faucets, shower units, shower valves, shower enclosures, toilets, whirlpools, vanity tops, shower pans, etc. Electrical Fixtures-$3250.00 This allowance covers the cost of all recess light fixtures and their installation. All other fixtures including ceiling fixtures, coach lights, vanity lights, etc shall be provided by the homeowner and installed by DM Construction. Recess Light Cost New Construction-$125 per unit Old work-$150 per unit Cabinetry-$32000.00 This allowance includes the cost of all kitchen cabinetry, vanities, and their associated hardware. i Countertops-$12000.00 This allowance includes the cost, template, and installation of all countertops.(kitchen and bathrooms) Marble/Tile-$4500.00 This allowance includes the cost of all marble/tile. Hardwood-$13500.00 This allowance covers the cost of hardwood flooring, its installation, and finishing. Shelving-$1500.00 This allowance covers the cost of all shelving. C NpRTIy 'q own of : over � � y - No. ,j r.", LAK dover, Mass., COCMICKEWICK y1. 7�S RATED PV BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System /,� •�. THIS CERTIFIES THAT........A..R,/..r.�!t.��iC�.............�...C..�...�.�. BUILDING INSPECTOR Pj Foundation has permission to erect.. f� .... ............. buildings on ... .� . /�/ �� 4 Apj C Roust,.... e t0 be Occupied as.... ...... ... ,?.!!3............I� '.e.., �VSf��J,.. .�,?r i r ../...1C!�,OCamney Y . . .. . . ... .. provided that the person accepting this permit shall in every respect conform o the terms of the application on file in Final this office, and to the provisions of the Codes and By-Laws relatinto the Inspection, Alteration and Construction of Buildings in the Town of North Andover. 0,VL A Pl It„ a 15 ck r 11 61 F� AIA 1 % a� PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. /j) yC/8 10 Roush Final PERMIT EXPIRES IN 6 MONTHS UNLESS CONSTRUC q S ART ELECTRICAL INSPECTOR ...... C Rough .... .,�1�..... .......... .. Service ..... .. . . ... ... . BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove Rough Final No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. SEE REVERSE SIDE J1 Smoke Det.