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HomeMy WebLinkAboutBuilding Permit #575 - 180 WEBSTER WOODS 1/30/2012 TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit N0: Date Received Date Issued: IMPORTANT:Applicant must complete all items on this page LOCATION 180 W eb;5t" Woo As LA n e Pr t PROPERTY OWNER 4 n HI bur r Unit# Print MAP NO;��PARCEL.( ZONING DISTRICT: Historic District s n Machine Shop Villag yes no 100 year-old structure es no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building ❑ One family ❑Addition ❑Two or more family ❑ Industrial VAlteration No. of units: ❑ Commercial ❑ Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other Camel '1 _ � f a '� R ®. ptic • ®We11 ®Floodpla ®Wetlands -; 10Wa,,,,�tershedist� I�Wa er w �.,. DESCRIPTION OF WORK TO BE PERFORMED: Erol s� &,SEM,94 igfa A TF44-n 1))y koo m• w lf-� (Identification PleaseTye or Print Clearly) OWNER: Name: n A 4 M I.C�e 11, W6,& Phone: c1 ii- Address: H�Q WE,65te,r W00616 )AV-1e- CONTRACTOR Name: d?obee CA�IL Phone: X03- 49- O3a Address: 35 TAY)�1ewQo, , P�-. �, }���^p��e�d1 I� •�. o3�a� Supervisor's Construction License: `����� Exp. Date: 3-,R 0- a013 Home Improvement License: ) "�Sag Exp. Date: )0-a► X01 ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE:BULDING PERMIT:$92.00 PER$9000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $_ `)6-i om FEE: $ / Check No.: 473"Z- Receipt No.: L °'k NOTE: Persons contracting with unregister d contractors do not have access to the guaranty fund .a<SLM.�ts �.AF:Rtif,' +ie-+ �• cT _sa a.GGts: iM3 IS natureAofAgent/Q,wner _ter Si�naturekof contractor Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped-Pians ❑ TYPE OF SEWERAGE DISPOSAL !, - Public Sewer El' Tanning/MassageBody Art ❑ 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 3 r' DATE REJECTED DATE APPROVED PLANNING & DEVELOPMENT ❑ ❑ COMMENTS CONSERVATION Reviewed on Siqnature COMMENTS E. 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 Town Engineer: Signature: Located 384 Osgood Street FIRE DEPARTMENT -Temp Dumpster on site yes no Located at 124 Main Street Fire Department signature/date CON BENTS 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.$10041000 fine NOTES and DATA— For de artment use I I Q Notified for pickup - Date f I I � t Doc:.Building Permit Revised 2011 June/mi 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 I ❑ 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 pp 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 MOTE: 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 q In all cases if a variance or special permit was required the Town Clerks office must stamp the decision from the Board of Appeals that the appeal period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording must be submitted with the building application Doe: Doc.Building Permit Revised 2008mi NORTH, 0VM 0 over No �J . S� O 4w _ wW 4. 0%_ f o , '� dover, Mass., I" Y Q LAKE COC"C"..CK .44 r E D U BOARD OF HEALTH P RMIT D Food/Kitchen Septic System �� BUILDING INSPECTOR THISCERTIFIES THAT.................... U.6................................................................................. ............................................. oundation has permission to erec ............................ ...... buil ' gs on ...%�..t...........'/�. ! ...........,,�. a. ... •� Rough to be occupied as........ ....................... ................................. Yk ..!!1 Chimney provided that the person accepting this permit shall in every 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 PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUC S TS Rough .................... ............... ................ Service BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final No Lathing or Dry Wall To Be Done FIRE.DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. SEE REVERSE SIDE Smoke Det. The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street j° Boston, MA 02111 e www.mass gov/dia . Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Apiflicant Information I Please Print Le 'bl Naive(Business/Organization/Individual):_ R deft K ��\� 1 Address: � Qu3A City/State/Zip: �� �5 e�� }� Phone#: . 603- a3y- 03x1 Are you an employer?Check the appropriate box: Type of project(required): 1.❑ 1 am a employer with 4. ❑ 1 am a general contractor and i employees(full and/or part-time).* have hired the sub-contractors b. ❑New construction 2. I am a sole proprietor or partner- listed on the attached sheet.t 7. ❑Remodeling ship and have no employees These sub-contractors have 8. ❑Demolition working for me in any capacity. workers' comp.insurance. q, ❑Building addition [No workers'comp.insurance 5. ❑ We are a corporation and its 10. Electrical repairs or additions required.] officers have exercised their 3.❑ 1 am a homeowner doing all work right of exemption per MGL 11.❑ Plumbing repairs or additions myself.[No-workers'comp. c. 152,§1(4),and we have no 12.❑Roof repairs insurance required.]t .employees. [No workers' 13.0 Other bj�51m-,-4 N � 'k comp.insurance required..] sAny applicant that checks boz#1 must also fill out the section below showing their workers'compensation policy information. 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•contraerors and their workers'comp.policy information. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins.Lic.#: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 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 certify u its nd penalties of perjury that the information provided above is true and correct 7 Signature: e: Phone#: --A603— IM- o3a l Official use only. Do not write in this area,to be conipteted by city or town official City or Town: Permit/Lieense# 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#: _ - J � u x o Office of Consumer Affairs&B mess Regulation HOME IMPROVEMENT CONTRACTOR Registration: ..1.37328 Type: Expiration: 10/29/2012 Individual R RT R.CAHILL JR ,i ROBERT CAHILL JR 35 TANGLEWOOD DR: E.HAMPSTEAD,NH 03826- Undersecretary Massachusetts- Depai-tment of Public Safet% Board of Building Regulations and Standards Construction Supervisor License License: CS 40072 ROBERT R CAHILL JR 35 TANGLEWOOD DR E HAMPSTEAD, NH 03826 c„- —yi`� Expiration: 3/20/2013 i'nnnni.eioa..�• Tr#: 18317 ar� C — ___-- cot©; �3 Holmt5t100A, br 4oj h ouine ' Y ASSA�r� baa- a3S- 03 - Va. Proposal Date: January 29, 2012 BOB CAHILL To: John& Michelle Hulburt BUILDING AND REMODELING Address: 180 Webster Woods Lane 603-234-0321 City, State, Zip: N.Andover Ma. 01845 "The Original Bob the Builder" Phone: 978- 682-2569 Email: Good until: 30 days We propose to furnish all material and perform all labor necessary to complete the following: Finish basement in to a TV/Family room,with bath and bar area. Framing: Includes all material and labor to complete framing of basement area, all exterior walls, bath, closets, ceiling, and bar area Heating: Add new zone and duct work to existing heating system to accommodate new finished area. Plumbing: Includes all material,piping and labor to install a 3 fixture bath room system, a shower, lavatory, and toilet, using existing underground piping that was installed when house was built. Also install plumbing for a sink in the bar area. ( di,w r Z5 t VV Electrical Wire basement area to code,receptacles to code, ceiling lights up to 10 recessed,bath exhaust fan and light, GFI, wiring for vanity light, smoke detectors, and lighting at bar area. Insulation: Insulate to energy code,Rlfin exterior walls Plaster: Install blue board, and veneer plaster on walls and ceiling, smooth on wall and texture on ceiling to match existing ceiling in basement. Finish Carpentry: All trim,base board and 6 panel pine doors to match existing trim, Finish Carpentry Labor: Labor to install interior doors and baseboard moldings, enclose columns and misc. trim. A 4 ati L i1 SW 63,-- 51)-/2 c—� Custom Bar: Includes all material and labor to complete a custom bar and back bar shelving unit. Bar to be oak with a paneled look with fluted styles, and oak bar top,bar shelving unit oak frame with crown molding, mirror backing and glass shelving. Allowance for bar sink. Painting: By others Floor Covering: Allowance for flooring throughout basement area,hallway, and stairway. Cabinets: Allowance for Bath Vanity/sink Fireplace: Superior Direct-vent, 0 clearance, gas fireplace Trash removal: Dispose of all construction related trash and debris included. All work to be performed as per plans and prior discussions. All workmanship and materials to comply with State Building Codes. We propose to furnish material and labor,complete in accordance with above specifications,for the sum of. $ 31,775.00 Dollars Payments to be made as follo a went Schedule to follow Contractor's signature: Acceptance of proposal Thea ove price, sped cations and conditions are satisfactory and are hereby accepted. You are authorized to do the work as pecified. Payment will be made as outlined above. Owner's signature: Date: 2 z�- zr r0 4'd,lP 17-31a' 410° v 2 'x2 b k FIREPLACV - m I m2 °x 5 sq T-rx 1T o 112.,q.ft. t TH' ' ---- UTILITY AREA FAMILY 4.11.4:OW ROOM Y i 18''4 x 34=0' 8.4114' T-11 we 2T-6'X 34'-0' ,%O'x 10=2° a k y 629 sq ft 668 sq.ft H 1 sq.ft. S I ATH ---- GARAGE A 1 sq*- i i I z•r {{ 111 S )'A1 1A3/ 4*-OW ^T2 °X6'9' alp ` � 17Rx t8T _ 0 5 sq tL q H 16'0'x 2'-2" sq-it HULBURTS FINISHED BASEMENT 2a r 1.a- ra-2 yr 48'.P LocationZP C�•�7�!14Id d41 No. �+ Date / r NORTH TOWN OF NORTH ANDOVERi 9 Certificate of Occupancy $ cHuBuilding/Frame/Frame Permit Fee $ s+ se 9 Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # 24968 Building inspector