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HomeMy WebLinkAboutBuilding Permit #393-11 - 20 ROSEMONT DRIVE 11/9/2010 TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit NO: Date Received Date Issued: =z.d IMPORTANT:Ap licant must complete all items on this page m 1v€, W. AfttdoveR. /K r LOCATIONS �oS�Mc fi ` Print PROPERTY OWNERL-ha t f2 C�I Q L C�.cL, =j°' ',C Print MAP NO78PARCEL: f 3 ZONING DISTRICT: Historic District yes o Machine Shop Village yes no i TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building Kone family ❑Addition ❑Two or more family ❑ Industrial Alteration No. of units: [I Commercial ❑ Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other Se tic 0 Wella �� I'OlEloodplaul° f �W,e landsWatershedlDistrict P -' t - 4 ®Water/Sewer -- s-r.cr,.[vt':...ci-.. :._ _ ...__z-..sas.m� --. � .a :v:-'a... +..-. _ .-...._+ .. -.«.+4-S�r.c1 �a�:...m�..yet#5,...r- --i��.✓2:4.-x E Eit..-ter...r-_nh-.aa.r.-w DESCRIPTION OF WORK TO BE PERFORMED: 47`©s J- C L-VAS -f-iNIS46•d 0010,Id Nabi�cnml'red. I?Ilvr >iJsi�fet � ��. i,,,oitfn, < kWAS CD'n/)lC+F� y Q(46%e Y svb `s o `?l��-it� !� '� l leots N redr d 4 S- --eP 'io Givadr- _ Atm + S-�✓LAGE OAE4172-1 aFt Identification Pleasepe or Print Clearly) OWNER: Name: 8 L*sit U v 6a L R o e �,� Phone: �2 4/4* ;313! C rn17,��'T Address: '�5 0'® s(/;f� 300 \� /�1VJy�t/l e172f s 3/ CONTRACTOR Name: Phone: ' 3✓— Address: mob' £rtF,!` �ie� �' itef �/� L �- .X1//1• �f� � Supervisor's Construction License: C S X64 Exp. Date: y'/ 2 Home Improvement License: Exp. Date: f 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: $ /J �� • FEE: $ � b `� Check No.:a-:�f Z� Receipt No.: D 313:"l NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund Signature of�AgenfiJOwiert. >. Signature of contract_ tj<I 1' Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ TYPE OF SEWERAGE DISPOSAL Public Sewer ❑ Swimming Pools ❑ Tanning/MassageBody Art ❑ 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 Siqnature COMMENTS u HEALTH Reviewed on Siqnature .q 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 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 Notified for pickup - Date Doc:.Building Permit Revised 2008 Building Department The following is a list of the required forms to be filled out for the appropriate per 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 ❑ 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 40TE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit a all cases if a variance or special permit was required the Town Clerks office must stamp the decision from the Board of Appeals iat the appeal period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording Lust be submitted with the building application Doc: Doc-Building permit Revised 2008mi Locati000— J-/ No. — Date / v NORTN TOWN OF NORTH ANDOVER 0 s A • y Certificate of Occupancy $ sACMUSEBuilding/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # ;P�v".--- 23671 N Building Inspector NORT#q 0 0 � _ And over No. o A K E o dover, Mass., COC HI 7 ADRATED �S$ BOARD OF HEALTH Food/Kitchen Septic System .PERM ,IT T D BUILDING INSPECTOR THIS CERTIFIES THAT......... .1.1 � .... ... ......... ...... ...... Foundation has permission to erect........................................ buildings on ..... Rough to be occupied as c&r�i�A�4r.x�...............6�i�1�M�!!!x!..11............... .... �. .. Chimney � Ch' e 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 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 NTHS ELECTRICAL INSPECTOR UNLESS CONSTRU O TAR Rough Service ....... . ..................................................................................... BUILDING INSPEC OR Final Occupancy Permit Required t0 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. Smoke Det. SEE REVERSE SIDE Fay Construction Invoice 20 Beresford street Date Invoice# Lawrence, MA 01843 1114=0 237 978-975-02421978-828-7835c E-mail fayconl@comeast.net Sill To Job Location Altair Global Relocation 20:Rosemont Drive 7500 Dallas.Parkway,Suite 300 north Andover,luta. .Plano Texas 75024 Customer Phone Terms 972 468 3231 Quantity Description Rate Amount 20 Rosemont Drive North.Andover.Permits and inspections for the construction.of 700 sq.lcet of finished basement area were not pulled.Chuck Fay(DBA Fay Construction)wilt Work with the North Andover building department and supply.Drawings--Specification 1,000.00 1,000.00 simet--{contract--Insurdnce coverage,--Building and electrical permit applications--licensing information for the permitting and inspection of finished basement area.I have inspected the work on the basement area.The overall construction and quality of work is very good.The electrical is to code."Three 20 amp circuits supply lighting and outlets.Wiring and stapling; can be seen on the back side of the wails in the storage area.'The recessed cans are installed flush with the ceiling and plastered tight.There are 2 small access panels for shutoffs.The door between the basement and the garage is steel insulated and installed when hoarse was built.The 2 double hung windows and tear door are also original.Good quality.The steps and handrails to the main floor are to code.(Built with home)The furnace is located in a. storage area with plenty of clearance--direct vent 90¢with ducted combustion air.The water heater is gas direct vent. Building Permit cost is based on 12 dollars per thousand of the estimated building cost. 700 180.00 180.00 sq.feet X average of$180.00 per sq.foot building cosi= $12,600.00 ( 15,000.00 today) @ 12 per=$180.00 There may be a line for construction with out a permit. 75.00 75.00 Electrical permit. 150.00 150.00 Materials and Labor for the installation of a.step at the rear door. 1.50.00 150.00 Materials and Labor for the removal of lampholder in closet and the installation of florescent 150.00 150.00 lighting. Installation.of GFCI outlets in storage area. Materials and Labor for the removal and replacement of all electric outlets and switches for 435.00 435.00 the electrical inspector to view. approximately 34 devices Fatal Page 1 I Fay Construction Invoice 20 Beresford Street Date Invoice# Lawrence, MA 01843 1.1/4/2010 wMW~237 978-975-0242 /978-828-7835c E-mail fayconl@comcast.not Bill To Job Location Altair Global.Relocation 20 Rosemont Drive 7500 Dallas Parkway,Suite 300 North Andover, Ma. Plano Texas 75024 Customer Phone Terms 9724683231 Quantity Description Rate Amount Note:owmer will be responsible for P(M-mitting costs determined by the North Andover Building Department.figures above are only estimated.Final costs will be determined when application are revued and a total cost is tallied.1 will provide you with reecipts for the charges. A C/ Oa•! 14R� 'tr.w i 1. 4.y..,� r "S t 1.:.. RELOCATI ON CONSUL ANT ALTAJR Gl.DBAL RF.6. ON Total $2,140.00 Page 2 1 .f , i t� r� GPAA C7E I vp 04 v L 3 Material Specifications 20 Rosemont Drive North Andover, Massachusetts • 700 sq. ft. of walk out basement space to be finished. • 2x4 wood frame partition walls 1201 ft. • Insulation r 13 with vapor barrier. Existing on exterior wall and garage walls. • Wall finish %" blue board and plaster • Ceilings hard: %" blue board and plaster. • Door and trim: 6 panel molded smooth with 2.5" colonial casing. 51/4" • Flooring: carpet and wood mix. • Lighting: recessed and wall lighting • Switches and outlets to code. • Heating: Elect. Fan forced wall unit. • Smoke detectors ( hard wire ) • Bathroom ( None ) Nlasmichu%etts- Department of Public Safet. Board of Buildim-, Re--uhttions and Standard. Construction Supervisor License License: CS 58663 Restricted to: 00 CHARLES A FAY JR . 20 BERESFORD ST LAWRENCE, MA 01843 J Expiration: 5/112012 •rnmri,�iNaet Tr—": 24775 B ar�Wori uili n g'7a4io`katkga'dard"s HOME IMPROVEMENT CONTRACTOR Registration: 147062 Expiration: 6/8/2011 Tr# 285104 Type: Individual CHARLES A FAY JR. CHARLES FAY 20 BERESFORD ST. ��.�, •� LAWRENCE,MA 01843 Administrator `- COMMONWEALTH OF MASSACHUSETTS ELECTRICIANS AS A REG JOURNEYMAN ELECTRICIAN ; ISSUES THE ABOVE LICENSE TO: CHARLES A FAY cf 20 BERESFORD STREET N LAWRENCE MA 01843-24314 29617 E 07/31/13 8802084 Wit`. gguvan+aw'w� CIS Foto.Then Detacn Along A,Perforations �~ OP ID:SS CERTIFICATE OF LIABILITY INSURANCEDATE(MMIDDIYYYY) 11104110 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(les)must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer e rights to the certificate holder in lieu of such endorsement(s). g PRODUCER 978-688-7000 CONTACT Durso&Jankowski Ins Agcy LLC 978-688-7001 PHONE FAX 198 Massachusetts Avenue A/c IL Exti: Alc No): North Andover,MA 01845 ADDRESS: Durso 8 Jankowski Ins.Agcy, cuoSTOMER ID#:FAYCO-1 INSURER(S)AFFORDING COVERAGE NAIC q INSURED Fay Construction Co. INSURER A:MSA Group14788 Charles A.Fay,Jr. INSURERB-Travelers Ins.Co. 20 Beresford Street 19038 Lawrence,MA 01843 INSURERC: INSURER 0: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING 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.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR oDr 9W LTR TYPE OF INSURANCE POLICY NUMBER MMIDDY EFF MM/DD EXP YYYl LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,00 A X COMMERCIAL GENERAL LIABILITY MPP48851 06107/10 06/07/11 PREMISES KENTED occurrence _$ 500,00 CLAIMS-MADE �OCCUR MED EXP(Any one person) $ PERSONAL&ADV INJURY $ 1,000,00 GENERAL AGGREGATE $ 2,000,00 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,00 POLICY iEcT F-1 PRO LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT B ANY AUTO BA0188W97309SEL 12118109 12118/10 (Ea accident) $ ALL OWNED AUTOS BODILY INJURY(Per person) $ 100,00 X SCHEDULED AUTOS BODILY INJURY(Per accident) $ 300,00 HIRED AUTOS PROPERTY DAMAGE $(Per accident) 100,000 NON-OWNED AUTOS $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAR CLAIMS-MADE AGGREGATE $ DEDUCTIBLE g RETENTION $ WORKERS COMPENSATION WCSTATU- OTH- AND EMPLOYERS'LIABILITY YIN TORY LIMITS ER ANY PROPRIETORIPARTNERIEXECUTIVE OFFICERIMEMBER EXCLUDED? NIA E.L.EACH ACCIDENT $ (Mandatory In NH) If yesE.L.DISEASE-EA EMPLOYE $ ,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1 T-7 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,If more space Is required) Carpentry Residential 8:Electrical Wiring Job Location 20 Rosemont Dr CERTIFICATE HOLDER CANCELLATION NORTH13 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Town of North Andover THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 384 Osgood Street ACCORDANCE WITH THE POLICY PROVISIONS. North Andover,MA 01845 AUTHORIZED REPRESENTATIVE ©1988-2009 ACORD CORPORATION. All rights reserved. ACORD 25(2009109) The ACORD name and logo are registered marks of ACORD The C'ommonweaUk of Massachusetts Department of 1ndastrial'Acc1den& Office of Invadgations 600 Washington Street Boston,MA 02111 URqV www.mays gov/dia . Workers, Compensation Xnsuoranve Affidavit: Builders/Count actorsf Iectxiciaus/P'lumbers A-P icant Information Please Print:Legibly Name(Business/organization!lndiviaaal). Y JAY e�►� Z I oVA/ Address: Q City/State/Zip: hone#: "J�Ce 49J& ?d"T Are you an employer?Check the appropriate box: Type ofproject(required): '.1.❑ I am a employer with 4. ❑ I am a general contractor and I employees(full aud/orpart time).* have hired the sub-contractors �• ❑New construction 2.V!am a sole proprietor or partner- listed on the attached sheet 1 7. ❑Remodeling . ship and have no employees These sub-contractors have 8. []Demolition working for me in any capacity. workers'comp.insurance. 9. E]Building addition [No workers'comp.insurance S. El We are a corporation and its require(L] officers have exercised their 10.❑Electrical repairs or additions 3.❑ I 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 wehave no' 12.❑Roofrepairs insurance required.]t employees.[No workers' 13.0 Other comp.insurance required] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy h6miation. t Homeowners who submit this affidavit indicating they ane doing all work and then hire outside contractors must sabmit anew-affidavit indicating such. $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information. lam an employer that is providing workers'compensatdon insunwee for By employees ,below is the policy and job site information. Insurance Company Name: Policy#or Self-ins.Lic.M Expiration Date: Job Site Address: City/Sfiate/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 cann lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year hnprisonment;as well as civil penalties in the form of a STOP WORK ORDER and a tine of up to$250.00 a day againstthe violator. Be advised that a copy ofthis statement may be forwarded to the Office of fnvestigations of the DIA,for insurance coverage verification. Ido hereby cerci rthe aimsand naltdes of perjury that the informationprovidedabove is free andcorrect Si ature: Date. Phone#: a 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 ContactPerson: Phone M Chuck Fay From: O'Donoghue, Mary[modonoghue@andoverliving.comj Sent: Thursday, November 04, 2010 6:58 AM To: fayconl@comcast.net Subject: Re: 20 Rosemont Drive permit for basement Thanks Chuck. I am meeting the appraiser there at 10am if that helps? Mary ------Original Message------ From: Chuck Fay To: Mary ReplyTo: fayconlpcomcast.net Subject: Re: 20 Rosemont Drive permit for basement Sent: Nov 3, 2010 8:16 PM Hi Mary, Forgot to pick up the key. I will get it early tomorrow and go check out the house. I will call you and go over the details. Thanks, Chuck Fay ------Original Message------ From: O'Donoghue, Mary To: Fayconl Subject: 20 Rosemont Drive permit for basement Sent: Nov 3, 2010 12:41 PM Hello Chuck, Thanks for helping us out on this one. The owner of the property is: Altair Global Relocation, 7500 Dallas Parkway, Suite 300 Plano, Texas 75024. My contact is: Paula McNeill: Tel: 972-468-3231 Fax: 972-468-3001 The property address: 20 Rosemont Drive, North Andover. My contact info is below: Call with any questions, Mary Mary O'Donoghue CRS, GRI, CBR Prudential Howe & Doherty REALTORS 12 Bartlet Street Andover MA 01810 Tel: 978-337-8159 www.maryodonoghue.com<http://www.myryodonoghue.com> 1