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HomeMy WebLinkAboutBuilding Permit #831 - 221 BOXFORD STREET 6/14/2007BUILDING PERMIT TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit NO: 9—S / Date Received � � 4:r;; (//;— Datelssued: TYPE OF IMPROVEMENT 0 New Building -;�§,Addition Fi Alteration 0 Repair, replacement [I Demolition PROPOSED USE Residential %One family 11 Two or more family No. of units: u Assessory Bldg [I Other Non- Residential [I Industrial [I Commercial [i Others: DESCRIPTION OF WORK TO HE PXt1-UMMtU: \ " t \ C. - - � -.1 0— -, r- t—�A I U Identification Please Type or Print Clearly) Phone: R -i . 5-- 3 -15-2— OWNER: Name: &�Ck-A' V%%rLse— ARCH ITECT/ENG I NEER �Jo�,� Phone: Address: Reg. No. FEESCHEDULE: BULDING PERMIT.'$12.00 PER $1000.00 OF THE TOTAL ESTIMATED COST BASED ON $125.00 PER S.F. Total Project Cost: $ 7'9-, Q 1) Q FEE: $_ 1-k I.,C) Check No.: �- --� 1) ?— Receipt No.: NOTE: Persons contractin w -w&4 unre istered contractors do not have access to the guaranty fund at re of contr In u actok Signature: -of A46 Ov4ner 7V` Location No. �� Date TOWN OF NORTH ANDOVER 0 41 Certificate of Occupancy $ .13 "us Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # ty ?- r) 2 0 3 u U Building Inspector Plans Submittedl;� Plans Waived El Certified Plot Plan, -9 stamped Plans El TYPE OF SEWERAGE DISPOSAL Public Sewer 7 'El Tanning/Massage/Body Art Swimming Pools Well Tobacco Sales Food Packaging/Sales 11 Private (septic tank, etc. Permanent Dumpster on Site THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM PLANNING & DEVELOPMENT 11 COMMENTS CONSERVA: COMMENTS DATE REJECTED DATEAPPROVED Is REJECTED DATEAPPROVED 60 LOA 1/\ 160 DATE REJE DATE 7APZVD HEALTH P7 zip COMMENTS ::ae, J 71V V Zoning Board of Appeals: Variance, Petition No: ------_.Zoning Decision/receipt submitted yes Planning Board Decision: Conservation Decision: Comments Comments Water & Sewer Connection/signature & Date Driveway Permit Located at 384 Osgood Street COMMENTS"'e-'—, Dimension Number of Stories: Total square feet of floor area, based on Exterior dimensions -2-19 Total land area, sq. ft.:- -2— 14 c, e. A - ELECTRICAL: Movement of Meter location, mast or service drop requires approval of Electrical Inspector Yes N o DANGER ZONE LITERATURE: Yes No MGL Chapter 166 Section 21 A —F and G min.$100-$l 000 fine NOTES and DATA - (For department use) �J ee-4,!c L L) Notified for pickup - Date ................................ ........... ........... ................ .................................................................. .................................. .. ............. ... ............. ............. ........................ ............. .................................................... ......................... . .................... ...... ........ Doc.Building Permit Revised 2007 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 Building Permit Application Workers Comp Affidavit Photo Copy Of H.I.C. And/Or C.S.L. Licenses L3 Copy of Contract u Floor Plan Or Proposed Interior Work ci 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 Lj Workers Comp Affidavit a Photo Copy of H.I.C. And C.S.L. Licenses L, Copy Of Contract o Floor/Crossection/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (If Applicable) Li Mass check Energy Compliance Report (If Applicable) u 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 L3 Photo of H.I.C. And C.S.L. Licenses u Workers Comp Affidavit c3 Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (If Applicable) Li 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 submitted with the building application Doe: INSPECTIONAL SERVICES DEPARTMENT:BPFORM07 Revised 2.2007 LU CL 0 C2 Cl C3 CJ 46: 11,80 ca E CF CL (A a 4D C.3.0 cm CLIO- cm w Co ce E vi CLCJ 4CD aar C-5 -M 93 a CL e ea = CD CCDL COD go am C! =U C3 COD 4CDD vs CA Co I. - E GO :9 0 zip cm co cr. cm CID 0 cm .s c IQ CD z 0 CD ZOO C/) 0 4 I Q rA oz� Cf) Cf) a-.rA Me. - 0 40. 2 TZS 4:1. CD E z CL Cl cm E 0 CD CD CL. Cc 0 = S cc m ts CD CL C.3 cc cc M CO3 LLI U) LLI U) 19 LLI LLI ir. LLI LLI U) 0 �2 U) v C/) �?. x �o 0 E U) LU CL 0 C2 Cl C3 CJ 46: 11,80 ca E CF CL (A a 4D C.3.0 cm CLIO- cm w Co ce E vi CLCJ 4CD aar C-5 -M 93 a CL e ea = CD CCDL COD go am C! =U C3 COD 4CDD vs CA Co I. - E GO :9 0 zip cm co cr. cm CID 0 cm .s c IQ CD z 0 CD ZOO C/) 0 4 I Q rA oz� Cf) Cf) a-.rA Me. - 0 40. 2 TZS 4:1. CD E z CL Cl cm E 0 CD CD CL. Cc 0 = S cc m ts CD CL C.3 cc cc M CO3 LLI U) LLI U) 19 LLI LLI ir. LLI LLI U) Me� 01 Building Contractor proposal TO: Rich & Dorothy Varga 221 Boxford Street North Andover, Ma. 01845 Fronv Kevin Murphy CQ Date: 5/8/2007 Job: Screened porch / deck Date of plans: 5/07 Architect: None Location: Same Section I - Work Schedule 169 Boxfoind Street North Andover, MA 01845 PH: 978 -688 -SMS FAX: 978-SM7207 All Horne improvement Contractors and Subcontractors ergaged In horne imprmiernent contractIng, unless specifically exernpt from registrahm by Provisions of Chager 142A of the general laws, rnust be registered with the Commonwealth of Massachuseft. Inquiries about registration and Status should be made to the Director, Home Improvernent Cwtact Registration, One Ashburton Place, Room 1301, Boston, MA 02108.(617)-727 &%8 Contractor will begin the work or order the materials before the third day following the signing of this agreement, unless specified here in writing contractor will begin work on or about 6/1/07. Barring Delay caused by circumstances beyond Contactors control, the work will be completed by 8/15/07. The owner hereby acknowledges and agrees that the scheduling dates are approximate and that such delays that are not avoidable by the Contractor shall no be considered as violations of this agreement. Section 11 - Warranty The Contractor warrants that the work furnished hereunder shall be free from defects in materials and workmanship for a period of I year following completion and shall comply with the requirements of this Agreement. In the event any defect in workmanship or materials, or damage caused by the Contractor, his subcontractors, employees or agents, is discovered within one year after completion of any job, including cleanup, the Contractor shall, at his own expense, forthwith remedy, repair correct, replace, or cause to be remedied, repaired, or replaced, such damage or such defect in materials or workmanship. The foregoing warranties shall survive any inspection performed in connection with the agreed-upon work. Section III - Scope of Work Mevim Mmulphy SulUdIng Contractor 169 BO)dord Street North AWDVer, MA 01845 PH: 978-6� FAX 978-6M)000( Page 2 of 4 General Building permit will be provided by contractor. No allowance has been made for conservaton / board of health approval, or title five inspection if required by town. Proposal is to build 14'x16' screened porch, and 14'x24' deck. Demolition Existing deck will be demolished and disposed of. Foundation Poured concrete footings will be provided for screened porch and deck. Footings will be 12'x48'. Building All frame, roof, and siding materials will be supplied / installed to match existing. Floor joists will be 2x1O pressure treated, decking will be Timbertech, handrails and balusters will be mahogany. Walls of screened porch will be 2x4, roof rafters will be 2xl 0. Sheathing will be fir plywood, 1/2 on walls, 5/8 on roof. Wood framed screens and screen door will be supplied and installed. EAsting exterior french door will be replaced with an Anderson frenchwood slider. Electrical Electrical work required to supply and install four recessed lights and five outlets in screened porch will be provided. Heatling/Air Conditioning Existing powervent for boiler will be replaced / relocated as required. Insulation Ceiling of screened porch will be insulated. Interior TrimMoors Interior of screened porch will be finished with tongue and groove number two pine. Waste Removal All construction related debris will be disposed of by contractor. Items Not Included There have been no allowances made for any interior or exterior painting. Options : Optional price will be given to install metal chimney to vent boiler (and eliminate powervent) . uevfim mmuphy Building Contractor 16913o)diordStreo North Andover, MA01845 PH: 978688-5335 FAX MaS-)D= Section IV - Price Schedule I Total Page 4 of 4 We hereby propose to furnish material and labor - complete in Accordance with above specifications for the sum of ..................................... $35,000 Payment to be made as follows: Percentage/item Description Amount 1 Permit obtained $3000 2 Roof of porch complete $20,000 3 Interior of porch complete $8000 4 Job 100% complete $4000 4 $35,0 **Notice No agreenwrt for Horne mVovwxwft coritractiN wu* st�l require a doum payrnent (advance deposd) of more that one4wcl of the total contract Vice of the total arnowt of all deposb or par�wft which the =*actor ffXlSt make, in advance, to order ardor otherwise obtain delivery of Wecial order matenals and eWM*nL %ftchmw is geater Contractor: Kevin Murphy 169 Boxford Street No. Andover, MA 01845 Registration No: 101874 Section V - Acceptance Acceptance of Proposal — I have read this document and accept the prices, specifications, and conditions stated. I understand that upon signing, this proposal becomes a binding contract You are authorized to do the work as specified. Payment vAll be made as outlined above. You the buyer may cancel this transaction at any time prior to midnight on the third business day after the date of this transaction canceAon must be done in writing THIS CONTRACT IF THERE ARE ANY BLANK SPACES Date Signature Date NORTH ANDOVER BUILDING DEPARTMENT Tel: 978-688-9545 DEBRIS DISPOSAL FORM In accordance with he provision of MGL c 40 S 54, a condition of Building Permit at: js that the debris resulting from this work shall be disposed of in a properly licensed solid waste disposal facility as defined by N4GL , 11, S 150 A. Also, note Permits are required under Fire Prevention laws Chapter 148 Section I OA. The debris will be disposed of in: ��v on of Faci Fire Department Sign MY- �t) Dumpster Permit Signa permit, 0 Permit Applicant Date FROM :M.P. RobertS InSurance FAX NO. :19786833147 Jul. 18 2006 11:10AM Pi DATE(WAMIYYYY) ACt)RI).- CERTIFICATE OF LIABILITY INSURANCE T07/18/20061 PROO;.v-*R THIS CER71FICATE 13 ISSUE D AS A MATTER OF INFORMATION M-P-ROBERTS INSURANCE AGENCT INC. 1060 OSGOOD STREET ONLY AND CONFERS NO RJIGHTS UPON THE CERTIFICATE HDLOFR. 71416 CERTIFICATE DOES NOT AMIENO, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. NORTH ANDOVER MA 01845 GENERAL LIABILITY 7 - 978-683-8073 INSURERS AFFORDING COVERAGE INMER A: PROVIDENCE bg=AL NAICS. KEVIN MUMY BUILDING & REMDELING 1,000.,000 INF4)RFR ft: MERC 169 BOXFORD STREET INSURER C: NORTH ANDOVER, MA 01845 GUARD INSURANCE GROUP 100goop INeURRR E: I THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED KWED ABOVE FOR THE POLICY FERIGO INDICATED. NOTWITHSTANDING ANY REQUIRRAIIENT, TERM OR CONDITION OF ANY CONIRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CFATIF"Ib MAY AE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DEWAIDED HEREIN 18 SUBJECT TO ALL THE TOM. EXCLUSIONS AN04ONorrIONS OF SUCH POLICIES. AGGREGATE LIMITSSMOWFN MAY HAVE BEEN REDUCEDBY PAID CLAIMS. mwfk ham LIN TYPE OF -NI)ILPANCE POLICY MJMBER 0ATr-(MWrXV" GENERAL LIABILITY 7 - -Uk"Ta GACH OWURRENCE 1,000.,000 X COMER"LGENERALLIABLITY PMA&ZE0 III. 100goop —7 CLA14aUADE r7x OcckA 5.000 MCOCXP(Anj*f*DmW1j A CPPOO60868-01 11/22/05 11/22/06 PERSONAL 6 AOV INJURY A 11000,000 GENERAL AOGRECATE 2 0-00 QPQ� GE A00RECIATE UWT A"USS PER: s 2,900 000 PRODUCT3 - CwPiOP��Ga AUTOMOWAI'vskmy mmaiwtn 8(Nkt Umt 1 500,000 ANYAVTO ALLOWNEGALITOS BODILY INJURY X WCOILIWO AVrOS toler pamm) Moto AUTO -a 7AN0277013608 1/ 23/06 1/23/07 &OOILY%0URY NON-OkUNEDAVTOS QARAaG L"MJr4 AijTOOM.V-EAAccrDFNT s OTHER THAN Ace. ANYAUTO I 5 ALITOONLY� AW ExemAkImeka" L"IL11Y CACH OCCURRENCE I Occvrl ED CLAINSMADE AGGREGATE $ DEDUCTIBLE s RETENTION & WORKERSCOWPEMATtONAND ��U-T!T- �XOT-w PLOWYEW UAIMLIVY ARY PROPRIVEWPARTWILCLIMCWTria MUNC530339 7/01/06 7/01/07 F-LFACMA0CInF.N( s -5.0 0 1, P 0.0. EL 091EASE - EA 84�LOYEF 00mit"LIAMR tAcLumm 1 50010po 0 �0 el. Dldt!A41! - W)UCY LIMrT SPECIALPROV18IONSF-ftw s 500,000, OT"ER 00CAIPTION Or OPERATION31 LOCATION2 I VEI IICU12 f EXCLU31ON3 ADDED BY ENDORSEVANT13PECLAL=101412 TOWN OF ANDOVER, NA BARTLETT STREET ANDOVER, MA 01810 BUILDING DEPARTMENT ACORD26(2001108) SHOULD ANY OF THE ABOVE 0EAMSED POLMIES BE CANCELLED BEFORE THF FXPIRATh0N DATE THEREOF. TMF IMUWG IN"PA 'AnU. 040EAVOR TO MAIL 10 nos WRITTEN NOTICE TO'fte CaRYWCATe tg"rn MAMO) To Tme LaFr� qLjT j:AjLLjktE I u w w W��L IWOSE NO 09LIGATION OR L"tUTY OF ANY KINt) UPCX4 'n C INSVRM. ITS t,%NTs OR AIITHOnIZED OACORD C17IRPORATInN ISRA A rke Comw#v*W..,#jj,*,jf M#sSackatrem DePetyMeat' Of INdUM601 Aecid,,,, s Offlc,* of Investigations 600 Washington Sirm 80-1100, MA 02111 we WWRIMMgovIdia rken' COMPOMdOD lusurante AMdavit: BuildevWCOnirseto"iCk ADR, etHc,4jWP1ftMh*r'q Name jowimim), phola" City/Sta(e/Zip: -tn�, A�—Pj� Phone ff:_aj.? ------------ — Apo jww am CMPPMrr q-flem Me AP"Aaft bes- I -'Lp% am a emplWyer with, k" 4. 1 at" a general Contractor HW I �fijjl ji or 0 ""ployeas (Mll andWor pm-fime).* 8M 8 3010 1 lamasolepw or Or have hired thew,&-a�.. listed PWi@W Partner- on the affached sheet, ship and have no employees bese tub-cantra'etopq have working for me in any eMmity, wOrktm'comp. irmffmwe, (No worke", Comp. insurance 1- 0 We are a corpostion and itq required.1 C1 I am a homeowner doins all wot Officers have exercised their right Of "emption Pw MGJ, Myseir [No *wkars' comp. 41(4). and we have no nourance reqtdred. I t em"eo& fNo wwkers, Comp. insurence required "FlY RWievml ohm chedthmO I mum 448011414" the walwbetowshqw����� I AMM410ftos oft Sjd6Mft ".MMd.VT' , as�!� ing twr vmwkers' Wn""Mak, OR VKMA Md thm but oviside awftcft, Wj'C WAM �Wm * I ftw OffiftVil indicatiag wh. ad jk* %0*06 an an exp*00 aw h PMWNNR ~*M' iftfiWw"Okift fte pasty OWPO S* Insuo. ic Company Name, POWY # orSelf-ing. J.ic. #:._6,V L 4LO _S 3. Expiratioo 1)ate: ft Ske Addrm: B-P,�P ::�� Atifth a eM artl* wodigW NOMPORWiGN PMkY doehimfim qm#e (dow4s, the Vahey Failure to ocure coverage a required ut*r.Sfttion 25A of iwoL c. 152 can lad to the "N"bee. and e%plk-Stion rine up aD S 1.300. 00 "or ane-ywr kaprimanama. m wek ss civii powitIm in dw iinposition of criminal petiallies of a of up to S250.00 a day opi"st t1w vioisjur. Be advised Out a copy of this stulan rMM of a ST()P W(AK ORDER asidj ritic Investiptions of#* Of A fW haumilee coverage verification, ent'nay be forwarded to the ()I*rlce MUM I do PAW AWOM60" 0/pedlav Aw At ;4AWNSAMN pwokw show k Iffl.* and 4.0"ftV, don" F!hM 0 am an&. 00 ow wrMe In A& grow. to be C"V&dW Aw'my of town City or Town: faviog Andoft (Chok 1. Goardef Ikeft " CkYftGwMC1tr1k 4. Ebetriml Insp"jor 4L Odkft 4. I'llowlift Inspector CO~ pen": PhD** #.. VI VN z ;3 --n vl% V,3 r