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HomeMy WebLinkAboutBuilding Permit #493-12 - 23 GILMAN LANE 12/20/2011Permit NO: Yl .3 r/Z TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Date Received Date Issued: /%t/,,aC//,' I IWORTANT: Applicant must complete all items on this page LOCATION�1��•� ,U�/�, Print MAP NO:/d7� PARCEL: /`S z ZONING DISTRICT: TYPE OF IMPROVEMENT ❑ New Building ❑ Addition VA'*'Iteration ❑ Repair, replacement n npmnlitinn PROPOSED USE Residential P<Dne family 0 Two or more family No. of units: ❑ Assessory Bldg _ ❑ Other Historic District yes no Machine Shop Village yes no 100 year-old structure yes no Non- Residential ❑ Industrial ❑ Commercial ❑ Others: LN peptic ell.F�loodplan}® - Weflandds} a e—rs- l Wate�rshedDistnct5 Waters- ewer - DESCRIPTION OF WORK TO BE PERFORMED: -chi oy (<� �` �/' sc�c7-�o�I d Gi�4// � i�tv �i+l %i�z� ��'� ►r' (Identification Please Type or Print Clearly) OWNER: Name: lJE'�?,Q� i1�= sSW S1:s feJ"a Af Phone: 7 v 7f - l Yd011 a Address: �.3 �%�i�J/�.�/ �•✓�' A15, CONTRACTOR Name: ,*,Opew Phone: c6e-I-/ av- Az' Address: Supervisor's Construction License: ���� Exp. Date: Home Improvement License: /CSD Exp. Date: ARCHITECT/ENGINEER Phone: Address: I Reg. No. FEE SCHEDULE. BULDING PERMIT.• $92.00 PER $1000.00 OF THE TOTAL ESTIMATED COST BASED ON $925.00 PER S.F. Total Project Cost:, $ FEE: $ Check No.: 1.5 Y6 o Receipt No.: R 419 OQ _.. . NOTE: Persons contracting with unregistered contractors do not have access to t4Mjta my fund Location <.3 C.T� f �►CM f� G,yF No. yf s— Date &ORTol TOWN OF NORTH ANDOVER • Certificate of Occupancy $ Eta' Building/Frame Permit Fee $ ,LK/ s�cwus Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # 3560 24900 i Buildin I pector a K Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ TYPE OF SEWERAGE DISPOSAL Public Sewer ❑ Tanning/Massage/Body 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 DATE REJECTED DATE APPROVED PLANNING & DEVELOPMENT ❑ ❑ COMMENTS, i CONSERVATION COMMENTS HEALTH COMMENTS Reviewed on Signature Reviewed on Signature Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Plaft. ing Board Decision: Comments Conservation [decision: Comments Water & Sewer Connection/Signature &Date Driveway Permit DPW Town Engineer: Signature: FIRE DEPARTMENT - Temp Dumpster on site Located at 124 Main Street Fire Department signature/date COMMENTS Located 384 Osgood Street yes no 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 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 ❑ 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 SpriWer 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 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: Doc.Building Permit Revised 2008mi h cn o- 0 z � O V O w F. t7 a o .cam O w C7 a a � O � O F O y C vV 0-4 CLC W ea CD C O N, a' a a .g t U .� a U cn w d C7 a w ca o z t cn v Q o cn IF �I 4r1. 6I 0 V a o .cam O � O y C vV CLC W ea CD C \r O cc s m �,...0 m� CL. N C O O s cm ti �( m c c E v; N a N N CD �\ �o C N C O O �► E N m 4 O MG m dV L pm m O n.. OI c O Q_ y.. N m o V V y m LO v Z •• ca �� . : c y 0 cm c !!-CD C •O CD CCDL:S ~ s0.+ CM _W C �v m 5 LL. ''y • =� O C •N 2 m CP O L3 L. m O 0 C COD O. m-g0� .0 y'� . � _ R =tea ` m� �I 4r1. 6I 0 AJ DeLuca Custom Woodworking 45 Lyons Farm Road Bradford, MA 01835 1978-469-9969 MA License #97866 Bill To: Derric & Melissa Slayton 23 Gilman Lane North Andover, MA 01845 Page: 1 Invoice Number: 1008 Date: December 12, 2011 Ship To: Derric & Melissa Slayton 23 Gilman Lane North Andover, MA 01845 Amount Description Kitchen/Dining Room Project consisting of: - Pull all permits applicable to job Remove dining room & kitchen wall to accept new kitchen design - Remove & reinstall new island cabinetry (pick up by Andy) - Supply new electrical to island & install pendent lights (supplied by 'others) - Reweave& install new oak flooring to match & refinish to match as close as possible to existing flooring - Install,& rework cabinets to fit new design (save old cabinets for resale) - Sheetrock, prime, and paint all disturbed areas and ceiling - Install new trim & crown in (2) areas ' 13,800.00 - Clean -'up site and remove debris on a daily basis *NOTE: Any work to be done outside of above quote will be deemed as an extra and will be billed at an hourly rate plus cost of materials. *Note: Approximate completion time of job is 2 weeks 0- 30 days 31 - 60 days 61 - 90 days > 90 days Total $0.00 $0.00 $13,800.00 $13,800.00 $0.00 AJ DeLuca Custom Woodworking 45 Lyons Fane Road Bradford, MA 01835 1978-469-9969 MA License #97866 Bill To: Derric & Melissa Slayton 23 Gilman Lane North Andover, MA 01845 Invoice Number. 1008 Date: December 12, 2011 Ship To: Derric & Melissa Slayton 23 Gilman Lane North Andover, MA 01845 0 - 30 days 31 - 60 days 61 - 90 days > 90 days Total $13,800.00 $0.00 $0.00 $0.00 $13,800.00 Office of Consumer Affairs & B siness Regulation HOME IMPROVEMENT CONTRACTOR €. Registration:,,:,1n61650 Type: Expiration: A-1!'42/2012 DBA A. ELUCA CUSTOWWbOC 5t1 QRKING . ANDREW DELUGA 45 LYONS FARM R1`_ BRADFORD, MA 01 83 1 Undersecretary ; i Massachusetts - Department of Public Safety IM Board of Building Rcg►ulations .and Standards 1 Construction Supervisor License License: CS 97866 ANDREW DELUCA 45 LYONS FARMS RD BRADFORD, MA 01835 ('ununi��ioner Expiration: 9/16/2013 Tr#: 6158 I 1211512011 14:30 Sullivan Insurance & Financial TAX)e78.3732281 P.00 1100 1 ACCIRbl. CERTIFICATE OF LIABILITY INSURANCEDATE(MMIDOrYYYY) d../ 12/15/2011 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, FIND THE CERTIFICATE HOLDER. IMPORTANT: It the certificate holder Is an ADDITIONAL INSURED, the policy(les) roust be endorsed. It SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsement(s). PRODUCER Sullivan Insurance S Financial, Inc. 487 Groveland Street HANE: _ Dz ane Eraioli _ PHONE E�tj, (978) 372-2790 � AIC, o!: (978):173-2281 .�GBFE•IAAIL�� dfraioli@sullivanlF. com INSURER(S) AFFORDING COVERAGE _ —NAIL N Haverhill MA 01830 INSURED INSURERA:Preferred Mutual 15024 INSURERB_Continental Casualty CoTC�dA 20443 _ w A T DeLuca Custom Woodworking, DBA: Audrey 5 Middle Road INSURER C: INSURER D: — -- -`---- Haverhill - MA 01830 _ INSURER E : _ !NSURERFF COVERAGE$ CERTIFICATE NUMBER:CL11.121501X155 REVISION NUMRER, THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTVV41THSTANDING 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 MAYHAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE tborth Andovex, MA 01845 - —-- wo POLICY NUMBER POLICY EFF MMIDDf/YYy POLICY EXP tJM(DDIYYW) LIMITS Diane Fraioli /I iG�- GENERAL LIABlLlTYEAi'H CC:UPREiJ+ E r 1,000,0 00 $ COIVMERC! AL GENERAL UAEiLI TY _I t-- TFT- R i� a o,- :��r_r_:ce'—I} $---- 50, 000 A S I CLAIkS'.tv1ADE OCCURFP0110567308 /15/2011 /15/2012 PAID EY,F !, n ne ers�nl $ 5,000 -1EP SONAI $ 1,000,000 _ a GEVERAL AGGP.EGATF $ 2,000,000 I GENT. AGGREGATE LIMIT APPLIES PEP PPOCL'CTS - C0Y!P/OP AG G $ 2,000,000 F R,-1- S P,- Y - LOC $ AUTOMOBILELIABiLITY - OM3iNED S NGLE I IIAT i :Eu BODILY INJURY IPerwsrr.) ANY AUTO i -I ALL OWNED 3CH1-?LLED AUTOS AUTOS BODILY INJURY (Per acrid=r+` 3 - - PON -OWNED HIREDAJ'!`0'= AUTOS _ PRO=EPTY DAi I.AGE (per c F -.n UMBRELLA LIAR OCCUR i _ EACH OCCURRENCE ° ^'•- EXCESS LiAB Lr.11nc AG3F.Ei;ATE $ DED RETENTION $ � $ $ WORKERS COMPENSAT'ON a'JC S'fP.TU- AND EMPLOYERS' LIABILITY YIN r; y IMITS : E.L. EACH ACCIDENT1 , 000 , 000 AIJY PROPRIETOR;FARTNERIFXF-;JT VE 0 RCERiWIEMBER ET.C.LUCEr ❑ (Mandatory In NH) 'f es, descri5e u.^.tler N I fi i 6S59UB-•4503P84-5-11 I 1/19/2011 1/19/2012 ELCISEIISE-EAE!AP1TtE 'T 1 000 000 E.L. DSEASE- POLICY LIMIT DESL'F IPTI O N 0 F O PER AT CN S. hel ow _. -- S _ 1,000,000 DESCRIPTION OF OPERATIONS[ LOCATIONS I VEHICLES (A1ach ACORD 169, Additional Remarks Schedvie, if more space !e required) Carpentry CERTIFICATE HOLDER CANCELLATION ( 978) 469-9969 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE: DELIVERED IN Town, of North' Andover ACCORDANCE WITH THE POLICY PROVISIONS. tborth Andovex, MA 01845 AUTHORIZED REPRESENTATIVE Diane Fraioli /I iG�- ACORD 25 (2010,(05) ©1998-2010 ACORD CORPORATION. All rights reserved. INS025 The ACORD name and logo are registered marks of ACORD PROPOSED BEAM . 3.5"xt 1-7/8" 2.0 E PSL BEAM SUPPORTING 2ND F�LR. -� (3) 2x4's MIN. PROPOSED 4" DIA. L.0 BELOW SCALE: 3/8" = 1' EXISTING CONC. FNDN. BELOW i IIIIIIIIII� EXISTING KITCHEN „'-s��t EXISTING FLOOR JOIST i iS IIIII�I � � I kOPO EDS ---�� ".PROPOSED OPENING W%S NEW BEAM 4" DIA. LC- BELOW .C.BESW EXISTING DINING {BOOM I14' -811t FRAMING PLAN NOTES: 1) ALL WORK TO BE PERFORMED IN A WORKMANLIKE MANNER AND IN ACCORDANCE ;WITH LOCAL AND STATE BUILDING CODES (780 CMR). 2) WORK TO BE IN COMPLIANCE WITH MANUFACTURERS RECOMMENDATIONS. 3) ALL SUPPORTING COLUMNS/POSTS TO BEAR ON FOUNDATION OR PROVIDE A CLEAR LOAD PATH TO FOUNDATION VIA. SUPPORTING BEAMS. 4) ALL CONECTIONS TO BE PROVIDED WITH SUITABLE SIMPSON STRONG -TIE CONNECIORS. 5) PROPOSED LUMBER TO BE BY MICROLLAM (LVL) AND PARALLAM (PSL) BY WEYERHAUSER. 1 x-11,[111 1/2 9) COAT ALL STEEL BELO WITH 2 HEAVY APPLIC� OF COAL—TAR EPDXY REINFORCE W/ #4's @ FOOTINGS 12" EW T& LALLY COLUMN DETAIL SCALE: NTS 5/8" DIA. EXPANSION '4" 0.D.)I a 0 BOLTS 2ND FLOOR BEAM DESIGN 23 GILMAN LANE NORTH ANDOVER, MA DEREK& MELISSA SLAYTON 'A CONSULTANTS, INC. 7 GREF ROAD , MA 978-502-519