HomeMy WebLinkAboutBuilding Permit #739 - 230 WINTER STREET 5/14/2007BUILDING PERMIT
TOWN OF NORTH ANDOVER
APPLICATION FOR PLAN EXAMINATION
Permit NO: // Date Received
Date Issued:
IMPORTANT: Applicant must complete all items A s pate/
D_ESGRIPTION OF WORK TO 6E PREFURMtU:
44,
f
ARCHITECT/ENGINEER . Jo "\e- Phone:
Address: Reg. No.
X11, tt�eo �aa•ry�
.ate aO „p, a OLof
W' -'S -61r-9393
FEE SCHEDULE. BULDING PERMIT. $12.00 PER $1$110^00.00 OF THE TOTAL ESTIMATED COST BASED ON $125.00 PER S.F.
Total Project Cost: $ ,G�-�J FEE: $ 119
Persons contracting with
Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑
TYPE OF SEWERAGE DISPOSAL
Public Sewer . C �4
Tanning/Massage/Body Art ❑
Swimming Pools g
e
-�
Well -
Tobacco Sales ❑
Food'Packajiftg/Sal ':.
Private (septic tank, etc. ❑•El9+.
Permanent Dumpster on Site
'
THE FOLLOWING SECTIONS FOR OFFICE USE ONLY
INTERDEPARTMENTAL SIGN OFF - U FORM
PLANNING & DEVELOPMENT
DATE REJECTED
M
DATE�,APPROVED
l
COMMENTSit�!C'�,r""K-
.c
Lill" L41w(-91
CONSERVA
COMMENTS
HEALTH
COMMENTS
DATE REJECTED DATE APPROVED
❑ ❑ -
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
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 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
❑ 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
4� 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)
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)
❑ Building Permit Application
❑ Certified Proposed Plot Plan
o 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
Doc: INSPECTIONAL SERVICES DEPARTMENT:BPFORM07
Revised 2.2007
Check #
20202
Building Inspector
Locations.30
No.
Date 7
_
NORT�y
TOWN OF NORTH ANDOVER .
O't��•° ,•,4•C
O
-
'
Certificate of Occupancy
$
s••'•O Eta
�CHUS
Building/Frame Permit Fee
$'/• l_ 6
Foundation Permit Fee
$
Other Permit Fee
$
TOTAL
$
Check #
20202
Building Inspector
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PR®PERTI ES
6c DEVELOPMENT
MA CS License #: 87851
MA HIC#: 151799
Real )estate Broker MA/NH
Project Address: 230 Winter Street
North Andover, MA 01845
Home Remodeling Proposal
We hereby propose to furnish the permits, insurance, labor, and materials to complete the following
remodeling project as described below:
3 Season Porch
1. Approximate 14' x 25' porch connecting kitchen and garage door
2. Will be weather tight with existing living room window, and two vinyl windows
3. French Doors to connect living room and new porch
4. Exterior door to connect porch and existing deck
5. 2" x 10" construction on sonatube foundation
6. Fully wired for electrical (customer to buy center light/fan)
7. Cedar siding to match existing house
8. Flat rubber roof (slight pitch), gutter to be moved to porch
9. Drywall interior, prime and paint
10. Reconfigure baseboard heating to accommodate French Door access.
Refinish Hardwood
1. Sand and polyurethane all existing hardwood floors
We hereby propose to furnish the permits, insurance, labor, and materials for the specifications above
for the sum of: ($36,800.00) Thirty six thousand eight hundred dollars.
Payment as follows:
Signing of remodeling contract: $3,000
Floors Refinished: $3,000
Porch Start Date: $15,000
Porch Complete: $15,800
Start Date: Porch to begin within 5 weeks.
All material is guaranteed to be as specified. All work to be completed in a substantial workmanlike manner according to
specifications submitted, per standard practices. Any alteration or deviation from above specifications involving extra costs
will be executed only upon written orders, and will become an extra charge over and above the estimate. All agreements
contingent upon strikes, accidents or delays beyond our control. Owner to carry fire and other necessary insurance. Our
workers are fully covered by Workmen's Compensation Insurance. If either party commences legal action to enforce its rights
pursuant to this agreement, the prevailing party in said legal action shall be entitled to recover its reasonable attorney's fees and
costs of litigation relating to said legal action, as determined by a court of competent jurisdiction.
1
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PROPERTIES
& DEVELOPMENT
Authorized Signature 3/2Z12007
This proposal made be withdrawn if not accepted in 7 days.
ACCEPTANCE OF PROPOSAL: If proposal is accepted, a remodeling contract will be drawn up and
signed by both parties.
Signatur4�dL��-.
Signatures Cil:
Date of Acceptance 0700'
Monday, May 07, 20071:27 PM
AJiNIORNMN
PROPERTIES
& DEVELOPMENT
May 7*, 2007
Mr. Lincoln Daley
North Andover Planning
1600 Osgood Street
North Andover, MA 01845
Dear Mr. Daley:
Norman Properties 603-974-2875
p.02
RECEIVE®
MAY e. 7 2007
NUm f H ANDOVER
PLANNING DEPARTME
My customer on 230 Winter Stmt submitted a building permit application on
April 30" for a 3 season porch to be built between his existing deck and rear of home.
There is a 14' x 32' cavity between the home and deck that we will be filline in with a 3
season porch on sonatubes.
The conservation commission assessed the project on site and signed off that there
are no wetlands within 100'. The home was also built prior to 1994 and we have no
engineer involved because the project is so small.
The site has also been evaluated for wetland presence within 400' of the new
porch and no wetlands were found to be within this radius. Norman Properties and the
owner, Roland Michaud, respectfully request a waiver for the watershed protection
portion of the building permit application process.
Since ,
Ry arman
President, Norman Properties
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t.OTE. THIS PLAN IS NOT A SURVEY AND SHOULD BE USED FOR MORTGAGE PUR?OSES ONLY. DO.NOT USE OrFSETS
tOR E6TA6--ISHING LOT LINES FOR -t qE ERECTION OF FENCES OR.CONS7RUCTION FLIRPOSES
I HEREBY CERTIFY THAT I HAVE .EXAMINED THE PREWSES AND ALL EASEM..ENTS, ENZROACHMENTS FNaBUILD-
INGS ARE LOCATED ON THE GROUN'DAS SHOWN If LIFTHER CERTIFYTHAT THE BUILDINGS SHOY•'N CONFOPMED
TO THE ZONING LAWS AND AttENotzEN'TS OF hot TH ANDoYEL WHEN COt.=TRVCTED (FURTHER CERTIFN, TMAT
TH*PROPE;T-YIS NC1? LOCATED IN THE ESTABLISHED FLOOD HAZARDAREA
EWARDSHENKERF.E *30354
BUYER: _
T4 THE !' p.14e.
WILLIAM I� f,. a� () Tau i� cbiit'%'if�'1 �'�(T1 GF �•Ii.:
T'OULDS
BOOS:: 110k, MORTGAGE PLOT L,�:
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Licensed Contractor Look Up
Select the search method: Name
Maximum number of matches: 25
Enter Search terms separated by spaces. michael norman
Select Search type: AND OR Search
Search Results
City/Town
NEWTON
Page 1 of 1
Name I T ice Lic. # Restriction Expiration Street Fi4zip
NORMTC14AAN, IFCS—]��36SHELDON 1nNrt�unFrt F 11814 00 4/26/2008 MA mi S
PLAISTOW ICHAEL CS 87851 00 F9/23/2007 ['6_K L`L�EHER NH 03865
_..�..■ v= � rcwrua
matched.
http://db.state.ma.us/bbrs/Contract.pl
4/20/2007
Results
' ' 4
Home Improvement Contractor Look Up
Enter Search terms separated by spaces. Search terms can be Town/City, Name, or License number
Select Search type: AND OR Search
Search Results
Reg. No. A plicant Street
MICHAEL 127 Fowler
i 06060 NORMAN Street
DAVIDSON
MICHAEL 36
121683 NORMAN SHELDON
RD
NORMS 406
139120 HOME MICHAEL
SERVICES SEARS RD.
MICHAEL 10
151799 NORMAN KELLEHER
AVE
Total of
4
Records
City State Zip Name
Upton MA 01568 Davidson,
Michael
NEWTON FMA [02159[ NORMAN,
MICHAEL
TOWNII MA
PLAISTOW 11 NH
Page 1 of I
TitleEx iration
Owner 7/21 /2006
6/4/2008 II
►KHAN,
CHAEL OWNER 7/5/2008 ]1
http://db.state.ma.us/bbrs/hic.pi 4/23/2007
01007
BEAUCHEMIN,
OWNER
6/13/2007
NORMAND
►KHAN,
CHAEL OWNER 7/5/2008 ]1
http://db.state.ma.us/bbrs/hic.pi 4/23/2007
The Commonwealth of Massachusetts
fu Department of Industrial Accidents
Office of Investigations
k1V 600 Washington Street
Boston, MA 02111
www mass gov/dia
Workers' Compensation Insurance Affidavit: General Businesses
Applicant Information ` Please Prix
VC;Business/Organization Name: -fvv\c.," �Y- o C-5 } PCVe
Address: t U Ke - t CA�Y` A v
City/State/Zip: 0',t,0\°'�=i iA V 3 6 Phone #: G �--9 74
Are you an employer? Check the appropriate box:
1. I am a employer with 10,— employees (full and/
or part-time).*
2. ❑ I am a sole proprietor or partnership and have no
employees working for me in any capacity.
[No workers' comp. insurance required]
3. ❑ We are a corporation and its officers have exercised
their right of exemption per c. 152, §1(4), and we have
no employees. [No workers' comp. insurance required]*
4. ❑ We are a non-profit organization, staffed by volunteers,
with no employees. [No workers' comp. insurance req.]
Business Type (required):
5. ❑ Retail
6. ❑ Restaurant/Bar/Eating Establishment
7. ❑ Office and/or Sales (incl. real estate, auto, etc.)
8. p Non-profit
9. ❑ Entertainment
10.❑ Manufacturing
11 'D Health Care
12.❑ Other
"Any applicant that checks box # 1 must also fill out the section below showing their workers' compensation policy information.
•'If the corporate officers have exempted themselves, but the corporation has other employees, a workers' compensation policy is required and such an
organization should check box #1.
I am an employer that is providing w kers' ompensahon insurance for my employees. Below is the policy information.
Insurance Company Name: rO 4,\�`j i1Yi�MC �+
1
Insurer's Address:
City/State/Zip: !JI. tY\41p,- , -7 � C) I
Policy # or Self -ins. Lic. # Nic 'd -'j – 000 N -�-00 Expiration Date:
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.
Phone #: )
Official use only. Do not write in this area, to be completed by city or town offu:iaL
City or Town:
Permit/License #
Issuing Authority (circle one):
1. Board of Health 2. Building Department 3. City/Town Clerk 4. Licensing Board 5. Selectmen's Office
6. Other
Contact Person:
www.mass.gov/dia
Phone #:
Acadia Insurances
Renewal Of No. New
Acadia Insurance Company
Administered by Berkley Risk Administrators Company, LLC
P.O. Box 939, Pierre, SD 57501-0939 2510 E. Irwin, Pierre, SD 57501
Phone (605) 945-2144 Fax (605) 945-2048 Toll Free (800) 634-4589
NCCI Carrier Code 33391
1. The Insured:
Michael Ryan Norman
dba: Norman Properties & Development
10 Kelleher Ave
Plaistow, NH 03865
Other workplaces not shown above:
See Schedule
INFORMATION PAGE
WCIP Policy Number: WC -28-28-000193-00
Risk ID:
Tax ID#: S 002685315
Date of Mailing: 3/5/2007
X� Individual 0 Partnership
Corporation r-1 Other
2. The policy period is from 12:01 a.m. 2/14/2007 to 12:01 a.m. 2/14/2008 at the insured's mailing address.
3.A. Workers' Compensation Insurance: Part One of the policy applies to the Workers' Compensation Law of the states listed here:
NH
B. Employers Liability Insurance: Part Two of the policy applies to work in each state listed in item 3.A.
The limits of our liability under Part Two are: Bodily Injury By Accident $100,000 each accident.
Bodily Injury By Disease $500,000 policy limit.
Bodily Injury By Disease $100,000 each employee.
C. Other States Insurance: Part Three of the policy applies to the states, if any, listed here:
SEE WC 00-03-26 (A)
D. This policy includes these endorsements and schedules:
NC000113 WC000308 WC000326A WC000403 WC000404 WC000406 WC000414 WC000415A WC000417 WC000419 WC000421A
NC000422 WC280604 WC990001A WC990601
4. The premium for this policy will be determined by our Manuals of Rules, Classifications, Rates and Rating Plans.
All information required below is subject to verification and change by audit.
PREMIUM BASIS RATES ENTRIES IN THIS ITEM, EXCEPT AS SPECIFICALLY PROVIDED ESTIMATED
ESTIMATED TOTAL PER $100 OF CODE ELSEWHERE IN THIS CONTRACT; DO NOT MODIFY ANY OF ANNUAL
ANNUAL REMUNERATION NO. THE OTHER PROVISIONS OF THIS POLICY. PREMIUM
RFMI INFRATIMI
See Schedule
Minimum Premium
$900.00
Ag-encv Name and Address
Phaneuf Insurance Agency Inc
PO Box 1296
Haverhill, MA 01831
)ATE: 3/5/2007
Dual Premium
Iject Premium
iified Premium
'idard Premium
ense Constant
sign Terrorism
iI Estimated Annual Premium
Deposit Premium Required
nium Paid to Date
it Premium Due
Stat Code 9740
Signature: C_; c1, .
icludes copyright material of the National Council on Compensation Insurance used with its permission.
D-1983 _@ 1991 National Council Compensation Insurance
$1,030.00
$1,030.00
$1,030.00
$1,030.00
$185.00
$1.00
$1,216.00
$608.00
($700.00)
$516.00
WC 99-00-01
8087 590994
ENERGY CONSERVATION APPLICATION FORM FOR
LOW-RISE RESIDENTIAL NEW CONSTRUCTION and ADDITIONS
780 MR Appendix J
Applicant Name: v C` Site Address: _d 30 UJIIAIkYS�_
City/own: �,,d ov
,1600 1c4 X�A Use Group:
Date of Application: H 23107
.Applicant Phone: 97f5 -%91 '`13q 3 Applicant Signature:
Compliance Path (check one):
❑ Prescriptive Package (Limited to 1- or 2 -family wood frame buildings heated with fossil fuels only)
Package (A through KK from Table J5.2.1 b): Heating Degree Days (HDD65) from Table J5.2.1 a:
(For items d. through i., fill in all values that apply from Table J5.2.1b:)
a. Gross Wall Area sq.ft f. Wall R -value R-
b. Glazing Areal sq.ft. g. Floor R -value R -
c.. Glazing % (100 x b _ a) % h. Basement wall R-
d. Glazing U -value U- i. Slab Perimeter R-
e. Ceiling R -value R- j. Heating AFUE
❑ Component Performance: "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 HVAC Trade -Off Worksheet, if applicable] .
❑ M4Scheck Software
Attach Compliance Report and Inspection Checklist printouts
❑ Home Energy Rating System Evaluation
Attach Home Energy Rating Certificate (HERS rating score must be 83 or higher)
❑ Systems Analysis... _ _ OR.. D Renewable Energy y Sources_
_..... .
Attach Mass Registered Architect or Engineer Analysis
A-LTERNATIVE FOR ADDITIONS ONLY:
a. Gross Wall + Ceili.ng Area sq.ft. b. GIazing Areal sq.ft. c. Glazing % (100 x b= a) %
❑ .ADDITION with Glazing % (c.) up to 40% may use 780 CMR Table J1.1.2.3.1 below:
I vlazing Area may be either Rough Opening or Unit dimensions.
2 Based on NFRC listing. Applies either to every unit, or to area -weighted average of all units.
R-30 ceiling insulation may be used in place of R-37 if the insulation achieves the full F. -value over the entire ceilinm area
(i.e.- not compressed over exterior walls, and including any access openings.)
"SUNRtOOM" addition (greater than 40% blazin;-to-wall and ceiling gross area)
Attach "Consumer Information Form" from 780 CIv1R appendix B.
Official's Name: — Official's Signature: