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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 CI EW—* W 0 N o w° v91w a cin as a a w° v rw U w p. a°' �, w a W u w w°' w w W C cA o cn �1 c 0 m c 4c� C2 z o= ci o ��ac :A o� :co C/) : D CL NJ E=o p mm G, m c 0Cf)W z � W. w p ? b- S U �a.v� c _ _ = N W c� ID m a V v to 0 0 Z o ` o a c � m : N • C �C = O 4D3 IV ~ r y O rte. 1-- O COD W = m W C •N dt = Z LLI0 '� m •M O COD CO a g _ Go m ` = o H z warm fil cl U) U) W W oc W U) r� f 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 1 rqrlR _ LLA 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 8 1CIO �6S OZ .50 d3,nXa7,8 - �3�f A3.7x - 1, 12 L c • N 21:3 O = V. '•Rat= �' D C � r LOT_ ---� 60.91 E 3 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,�: PAGE: 5c PLAN a,: �ytraht LOCATED _ ��I i\10 30�b4. I PLAN NO.: 3002 ��, �°, ,► SCALE: 1 =4O 7 =p ' 25 D !'V 1 to 1 Ic— P, �iif �rsT�Q V,��1`r +: .,� lc;����. 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I■■■H■■■■■ ■■■O MEI�1 MISSION■IO > ° 'IM JMENEM■■■■■ ■■O ■■m ■SEEMSL : NOON■■■MM■.0■■. ■■►■I®■■I■■i■■I■`<I! ■■®®■■I■I■I■!■i■iO;I ■/f■M■■■Mi■■■�Ni■■n■■M■■ ■■■■■M■■■■■■■■■ ■iii■■n■i■■i■■ ■■■i■■ ■■■■Ni ■iii!■■■■■■■■i■NOi■■■■■■ ■NOON■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■ 1tcbults 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: