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HomeMy WebLinkAboutBuilding Permit #047-2016 - 268 REA STREET 7/10/2015 NORTH - BUILDING PERMIT of 32 1tLg° '6 qH�yE V 6 c TOWN OF NORTH ANDOVER o w APPLICATION FOR PLAN EXAMINATION q10 c 11PermitNo#: A1C Date ReceivedR�reo 1 / ��SSACHt1`-+�4 Date Issued: U i`� IMPORTANT:Applicant must complete all items on this page LOCATION �02 1; 7- Print PROPERTY OWNER l�-� 1-4 N g4 Print 100 Year Structure yes no MAP PARCEL:0I Z7 ZONING DISTRICT: Historic District yes no Machine Shop Village yes no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building One family ❑Addition ❑ Two or more family ❑ Industrial ❑Alteration No. of units: ❑ Commercial ❑ Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other --—. _ M Septic []Well ❑ Floodplain 0 We#landsy [j Watershed District ` p Water/Sewer m_ _ __ 4 uDESCRIPTION OF WORK TO BE PERFORMED: 'ems V viA Identification- Please Type or Print Clearly .Z, OWNER: Name: ns C4 Phone: 'F 0�0' 07 Address: Contractor Name: `o�n� d./-trfl L� Phone: Email: Address: Supervisor's Construction License: (22 Exp. Date: p Home Improvement License: ! fy J Exp. Date: ARCHITECT/ENGINEER Phone: Address: Reg. .Noi FEE SCHEDULE:BULDING PERMIT:$92.00 PER$9000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ 0( L tit c') FEE: $ Check No.: Receipt No.: 2: °1 o4 NOTE: Persons contracts g with unf9gistered qpntractors do not have access to the guaranty fund Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ TYPE OF SEWERAGE DISPOSAL Public Sewer ❑ Tanning/Massage/Body Art ❑ Sin fimlling 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 a U FORM PLANNING & DEVELOPMENT Reviewed On Signature_ COMMENTS I CONSERVATION Reviewed on Signature COMMENTS HEALTH Reviewed on Signature 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 MEIVT r Tern D �` �; , ;"` FIRE DEPS., �t L .�tj tL p umpsferfiontsiteF^ Y�eS � no �_ 7--�` gnc-aMot 1M24tMain�Streetr, :** I' Fire _De artrne �'.=ure Jam. t. ��,p" nti� gnatureLd`ate v Dimension Number of Stories: Total square feet of floor area, based on Exterior dimensions. Total land area, sq. ft.: ELECTRICAL: Movement of(deter 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 II NOTES and DATA— (For department use) SII ❑ Notified for pickup Call Email Date Time Contact Name Doc.Bnilding Pennit Revised 2014 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 OTE: 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 ra Floor/Cross Section/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 OTE: 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 2012 IECC Energy code Engineering Affidavits for Engineered products OTE: 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:Building Permit Revised 2014 Location 2 No. � Date . - TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $ 2 Foundation Permit Fee $ d' Other Permit Fee $ TOTAL $ C. i Check# . r 1. . F n ., uilding Inspector NORTH own of 1 _E �, And-over O to No. P, _ r Mas t� Za 5 r � h ver, s T LAN! COC NIC HI WICK � �a QDR�{TED S V - BOARD OF HEALTH Food/Kitchen PERMIT T LD Septic System 00""ft THIS CERTIFIES THATQ..W .....tel. ,,,,,,, ............. BUILDING INSPECTOR Foundation has permission to erect .......................... buildings on .. ....... !�! .... .... ........................... Rough to be occupied as �� �.� .... ....v...... !-�11 ............. Chimney .............. . ..... ....... .. . ........ .. ......f6m.... .... . provided that the person accepting this permit sh every respect conform to the terms of the ication Final on file in 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 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTION A Rough ��3 • Service • .................... .... ................................... ............ Final BUILDING INSPECTOR GAS INSPECTOR Occupancy Permit Required to Occupy Building 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. t ea2, ! h i .>t 0 .: IResidential Commercial Roofing SidingCHIMNEYSPOINTED-REBUILT-CAPPEDExpert ®ter�UVark : Dass Tall free _..._ vref rCpercterl Sr^ 1,976 = >' m Licensed. & Insured 1-800-WAIT-4-US License#034200 z c� o0,,lzfg{924 8487} We. iAlcnrSc Year lFZrrurid ..! s"' kyr Y 'a 3�w� ',.'" ,c'-�g'� r � ;fv � .���`� � '•Y i � �3'�°' ,g�� 'a�y �� T� ��''L�,'� � � a•- � ,. "a 8 r� � � +��i#a ..':'-„ ;r,r $ '�s�'S 4 :.�11 or YY .a ,r, .a. .& ... =� «»+. .a.,.; „x'ss'.a. .. +°'7.✓`r ... ,Q�»,:7. Y^ .. hy. :e a Proposal To: James Lynch Date A//15 Street: 268 Rae St. 978-852-7800 N. Andover, MA Vinyl Siding Proposal James.lynch@gmail.com 1. Remove all existing siding and corner boards 13. Removal and installation of light fixtures and from entire house. doorbells included.New fixtures and doorbells must 2. Inspect all wood components of entire house. be provided by homeowner if wanted. Any compromised material will not be left. Any 14. Install composite kick plates under all entry doors of existing damage or rot will be discussed, where applicable. confirmed with homeowner and replaced at an 15. Proposal does not include any painting or staining. additional cost of time and material. 1 st 32sq/ft of Existing front entry mantel to remain. plywood at no additional cost. 16. Building permits included 3. Install housewrap to entire house. All seams will 17. Removal of all work related debris be taped. 18. Limited Lifetime vinyl siding warranty from 4. Install 4"vinyl traditional corners to all house MFG. , not contractor. corners. (white or colored) 19. Contractor workmanship warranty: 10 years under 5. Install Mastic Carvedwood .044 double 4" vinyl normal weather conditions. siding to entire house. Standard colors only. TOtal COSI: �21����.�0. I rA 6. Soffit area: Drill holes in all rafter bays for added O do ventilation where or if needed. Install white vinyl nstall louvered or raised panel vinyl shutters. perforated Invisivent soffit panels. $ 60.00.,.per pair additional cost. ° 7. Install j-channel to all areas that need to accept I all all new white .032 seamless aluminum vinyl siding. All j-channel will be self-flashed gutters and downspouts to all existing areas. and angle cut for clean professional appearance. $750.00 additional cost 8. Install custom bent Alcoa white aluminum trim coverage to all fascias, rakes, applicable entry *Note* Tudor style area: Remove all existing pine door casings, window casings and sills. trim. Install Mastic Cedar Discovery double 7" 9. Install white composite PVC 908 to garage door frame, casing and weather bands. vinyl cedar shake panel to entire area. Remove all shingles from roof wings, counterflash with ice and 11. Install all new vinyl accessories: light blocks, water shield, install new aluminum step flashing gable vents, split blocks, meter block etc. (Removing and install all new shingles to match. and re-installing electrical meter by licensed electrician and permit included in proposal) Payment schedule: 12. Install sleeve over existing AC exterior pipe. 1/3 on project start date 1/3 at project halfway point Final balance including any extras due upon project ri completion The Commonwealth ofllfassachusetts Department of Industrial Accidents Office oflnvestigations 600 fMashington Street Boston, _114 02111 mmv.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print LeZiblY Name (Business/Organization/Individual): l f�`��J'" 6'l,,_ Address: T, City/State/Zip: 44'V''A��^^)'t"'` �'�'l6�'lJ Phone#:nI,�'f`IJ IJ Are you an employer? Check th'unppropriate box: T}'pe of project(required): 1.�am a'employer.with.�_ 4. ❑ I am a general contractor and I employees (full arid/orpart-time).* have hired the sub-contractors 6. ED New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. �• ❑ Remodeling ship and have no employees These sub-contractors have 8. ❑ Demolition working for me in any capacity. workers' comp. insurance. 9. ❑ Building addition [No workers' comp. insurance 5. ❑ We are a corporation and its required.] officers have exercised their .10•❑'Electrical repairs or additions 3.❑ I am a homeowner doing all work right of exemption per MGL 1 l.0 Plumbing repairs or additions myself. [No workers' comp. C. 152, §1(4),and we have no 12.0 Roof repairs insurance required.]t employees. [No workers' - comp. insurance required.] 13.0 Other *Any ripplicant that checks box ill must also fill out the section below showing their workers'compensation policy information: t Flomeoners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. XContraclwors that check this box must attached an additional sheet showing the name orthe sub-contractors and their workers'comp,policy iriforrnation. I am air employer that is providing►vor-kers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: r yk-L iTwo Policy#or Self-ins. Lic. #: c `� ' `�lF S z l 14 14Expiration Date:_ Job Site Address: C X i ` — Alf " City/State/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 can lead to the imposition of cHminal penalties of a fine up to$1,500.00 and/or one-year imprisorunent, 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 OILS statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification 1 do hereby ceiYifj�_rude riepains acrd penalties ofperju>),that the inforvration provided above is true and correct Si ature.- J Date: Phone#: Oficial use only. Do not wriie in this area,to be corrrpleted by cit,or torpn offciaL 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..0ther Contact Person: Phone#: DA If(WAVY CWW447E =SWQ AS A URTTM Of=FO=UZ=-OWV.MW COWUM NOVSKM UPW THE cERWCATF HOLDER 1'"m O�OOFIRMUNTHMAINWT OR Off,' ,Eas Ana Im "PON"sr_ TWE POUCIES TM C�T:r of�seas 4W cv` � �aEM� THE MUM INMERM AitTf FUZED xr tow reefs..IsMs H 4r A f d 0 U VARIVIM sqbjsat to asW ed •9 Mier Atl11lall eai0[s slakis140 dgMS fa the rets emu"in Nw of such � 1inua. mmeP w#.lac tVy*,69S-?f" ►,lee,-o..*A 011 Akio 4RL& gitQer One X01A.10 � .Yp�tdi L�►2a3:awn f - - Temple f►rava fftttkue�n. "A '01144 J1'Gun C CitTEMi�! ![�f:R01t Mff1RllEft: V@DICCATEO, TO CMTWV THAT T"t '•'+OMIES f#• 'LUMM HAW MEW TO T"IF 98SUftlsD ASOVrz k TiIE'l'QL'!GY 1+6Rr(.4D;AM 8� MW OR 00UNTM OF AW GOAT OR OTH R MW WIT#! V4MPECT T4 VWIC:f T�€."ATE MAM BE 1SR MO OR MAY P UNK TW�+ � �� �D HERIM R5 SLIWEtI TO ALL TME TERMK ALIO CONIMSTM OS OF SVC"POL=M LOWS 3M M•RM W NMEOEM1 Rt P*M C&M" R _ 3 w, ' T �[� 5 d F:wf;.: swulm 1TlTS 9TIIOIIrCAtifuY3fl[it3'SF#7.IIDCt ..�i � ��MiE'eiAie�ir!lrwNrikygre.►�r.wil *e worvxj s co"W eenslkarun Qaacy slues took Pn"o tt covet"*far Aw- LarM erwe 3 t 1004 #AT 4W"NE A*9W 0 POLiCM INE 4:010�JW oft + f Utom' Massacliusetts-O !t4epaiimtt 0°"s Public Safety Board of Suiiding Recguiations and Standards construitiiii7 supcn ieili` License:CS-069120 , 4 ``L�tti I♦ tJ�l. r �". JOHN W LANZAFME 30 TEMPLE DR METHUEN MA 018441 , r ✓.�..�.t� gG, 'i tt `` Expiration t oattrr�issic,er 04/03/2017 _.__.._.._.,...:...,>.,,.,_...__..._,_.... ..... m.., Zip City/Town State ; i code Search Registrants Click on the registration number to view complaint history,You can also view arbitration and Guaranty Fund histo The list is current as of Wednesday, October 8, 2014. t' Search Results REGISTRANT RESPONSIBLE REGISTRATION EXPIRATION t NAME INDIVIDUAL NUMBER ADDRESS DATE STATUS ALL UNDER ONE ROOF LANZAFAME, 137057 166 A MERRIMACK ST 10/02/2016 Current JOHN METHEUN, MA 01844 ©2012 Commonwealth of Massachusetts. Mass.GovlD is a registered service mark of the Commonwealth of Massachusetts. ,n+nr)nt It .._...............__........._._._.. _...... ..._.,.....................