HomeMy WebLinkAboutBuilding Permit #636 - 276 ANDOVER STREET 4/2/2007BUILDING PERMIT
TOWN OF NORTH ANDOVER
APPLICATION FOR PLAN EXAMINATION
Permit NO: 3
Date Issued: 2 7
Date Received
I IMPORTANT: Applicant must complete all items on this Dage
LOCATION �L-) 6
Print
PROPERTY OWNER C` ,----.,le S Jv �,,, Hu L w.4,
Print
MAP NO: PARCEL: .ZONING DISTRICT: `�
�.�_ ��_.. HISTORIC DISTRICT -ayes
TYPE OF IMPROVEMENT
PROPOSED USE
Residential
Non- Residential
❑ New Building
Addition
❑ Alteration
line family
❑ Two or more family
No. of units:
❑ Industrial
❑ Commercial
❑ Repair, replacement
❑ Demolition
❑ Assessory Bldg
❑ Other
❑ Others:
Public Sewer Ater
Flood lam D Wetlands `"
CI Watershed District.
DESCRIPTION OF WORK TO BE PREFORMED:
4A �.di` f'2 k " o N -e-
J
Identification Please Type or Print Clearly)
OWNER: Name: k Jota-i Phone:b-10 LS2--30455
Address:
CONTRACTOR Name:
L.,�„ Phony 0,1 ,
Supervisor's Construction License:. -:05-10:.. Exp Date
Home Improvement License 1 `'t Exp Date:_
ARCH ITECTtENGWN -ERS r,,,"�. t �s�-• Phone:CR-A0
Address:_ I�.0 dl,�,� Lqf- I JG, fj,",-J� Reg. No.
FEE SCHEDULE: BULDING PERMIT: $12.00 PER $1000.00 OF THE TOTAL ESTIMATED COST BASED ON $125.00 PER S.F.
Total Project Cost: $ 01 U V u FEE: $
Check No.: Receipt No.:
NOTE: Persons contrac-64 with unregistered contractors do not have access to the guaranty fu�
Signature of Agent/Owner \,(' a mature of
Location S�
No. �'� Date 1 G
Check # ef; 7 -e
200(,
TOWN OF NORTH ANDOVER
Certificate of Occupancy $
Building/Frame Permit Fee $ 121% ----
Foundation Permit Fee $
Other Permit Fee $
TOTAL $
t
k
Building Inspector
Plans Submitted Plans Waived. ❑ . Certified Plot Plan Stamped Plans ❑
THE FOLLOWING SECTIONS FOR OFFICE USE ONLY
INTERDEPARTMENTAL SIGN OFF - U FORM
PLANNING & DEVELOPMENT
COMMENTS
DATE REJECTED DATE APPROVED
❑ ❑
-�/ ��1►- Zia!;
DATE REJECTED DATE APPROVED
HEALTH C ❑
COMMENTS -P �- '
TYPE OF SEWERAGE DISPOSAL
Public Sewer 0 Tanning/Massage/Body Art ❑ Swimming Pools ❑
Well ❑ Tobacco Sales ❑
Food Packaging/Sales ❑
Private (septic tank, etc. ❑ Permanent Dumpster on Site ❑
Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes
Planning Board Decision: Comments
Conservation Decision: Comments
Water & Sewer Connection/signature & Date Drivewav Permit
Located at 384 Osgood Street
FIRE DEPARTMENT - Temp Dumpster on site yes no
Located at 124 Main Street
Fire Department signature/date
COMMENTS
Dimension
Number of Stories:--A_Total square feet of floor area, based on Exterior dimensions. L-1
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
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
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 Sprinkler Plan
And Hydraulic Calculations (If Applicable)
❑ Mass check Energy Compliance Report (If Applicable)
❑ Engineering Affidavits for Engineered products
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
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
�
Cq
\
w
cn
a
o
a
G�C
w2
OD
a°'
ani
U
C
w
a
Qr
a°'
w
a
�
r•:
w
�bD
a°'
V
�
w
w
'app
a°'
w
rA
O
cn
O
cn
LJJ
z �
t�
z
O
U
U)
E
I O O!
C
C
� p O
h cc -cc
ISL �
'O
CD
0 i
Co CL
cma
o c
O
= •p
-Kom
C Z CD
C.2 h
LU
�I.
W
cc
19
ui0
W
�
ev
a
CA
D
LU
�I.
W
cc
19
ui0
W
CERTIFIED PLOT PLAN
LOCATED /N NORTH ANDOVER, MASS.
SCALE:1 "=30' DATE:1/31/2007
Scott L. Giles R. P. L. S.
Frank. S. Giles R. P. L. S.
50 Deer Meadow Road
THE ZONING DIST. IS R-4.
North Andover, Mass.,
ANDOVER S TREE T
87.31'
R=25.00'
D
#276
LOT 2 EXIST.
m
12, 516 S.F. FND. PROPOSED b
PLAN# 6923 CO ADDITION N
_
M E. R. D.24 22' N
W
0
DECK
34'+1-
0
w
IV
m
104.46'
I CERTIFY THAT
OFFSETS SHOWN ARE FOR THE USE
THE OFFSETS
OF THE BUILDING INSPECTOR ONLY
J
SCO
SHOWN COMPLYAND
SUCH USE IS FOR THE
WITH THE ZONING
DETERMINATION OF ZONING
� s
3 2
c/SrER�°���`
BYLAWS OF
CONFORMITY OR NON -CONFORMITY
",\At t,ta�n'
WHEN BUILT
WHEN CONSTRUCTED.
-9-o7
w
r
Building Contractor
Proposal
To: Chuck & Joan Holman
276 Andover Street
North Andover, Ma. 01845
From Kevin Murphy
Cc:
Date: 3/10/2007
Job: Bedroom / Entry addition / Bath renovation
Date of plans: 12/06
Architect: Steve Foster
Location: Same
Section 1- Work Schedule
• 169 Boxford Street
North Andover, MA 01845
PH: 978-M-5335
• FAX: 978-688-7207
All Home improvement Contractors and Subcontractors
engaged in horne improvement contracting, unless
speafically exernpt from registration by Provisions of Chapter
142A of the general laws, must be registered with the
Cornmorweafth of Massachusetts. Inquiries about
registration and Status should be made to the Director, Home
Improvement Contrad Registration, One Ashburton Place,
Room 1301, Boston, MA 02108. (617)-727 8596
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 4/15107.
Barring Delay caused by circumstances beyond Contactors control, the work will be completed by 8/30/07. 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 1 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 111- Scope of Work
Page 2 of 4
169 Bo)6ord street
North Andover, MA 01845
PH: 978.6W5335
FAX 978-688-)0000
General
Building permit will be provided by contractor. There have been no allowances made to obtain a variance,
conservation, or board of health approval if required by town. Plans to be provided by owner. Proposal is to build
addtion as shown on plans dated 12/06.
Excavating
Excavation required to install a frost wall foundation will be provided. Backfilling and rough grading will be
provided. Any additional fill will be removed from site. Lawn will be repaired / replaced around addition and
access area from neighbors yard. Existing shed will be relocated on site.
Foundation
Poured concrete foundation will be provided for addition. Rough concrete floor will be poured in crawl space.
Access to new crawl space will be provided from existing full basement area. No allowance has been made for
a full basement. No allowance has been made for concrete pumping. Access for concrete trucks / deliveries to
be from neighbors driveway / yard.
Building
All frame, roof, and siding materials will be provided to match existing / meet building code. All floor, wall, and
roof sheathing will be plywood ( 3/4 on floors, 1/2 on walls, 5/8 on roof) Exterior walls will be 2x4. Floor joists,
ceiling joists, rafters will be sized to meet code. Roof shingles to match existing, ice& water sheild will be
provided at all roof edges. Siding will be cedar to match existing, over Tyvek or equivalent Anderson windows
will be provided as shown on plans. Exterior steel door units will be Thermatru or equivalent.
Plumbing
Plumbing required to add new 3/4 bath and laundry connections will be provided. An allowance of $1000 has
been included for plumbing fixtures ( $200 for toilet,$200 for faucet, $100 for shower valve, $400 for shower,
$100 for sink). Gas piping required for new fireplace will be provided.
Electrical
Electrical work required to wire additon to meet code will be provided. Existing electrical service will be upgraded
to 200amps. Plugs and switches to meet code. Phone / cable/ and computer lines to be roughed in by
electrician , to be connected by their service provider at owner's expense. Surface mounted fixtures to be
provided by owner ( ceiling fan, vanity light etc.) .
Heating/Air Conditioning
A separate zone of forced hot water heating will be provided off of existing boiler. No allowance has been made
to upgrade / replace existing boiler.
Insulation
All added / renovated areas will be insulated to meet code ( R-13 in exterior walls, R-19 in cellar ceiling , R-30 in
first floor ceiling) .
Plaster
Page 3 of 4
169 Bodord street
Morro Andover, MA 01845
PH: 978-6W5335
FAX 978.6WXXXX
All added / renovated areas will be blueboarded and skimcoat plastered. Walls will be smooth, ceilings to match
existing, closets will be textured.
Interior TrimfDoors
Pre -primed interior trim and doors will be supplied and installed to match existing.
Painting
No allowances have been made for any interior or exterior painting. Painting can be added at a cost of $4000.
Flooring
Tile floors will be provided in new laundry / bath area. An allowance of $700 has been included for tile materials
( approximately $5 per square foot) .
Carpets will be provided in new bedroom area. An allowance of $800 has been included to supply and install
carpets ( approximately $30 per yard ) .
Hardwood flooring will be supplied, installed, and finished in new sitting area.
Waste Removal
All construction / demolition debris will be disposed of by contractor.
Other Allowances
An allowance of $2500 has been included to supply and install gas fireplace and mantle / surround .
Items Not Included
There has been no allowance made for bath vanity, countertop, glass shower doors.
189 Bo>ffad Street••
Nam Andover, NIA 01845
PH: 978-6885335
FAX 978688-1000(
Section N - Price Schedule
Page 4 of M
We hereby propose to furnish material and labor — complete
in Accordance with above specifications for the sum of ..................................... $90,000
Payment to be made as follows:
Percents elitem
Description
Amount
1
Permit obtained
$3000
2
Foundation complete
$15,000
3
Roof complete
$25,000
4
Siding / windows installed
$15,000
5
Rough plumbing / electric complete
$12,000
6
Plastering complete
$8000
7
Trim / floors complete
$8000
8
Job 100% complete
$4000
8
$90,000.00
Notice No agreertient for Hare miprovement contracting work shall require a down payment (advance deposit) of rtare mat onaturd of the total cmtract pice of the total amamt of all deposits or
payments which the corilractor mast mace, in advance, to oder and/or omervrise obtain delivery of special order materials and eghapnent, wtchever is greater
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 will 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 cancellation must be done in writing
DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES
Signature Data
Signature Date
�,
NORTH ANDOVER BUILDING DEPARTMENT
Tel: 978-688-9545
DEBRIS DISPOSAL FORM
In accordance with the provision of MGL c 40 S 54, a condition of Building Permit
at: `� „�, S� is that the debris resulting from this work shall be
disposed of in a properly licensed solid waste disposal facility as defined by MGL
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:
Fire Department Sign off:
Dempster Permit
(Location of Facility)
Signa t re lVermit Applicant
-3 (Z3 / 0--)
Date
The Coaanxonwealth of Messardurse is
1i Department of Industrial Accidents
'lE 4.1i Office of Investigations
600 Washington Street
\� Boston. MA 02111
t www,tnassgoy/dia
Workers' Compensation insurance Affidavit: Buildeta s/ContrSetorsiElectrician�IPlumbers
nnUejan t I nfn.rt "ati"m
��Name tit(atita�+.rl!)rgur►iritti.uiltnclivictu:ill: .s. arva
City/State/Zip:��.•----L_ Oh _ Phone #:�5�
Are you an employer? Check the appropriate box:
IIA i am s employer with
4. ❑ 1 am a general contractor and I
.3_
empkryees (full and/or part-time)."
have hired the sub -contractors
2.[] 1 am a sole proprietor or partner-
listed an the attached sheet.
ship and have no employees
These sub -contractors have
working for me in any capacity,
workers' camp. insurance,
(No workers' comp, insurance
5. ❑ We area corporation and its
required.]
officers have exercised their
3. ❑ 1 am a homeowner doing all work
right of exemption per MGL
myself. (No workers' comp,
C. 152, $I(4), and we have no
insurance required.) r
employees. [No workers'
comp, insurance required.]
TYlre of Project (required):
6. [j New construction
7. ❑ Remodeling
R. ❑ Demolition
9-"ABuilding addition
10.0 Electrical repairs or additions
I I .F1 Plumbing repairs or additions
I2.[] Roof repairs
{ 3.❑ (hher
nm, {.,rc N r,1,..N n 1 rntw, anv r"r lrpl rn0 WC110I1 a low wu►wing their w<ttkers, Coln
t Fttxr+aeers N ho submit rhes afridwit arc d P��tam t�icy
ind intonmrtwn.
S �r �H ati wild end then [tire outside umrtncfors must submit a Iarca utTidsvit indicateag such,
C'onhsclnn "Wf tdttxltIbis tmx treat tAtaelted an additianat sheet showing the ttttme of the 941-cantractan and tprir morken, co"V. P,liey intilrmation
t cirri ate t XV10ysr that ix ptovldittg workers' compennWon im. arra�rce jar n y e y 8tlow 1s the
io j�h policy a ad job site
Insurance Company Name:,.
Policy q or Self -ins. l.ic. rt: Expiration Date:
Job site Address: �)� Sc�l A w
City/SratclZip: 1 11 V%L
Attack a copy of the workeni' eompenmtion policy declaration page (showing the pol" number aKd expirstion date).
Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of Criminal penalties of a
Iine up to S 1.300.00 wxVor one-year imprisonment, as well as civil penalties in the form of a STo p WORK GIRDER and a fine
of up to $250.00 a Clay against the violator. Be advised that a copy of this statement may be forwarded to the Ultice of
Inve9 igations of the DIA for insurance coverage verification.
I do herr Vertu rider theend Rs o)f d at the inforntat'f�Mr provided adr ve is true orad c urnrr
5j ..._.._._..- re t~_. 3_�..Z
Nnt►ne +t: �.1 ������3��
OM iai use rimy. Do teat write in this urge, to be conq ted by city or town official
ial
City or Town: PermlVUtense It
Issues Authority (circle one):
I. Board of Health 2. Building Department 3. CitytTown Clerk 4. Electrical Inspector S. Plumbing Inspector
6, Other
Contact Person: Phone
•-1 • -111, • -.veer • La insurance F'PX NO. :19786833147
Jul. 18 2006 11:10AM P1
ACORD- CERTIFICATES of LIA131UTY INSURANCE i wre, Rte,
Tms
7
M - P . ROMARTS JNaU WCE AgZNCT iNC . ONL CER D CO IS (sWC At A MATTdR Of INFORMATION
ONLY AND CONFERS NO R!('ITS UPON THE CERTFICATE
1060 OSGOOD STREET MOLDER. TMIB CERTIFICATE DOE! NOT AAWNG, ExTENO OR
WAT4V ANDOVER Mh 02845 ALTER THE COYEltAOE AI►FORAlSp By Tm PpitC a sit ow.
97 -6 - 7 WI RMS A"OMM COVERAGE -.-.
xzvjN XURM BUILDING s _ tAmkw
REMODBLIliG . ALL
169 BOXFORD STRI T n+ TS._ IVB
N+sLEmI c: UDR ►NCE
NORTH ANDOVER, NA 01845 a+aEI1IIn dtaen rvnr.s,.._M __ _—�-----
THE Pot ICWA no: Maimarrc--
.n.c vccn vAer 10 TME INSURED HUT ABOVE FOR'I1t! I'%Xy p"100 �CATED, #O71V7TM8{AND+NG
ANY RE4Utl7ElIlNT, TERM OR CpNDlT1ON OF /LVN COAffALtCf QR OTI R OOC(AEly(T WITH RESPECT TO YNACH THIS Ci+RTlRIGLYt N&I' R
MAY PERTAIN. THE MURMW APORDED !Y THE POUCIES OEADRM HFREAN Is aUBJECT 10 ALL TlIE TEAfNs, fj(��S IWED opt
P0LC*3.AGGReGATELMM$M)YM#AAYKAVR iNREDUCEDOYPAIDC~. ANO44NDRIONSor3UCH
?-VENAL U4UTY j - - •••,�� Umm
+ x•ALOIM1NALt1aBRITY ) w`* °Ca"' 1, 000, 000,
CLarullimum D OCCUR wamma go s o0,000
1
A' CPP00608b8-OI 1—""`A0A0q 5, 000
_ 1/22/05 11/22/06 rasauLSAWftjU Y - 1 00
01NL Ams4LT1 Uwr AFPUU P": 0en AGORWaTB I 0 d i
PkLy PRO- Loc IMK1L71kTIS•CawPrpO notl Y 2
000 000,
AUT0WW5.lURs4HY
!!� ANYA00 - OOMB1NfAB
tia.aresAo ft"'""""It I 500,000
AU.OWN1DAtRpB
SCK7AVL$OAUM$ AOD4LYACNMT
t►M Oawul [
>g I ""m'U1p' 7AN0277013609 1/23/06 1/23/07
-�'
NDM ONMEDMrT softy RA< "
� PROriq�TY OAL46E
j � aAAAai Ua/Y.eTV o'ar+oene�o I Y If
MITOOMr.V•EA ACClQE�? l:.
ANrlltli0-.._..�.
OT1lR THAN "'kft
atrtAnplr
' 1l(oElfilLglsglLU LNs+LrTY Aru ,
ocam 1—� CMBiEL = EAC,. oc r
( i A6am"T1 t
R1TIlNTIOp i JJj I
� M+ORIRrglOprrMtRMBATIONAlp i • . '
itNotoycNYr Lmmyy R
AW MGMETOArMMMI1fFgPryE MMS30339 7/01/06 7/01/07 aL. EAOIACpy��T _i:_ 500,.0
D W YR uw~ 00
IrTal, ft1WW WdW 1.L 00/AmF EA ENPLOrFg , S A p 4 j
sr1CtBLMOYNgNs MNIa 7
I. -T
E.Lddr.A6E-rpucrtnwrt L O
JI
I DrXAWT040roOCMTIUM/LACATPM/ypuOLaalmlCtAMIONSADMOYMOWis[AAENTIir1C1ALrROVOpe
TOM OF ANDOVER, MA
&*JtTLETT STREET
ANDOVER, HA 01810
BUILDING DEPARTMENT
ACOR026(2001108)
L
NICULD AW OF THE AbM OftCRUo rOUC Es 1E CANC1U W WOnR TNF �""AMN
OWN TNNL1pF. TME M11U W Offiu m WU-L emwA+16R TO +wan 10 ryalg wrnre,�
No" t0 Ttyr "W"R A" "MAN' MAO= TO T*ff LOOT, BUT 9NLukk . u txe bii bnALL
xArpR1 Np O�UOATRri oA LUJIUTV pP AMY KIM$ UPM TILEVaUpptIT NT$ Oq
REWk/Nt►A
AtlTwfrop Atrv[ a
VACORD CORPORATION fS3/