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HomeMy WebLinkAboutBuilding Permit #105-11 - 28 JERAD PLACE 8/4/2010 to k BUILDING PERMIT01 ED TA"ROTH 6 TOWN OF NORTH ANDOVER 0 APPLICATION FOR PLAN EXAMINATION Permit NO: /0 Date Received SSA Date Issued: CHU IMPORTANT:Applicant must complete all items on this page 1 7 x -+ _ - qA T I LO-N." Vrl�rhltl A_13 0--E_LU. ,49NAVR 0 R_T INS,1_01dg�ritllbigtfrit_t' ;yes &D­V'fil Ca—gp. TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential New Building ne famil C2� <t��more family Industrial Alteration No. of units: Commercial Repair, replacement Assessory Bldg Others: Demolition Other W R&'r-S h obb., Well ' Flood lamb Wetland'sr P DESCRIPTION OF WORK TO BE PREFORMED: ?600MV %t°1412! %ginj PLA-T (Lu fEtn_ tZa6F iz. &keL_Ac< C_*r'3CAtTL -am5chre- VwAla_ -,,I>E- SMOP A?(b P)qeNb 124.3-OP 1-4. -S1 %'DL_ PaYUJta h6L-0,?A_-t3VE- o-Q Identification Please Type or Print Clearly) OWNER: Name: Smert�&-A 2VoLJ54 Phone: Address: 1. J L*Ce- a-vur" Marne130 R RA ,PT A-A Ervisors'Construction License, b Exp' lc) ARpoy kti2- - lL Lit TmIM ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE."BOLDING PERMIT.$12.00 PER$1000-00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. q Total Project Cost: $ � FEE: $ Check No.: I I P- Receipt No.:_D- NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund 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 Sprinkler 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 Doc:Building Permit Revised 2008 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.$10041000 fine NOTES and DATA— (For department use) ❑ Notified for pickup - Date Doc.Building Permit Revised 2010 J I 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 CONSERVATION Reviewed on*4D Si nature COMMENTS��,No� HEALTH Reviewed on Si nature f f i COMMENTS > _5- 4_1 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 Os ood Street �FIRE,DEPARTMENT Temp Dumpster on situ e - .Y. Y s no Located at"12WbinaStFeef F reQoefp rtment*signatureldate� -i"sr Location No. G Date NORTH TOWN OF NORTH ANDOVER Certificate of Occupancy $ SAC NUS<� Building/Frame Permit Fee $ � Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # // k 232 : Building Inspector ORTH TONM Of over 0% No. /O6"-2ail =.= -o �` dower, IVlass., COC HICHEWICK '7d ADRATED PP �C� 7`S BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System ' BUILDING INSPECTOR �� t�. • THIS CERTIFIES THAT............. S. �. Foundation P has permission to erect.. buildings on4 '.......��. .4. ..........R&COAM..... Rough .............. ....o" p� U 0..,�t,..l.Zf..... �........�./.. .... vje.l................ Chimney to be occu ped as...... .... . ... . . . provided that the person accepting this pei�nit shall in every respect conform tot terms of the application on file in Final 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 S ELECTRICAL INSPECTOR UNLESS CONS ON S AR Rough Service BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR 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. SEE REVERSE SIDE smoke Det. Re V�_ e Z CONTRACT 6/21/2010 Sadowsid Exterior Renovations 28 Jerad Place,North Andover,MA Front Portico $ 27,400 Demolition and remove existing front porch and steps Remove and pallet front walk brick pavers Pour three(3)bell footings 48"deep to support deck Build front porch structure 1o'(depth from door)x12'(width)at a height 8"lower than exiting porch Build a door stoop 3'x8'on the deck for the front door access Build one step 8'wide to access the front walk Cover steps with manufactured composite decking Trim porch with composite white trim boards Repair siding on house and replace house trim surrounding the door and alcove with composite trim boards Front portico to have two io"xio"column suppports for the upper roof Underside of the portico to he wood beadboard stained with an electrical connection for a hanging entry light Top portico to have 30"railing with three(3)4"x4"posts with caps Top portico with slight pitch and rubberized roof surface Side Porch $ 8,250 Rebuild deck larger to make use of extra 12 inches on the concrete pad X Extend porch with 42"deck and three steps X Build the roof supported by two corbel brackets X Install enhanced 5"gutter at bottom,and additional gutter off main roof X Steps and decking with composite materials X Copper roof available for an additional$1,500 $ 1,500 Garage Wall Pergola $ 2,300 vinyl construction pergola 20'long shading main two garage doors Total: $ 39,450 I,the homeowner,approve the scope items shown above,and am providing consent to initiate this project. A io%deposit will be due upon initiation of the project. A second payment of5o%will be collected after footings are approved. A 25%payment will be collected upon completeion of the build,and a final payment for the balance will be made upon final inspection and client acceptance. Ir x Print ACM,e: Kelly Sadowski x Ja uhrer,Principal Refined enovations,LLC Sadowski Exterior Renovations Page 1 Refined Renovations,LLC i(110-0arcno ilrle g • egula&6 �/WS an arils �= =g One Ashburton Place - Room 1301 Boston, Massachusetts 02108 Home Improvement-Contractor Registration Registration: 153654 Type: Ltd Liability Corpor Expiration: 12/21/2010 Tr# 278709 REFINED RENOVATIONS JAMES BUHRER _ 15 PIPERS GLEN ANDOVER, MA 01810 = Update Address and return card.Mark reason for change. Employment Lost Card Renewal - Address DPS-CA1 0 5OM-07107-PC/8490 . BoSr�tofB'3iln'ggufio>fs nZc1 Sta d ri's� License or registration valid for individul use only HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Registration: Board of Building Regulations and Standards �� ;• 153654 One Ashburton Place Rm 1301 ' .Ex 1' Tr# 278709 Boston,Ma.02108 Type: :Ltd.L•,iability Corpor REFINED RENOVATIONS JAMES BUHRER': ANot-valid'without 15 PIPERS GLENANDOVER,IIAA 01810 Administrator vsignature rA� + 2v- 4+15 32 g -'�- 11111"301usetts- Department of public Safety q%/+/y� Board of Building lz gStandard- Construction �\ ��s�'.�a4[ls���s L�`. . crulations and _. Supervisor License ICENSE License: CS 103657 NuiaeEe Restricted to: 00 S84458475 JAMES BR UHRE �"- �. ooe a.�l , 10-&-2014 10-0219 15 PIPERS GLEN o sa REST Hut SEX /( ' _ ANDOVER, MA 01810 I a RER r �pgSAc% BUHE� � JAMES C 1 c- 15 PIPERS GLEN -%-�--�'��c ANDOVER,MA Expiration: 10/2/2013 018102334 10424" t'unu?iissiuner Information an_ d Instructions Massachusetts General Laws chaptcr 152 requires all employers to provide workers'compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." . An employer is defined as"an individual,partnership,association,corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise,and including t:7Qe Iegal representatives of a deceased employer, or the receiver or trustee of an individual,partnership, association o$other legal entity,employing employees. However the owner of a dwelling house having not more than three apartnz ents and who resides therein,or the occupant of the dwelling house of another who employs persons to do mainte;mance,construction or repair work on such dwelling house or on the grounds or budding appurtenant thereto shall not because of such,employment be deemed to be an employer." MGL chapter 152,§25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to c--onstruct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7) states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the perfo>anance of public work umvil acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contra cling authority." Applicants Please fill out the workers'compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractor(s)name(s), address(es) and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies (LLC)or Limited Liability partnerships(LLP)with no employees other than the members or partners,are not required to carry workers'comp enation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be store to sign and date the affidavit. The affidavit should be.returned to the city 4r towri that the aimlica ion for the rptor license iS being reques+.ed,not lie Depp-mme 2t.of Industrial Accidents. Should you have any questions regardirxg the lav;cr, u you ai v:,Y�i:ired to obtain a workers' compensation policy,please call the Department at the number=Fisted below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly, The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant Please be sure to fill in the permit/lic:nse number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary) and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obb uing a license or permit not related to any business or commercial venture (i.e.a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit. The Office oflnvestigations would lilm to than you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call The Department's address,telephone.and.fax-number. . The Commonwealth oaf MassachusetU Departm=t of Industrial Accidents Of ce of Inrestiey 600 Washington Street Boston,KA 0.2111. Tel. # 617-727-4900 ext 406 or 1-877-1VLASSAFE Revised 5-26-05 Fax 4 617-72.7-7149 �''VirVI'.IIl 3SS._�Ov��fl The CommonweQlth of Massachusetts Department ofrndustrial Aceidents Office of rnvestio ations 600 WashineQton Street Boston, M4 02111 Workers' Compensation F>zsurance Affidavit Builders/Contrac An licant Information tors/Electricians/Plumbers Please Print Leaibiy Name (Bnsiness/Organization/Individual); � R / 0 1� Address. P�AS City/State/Zip:Nr NJ e"12 t 4A O(c$Iy Phone#: CP Zo -7709 c", Are Pu an employer? Check the appropriate box: 1•lee I i am a employer with © 4. ❑ I am a a 7E[]RemoL-hng (required): 7 employees(full and/or part-time).* have hired ez�l contractor and I Newruction 2.❑ I am a sole proprietor or partner- listed on �e mob-contractors the attached sheet 1 ship and have no employees Theseb-contractors have working for me in any capacity. workers coin . ' on p insurance. eq workers' comp. insurance 5. ❑ We are a corporation and its 9 ❑Building addition required.] I am a homeowner doing all work officers have exercised their 10-ElElectrical3.❑ right of ex ❑ rePrepairsor additions myself. [No workers'comp. exemption per MGL 11. Plumbing repairs or additions insurance required-] t c• I52,§I(4),and we have no 17❑Roof repairs employees. [No workers' comp.ins �] 13.0 Other s^plicant that ch-:box-a t s Vance require mLS a.a(+.ill:out Che aeca'an below g:;—wiirtg.. Fdomeowners who submit this affidavit indicating thL-y are d l'.. h^�wort mss'corcY spec pol. .... ...c._„_. doing all' aorL ane thin hire outside contzector rb:i;. . . ion +Contractors that cher):this be.*.must atm hail an additional sheet showing the submit a new affidavit indicating such. name of the sub-connectors and their w,ork�,ee lam an em er Providing , p mm.po�7 information. PInY that is rovidin workers coin ensation ihsztrance for my ernployeeg Below is the policy and job site information. Insurance Company Name: Law- Policy#or Self-ins.Lic.#: C. 'Z-31 Expiration Date: l�Mutt Job Site Address: �� Attach a copy of the workers' compensation policy declaration Pa. (showing City/State/Zir: P b ( wing 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 fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties of a of up to $250.00 a day against the violator. Be advised that a co penalties m the form of a STOP WORK ORDER and a fine Investigations of the DIA for insurance coverage verification. PY of stat^mthis ent maybe forwarded to the Office of I do hereby c under the pain and penalties of perjury thczt Sic infor�on.provided above is true and correct Si�ature: a Phone#: Official use only. Do not write in this area, to be completed by city or toren official City or Town: Permitucense# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3. City/Town Clerk 4.Electrical Inspector 5.plumbing 6. Other b Inspector Contac Person: Phone n: A_- 1407)9- -----„Zl ' �__ J _ _ –.—.rte — _ .a.-_-^-•- i i I . I i I � I ' I r- j � I iI ' i I I . I i - I 99 .. I r j I i I I i - ' 1 r r r Jl - T77- r --i II41 ' r , I 1 f _ r � , r • , ...ems .. , )r „ I , I I r I ' r , ' r ' rp NORTH ��tt LEO .6 qH 10- 7�0 � 4 �RAT[O I.PPy.(y �SSACHUS�� CONSERVATION DEPARTMENT Community Development Division July 30, 2010 Stephen Sadowski 28 Jerad Place North Andover,]VIA 01845 28 Jerad Place, North Andover Portico and Deck Front Entrance Conservation Conditions of Approval,NACC #70 Pursuant.to section 4.4.2 Q) of the North Andover Wetlands Protection Regulations,James C. Buhrer (Representative for Refined Renovations) filed for a small project on behalf of the Sadowski Family for work proposed at 28 Jerad Place,North Andover.The proposed work includes the removal of the existing concrete front stairs and stoop and the construction of a 10'x 12'portico and deck on three (3) concrete footings accessed by two stairs.Work will be conducted more than 50' from the edge of Bordering Vegetated Wedand (BVD and more than 75' from a potential vernal pool(on abutting property).The North Andover Conservation Department agrees with the location of the wetland boundary. During the July 28,2010 public meeting,the North Andover Conservation Commission (NACC) voted unanimously to approve this project.The following conditions are hereby mandated: RECORD DOCUMENTS: Proposed Plot Plan,28 Jerad Place, North Andover,Massachusetts,Assessors Map 106A Parcel 9 Prepared by: Waypoint Surveying Services P.O. Box 1051,Newburyport, Massachusetts Date: July 20,2010 Jerad Place Road (hand modified plan) Including graph paper sketch of proposed dimensions Received:July 22,2010 Project description (NACC #70) Prepared by: James C. Buhrer Refined Renovations,LLC Dated: 7/22/10 1600 Osgood Street,Building 20,Suite 2-36,North Andover,Massachusetts 01845 Phone 978.688.9530 Fax 978.688.9542 Web .vw-%v.http://,,vw,,v.to,,vnofiiorthandover.com/conservel.htrn l.V1�11J11'lUlol�: 1. Prior to the start of the construction the applicant shall remove yard waste from the 25-foot No- Disturbance Zone and dispose of it at the Town of North Andover brush dump facility on Shatpners Pond Road or other approved location. 2. Prior to the start of construction, the applicant shall install three (3) wetland markers (available at the Conservation Department—2 round 1 square) on the existing fence 3. Excess material shall be properly disposed of offsite. 4. Upon completion of the approved project and site stabilization,please contact,the Conservation Department for a final inspection. , 5. This permit shall expire six months from the date of issue Should you have any question or comments regarding the contents of this letter,please do not hesitate to contact the undersigned at 978.688.9530 at your earliest convenience. Thanking you in advance for you anticipated cooperation with this matter. Respectfully, -NORTH ANDOVER CONS RVATION DEPARTMENT t4 FJennifer A. Hughes Conservation Administrator 1600 Osgood Street,Building 20,Suite 2-36,North Andover,Massachusetts 01845 Phone 978.688.9530 Fax 978.688.9542 Web wmv.http://ww�v.townofnorthandover.com/conservel.htin