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Building Permit #735-16 - 30 GRAY STREET 4/18/2014
TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit NO: �1 Date Received Date 'ANT: LOCATION _�* _ must complete all items on this Print. PROPERTY OWNER Gljexlo ✓ �-� . Print 100 Year Old Structure yes no MAP NO:PARCELM=ZONING DISTRICT: Historic District yes no Machine Shop Village yes no .TYPE OF IMPROVEMENT. PROPOSED USE Residential Non- Residential ❑ New Building pOOne family ❑ Addition ❑ Two or more family ❑ Industrial ❑ Alteration No. of units: ❑ Commercial ❑ Repair, replacement ❑ Assessory Bldg ❑ Others: ❑ Demolition ❑ Other Septic ❑ Well ❑ Floodplain ❑ Wetlands ❑ Watershed District ❑ Water/Sewer DESCRIPTION OF WORK TO BE PERFORMED: _Pg,,,,,a�-- Identification Please Type or Print Clearly) OWNER: Name Phone: '7e Address: �9 G Yrs CONTRACTOR Name: A7A^,1' �'� Phone: Address: 36 Supervisor's Construction License: />6 Exp. Date:_C�� Home Improvement License: 1166 c Exp. Date: 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. Total Project Cost: $J4LWW�, �® FEE: $� Check No.:Receipt No.: � "A NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund Signature of Agent/Ovvner Signature of contractor Plans Submitted 17J Plans Waived 11 Certified Plot Plan 11 Stamped Plans ❑ Location W7�3" Date Check # 0 r - TOWN OF NORTH ANDOVER r Certificate of Occupancy $ Building/Frame Permit Fee $IT-!-- Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Building Inspector Plans Submitted ❑ " Plans Waived ❑. .Certified Plot Plan ❑ Stamped Plans ❑ 3YEE OP;:SEWERACEDISROSA Public Sewer ❑ Tanning/Massage/Body Art ❑ Swimming Pools ❑ Well ❑ Tobacco.Sales Food Packaging/Sales ❑ Private (septic tank, etc.- . ❑-- _ permanent Dempster ori:Site El THE -.FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF- U FORM - DATE REJECTED DATE:APPR:OVED PLANNING & DEVELOPMENT ❑ ❑ COMMENTS -CONSERVATION Reviewed on Signature COMMENTS HEALTH Reviewed on Signature r COMMENTS Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Conservation Decision: Comments Comments Water & Sewer Con nectionisignature & Date Driveway Permit DPW Todv! Engineer: Signature: Located 364 Us ood Street FIRE DEPARTM:.L-NT Temp Durnpster on site yes_ .. no Located -at U4,Mair Street Fire Departure►ifsignatureldate ~ - t COMMENTS `f 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-$1000fine NOTES and DATA — (For department use El Notified for pickup - Date Doe.Building Permit Revised 2010 Building Department '-The following is a]ist ofthe requited.forms to be -filled ouffor:the appropriate. permit to.be obtained. Roofing, Siding, Interior Rehabilitation Permits ❑' Btailding Permit Application ❑ Viorkers Comp Affidavit ❑ Photo Copy Of H.I:C. And/0'r C.S.L.- Licenses o 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 Li Building Permit Application ❑ Certified Surveyed Plot Plan ❑ Workers Comp Affidavit o Photo Copy of H.I.C. And C.S.L. Licenses o Copy Of Contract o 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 Li Certified Proposed Plot Plan ❑ Photo of H.I.C. And C.S.L. Licenses o Workers Comp Affidavit ❑ Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Copy of Contract o Mass check Energy Compliance Report E3 Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit In all casts if a variance or special permit was required the Town Clerks office must stamp the decision from the Board of Appeals that the apw?al period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording must be subm.ated with the building application Doc: Doc.BuNding permit Revised 2012 LAWRENCE EL oGDEN, PE. 198 FAST N&M STREET GEORGETOWN, MA 01833 M332-8318 18 cell 978-5015921 Ino ,denrcomeast.net April -30,2014 Mr. Phil Barkley 30 Gray Street North Andover. Ma. 01845 RE. Barkley Residence 30 Cray Street, earth Andover, Ma.01845 Dear Mr.. Barkley As you. requested I visited the site 429/14 and mei with you and; your ccmtractar Mr. Brian Chute_ The purpose of the -visit was to discuss the proposal to remove a wall supportinge the ceiling and proposed requ€red. reframing . The decision was made later by you not to remove the wall but to add a 7 ti opening as shown on the attached sketch_ As we discussed; I stated that I could. not certify that the existing roof and ceiling. fiaming meets the requirements of the current code. However since the wall is not being removed there is no renovation work required for the existing ceiling and roof construction. Thus in my opinion the existing roof and ceiling construction should be considered in relation to amendment Section AJI01.1 of Appendix I Existing Buildings of the Massachusetts residential Code Amendments 780 51.00 adopted 2t4111 (co py attached. ). Since the ceiling and roof in this area is exposed I suggest hol,,ever that van add connections to the existing condition as show on the attached sketch. Thi can be accomplished without modif�ring the existing fia ming. Should you have any questions please do not hesitate to call. Yours truly- tWlence 14_ Ogden. P -E.. Q 30 t ur�.y, - 545..4£ Topo"IOOIS OF Eltss+*ff4t T#Ar H.; F POC- P p kv =1 ftti 4- - 5 '14 x 3 `t 5P.5 2 53 ca AlwO 4r crlmwc Ot St' spLiGfz { - App stn,PSO" WZ•5A tAVC,et'C44C C.,Lip t R4FT . F, To J a r S?' N,v cwt s�.,.► BEgrA, -`�P, r� 'E r G t AJ c:Er,)T"e—R- SA C-14 or, LVA GL AO f i ! r ! E ' 198 East Alafn St GeqgetDwn, MA ("833 r The Commonwealth of Massachusetts , Department of lndi(strigl Accidats Off 'zee of Investigations 600 Washington Street .Boston, MA 02111 www.mass gov/dia Workers' Compensation Ynsurance Affidavit: Builders/Contractor)Electricians/Plii bibers Apph:eant Information PleasePranlLedbly Name (Businessiorganizaiionlindividual): 151,1 - Address 1GAddress: 11�- rok,2-v f.,,, -Z--- City/State/Zip: `�S �u y -+-4 Phone M -76 �—g Are you an employer? Check the appropriate box: Type of project (required): 1. ❑ I am a employer with 4. ❑ I am a general contractor and I 6. ❑ New cOnstruction employees (full and/or part-time).* have Hired the sub -contractors 2. I am a sole proprietor or partner listed on the attached sheet. 7• ❑ Remodeling slop and'have no employees These sub -contractors have 8. [] Demolition working forme in any capacity, workers' comp. insurance. g, [] Building addition [No workers' comp. insurance 5. ❑ We are a corporation and its 10.❑ Electrical repairs or additions required.] officers have exercised. their 3. ❑ I am a homeowner doing all work right of exemption per MGL 11.[] Plumbing repairs or additions Myself [Noworkers' comp. c. 152, §1(4), and wehave no 12.[] Roofrepairs lo insurancere ed. i empyees. [No workers' a comp. insurance required.] 13.[] Other xAny appliceatthat checks box#1 must also fill outthe section below showingtheir workers' compensation policy information. 'Homeowners who submit this affidavit indlcaftthey tie doing all work and then hire outside contractors must submit a new affidavit indicating such. tContractors that check this box must attached an additional sheet showing the name of the sub -contractors and their workers' comp. policy information. X am an employer that is providing workers' compensation insurance for my employees Below is the policy and job site information. Insurance Company Ns Policy # or Self ins. Lic. #: Expiration Date:, Job Site Address:pity/State/Zip: Attach a copy of tete workers compensation -policy declaration page (showing the policy number and expiration date). Failure to secure coverage.as reguiredunder Section 25A ofMGL o. 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 f o of up to $250.00 a day against the violator. Be advised that a copy of this statement maybe forwarded to the Office of Investigations of the DIA. for insurance coverage verification. X do Hereby ee.rt� under tlioains sand penarties of perjury that the information provided above is true and correct. L.; Official use only. Do not write in this area, to be completed by city or town offzciai City or Town, Permit/License 0 Issuing Authority (circle One): 1. Board of Health 2. Building Department 3. City/Town Cleric 4. Electrical Inspector 5. Plumbing Inspector 6. Other Contact Person: Phone 280 STATEBOARD OFBURDINGREGUIATIONS AND STANDARDS t_ 51.W. confined AppTIJ;IDIIt I pRNA119 SMAGR DISMAL A1101.1 Rgftce as follow- A110L1Scoge- Privatesewap&sposadsySt=ssballconfnrmtoftmT ireanerbef3l4CMR 15.00: 77m Swe L-ndronmerrtad C.oA Ttfde 5. Sftxr trd Regrawments for die mag C.arsduwiom fiction. Upgrade and goat ofQn-site &-wage Treatment and Disposal acrd for the 71,m pvrt and Disposal of Septage and any additional legal restrictions imposed by the municipal Health Department AppEMI j - L)ISMG BUIi,DINGS ARID SLRUC'IURRS AJ101.1 Add a second h, exception, and two notes as follows: Features of existing construction which do not meet the requirements of this code for new duction shall be presutned to have met the regulations, codes br laws in effect at the time of consruc tion or alteration asxl, if so, shall be deemed to be existing nonconforming. Unless stated otherwisci nothing its this cliapter shall require the upgrading or replacement of any existing nonconforming features or component of ars existing building, provided the features) or components or systems are in a serviceable condition unless the bud ng official deiermmes dist au unsafe or dangerous condition would exist, in which case he shall order the remediation of such condition. Nm shall this meter be deemed to require the replacement or upgrading of serviceable components which are not included in the scope of work for which a permit is applied unless a gnssly inquired by this code, or unless the building o, f wwl determines that an unsafe: or dangerous condition would result. Exception_ Existing components or featares of an existing building which, in the opinion of the bullring offlaal, are dangerous, unsafe unserviceable or demonstrate damage or significantdeterioraiionor which otherwise presentathreatto the occupants or to the public safety shall be remediated in accordance with the applicable sections of this code. Note 1. Any new building systems or portion thereof shall conform. to 780 ChM for new druetion to the fullest eluent practicable. Hower, individual components of an existing, building system may be repaired or replaced withoutrequmng that system to Comply fuullywiih the code for new construction unless specifically required by this appendm !tote 2. For existing buildings and Snuctmes confom to requirementsof the Specialized Codes refer to the applicable SpecWi`ed Cortes. AJ101A.1 Add subsection: AJ1OL1A Buildings Which Qualify. A budding erected prior to the date of adoption of the appropriate code, or ore for which alegal budding permit has been issued. Nate. Existing townhcsuse buildings regulated by this code shall also conform to the seismic required of this code. AJ102.1 Replace the pose "mechanical or plumbing system' with -system controlled by this code"' AJ102.3 Replace as follows. AJ102.3 Swojr Heat, CarbonMonoxide Detechori and Alarm Systems- When one ormore sleeping rooms are added or created in. existing dwel mgs, the entire existing dwelling shall be prmvided with smoke.detectors, heat detector and carbon monoxide detectors designed, located and istalled in accordance with thepmvisiasts fur new construction, as apPhmble- Ifagarage is s under an crusting dwellingor attached to an existing dwrJlinB, a heat , confoniingtothereginremeaisofthecodeforwwconstructionsha lbeinstailedinthel; such =quirerat is not applicable for detached garages (see Chapter 3)L If the dwelling tnslesgaes completereconstruction such that ail walls and ceilings are open tefraMiOg,lhentheeaiirecastmgbudding slalbe puvided with snoke&uctoss,heat detector andcacbonmoamde dmgwd,locatedandmsWIediutaoco w,ilhthepwvmons fire 214M 78Q OAK -Bigh*F"on - 232 Information and Instructions Massachusetts General Laws chapter 152 requites all employers to provide workers' compensation fox their employees. Pursuant to this statute, an employee is defined as "...every person tri 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 the legal xepresentatives of a: deceased employer, or the receiver or trustee of an individual, partnership, association or other legal entity, employing employees. )Awever the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building 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 lie -ening agency shalt withhold the issuance or renewal of a license or permit to operate a business or to consiruct buildings in the commonwealth for any applicant who has not produced.acceptable evidence of compliance with the insurance coverage required." Additionally, MOL chapter 152, §25C(7) states "Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely, by checking the boxes that apply to your situation and, i£ necessary, supply sub -contractors) name(s), address(es) andphonenumber(s) along with their certificateof s) insurance. Limited Liability Companies (LLC) or Limited Liability Partnerships (LLP) with no employees other than the members or partners, are not required to can workers' compensation insurance. If an LLC or LLP does have employees, apolicy isrequired. Be advisedthatthii s affidavit maybe submitted to the Department of fndustrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested, not the Department of industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy, please call the Department at the number listed 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 andpxiated legibly. The Department has provided a space at the bottom of the affidavit fox you to fill out in the event the Office of lavestigations has to contact you regarding the applicant. Please be -sure to fill in the permit/license 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 "lob Site Address" the applicant should write "all locations in (city or towh)" A copy of the affidavit that has been officially stamped or marked by the city or town may b e provided to the applicant as proof that a valid affidavit -is on file for future permits or licenses. Anew affidavit must be filled out each year. Where a home owner or citizen is obtaining a license ox permit not related to any business or commercial venture (i.e. a dog license orpermit to burn leaves etc.) said person is NOT required to complete this afixdavif. The Office of Investigations would hke to thank you in advance fox 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 CQ onwoaltliofYassa.,chv._.SPii - Dopaftelat QfS>?ftWal Accidents offi`ice QUAVestigatiol . • 604 WlWasb gtm 81xeQ BQstm, 02111. TQL # 61.7-7-27-4900 at 406 or. 1-877 IASSAFF, Revised 5-26-05 Fax # 617"727'7749 _1NWW4ass.gQvjdia 0 EEO WN x' Q x 0t7 a°c 0U) m a) U Y _0 o LL a) Ln N 'Y a N o W N z z = m 2 � LL w o d' E t U m LL m 0 W a zz z m J d o m C LL m 0 U a Q v oc J W o > v N m LL ac 0 W M z to o d' m LL z LLJ � Q yaj LLI° oc LL m 6 v N 4j 0 o E N O F- a z z 0 fir/ O~ E �O L zv cl)� uiF- 0 r_ xz o W O AW V a, cn m � W az m � L 0 c N O O z O J O �l N la� v v O w 0 E d i .0 O Z N I c a AN 0 .a W Q N •� �E s � � O �0 0 m00 - a 0. t Q VJ Cc �CL0+; =z V CL m Q. N° o •i a, 0_=0 ° 3 = o� L cczt! a) Q - c a� c o co E V = L r c 'C +_-' O LL _ 4 D ma Q .2 O L cm N = r &+_ A- O i y E s-> c L ea o =O " (� ,r CL00 CD 3 ..i L: W -a — O -0 O F- a z z 0 fir/ O~ E �O L zv cl)� uiF- 0 r_ xz o W O AW V a, cn m � W az m � L 0 c N O O z O J O �l N la� v v O w 0 E d i .0 O Z N I c a AN 0 .a W Q N •� �E s � � O �0 0 m00 - a 0. t Q VJ Cc �CL0+; =z V CL m Q. N° z •i a, 0_=0 3 = o� L ta�s� - c a� o c 0 NCL v co cc O m O r c 'C +_-' O LL _ 4 D ma Q .2 O N = r &+_ A- LU y E s-> c x ea o =O " ,r CL00 O F- a z z 0 fir/ O~ E �O L zv cl)� uiF- 0 r_ xz o W O AW V a, cn m � W az m � L 0 c N O O z O J O �l N la� v v O w 0 E d i .0 O Z N I c a AN 0 .a W Q N •� �E s � � O �0 0 m00 - a 0. t Q VJ Cc �CL0+; =z V CL m Q. \ H o co . m 2 2 = , g , } `\ u //{ ooxCm2D «*7 . 03 \ a cZ _ \ . X > E � $ / § i ƒ \ @ m \ &; E K ■ /..©ac/\X x | = < a } `\ u 5]§\ «*7 � a _ \ /� \ »��/$J/ «*7 � 0 3\ \ »��/$J/ co 7 c k0 Cn cr- �E -: a « ƒ0.J� CSL License # 103426 Expires: 12-27-2014 PROPOSAL SUBMITTED TO PHILSARCttlY R CL A -Y TODAYS DATE 4.6.2014 DATE OF PLAN HONE NUMBER REMODEL (781)325-6778 DDRESS,CITY,STATE,ZIP JOB LOCATION 0 GRAY STREET NORTH ANDOVER, MA 01845 30 GRAY STREET NORTH ANDOVER, MA 01845 We propose hereby to furnish material and necessary for completion of: * DEMO KITCHEN,LIVING ROOM, DINING ROOM AND HALLWAY CEILINGS. * DEMO EXISTING KITCHEN FLOORING. * REMOVE WALL DIVIDING KITCHEN AND LIVING ROOM. * INSTALL NEW BLUE BOARD AND PLASTER ON CEILINGS. * FIX FRAMING IN ATTIC CEILING. * PERMIT AND DUMPSTER IS INCLUDED IN THIS PROPOSAL. ANY ADDITIONAL WORK BEYOND THIS PROPOSAL IS ADDITIONAL COST. We propose hereby to furnish material and labor - complete in accordance with the above specifications for the sum of: SEVEN THOUSANi FIVE HUNDRED AND FIFTHY($7,550) 1ST PAYMENT OF $3,775 DUE @ SIGNING OF PROPOSAL. 2ND PAYMENT OF $2,500 DUE @ ROUGH INSPECTIONS. BALANCE DUE @ COMPLETION OF JOB. material is guaranteed to be as specified. All work to be completed in a workmanlike manner according to specifications submitted, per standard practices I alteration or deviation from the above specifications involving extra costs will be executed only upon written orders, and will become an extra charge ove above estimate. All agreements contingent upon strikes, accidents , or delays beyond our control. Owner to carry fire, tornado and other necessary urance. Accounts overdue beyond 30 days of billing will be charged at an interest rate of per annum. Costumer is also liable for an titional of unpaid balance plus incidental collections costs, including attorney fees. If either party commences legal action to enforce it rights suant to this agreement, the prevailing parry in said legal action shall be entitled to recover its reasonable attorney's fees and costs of litigation to said legi ion, as determined by a court of competent jurisdiction. thorized Note: this proposal may be withdrawn by us if not mature accepted within days. CEPTANCE OF PROPOSAL The prices, specifications and conditions satisfactory and are hereby accepted. You are authorized to do the work as Signature .cified. Payment will be made as outlined above. Date of Acceptance