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Home My WebLink AboutBuilding Permit #456 - 41 HOLBROOK ROAD 12/6/2011 TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit NO: Date Received Date Issued: -Co i IMPORTANT: scant mus comtete all items on this pLge LOCATION A/ DuD 5rL "I,a. 9 Print PROPERTY OWNER ��S,4 CO NNAAj% Unit# Print MAP NO:C2 d/. o PARCEL: 0 U/ 'ZONING DISTRICT: Historic District yes no Machine Shop Village yes no 100 year-old structure yes no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building %46 One family ❑Addition ❑Two or more family ❑ Industrial ❑Alteration No. of units: ❑ Commercial &(Repair, replacement ❑Assessory Bldg 9 ❑ Others: ❑ Demolition ❑ Other ryOil eptW'ell` Floodpla�m -OWetlancls 'l] Watershed TD strict ® Water/S�e�wer ;f _4 DESCRIPTION,OF WORK TO BE PERFORMED. (Identification Please Type or Print yp Clearly) � 4 OWNER: Name: Scd Cv4yIG1 A 6 D1- e: ' Address: 0/-CONTRACTOR Name: kaln IC41�t' r Phone: _-422F -Z3�'-9�lsy cu /AIQG Address: 14 Supervisor's Construction License: Exp. Date: Home Improvement License: /pB jGiO Exp. Date: ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE.,BULDING PERMIT.$12.00 PER$9000.00 OF THE TOTAL ESTIMATED COST BASED ON$925.00 PER S.F. Total Project Cost: $_ 2�7 q/,� FEE: $ Check No.: Receipt No.: NOTE: Persons contracting with u e ' tered con i s do not have access to the gu my and Sig-nature�.of�Agent/Owne_� � . . " - ' ed Plans ❑ Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped TYPE OF SEWERAGE DISPOSAL " I " =Swunmmg=Pools ❑ Public Sewer ❑ Tanning/Massage/Body Art ❑ Well ❑ Tobacco Sales ❑ Food Packaging/Sales ❑ Private(septic tank,etc. ❑ permanent Dumpster on Site ❑ 4 THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM DATE REJECTED DATE APPROVED PLANNING & DEVELOPMENT ❑ ❑ COMMENTS CONSERVATION Reviewed on Signature COMMENTS i HEALTH Reviewed on Signature COMMENTS Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments I i Conservation Decision: Comments Water & Sewer Connection/Signature& Date Driveway Permit DPW Town Engineer: Signature: Located 384 Osgood Street FIRE DEPARTMENT - Temp Dumpster on site yes no Located at 124 Main Street Fire Department signature/date COMMENTS i I i Dimension Number of Stories:_Total square feet of floor area based on Exterior dimensions. Ilh 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 I I� NOTES and DATA— For department use t ❑ Notified for pickup - Date J Doc:.Building Permit Revised 2011 June/mi i 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 f 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: Doc.Building Permit Revised 2008mi Location No. Date NaRT� TOWN OF NORTH ANDOVER a + Certificate of Occupancy $ CM ♦ Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ F TOTAL $ Check # "� 24660 Building Inspector u 41 Hemlock Rd North Andover , MA 01845 20'3" Replace Slider(size- 12'8"X 78") Entrance door to kitchen -32" X 78" Fill in existing windows 10'8 Fill in existing storm door Windows remaining d Window Window Window Window\ Window Window Fill in existing windows 1. Repair insulation 2. Repair plaster 3. Repair trim 4. Add one zone of F.H.W Heater 5. Repair exterior siding and trim t 41 Hemlock Road North Andover, MA 01845 NORTH Town of . , No. _ � � Co o lover, Mass., COCHICHEWICK DRATED C, e3 BOARD OF HEALTH Food/Kitchen EnMIT T D Septic System BUILDING INSPECTOR THIS CERTIFIES THAT......... ....... ............................................................................. .. Foundation has permission to erect......................................... buildings on ..... 1.....'�' ►.IR. .1..4�.. .............. ... Rough to be occupied as.......... �............ - ... w�. r�.v.. Chimney ................ . provided that the perso accepting this permit shall in everyresp t conform to the 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 '3 Sq PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR. UNLESS V JLESS CON,ST lJ S 1 S 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 I 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. tAORTH Town of 0 No. 415o "_t- Lo �/ lover, Mass.,AKE �, T COCHICHEwICK 0RgrED BOARD OF HEALTH Food/Kitchen Septic System EERMIT T D BUILDING INSPECTOR THIS CERTIFIES THAT......... SS...! .......CulN.A ............................................................................. .. Foundation has permission to erect........................................ buildings on ..... 1.....+61-s-6-o..�eoea.............. .... ..... Rough to be occupied as.......... ......:..:... . ...........0 ... ►��. .::1................................ Chimney provided that the person this permit shall in eve res t conform to the terms of thea application on file in P P accepting P rY P PP 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 3sq* PERMIT=EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR. UNLESS CONSTR C TS Rough .... ......... Service .. .. . ... ... .. .. .. ... ........ BUILDING INSPECTOR Final Occupancy Permit Required to Occultly Building GAS INSPECTOR Rough Display in a Conspicuous Place on the Premises — Do- Not Remove Final No Lathing (Mall To Be Done or Dry Dry FIRE-DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner - Street No. SEE REVERSE SIDE Smoke Det. r The Commonwealth ofMassachusetts Department oflndustrialAccidents Office oflnvestigations 600 Washington S'tr'eet Boston,MA 02111 'Y www massogov/dia Workers' Compensation Insurance Affidavit:Builders/Conti•actors/LIectricians/PIumbers _Applicant Information Please Print Leg .bly Name(Business/organization/Individual):_�,44 a �f,- LAddress: City/State/Zip: °� 3 Phone Are you an employer?Check the appropriate box: _ 1.❑I am a employer with 4. ❑I am a general contractor and I Type of project(required): employees(full and/or part-time). have hired the sub-contractors 6 New construction 2. l am a sole proprietor or partner listed on the attached sheet. 7• ❑Remodeling ship and have no employees These sub-contractors have 8. ❑Demolition working for me in any capacity. workers'comp,insurance. [No workers'comp.insurance 5. ❑ We are a corporation and its 9• ❑Building addition required.] officers have exercised their 10.0 Electrical repairs or additions 3. I am a homeowner doing all work right of exemption per MGL 11.❑Plumbing repairs or additions myself.[No workers'comp. c. 152,§1(4),and we have no 12.❑Roof repairs insurance required.]t employees.[No workers' comp,insurance required.] 13.[]Other *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. 7 Homeowners who submit this affidavit indigating they are 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. I am an employer that is providing workers'compensation insurance for my employees Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins.Lie.#: Expiration Date: Job Site Address: 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 ofMGL 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. do hereby cerdfj u er the ai and a ties o t p P that floe information provided above's Prue a rl correct. .� r �. Date: `:hone#: Offacial use only. Do not write in this area,to be completed by city or town official. City or Town: Permit/License# Issuing Authority(circle one): . I.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6 Other Contact Person: Phone#: 20'3" . Slider size- 12'8" X 78" Door 32" X 78" 10'8 oil Window 38"X 60" Afau Tactor-508.543,9642 jAtir oavidson-3,39.364.4140 t;'uil��lt}'�?rl7 September 19,2011 WORK ESTIMATE Ref#0204 Lisa and Scott Cunnane ,41 '§A Holbrook Road North Andover,MA. 01845 1 Remove slider between family room and sun room 1 $450.00 $450.00 2 Fill in wall area $300.00 $300.00 3 Install 6'svAnging doors $1,860.00 $1,860.00 4 Install support post at the exterior wall $1,500.00 $1,500.00 5 Install one concrete footin 1 $370.00 $370.00 6 Demolish plaster to studs and ceiling rafters 1 $800.00 $800.00 7 Reframe driveway side wall and remove window and door 1 $1,200.00 $1,200,00 8 Reframe rear wall rear wall and reuse two windows 1 $1,800.00 $1 800.00 9 Reframe side wall and reuse one window 1 $1,500.00 $1,500.00 10 Fill in two skylights 1 $900.00 $900.00 11 Fill in upper windows 1 $1,200.00 $1,200.00 12 Install sidingto match 1 $3,000.00 $3,E 13 Install electrical plugs to code 1 $3,000.00 $3 14 Install one center li ht fixture customer rovided 1 180.00 $115 Install insulation to code 1 1 500.00 $1 16 Install blue board and skin coat laster 1 $ 250.00 $2 2 17 Install 3'/z standard baseboard 1 $1,500.00 $1,500.00 18 Install 2'/z standard window casings in a picture frame style 1 $450.OD $450.00 19 Install forced hot water baseboard heat on one zone 1 $3.000.00 i $3,000.00 20 Paint the interior 1 $1.200.00 $1,200.00 21 Remove all construction debris 1 1 200.00 $1,200.00 22 Miscellaneous 1 $750.00 $750.00 Total $29,910.00 " The cost of the buildinq permits are not included Quote assumes the use of the current electrical panel and boiler are feasible Please sign to accept BuildItForU2 to proceed with above work for above noted price. Any additional work will have to be discussed and charged under a separate contract. Any additional needed work found,when above contracted work is in progress,will also be discussed and charged under a separate ontract. ome Owner BuildltForU2 THANK YOU FOR YOUR BUSINESS 1'.O.Gox474 Sharon,1W-A 02067 Office TAX-508.543.1502 Failure to possess a cu4t Mtion.et Massachusetts State Bua'dQCO& is(apse for Mvocation of this license. n r:+. RefeixWWVU.Mass.Gov/DPS AN 5` License or registrahbu_elid for individul use only - _before the expiration-date. If found return to: Office of Consumer-Affairs and Business Regulation 10 Park Plaza-Suite 5170 Boston;MA 02116 Not id wi of signature las is usctx.- Department of Public'_�afON BoaB(jl(ling Re-dations and Standards 4 sltyction supervisor License -- pda-wo-Family Dwellings License t s`--50W ALAN G,.FACTOR. x' 4 WBB„LANE FOXBORO,:MA:02035 Expiration: 1/20/2013 ('onnnissiuocr Tr#: 9617 . 0 ®fie at:Consumer,;Afiairs&B sess RegulatioC rg IMPROVEMENT WNTRACTOR + Type* gistration:,: 1J8140 Eration_ g/13/2012 ;,,. DBA Alan G Factory£(iittnn,8wtd &Remodel min,YFaetor f � 4 C* - LANE B` FQXBOR0 SMA 0203s<;;; Undersecretary r an Factor-508.543.9642 - —- -- Mir Davidson-339.364.4140 BuildlfforU' We uotrc in brow homeas ifh avatc aurrnrn Sept:eenber 22,201111 Ref#0212C CONTRACT Lisa and Scoft Cunnane 41-Holbrook Road North Andover,MA. 01845 1 1 Remove slider between family room and sun room 1 $450.00 $450.00 2 Will in wall area 1 $300.00 $300.00 3 lInstall6'swin ' doors 1 $1,860.00 $1,860.00 4 1 install supwd post at the exterior wall 1 $1,500.00 $1,500.00 5 linstall one concrete footing $370.00 $370.00 6 Demolish olaster to studs and ceiling rafters 1 $800.00 $800.00 7 Reframe driveway side wall and remove window and door 1 $1,200.00 $1,200.00 8 Reframe rear wall rear wall and reuse two windows 1 $1,800.00 $1,800.00 9 Reframe side wall and reuse one window 1 $1.500.00 $1,500.00 10 Fill in two skylights 1 $900.00 $900.00 11 lFill in upow windows 1 $1,200.00 $1,200.00 12 Install siding to match 1 $3.000.00 $3,000.00 13 Install electrical plugs to code 1 $3,000.00 $3,000.00 14 Install one center light Endure customerprovided) 1 $180.00 $180.00 15 lInstall insulation to code 1 $1,500.00 $1,500.00 16 Install blue board and skin coat plaster 1 $2,250.00 $2,250.00 17 Install 3%standard baseboard 1 $1,500.00 $1,500.00 18 Install 2'h standard window casings in a Dicture frame stvie $450.00 $450.00 19 Install forced hot water baseboard heat on one zone 1 $3,000.00 $3.000.00 20 Paint the interior 1 $1,200.00 $1,200.00 21 Remove all construction debris 1 $1,200.00 $1,200.00 22 Miscellaneous 1 750.00 $750.00 _ Total $29.910:00 Proposed Start and Completion Schedule: The following schedule will be adhered to unless circumstances beyond the contractor's control arise. Estimated start day-14/1112012. Estimated weeks of work-8-10 Weeks Payments will be made accordine to the fofowl schedule: 1 Upon signing contract $3,000.00 2 Upon beginning of framing $5,000.00 _L Upon signing of rough inspection $5,Q00.00 4 Upon beginning of siding $5,000,00 5 Upon beginning of plastering $5,Q00.00 6 1UpDn beginning of electrical $5,000,00 7 jUpon complition and signing of finat inspection. $1,910.00 TOTAL $29,910.00 All material is guaranteed to be as specified in final contract. All work is to be completed in a workmantike manner according to standard practices. Any alterations or deviations from the original contract wilt be executed only upon written work orders and wilt be payable over and above the original contract price. Atl work and agreements affected by strikes,accidents,or delays,are beyond our control. Customer assumes alt financial responsibilities for collection of unpaid balances by contractor. 1 1/2%interest per month is added to all past due accounts.Owner is responsible for carrying all insurances.Att payments are to be made as per payment schedule. P igrrto accept ildI rU2 to proceed with above work for above robed price. 77 " H Owner BwklitForU2 THANK YOU FOR YOUR BUSINESS '/Co6G i'e mix60-- - .i?i+ X2035" (P 0.(Box 474 Sharon,WA 02067 Office(Fax,-508.543.1502 Page 1 John P russell ins Fax:781-341-2563 Nov 28 2011 03:2'1 3:27 m P001/001 CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDOMMI 11/28/2011 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER, TmIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER($), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be anciorsed. If SUBROGATION IS WAIVED,subject to the terms and candiwns of the policy,certain policies may require an endorsement. A statement on this certificate does not+Confer rights to the certificate holder in lieu of such endomame 5. PRODUCER CONTACT John Russell John P. Russell lnuurence PHONE (781)344-0098 FAX (7e1)341-25 3 65 Pearl Stzeet INSU 9 AFFORDING COVERAGE NAIC# Staughton MA 02072 INSUPrERANautilus Insurance Co INSURED IkwRKR B Alam F$ctor, DIRA: Custom Builarig and I Relic: 4 Cobb Tine law tD. INSURER E: Foxboro MA 02035 1 IrWF: COVERAGES CERTIFICATE NUMBER;Master 2011 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR TYPE OF bMWRANRE POtJCY N 6F.R POLICY EFF Pp1,ICY E90) L1MnS GENERAL LLg9RJTY EACk OCCURRENCE $ 1,000,00; COMMERCIAL GENERAL LIARILITY p $ 50 00 p► CLATED 1NIShIADE a OCCUR 09a4pE; /8/2011 /$f2Al2 MED EXP Any—parson) S 5,001 PERSONAL&AbV INJURY S 1,000,001 GENERAL AGGREGATE $ 2,000,00, 0WL AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 1,000,00, X POLICY PR0. LOC $ AUTOMOBILELUABILnY COM8114PO SINGLE LIM Ea aoc; Bn ANY AUTO BODILY INJURY(Per Pelson) g ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY(Per aoNderd) $ NON-OWNED PROP AMA E HIRED AUTOSAVTO$ Per sodderd S U►AARer r e rJAe OCCUR EACH OCCURRENCE $ LIAR CLANS-MADE AGGREGATE $ 4070 1 RETEkM'Q S g WOKw9K8 COMPENSATION WC STA-70 OT"- AND EMPLOYERS UA91UTY Y/N YORY LIMITS I ER ANY PR0FR1ETOR/pARTNERIEXECUTNE OFFIGERVEMBER EXCLUDED? N t A E.L.EACH ACCIDENT $ (MKdatory In NH) E.L.DISEASE-EA EMPLOYE $ N vee,desd4fe under DESCRIPTION OF OPERATIONS WOW E.L.DISEA$E-POLICY UNIT S DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES(AHach ACORD 101,AddM- l ReM rke Sehedulb,it Moro apace is required) CERTIFICATE HOLDER CANCELLATION (506)543-1501 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Seott and Lisa Cunnane ACCORDANCE WITH THE POLICY PROVISIONS. 41 Holbrook Rd North Arxdover, FIA 01845 AUTHOR�MDREPRESWTATIVE John Ruseell/I=NRA ACORD 25(2010105) 0 1988-2010 AabRD CORPORATION. All rights reserved INS025(2wom).p1 The ACORD name and Iono are rertistered marks of ACORD