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HomeMy WebLinkAboutBuilding Permit #855-14 - 45 CHESTNUT COURT 5/20/2014TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit N0: `S`; Date Received Date Issued: TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building ❑ One family ,0'Addition ❑ Two or more family ❑ Industrial ❑ Alteration No. of units: ❑ Commercial ❑ Repair, replacement , ❑ Assessory Bldg ❑ Others: ❑ Demolition ❑ Other Septic ❑Well ❑ .Floodplain 0 Wetlands_ ❑ Watershed District 0 Watef/Sewer_ DESCRIPTION OF WORK TO BE PERFORMED: LL) (0 /P-�2� 6 qi ./� /J 7-7 O lv' II 4-� s Identification Please Type or Print Clearly) f. OWNER: Name: Phone: Address: CONTRACTOR Name: �_`� _ `� ��`" -5 7C !2 Phone: �l 7 Z� - dQ f A dress: _ _ .UST / Su",eryisor's Construction ,Licen$e . y p w � _ _ �. � .Exp. Date:.__ Home Improvement`, icense'_._._� �� _ Exp. Date dp— ARCH Phone: Address: 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: $ FEE: $ Check No.:Receipt No.: 61/15� NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund Sig_nature�iof Agent/Ovvner" Signature of contrctor_ v Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ 4tamped Plans ❑ r Foundation Permit Fee Other Permit Fee TOTAL ,/,/ e - Location rl v (� I r 24, No. Date e-- /I r1l e-1 Check # 2 6 < TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $ 7,00 Foundation Permit Fee Other Permit Fee TOTAL $/ Building Inspector 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 PLANNING & DEVELOPMENT ❑ COMMENTS 1VL .CONSERVATION Reviewed COMMENTS 'Ai C) HEALTH Reviewed DATE. APPROVED re COMMENTS-5p2�.p�.Ia e Ill - `1� as CLIC Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments Conservation Decision: Comments R Water & Sewer Connection/Signature & Date Driveway Permit DPW Tow;s ]Engineer: Signature: Located 384 Osgood Street FIRE DEPARTMENT - Temp Dumpster on site yes no Located -at 124 Mair, Street - Fire Department sigriatiare/date IM} COMMENTS 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-$1000 fine NU I t5 and DA I A - (For department use El Notified for pickup - Date Doc.Building Permit Revised 2010 Building Department The folriwing 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 o Copy of Contract o Floor Plan Or Proposed Interior Work o 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 o Workers Comp Affidavit. o Photo Copy of H.I.C. And C.S.L. Licenses o 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 a Certified Proposed Plot Plan o 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 o 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 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 submAted with the building application Doc: Doc.Building Permit Revised 2012 Enter construction cost for fee cal - North Andover Fee Calculation Construction Cost $ 99,745.00 m $ - $ 1,196.94 Plumbing Fee $ 149.62 Gas Fee 100 comm. $ 100.00 Electrical Fee $ 149.62 Total fees collected $ 1,596.18 45 Chestnut Court 855-14 on 6/2/2014 New Garage and Addition O77 (D (n rD z O W C T O' x O W < 00-0 x O OO T j .Z7 O OCA T j (7 _S C .Z7 O 000 T O 7 0 0=- T O Q n z * m m D m' z D �+ N 0 (• C 0 0 C W j _> 3 (D W O O m _ yrf C O O f/! ,0O. FD - 0 0 O S Q 0• Ill cn O W CD 'a t) 0 N -• . � CD 2 �^ 0 �. a) 'S �• O C O D U) r•f O 4 O S• CD W r.yCD 'a �0 CD Z O N ;t C Z Q CSD -i �r�• rrn . ,� �<-`2@ rn vi. CLCl)c Dc�.�nm z 0 ����� tr. o 'CD CL5 }� 1, v CD y CD o �. rn y CD N � O < ca OOCD D CD o CD O U) U) r� O O CD e� Z — OF D = o CD Q /_ V / 0 �/•� CD Cl) S :� 0 ; � CD CD N O �; y CD Z v_ CD U) �D v C.) .•f o 0 � z � � z: Cl): m-0 O C 0 : 0CD r0r Q03 O � O � O77 (D (n rD z O W C T O' x O W T O Vf O x O OO T j .Z7 O OCA T j (7 _S C .Z7 O 000 T O 7 0 N (D �. T O Q n * m m D m' z D �+ N 0 m m Q 70 n v C W j W C r ° z m 0 3 3 (D W O O m _ E *�� The Commonwealth of Massachusetts Department of Industrial Accidents Offwe of Investigations 1 Congress Street, Suite 100 Boston, MA 02114-2017 www.mass gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers ARIplicant Information I Please Print Lepdbly Name (Business/Oro ni7ation/lndividual): C/L% t-4 4 Address: 46 (� /J /-) /1Ar/ T 1, /� f �—,� U f �✓ a /P#y Phone #: Are you an employer? Check the appropriate bog: 1. ❑ I am a employer with 4. 0 I am a general contractor and I employees (full and/or part-time).* have hired the sub -contractors 2. ❑ I am a sole proprietor or partner- listed on the attached sheet ship and have no employees These sub -contractors have working for me in any capacity. employees and have workers' [No workers' comp. insurance comp. insurance.1 require -1] 5. [1 We are a corporation and its 3. ❑ I am a homeowner doing all work officers have exercised their myself. [No workers' comp. right of exemption per MGL insurance required.] t c. 152, § 1(4), and we have no employees. [No workers' Type of project (required): 6. ❑ New construction 7. ❑ Remodeling 8. ❑ Demolition 9. J�:[ Building addition 10.❑ Electrical repairs or additions 11.❑ Plumbing repairs or additions 12.0 Roof repairs 1311 1 Other *Any applicant that checks box #1 must also `fill out the section below showing their workers' compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. $Contractors that check this box must attached an additional sheet showing the name of the sub -contractors and state whether or not those entities have employees. If the sub -contractors have employees, they mast provide their workers' comp. policy number. I am an employer that is providing workers' compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: ��� M Policy # or Self -ins. Lic. #: L) G o O 9%/ x 9 3 i> U,-:5 > 1Z L/ L� -/*"� Expiration Date:, Job Site Address: City/State/Zip:. ✓t�� �'` '��y V `Z dimes 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 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. Ido hprovided above is true and correct Phone #: 9 !z - -�� / F Official 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): 1. ]Board of Health 2. Building Department 3. City/Town Clerk 4. Electrical Inspector 5. Plumbing inspector 6. Other Contact Person: Phone #: AcoRO CERTIFICATE OF LIABILITY INSURANCE `..i DATE(MMIDDIYYYY) 12/11/2013 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS 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(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions 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 endorsement(s). PRODUCER MTM Insurance Associates 1320 Osgood Street North Andover MA 01845 CT Victoria Lowes, CISR CoMT PHONE(978) 681-5700 aC No): (978) 681-5777 AD RL .vickiel@mtminsure.com INSURER(S) AFFORDING COVERAGE NAIC # INSURERA:State Auto Insurance INSURED Cote & Foster Contracting, Inc 20 Aegean Drive Unit 15 Methuen MA 01844 INSURER B :COmmerCe & Industry Insurance INSURERC: INSURER D: INSURER E.* INSURER F: COVERAGES CERTIFICATE NUMBER:13-14 Master List 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. 1LTR TYPE OF INSURANCE DLSUBR Town of North Andover POLICY NUMBER POLICYEFF PM/DD EXP LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE ❑X OCCUR P MacDonald CPCU, CIC OP2722545 2/31/2013 2/31/2014 EACH OCCURRENCE $ 1,000,000 DAMAGE TO RERrI!17-- PREMISES Ea rrence$ 300,000 MED EXP (Any one person) $ 10,000 PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: X POLICY PRO- JECT LOC PRODUCTS - COMP/OP AGG $ 2,000,000 $ `a' AUTOMOBILE LIABILITY ANY AUTO ALL OWNEDSCHEDULED AUTOS X AUTOS X HIRED AUTOS X AUTOSOWNED BAP2370166 2/31/2013 2/31/2014 COMBINED SINGLE LIMIT Ea accident $ 1,000,000 BODILY INJURY (Per person)- $ BODILY INJURY (Per accident) $ FRe°�de DAMAGE $ Medical payments $ 5,000 UMBRELLA LIABOCCUR EXCESS LIAB HCLAJMS-MADE EACH OCCURRENCE $ AGGREGATE $ DED I I RETENTIONS $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICERIMEMBER EXCLUDED? N❑ (Mandatory In NH) If yes, desrnbe under DESCRIPTION OF OPERATIONS below NIA A 0004962937 /20/2013 /20/2014 X tivC STU OTH L. E.EACH ACCIDENT $ 500,000 E.LDISEASE -EAEMPLOYE $ 500,000 E.L. DISEASE - POLICY LIMIT $ 500 i 000 A A Property Coverage Scheduled Equipment OP2722545 OP2722545 2/31/2013 2/31/2013 2/31/2014 2/31/2014 Business Personal Property $39,367 Contractors Equipment $169,928 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space is required) Certificate holder as listed below CERTIFICATE HOLDER CANCELLATION ACORD 25 (2010/05) INS025 (2oloos).ol ©1988-2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Town of North Andover ACCORDANCE WITH THE POLICY PROVISIONS. 384 Osgood Street AUTHORIZED REPRESENTATIVE North Andover, MA 01845 P MacDonald CPCU, CIC ACORD 25 (2010/05) INS025 (2oloos).ol ©1988-2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD V agreement made this lst day of May, year Two thousand and Fourteen by and leen Cote and Foster Contracting, Inc. hereinafter called the Contractor and Noelle hereinafter called the Owner, witnesses that the Owner intends to construct a new ge and addition at the address of 45 Chestnut Court, North Andover, MA. Now, therefore, the Contractor and the Owner, for consideration hereinafter agree as follows: ARTICLE 1 The Contractor agrees to provide all the labor and materials to do all things necessary for the proper construction and completion of the work shown and described on 11ficat rawings. The drawings and specifications are the basis of the contract. ARTICLE 2 In consideration of the performance of the contract, the Owner agrees to pay the Contractor, in current funds as compensation for his services hereunder $102,225.00 to be paid as follows: Payment 1- $10,000.00 at signing of contract Payment 2 - $20,000.00 at start of excavation Payment 3 - $20;000.00 at start of framing Payment 4 - $209000.00 at completion of framing Payment 5 - $15,000.00 at completion of rough electrical Payment 6 - $7,225.00 at completion of plaster & insulation Payment 6 - $10,000.00 at completion of paint, carpet and hot top ARTICLE 3 of pFinal payment on contract amount as agreed above to be paid within ten (10) days a 16roject completion or occupancy. If final payment has not been made within this time 0/0 charge per month on the balance due will be charged. All minor punchlist items wil be complete as part of the one year warranty on the finish product. Failure to pay balnce within ninety (90) days may result in le ! Y gal action. 20 Aegean Drive - Unit 15 • Methuen, MA 01844 Tel: 978-682-6518 - Fax: 978-682-1221 www.coteandfoster.com t � I I ARTICLE 4 Additional work above and beyond the contract agreement: All additional work done to be quoted at the time the client requests the work. The work will! be done and billable at its completion. The client has ten (10) days to pay the additional cost after he or she has been billed for it. Ini ,jals: ZU written. In witness whereof they have executed this agreement the day and year first above i Lee, Owner n M. Cote Cote & Foster , tt a rsrp �. w. � \—..rte '�r+wad'u .. • Ct1STOM l;U! 1_D1 NG + REhi0DF LING May 8, 2014 Building spec submitted to Noelle Lee for construction of a 10'x 28' gym space with 28' x 24' garage. New garage and addition with remodeling as required to retrofit house to new condition. Work to be performed at the address of 45 Chestnut Ct., North Andover, MA. Details of project are outlined as follows: 1. Permit— All required permits required to complete project with the exception of special permits such as conservation, zoning or planning will be supplied by Contractor. 2. Tree Removal — All trees required to be removed for construction to be removed by Contractor. 3. Sight Engineering - Not included. 4• Portable Toilet Facilities - To be supplied by Contractor on site. 5. Debris Removal — Any debris generated by construction to be removed by Contractor. 6. Excavation — Excavate for frost wall, footing minimum 4' below grade. Back fill exterior to grade. Back fill over excavation on interior with compaction for concrete slab. Finish grade exterior spreading existing loom to make ready for homeowner's landscape. Note: Finish lawn and plantings are not included. Also excavate for electric service from existing garage to new workout room. Take down 5 trees and remove stumps Remove 1 shed Concrete removal Dig for foundation Prep for floors 4 tubes Prep for hot top Note: If ledge is encountered during excavation, additional costs may be charged for breaking up and removal. 20 Aegean Drive • Unit 15 • Methuen, MA 01844 Tel: 978-682-6518 • Fax: 978-682-1221 'A"A,x,k-.coteandfoster_ rn m 7. Foundation -10"x 20" footing with two #5 rods continues throughout. 10" concrete wall. Note: All concrete to be minimum 3000 PSI at 28 -day cure. Size and details per owner supplied plans.. 8. Concrete Floor- ""to 4" of 3000 PSI concrete with 6"x 6" wire mesh reinforcement. Concrete to have a smooth troweled finish. 9. Hot Top - Total allowance of $1,500.00, to include 2" of binder asphalt and l" of finish asphalt. New hot top area to accommodate new addition and conditions. 10. Demolition - Demolish all of the shed and selective demo at back sunroom, wall and door. 1.1. Frame - 2"x 6" P.T. sill with 2"x 6" double. Floor to be concrete slab. Wall frame to be 2" x 4" and 2" x 6" at 16" O.C. Wali sheathing to be %" CDX Fir Plywood. Roof frame to be pre-engineered trusses. Roof sheathing to be 5/8" CDX Fir Plywood. All ceilings that are to be finished will receive 1 strapping at 16" O.C. All structural beams, ridges, vallies and posts as per design plans. 12. Remodel - All areas to be impacted for access or over lap with addition or changed space to be framed as required for a smooth transition from new to old. 13. Roofing - 8' drip edge continues at all eaves and rakes. Ice and water shield at all eaves, vallies and vertical connections. Roof shingles to be match existing. All shingles to have 30# felt paper underlayment. All roofing fasteners to be galvanized. Continues ridge vent at ridge. All flashings to be aluminum place, as roof requires. 14. Vinyl Siding - Solid vinyl siding with. Tvvek paper backing. Color and details to be selected from samples supplied by Contractor. All exterior trim, soffits, rakes and facia to be aluminum wrap. Trim to be white. All trims wrapped at windows and doors as required blending in. 15. Windows - To be Andersen 400 series. Casement windows with GIA pre -finished white interior with white screens and white hardware. All windows as sized per plans. 3-CX15 2"8" x 510- 16. Exterior Doors - To be fiberglass with metal sill 5/4"x 4" casing. Door jam to coordinate with wall thickness. Door knob with key lock at all exterior entrances. Three doors in total as drawn. NOTE: All doors to have storm doors chosen by homeowner, allowance $275.00 per door. Installation is included in this proposal. 1.7. EIectrical - per enclosed listing. (excluding bathroom) 18. Heating - To be for workout room by homeowner. 19. Insulation — All exterior walls to be R-21. All roof or attic .joist insulated with R- 38. Proper ventilation installed at all eaves and cathedrals as required. Vapor barrier at all areas as required three mill poly sheathing. 20. Plaster - i/2" Blue Bd. at all walls and ceiling +1/16" of skim coat plaster at all surfaces. All walls to have smooth fmish. All ceilings to be smooth. 21. Garage Doors — Two 9'x 7' carriage style insulated overhead door with belt drive operator standard in new garage. Two existing garage doors to be replaced, re -using existing motor. 22. Floor coverings: (a) Carpet - Allowance of $30. /yd. to include purchase of carpet pad and installation. e Gym Floor -Carpet 26. Interior Finish - All interior doors to be 6 panel solid core Masonite with 2 %2" colonial casings, window casing to be 2 %2" colonial with stool cap and apron, base board to be 5 '/" speed and all interior wood work to be paint grade. 27. Interior Paint — Primer and two coats of finish paint. Colors to be chosen by homeowner for both woodwork and wall paint. Smooth ceiling. Color can be chosen by homeowner. 28. Change trusses to attic style trusses a) Add 5/8" plywood in attic (9 sheets) b) Add 2 ceiling lights and switches in attic c) Add pull down stairs in attic d) Change windows to casement (increase budget cost $635.00) Total charges added to total proposal $3,425.00 29. Door replacement, window removal and siding repair at back of sunroom on existing house. o Remove and replace door with 9 light fiberglass door. metal sill. PVC exterior casing, K & K and deadbolt. Trim interior of door with 2 %" clam casing. o Remove existing casement window and dispose of, repair wall back to original condition. o Paint door and wall. Prep as required the remaining wall, making wall an accent wall. o Repair siding at exterior of this area from corner to corner up to one course above door trim. Y M Total cost to complete - $102,22.00 Thank you for the opportunity to quote your project. Should you have any questions or would like to take your project to the next step, please contact us. Sincerely, Steven A Cote Cote and Foster ff N* spmp5o -41 a a W