HomeMy WebLinkAboutBuilding Permit #471 - 5 VILLAGE WAY 1/25/2008BUILDING PERMIT
TOWN OF NORTH ANDOVER
APPLICATION FOR PLAN EXAMINATION
Permit NO: ! Date Received `"�R��,
TYPE OF IMPROVEMENT
PROPOSED USE
Residential
Non- Residential
New Building
One family
ddition
Two or more family
Industrial
Alteration
No.'of units: 2..
Commercial
Repair, replacement
Assessory Bldg
Others:
Demolition
Other
septic Weill � , _
Fioodpla n _ Wetlands
Watershed District
ater/5ewer
DESCRIPTION OF WORK TO BE PREFORMED: 1
u� 0 1 2-.,k 1% 'Ga-G� I lA n To Kt fc �0 h e �,i d 4 *'x i1 a d 014. h, n ra
I' 11 i
P1.rF-koe5 �ua�C> gul 8 `x�� addtflon JCvrnew Slde p14; $,tld (ok14 i
5 4e R w -h w t-1 roQ, --
Identification Please Type or Print Clearly)
OWNER: Name: Da" J 4, h a h a 11c Q e I I a v v Phone:
Address: Way Aio t, -k v,cla Ger
CONTRACTOR Name;"e>SLevis Phone: q - 7k VR ? • 2 "
Address C Waa ' P i+ e t ant St. N o e+k ,14 h A e l t, M0- 0'
Su ervisor s Construction License. -O 3 0 6k_. t Ex Date: 1 - 7-/o
Home mprovement.License 1- 0-3 `? 7 2 Exp. Date: :-7 h. ?,09
ARCH ITECT/ENGINEER DavLA II" I t c,� &J Td nSa A Phone: a - 461 - 2-0,5"- 0
Address:(, H aSo n lfi, M a N A a 17ur 14 Reg. No. -i 84!4
FEE SCHEDULE: BULDING PERMIT: $12.00 PER $1000.00 OF THE TOTAL ESTIMATED COST BASED ON $125.00 PER S.F.
Total Project Cost: $� , G a o FEE: $ �`0 0
7 t�
Check No.: � S � Receipt No.: c)o 07
NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund
Plans Submitted Plans Waived Certified Plot Plan Stamped Plans
TYPE OF SEWERAGE DISPOSAL
ublic 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
PLANNING & DEVELOPMENT
•CeIIXL,iff
CONSERVATION
DATE REJECTED
F%
DATE REJECTED
COMMENTS Apgtcaanl n"Js 4o w/ DJN
HEALTH
..,•.
COMMENTS
r
4
DATE APPROVED
I AS Loy
DATE APPROVED
Dgq
/
DATE REJECTED DATE APPROVED
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
Located at 384 Osgood Street
FIRE°DEPARTMENT .:Tern£p Dumpster>on.site yes no
Located at' 124'MahStreet`
Fire D'epartrnent,signature/date,
COMMENTS
Dimension
Number of Stories:
Total land area, sq. ft.:
Total square feet of floor area, based on Exterior dimensions.
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
NOTES and DATA – For department use
❑ Notified for pickup - Date
-- - -- -----..- .............. _ _...... _----...... _........... ............... --.... ......... -.__.._.-............-..._____—_----------- _....-...._.-..------ ...... -_-_..- -------- - ----- ....--.._._....._._..-.-_._...................
Doc.Building Permit Revised 2007
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: INSPECTIONAL SERVICES DEPARTMENT:BPFORM07
Revised 2.2007
Location -5,—Ul//�''.iZ- �1f -
No. / r Date
TOWN OF NORTH ANDOVER
• . • OL
D
�a Certificate of Occupancy $
X00 U
cMuS <�' Building/Frame Permit Fee $
Foundation Permit Fee $
Other Permit Fee
TOTAL
Check #
20919
Building Inspector
91-P""n"wvea& oltA�adwe&
_
Board of Building Regulati ns and Standards
One Ashburton Place - Room 1301
Boston. Massachusetts 02108
Home Improvement'Contractor Registration
JOSEPH G. LEVIS
JOSEPH LEVIS
160 PLEASANT STREET
NORTH ANDOVER, MA 01845
DPS•CA1 0 50M-05106-PC8490
/ie �omr�noouoeal!/ o�✓i�aaJac/u�aetta
Board of Building Regulations and Standards
HOME IMPROVEMENT CONTRACTOR
Reg istratlow-)03772
Explatio_=7�yj�008
,,=TYp 6: AndMdual
f1 i
JOSEPH G. LEVIS.-Ej
JOSEPH LEVIS (;;, k -i
160 PLEASANT STREET;..`.:;::
NORTH ANDOVER, MA 01845 Deputy Administrator
Registration: 103772
Type: Individual
Expiration: 7/9/2008
^i Update Address and return card. Mark reason for change.
Address Renewal F] Employment ❑ Lost Card
License or registration valid for individul use only
before the expiration date. If found return to:
Board of Building Regulations and Standards
One Ashburton Place Rm 1301
Boston, Ma. 02108
Not valid w' 10 gnature
160 PLEASANT ST';,
N ANDOVER, MA 01845 Commissioner
✓fie Z/ ovrrmwozurP a�✓�anoaeiucaelta
-
Board of Building Regulatiohhs and Standards
Construction Supervisor License
License: CS 30651
Expiration 1!7/2010 Tr# 11968
� Restriction 00��
"V.44
JOSEPH G
LEVISt" t'` °-_
160 PLEASANT ST';,
N ANDOVER, MA 01845 Commissioner
I
O
z
c 0
c
�CL
N
_O C
�w.+ O
v V
�Q,'O
3p, c
Cccc
CD C
r
O �
N
Ci
r0r d
N
90E�
:gym
y *O,
m C
N l0
mm
N m
r m �
�m
��
� = c
N W
I=COD
N
CD
N m ?
�= O
�: �
Of p C
` Cyi y O
2
cc
o ao
m N O C
x m o_... 3
~ O N OS~
W c Cc=
ti c m.. c,..
•N PCZ O C
CS ',r
.i y fl V •a
y ®"
h d
0-0
CL
= A O` h �7CID
E
d
N
Z
N
O
N
C
O
cm
m
Of
C
m
0
cm
c
�C
N
CD
s
0
2
O
J
0
6
�!
ow
CD
c■
L
�■+ O
v �
Z a3
0.
O CO)
C C
_
cm
I C C
Q■�
CO) O-0
co
h C
g mm
CD �
CL _ Z"
�3
.0
CD
C
CD
M O a
CL ca c�
a
�
o
C
V
E. D
C CD
0 CL
V CO)
c C
_
C C
cc
CO2
0
O
Y/
U)
1.
W
W
19
W
U)
o
U)
p
w
cz
S
v
S
U
coa
w
w
12
w
0
a
"
w
W
a
U
JP
co
w
O
a
t
—co
w
w
w
w
G
W
o
z
cn
Q
o
cn
O
z
c 0
c
�CL
N
_O C
�w.+ O
v V
�Q,'O
3p, c
Cccc
CD C
r
O �
N
Ci
r0r d
N
90E�
:gym
y *O,
m C
N l0
mm
N m
r m �
�m
��
� = c
N W
I=COD
N
CD
N m ?
�= O
�: �
Of p C
` Cyi y O
2
cc
o ao
m N O C
x m o_... 3
~ O N OS~
W c Cc=
ti c m.. c,..
•N PCZ O C
CS ',r
.i y fl V •a
y ®"
h d
0-0
CL
= A O` h �7CID
E
d
N
Z
N
O
N
C
O
cm
m
Of
C
m
0
cm
c
�C
N
CD
s
0
2
O
J
0
6
�!
ow
CD
c■
L
�■+ O
v �
Z a3
0.
O CO)
C C
_
cm
I C C
Q■�
CO) O-0
co
h C
g mm
CD �
CL _ Z"
�3
.0
CD
C
CD
M O a
CL ca c�
a
�
o
C
V
E. D
C CD
0 CL
V CO)
c C
_
C C
cc
CO2
0
O
Y/
U)
1.
W
W
19
W
U)
AC -ORD. CERTIFICATE OF LIABILITY INSURANCE OP ID S DATE(MMIDDYT
LEIS -1 10/25/07V
PRODUCER THIS CERTIFICATE IS ISSUE 11 AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RI:;IHTS UPON THE CERTIFICATE
Michaud, Rowe And Ruseak Inc. HOLDER. THIS CERTIFICATI : DOES NOT AMEND, EXTEND OR
198 Massachusetts Acte ALTER THE COVERAGE AFI ORDED BY THE POLICIES BELOW,
North Andover MA 01845
Phone: 978 688 9829 Fax: 918 557 2130
I}
7+evis companies Inc.
Joseph Levis
150 Pleasant Street
Worth Andover MA 01845
INSURERS AFFORDING COVE RAGE NAIC #
INSURER A: preferred Mntupa in; i=ano- Co. 15024
INSURER B: Guard ZiiStlyd2l.:@ Gro
INSURER C! Safety Insura •:.ce Comanv 33618
INSURER D:
INSURER E:
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PE'?IOD INDICATED. NOTWITHSTANDING
ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCLI VIENT WPTH RESPECT TO WHICH THIS : ERTIFICAT£ MAY BE ISSUED OR
MAY PERTAIN, THE INSURANCE AFFORDED SY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, FM IJSIONS AND CONDITIONS OF SUCH
POLICIDIXES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAW,
R NSR TYPE OF INSURANCE T POLlGY NUMBER _7p�AF IpDATE (VV�1N I LIMITS
C
GENERAL LL60UTY
COMM9RC,ALGENE,RALLI.A8ILITY ` CRP0100594059
CLAIMS MADE I x I OCCUR `
GEHL AGGREGATE LIMIT APPLIES Psk
�POL.ICY I I PJB l LOC
AUTOMOELLE UASILITY
j ANY Aura 021254
ALL CWNED AUTO$
X SCHEDULED AUTOS
X :,!RED AUTOG
X NON4WNE) AUTOS
C CRAGS UABIUTY
ANY AUTO
nCESSJUM6R2LLA UABIUTY
OCCUR CLAIMS MAGE
DEDUC .;LE
I WORKERS OOMPENSATION AND
B I EMPLOYERS' LIABILITY
1 ANY PROPFtIE ORfPARYNE4 E��rUTIVE
OFFICER/MEMBER F-YZLUDEI)7
If yes, dmrlbe under
SPECIAL PROVISIONS he cw
LEWC903625
V :H OCCURRENCE $ 1000000
�F ' iF.6-�f0 RE1'iTE-
10,/26/07 10/26/08 PF :MISES(Eaaoeurerco) $50000
MI ) EXP (Any ana lYetSO) ( 55000 _
PI LSONALBACVINJURY If 1000000 _
GI 'JERALAOGREGAir I S 2000000
PI )DutTs- colwplOPAsc I $1000060
G WeINED SINGLE LIMIT
01/01/07 I 01/01/08 LF . eccldol(t) A
i B :OILY INJURY
rersm) $500000
` 6 :OILY INJURY
1$500000
i 0 ::r accio6l;L) -
'r uP=7LYpAMAGE S 250000
0 Kaccidenq I
A TO ONLY - EA AG. ,DENT { $
I
'HER THAN EA ACC i S
! ITC ONLY; ;GG $
F I CH JC.CJrlRENcE
�/ ICH
_ITORYL'Mr 1 ER
02/27/07 02/27/08 L. �ACHACCIDENT s 100000
L. DISEASE. EA Er�?LOYEE g 100000
L.DISEASE- POLICYLIMrr I S 500000
Residential Construction and Remodalinq, Office Bldg Remodeling-
lTE HOLDER CANCELLATION
NORTHI3 SHOULD ANY OF THE ABOVE DE50RIL ;M FQUCIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURE I WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN
Town of North Andover NOTICE TO THE CERTIFICATE HOLDEF NAMED TO THE LEFT, BUT FAILURE TO DO 90 SHA L
384 Osgood Street IMPOSE NO OBLIGATION OR LIABIUTI JF ANY KIND UPON THE INSURER, ITS AGENTS OR
North Andover MA 01845 REPRESENTATIVES.
AUTHOR NTA
(2001108) 0 ACORD CORPORATION
Permit #
Permit Date
REScheck Software Version 3.7.3
Compliance Certificate
Project Title: Renovation and Addition to the Dellovo Residence
Report Date: 07/09/07
Data filename: Dellovo.rck
Energy Code:
2000 IECC
Location:
North Andover, Massachusetts
Construction Type:
Single Family
Glazing Area Percentage:
12%
Heating Degree Days:
6322
Construction Site:
Owner/Agent:
Designer/Contractor:
5 Village Way
David and Danielle Dellovo
David Johnson
North Andover, MA
5 Village Way
Studio Twenty Six Architects
North Andover, MA
36 Nason Street Second Floor
617-721-5424
Maynard, MA
978-461-2050
Ceiling 1: Flat Ceiling or Scissor Truss: 180 30.0 0.0 6
Ceiling 2: Cathedral Ceiling (no attic): 700 30.0 0.0 24
Wall 1: Wood Frame, 16" o.c.: 2660 15.0 0.0 180
Window 1: Wood Frame:Double Pane with Low -E: 252 0.380 96
Door 1: Glass: 68 0.380 26
Floor 1: All -Wood Joist/Truss:Over Unconditioned Space: 880 30.0 0.0 29
Compliance Statement: The proposed building design described here is consistent with the building plans, specifications, and other
calculations submitted with the permit application. The proposed building has been designed to meet the 2000 IECC requirements in
REScheck Version 3.7.3 and to comply with the mandatory requirements listed in the REScheck Inspection Checklist.
nwn � J�YL:sC4t1 �Oty
Builder/Designer Company Name Datet
Renovation and Addition to the Dellovo Residence Page 1 of 4
fZREScheck Software Version 3.7.3
Inspection Checklist
Date: 07/09/07
Ceilings:
❑ Ceiling 1: Flat Ceiling or Scissor Truss, R-30.0 cavity insulation
r:nmmantc-
❑ Ceiling 2: Cathedral Ceiling (no attic), R-30.0 cavity insulation
Comments:
Above -Grade Walls:
❑ Wall 1: Wood Frame, 16" o.c., R-15.0 cavity insulation
Comments:
Windows:
❑ Window 1: Wood Frame:Double Pane with Low -E, U -factor: 0.380
For windows without labeled U -factors, describe features:
#Panes _
Comments:
Frame Type
Doors:
❑ Door 1: Glass, U -factor: 0.380
Comments:
Floors:
Thermal Break? Yes No
❑ Floor 1: All -Wood Joist/rruss:Over Unconditioned Space, R-30.0 cavity insulation
Comments:
Air Leakage:
❑ Joints, penetrations, and all other such openings in the building envelope that are sources of air leakage are sealed.
❑ Recessed lights are 1) Type IC rated, or 2) installed inside an appropriate air -tight assembly with a 0.5" clearance from
combustible materials. If non -IC rated, fixtures are installed with a 3" clearance from insulation.
Vapor Retarder:
❑ Installed on the warm -in -winter side of all non -vented framed ceilings, walls, and floors.
Materials Identification:
❑ Materials and equipment are installed in accordance with the manufacturer's installation instructions.
❑ Materials and equipment are identified so that compliance can be determined.
❑ Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment have been provided.
❑ Insulation R -values and glazing U -factors are clearly marked on the building plans or specifications.
❑ Insulation is installed according to manufacturer's instructions, in substantial contact with the surface being insulated, and in a
manner that achieves the rated R -value without compressing the insulation.
Duct Insulation:
❑ Ducts in unconditioned spaces are insulated to R-5. Ducts outside the building are insulated to R-6.5.
Duct Construction:
❑ All joints, seams, and connections are securely fastened with welds, gaskets, mastics (adhesives), mastic -plus -embedded -fabric,
or tapes. Tapes and mastics are rated UL 181 A or UL 181 B.
Exception: Continuously welded and locking -type longitudinal joints and seams on ducts operating at less than 2 in. w.g. (500
Renovation and Addition to the Dellovo Residence Page 2 of 4
Pa).
❑ The HVAC system provides a means for balancing air and water systems.
Temperature Controls:
❑ Thermostats exist for each separate HVAC system. A manual or automatic means to partially restrict or shut off the heating
and/or cooling input to each zone or floor is provided.
Service Water Heating:
❑ Water heaters with vertical pipe risers have a heat trap on both the inlet and outlet unless the water heater has an integral heat
trap or is part of a circulating system.
❑ Circulating hot water pipes are insulated to the levels in Table 1.
Circulating Hot Water Systems:
❑ Circulating hot water pipes are insulated to the levels in Table 1.
Swimming Pools:
❑ All heated swimming pools have an on/off heater switch' and a cover unless over 20% of the heating energy is from
non-depletable sources. Pool pumps have a time clock.
Heating and Cooling Piping Insulation:
❑ HVAC piping conveying fluids above 105 degrees F or chilled fluids below 55 degrees F are insulated to the levels in Table 2.
Renovation and Addition to the Dellovo Residence Page 3 of 4
Table 1: Minimum Insulation Thickness for Circulating Hot Water Pipes
Insulation Thickness In Inches by Pipe Sizes
Table 2: Minimum Insulation Thickness for HVAC Pipes
Non -Circulating Runouts
Circulating Mains and Runouts
Heated Water
Temperature (°F)
Up to 1"
Up to 1.25"
1:5" to 2.0"
Over 2"
170-180
0.5
1.0
1.5
2.0
140-169
0.5
0.5
1.0
1.5
100-139
0.5
0.5
0.5
1.0
Table 2: Minimum Insulation Thickness for HVAC Pipes
NOTES TO FIELD: (Building Department Use Only)
Renovation and Addition to the Dellovo Residence Page 4 of 4
Fluid Temp.
Insulation Thickness In Inches by Pipe Sizes
Piping System Types
Range(OF)
2" Runouts .: .: 1" and:Less ;.:;;
:1:25" to 2.0" 2.5"
to 4"
Heating Systems
Low Pressurelfemperature
201-250
1.0
1.5
1.5
2.0
Low Temperature
120-200
0.5
1.0
1.0
1.5
Steam Condensate (for feed water)
Any
1.0
1.0
1.5
2.0
Cooling Systems
Chilled Water, Refrigerant and
40-55
0.5
0.5
0.75
1.0
Brine
Below 40
1.0
1.0
1.5
1.5
NOTES TO FIELD: (Building Department Use Only)
Renovation and Addition to the Dellovo Residence Page 4 of 4
Ir
LEVIS COMPANIES, INC.
General Contracting
"Residential & Commercial"
PO Box 952 Lawrence, MA 01842
W9 levisco@verizon.net
(978) 687.2783 OFFICE
(978) 687-3042 FAX
T0: Danielle & Dave Dellovo
5 Village Way
North Andover MA. 01845
We hereby submit specifications and estimates for:
Install new interior trim and doors as neede
Remove and dispose of existing rear deck;
Install new hydro air system (HVAC);
Build 12x16 addition to Kitchen
Build 4x17 addition to Mothers Suite former
Build 8x8 addition For new side entry
Build 6x14 Side Porch With Roof
All work is based on plans prepared by Studio
See attached sheet for allowances.
ppqpmu 105
PHONE DATE
978-685-7547 1/23/08
JOB NAME / LOCATION
Renovation To
The Dellovo Residence
5 Village Way
North Andover MA 01845
JOB NUMBER
0005
Garage
JOB PHONE
978-685-7547
Twenty Six Dated December 2006
We Propose hereby to furnish material and labor — complete in accordance with the above specifications, for the sum of:
Fifty Thousand and 00/100 Dollars dollars ($ 50,000.00).
Payment to be made as follows:
Fifty thousand ($10,000.00) due at signing of proposal; Fifty thousand ($20,000.00) due at
completion of rough inspection. Balance of Fifty thousand ($50,000.00) due upon completion
of final inspections.
All material is guaranteed to be as specified. All work to be completed in a professional
manner according to standard practices. Any alteration or deviation from above specifications Authorized
involving extra costs will be executed only upon written orders, and will become an extra Signature
charge over and above the estimate. All agreements contingent upon strikes, accidents or
delays beyond our control. Owner to carry fire, tornado, and other necessary insurance. Our otee This proposal may be
workers are fully covered by Worker's Compensation insurance. withdrawn by us if not accepted within
Acceptance Of Proposal—The above prices, specifications and con-
ditions are satisfactory and are hereby accepted. You are authorized to do the work as - p
specified. Payment will be made as outlined above. Signature �LC�4�(
Date of Acceptance: / - 2 -1 - el 1k
Signature
PRODUCT 13128M USE WITH 771 ENVELOPE NEBS To Reorder: 1-800-225-6380 or www.nebs.com PRINTED IN U.S.A. BA 0 O
15 days.