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Home My WebLink AboutBuilding Permit #429 - 57 OLYMPIC LANE 1/21/2009 BUILDING PERMIT cf��eo r10RTN,6gti •6 O i TOWN OF NORTH ANDOVER - - ' rf APPLICATION FOR PLAN EXAMINATION00 1 o Permit NO: Date ReceivedR,Teo,P"�.cy . � Date Issued: - 1J SACHUSE IMPORTANT:Applicant must complete all items on this page 77 10CA NA ON IS iO -PROPERTY OlWk i1 I ' ,MAP NOS P�► C L / �tO1 71 � TR T~ .�` tstor�t:ID�sIr _ s acb e b Villa a y+es o TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential N uilding One family Addition more family Industrial Alteration No. of units: Commercial Repair, replacement Assessory Bldg lip Others: Demolition Other till , Elo tiplaair , W-ell ncis . /ate to d was#ract : 1 a Ewer DESCRIPTION OF WORK TO BE PREFORMED: ? 7 y-,�c•.r�� C`tic_S �..�.� 1 �.�.,-�_..-� � IS.r � �loa..��"- ov�.�t.. '��S �--v.�e Identification Please Type or Print Clearly) JQO OWNER: Name: -t��,.,�,�� '..e,� Phone:(�'i l' o Address: COT .. aPorep f i paer�� or''vC stwcftlor Lacense.• �"3 ` E y _. -Jona .a PT0'Mprm'e:nl,,Lcen5. e: i ,Date. ARCHITECT/ENGINEER �,41_._,� Phone: (04'1$-) 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: $ k k O U FEE: $ Check No.: �s� Receipt No.: cg ( S' d NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund ure of A ent/ _ .1. tart a of�cor� racto 7 �_ 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 Signature COMMENTS ~WEALTH Reviewed on r D Si nature _. �cLIAENTS a !/VL X i .,�y-w 1��-�vvS ` 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 Osgood Street Te Located�d12Winfr�e# L Dimension Number of Stories: Total square feet of floor area, based on Exterior dimensions. Total land area, sq. ft.: R c,"— ELECTRICAL: "ELECTRICAL: Movement of Meter location, mast or service drop requires approval of Electrical Inspector Yes No )6 DANGER ZONE LITERATURE: Yes No MGL Chapter 166 Section 21A—F and G min.$100-$1000 fine NOTES and DATA— (For department use I s� 1 i i l i ❑ Notified for pickup - Date Doc.Building Permit Revised 2008 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) o 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 2.2008 t Location No. � f Date NORTH TOWN OF NORTH ANDOVER 3? � . 0� fA. Certificate of Occupancy $ s Building /Frame/Frame Permit Fee $ ss�cNu Emus Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # 2 , � i Building Inspector NORTH Town of Andover . 0 No. a02 - �, dover, Mass., COCMICHEWICK V RATEO U BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System BUILDING INSPECTOR THIS CERTIFIES THAT D...G!�. -C� v,� ............. ... .. ............ ...................................................................................................... Foundation has permission to erect........................................ buildings on ....57-7..... .. ... /.,C ...��.......................... Rough 41 t0 be OCCUpled as..0!a... .....P)..V ..... . ......... ........ Chimney provided that the person accepting this permits all in every respect 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 PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRU TS 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. A* M 169 Boxford Street M(3WEo M PVSMFSEOD T z)7 • North Andover,MA 01845 • PH:978-N8-5335 Building Contractor • FAX:978-688-7207 Proposal To: Howard&Brenda Reeve 57 Olympic Lane All Home improvement Contractors and Subcontractors engaged in home improvement contracting,unless North Andover, Ma. 01845 specifically exempt from registration by Provisions of Chapter 142A of the general laws,must be registered with the Commonwealth of Massachusetts.Inquiries about registration and Status should be made to the Director,Home Improvement Corrhact Registration,One Ashburton Place, Frorrx Kevin Murphy Room 1301,Boston,MA 02108.(61-/)-727 85N CC: Date: 10/6/2008 Job: Master bedroom/bath expansion Date of plans: 8/08 Architect: Steve Foster Location: Same Section I-Work Schedule Contractor will begin the work or order the materials before the third day following the signing of this agreement, unless specified here in writing contractor will begin worts on or about 3/1/09. Barring Delay caused by circumstances beyond Contactors control,the work will be completed by 6/15/09.The owner hereby acknowledges and agrees that the scheduling dates are approximate and that such delays that are not avoidable by the Contractor shall no be considered as violations of this agreement. Section 11-Warranty The Contractor warrants that the work furnished hereunder shall be free from defects in materials and workmanship for a period of 1 year following completion and shall comply with the requirements of this Agreement. In the event any defect in workmanship or materials, or damage caused by the Contractor, his subcontractors, employees or agents, is discovered within one year after completion of any job, including cleanup,the Contractor shall,at his own expense,forthwith remedy,repair corned,replace,or cause to be remedied,repaired,or replaced, such damage or such defect in materials or workmanship. The foregoing warranties shall survive any inspection performed in connection with the agreed-upon work. Section III-Scope of Work McVA n Irl MV?Eny Page 2 of 4 Uniiding Contvactor 169 Boxford Street Nath Andover,MA 01845 PH:978688-5335 FAX 978688-x)OCX General Building permit will be provided by contractor. No allowance has been made for any title v inspections or septic upgrades. Building plans and structural engineering to be provided by owner. Demolition Roof of existing garage will be removed and disposed of. Existing masterbath and closet will be completely gutted. Building All frame, roof, and siding materials will be provided to match existing/meet code/as shown on plans. Exterior walls will be 2x4, engineered floor joists per plan, roof rafters will be 2x10. All floor,wall, and roof sheathing will be fir plywood (3/4 on floor, 1/2 on walls, 5/8 on roof). Ice&water sheild will be provided at all roof edges, roof shingles to match existing. Walls will be wrapped with Tyvek or equivalent, siding will be pre-primed, fingerjointed, cedar clapboards. Six Anderson TW400 series doublehung windows will be supplied and installed as shown on plan. Plumbing Plumbing required to renovate/expand existing masterbath will be provided. Copper pan will be provided for tile shower. An allowance of$750 has been included for plumbing fixtures ( $250 for shower valve, $250 for toilet, $250 for bath faucet). Heating/Air Conditioning A separate zone of forced hot water heating will be provided in addition. Central air conditioning will also be provided. Electrical Electrical work required to wire addition to meet code will be provided. Six recessed lights have been included. Additional lights can be added at a cost of$75 per light. Bath fan/light unit will be supplied and installed. Phone / cable / computer lines will be roughed in by electrician, to be connected by service provider at owner's expense. Surface mounted fixtures to be provided by owner(ceiling fan, bath vanity light) . General layout to be approved by owner prior to rough. Insulation All added/renovated areas will be insulated to meet or exceed code(R-30 in garage and second floor ceilings, R-13 in exterior walls). Plaster All added / renovated areas will be blueboarded and skimcoat plastered. Garage ceiling and closets will be textured,walls will be smooth, second floor ceilings to match existing . II$ewfUM CJS MUEDDLYl Page 3 of 4 Building Contractor 169 Boxford street North Andover,MA 01845 PH:9786886335 FAX:9786WXXXX Interior Trim/Doors Interior trim and doors wil be supplied and installed to match existing. Painting All interior and exterior painting will be provided. One coat of primer, and two coats of finish will be applied on all surfaces. No allowance has been made for any wallpapering. Flooring Hardwood floors will be provided in added area to match existing. Three coats of oil based urethane will be applied. Tile floor will be provided in new bath area. An allowance of$5 per square foot has been included for file materials for floor and shower. Other Allowances An allowance of$1500 has been included for bath vanity and countertop. Waste Removal All demolition/construction debris will be disposed of by contractor. Page 4 of 4 Badding Coataaetoa 169 Bohdord Street North Andover,MA 01845 PH:978-688-5,n5 FAX 978-66-XM Section IV-Price Schedule We hereby propose to furnish material and labor-complete in Accordance with above specifications for the sum of... ... ... ... ... ... ... ... ... ... ... ....$ 81,000 Payment to be made as follows: Percents elitem Description Amount 1 Permit obtained $3000 2 Roof of garage removed $10,000 3 New roof complete $20,000 4 Siding /windows installed $15,000 5 Rough plumbing / electrical complete $10,000 6 Plastering complete $10,000 7 Interior trim /floors complete $8000 8 Job 100% complete $5000 Total 8 $81,000.00 "Notice:No agreement for Home improvement contras ing work shall require a down payment(advance deposit)of more that one-third of the total contract price of the total amount of all deposits or payments which the contractor must make,in advance,to order andfor otherwise obtain delivery of special order materials and equipment,whichever is greater Contractor: Kevin Murphy 169 Boxford Street No.Andover, MA 01845 Registration No: 101874 Section V—Acceptance Acceptance of Proposal—I have read this document and accept the prices,specifications, and conditions stated. I understand that upon signing,this proposal becomes a binding contract.You are authorized to do the work as specified. Payment will be made as outlined above. You the buyer may cancel this transaction at any time prior to midnight on the third business day after the date of this transaction cancellation must be done in writing D NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES �lZ/ /7Signature / Date Signature Date 1,t / The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 www mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Priut Le 'bl Name(ausi ms/orpnization/lndividuQ: Address: V k,-�_ S City/State/Zip: I�,�,,tl Ip,,,4,�, Phone #: (,TT-S2 3 J75 Are you in employer?Check the-appropriate box: Type of project(required): 1--al am a employer with _ 4. ❑ I am a general contractor and 1 6. ❑ New construction employees(full and/or part-time).* have hired the sub-contractors 7 2.❑ I am a sole proprietor or partner- listed on the attached sheet t `® Remodelin g ship and have no employees These sub-contractors have 8. [] Demolition workingfor the in an aci workers'comp. insurance. Y capacity. 9. Building addition (No workers' comp. insurance 5. ❑ We are a corporation and its required.] officers have exercised their 10.❑ Electrical repairs or additions 3.D I am a homeowner doing all work right of exemption Per MGL I.❑ Plumbing repairs or additions myself. [No workers' comp. c. 152,§1(4),and we have no 12.n Roofrepairs insurance required.]t employees. fNo workers' 13.0 Other mmp.insurance required.] Any applicant that chedrs boa#h mast also fill out the section below showing their workers'compensation policy information: Homeowners who submit this atf&devit indicating they an doing all work snd then hire outside contractors mast submit a new affidavit indicating such. Conewtors that check this box most attwhod an additional sheet showing the name of the subcontractors and their workers'corm,policy inforrrmtion. ant an employer that is providing workers'compensation.insurance for my employees Below is the,policy and,job site reformation. nsurance Company Name:_ 1 'obey#or Self-ins. Lic. #: /A.�_/wC_ q C3 5__l 3 Expiration Date: ob Site Address: ' Mach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). ,ailure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a ine 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 -f up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of ovestigatious of the DIA for insurance coverage verification. do herey certify under the pains and penalties of perjury that the information provided above is true and correct .i Da L 'hone#: l O)T ial use only. Do not write in this area,to be completed by city.or town offwW City or Town: PermigUcense# Issuing Authority(circle one): 1.Board of Health 2_Building,Department 3.Cky/Town Clerk 4_Electricai Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: 07/09/2008 10:02 FAX 19788833147 X.P.ROBERTS INSURANCE f�001 AMM- CERTIFICATE OF LIABILITY INSURANCEPoocum =TM THIS Cf�'RT PICATE TB Aa A MATTE OF m-P- Roams 3m9 Amy LMC ONLY AM CONPE No RIOMTb UPON THE CERTIFICATE xOdO Uu gc"d 8'twz"t AL—ALTER THTHIS m e CERTIFICATE o eTTi M EXTEND OR Xwth Aod*vwr, 10 01645 JAMS) MIGUFAM APPORDM COVERAW NAICM teL 1d9 Bczrm STRUT woupm Q NO= A1IDOV21t, NA 01845 &.. R COVERAM 711E POrMM OF SMURANCE LWM In10 W HAVE WMM INUED TO THE VWW NAMED ABOVE KM TM PM CY PERM WDICA70,wanMTWANDM ANY REaIl WWW,TERM OR Qamm"OF ANY CONTRACT'OR OTMER DOCUMWIT VM REMVCT TO WHICH TM CERTIRICATE MAY BEI WED OR MAY N61CtY11N,7WE INBUMNCR AtF01DED BY THE POUCM OESCRMW HARM 0 SUB.IECT TO ALL THI!loan,EMMONS AND COMMOM OF SUC" P[7LVJMAGWMV# Wr8$HDMMMAYwWEmmNREMMRYPMCLAJNB. PQLKiYNUMiM�N i mffe ammk UmurY lAAH BICE i MMilgR ML MMM L.LVMJ7Y 8 ;Z OMM log.egg Mme ' air 8 ASCQGQ CPPOC60960 11/22/07 11/22/08 N"AMWURY s 0 hcc MW'M a Oa II�1tAG�d�AT1�oLAl/1'A1'/!!i PRaoucro-cvLrA,PA1ax� : POLLy Loc 9,920,999 IW,�OMOditLLWKJtY ANr,WO «ol= LLt rr ; 500,000 ALL OWNEflAUMS 9CHMUDAMS Is n IIMAura 7M0277013608 1/23/08 1/23/06 NOMOAUTOS tr'a►laddarx> s PAAMMi GARAQEtNKM IwTOaMtY.iAACO1DBri 8 AW;MTO OTHER rtY N _P aMONLY, Amc a EXCIMMMMA 1 wurY a dOdN1 CUNMRiNOII _PCH OOCL"M= E ' Q!!D<JCrietE a RatNMri011 i t COMMADATONAND i l8W1.1"PWUAYIIIlY JMtPopp 0 metum Egai1001009 A�l9fT i QQ 4 D M"o ,,,a `A10"" C913S13 7/1/0$ 7/1/09 L MtW- : > -,� i D@BCK�PTION OP OPI�iATMDN6noCATIONi/VEraCtee�19cCLUBIdISAoo�eY�i p TOM OF xoov8R, MR s11o1n a AWY or<�AW t WWWw pOLKtlEE iE DUCGUM ewe THE E>(P11MIr"M 36 ]91i1RT=T STRUT DA7e TNiRNoc,T��ssuNc�NRBR wni r naiAvara 1V�10 DAYS ww"al 1f VRR, Na Q1810 NOTICE TO TM CERr*VAT8 HOLDER t&mw TO TILE ter:wr FAum TO CO i0 BHM1 WOM NO OBLMTVN oR Um LrrY of ANY We Lwm T11i N1soat"I AMM at A$'I�'id'rrAT1i�$, AUT110RIffi0 RE1f1EiENTA QACOft ENERGY CONSERVATION APPLICATION FORM FOR LOW-RISE RESIDENTIAL NEW CONSTRUCTION and ADDITIONS 780 CMR Appendix J Applicant Name: �G�,� a P ( RA-...Site Address: `I Use Group: �+� �--d f-- •_�, Date of Application: Applicant Phone: Applicant Signature: Compliance Path (check one) ❑ Prescriptive Package(Limited to 1-or 2-family wood frame buildings heated with fossil fuels only) Package(A through KK from Table J5.2.1 b): HeatingDe Days Degree Y (HDD65)from Table J5.2.1 a: (For items d.through i-,,fill in all values that apply from Table J5.2.Ib:) a. Gross Wall Area sq.ft f. Wall R-value R- b. GIazing Area 1 ft.s . q g. Floor R-value &-=-_______ c. Glazing%(100 x b T a) % h. Basement wall R- d. Glazing U-value U- i. Slab Perimeter R- e. Ceiling R-value R= j. Heating AFUE � ❑ Component Performance: "Manual Trade-Ott"(Limited to wood or metal framed buildings only) Climate Zone(from Figure J6.2.2) ❑ Zone 12 ❑ Zone 13 ❑ Zone 14 Attach Trade-OffWorksheet from Appendix J, [and.fll'AC Trade-off Worksheet, if applicable] ❑ MAScheck Software Attach Compliance Report and Inspection Checklist printouts ❑ Home Energy Rating System Evaluation Attach Home Energy Rating Certificate(HERS rating score must be 83 or higher) ❑ Systems Analysis OR ❑ Renewable Energy Sources Attach Mass Registered Architect or En aincer Analysis ALTEILNATIVE FOR ADDITIONS ONLy: a. Gross Wall+Ceiling Area _sq.ft. b. Glazing Area lo _�_sq-fl. c. Glazing /o(too x b=a)" '; ❑ ADDMON with Glazing % (c.) up to 40% may use.780 CMR Table J1.1.2.3.1 below: N r r_V ?tit R-V R q« io i ! - 3 Flo r - 7 . R- - q _ h Glazing Area may be either Rough n Opening r Unit dimensions. R-JO 4 Ope ' g a 2 Based on NFRC Listing. Applies either to every unit,or to area-weighted average of all units. R-30 ceiling insulation may be used in place of R-37 if the insulation achieves the full R-vJue ovt:r the entire ceilin,area i.�.-not ompressed over e;;terior walls,and including any access openings.) ❑ "SL-NT,00;tq"addition (greater than 40% Blazing-to-wall and ceiling gross:ria) `-teach ``Consumer Inform:�ti0n Form"from '�0 CMR.�.pL,cndix B. ►fi J�i41's?' nme: _ Of;,ciaFs Signature: