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HomeMy WebLinkAboutBuilding Permit #41 - 62 FARNUM STREET 7/17/2008 — 1 BUILDING PERMIT pORTH Of qti r-46th, .,.i6.6 O TOWN OF NORTH ANDOVER o - - APPLICATION FOR PLAN EXAMINATION Permit NO: Date Received rep Date Date Issued: �� O� �SSACHus�� IMPORTANT:Applicant must complete all items on this page "l, GATJON:it PROpzRTY lAf� N{) " ' ►RC 1_:, t? 1�IG. ISTRICT. His#ori District es- ' , o A lad ine Shop Village , des i� TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential Iew Building ne family Addition Two or more family Industrial Alteration No. of units: Commercial Repair, replacement Assessory Bldg Others: Demolition Other peptic 1 1e11 :810011 plain ll 'efilar�ds 1 laterslaed District, 7WaterJSewort, DESCRIPTION OF WORK TO BE PREFORMED: �er y` r,"t-c Ler ,.,� ll -4- r 910 <6t,C.R iA.i it's- b� �� � s n 76 rA-V ^—d tF rd OL--J- &q 16-r—L k `F- I A A tr- 1 ✓fid e a Identification Please Type or Print Clearly) OWNER: Name:, Cf-cC2.c�v�.�tc(L �, pTS Phone: S�Z- Address: 'a AxA,. %. ge a q!NTRACTgR erne .ems i �. ,hone: - --- d Pew, �sor't Cc r s#rec040, ti©r�i ceris� ' cp #e:. 174o a JTnpg-re-'m 0-qt-,,L cp ,a e:h ARCHITECT/ENGINEER ;`c� k dtim- am_ Phone: 9 77 C s7 Address: c4,.ck�f-� ,- ,, Z- Reg. No. .29 o.:s i FEE SCHEDULE.BOLDING PERMIT.$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ 0 CC,-,) FEE: $ Check No.: Receipt No.: ��3 NOTE: Persons contracting 'th unre ste ed c ntractors do not have access to the guarantyfund bf�°►gent/�uur�er Signature of contractor% Location (.s n.vy.-)-t ,rr .Z7- H No. Date - ,.ORT1y TOWN OF NORTH ANDOVER 3? ' OC f41 9 4 s + Certificate of Occupancy $ s'A�CMUSE<� Building/Frame Permit Fee $ U Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # 2 7 � S J J Building Inspector Plans Waived Plans Submitted Certified Plot Plan Stamped Plans TYPE OF SEWERAGE DISPOSAL Public Sewer Tanning/MassageBodyArt 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 {" iVIMENTS RVATION Reviewed on Sionature �+IENTS s Reviewed on Signature �yTS Of 4peais:Variance, Petition No: Zoning Decision/receipt submitted yes Decision: Comments Decision: Comments er Connection/Signature&Date Driveway Permit °= weer; Signature: Located 384 Osgood Street m ;: - =Tecn`p Dues#iron sre �t no kf x �'tt�reldate _ 4. n a m Dimension Number of Stories: Total square feet of floor area, based on Exterior dimensions. Total land area, sq. ft.: i 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 i Doc.Building Permit Revised 2008 w ' 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 2.2008 7 r-- FROM RLI CORP FAX NO. : 19786702499 Jul. 2e 2008 09:36AM P1 7 05 37_,Q0-.0,2 Rwwd F,KY&Wd&ft-ddn,k5c. A'jawn-k js9jowynick Sheet L dwr,-,irr,MAC 7 64J July 23,2008 r,,!q7&Cr87 !4W 01V6V 60&0 RLI Corporation 475 Boston Road Billerica.MA 01821 ATTN- Robert Innis RE: 62 Famum Street North Andover,MA Dear Sir: As reqxIcsted,I visited the single-family residence located at 62 is annum Street in North Andover,'IYU on two(2) occasions on Thurs-duy,July 24,2009- The purpose of my visits was to ohwrve the completed installation of the LVL-Beam Assembly Bud supporting columns. The completed installation conformed wfth my desigit sketeb dated July 14,2008 w(tbin acceptable deviation and with an anihorized column size change- Respectfully, RICHARD F.KAMINSICT & ASSOCIATES,LNC. 4L U4, f. 9 Richard F.Kaminski,P.S. President RFMh rtU1513 R. L. I. CORPORATION P.O.BOX 468 BILLERICA,MA 01821 TEL.(508)663-6006 \ CUSTOMER 6/20/2008 ANN&CHRIS GATTIS 62 FARMUN STREET NORTH ANDOVER,MA. ITEMS; DEMOLITION; :Remove the existing cabinets,floor and wall between kitchen and dining room. 3 .1, ., ., SET BEAM: Install fqd 9 1/2"LVL beams flush with ceiling,hang all floor joists off of LVL beam WINDOWS; Remove 2 existing kitchen windows. Install 2 new replacement casement windows. ELECTRICAL;: Relocate outlets&switches as needed,install under cabinet lighting and ceiling lights were needed.Permit included assuming existing service is adequate. CEILING; Re-plaster ceiling same as existing texture. FLOORING:11 Install white oak in kitchen Sand dinning room and apply 3 coats finish. CABINETS: Supply and install Tuscany Birch cabinets by Armstrong/without glaze as per plan By Rich Hufnagel Drawn on 6/18/08. COUNTER: Supply and install granite choice of peacock green/giallo or fiorito. PLUMBING:Move existing baseboard if necessary,hook sink into existing drain system,run line for ice maker to refrigerator. TILE: Tile back splash where needed. Tile to be supplied by customer. Kitchen sink and faucet to be supplied by customer. Total price for above work $35,500.00 Additional$600.00 for glazed cabinets. Payment schedule 1/3 at start of job 1/3 after flooring has been installed and cabinets have been del. Balance at end of job. . ...........I.• cf pO OTM TOWN OF NORTH ANDOVER 3� .•�, �`�.�� OFFICE OF 2 BUILDING DEPARTMENT * 1600 Osgood Street Building 20, Suite 2-36 North Andover,Massachusetts 01845 1ss�cNust� Gerald A.Brown Telephone(978)688-9545 Inspector of Buildings Fax (978)688-9542 HOMEOWNER LICENSE EXEMPTION Please mint DATE: 7- JOB JOB LOCATION: �a V, K Number Street Address Map/Lot HOMEOWNER O (n lr i Name Home Phone Work Phone PRESENT MAILING ADDRESS _' a,�._ City Town State Zip Code The current exemption for"homeowners"was extended to include owner-occupied dwellings to two units or less and to allow such homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor). State Building (Code Section 108.3.5.1) DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one or two family structures. A person who constructs more that one home in a two-year period shall not be considered a homeowner. The undersigned"homeowner"assumes responsibility for compliances with the State Building Code and other Applicable codes,by-laws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of North Andover Building Department minimum inspection procedures and requirements and that a will complyth said procedures and requirements. HOMEOWNERS SIGNATURE APPROVAL OF BUILDING OFFICIAL Revind 10.2005 Fom Homeowms Exemption ROARDOF \PPEALS688-9541 CONSERV.\TU)N68R-9530 11 E.UAI16M9540 PLANNING688-9535 NORTH Town of _ Andover 0 C o dover, Mass. 1 . f o L All,E COA_ CHICHEWICK y 7�S RATED BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System • BUILDING INSPECTOR THIS CERTIFIES THAT............C.44(4..........64.ai.A.A.................. ............................................................... Foundation 1 has permission to erect........................................ buildings on ......6 ...... ...... .!'W..V!0"*......... ..................... Rough woo to be occupied as.....to provided that the person accepting this permit shall 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 $Lo PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR, UNLESS CONSTR ST TS Rough ......................................-.......... Service BUILDING INSPE 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 x Until Inspected and Approved by the Building Inspector. Burner Street No. SEE REVERSE SIDE Smoke Det. 'r 8ftart/t�ha.,'ctts_ o1'Bui/ b�'ltat- Co t/it ttb Li nS1rU t� k �qtt Restri tea to e' CS 5g83n Supe��sfun.�f<'trypUhlft Sitl�.t► 3 OgERrC / 00 a or Ci�enseitpifitr{!.� IVN/S �R/C'4Mq 01 82' EXpiration: Tri 612512p10 2779, r w FPRODUMCEREM {{��I ! , ��� II ail�MOF li' ' ;,I� ;'!�'�i�'I�I THIS CERTIFICATE IS ISSUED qAER INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Dsvld J Deengells Insurenos Agency Inc ! HOLDER, THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 283 MerdmockStmet ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW i Methuen,MA 01844 COMPANIEll AFFORDING INSURANCE INSURED COMPANY A GRANITE 87ATE INSURANCE COMPANY RLI Corp 473 Boston Rd BIlledce,MA01821-0000 i THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN IOSUEDTO THE INURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED,NOT WITHSTANDING ANY REQUIREMENT,TERM OR IX)NDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALI.THE TERMS,EXCLU81ONS AND COIIDITIONS OP SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. I YR TYPE OFBIBUR MCE POLiOYMUlMlCR PQ u VY110MMOME POUOY1110MlATYNDA70RDA]lVM j A.,ARDEMPLOYERS'LIABILITY LINTS THE PROPRIETOR/ F ARTNERSIEICECUTWE I OFFICERS ARE: ATUTORYLIM�B INCL❑EXCL 0 8273144 5106/2008 1 510$12009 THER CaarapAppilulaMAOpaMcm0*. CH ACCIDENT $moloo tuAll-rLACH SEASEPOLICYLIM!T S ENPLOYfi6 $ 100,0Od DESCRIPTION OF OPERATION&'VEHICLEWSPECIAL ITEM CERTIFICATE HOLDER CANCELLATION TOWN OF NORTH ANDOVER ` SHOULDMYOF THE ASWEDESCReEDPOLICIESiItCANCELLED BEFORE THE 1800 081300D ST IMPIRATIM DATE THEREOF,THE ISSUN9 COM PAN fWLL ENDEAVOR TO MAIL Z BUILDING 20 DAYS WRITTEN NOTICL TO THi CERTIFICAT[HOLD!iR NAMiD TO THi LEFT,BUT NORTH ANDOVER,MA 01845 FALURE TO MAIL SUCH NOTICE SHALL NKK NO IIBLIGATION OR LM1.ITY OF ANY KIND UPON THE COMPANY,RS AGENTS OR REIIRESENTATIVES. AUTHORIZED REPRESENTATIVE i I I 1 _ 4IN 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 Print Legibly Name (Business/Organization/Individual): yT p r Address:_q 7,5- 13o Ae -- City/State/Zip: 2 //mon,'e-4 14L e zyFi 1 Phone #: 9 77- X63- co v 6 Are yop an employer?Check the appropriate box: Type of project(required): 1.�I am a employer with 4. ❑ 1 am a general contractor and 1 6. ❑New construction employees(full and/or part-time).* have hired the sub-contractors �-,,� 2.ElU 1 am a sole proprietor or partner- listed on the attached sheet. 1 7• U?remodeling ship and have no employees These sub-contractors have 8. ❑ Demolition working for me in any capacity. workers' comp. insurance. 9. ❑ Building addition [No workers'comp. insurance 5. ❑ We are a corporation and its 10.E] Electrical repairs or additions required.) officers have exercised their 3.❑ 1 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' 131-1 Other comp. insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. nunneowners who submit this affidavit Indicaiing they arc doing all wuik 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 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: (,-res ►ti reQ Policy#or Self-ins. Lic.#: 3 Expiration Date: ® q Job Site Address: ea f Q Vq k% t, V_, Jo �,,c.,. City/State/Zip: I/Q 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. /do hereby certify under the pains andpenalties of perjury that the information provided above is true and correct Siertat 1 1-11, Date: Z - / 7 8 Phone 9: 97� 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#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in 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 representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However 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 persms 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." . . ,i ., . MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or;permit to operate a business or to,co' " fuct b�lldings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally, MGL 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, if necessary,supply sub-contractor(s)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial 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 and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations 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"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year. Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to-thank you in advance for 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 Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 Tel. # 617-727-4900 ext 406 or 1-877-MASSAFE Revised 5-26-05 Fax#617-727-7749 www.mass.gov/dia INA, RICHARD F. KAMINSKI JOB k LOR,�I- G2}'/��dof 6 Ver. A),A. & ASSOCIATES, INC. SHEET NO. ' OF Riverwalk 360 Merrimack Street CALCULATED 6Y 12-* k DATE 7hd 0 LAWRENCE, MA 01843 �i CHECKED BY (978) 687-1483 Fax (978) 688-6080 I DATE D TL (GIS l �2eove � �v� w��� ,v k�r� # I quo 2t��P1 � �elu�TP Lv_L' �.b�' �OU�J Dig TIO A) WALE. &611040 v-4 1-i \f � 10 X404 it -vo r'S V. 714 kS 14eX-T' `3i { � . ���c•�a ���r;-�"�� � � 'p %Oo:�gS L ' Z /D U.Z61 DIVALE�6���� . 94� et&� C P, e.1A1.4 EG the h Llo0 400) 2 d N�+�ti � 12''4•G• ;- GENERAL NOTES GENERAL NOTES: 1. All dimensions and conditions shall be verified in the field,any discrepancies shall be brought to the attention of the Engineer before proceeding with the affected portion of work. Do not scale the drawings. 2. The reference building code is the 6'h Edition of the Massachusetts State Building Code,as amended and all applicable OSHA regulations. 3. The Engineer or any members of his staff shall not,during site visits or as a result of any observations of construction,supervise,direct or have control over Contractor's(s)work nor shall the Engineer have authority over or responsibility for the means, methods,techniques,sequences or procedures of construction selected by the Contractor(s)or safety precautions and programs incident to the work of Contractor(s) or for any failure of the Contractor(s)to comply with laws,rules, regulations,ordinances,codes or orders applicable to Contractor(s)furnishing and performing their work. The Engineer does not guarantee the performance of the construction contract by the Contractor(s),and does not assume responsibility for the Contractor's(s)failure to furnish and perform their work in accordance with the contract documents. 4. Notify and meet with the Engineer before initiating any work on this project. 5. The General Contractor shall field verify all existing conditions including but not limited to the location of all existing utilities in the work area shown on the proposed plans. Any discrepancies from the drawings shall be brought to the attention of the Engineer immediately. WOOD: 1. All framing lumber shall be kiln dried, spruce-pine-fir#1 or equal with the following allowable stress values: Fb = 1,200 psi(Repetitive) E = 1,500,000 psi(Modulus of Elasticity) Fv = 70 psi All Microllam lumber(LVL'S)shall meet the following stress grade requirements. Fb = 2600 psi E = 1,900,000 psi Fv = 285 psi 2. Structural framing lumber shall be clearly marked and meet minimum stress grade requirements. 3. Install joist hangers at flush framed members. 4. All framing shall be fastened in accordance with Appendix C,Recommended Fastening Schedule of Mass. State Building Code,as amended. 5. All lumber shall be sound,new,straight of consistent size,free of stains,loose knots and mildew. Lumber shall be kiln dried to a maximum moisture content of 19%. 6. All members in bearing shall be accurately cut and aligned so that the full bearing is provided without the use of shims. All LVL's shall have full bearing. K 4. S ;< 62 Farnum St N Andover Scope of work: Remove 0 ]okit hen cabinents, 71 appliances and floor covering. _no Install replacement windows. Remove wall between Kitchen and dinning room and replace with pre engineered beam, flush framed. UP Install new kitchen cabinents and appliances according to plan on next page. existing floor plan r-_j CL-0- 0 Ma o L_ Proposed Kitchen Layout C�o!Buil III(. -Ce Restri req nseo csr g t on$�pe u�"ion r Prrltlrr'.S�r '. to; 00 8839 visor .nUSt. lct1 RpB Cicens rntl rt Us FRT e F B!LORRAIN lN/V/ <<BRl�q MgERR r 01821 Expiration' �x 612Si2010 2179, ro a �