HomeMy WebLinkAboutBuilding Permit #243-15 - 66 BONNY LANE 9/9/2014 BUILDING PERMIT of NORTFI qti
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TOWN OF NORTH ANDOVER oL
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APPLICATION FOR PLAN EXAMINATION yy
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Permit No#: '- Date Received o'1^r2D
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Date Issued: 4il (i
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IMPORTANT: Applicant must complete all items on this page
LOCATION c e-1
Print
PROPERTY OWNER ' `me- `�-- eelt�CG�t f�O NQe s
Print 100 Year Structure yesno
MAP PARCEL: ZONING DISTRICT:`Historic District yes no
Machine Shop Village yes no
TYPE OF IMPROVEMENT PROPOSED USE
Residential Non- Residential
❑ New Building k5ne family
3KAddition ❑Two or more family ❑ Industrial
❑Alteration No. of units: ❑ Commercial
❑ Repair, replacement ❑Assessory Bldg ❑ Others:
❑ Demolition El Other
❑ Septic ❑Well ❑ Floodplain ❑Wetlands ❑ Watershed District
❑Water/Sewer
DESCRIPTION OF WORK TO BE PERFORMED:
ft
0(ld 5� A a Ci v(Y 0- TO,;�ft r-yqc �2, Ad
Identification- Please Type or Print Clearly 7
OWNER: Name: &C e ccC, ct S Phone: !8''2& 7 2oq
Address: ckV\z
Contractor Nameirbcfz�c A Phone: ro
Address: O e_ Y�i 6 57 r 4� 6,iO3�
Supervisor's Construction License: CSF4 —fro j Exp. Date: 2 — (2 ez
Home Improvement License: Exp. Date: _:2�-".
ARCHITECT/ENGINEER 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: $ ,(�� iFEE: $ '� � ?-- s
II r
Check No.: � I Receipt No.: l—cvi
NOTE: Persons contractin wit unregi tered ontractors do not have access o uaranty and
Signature of Agent/Owner Signature of contractor C ,
Locatione��
e"Ir /" -Ci
No. Date
. - TOWN OF NORTH ANDOVER
• TUED
Certificate of Occupancy $
Building/Frame Permit Fee
- Foundation Permit Fee $_+'
Other Permit Fee $
TOTAL $
Check#� A—f
Building Inspector
i
Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑
II
TYPE OF SEWERAGE DISPOSAL
Public Sewer ❑ Tanning/Massage/Body Art ❑ Swirmning 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 Reviewed On Signature
COMMENTS
CONSERVATION Reviewed on Signature
COMMENTS
HEALTH Reviewed on Signature
COMMENTS
0
e
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
FIRE DEPARTMENT - Temp Dumpster on site yes no
Located at 124 Main Street
Fire Department signature/date
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
NOTES and DATA — (For department use)
❑ Notified for pickup Call Email
Date Time Contact Name
Doc.Building Permit Revised 2014
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/Cross Section/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
Doe:Building Permit Revised 2014
I
Enter construction cost for fee cal - North Andover Fee Calculation
Construction Cost
$: 2216:89,.00 m
$ - $ 272.27
Plumbing Fee $ 34.03
Gas Fee 100 comm. $ 100.00
Electrical Fee $ 34.03
Total fees collected $ 440.34
66 Bonny Lane
243-15 on 9/16/14
Add Shed Dormer to existing room over garage
8/13/2014 5:36:06 AM PST (GMT-8) FROM: 100005—TO: 17813244253 Page: 2 of 2
AC40 CERTIFICATE OF LIABILITY INSURANCE °ATE(MW°D/"Yn
8/1312014
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 pollcy(ies)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 endomemen s.
PRODUCER PAUL T MURPHY INSURANCE AGENCY INC NAME:
628 BROADWAY P E IrI
MALDEN,MA 02148
AllroIWW
WU 9 AFFORDUJG COVERAGE MAIC a
nsu A• LM Insurance gorporaflon 33600
nARTHUR WATSON INSURER
DBA AF WATSON GENERAL CONTRACTING clsuReRc
3 EDGEMONT ST INsuReRo:
DERRY NH 03038 INSURERE:
URERF:
COVERAGES CERTIFICATE NUMBER: 21t90359 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. NOTWrrHSTANDING 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 TYPE OF INSURANCE SO R POUCYRUM13ER POLICY EFF LatrS
COMMERCIALOENERALUABILRY EACH OCCURRENCE S
DAMAGE TO RERI EIT_
CLAW-MADE D OCCUR ,S I:8 ernAM001._
MED EXP JAoV onepomon) S
PERSONAL&ADV INJURY S
GE NL AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $
POLICY ,ECT E-1 LOC PRODUCTS-COMPIOPAGO S
OTHER $
AUTOMOBILE LIABILITY WMECILSINGLE LIMIT;d $
ANY AUTO BODILY INJURY(Per peso!) S
ALL OWNED SCHEDULED BODILY INJURY(Per soddenq $
AUTOS AUTOS
HIM AUTOSAUTOS
MON-OWNED PROPERTY S
$
UMBRELLA LIAR—d OCCUR EACH OCCURRENCE S
EXCESS UAB CLAIMS4VIADE AGGREGATE S
grretmow s I I §
A WORIMS COMPENSATION WC5-315-601278-014 1/14/2014 1/14/2015 1 11AF.JTE E-
AND EMPLOYERS'LIABILITY
ANY PROPRIETORIPARTNEROMCUTWE YIN E.L.EACH ACCIDENT $ 100000
OFFICERWzIABER EXCLVDIDT Y NIA
(Mandatory in NH) E.L.DISEASE-EA EMPLOY $ 100000
IOESCRIFTION
�OO NS I.I. E.L.DISEASE-POLICY LIMIT 500000
DESCRIPTION OF;OPERATIONS ILOCATIONSIVE"I ES(ACORD10I.AddWonalRemark.Scbedulerosybeattachedifmorespaoeisrequited)
THE WORKERS COMPENSATION POLICY DOES NOT PROVIDE COVERAGE FOR ARTHUR WATSON.
Workers compensation insurance coverage applies only to the workers compensation laws of the state MA.
This Certificate cancels and supersedes all previously issued Certificates,only as they relate to workers'compensation coverage
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OFTHE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
TOWN OF NORTH ANDOVER THE EXPIRA170H DATE THEREOF, NOTICE WILL BE IDEI.1VERED IN
66 BONNEY LANE ACCORDANCE WITHTHE POLICY PROVISIONS.
NORTH ANDOVER MA 01845
AUTItORF7E0 REPRESENTATIVE
LM Insurance Corporation
®198&2014 ACORD CORPORATION. All rights reserved.
ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD
CERT NO.: 21190359 CLIE7T CODE: 1978924 .Lucy Garfield 0/13/2014 9:32:38 AM (EDT) Page 1 of 1
A.F.Watson General Contracting Estimate
3 Edgemont Street
Derry,NH 03038 DATE ESTIMATE#
Tel.603-437-6134
Cell#603-661-5360 6/17/2014 1560
NAMEIADDRESS
George Kangos&Rebecca Goodwin Kaneos
66 Bonney Lane
North Ando,.Tr_MA 01845
TERMS PROJECT
Due on receipt Dormer Rm.Over Garage
ITEM DESCRIPTION QTY COST TOTAL
Speed Base Base Boards 48 1.15 55.20
dumpster 20 Yard Dumpster 1 500.00 500.00
Electrical Electrical work allowance 1,200 0.00
Subtotal labor&Materials 19,894.98
Cont.fee Contractors 15%Fee profit+overhead 15.00% 2,984.25
THANK-YOU A.F.WATSON
TOA $22.879.23
SIGNATURE
OWNERS SIGNATURE
Page 2
j
A.F.Watson General Contracting Estimate
3 Edgemont Street
Derry,NH 03038 DATE ESTIMATE#
Tel.603-437-6134
611.7/2014 1560
Cell#603-661-5360
NAME/ADDRESS
George Kangos&Rebecca Goodwin Kangos
66 Bonney Lane
North Andover,MA 01845
TERMS PROJECT
Due on receipt Dormer Rm.Over Garage
ITEM DESCRIPTION QTY COST TOTAL
Permit Town of N.Andover building permit fee Allowance 190.00 190.00
Engineering Structural Engineering for Ridge Beam allowance 600.00 600.00
labor Carpenter's labor 200 45.00 9.000.00
I_Cut out dormer section of back roof frame dormer per
drawings.
2.Install windows,trim,roofing and siding as needed.
3_Install interior window trim and base boards.
2x6x8 2'x 6"x 8'4"K/D Spruce 40 3.50 140.00
2x6x14 2"x 6"x 14'-0"KID Spruce 4 6.86 27.44
2x6x20kd 2"x 6"x 20'-0"KD SPF#2 BTR 3 10.14 30.42
LVL l 314"x I8"x 20'-0"LVL 3 167.01 501.03
4x8xl/2CDX 4'x 8'x 1/2"CDX Plywood 12 19.45 233.40
2xlOXl4SPR 2"x 10"x 14'-0"KID Spruce 16 14.17 226.72
Plywood 4'x 81x 5/8"CDX Plywood 11 22.55 248.05
Rubber Roof _060 Membrane Black(10'x50') 1 220.00 220.00
Recovery bd 4'x 8'x 1/2"recovery board 11 9.55 105.05
Miscellaneous Miscellaneous 300.00 300.00
Tyvek Tyvek Air Infiltration Barrer l 91.95 91.95
lx3xl2a7ek I"X 3"X 12'-0"AZEK 2 16.37 32.74
lx3xl8pvc 1 X 3 X 18 PVC Board 2 18.65 37.30
1x5x18 1 X 5 X 18'PVC Board 1 33.62 33.62
lx6azek 1"X 6"X 18'AZEK 3 37.08 111.24
lx8azek I"x 8"x 12'-0"AZEK TRIMBOARD 1 33.96 33.96
]x8azck V x 8"x 18'-0"AZF,K TRIMBOARD 1 48.96 48.96
Shingles Red cedar shingles#I R&R primed gray 12 178.43 2.141.16
Insulation Insulation Allowance 1.500.00 1.500.00
Blbd4x12 4'X 12'X 1/2"Blue Board Installed w/plaster skim 16 95.00 1,520.00
Windows Window Allowance 1,800.00 1,800.00
Jalco 3 1/2"Jalco casing 64 1.95 124.80
11/8x6 windowsill 18 2.33 41.94
THANK-YOU A.F.WATSON
TOTAL
^�., a .• _ SIGNATURE 4 C
OWNERS SIGNATURE
i
Page 1
Massachusetts Home Improvement Sample Contract
This form satisfies all basic requirements of the state's Home Improvement Contractor Law(MGL chapter 142A),but does not include standard
language to protect homeowners.Seek legal advice ifnecessary. Any persmi planning home improvements should first obtain a copy of"A
Massachusetts Consumer Guide to Home Improvement"before agreeing to any work on your residence.You may obtain a free copy by calling the
Office of Consumer Affairs and Business Reet latioe s Consumer lnfommtion Hotline at 617-973-8787 or 1-588-283-3757 or on our website.
Homeowner Information Contractor Information
�'�^e+� ryL, 3 e_e _' Com Ndrfk "` —�
V
C.�CGc..l� �S �Gi��SftJ )C�,v C.c►t�t/��t
Street Ad (do not use a Pori OfficRoz address) tj Contract ,Sa Owner
rf lti
ityff/o//twn]�((.t �/tate C/fQ}de Beu+s��inessA rz is(muug include astrere dress)
=s1" r Y tZ r t V�C: cl� � M on, /
Davurne Ph a Evening Phone City(� p �S1ate Ztp Code
D13p
Mailing Address(k different from about) Business Phon Employer 11)ar S.S-Numbv
� N toyr.rmmt Comrenor Qg.NuneraE�aanadotc
" Drmx rshmx \LL�t `C �d
' e.-wtermmnwoa.m>kr r J
The Contractor agrees to do the following work for the Homeowner:
(Describe m I the work to completed,specifyin,the type,brand,and grade of materiab to
^be used,use aadddihonal sheets if necessaw.)
d(+;(S_Aj _rC, exists J� hG`cr� c1 .2 t�n�E'
Required Permits-The following building permits are required Proposed Start and Completion Schedule-The following schedule will
and will be secured by the contractor as the hameownes agent: be adhered to unless chumushmces beyond the contractors control arise
(Owners who secure their own permits 7411 be �J
excluded from the Guaranty Fund provisions of C L—_ ate when contractor will begin contracted uvork.
A7G1.chapter 142A.) ��}ei
OrN-J to when contracted work trill be substantially completed.
Total Contract Price and Payment Schedule n'yam;
The Contractor agrees to perform the work,famish the material and labor specified above for the total sum of: n/-1t e?s(`)
Payments will be made according to the following schedule:
$ upon signing contract(not to exceed lin of the total contract price or the cost of special order items,whichever is greater)
4
S CCC 016 by .1 '�/ orupon completion of Gr� We6h ets f1 J)tf ...._
S--��(_�dl by ��/_L Y or upon completion of � I i2
on completion of the contract. d
(Law forbids emWdin p payment unhl contract is completed to both party's satisfaction)
The following maleriallquipmrit must be special I e d for _
ordi red before the amtwmd work begins in order TT��
to meet the completion schedule(•") S i. d
NOTES:(*)including all finance charges(de)law requires that my deposit or down-payment required by the contractor before work begins may
not exceed the greater of(a)one-third of the total conmid price or(b)the actual cost of airy special equipment or mrstom made material
which must bespecial ordered in advavice to meet the completion schedule.
E:oress A'arraoty-Is an express warranty beim provided by the contractor? 'o❑Ya fall terms of the warranty must be attached to the contract)
Subcontractors-The contractor armees to be solely responsible for completion of the work described regardless of the actions of any third
party/subcontractor utilized by the contractor.The contractor furtber agrees to be solely responsible for all payments to all subcontractors for
materials and labor under this agreement
Contract Acceptance-Upon signing,this documeatbeemnes a binding contract under law.Unless otherwise noted within this document,the
contract shall not imply that any lien or outer security interest has been placed on the residence.Review the following cautions and notices
carefully before signing this contract.
I
. Don't be pressured into signing the contract.Take time to read and fully understand it. Ask questions if something is unclear.
I . Make sure the contractor has a valid Home Imorovement Contractor Registration.The law requires most home improvement contractors and
subcontractors to be registered with the Director of Home improvement Contractor Registration.You may inquire about contractor
registration by writing to the Director at 10 Park Plaza,Room 5170,Boston,MA 02116 or by calling 617-973-8787 or 888-283-3757.
• Does the contractor have insurance?Ask the Contractor for his insurance company information so that you can confirm coverage,or ask to
sce a copy of a"proof of insurance'documrnt.
. Kno v your rights and responsibilities.Read the Important Information on the reverse side ofthis form and get a copy of the Consumer
Guide to the Home Improvement Contractor Law.
You may cancel this agreement if it has been signed at a place other ilmn the contractor's normal place of business,provided you notiQ,the
contractor in writing at his/her main office or branch office by ordinary mail posted,by telegrams t or by delivery,not later than midnight of the
third business day following the signing of this agreement.Seethe attached notice of cancellation for an explanation of "s right.
DO NOT SIGN THIS CONTRACT IF THERE BLANK SPA P.!
T..a am a WDA acme cant an crass m rompka d aaa;saw.oae m.:hada sD to bo r b
Homeowner's Signature Contractor s S
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License: CSFA-063168 f
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Expiration
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Commissioner
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GRO �panvnaa�uueciCt�a�C�/��a�facluaeC��
'Qfrice of Consumer Affairs&BusinessRegu.ation
(SOME IMPROVEMENT i.tzi " 3
egistiraE.ion: 118848 Type:
' xpiration: 4/28/2015 DBA
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i. A.F`:-VVATSfJ:N.GEN CQNTRACTING
ARTHUR WATSON
3 EDGEMONT'ST � � —
gERRY,NH 03038 Undersecretary
r -1 V NORTH .
WH E , , ve-
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o � �
�h ver, Mass,
COCHIC"IWICK ��•
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S - UBOARD OF HEALTH
Food/Kitchen
PERMIT T LD Septic System
THIS CERTIFIES THAT .......... .a�r..Q...!1...................................................... BUILDING INSPECTOR
. .. .. ... _ .. ....
Foundation '
has.permission to erect .......................... buildings on .4(o.... .hA. .....�. .......................
Rough
to be occupied as ......' f/K/L........Dor ..... ~.... ... ....... .... .�................... Chimney
provided that the person accepting this permit shall in every respect con rm to the to ms of the application Final
on file in 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
Rough
VIOLATION of the Zoning or Building Regulations Voids this Permit.
Final
0* 70 PERMIT EXPIRES I 6 ONTHS ELECTRICAL INSPECTOR
UNLESS CONSTRU 10 ARTS Rough
Service
..... .. ..... ......................................................... Final
BUILDING INSPECTOR
GAS INSPECTOR
Occupancy Permit Required to Occupy Building 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.
Smoke Det.
111111 IIIII IIIII IIIII IIIII IIIII IIIII IIIII IIII IIII
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