HomeMy WebLinkAboutBuilding Permit #95-12 - 67 FOSTER STREET 8/3/2011TOWN OF NORTH ANDOVER
APPLICATION FOR PLAN EXAMINATION
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1-2—
Permit NO: Date Received
Date Issued:
EVIPORTANT: Applicant must complete all items on this
LOCATION
Print
I- Pe, - —liz. � va-,t-
MAP NO: 164 Y Print
�PARCEL: ZONING DISTRICT: Historic District yes
_6�r
Machine Shop Village yes
TYPE OF IMPROVEMENT
PROPOSED USE
Residential
Non- Residential
0 New Building
�&Addition
0 Alteration
60ne family
11 Two or more family
No. of units:
I
0 Industrial
0 Commercial
0 Repair, replacement
0 Demolition
0 Assessory Bldg
0 Other
El Others:
Xrc,7� 4
ep A*;EU1T7: 77,
ff "o 26rd a VII 71
-M]Distfic 2,
DESC MON OF WORKTO BE FERFUICVIED:
A A.4- L �m , y--) +o
,5 ,-v ." 1014
\1 %, Identification
OW14EIG Name:..
Type or Print Clearly)
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- 2-S9 1)
EC
Address:
CONTRACTOR Name: Phone: 111 6
Address: k-I1I Bo L4�III.I SV-.4.lr U V -t 4r,
Supervisor's Construction License: 053 U q, '4, ____)Exp. Date: J.
Home Improvement License: V 0 �9 ____j3xp. Date: t. �-Lq �Ut . -
ARCH ITECTIENGI NEER SA -I. T7-14XIAn, Phone: C- 6 S" -V -T -1 T-)
Address: \-�<C- LAv,*� f-.41 � � "k), Reg. No.
FEESCHEDULE. BULDINGPERMIT. $12.00PER $1000.00 OFTHETOTAL ESTIMATED COSTBASED ON$125.00PER S.F.
\'I FEE: $ A 15;,-13
Total Project Cost: $
Check No.: Receipt No.:
NOTE: Persons contracd unregistered contractors do not have acceis to the guarantyfuv
- V
Location
No. bate
,40*T" TOWN OF NORTH ANDOVER
Certificate of Occupancy $
Building/Frame Permit Fee $
Foundation Permit Fee $
Other Permit Fee
TOTAL $
Check #
24465
Building lns—pe—Mw,,._
Plans Submitte(P8 Plans Waived Certified Plot Plan 0 Stamped Plans El
OF SEWERAGEDISROSAL
Public Sewer El Tanning/Massage/Body Art El 'win�g Pools
well, Tobacco Sales El Food Packaging/Sales
t 'A
Private (septic tank, etc. I'W 7
IvN Pennanent Dumpster on Site El
THE FOLLOWING SECTIONS FOR OFFICE USE ONLY
INTERDEPARTMENTAL SIGN OFF - U FORM
DATE REJECTED DATEAPPROVED
PLANNING & DEVELOPMENT El 'El -
COMMENTS
i CONSERVATION Reviewed o
COMMENTS
\ �-V" M b"
I / /1) Signature
HEALTH Reviewed on 7, 'IV
� �6'
COMMENTS
Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes
Planning Board Decision:
Comments
Conservation Decision: Comments
Water & Sewer Con nection/sIgnature & Date Driveway Permit
DPW Town Engineer: Signature:
Located 384 qsgooq Street
FIRE DEPARTMENT - Ternp Dumpster on site yes no f
Located at 124 Main Street
Fire Department signature/date
COM[MENTS
Dimension 'D
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 zDNE LITOZATURE: Yes No
MGL Chapter 166 Section 21A —F and G min.$100-$l 000 fine
-4-4- 1 me.,ml
NU I 1=4� aFJU /A I If
1�21
Ll 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
a Building Permit Application
ci Workers Comp Affidavit
-Cl 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 CopVof H.I.C. And C.S.L. Licenses
• Copy Of Contract
• Flo o r/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)
u Building Permit Application
ij Certified Proposed Plot Plan
c3 Photo of H.I.C. And C.S.L. Licenses
Ei Workers Comp, Affidavit
c3 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
c3 Engineering Affidavits for Engineered products
NIOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit
n all cases if a variance or special permit was required the Town Clerks office must stamp the decision from the Board of Appeals
hat the appeal period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording
aust be submitted with the building application I --
Doc: Doc -Building Permit Revised 2008mi
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NOTES
1.) ALL FILL TO BE IN CONFORMANCE WITH 310 CUR 15.255 (3).
2.) STONE TO BE DOUBLE WASHED AS NECESSARY AND FREE OF IRON, FINES, AND DUST.
UST.
3.) THIS SYSTEM IS NOT DESIGNED FOR USE WITH A GARBAGE GRINDER.
4.) REMOVE ALL TOPSOIL, ROOTS AND SUBSOIL AND REPLACE WITH SPECIFIED FILL WITHIN
5 FEET OF SYSTEM.
5.) COVER MATERIAL OVER THE SYSTEM SHALL BE FREE OF CLAY, STONES, MASONRY,
STUMPS, OR WASTE CONSTRUCTION MATERIAL. THE TOP 4- SHALL BE LOAMED AND
SURFACE SEEDED. MACHINERY WHICH MAY CRUSH OR DISTURB THE ALIGNMENT OF
1 #-4* THE PIPES IN THE DISPOSAL AREA SHALL NOT BE ALLOWED.
7. 6.) FOUNDATION DRAINS ARE NOT TO BE INSTALLED WITHIN LIA FT. OF THE SEPhC TANK
NOR WITHIN IVA FT. OF THE SOIL ABSORPTION SYSTEM.
6 -OUTLET 7.) ALL PIPING SHALL BE 4- DIA. SCHEDULE 40 PVC.
77_ CONC. D -BOX
B.) PROPERTY LINES SHOWN WERE TAKEN FROM EXISTING PLANS AND RECORDS.
9.) THE CONTRACTOR SHALL BE RESPONSIBLE FOR VERIFYING THE EXACT LOCATION OF ALL'
EXISTING UTILITIES SHOWN OR NOT SHOWN ON THESE PLANS.
TOP VIE
10.) THE CONTRACTOR SHALL NQTIFY THE DESIGN ENGINEER 48 HRS. IN ADVANCE OF
SYSTEM BACKFILL SO THAT AN AS -BUILT SURVEY CAN BE PERFORMED.
510 DIA. INLET 11.) THE CONTRACTOR SHALL BE RESPONSIBLE FOR PROVIDING..AN AS-8UILT PLAN. SUCH
20 ICON. COVER PLAN SHALL St INCLUDED AS PART OF THE CONSTRUCTION CONTRACT.
12.) FOR THE REPAIR (OR UPGRADE) OF SYSTEMS, THE EXISTING S.A.S. AND SUOROUNDING
AND UNDERLYING SPOILED SOIL SHALL BE EXCAVATED AND REMOVED WHEREVER IT IS
50 DIA. OUTLETS WITHIN FT. OF THE PROPOSED SYSTEM.
(ryp.)
13.) FOR THE REPAIR (OR UPGRADE) OF SYSTEMS, THE EXISTING SEPTIC TANK SHALL BE
PUMPED AND EITHER PUNCTURED AT THE BOTTOM AND FILLED WITH CLEAN SANDi
16* 7 OR COLLAPSED AND REMOVED FROM THE SITE.
8 r1r
61 lit) 00 we
2" WALLS
(TYP.)
15*
-TA k��
SECTION VIEW
E. ALL: INLETS & OUTLETS SHALL OE SEALED
WITH HYDRAULIC CEMENT.
D -BOX DETAILS
NOT TO SCALE DESIGN CALCULATIONS
DESIGN. FLOW --4--BEDROOMS x GAL.IDAY
DESIGN PERC RATE: M.P. I..
SOIL CLASS:
PERC TEST RESULTS
DESIGN FOR LEACH FIELD (SEE DETAIL)
46 LEACHING AREA REQUIRED GAL. x 1129�,GPDIS.F. GPD
LEACHING AREA PROVIDED: WIDE x LONG '79530 S.F.'
DEPTH
SOAK TIME
1p 12"-9*'DROP
)P- 9"-6, DROP I CERTIFY THAT ON MAY 9, 1996, 1 PASSED THE EXAMINATION APPROVED
i BY THE DEPARTMENT OF ENVIRONMENTAL PROTECTION AND THAT THE ABOVE
P13. PERC R�TE _M.P.1. ANALYSIS WAS PERFORMED BY ME CONSISTENT WITH THE REQUIRED TRAINING,
EXPERTISE AND EXPERIENCE DESCRIBED IN 310 CMR 15.017.
04eg4t -�Nf, SIGNATURE DA TE
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PLA N OF
SUBSURFACE SEWAGE DISPOSAL SYSTEM
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SUBDIVISION LOT 3
P LOT
ASSESSORS MA
MERRIMACK ENGINEERING -SERVICE5
66 PARK STREET
Building Contractor
Proposal
To: Matt & Pam Rivet
67 Foster Street
North Andover, Ma. 01845
Frorm Kevin Murphy
cc,
Date: 3/14/2011
Job: Two story Addition
Date of plans: 1/11
Archiillect: Steve Foster
Locaffion: Same
Section I - Work Schedule
0 169 Boxford Street
0 North Andover, MA 01846
0 PH: 978-688-6335
0 FAX: 978-688-7207
All Honv improvernent Contractors and Subcontractors
engaged in horne improvement contracting, unless
spedficafly e)wW from registration by Promons, of Chapter
142A of to general Wm, must be registered with the
Commonwealth of Massachusetts. Inquiries aboul
registration and Status should be made to the Director, Home
Improvernent Contract Registration, One Ashburton Place,
Room 1301, Boston, MA 02108.(617)-727 &598
Contractor will begin the work or order the materials before the third day following the signing of this agreement, unless specified here in
writing contractorwill begin work on or about 4/1/11.
Barring Delay caused by circumstances beyond Contactors control, the work will be completed by 5/30/11. 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 I 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 correct, 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
4- ;*
Page 2 of 4
169 Bo)dord SbeL4
North Mdover, MA 01845
PH: 978688-5335
FAX 978a&)000(
General
Proposal is to build 16'x18' two story addition to a weathertight state. Building permit will be provided by
contractor. No allowance has been made for any conservation or board of health approvals, if required by town.
Building plans and certified plot plan to be provided by owner.
Demolition
Existing porch will be demolished and disposed of.
Excavating
Excavation required to install frost wall foundation will be provided. Any additional fill will be removed from site.
Backfilling and rough grading will be provided. No allowance has been made for relocation of any underground
utilities, removal of ledge, landscaping or lawn repairs.
Foundation
Poured concrete foundation will be provided as shown on plans. Footings will be 1 0"x2O", walls will be 10" thick,
grade to be determined in field. Rough concrete slab will be poured in crawl space area. Concrete cutting will be
provided to gain access from existing basement, to new crawl space.
Building
All frame, roof, and siding materials required to build addition to a weathertight state, will be provided as shown
on plans / match existing / meet code. All floor joists will be 2xl 2, exterior walls will be 2x6, rafters will be 2x1 0.
All floor, wall, and roof sheathing will be fir plywood ( 3/4 on floor, 1/2 on walls, 5/8 on roof). Interior petitons will
be 2x4. Ice and water sheild will be installed at all roof edges and valleys. Thirty year architectural shingles will
be supplied and installed on addition only. Exterior walls will be wrapped with Tyvek or equivalent. Pre -primed
finger jointed cedar clapboards will be supplied and installed on exterior walls. Anderson TW400 series windows
will be supplied and installed as shown on plans ( seventeen doublehung units, two transoms Existing
Anderson slider will be relocated to new addition.
Waste Removal
All construction debris will be disposed of by contractor.
OPTIONS
1) A new Anderson slider can be supplied and installed in addition for an added cost
2) If siding is deleted from scope of work, a credit $6500 will be given.
3) Existing house can be shipped and reroofed for an added cost of $9500- $10,000. ( a separate proposal will
be given prior to any work on existing roof 8DOO
Page 3 of 4
169 Bo)dord StrW
North Ar�, MA 01845
PH: 978-6W5335
FAK 978-688-)000(
Items Not Included
There have been no allowances made for any interior demolition, mechanical work, plastering, interior finishing,
painbng, etc.
'��W " -
it *n Mlxrnk
169 Bo)dord Steel
North Aridover, MA01845
PH: MaS,133W
FAX 978-6W)000(
Section IV - Price Schedule
Page 4 Of 4
We hereby propose to furnish material and labor — complete
in Accordance with above specifications for the sum of ..................................... $47,500
Payment to be made as follows:
Percentage/Item
Description
Amount
1
Permit obtained
$2000
2
Foundation complete
$10,000
3
Roof of addition complete
$20,000
4
Windows installed
$9000
5
Job complete
$6500
Total 15 1 1 $47,500.00 .
-Noboa: No agreement for Home improvemenit contracting work shall require a down paymerd (advance deposit) of more tit ore4hird of to total contract price of to total anxxwd of all deposits or
payments which the contractor must make, in advance, to order andfor otherwise obtain delrvery of special order mat&rials and equipment whiche�w 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
DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES
Signature
44
Da
Date
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07/11/2011 07:45 9786833147 PAGE 01/01
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CERTIFICATE OF UABIUTY INSURANCE I
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THS IS To CE"FY --HAT THE POLICIES OF INSURMCE I -MMI) 90 -OW HAVIE SEEN ISSUED M THE INSURED NVMO AWNE FOR THI: YUUVo'f F'bMUU
INDICATED. NoTMTMANDiNG ANY REQUIREMENT. TERM OR CONDnWN OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
OER11FICATE MAY 06 ISSUED OR MAY PEVAIN, THE INKIRANCE AFFORDED By THE-POL40ES DESCRIBED HEWN 16 SUBJECT TO ALL THE TERM,
EXCLUSIONS AND CONDITIONS OF SUCH POUCES. LIMITS 04OWN MAY HAVE OEM REDUCED BY PAR) CLAIMS.
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TOOM Or NORTH ANDOVER SHOULD AW OF THE ABOw OEWRIBED POucmS BE CANCEUED BEFORE
NOIRMS ^=OVER, NX 01845 THE EXPiPATION DATE THERIEOF. 14011 WILL BE 00MRED IN
ACCORDANCE WrrH THE POLICY PROVISION&
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0 ING-2010 ACM CORPORATION. Alld"feemed.
ACORD25(2010MO) The ACORD nam and kW are mglabmid mwks of ACOFID
Are you an einpioytr? Cheickthe approp6ite box,. Type of project (required):
4. [11- am a general contractor -and 1 16; U New construction
I.b I am a employer with Li__ - -
employees (bill and/or part-time).* have hired the sub -contractors:
T [j Remodeling
2. '1 a . in a- s6le oxoprietor�or partner— "...-listed owthe attached.sheq.t.
Ilese sub -contractors have 8. Demolition
sbip and have no employees workers' comp. insurduce. 9 S Building addition
working for me in anY capacity...
5 1 are a towration and its
(No workers' comp- inwance� I- :. i.0 -El Ei calfepairs; or additions
offi6eis have exercised their -
req
ikeziiption per MGL .I LF1 Pluinbingreppirs or additioj*
3 1 'am a homeowner. doiakall work
1. 2 §f(4) and we have to 12.0 �Rdof
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myself [No wo,ikers' comp-
insuraucerequired-1 t . [No workers' 1�.[] other
601ilp_- bmirance requiredL]
Mmp, - I - nfbn�
*Any applicaut that checksbox #�.must�" fiU out The section below SbOwing their' - aicw.affidavitindi s=h_
t Hmeowners wbo submit this' affidpyit ind�mting %eyAre doing an work and then him outside ountsaors must submit
check 11-fils bo� on additiotA -she 'showing the name ofthe sub-contmeturs and k icy iavIrInstion.
tContramis that et eir wO'r , as' c—OmP.Pol..
jam -an emploerilhat ispiovidbigworkers'compirnsation.t'wuranceforniy employee,&. Belawo
informatiolL
Insurance Company Name:
Policy# or Self-ins-Lic, #:: t��t J. l5*iratiou%Date_-_..-1
7L citwstawz�p: "o, E^J_VV-,_,
Job Site Address.,
Attach a copy of t - he workers' . c0mlie , n , s I ation.po . licy decla ration pagi(showing the policy number I an d expiration date).
sition crimbig.penalties bf a
Fafiure to secure-c6verage as required under Sectiour25A of MGL c- 152 canleadA9 the invo.. 'Of
fine up to $1,500.00 and/or one-year illlprisumcnt, aswell as civil penalties,in the form o fa STOP WORK ORDER,"d aiin:6�
of up to $250.00 a day against the violator l3e advised that a copy oftbis statement maybe foiwarded to lhc�Pi.fice �Of
Investigations 4�f the DIA for iusUrauce coverage vCrification-
I do hereby cerfifyander the p�zins andpe that the information provided above is true and correct -
pains a_
Date:: M
Official use onb& Do not write in this area, to be compided by� city or'lown ojjklaL
Permit!Ucense #
City or Town:
Usuing Authority (circle one):
1 3 eityrrovmmcierk 4�� Electrical inspector 5. Plumbing Inspector
1. Board of Health 2. Building ]Department
6. Other
contact remollm:
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