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Home My WebLink AboutBuilding Permit #280-15 - 74 ELMCREST ROAD 9/18/2014 6p,J E NORTH 1 BUILDING PERMIT TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit NO: Date Received °, C.,..:*—. �> • I� cKt� Date Issued: /� s �s IMPORTANT:A licant must complete all items on this page LOCATION ?' Pnht PROPERTY OWNERzPr MAP NO.rr- PARCCEL; ZONING:DISTRICT,�.,Histoiic,bistrict yes o Machine Shop Village , yeso TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building XOne family ❑Addition ❑Two or more family ❑Industrial ❑Alteration No. of units: ❑Commercial ❑ Repair, replacement ❑Assessory Bldg ❑ Others: Demolition ❑ Other D Septic ❑:Watt p FI'oadplain ❑_Wetlaiads fl Watershed District ;_ - . Identification Please Type or Print Clearly) OWNER: Name: 11 r Phone: Address: / h ONTRAC`fOR Name ' 1 '" ' Phone. !a, �Urn Address: Ve x !1 1 Supervisor's C nstruct�on License_ Exp. "bate., �9 ,Home ImproYementLicense: w. . _ Exp.. Date.w_ 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: $ ' ____FEE: $ G3 el , Check No.: Receipt No.: NOTE: Persons contracting with unregistered contractors do not have access to the uaranty fund Si nature of_A ent/OiNner j �'tgnature.'of contras#or [ BUILDING PERMIT NoRTH TOWN OF NORTH ANDOVER ? APPLICATION FOR PLAN EXAMINATION * C. -ph o Permit No#: Date Received y A04A7Eo"T SSACHUS� Date Issued: IMPORTANT: Applicant must complete all items on this page LOCATION: - Print PROPERTY OWNER 'Print 100 Year gtruc"ture yes no MAP _—._PARCEL . _ _ ZONING DISTRICT: --.Historic District yes no Machine Shop Village yes no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building ❑ One family ❑Addition ❑Two or more family ❑ Industrial ❑Alteration No. of units: ❑ Commercial ❑ Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other 11 Septic q Well ❑ Floodplain ❑Wetlands ❑ Watershed District []Water/Sewer DESCRIPTION OF WORK TO BE PERFORMED: Identification- Please Type or Print Clearly OWNER: Name: Phone: Address: Contractor°Nane: Phone: Address: --- - - -- - Supervisor's Construction License: Home. ImprovementLicense: , __- _!Exp. Datel: 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: $ FEE: $ Check No.: Receipt No.: NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund Signature of gentrOwner _ Signature of contractor _ Location '*-7 m C94 No. J' F • - TOWN OF NORTH ANDOVER m� M Certificate of Occupancy $ • w�r`^-. -' '° ` fes( f Building/Frame Permit Feef Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check# ` rf. 28034 p Building Inspector 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 i I PLANNING & DEVELOPMENT Reviewed On Signature_ COMMENTS CONSERVATION Reviewed on Signature COMMENTS HEALTH Reviewed on Signature COMMENTS .1 I 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 4FIRE DEPARTMENT - Temp pumpster on site Located at 124 MainStreet Fire'Department signature/date ,COMMENTS fi. 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) I ❑ Notified for pickup Call Email Date Time Contact Name Doe.Building Pen-nit Revised 2014 I 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 i ❑ 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 Doc:Building Permit Revised 2014 NORTH Town of 2 tAnc"t" over 0 0 No. b .00, h ver, Mass I d* p COCNICHEWICK �� .9 A�"4TED r,PP�,�S S V BOARD OF HEALTH P, ER ITFood/Kitchen T LD Septic System Nt.�IC, THIS CERTIFIES THAT ,,, BUILDING INSPECTOR ...................................... .............. .... . ......... ... .............. 4 has permission to erect .......................... buildings on1 `®' mCPe� Foundation . .................... ........................................ Rough to be occupied as ....... �.�w...... .. .. . ..... ..................................... Chimney n accepting this permit shall in eve res ect�nform to the terms of thea lication provided that the perso p every p pp 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 VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR • UNLESS CONSTRUCTI S 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 1 4 Until Inspected and Approved by the Building Inspector. Burner Street No. Smoke Det. I Print01 rn F The Commonwealth of Massachusetts �t. Department of Industrial Accidents Office of Investigations _ 1 Congress Street,Suite 100 - Boston,MA 02114-2017 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Apulicant Information Please Print Legibly Name (Business/Organizarion/Individual): ' n / /� eP177ndJJ1 Address: I/e City/State/Zip: 112Phone #: Are you an employer?Check the appropriate box: Type of project(required): 1. I am a employer with 4. ❑ 1 am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. E]New construction 2. ° I am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling ship and have no employees These sub-contractors have g. KDemolition working for me in any capacity. employees and have workers' 9. ❑ Building addition [No workers' comp. insurance comp. insurance. required.] 5. ❑ We are a corporation and its 10.❑ Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 1 L❑ Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑ Roof repairs insurance required.]t c. 152, §1(4),and we have no employees. [No workers' 13.❑ Other comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work 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 state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is thepolicy andjob site information. Insurance Company Name: 0 S Policy#or Self-ins.Lic.#: Expiration Date: 1945AJob Site Address: � �m(°,r-lo �. /a'f��er City/State/Zip: 0daek- 01945- Attach ttach 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. I do herebc er th ins and enahies o er'u that the in ormadon provided above is true and correct Si afore: Phone#: 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#: k� " � 4 . .t f.. t .l � . r..,�'E. � .1f 'l�] t i E � :r+� �,`. .r.. � t � �3•,... .. . r. �, .. �i „ � ,i ' ". �. . � _ t ,./ 'big ' 1 � , ` � s .. • 1 r 'Y , . � ; '1 i � t: .. � ,. ' 1 a(-rlf�d( i� - - - _- ..__�� .__ -- .._ _ -- _..... _. _ i+ r { �. , � tfi- l � .rf ''. ..� . r _ ,. . , . . '. . �` . �use#Ta-tlep�rlrr+�nt of Public Safes mrd of BulkNo R yu iron ar}d f rndardc �ri�tt�lt►" ��up ��ur � "� CS493Wd, SHAWN woo, Y 6BRYAhtT BateNu'I1119E� Qi$35 ;' +Cr�' s��►rer =t15lQ512t"16 .; "EmpltkG Integrity Building & Remodeling quote #47 2 Bryant Ave Haverhill, Ma 01835 Sent On 01/12/2014 Phone 978-204-1158 Email office@integritybuilding.net Website www.integritybuilding.net Kelly Property Management Westgate 44 Bulington Mall Rd Waltham MA, MA,02453 Suite G01, MA,01803 • .. i Material:Concrete/Masonry Classification:Material $50.00 A:Concrete&sonutubes ---------- --------� _ ___ _ i Material-Lumber Classification:Material $300.00 Allowance A:Lumber/structural Material-Exterior Millwork Classification:Material $110.00 A:Lead flashing Material-Exterior Millwork Classification:Material $407.50 A:1 x4 mahogany decking NOTE: Main deck&stairs Material-Exterior Millwork Classification:Material $60.00 A: 1 x8 exterior deck band Hardware Allowance Hardware Allowance $100.00 A:Fasteners/lags etc In-House Deck/Porch Labor Classification:Labor $3,000.00 A: 1 Carpenter B:1 Helper Company Overhead& Company OH&P $805.00 Profit A:The above quotation is for structural/estechtic repairs to the rear deck&stairs at Total $4,832.50 Westgate Condominium.Project scope will be as follows 1:Remove/salvage existing balustrade for re-use 2:Remove existing 1 x4 mahogany decking for structural repairs/rebuild.Mahogany decking will be replaced with new decking as it will not be salvageable. 3:Remove existing stair stringers for structural repairs/footings/deck posts. 3:Careful inspection of existing framing members have concluded that they will not be adequate for jacking/shoring the existing structure into place. Therefore,opting to rebuild the rather small second floor deck,so proper flashing of ledger up against existing masonry building,and an all around safer structure can be built. B:Contractor proposes to try to salvage/remove existing mahogany balustrade railings,top cap,&balusters,and selective newel posts for re-use. Bi:Any portion of existing balustrade not salvageable will be considered a change order&billed on a time&material basis,at a cost of$45 per man hour for labor,and 1 of 2 pages Integrity Building & Remodeling Quote #47 2 Bryant Ave Haverhill, Ma 01835 Sent On 01/12/2014 Phone 978-204-1158 Email office@integritybuilding.net Website www.integritybuilding.net Kelly Property Management Westgate 44 Bulington Mall Rd Suite G01,MA,01803 Waltham MA,MA,02453 Notes Continued... 20%company margin on all change order direct costs. C:Two new footings.where the existing footings have been deemed damaged/inadequate. D:New stair stringers. Site Notes: A:Contractor has been informed that the structure had been hit by a plow truck in the last snow storm at the property.After careful inspection, the entire structure has clearly been hit in a manor that has done enough lateral structural,load/footing/,flashing,and the amount of exterior trim that will need to be dismantled to do the structural work,that it would be more cost effective do rebuild most of the structure.There is also a liability of safety at hand after repairs are complete that deems a rebuild appropriate.Efforts can be made to salvage as much material as possible,but job costs would need to be billed on a time&material basis not knowing what can be slavaged and what cant.This quotation would include salvaging balustrades only. Signature: Date: 2of2 pages ..... . ........ GRI Y ' 9 uic�i rrtc� iP 1 Contract Coversheet September 16, In the Year of 2014 Contractor: Integrity Building & Remodeling C.S.# 093933 6 Bryant Ave Haverhill, Ma 01835 978-204-1158 For Client: Edward Rayner 74 Elmcrest Rd North Andover,Ma 01845 978-689.4773 For the Project: Rayner Residence Phase 1 Demo ARTICLE 1. SCOPE OF WORK 1.1 Contractor agrees to furnish all labor; materials and equipment to perform all work described below on above stated project.Allotments where applicable Owner/Contractor Agreement ...................................................................................................................................................................................................................... THIS AGREEMENT, made this 16"' Day Of Sept in the year 2014. By and between Edward Rayner hereinafter called the Owner, and Shawn Woodburn hereinafter called the Contractor. For the consideration hereinafter named, the said Owner covenants and agrees with said Contractor, as follows: FIRST: The Contractor agrees to furnish all material and perform all work necessary to complete the project called "Phase 1" at the owner's residence on 74 Elmcrest Rd North Andover, Massachusetts, 01845.for the above named structure, according to the proposal marked#53 and to the full satisfaction of the Owner. SECOND The Contractor-agrees to promptly begin said work as soon as notified by said Owner, and to complete the work as follows: Remove existing deck structure in rear of home into onsite dumpster. Remove existing bulkhead and owners belongings in basement as directed/needed. THIRD All work will be done at a rate of job direct costs plus 15% of all labor, material, and equipment, etc. All labor will be billed at at rate of$40 per man hour, per man.Any unforeseen issues will be brought to Owners attention immediately. FOURTH. This contract shall not be assigned by the Contractor without first obtaining permission in writing from Owner. . IN CONSIDERATION WHEREOF, the said Owner agrees that he will pay to the said Contractor, a deposit of$750 for said materials and permits. Billing to be done weekly going forward. All direct job cost reports will be provided to contractor. Estimated job costs are$1,9200.00 ( One Thousand Nine Hundred) The contractor and Owner for themselves, their successors, executors, administrators and assigns, hereby agree to the full performance of the covenants of this agreement. Owner da,te ,Shawn WrodbGCm /16/14 Contractor Date Integrity Building&Remodeling Page 2 of 2 2014 ,pL-n