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HomeMy WebLinkAboutBuilding Permit #281-12 - 75 LEANNE DRIVE 10/4/2011 L BUILDING PERMIT 0 t%OR�T 6'�ti TOWN OF NORTH ANDOVER F i - APPLICATION FOR PLAN EXAMINATION • h T Permit NO: Date Received ATIE Date Issued: /0 �/ LRTANT:'Applicant I P must.complete all items on this page :t QATIQN ' Print PROPERTY'OWNER �e etv __ke l Ly Print MAP'2__ 1p PARCELf ZONING DISTRICT: Historic Disfrict yes Machine Shop.Village yes_ ho TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential New Building One family Addition Two or more family Industrial Alteration Xf No. of units: Commercial Repair, replacement Assessory Bldg Others: Demolition Other _. ._w - - -- ._. - , Septic Well Floodplain. Wetlands 1 -atershed District -- F DESCRIPTION OF WORK TO BE PREFORMED: Identification Please Type or Print Clearly) OWNER: Name: `Tkoo-- y4S t- Eiuter� {lC�l/ y Phone: 9_/Y 53'7-- Address: 7 s L ear n e. c�j_ C.O:NTRACTO'R Nara a.e e�k F S cr` C�+"' ' Phone: 97 Y Adtlress:.._,o�b / -rem e 't ve Uni�} Supervisor's Construction License b $ 5-1 27: Exp. Date Home Improvement'Lieense . /47 Goa Exp Date: '- a12._. . ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE.BOLDING PERMIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. to �2 Total Project Cost: $ 19. W70 FEE: $ �z.. p� Check No.: �.3 Receipt_No.: NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund Si nature of contract Signature:of Agent/Owner g.,_ _ -. J Plans Submitted Plans Waived Certified Plot Plan Stamped Plans TYPE OF SEWERAGE DISPOSAL Public Sewer Tannin g/MassageBody Art Swimming Pools Well Tobacco Sales Food Packaging/Sales Private(septic-lank' 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 HEALTH Reviewed on Signature COMMENTS r ' l 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: 84 Located 3 Osgood Street 7,FAtemp Dumster onsite yes no24<Mam~Street artment Signa#ure%dafe 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 i ❑ Notified for pickup - Date Doc.Building Permit Revised 2010 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 r 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 2008 r Location 7 5— G ��'� ��"�✓f No. Date D NORTH TOWN OF NORTH ANDOVER F s 9 Certificate of Occupancy $ MUS E<� Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ i TOTAL $ Check # 24654 wilding Inspector NORTH Town 0 _ Andover .. . 0 No. o , dover, Mass., Y Q LAKE COCKICMEWICK ADRATED p`9�`�,�5 `s BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System BUILDING INSPECTOR THISCERTIFIES THAT............7-alw. ..... ... .�. ./!/`........................................................................................................ Foundation / r r G�N� �v'A has permission to erect........................................ buildings on ...�1r". .......................... .....................I...................... Rough to be occupied as......................../X: a e�zl....X0.01 ..................... Chimney . . .. ...................... provided that the person accepting this permit shall in e4ery 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 CONSTRUCTION S j;ARTS 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 BeDone FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner - Street No. SEE REVERSE SIDE smoke Det. 1 I 67' � UQ� ^� Massachusetts- Department(�f Public S.tfctA ,pp�� L Board of Building Regulations and Standards �\ Board of Building Regulations and Standards HOME IMPROVEMENT CONTRACTOR b� a Construction Supervisor License A License: CS 85173 Registration,: 107602 O Expiration: 8/5/2010 Tr# 272878 ff \, Type: Private Corporation WILLIAM T FOSTER COTE&FOSTER CONT. 65 COACH DR ° Steven Cote �, DRACUT, MA 01826 20 Aegean Dr Unit 15 Methuen,MA 01844 Administrator Expiration:.,11/10/2012 ----- (bmmissiuncr Tr#: 5316 -- I ' f I .. ... ..._. .;....i— _...... .... .. r ,__. .. _ _. —— -- — — ! ... f _ I , re� 1 , I i fI Il I C I i I : f ; _ l ate � j . I's i I I i , lull, 1 I f i I I i I I , I i I I , I , 114 , I I i fix► -, -F1.y I I 1 I I I , I : ece iii �6 kee A� 01` Jn►� 15' 75 G e,M ne- P/l, / �e�n�e� ►n� olg�y r r COTE flMt.- FOSTERK CUSTOM BUILDING + REMODELING This agreement made this 28`b day of July,year Two thousand and Eleven by and between Cote and Foster Contracting,Inc.hereinafter called the Contractor and Thomas &Eileen Kelly,hereinafter called the Owners,witnesses that the Owners intend to finish the existing basement into a 14'6"x 13'0"open finished room at the address of 75 Leanne Dr.,North Andover MA. Now,therefore,the Contractor and the Owner,for consideration hereinafter named,agree as follows: ARTICLE 1 The Contractor agrees to provide all the labor and materials to do all things necessary for the proper construction and completion of the work shown and described on drawings. The drawings and specifications are the basis of the contract. ARTICLE 2 In consideration of the performance of the contract,the Owner agrees to pay the Contractor,in current funds as compensation for his services hereunder$19,470.00 to be paid as follows: Payment 1 -$2,000.00 at signing of contract Payment 2-$5,000.00 at start of framing Payment 3-$5,000.00 at start of mechanicals Payment 4-$4,000.00 at start of finish work Payment 5-$3,470.00 at completion of project ARTICLE 3 Final payment on contract amount as agreed above to be paid within ten(10)days of project completion or occupancy. If final payment has not been made within this time a 10%charge per month on the balance due will be charged. All minor punchlist items will be complete as part of the one year warranty on the finish product. Failure to pay balance within ninety(90) days may result in legal action. Initials:'/ ARTICLE 4 Additional work above and beyond the contract agreement: 20 Aegean Drive - Unit 15 - Methuen,MA 01844 Tel:978-682-6518 - Fax:978-682-1221 www.coteandfoster.com r All additional work done to be quoted at the time the client requests the work_ The work will be done and billable at its completion. The client has ten(10)days to pay the additional cost after he or she has been billed for it Initials In witness whereof they have executed this agreement the day and year first above written. 4 Tho as Kelly,Ownt) Eileen Kelly,Owner a- d� - Steven M. Cote William T.Foster DBA Cote& Foster DBA Cote&Foster FOSTERK COTE w CUSTOM BUILDING + REMODELING July 14, 2011 Proposal submitted to Thomas&Eileen Kelly for finishing of the existing basement into 14' 6"x 13' 0"open finished room with dry walled walls, suspended ceiling and matching laminate flooring to the existing entry from garage,at the address of 75 Leanne Dr.,North Andover,MA. Details of project are outlined as follows: 1. Permit—All permits required to complete project to be supplied by Contractor. 2. Design—All design work required to acquire permit and complete project to be included.Design to be generated through discussions between Cote&Foster Contracting and homeowner. 3. Debris Removal—All debris generated by construction to be removed by Contractor. 4. Framing—Walls 2"x 4"P.T. shoe at floor,2"x 4"wall studs 16"O.C. Ceiling frame 1"x 3"strapping at dry walled ceiling areas. 5. Insulation—All exposed wall areas to receive 3 %2"-R-13 insulation with appropriate vapor barrier,as code requires. Sound insulation at all bathrooms or mechanical areas as applies. 6. Plaster—%2"Blue Bd.with 1/18"skim coat plaster on all walls,smooth finish. 7. Interior Trim—Interior doors to be 6-panel solid core molded with casings to be 2 %2"colonial and Base Bd.to be 5 1/4"molded. 8. Heating— • Adding two 7"insulated supply runs to finished basement room off of existing basement supply trunk • Add one return run to finished basement room off of existing basement supply trunk • Registers and grilles • Associated materials and labor • System startup 20 Aegean Drive • Unit 15 • Methuen,MBIA 01844 Tel: 978-682-6518 • Fax:978-682-1221 www.coteandfostencom j 9. Electrical-per enclosed listing. NOTE: Separate price for electric wall heat$820.00(not included in this quote) 10.Flooring—To be pre-finished,tongue and groove laminate-flooring,matching color and style of existing as best as possible.Total material for laminated floor and pad$500.00. 11.Finish Ceiling to be 2'x 2' suspended ceiling.Tile to have an allowance of $1./sq. ft. 12. Paint—All woodwork to be primer and two coats of finish paint.All walls to be primed and two coats of finish paint. Total cost to complete-$19,870.00 Credit of$400.00 for size reduction of room from a 19' x 13'to a 1416"x 13'. New Total cost to complete-$19,470.00 Thank you for the opportunity to quote your project. Should you have any questions or would like to take your project to the next step,please contact us. Sincerely, Steven A Cote and William T.Foster Cote and Foster CERTIFICATE OF LIABILITY INSURANCE DATE 201/DD�� 8/17/ 1 1 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 certficate holder is an ADDITIONAL INSURED,the policy(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 endorsement(s). PRODUCER CONTACT NAME: Victoria Lowes, CISR MTM Insurance Associates PHONE (978)681-5700 ac No: (978)681-5777 575 Chickering Rd a4Mess:vickyl@mtminsure.com INSURER(S)AFFORDING COVERAGE NAIC# North Andover MA 01845 INSURERA:Charter Oak Fire Insurance 25615 DMIRED INSURERB:Travelers indemnity Company 25658 COTE AND FOSTER CONTRACTING, INC. INSURER C.National Union Fire Ins Co of 20 AEGEAN DRIVE INSURER D: UNIT #15 INSURER E: METHUEN MA 01844 INSURER F: COVERAGES CERTIFICATE NUMBER:11-12 Master List 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. MICATED. N'OTVITTHSTANDING 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, EXCLUSIONIS,AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. WsR' 'AODL' UW POLICY EFF POLICY EXP LTR TYPE OF INSURANCE IMSRiWVDI POLICY NUMBER MMIDD MMIDD LIMBS GENERAL LIABILnY I EACH OCCURRENCE $ 11000,000 Ix COk^.SE CtA-1 GE-NERAL LLABTLIY , DAMAGE ( RENTED 300,000 tt t PREMISESS Ea occurrence $ A 3 tCLAXAS-If.LDE IXIOCCUR 6803SON5396COF10 2/31/2010 2/31/2011 MED EXP(Any one person) $ 51000 PERSONAL&ADV INJURY $ 11000,000 GENERAL AGGREGATE $ 2,000,000 (Gam.AGGREE-GATE UXUT APPL ES PER: PRODUCTS-COMP/OP AGG $ 2,000,000 x pc--y i 1 ¢ 1 1 LOC I $ AUTOMOBILE LIABILITY Eaacciden SINGLE LIMIT $ 11000,000 B I X ;Ay-Awry BODILY INJURY(Per person) $ 20,000 I ALL C)NNIED i I SOHEDULED MA970R396610SEL 12/31/2010 12/31/2011 BODILY INJURY(Per accident) $ 40,000 _AUTOS !AUTOS I I cr L i OS t I N4IN-OWNIED PROPERTY DAMAGE $ i A1nOS (Per accident F-1 Uninsured motorist BI split limit $ 100,000 X 'UMBRELLA LIAB I I OCC"JR � � � EACH OCCURRENCE $ 11000,000 B ! EXCESS LIAB I 1 CLP!�S PI.ADE AGGREGATE $ 1,000,000 I ice_. X I - ONS 5,OOG TAFCUP969H355A 2/31/2010 12/31/2011 $ (, MRICERS Gdi[PENSATiON � X WCY TATO- OTH- A.ND EMPLOYERS'LIABILITY IE ANTY P=O�-TE70tt'=-RTN-REXECunv= YIN E.L.EACH ACCIDENT $ 500,000 O=FICCERWIASEiEXCLUDED? � NIA# FiC00a96Z937 6/20/2011 6/20/2012 W-daisy in NH) E.L.DISEASE-EA EMPLOYEd$ 500,000 ^ES ?^'FiiOg4=O? PTIONSte_a' E.LDISEASE-POLICY LIMIT $ 500,000 i i DES Fa SON OF Or ERAMONS I LOCATIONS/VEHICLES(Attach ACORD 501,Additional Remarks Schedule,If more space is required) Certificate holder as listed below CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Town of North Andover ACCORDANCE WITH THE POLICY PROVISIONS. North Andover Town Hall Main St. AUTHORIZED REPRESENTATIVE N Andover, MA 01845 P MacDonald CPCU, CIC ACORD 25(2010105) ©1988-2010 ACORD CORPORATION. All rights reserved. I3Z502 (a_ _w The ACORD name and logo are registered marks of ACORD The Coll,Ino 1 vealth of Massachusetts Del)artnrenI of Industrial Accidents Office ofInvestigations 600 Rlashitigtott Street Boston, MA 02111 lvlvlv.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Colltractors/1Jlectricians/Pluzitbers p licant Information Please Print Legibly Name (Business/Organization/Individual): (,ATG / 0 Address:. d ve Upki City/State/Zip: /he.Ayew AlA a/?1i14 Phone#: Are you an employer? Check the-appropriate box: Type of project (required): 1.9 1 am a employer with 4• ❑ 1 am a general contractor and I 6. ❑ New construction employees (full and/or part-time).* have hired the sub-contractors 7. Remodeling 2.❑ I am a sole proprietor or partner-. listed on the attachcd sheet. l ship and have no employees These sub-contractors have 8. ❑ Demolition . workers' comp. insurance. 9, ❑ Building addition working for me in any capacity. [No workers' comp. insurance 5. ❑ We are a corporation and its • 10.❑ Electrical repairs or additions officers have exercised their required.] n repairs or additions 3.El am a homeowner doing all work right of exemption per MGL I L❑ Plumbing eP c. 152,§1(4),and we have no 12.E] Roof repairs myself. [No workers comp. insurance required.]t employees. [No workers' 13.0.Other comp. insurance required.] *Any applicant that checks box I/t must also G11 out the section below showing their workers'compensation policy information: t Homeowners who submit this afridavit indicating they are doing all work and then hire outside contractors must submit a new affiidavit indicating such =Contractors that cluck this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy iriforinmtion. I am an employer fliat is prot,idirrg it,orkers'compensation insurance for 11Iy employees. Below is the policy acrd job site information. /f Insurance Company Name: A rA-I IJA l b ati T'7 1G ht �d Policy#or Self-ins.Lic. M G✓G Q b4 96,2217 Expiration Date: Job Site Address: Tie over" City/State/Zip: /V, /�w�cver� A*0 94 Attach a copy or 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 forni of a STOP WORK ORDER and a fide 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 hereby certwider the pains and penalties of perjury that the information pr•ov ded above is true and correct certify SignaturDate:/0 .Phone#: 6 6 57 Y Oficial rise only. Do not wHie in this area,to be completed by city or town official. Ciiy or Town- issuing # Issuing Authority (circle one): 1.Board of Iiealth 2.Building Department 3. Cityrrown Clerk 4.Electrical Inspector 5..Plumbing Inspector 6. Other _ Pl+one#: Contact Person: