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HomeMy WebLinkAboutBuilding Permit #548 - 76 GREENE STREET 3/16/2010Permit NO: 51f TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Date Issued: I ._I (& tic) Date Received IMPORTANT: Applicant must complete all items on this page , LOCATfON : 5�,,,,,_; L' Pnnt {f PROPERTY OWNER ` "Punt MAP NOPARCEL Z ZONING:DISTRICT }Historic District yes n " !Machine Shop Village-,,-.- TYPE illage y TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential New Building One family Addifi= Two or more family Industrial Iteratio No. of units: Commercial Repair, replacement Assessory Bldg Others: Demolition Other ;Septic ° Well ',Floodplain "Wetlands ' Watershed'District ` ::'Water/Sewer ' - `` i F _ 'h DESCRIPTIO/Nn OF WO� K TO BE PERF1OR/MED: 1!._ r`► �/_ � lfJ 1.�LA � � i._ J �l ►..A ._ Fes+ L. Identification Please Type or Print Clearly) OWNER: Name: f). l Phone: Home Improvement L' icense -1 $''t `1 :' -Exp. Dater �, 17- `i ARCHITECT/ENGINEER L ��,,��_ �% el w Phone: -) Z) 35-2-- .521 Address: �'�, (�,..�, S�- Cry,�.,.� Reg. No. FEE SCHEDULE: BOLDING PERMIT: $12.00 PER $1000.00 OF THE TOTAL ESTIMATED COST BASED ON $125.00 PER S.F. Total Project Cost: $ .ul/U FEE: $ i Check No.: d i - g -k- Receipt No.: NOTE: Persons contracting with unregistered contractors do not have , Signature of Agent/Owner ZQj2 j' ,,�,� Signature of contra( �' 2 Z - to the 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: Doc.Building Permit Revised 2008 C Plans Submitted Plans Waived Certified Plot Plan Stamped Plans ERAGE DISPOSAL Public Sewe Tanning/Massage/Body Art Swimming Pools ell 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 0 DATE REJECTED DATE APPROVED PLANNING & DEVELOPMENT COMMENTS CONSERVATION Reviewed on Signature COMMENTS HEALTH `' Reviewed on Signature COMMENTS Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Conservation Decision: Comments Comments Water $ Sewer Connection/Signature & Date Driveway Permit DPW Town Engineer: Signature: Located 384 OsgooPtreet FIRE DEP..ARTMENT - Temp Dumpster!on site yes no t 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 Nu i is ancl DATA - (For department use 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 MGL Chapter 166 Section 21A —F and G min.$100-$1000 fine NU I t5 and DATA — (For department use ❑ Notified for pickup - Date Doc:.Building Permit Revised 2008 0 RON M Plans Submitted Plans Waived Certified Plot Plan Stamped Plans ERAGE DISPOSAL Public Sewe Tanning/Massage/Body Art Swimming Pools ell 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 COMMENTS CONSERVATION Reviewed on Signature COMMENTS HEALTH Reviewed on Signature COMMENTS r Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Conservation Decision: Comments Comments Water & Sewer Connection/Signature & Date Driveway Permit DPW Town Engineer: Signature: Located F.IfRE DEPARTMENT..,site'yes -Fire. Department signature/date : -COMMENTS 384 OsgwcyStreet r. . 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: Doc.Building Permit Revised 2008 TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit N0: Date Received TYPE OF IMPROVEMENT PROPOSED USE Residential New Building One family A M Two or more family Iteratio No. of units: Repair, replacement Assessory Bldg Demolition Other "' Sepfic'o�Well�� Floodplain `X Wetlands ` Water/Sewers ' wr-o%omr i iuN yr YYV K 1 U t3E PERFO Non- Residential Industrial Commercial Others: ED: •- , Identification Please Type or Print Clearly) OWNER: Name: 4i��C4 ,,.1 Phone J�y ARCHITECT/ENGINEER ,,�,,�� Cle d,w Phone: (A -) q-) 3s2-- S-� Address: �� 1� �� S,,,— „r Req. 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: $_ !Tly Ud/Z) FEE: $ (0 � Check No.: Receipt No.: - 2 Z� NOTE: Persons contracting with unregistered contractors do not have accfss to the guaranty z ignature of Agent/Owner Signature co I Location No.Date TOWN OF NORTH ANDOVER 22b51 Building Inspector Certificate of Occupancy $ s'••°•;<� AC MUS Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ ki;-4— Check # 22b51 Building Inspector I I I I I I Ij II I I I I I I I I I I I I i i T I I I I I I I I I I I I I I I I I I? � ' ' 1 I _ j C. I I -- I -- I I I � i I I I I ! I I I I I I I I � � i � AI R,� i I .ti � <�� . � l I I W W tv i� LU v E 0 H U A o ` oc ao C y OC C : v C.) y 0 C a W O CLcm F- x 0 W W O „=C IL O � O -u o w �, cY o C w° w x° E U w a a°' �a w W °� occ c� u chi w" C7 w�' cc ii W fY� w m' d z v) v O o cn LU a0 :CLU a.: y O O O :c Q a C z o o 'm c c m c •cis o ` H C y OC C : v C.) y 0 C Z O CLcm F- 1p O 0 W C O O „=C IL O � �• C O *&=M I. -co o W= y .. 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Logan basement From: Kevin Murphy (kevinmurphybuilding@gmail.com) Sent: Tue 3/09/10 5:55 AM To: dalogan357@msn.com Attachments: image001.gif (0.1 KBI image002.gif (0.1 KB} Image003.gif (0.1 KB), image004.gif (0.1 KBI header.htm (17.1 KB), editdata.mso (2.3 KB) Proposal AM Ilan Irparnert OoNCM an0 a�acaemaa apgea h lune mpawM mnaaar0. ube remrdM mmol ran aywnm M vwrae naenca ua ame asarr bl..�ee�N�a+�nerc v.eul or Yaaachaear. rasa abet aipeosm"aMa shod m m.ee mae oma. come rra�aa.arr canon Red MO^ Coe Aft. PUM R= IMI. Bomal VA Dram fil4mase Green Street North Andover, Ma 01845 Fie Kevin Murpty CM palm; 3/9/2010 ,lope Finish basement area / renovate second floor hath Date of plem None Archnecp Nora locatilm Same Section I —work Schedule Dave & Chris Logan Coldaclor wl beginte wakor order to nek+lak before to hid dayrukWrg he sip" oftns agreemat mess syedred here Inwdrg oatraclxwl bednwakw ar abad3nne. gydrg Delay eased by drawalances beyad Catactora mnEol in, wak wt be ce,fe by 6D0110. The ower hereby mdvawedges and apeea tet ft sdxAfne deka we rppraidnak and tet woh delays tet are not avddabk by to CantraWr shat w be cormidmd w vloWm oftis mgwnwt Section 11— Warranty The CaVarta wrrtarts Out One wok trr'lshed hererrder sod be he tom debcts In matedab and wakmaroNp for a period of t year btodre wrtplefon and sld wnrply will fie regJremenb of On Agreement In to event arty defect in wok narshp or materials, or damage calaed by fie Contractor. hos aDwrdachrs, ernpbyeea or a". is discovered whn one yen ater wrrplelon of anyicb, lmk&V dearsp, to Contractor stet at his own expo , brtrAltt remedy, repair coned, replace, or case to be remaded. repaired. or replaced. such darrege or axh defectin matedab anwodanarshp. The foregoing va rantles shall s avIve rayirapecdon perbrned in oxi edknwhhe aTeed+panwak. Section III —Scope of Work Bulditg permit wig be provided by contractor. Proposal is to completey tut / remodel existing second floor bathroom, and finish L-shaped section of existig basement area Basement area will have a row three quarter bath added Man section will be approximatey 17)Q0, bath wig be approxmatey 8x10'.6dstirg laundry area wit have walls frished arid a suspended ceiling retailed. No allowance has been made to provide any plans or structural engineering. Second floor bathroom wig be completely gutted and disposed of. AN framing materials will be provided, to petition off frishad sections of basement area. Walls will be 2x4, bottom plate wig be pressure treated. Steel beam will be svpp%d / installed as shown on plan by stnrohral erig eer, to allow for removal of two lally coAmrs. Existing entry door at top of basement stags, and existing kitchen door, wig be replaced with new fberglass urns. Four adstig basemert windows will be replaced. Any frame materials required for bath renovation wig be provided. Two raw Anderson awning windows will supplied / installed in second floor bath PMmb rg required to renovate existing second floor bath wig be provided. Fidlres to remain in same locations. Plumbing required to add three quarter bath and laundry con nectlom in new basement area wig be provided. An allowarce of $2500 has been included for plumbing futures ( $500 per shower / tub, $250 per tub / shover valve, $250 per faucet, $250 per toilet ) . Electrical work required for bath renovation, basement firein0 will be provided to meet code. Remote bath fan urds wit be stppfied by owner, installed by electrician in both bathrooms. Basement area wig have ten recessed lights slppfied / installed. Addlioral fights can be added at a cost of $75 per fight. Electric teat will be provided in basement area Electric radiant haat wig be provided in second floor bath Prone / cable / cornio ter rhes wail be roughed in by electrician to be corrected by service provider at owner's wperse. Surface mounted fpdures to be supplied by owner ( varidy fights etc.) One existing steam gree will be relocated and run behind stairs to allow for additional head roan in finished area. Radiator in second floor bath will be eliminated No allowance has been made for any air conditioning. AN renovated / fi ished areas will be insulated to meet code ( R-13 in e)derior walls, R-0 in second floor ceiling, R-19 in basement ceiling) . 1 of 3 3/9/2010 4:21 PM Windows Live Hotmail Print Message http://byl28w.bayl28.rnail-live.com/mail/PrintShell.aspx?type=ness... Second floor bath main section of basement, and bath area in nd basement, will be bl eboarded askincaat plastered. Walls and ceilings will be smooth Ceilirg in basement laundry area will be _ suspended ( nckded a 2)Q revealed edge tile, with white gr4 sample to be given prior to rstallation ) . Pre -primed interior Urtn and doors will be supplied and installed to match ebstirg. poor in second floor bath to remain, new doors in basement area w� be pre pr coed, sa panel solid care outs. Basting star treads to basement will be replaced . Interior painting will be provided in second floor bath orty. No allowance has been made to provide any interior painting in basement area, or any e4enior painting . Tie floor will be supplied and installed in second floor bathroom. Tie will also be provided around row tub in second floor bath No allowance has been made for tiling hag wags n bathrooms. An ak wane of $5 per square foot has been included for We materials. Concrete floor in basement area will be stained. Runner will be supplied / installed on basement stairs. AN demolition / constriction debris will be deposed of by contractor. An allowance of $1700 has been inckded for bath varulies / countertops ( $1200 for second floor, $500 for basement ) . No allowance has been made for any otfsr cabinets. 2 of 3 3/9/2010 4:21 PM Windows Live Hotmail Print Message Section IV — Price Schedule We hereby propose to funsh material and labor — complete in Accordance with above specificatiors for the sun of ...... Payment to be made as follows: http://byl28w.bayl28.mail.l ive.com/nail/PrintShell.aspx?type=mess... .$54,000 Percents Amount 1 Permit obtained $3000 2 Basement framing complete $15,000 3 Basement plasteiing complete $8000 4 Basement trim / Ceiling installed $8000 5 Basement complete $5000 6 Second floor bath gutted $6000 7 Second floor bath /job complete $9000 Total 7 $54,000 'Nakb-Ne gwMbMm� 1np�gpn�rtmrb�gwvF�Mnpti�6wmprymr� (tlaio bpmOdmonhtar,�HddhbW mrMpbdN bd�mw�dJ bpwb a prynb! WYThm�Wrm,bimdb.h�ho.b aUrrWbdr�6�tlGY,Mr/d�ObMeNvm�bhb ml�Pbm�rlMitlrwi� OrY contractor. Keen Mupry 169 Bo:Cord Street No. Ardover, MA 01845 Regi tradon No: 101874 Section V —Acceptance Acceptance of Proposal — I have read this doarnent and accept the prices, specifications, and conditions stated. I uderstand that yon so*U this proposal becorm a birdirig cortrad. You are aulhorbmd to do the work as specified. Payment win be made as outlined above. You the buyer may cartel this transaction at any tine prior to midright on the third bsirms day after the date of this transaction cancellation rust be done in wrting DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES Signature ©2� ""' "'' Date 3 Ill U 1 ` - Signature <}< yam /LKZ4 Date —Forwarded Message Attachment - Page 20 oro 5 OOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOAOOOOOOOAOOOOOOOOOOOA00000000< Page I of0 5 3 of 3 3/9/2010 4:21 PM The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 www mas&gov/dia Workers' Compensation Insurance AMdavit: Builders/Contractors/Elects idans/Ptumbers Name (Business organizatiodlndividual): Address: City/State/Zip: �jy (�U l¢CPhone #: AV,re an employer? Check the appropriate box: with 4. ❑ 1 am a general contractor and I am a employer employees (full and/or part-time).* have hired the sub -contractors listed on the attached sheet t �. ❑ I am a sole proprietor or partner- ship and have no employees These subcontractors bave working for me in any capacity. workers' comp. insurance. 5. ❑ We are a corporation and its (No workers' comp. insurance officers have exercised their required I 3. ❑ 1 Jim a homeowner doing all work right of a xaWtion per MGL myself. (No workers' comp. e. 152, § 1(4), and we have no insurance required.] t empbyces. [No workers' comp. insurance required.] Type of project (required): 6. ❑ New construction 7.pRernodeling 8. ❑ Demolition 9. 0 Building addition l0.❑ Electrical repairs or additions 11.❑ Plumbing repairs or additions 12.❑ Roof repairs 13.❑ Other Any applicaat that chedm box #I mutt also fill out the section below showing their workers' compensation policy infD"nition: Homeowners who submit ibis affidavit indicating they are doing all wwk and then hue outside contactors most submit a new affidavit indicating such -ontracton tbat check this box rmtat attached an additional sheet showing the name of the sub -contractors and their workers' comp. policy information. *man employer dW is providing workers' compensation.insurance for my employees. Below b the.polky and job site Kfennation. ^ 112 - nstlrance Co any Name' v 'olicy # or Self -ins. Lic. #: - �' D Ot 31,1 Expiration Date: ob Site City/St9t0&ip: (ur , p,,A � K-1 0-640 knach a copy of the workers' compensation policy declaration page (showing the policy number and expiration date). �ahue to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a ine up to S 1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine hf up to $250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of uvestigations of the DIA for insurance coverage verification. ' do hereby dens,(► under the pains and penalties of perjury that the Information provided above is true and correct official use only. Do not write in thlt area, to be completed by city or town official, City or Town: Issuing Authority (circle one): 2. Board of Health 2. Building Department 6. Other Permit/License # 3. Clty/Town Clerk 4. Electrical Inspector S. Plumbing Inspector Contact Person: Phone #: CERTIFICATE OF UABILITY INSURANCE _ fit�1J . 1p. p�� usax"w Asomw OMLY AND NO M A ■ frith Ap4ow" MUtol"s �1RTIFICAt6 DOlA ppyMAQ MAY lOIItpHY' 11�lCDlX,xNQ + MI11A�110 AIOi01w70q los 1 1M MIM owe: rl 12% 070-M-1207 op IM "Wo , m Olay mm A 1 i o� �f i n �l r i R W J a LU w 4L ? J J V N W � a vo di at NJ J a 4L ? J