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HomeMy WebLinkAboutBuilding Permit #794-11 - 826 JOHNSON STREET 5/27/2011Permit NO: 7�e // TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Date Received Date Issued:$2a— Y�1 IMPORTANT: Applicant must complete all items on this pate LOCATION ti �� 4 w Cases ,S hlejd-, A. fi /I � o,.•P,C�WI ,� O/ ,P � Print MAP NO: IP7APARCEL:_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: 0 Commercial Repair, replacement ❑ Assessory Bldg ❑ Others: ❑ Demolition ❑ Other 0 Septic 0 Well' 0 Floodplain El Wetlands ElWaten ed•bistrict ❑ Water/Sewer oc , Please Type or Print Clearly) =Qa�3 Address: rag ✓ ��►'lse�. S%l t.�'1 /U. A01 g r,�PrTlilit/ 0 %cfyf CONTRACTOR Name: �� �[� Iry (R9 ,e Phone: Address: / lei // gof�j X -V* a l rx 7 Supervisor's Construction License: C,7 1 Exp. Date: Home Improvement License: Exp. Date: l9 o?dl ARCHITECT/ENGINEER Phone: r Address: Reg. N FEE SCHEDULE: BULDING PERMIT. $12.00 PER $9000.00 OF THE TOTAL ESTIMATED COST BASED ON $125.00 PER S.F. Total Project CoSi: $ ��/� 06 FEE: $ 2.2 Check No.: ;2 So /J -Z Receipt No.: 2!2/kz NOTE: Persons contracting with unre zstere ontractors do not have access to the guarantyfund ;Signature'of Agent/Owner� _Signature of;contractor 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 DATE REJECTED PLANNING & DEVELOPMENT ❑ DATE APPROVED 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: Comme Comme 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 NOT E5 and DATA — (For department use Ll Notified for pickup - Date Doc:.Building Permit Revised 2008mi 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 a 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 o Workers Comp Affidavit ❑ Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (If Applicable) o 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 2008mi Locationy- No. Date -741 TOWN OF NORTH ANDOVER �. Certificate of Occupancy $ Building/Frame Permit Fee $� " Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # %S7 24, L2 ; wilding Inspector 1 ,. O z x w AU u o w° v a Cf)w° O w a ro a C a a�' � U cz w O a '� w a� O a w W n4 n°' U V) V,4 iY O w a w°' w z w w w N PO z cn - Q o cn Cn O �O Am - U O O .lzv P4 p G� pm C C O H m m co H= C L O� 3� O � CO CD 0 O O d c o�� ccc v\Y J .fl O c Z CD V CLy c C C _c �. y D cl U) W 19 W W N c� o 'arc o � O N C � O V C.3 CL. c W c �' O C = O cc m c 0 c. D C2 Cl E me o.: E ® m a o �v y y 1 C� m y cq :L GOC fA A C Em ��o `? E L cm m -..u3 O ; o C" ca ate= y O LO f0.1 O : V 0 O.O Ql c Q m CD o = m G.+='p N ~y m o l.- O Co W C C =CDm _... •v3 w m ea O _ CZ .o c.rLU c O -0 1132 •y Z O C3 o . :C c cc. COD CL CD ALOy�� O = co =ZZa�m>1 Cn O �O Am - U O O .lzv P4 p G� pm C C O H m m co H= C L O� 3� O � CO CD 0 O O d c o�� ccc v\Y J .fl O c Z CD V CLy c C C _c �. y D cl U) W 19 W W N c Y .. Nlassachusctt.s - Depal-tn2cnt of Public Safcts ROM -(I Of Buildin' Rc,pul.ttions and Standatt-ds _ Construction Supervisor License License: CS 48792 Restricted to: 00 PETER R MAGEE JR 4 MILL RD WILMINGTON, MA 01887 Expiration: 11/3/2011 i'ununis,itux— Tr#: 7670 OfficeTxe� um�Lm er f irs & II�tsiQess tdegez[at5or -- _ HOME IMPROVEMENT CONTRACTOR Registration: ,,,,167220 Type: - Expiration: 8/1.912012 individual P R. MAGES PETER MAGEE 4 MILL RD.� — WILMINGTON, MA 04{887 Elnderseeretary is an OSHA Construction Outreach Trainer Trainers are authorized to conduct 10- and 30- hour Construction outreach training in accordance with guidelines provided by the OSHA Training " Institute. f r 07#23/2012 Director:�'ha%S 1. Shlefds Expires _.._---- ...— 1 I ® A� RD CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDUYYYY) 5/20/11 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 r-IREPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT. If the certificate holder is an ADDITIONAL INSURED, the policy(es) 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 T L Southmayd insurance Agency 668 Main St, Suite 9 Wilmington, MA 01887 CONTACT NAME: Louise Southma d PHONE 978 657-0263 FaX No): (978) 657-0201 ADDRESS: louise@tlsins.com PROTOMERCIISTOMrRID 3566 INSURER(S) AFFORDING COVERAGE NAIC 9 INSURED Peter Magee 4 Mill Road Wilmington, MA 01887 INSURER A: Preferred Mutual INSURER B: INSURER C: INSURER D: INSURER E: INSURERF: C COVERAGES CERTIFICATE NUMBER: 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. NOTWITHSTANDING 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. TYPE OF INSURANCE ADDL SUER POLICY NUMBER POLICY EFF M n POLICY EXP MM/DDIYYYY UMTS rA GENERALLIABILIY X C07ERCIALGENERAL LIABILITY CLAIM -MADE a OCCUR PAC0100114601 9/29/10 9/29/11 EACH OCCURRENCE $ 1,000,000 OAMAGETORENTED $ 100,000 nr D EXP (Ary one person) $ 5 000 -ME PERSONAL BADV INJURY $ 11000,000 GENERAL AGGREGATE $ 2.000,000 GEWL AGGREGATE LIMIT APPLES PER POLICY PR7 0LOC PRODUCTS -CONPIOPAGG $ 2,000,000 $ \ AUTOMOBILE LIABILITY ANYAUTO ALL OWNED AUTOS SCHEDULEDAUTOS HIRED AUTOS NON -OWNED AUTOS CONSINED SINGLE LIM IT $ (Ea accident) person $ BODILY INJURY (Per) BODILY INJURY (Per accident) $ PROPERTY DAMAGE $ (Per acc dent) $ $ UMBRELLALIAS EXCESSLIAS OCCUR CW -WIDE MS EACH OCCURRENCE $ AGGREGATE $ DEDUCTIBLE RETENTION $ $ $ . WORKERS COMPENSATIONWC AND EMPLOYERS' LIABILITY Y / N ANYPROPRIETOR/PARTNER/EXECLrM OFFICERMIEMBFR EXCLUDED? (Mandatory in NH) Byes, desalbe under DESCRIPTION OF OPERATIONS below NIA STATU- OTH- EL.EACHACODENT $ E.L. DISEASE -FA ENPLOYEE $ EL_ DISEASE -POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 107, Additional Rened s Schedule, ff more space is reqund) Frank Gring 82.6 Johnson Street N Andover, MA 01845 SHOULD ANY OF THE ABOVE DESCRIBED POLICES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. ©1988-2009 ACORD CORPORATION. All rights reserved. ACORD 26 (2009/09) The ACORD name and logo are registered marks of ACORD r-� Mr. and Mrs. Frank Gring 826 Johnson Street N. Andover, MA 01845 PETER R. MAGEE 4 Mill Road Wilmington, MA 01887 978-658-5442 PROPOSAL All labor and material to complete the following: School House: Date 3-5-11 508-523-0273 (cell) • Structural review and design of repairs needed to stabilize the structure. Includes site visit and design of repairs. • Remove and replace existing roofing with new 30 -year architectural shingles (color selected by owner). Install 8" aluminum drip edge to entire perimeter. Remove and replace any rotted roof boards at a cost of $4.50 per foot. Clean and remove debris from site. • Carpentry repairs to be priced after obtaining structural review and design. $3,355.00 Allowance included in above price: 1.Structural $1,200.00 5V V1 Main House: fyx • Remove and replace approximately 106 LF of fascia, soffit and aluminum gutter. New primed pine trim to match existing (prime all cuts). Install new white aluminum gutter with concealed hangers and downspouts (approximately 60 LF) to grade. New aluminum counter flashing into gutter as needed. Stainless steel fasteners for installation of all primed trim. • Remove and replace approximately 22 LF of plywood soffit below front bay with new primed MDO. All bay window trim will be replaced using PVC sill and flat panel stock. New primed trim to match existing. Replace rotted Florida room window trim (1 at rear stair) to match existing. Prime all cuts. • Remove existing Masonite siding on rear Florida room. Install new primed #I R & R cedar shingles to match existing exposure over TYVEK house wrap. • Adjust front entry door for proper operation. �J • Supply and install polystyrene baffles and R-30 fiberglass Blow insulation (1" 5' of soffit), for approximately 106 LF of existing eaves, prior to new fascia installation. Ir o Paint all new work with 2 finish coats to match existing. ® Remove all debris from site using dumpster provided by contractor. ® Permit and fee. Allowances included in above price: 1. Permit fee $200.00 2. Electrical $100.00 3. Painting $2,000.00 4. Insulation $1,095.00 5. Gutters and downspouts $1,575.00 $18, 41 S. 00 Option: Strip approximately 100' of roof 4' up from eaves. Install Grace ice/water shield. Install 8" aluminum drip edge and roof shingles to match existing as near as possible. $1,650.00 We Propose hereby to furnish materials and labor — complete in accordance with the above specifications. FiahtPPn thousand four hundred fifteen DallarS —$18141500 Payment to be made as follows: Payment Schedule: $6,000.00 deposit, $6,000.00 when carpentry repairs a'1 completed, balance upon completion of painting. All material is guaranteed to be as specified. All work to be completed in a Authorized /J workmanlike manner according to standard practices. Any alteration or deviation Signature from above specifications involving extra costs will be executed only upon written orders, and will become an extra charge over and above the estimate. All Note: This proposal may withdrawn by us if not accepted within agreements contingent upon strikes, accidents or delays beyond our control. This 30 days estimate is for completing the job above and is based on our evaluation and does not include material price increases or additional labor and materials, which may be required should unforeseen problems arise after work has been started. Workers' compensation and liability insurance available upon request. Acceptance of Proposal—The above prices, specifications and conditions are satisfactory and are hereby accepted. You are Signature authorized to do the work as specifiPayment will be made as outlined above. Date of Acceptance: //% �j Signature