HomeMy WebLinkAboutBuilding Permit #379-14 - 85 MILK STREET 10/23/2013 BUILDING PERMIT
TOWN OF NORTH ANDOVER
APPLICATION FOR PLAN EXAMINATION
Permit NO: Date Received
Date Issued:
' • sS�lCHUS�
EWPORTANT:Applicant must
�complete
ta-ll items on this page
LOCATION—K n4 i 1 k, iVC��.4 k A��i--w_
Print
PROPERTYOWNER C� ,_ 4 a-AA,
f Print
MAP NO:0 1' I PARCEL ZONING DISTRICT: Historic District yes no
Machine Shop Village yes no
TYPE OF IMPROVEMENT PROPOSED USE
Reside tial Non-Residential
❑New Building ne family
❑Addition ❑Two or more family ❑ Industrial
*<Iteration No. of units: 0 Commercial
❑ Repair, replacement ❑Assessory Bldg ❑ Others:
❑ Demolition ❑Other
❑Septic ❑Well ❑Floodplain ❑Wetlands ❑ Watershed District
❑Water/Sewer
11 cJA V1 eA A I le vi i
111111 A ^ Ik dk-a
Identification Please Type or Print Clearly)
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OWNER: Name: . b 6 n &P-0 Lab Phone: 27& ' (65S 3S Z.3
Address:
CONTRACTOR Name: Phone: Cil ,31
Address:
Pkam a&-4
Supervisor's Construction License: Exp. Date:
Home Improvement License: y Exp. Date.
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: $ � � S Q C)U FEE: $ ?5
Check No.: Receipt No.:
NOTE: PerioAs4c05`n1faMpg'1Pi1h unregistered contractors do not have a th u prnd
;signature of Agent/Owner ignature of contractor _
TOWN OF NORTH ANDOVER
liq
APPLICATION FOR PLAN EXAMINATION
Permit NO: Date Received
Date Issued:
IMPORTANT:Applicant must complete all items on this page
LOCATION
Print
PROPERTY OWNER _
Print 1oo'Year Old Structure yes no
MAP NO: __ 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 ❑Well ❑ Floodplain 11Wetlands El Watershed`District
El Water/Sewer _
DESCRIPTION OF WORK TO BE PERFORMED:
Identification Please Type or Print Clearly) -
OWNER: Name: Phone:
Address:
CONTRACTOR* Name:_ ._.r.— _ 4 .. . Phone:
Address:
Supervisor's Construction License Exp Date: _
Home improvement.License: _ _ _ .____ Exp. Date: _
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 contractingwith unregistered contractors do not have access to the uaran and
g g tY.f
Signature of ArgentJOwner . S1ghatureFof contractor:
_ L
01— C��b.r,,7++...1 i Dlnr,n 1AIn;At^A n r�or+ifiorl DIM Dlnn n Q#nmrtorl 131-nnc
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Building Department
The r'olowing isa list of the required.forms to be filled out-for-the appropriate permit to.be obtained.
RoofiFg, 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
❑ Certifiedury e PI
S e d of Plan
Y
❑ 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 apnaal period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording
must be subm.tted with the building application
Doc: Doc.Building permit Revised 2012 .
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Plans SubmitteW - PlansWaivedl] -Certified Plot Plan ❑ Stamped Plans ❑
TYPE OF-SEWERAGEDiSPOSAL
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: - DATEAPPROVED
PLANNING & DEVELOPMENT 0 ❑
COMMENTS
_CONSERVATION Reviewed on Signature
COMMENTS
E
0
HEALTH Reviewed on Signature
COMMENTS
a
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 Towi2 Engineer: Signature:
Located 384 Osgood Street
FIRE DEPARTMENT _-Temp Dunipster onsite yes-
Main,' no
Located at 124, Street °�
Fire Depa`rtmet signature/date
COf1lIM.ENTS u
�.
`®I tii IrtiS lOil
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
DANCER ZONE LITERATURE: Yes No
MGL-Chapter 166.Section 21A-F and G min.$100-$1000fine
NOTES and DATA— (For department use
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El Notified for pickup - Date
E
Doc.Building Permit Revised 2010
1
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Enter construction cost for fee cal - North Andover Fee Calculation
Construction Cost
$ 323045.00 m
$ - $ 384.54
Plumbing Fee $ 48.07
Gas Fee 100 comm. $ 100.00
Electrical Fee $ 48.07
Total fees collected $ 580.68
85 Milk Street
379-14 on 10/23/2013
Finish Attic Space to Bedroom and Living Area
Location /
No. _ Date
• - TOWN OF NORTH ANDOVER
Certificate of Occupancy $
" WF Building/Frame Permit Fee
Foundation Permit Fee $
Other Permit Fee $
TOTAL $
Check#27030 , Building Inspector
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BOARD OF HEALTH
Food/Kitchen
PERMIT T D Septic System
Co.HIS CERTIFIES THAT .........Cti.... BUILDING INSPECTOR
.................... . .............................................................
has permission to erect buildings on �. ,t,�, ,,,,,,,,,,,,,,,,,,,,,,,,,, Foundation
................:......... .... .. ...... .
�_ I/� )� �a / Rough
to be occupied as ........n.AI.S./}........L:: A ................................................................................... Chimney
provided that the person accepting this permit shall in every respect conform to the terms of the application 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 CONSTRUCTIO T S Rough
Service
.................... ...... ........ .......................... Final
BUILDING INSPECTOR
GAS INSPECTOR
Occupancy Permit Required to Occupy Buildinz Rough
Display in a Conspicuous Place on the Premises — Do Not Remove Final
No Lathing or Dry Wall To Be Done FIRE DEPARTMENT
Until Inspected and Approved by the Building Inspector. Burner
Street No.
Smoke Det.
SEE REVERSE SIDE
The Commonwealth of Massachusetts
Department of IndustrialAcciclents
Office of Investigations
600 Washington Street
Boston,MA.02111
qu wwH.massgovIdia
Workers' Compensation Insurance Affidavit:Builders/Contractors/Electriicians/Plumbers
Applicant Information Please Print Le ibl
Name(Business/Organization/lndividual :
) �VJ
`n ��/}
Address: �. V� v/
City/State/Zip:���dISU)J 1J• �351 Phone#: ICS ?,J-3c,
Are you an employer?Check the appropriate bog: Type of:project(required):
1.[ I am a employer with 4. ❑ I am a general contractor and I 6 (� . ew construction
employees(full and/or part-time)x have hired the sub-contractors
2.El am a soleproprietor orpartner- listed on the attached sheet.y �• Remodeling
ship and'have no employees These sub-contractors have S. ❑Demolition
working for me in any capacity. workers'comp.insurance. 9. E]Building addition
[No workers'comp.insurance 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions
required.] officers have exercised their
3.❑ 1 am a homeowner,.doing all work right of exemption per MGL 11.❑Plumbing repairs or additions
myself. [No workers'comp. c. 152,§1(4),and we have no 12.Q Roof repairs
insurance .re uiredemployees.[No workers'
required.]- 13.❑Other
comp.insurance required.]
'Any applicant that checks box#1 must also ill out the section below showingtheir workers'compensation policy information.
T Homeowners who submit this affidavit indicating they tie doing all work and then hire outside contractors must submit a new affidavit indicating such.
tContractors that checkthis box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information.
I am an employer that is providing workers'compensation insurance for my employee3: Below is the policy and job site
information.
Insurance Company Name:.
Policy#or S elf-ins.Lie.0: /O b z s �l 2 Expiration Date: 7<--
Job Site Address: �S yl/11 l K �� City/state/Zip:t&PIk A Yl A-0 18t45
Attach 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 o. 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 maybe forwarded to the Office of
Investigations of the DTA for insurance coverage verification.
Ido hereby ertiry under-thepal and nalties ofperjury that the information provided above is tr a and correct.S
V a
ignature: Date:
Phone#:
Official use only. Do not write in this area,to be completed by city or town of c .
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 - -
. .,", Ph nn p V.
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Information and Instructions
Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees.
Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract ofhire,
express or implied,oral or written."
An employeY is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more
Of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the
receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the
owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the
dwellinghof
ouse another
who emptoYs Per
sons to do maintenance,construction or repair work on such dwelling
or on the o p g house
grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer."
MGL chapter 152,§25C(6)also states that"every state or local licensing agency shall withhold the issuance or
renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any
applicant who has not produced-acceptable evidence of co
Additionally,MGL chapter 1mpliance with the insurance coverage required°'
52,§25C(7)states"Neither the commonwealth nor any ofits political subdivisions shall
enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance
requirements of this chapter have been presented to the contracting authority."
Applicants
Please fill out the workers'compensation affidavit completely,by checking the boxes that apply to your situation and,if
necessary,supply sub-contractor(s)name(s),address(es)and phone number(s)along with their certificate(s)of
insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the
members or partners,are notrequired to cavy workers'compensation insurance. If an LT C or LLP does have
employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial
Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should
be returned to the city or town that the application for the permit or license is being requested,not the Department of
Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers'
compensation policy,please call the Department at the number listed below. Self-insured companies should enter their
self-insurance license number on the appropriate line. .
City or Town Officials
Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom
of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant.
Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant
that must submit multiple permit/license applications in any given year,need only.submit one affidavit indicating current
Policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or
town)."A copy of the affidavit that has been officially stamped or marked by.the city or town may be provided to the
applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each
year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial'venture
(i.e.a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit.
The Office of Investigations would like to thank you in advance fox your cooperation and should you have any questions,
please do not hesitate to give us a call.
The Department's address,telephone and fax number:
`the Gomm.oawealth of iassarliusPtts
Depaf,ent offadusbial.Aocxdeilts
Office of Tavestigat>ioas.
600 Washington Street
Boston}MA,02111
Tel,#617-727-4.900 ext 406 qx 1-877-MASSAFF,
Revised 5-26-05 Fax#6X 7-727;7749
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Jlassachusetts Department of Public Safety
Board of Building Regulations and Standards
Construction Super'isor
License: CS-090135
DANIEL RYAN JR: V,
AAL
139 SCHOOL ST ':r _
WOBURN MA 03801 4'
Expirat;on
c
01/22/2014
omm!ssoner
r�f1G V0W)"1,1(6%1-(ilecilll?
i.
a* Office of Consumer Affairs&Business Regulation
OME IMPROVEMENT CONTRACTOR
egistration: 163843 Type:
.=Expiration. 10/18/2015 DBA
DANIEL RYAN JR. CARPENTf 2Y&GEN CONTR
DANIEL RYAN
139 SCHOOL ST.
WOBURN, MA 01801 Undersecretary
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PROPOSAL
RYAN & SON CARPENTRY AND GENERAL CONTRACTING
One Pheasant lane
Atkinson, Nle 03811
603-362-8230
Proposal submitted to phone Data
.John & Kara Conti 978655-3523 05120/ 13
street Job Name
85 Milk st Walk up attic renovation
C4,state mW Zip Job Location
North Andover, MA 01845 Residence
Description: 1. Remodel 3'd floor walk up attic to a finish living space.
Includes: a. All framing needed including sheathing of the existing floor joists with W T&G
plywood. All walls to delineate rooms as discussed with all wall locations to be
as per plan. The ceiling joists are to be set at approximately T-6n with strapping to
be applied to all ceiling areas throughout.
b.All Wall and ceiling insulation is to be in accordance to state and local codes. The
end gable framing thickness is to be increased an additional 2"to achieve the required
size to allow for the proper thickness insulation as required by code. All rafter bays
will receive Proper vent baffles from plate line to ridge line to allow for proper air flow
under the roof deck(existing exterior venting at soffits and ridge is to be investigated
for proper installation and be discussed with home owner). The roof insulation is to be
run from the flat ceiling area all the way to the plate line where the rafter bases terminate
at the floor.
c. All electrical is as follows:
1. Owner supplied fan light combo in center of living room and bedroom areas.
2. Four(4) 6 "can lights in bedroom area and one can light in each dormer.
3. Four 6"can lights in main room with two centered between ceiling fan
And walls at either end of roam and One can light in each dormer ceiling.
4. One(1)two foot florescent light in bed room closet.
5.Two(2) runway lights on one side of stairs to eliminate stairs at night.
6. One,two(2)foot florescent light in knee wail storage area.
7.All switches and plugs as needed and as per code including dimmers on
ceiling fan light combo, bedroom and window,seat can lights and runway
lights on stairs.
8. Installation of dedicated electrical circuits at each gable to allow for portable
AC units to be installed in the event the existing central AC unit is inadequate
To cool the new living space square footage.
d.All drywall is to be dz"blue board with skim coat plaster throughout. The ceiling
texture is to emulate the existing ceilings as closely as possible.
See Next Page
v
e. All framing and partition locations are to be as per plan. The interior space is to
divided up into a bedroom and a family room space. The bedroom is to get a closet
area with a fall length shelf and closet pole combo for the length of the back wall with
shelf height to be at a standard 5'-6" high. All final wall locations will be reviewed with
John &Kara prior to the construction of any interior partition construction and erection.
f. The interior finish is as follows:
1. All the doors will be located as per plan with the trim and door design to match
the existing.
2. We will fabricate and install one door unit to access the front crawl space area
In the front of the building. The opening is to be approximately 36"x 40"and have
A jamb and casing trim to match the existing interior doors. The door will be a
s/4"sanded plywood door painted to match the color of the other trim. The crawl
space side of the door will be fashioned with a 2" ridged board insulation to
prevent room air from mixing with the crawl space air. The door is to be hung
with a full length piano hinge and have a small knob to allow for door operation,
the door will be held closed by a friction fit type hardware.The allowance for
The door fabrication and installation is$250.00 and any access units required
beyond the single door proposed will be in addition to this quote.
3. Two (2) bench seats will be fabricated in the back dormers over the heat trunk
lines. The cushion material and cost to fabricate it will be in addition to this quote-
4. Either side of the stairs will receive painted skirt boards finished on top with base
cap mottling.
5. All interior windows to be trimmed with molding to match existing.
6.The existing wall adjacent to the new bedroom wall will be removed and
Replaced with an oak, ball top knewl posts with white finished balusters. The
Edge of the stair opening at the floor level is to be trimmed in oak as well.
7. All mop boards are to be two piece emulated wide base with base cap molding
on top.
g. Heating and cooling is to be achieved by cutting the proper amount of vents into
the existing trunk line that runs along the back wall of the room. The zone is to be
an extension of the zone on the second floor and controlled by the existing
thermostat.Any isolation or addition of another zone of the heating system beyond
what has been outlined in this line item world be in addition to this quote, The HVAC
contractor will advise homeowner on system expectations prior to commencement
of his scope of work.
h. All walls, millwork and doors are to be painted with one coat of primmer and two
coats of finish paint.The open railing is to remain clear and receive 2 coats of
urethane with the balusters to get two coats of white trim paint (Painting allowance
is$2,100.00)
i.All access ways to job location are to be covered and protected from collateral
damage from foot traffic for the duration of the project-
j.
rojectj. Ryan and Son will be responsible for the securing of all permits required by the local
building department,the fees charged by the town will be in addition to this quote.
See Next Page
Additional costs of project not associated with this quote are as follo,tis:
1. Permit fees.
2. N flooring 0 oor ng of any kind.
3. Any cushions to be fabricated and installed on (2) dormer benches.
Disbursement of payment schedule
Is as follows:
First payment: Due upon signing of contract $5,000.00
Second payment: Due upon first delivery of material $10,000.00
Third Payment: Due upon rough electrical being completed $8,000.00
Fourth payment: Due upon drywall being complete to primmer $8,000.00
Fifth Payment: Due upon completion of project $1,045.00
Job Total $32,045.00
Total Materials
Total $32,045.00
We propose hereby to furnish material and labor—complete in accordance with above specifications,for the sum of:'thirty two
Thousand Forty Five Dollars($32,045.00)
Payment to be Made as Follows:See above disbursement of payment schedule
AI mata►iat is euarantead to be ars"ponied. Aa work to be completed in a
workmani ke manner according to standard pracom. Any atteratlon or Authorized
deviation from above specifications imrolei+rg extra ooM vAll be executed Signature
ordy upon w4m MOMand will bowme an aft ehaige aver and above �
the estimate. AH agrewnents contingent upon strokes,acciderds or delays
beyond our+xnrbo#. Our work=are rutlyy covered by ftrI ten's
papmgggp Insurance.
AwepUnce a1 Propmsai—the above p;i=.a adit t om and conditm Signature + �•
era Ra>ibeery and are hereby akx VW. You are authorized to do the
work as specified. Payments Im made as outlined above. Signaturae
Date of Acceptance d I f
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COCNICNRWICIC
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BOARD OF HEALTH
Food/Kitchen
PERMIT T LD Septic System
THIS CERTIFIES THAT .................. ... .. .........C.01!4.... .............................................................
BUILDING INSPECTOR
has permission to erect buildings on ��• ,1.�. .. ........................... Foundation
.......................... .... .. ...... .
01-- Rough
to be occupied as ........ t� ./:}.......d....fb 6................................................................................. Chimney
provided that the person accepting this permit shall in every respect conform to the terms of the application 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 CONSTRUCTIO TS Rough
Service
.................... ...... ........ .......................... Final
BUILDING INSPECTOR
GAS INSPECTOR
Occupancy Permit Required to Occupy Buildinz Rough
Display in a Conspicuous Place on the Premises — Do Not Remove Final
No Lathing or Dry Wall To Be Done FIRE DEPARTMENT
Until Inspected and Approved by the Building Inspector. Burner
Street No.
Smoke Det.
SEE REVERSE SIDE