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HomeMy WebLinkAboutBuilding Permit #482 - 89 BLUEBERRY HILL LANE 1/14/2010TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit NO: 1-11f2 Date Received Date Issued: !// ///v TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential New Building One family Addition Two or more family Industrial Alteration . No. of units: Commercial eplacement Assessory Bldg Others: Demolition Other Septic' Well FJoodplarr�K �=1/etlands Wa#ershed D�strlct r � aterlSewer DESCRIPTION OF WORK TO BE PERFORMED: OWNER: Name: Address: f ;l 01--) Please Type or Print Clearly) ®AWsA&M jjovz,3 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: $ /6) , % v 0 zoo FEE: $ / 3 v dy Check No.: / ��� Receipt No.: NOTE: Persons contracting with unregistered contractors do not have aa guar t1.fund Signature ofA ent/Owner tSi natureof contrac Location. No. �_ / Date , /U TOWN OF NORTH ANDOVER a Certificate of Occupancy $ Ss�cMus ••° • tt Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # 22? 41 `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 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: Comments Conservation Decisi Comm Water & Sewer Connection/Signature & Date Driveway Permit DPW Town Engineer: Signature: 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 t5 and UA I A — (i -or aeDartment use ❑ Notified for pickup - Date Doc:.Building Permit Revised 2008 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 O z W M x A O co ou w° 94 ° GO z z "a w cG° r - U w GO O a t w � U w t cn w x U GOw C�7 w z a w , W7 o z cn v Q o cn o ® c C L O y O :vV •rte C C := O E a �, c C/) co _ w: :o m Z o �mcm � a= E y MC/) c Vii; � 45.5 y rr^^ C O C/ ) Z C42 O O O :E y E cD ncp) L.:m /�/� C = o w l C O ( _ /} : y O CCDm p •� m R.CZ o cm cpa0 = o :ago N COD _ o W c O �MD �. ';A- y dO C �E v = ®•y o V m q ® .52 C N� d O� O-0 _ ca mm o = O r- t 0 aim > !' 4-1 co O co L O Z co C. O y 0 C co cm OCO2 'a M O �� E co cc co �co CO coca o 0 L cc o a a cm< ca CD co� C C v J .O �= O co CO2, C Z 5 CL V N� O C — C _c d NORTH ANDOVER BUILDING DEPARTMENT Tel: 978-688-9545 DEBRIS DISPOSAL FORM In accordance with the provision of MGL c 40 S 54, a condition of Building Permit at: �rl� e- 0 is that the debris resulting from this work shall be disposed of in a properly licensed solid waste disposal facility as defined by MGL c 115 S 150 A. Also, note Permits are required under Fire Prevention laws Chapter 148 Section I OA. The debris will be disposed of in: (Location c Date Proposal A.B. CARNES, INC. 30 Arrowhead farm Rd Boxford, Ma. 01921 Page 1 of 1 978-887-1431 or 781-599-9197 Barry Carnes, Pres. Mass, Builders License No.000230 Contractors Registration. No 100733 Proposal Submitted To: ADAM SCHALLER Date December 10, 2009 89 BLUEBERRY HILL LN Job Name NORTH ANDOVER, MA Job Location SAME 978-655-4423 Work Phone We P4c hereby to furnish material and labor- complete in accordance with specifications below, forttrtysiva�of: Ten Thousand Nine Hundred dollars ($10,900.00) Payment to be made as follows: $300.00 Deposit, Balance Upon Completion Notice: All home improvement contractors and subcontractors engaged in home improvement contracting, unless specifically exempt from registration by provisions Authorized of Chapter 142A of the General Laws, must be registered with the Commonwealth Signature of Massachusetts. Inquiries about registration and Status should be made to the A Director, Home Improvement Contract Registration 1-508-821-9375 ext 502 Note: Thi proposal may be withdrawn by us if not accepted within 30 We hereby submit specifications and estimates for. ,1ti• 1 6►► ® STRIP ROOF OF ALL LAYERS OF ASPHALT SHINGLES, COVER DECK WITH UNDERLAYMENT PAPER, AND COVER EXTERIOR WALLS AND FOLIAGE WITH TARPS TO HELP P5EVENrDWGE. ® INSTALL ICE & WATER SHIE SIX FEET DE AT LEADING EDGE. ALSO INSTALL ICE & WATER SHIELD IN ALL VALLEYS AND AROUND ALL ROOF PENETRATIONS ® COVER ALL PERIMETERS WITH 8 INCH ALUMINUM DRIP EDGE. ® INSTALL RIDGE VENT AND/OR ®AS NEEDED ROOF LOUVERS FOR ADDED ATTIC VENTILATION. ® COVER SOIL PIPES WITH NEW RUBBER FLASHING BOOTS. ® REPLACE WALL FLASHING AS NEEDED WrrH ALUMINUM OR LEAD, AT THE ADDITIONAL COST OF $25.00PLFT . ® CHIMNEY FLASHING. CUT ALL EXISTING TAR AND LEAD FROM ALL SECTIONS OF CHIMNEY(S). CUT NE. ITH CARBIDE SAW AND SECURE NEW LEAD FLASHING IN PLACE W/LEAD ANCHORS. PROPERLY SEAL REGLET JOINT. PLEASE $1200.00 T BOVE PRICE. ❑ REBUILD CHIMNEY FROM ROOF DECK UP WI USED BRICK. ADD TO ABOVE PRICE. /Q T S ® COVER ROOF SURFACE WITH CERTAINTE AL SISTANT WOODSCAPE THIRTIES. ® REPLACE DEFECTIVE ROOF DECKING WIT YWOOD AT AN ADDITIONAL COST OF $4.00PSQFT. ❑ COVER ROOF DECK WITH CDX PLYWOOD AS NEEDED TO REPLACE OR REPAIR DEFECTIVE DECKING, AT AN ADDITIONAL COST OF ® SHINGLES ARE TO BE STORM NAILED. (USE SIX NAILS PER SHINGLE) ❑ INSTALL SKYLIGHTS PROVIDED BY CUSTOMER, FRAME ROOF DECK AS NEEDED, PROPERLY FLASH UNITS WITH FLASHING KIT(S) PROVIDED, CUSTOMER TO PERFORM ALL INTERIOR WORK. ADD TO ABOVE PRICE. ® REMOVE EXISTING GUTTERS ® INSTALL NEW SEAMLESS .032 ALUMINUM GUTTERS USING THE POSITIVE LOCKING BAR HANGER SYSTEM. ® REPLACE FASCIA BOARDS, RAKE BOARDS AND SOFFITS AS NEEDED WITH #2 PINE PRIMED, ADD $15.00 PER FOOT TO ABOVE PRICE. ❑ INSTALL NEW ALUMINUM DOWNSPOUTS. POP RIVET ALL CONNECTIONS. CLEAN ALL DEBRIS FROM OUTSIDE WORK AREA. OBTAIN ALL PERMITS AND CARRY ALL NECESSARY INSURANCE AS REQUIRED BY LAW. WE CANNOT ACCEPT RESPONSIBILITY FOR DEBRIS FALLING INTO ATTIC AREAS. CUSTOMER SHOULD COVER VALUABLES. GREAT CARE WILL BE USED TO PROTECT THE STRUCTURE AND FOLIAGE, HOWEVER, SOME MARRING AND OR MINOR DAMAGE COULD OCCUR. HAND NAIL ONLY, NO NAIL GUNS TO BE USED. SPECIAL INSTRUCTIONS: THE ABOVE PROPOSAL INCLUDES ALL ROOF SECTIONS OF THE HOUSE COMPLETE. GUTTERS: THE UPPER MAIN ROOF GUTTERS ARE SECURED BY THE SPIKE AND FERRULE METHOD. THESE SPIKES ARE LOOSE. WE CAN REPLACE THESE TWO GUTTERS AS PROPOSED ABOVE. PLEASE ADD $1320.00 TO THE ABOVE PROPOSAL. YES ( ) NO M CHIMNEY FLASHING: THE LEFT CHIMNEY LOWER SECTION IS FLASHED WRONG. THE LEAD WAS CUT RIGHT AT THE ROOFLINE AND ALUMINUM STEP FLASHING WAS SLIPPED UNDER THE LEAD. THIS. CREATES A SEAM IN THE FLASHING. THE LEAD SHOULD BE LONG ENOUGH SO THAT EACH PIECE OF LEAD IS SEAMLESS FROM THE BRICK TO UNDERNEATH THE SHINGLE. THE SHINGLES ARE ALGAE RESISTANT. WE CAN INSTALL ZINC STRIPS ALONG THE RIDGE FOR ADDED ALGAE PROTECTION. PLEASE ADD $325.00 TO THE ABOVE PROPOSAL. YES ( ) NO (NI WARRANTY -All work warranted to be free of installation defects for 5 years, this is limited to the installed item and its repair only. Material warranted by mfg. to be free of defects for 30 years, see mfg. warranty for exact warranty performance. Customer has legal right under federal law to cancel this contract without penalty or obligation within three business days from acceptance date by mail or telegram sent to A.B. Games, Inc. at the above address. See reverse side for cancellation procedures. Once all items in this contract are completed as agreed, customer has 3 days to fulfill payment schedule or pay statutory interest on the unpaid balance. All parties agree that disputes over $2000.00 will be settled gh binding arbitration as provided by the American Arbitration Association. Please see reverse side, Arbitration of Disputes. pussct oC S' ning this proposal means you have accepted all the terms as stated on the front and back of this agreement. Please see reverse side. Date of Acceptance 2 - Signature PLEASE SEE REVERSE SIDE L1 �j,� per. y�,}w.,� / 11 y r`( .g i=Gq�-`✓C/V �`�✓ I. , Y°'^" ,f3�1� e✓- A. Boar o uilding Regulations an��ards One Ashburton Place - Room 1301 Boston. Massachusetts 02108 Home Improvement Contractor Registration Reqistration: 100733 Type: Private Corporation Expiration: 6/23/2010 Tr# 267195 A. B. CARNES, INC. Barry Carnes 30 Arrowhead Farm Rd. Boxford, MA 01921 Update Address and return card. Mark reason for change. [� Address ❑ Renewal F] Employment [] Lost Card 3oard of Bu�iid n Rg egulati s ddStandards Construction Supervisor License License: CS 230 Expiration: 3/7/2010 Tr# 18693 Restriction: 00 BARRY S CARNES 30 ARROWHEAD FARM RD BOXFORD, MA 01921 Commissioner - -- -- - %r■IIIW• ■ a ■�\VVI\AI\V(I_ PRODUCER 781-324-1809 FAX 781-397-9270 New England Heritage Insurance Agency Group, Inc. 110 Florence Street Malden, MA 02148 INSURED A B Carnes, Inc. 30 Arrowhead Farm Rd. Boxford, MA 01921 I nIO I.CKI IIIIgA1 L 15155UED ASA MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIC # INSURER&- Essex Insurance Co. INSURERB: Granite State Insurance Company INSURER C: INSURER D. INSURER E: COVERAGES 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 ANSUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. D CONDITIONS D NSR D' O EFFECTIVE b0 Y RATION LTR NS TYPE OF INSURANCE POLICY NUMBER ATE MMRDIFY" LIMITS GENERAL LIABILITY 3CZ1798 03/18/2009 03/18/2010 EACH OCCURRENCE X COMMERCIAL GENERAL LIABILITY DA G $ 1, 000, 00, CLAIMS MADE � OCCUR PREMISES Ea occurrence $ 50 . 001 A MED EXP (Any one person) $ S nni GEWL AGGREGATE LIMIT APPLIES PER: POLICYF—j PRO JECT LOC AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS GARAGE LIABILITY 7 ANY AUTO EXCESS / UMBRELLA LIABILITY IOCCUR FICLAIMS MADE DEDUCTIBLE RETENTION $ AND EMPLOYERS' LIABILTIY Y / N ANY PROPRIETOR YIN B OFFICER/MEMBER EXCLUDED? U (Mandatory In NH) Ifyes, describe under SPECIAL PROVISIONS below OTHER UPTION OF OPERATIONS I LOCATIONS I ractor WC 742-62- L -ALLUSIONS ADDED BY ENDORSEMENT I SPECUU- ect to terms, conditions, el PERSONAL & ADV INJURY $ 11000 GENERAL AGGREGATE $ 2,000 PRODUCTS -COMP/OPAGG $ 1.000 MaccidentSINGLE LIMIT I $ (Ea BODILY INJURY (Per person) 1 $ BODILY INJURY (Per accident) 1 $ PROPERTY DAMAGE (Per accident) $ AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ AUTO ONLY: AGG $ EACH OCCURRENCE $ AGGREGATE $ E.L. EACH ACCIDENT $ 11000 E.L. DISEASE - EA EMPLOYEE$ 11000 E.L. DISEASE - POLICY LIMIT 1 $ 1.000 and exclusions on the Policy. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATIO DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL IO DAYS EN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO So SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER ITS AGENTS OR "PROOF OF INSURANCE COVERAGE ONLY" REPRESENTATIVES. SPECIMEN COPY ONLY AUTHORaED REPRESENTATIVE William Kell /7DA% ACORD 25 (2009/01) ©198&2009 &-CORD CORPORATION. All right The ACORD name and logo are registered marks of ACORD s reserved.