Loading...
HomeMy WebLinkAboutBuilding Permit #339 - 9 AMELIA WAY 11/14/2008 NORT#f BUILDING PERMIT oF�t�eD "ti O.r �6 �t^ TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION 7° Permit NO: -� 7 Date Received �9gDg17ED IPPV`+ �SSgCHUS Date Issued: IMPORTANT:Applicant must complete all items on this page LOCATION Print PROPERTY OWNER Print MAP NO: PARCEL: ZONING DISTRICT: *. - Historic Distnct yes (no Machine Shop Village yes no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential New Buildi22 t Addition Two or more family Industrial Alteration No. of units: Commercial Repair, replacement Assessory Bldg Others: Demolition Other Septic Well Floodplain Wetlands Watershed District Water/Sewer � DESCRIPTION OF WORK TO.BE PREFORMED:1TT a i Identification Please T e or Print Clearly) Y) OWNER: Name: J3E7-TIYzr'.r eT4T,. Phone:47a 723 41 V Address: SI T 4x— CONTRACTOR Name: Phone: fra Address: Supervisor's Construction License; c5 17 `14 IExp. Date: 0�� �"""2b it Home Improvement License: Exp. Date ARCHITECT NGINEER-t>EE�AIINL1 ` = 1''lil7 Phone: '57� '371 7 � Address: Reg. No. D FEE SCHEDULE.BULDING PERMIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ ,cl 2 / FEE: $ /� �P Check No.: � e Receipt No.: J NOTE: Persons contracting with unregistered contractors do not have access to h gua n signature of Agent/Owner�. ""- ,Signature of contractor ALocation L No. „�� Date NORTH TOWN OF NORTH ANDOVER C� .. e yah � 9 . 4 Certificate of Occupancy $ /� d �ssuHUst<� Building/Frame Permit Fee $ CI�GS Foundation Permit Fee $ / Q Other Permit Fee $ r r' TOTAL $ Check 11 0 ('27y 21 6y3 Builbing inspector Plans Submitted Plans Waived Certified Plot Plan Stamped Plans i 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 A /Lo� COMMENTS CONSERVATION Reviewed on Signature COMMENTS AU OSP 7 CL HEALTH Reviewed on Signature COMMENTS Zoning Board of Appeals:Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments Conservation Decision: Comments Water& Sewer Con nection/si nature&Da �4&0* Driveway Permit IKLDPW Town Engineer: Signature: �� Located 384 Osgood Street "FIRE DEPARTMENT -Tempbumpster on site yesz e no Located at 124 Main Street Fire Department signatureldate gly��' A 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 ❑ 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:INSPECTIONAL SERVICES DEPARTMENT:BPFORM07 Revised 2.2008 NpRT►y Town of Andover No. 3 ~ - - o dover, Mass., COCHICHEwICK V� RA7E0 P`PG,`�� 4 BOARD OF HEALTH Food/Kitchen Septic System PERMIT T D BUILDING INSPECTOR THIS CERTIFIES THAT........... .......................................I.......... Foundation C has permission to erect........................................ buildings on ......�'.,.�. `4- .Z' /.......�,(JP� . . ............................. Rough COA/ x-`/✓'UC:� � � � 6 %j r `� �? tF� � Chimney tobe occupied as......................................................�.. �................................................. ! .................... .................... provided that the person accepting this permit shall in every 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 PER.MI I' EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTION STARTS 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 Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. SEE REVERSE SIDE Smoke Det. Trident Project Advantage Group 155 N BROADWAY PO BOX 68 SALEM,NEW HAMPSHIRE 03079 Telephone(603)898-6110 Facsimile(603)890-1070 CONTRACT PRICE AFFIDAVIT BY OWNER'S PROJECT MANAGER This Affidavit is made this 13th day of November, 2008 by Trident Project Advantage Group, a New Hampshire limited liability company ("OPM"), relating to the construction of the Cottage at #9 Amelia Way, North Andover Massachusetts (the "Project") by Windover Construction, Inc. of Manchester, Massachusetts (the "Contractor"), at the direct request by the Town of North Andover, Massachusetts for the contract price. 1. OPM states that the contract price of the Contractor for the Project is set at Four Hundred Nine Thousand Nine Hundred Seventy One Dollars ($409,971), not including soft costs for bonding, insurance, contingency, general conditions or fee items. IN WITNESS WHEREOF this affidavit has been executed this 13th day of November, 2008. B ur Gino J. Baroni Owner and Managing Principal State of Massachusetts ss County of Essex On this 13th day of November, 2008 before me, a notary public, appeared Gino J. Baroni known to me to be the person who executed the above instrument, and acknowledged that he/she executed the same. RA , Won to ._Public: Anita L. Morrill •u Commission Expires: March 21, 2014 .91 rA k pod DEVELOPMENT IV TION PROJECT MANAGEMENT MANAGEMENT MANAGEMENT e- e i REScheck Software Version 4.1.4 Compliance Certificate Project Title: Edgewood Retirement Community Report Date:08/21108 Data filename: F:\DSA Project Files\Edgewood 0706\04.MA Energy Code Check\0706.00 Unit B.rck Energy Code: Massachusetts Energy Code Location: North Andover,Massachusetts Construction Type: 1 or 2 Family,Detached Heating Type: Other(Non-Electric Resistance) Glazing Area Percentage: 23% Heating Degree Days: 6322 Construction Site: Owner/Agent: Designer/Contractor: 575 Osgood Street Dewing&Schmid North Andover,MA 01845 30 Monument Square Suite 200B Concord,MA 01742 • • _ Compliance:1.9%Better Than Code Maximum UA:378 Your UA:371 Assembly Area or R-Value R-Value or D.. Perimeter U-Factor Basement:Solid Concrete or Masonry 1846 0.0 10.0 103 Wall height:7.5' Depth below grade:7.5' Insulation depth:7.5' First Floor:Wood Frame,16"o.c. 1854 21.0 0.0 79 Windows:Wood Frame:Double Pane with Low-E 361 0.300 108 Door:Solid 42 0.290 12 Door:Glass 58 0.290 17 Ceiling:Flat Ceiling or Scissor Truss 1725 38.0 0.0 52 Compliance Statement. The proposed building design described here is consistent with the building plans,specifications,and other calculations submitted with the permit application.The proposed building has been designed to meet the Massachusetts Energy Code requirements in REScheck Version 4.1.4 and to comply with the mandatary requirements listed in the REScheck Inspection Checklist.The heating load for this building,and the cooling load if appropriate,has been determined using the applicable Standard Design Conditions found in the Code.The HVAC equipment selected to heat or cool the building shall be no greater than 125%of the design load as specified in Sections 780CMR 1310 and J4.4. Name-Title Signature Date Project Notes: Unit B Project Title: Edgewood Retirement Community Report date:08/21/08 Data filename:F:\DSA Project Files\Edgewood 0706\04.MA Energy Code Check\0706.00 Unit B.rck Page 1 of 1 ♦a11.1.11ll 1-1k—— v\Vaal allll"t \1, 1 ulit It .J"'t,a. ZIM Board of Buildim, Re!-ulations and Standards Construction Supervisor License a License: CS 99769 Restricted to: 00 AARON SASSEVILLE 24 BUFFUM STREET SALEM, MA 01970 Expiration: 7/2412011 ( unuui,.i rner Tr#: 99769 r CORD CERTIFICATE OF LIABILITY INSURANCE OF IDB DATE(MMIDDIYYYYI WINDO-4 11/03/08 I ft>DucER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE McLaughlin Insurance Agency HOLDER,THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 828 Lynn Fells Parkway ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Melrose MA 02176 Phone: 781-665-2775 Fax:781-665-0295 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURERA: Aspen Specialty Ins. Co. INSURER B: United specialty Insurance Co. AttnKaren Cochand ver Construction, Inc. INSURER C: OneBeacOn Insurance Grou ttn Kar 13 Elm Street INSURER D: American Irwrnatu Companies Manchester MA 01944 ' INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW NAVE 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.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR NSR TYPE OF INSURANCE POUCYNUMBER DATE MWDD DATE(MM/DD/YY LIMITS GENERAL LIABILITY EACH OCCURRENCE $1,000,000 A X COMMERCIAL GENERAL LIABILITY GL000574-01 01/01/07 01/01/09 PREMISES Ea occurencs) $50,000 CLAMS MADE OCCUR MED EXP(Any e re person) $EXCLUDED PERSONALBADVINJURY $1,000,000 GENERAL AGGREGATE $2,000,000 GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOPAGG s2,000,000 POLICY X JECT LOC AUTOMOBILE LUU3ILITY COMBINED SINGLE LIMIT ANY AUTO (Ea accident) $1,000,000 ALL OWNED AUTOS BODILY INJURY $ C X SCHEDULED AUTOS FBIE07908 04/01/08 04/01/09 (Per person) X HIRED AUTOS BODILY INJURY $ X NON-OWNEDAUTOS (Peraocidera) PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN EAACC $ AUTO ONLY: AGO $ EXCESSIUMBRELLALMILITY EACH OCCURRENCE $5000000 B X OCCUR 0 CLAIMSMADE CXA4GS708 09/25/08 01/01/09 AGGREGATE $5000000 $ DEDUCTIBLE 8 X RETENTION $ 8 WORKERS COMPENSATION AND EMPLOYERS'LUIBILITY X TORY LIMITS ER D ANY PROPRIETDRIPARTNERIEXECUTWE WC6967012 03/20/08 03/20/09 E.L.EACHACCIDENT $500 000 OFFICERIMEMBEREXCLUDED7 E.LDISEASE-EAEMPLOYEE=$500,000 K yes,describe under SPECIALPROVISIONS below E.LDISEASE-POLICY LIMIT $500 000 OTHER DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS RE: Edgewood Retirement Community Renovation and Expansion, North Andover, MA Bank of America, N.A., their subsidiaries, affiliates and parent companies; and their repective officers directors,trustees,managers,members and employees are Additional Insured on all policies abover (except for WC & employers liability) for liability arising out of the operations of Windover CERTIFICATE HOLDER CANCELLATION EDGEW-2 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN Edgewood Retirement Community NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL Inc 575 Osgood Street IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR N. Andover MA 01845 REPRESENTATIVES. i AUTNO:M NTAVE O ACORD 25(2001108) V ACORD CORPORATION 1988 Construction, Inc. and its subcontractors are listed. for liability arising out of the operations of the Construction Manager and its Subcontractors on this project.