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HomeMy WebLinkAboutBuilding Permit #201 - 93 PRESCOTT STREET 9/13/2007 tSUlLUllvv rr—rvvii i ,< :r"*6 p TOWN OF NORTH ANDOVER o . ft 10 APPLICATION FOR PLAN EXAMINATION * i e JF 6- o�..,... '' Permit N0:. d Date Received Sys R,T�o PP''�S Sgc►+us Date Issued: IMPORTANT: Applicant must complete all items on this page aysEr�' s t t!yyTL�a• �aY{�n my :�.,- ... . �a � a s �� t `� r � TI ' �� P 1sltr�astrE� � � C �,A TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building ,'One family XAddition ❑ Two or more family ❑ Industrial 0 Alteration No. of units: El Commercial ❑ Repair, replacement ❑ Assessory Bldg ❑` Others: ❑ Demolition ❑ Other �` " " � s` �x"fi'- r y3,r ` "'d` „iUK �Q �dt { °.- az, �a,'a �.rs€.I¢I�a "'D�D� t% � .cr '�f � MI 10, �' c� r DESCRIPTION OF WORK TO BE PREFORMED: Identification Please Type or Print Clearly) OWNER: Name: g22t _b r-LJ 02 l DnIf5 Phone: T���08 • �/D2y Address 93 5� �� No f �r7J6lP� / ,f�„ z�' �S�,;A ,�',g'•: '> �°�'w.� � e� �"i'�": 3 .�'.Y�ti� �{ xy�"' �r � �"u' �'�'�. 'X x ,��"; .v �'�'� h a:�'y:r '�' zap."'���' i .k�� ��+E� �' ,x'�,�. �� �f�,..W.� ,�K� �^ rl x..,T����`,` a�'`�w a���d�•: 'r.� �x * ��'�`v. ��k ,z n•e ,t. ,*s u ask Y,� a�I��it: � � �, "t ,.:�� € ?-s➢qe' rm r�� x..,-.� r � MW .:5rx.` �,ys"`�cs "d,.5 s �" 8 a r� wit' S � ., !p ,,qty S '^a ice"'• "� �" a$ , 'k,{c s�� `.`:,:i✓�� � �,. a �k q.2 d,F ��5 `F f � �� X�'Te? �".", ec' { 't2 p.�(��^X `C �,.� ���. `�.�tl�1� rL/r�.���Y ��'�i91����gn :i �� ,x ��� �3 � ���..,,r�,.h5,�m,c'�.F�._���4 k�Cvl� 71"�i ..'i:�,iE•,``�r'3 ,k,,�N 1.. ro ' (� IIww `�� 2y lo• ARCHITECT/ENGINEER � �U��IV�W1 I��Cr)I s Phone: 7�0 �6(,� Address: �bfl �� �� SUi��ZI5 ��K�n�l� t9Reg. No.__--#- L/"7O l FEE SCHEDULE:BOLDING PERMIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. V Total Project Cost: $ 2U�QOD" FEE: $ -� Check No.: Receipt No.: D NOTE: Persons contracting with unregistered contractors do not have access he gu r '� .a'. .�,n� S .'s„��"2�3� �rgflatU��`��CQC1�T��orz., Sinaur ; o# gen/Cflne .N... M � AVI5 I-6 Building Department The following is a list of the required forms to be filled out for the appropriate permit to be obtained. F Roofing, Siding, Interior Rehabilitation Permits o Building Permit Application ❑ Workers Comp Affidavit o Photo Copy Of H.I.C. And/Or C.S.L. Licenses ❑ Copy of Contract ❑ Floor Plan Or Proposed Interior Work o Engineering Affidavits for Engineered products III NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit Addition Or Decks Bull d'I 9 pp ' n Permit Application o Certified Surveyed Plot Plan r(6 r /workers Comp Affidavit ❑ Photo Copy of H.I.C. And C.S.L. Licenses o Copy Of Con rac o Floor/Crossectlon/Elevation Plan Of Proposed Work With Sprinkler Plan And h/'e Hydraulic Calculations (If Applicable) o Mass check Energy Compliance Report (If Applicable) o 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) o Building Permit Application o Certified Proposed Plot Plan ❑ Photo of H.I.C. And C.S.L. Licenses o Workers Comp Affidavit o Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Copy of Contract o Mass check Energy Compliance Report o Engineering Affidavits for Engineered products um stet permits.require uire si n off from Fire Department prior to issuance of Bldg Permit i NOTE: All d p p q g 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 I Doc:INSPECTIONAL SERVICES DEPARTMENT:BPFORM07 I Revised 2.2007 Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ TYPE OF SEWERAGE DISPOSAL Public Sewer ❑ Tanning/Massage/Body Art ❑ Swinnning 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 I DATE �ECTED DATE APPROVED CONSERVATION 2 �, COMMENTS00 y > DATE REJECTED DATE APPROVED HEALTH ❑ ❑ COMMENTS Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments Conservation r anon Decision: Comments Water & Sewer Connection/Signature & Date Driveway Permit Located at 384 Osgood Street "Ink RT�111ENT_sTeP.� ©irtpste"b sits fives nn f w .tx ��a t, �� tE`" �-^ .' � X ,,„&•� "*�,%� ,�a,r,�-,;� tia,,x,s ea ".<s,� tt k.�r��a��.. •� ��' 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) AI I ❑ Notified for pickup - Date Doc.Building Permit Revised 2007 n ,p Location No. eg0< Date MaRTM TOWN OF NORTH ANDOVER s Certificate of Occupancy $ Building/Frame Permit Fee $ 3wCHUs Foundation Permit Fee $ Other Permit Fee $� TOTAL $ Check # 2 T d o 20591 ----_.._ Building Inspector FROM : FAX NO. :7812461683 Dec. 19 2007 12:33PM P2 C- U SULLIVIAN ARCHITECTS memo1 Tat Brian Lcathe,Building Departmcnt- , .w ,� rz . Front: David H.O'Sullivan,AIA ;:.;. CC: Carla English •� pate. 12/3/2007 Re: English Residence,93 Prescott St The exterior of the house is fully covered with Tyvek and the seams have been taped.The exterior WWI shingles have been started and are partially complete.The roof is complete and weather-tight. We see no issues with allowing the insulation to proceed given the Tyvek,air bam.er being iu•place on the entire exterior on the home.This should be checked for weather-tightness and not left for more than 60 days or so as it will breakdown if left exposed for prolonged periods. O'SULLNAN ARCHITECTS, INC. • 201 Eoc- WATER Ma M,SUrrE 215 •WAKEFIELD, MA 01880 VOICE:781-246-1667 • FAX: 781-246-1683•WWW OSULLIVANARCHiTECTS.COM MENGLGHW OM N.AK)OZ-A MS1D9Nc,Elrnr%MEM0.ox i December 10, 2007 Town of North Andover Building Dept. 1600 Osgood Street North Andover,Ma 01845 978-688-9545 This letter is to inform you as of Saturday December 8t'' 9:.00am I will no longer be. acting as Construction Supervisor and consultant for the addition of a second floor at 9933 Prescott Street North Andover permit Number 201 9/13/07; per request of Carla English. Carla English 93 Prescott Street North Andover,Ma 01845 978-688-4024 Douglas Dalke 22 Summit Street North Andover,Ma 01845 CS Lic#: 95124 exp. 5/20/2010 H1R#: 138775 exp. 5/13/2009 .Douglas Dalke. �.y l O ' SULLIVAN ARCHITECTS PROJECT NAME: English Residence PROJECT LOCATION: 93 Prescott Street, North Andover,MA NAME OF BUILDING(S): ARCHITECT'S PROJECT NO: 07034 NATURE OF PROJECT: Renovation and addition IN ACCORDANCE WITH SECTION 116.0 OF THE MASSACHUSETTS STATE BUILDING CODE, 780 CMR. I, DAVID H. O'SULLIVAN AIA, REGISTRATION NUMBER 6010, BEING A REGISTERED PROFESSIONAL ARCHITECT, HEREBY CERTIFY THAT I HAVE PROVIDED CONSTRUCTION OBSERVATION SERVICES ON BEHALF OF THE OWNER, THAT I WAS PRESENT ON THE CONSTRUCTION SITE ON A REGULAR AND PERIODIC BASIS AND THAT TO THE BEST OF MY KNOWLEDGE, INFORMATION, AND BELIEF, THE WORK OF THE PROJECT HAS BEEN EXECUTED IN CONFORMITY WITH THE DOCUMENTS APPROVED FOR THE BUILDING PERMIT. TO THE BEST OF MY KNOWLEDGE, INFORMATION, AND BELIEF, THE WORK OF; ® Framing,firestopping, rough plumbing, rough mechanical and rough electrical. ❑ Insulation. ❑ Gypsum Board,finish plumbing,finish mechanical and finish electrical. HAS BEEN SATISFACTORILY COMPLETED IN ACCORDANCE WITH THE CONSTRUCTION DOCUMENTS, WITH THE FOLLOWING EXCEPTIONS (IF ANY): Install posts per attached field report co No. 6010 o READING, E MA OF VID H. O'SULLIVAN OR O'SULLIVAN ARCHITECTS, INC. DATE O'SULLIVAN ARCHITECTS, INC. • 201 EDGEWATER DRIVE, SUITE 215 • WAKEFIELD, MA 01880 VOICE: 781-246-1667 • FAX: 781-246-1683 • WWW.OSULLIVANARCHITECTS.COM ._., O ' SULLIVAN ARCHITECTS ARCHITECTS FIELD REPORT PROJECT: English Residence REPORT NO: 1 93 Prescott Street DATE: November 21,2007 North Andover,MA CONTRACTOR: ARCHITECTS PROJ.NO: 07034 TEMPERATURE: 39°F WEATHER: Cloudy TIME: 3:00 PM PRESENT AT Carla and Michael English—owners;David O'Sullivan—O'Sullivan Architects(OSA),siding SITE: carpenter B UILDING D- WORK IN PROGRESS: 1. Building is occupied. 2. Exterior roofing,windows and tyvek is complete. 3. Wall shingles and trim in progress 4. MEP roughs have begun,mostly complete 5. Some attic insulation installed OBSER VATIONS: Item No: Issue: 1.1 Junction where kitchen wall meets old enclosed porch not flush. Appeared this way after siding was removed. 1.2 Window trim done as picture framed, drawings done with frame 3 sides and sill at bottom. 1.3 Window trim is not flush at all joints and corners. 1.3 Interior framing is complete and all beams in place,hangers etc. One post missing in wall of front bedroom and additional post need at from wall where there are no existing studs. 1.4 Discussed location of attic access.Height does not require it but good practice says one is desirable. ACTIONREQUIRED: Item No: Issue: Responsibility: 1.1 Install new corner board at transition. Face of corner board should be same Carpenter width as rear corner board and window should be centered between them. 1.2 Discussed with owner and they are fine with how trimmed. 1.3 The uneven areas should be planed smooth and the future should be Carpenter shimmed to be flush and even all sides. 1.4 Add post and additional studs at front and center wall intersection. Framer 1.5 Location in hallway or inside front right bedroom works best. Bedroom would be less visible and interfere with less ductwork O'SULLIVAN ARCHITECTS • 201 EDGEWATER DRIVE, SUITE 215 • WAKEFIELD, MA 01880 VOICE: (781)246-1667 • FAx: (781)246-1683 0 WWW.OSULLIVANARCHITECTS.COM Field Report Continued English Residence 2 of 2 The purpose of our on-site observations is to visit the project and generally become familiar with the progress and quality of the Contractor's work and to assess whether the work is proceeding in general conformance with the construction Documents. The client has not retained O'Sullivan Architects to make detailed inspections or to provide exhaustive or continuous project review.O'Sullivan Architects shall not,during such visits or as a result of any observations of construction,supervise,direct or have control over Contractor's work nor shall O'Sullivan Architects have authority over or responsibility for the equipment,means,methods,techniques or procedures by the Contractor or health and safety precautions and programs incident to the work of the Contractor. O'Sullivan Architects does not assume responsibility for Contractor's failure to comply with laws,rules,regulations or codes or the Contractor's failure to furnish and perform their work in accordance with the construction documents and does not guarantee the performance of the construction contract by the retractor. Report By: David H. O'S livan, AIA Project Manager-O'Sullivan Architects C's Distribution: Owner,Building Department C., o No. 6010 z C' �,READING, t~ MA e; JW��y.�'t Of i O'SULLIVAN ARCHITECTS INC. • 201 EDGEWATER DRIVE, SUITE 215 WAKEFIELD, MA 01880 VOICE: (781) 246-1667 • FAX: (781) 246-1683 • WWW.OSULLIVANARCHITECTS.COM KAEnglish\07034 N.Andover Residence\Field Reportl.doc • C _ ��1i�.Afflr�lt��llrA► a.•_ lifts��l[�1lI�rIlllif�il ""�ljfil�}a"""�"•�' MOM Iptifirri[� '� t}�fli�l><i♦ii�A►.a� � . a - r8i�Hlrfilf*•7TIII)�1f� �dfilrllNl�,l1t�RJr■� "�rr;i(1!fll,fp7Dr�lil�itA Hi)<1fuj=liv -Ise /1i�ItINIIiIIOlrat7fl1lti11rRn. �i)IKy]1niFti#f�frl(11fi1�t11i�,� Irl,�l►� s.nlli8[fif1f�11iffliriiQiifiilitllllfipig.p�■ �►i1F� � art®lAlfilii<triitl 1llEi<IBIII�►._ 17l•Qil • i �il3irlil .yes,mea....�.a�..,.■�.�sn.■ liam•r.■a'4flrlllr�"��n 1 �. •.. , <t [1lYfyRllfilEE 'mip16: iTLC:Yiiif� _ in" IN 11= a IN INS rrtn Q=�� mmn1wmn w nom" _ n�tlf�ritlQ � llr� ,01 FINIFT"llful im -nitSIM n ••- l�■.■U� ��.► fl�ll d Ni L®li�lililllll(Illl fl -------@raid r 'VkORTH Andover ® of No. LAK over, Mass., 0 COCHICHEW11 K RATED BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System + ( % BUILDING INSPECTOR .......................................................... ..... .....11.j I THIS CERTIFIES THAT Foundation ....IL................................... has permission to erect........................................ buildings on .. .... 1.1......4.7.................. Rough -.1. ..... .... Pk-- Chimney to be occupied as "21.1 ......t&&l................*....... ..100't ......."f A 1%....f� provided that the person accepting this permit shall in every respect conform to the te,%—.s...o-i-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 PERMITEXPIRES IN. 6 MONTHS Final ELECTRICAL INSPECTOR UNLESS CONSTRU T ..TS 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. SULLIVAN ARCHITECTS FAX To: anc u&g Ahis ono Phor1� g 8) 686 -qCNW o q i1 lisp uesrd�tce PM.N:Dqe"d p3� cck ❑For Review 13 Flews Gamawd D Please Rapiy D Pisses ksayae v Cammalft Mr. Lath e s &k � a � � CIO r7 dw 'Ty,unk - 201 SDGEWA*MR OR SUITE 215 WMERELD,MASSACHUSE7801880 Voice:(781)246-1.667 a FAx(781).246-1683•WVWW.OSUUJVANAACHffEM.COM Id WH6T:01 L00Z ZZ 'd;DS M9T917ZT8L: 'ON XtU : WOLF NOTICE NOTICE T® � TO o , EMPLOYEES EMPLOYEES �W � ll v .qM Sig The Commonwealth ®f Massachusetts DEPARTMENT OF INDUSTRIAL ACCIDENTS 600 Washington Street, Boston, Massachusetts 02111 617-727-4900 — http://www.mass.gov/dia As required by Massachusetts General Law, Chapter 152,Sections 21,22&30, this will give you notice that I (we) have provided for payment to our injured employees under the above mentioned chapter by insuring with: HARTFORD UNDERWRITERS INSURANCE COMPANY NAME OF INSURANCE COMPANY ONE TOWER SQUARE HARTFORD, CT 06183 ADDRESS OFINSURANCE COMPANY (GS60UB-0422LG9-8-07) 03-08-07 TO 03-08-08 POLICY NUMBER EFFECTIVE DATES R M P ROBERTS INS AGCY INC 1060 OSGOOD ST "= N ANDOVER MA 018451503 NAME OF INSURANCE AGENT ADDRESS PHONE# m— o� DALKE , DOUGLAS 22 SUMMIT STREET NORTH ANDOVER MA 01845 " EMPLOYER ADDRESS EMPLOYER'S WORKERS COMPENSATION OFFICER(IF ANY) DATE "= MEDICAL TREATMENT o- The above named insurer is required in cases of personal injuries arising out of and in the course of employment to furnish adequate and reasonable hospital and medical services in accordance with the provisions of the Workers' Compensation Act. A copy of the First Report of Injury must be given to the injured employee. The employee may select his or her own physician. The reasonable cost of the services provided by the treating physician will be paid by the insurer, if the treatment is necessary and reasonably connected to the work related injury. In cases requiring hospital attention, employees are hereby notified that the insurer has arranged for such attention at the NAME OF HOSPITAL ADDRESS Tn RF, PnCTF.D RV EMPLOYF,R s� The Commonwealth of Massachusetts f Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 { www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): �\Y f 1 7TS V Pr 6f Address: 2 Z Sum ✓VI t City/State/Zip: j P1 �006&'- Phone 19 3�7T 7 2-10 Are you an employer?Check the appropriatWlxam : Type of project(required): 1.El am a employer with 4. a general contractor and I 6. ❑ New construction employees(full and/or part-time).* have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet. $ 7• 'Remodeling ship and have no employees These sub-contractors have 8. ❑ Demolition working for me in any capacity. workers' comp. insurance. 9. ❑ Building addition [No workers'comp. insurance 5. ❑ We are a corporation and its 10.❑ Electrical repairs or additions required.] officers have exercised their 3.❑ I am a homeowner doing all work right of exemption per MGL 1 1.❑ Plumbing repairs or additions myself. [No workers' comp. c. 152, §1(4),and we have no 12.0 Roof repairs insurance required.] t employees. [No workers' 13.❑ Other comp. insurance required.] *Any applicant that checks boz#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. $Contractors that check this 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 employees. Below is the policy and job site information. 1 Insurance Company Name: ! 1 �4 o&Iej�!'`�'� :A � P Y �lPr s Policy#or Self-ins. Lic.#: (4560 UB — 6 y 22 L69— 9--07 Expiration Date: 3 —6F— Job Site Address: 9 IF) 1 O-4- C;�4• City/State/Zip: D�S-Acj 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 c. 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 may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereb the p 'ns enaltiees/of perjury that the information provided(above is tr a and correct. Si atureDate: Phone#: �' 3S-7` 720 Official use only. Do not write in this area,to be completed by city or town officiaL 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 Contact Person: Phone#: 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 of hire, express or implied,oral or written." An employer 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 dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the 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 compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its 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-contractors)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 not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confinnation 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 for 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: r The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 Tel. #617-7274900 ext 406 or 1-877-MASSAFE Fax#617-727-7749 Revised 5-26-05 www.mass.govldia Permit# Permit Date REScheck Software Version 3.7.3 Compliance Certificate Project Title: English Residence Addition Report Date:09/06/07 Data filename:K:\English\07034_N.Andover Residence\07034_english_rescheck.rck Energy Code: Massachusetts Energy Code Location: North Andover,Massachusetts Construction Type: 1 or 2 Family,Detached Heating Type: Other(Non-Electric Resistance) GlazingArea Percentage: 12° 9 �o Heating Degree Days: 6322 Construction Site: Owner/Agent: Designer/Contractor: 93 Prescott St. Carla&Michael English O'Sullivan Architects,Inc. North Andover,MA 01845 93 Prescott St. 201 Edgewater Drive,Suite 215 North Andover,MA 01845 Wakefield,MA 01880 (781)246-1667 www.osullivanarchitects.com Ceiling 1:Flat Ceiling or Scissor Truss: 945 13.0 0.0 66 Wall 1:Wood Frame,16"o.c.: 1163 30.0 0.0 50 Window 1:Wood Frame:Double Pane: 137 0.350 48 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 3.7.3 and to comply with the mandatory 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 a Code.The HVAC equipment selected to heat or cool the building shall be no greater than 125%of the design load as specifi in Sections 780CMR 1310 and J4.4. Builder/De ' ner Company Name DEL English Residence Addition Page 1 of 1 i i Construction Supervisor Agreement Customer: Carla English 93 Prescott Street North Andover,Ma 01845 978-688-4024 Construction Supervisor: Douglas Dalke 22 Summit Street North Andover,Ma 01845 CS Lic#: 95124 exp. 5/20/2010 HIR#: 138775 exp. 5/13/2009 Doug Dalke agrees to act as Construction Supervisor and consultant for the addition of a second floor at 93 Prescott Street North Andover. This will include the following: 1. Assist or apply for the Application of permit to build 2. Supervise all subcontractors hired by Carla English in following the Mass State Building codes. 3. Advise on scheduling of work and inspections needed throughout the project. And foresee the project is completed in a reasonable amount of time. 4. Advise on expenses associated with the project to keep the overall cost at approximately$120,000.00 5. Advise and resolve issues that may occur in the normal construction of the project. 6. Inspect daily progress of all work associated with the addition at 93 Prescott Street. The fee for the service of Construction Supervisor will be fixed at$1000.00 payable after the closing and acceptance of the construction loan for Carla English and before the beginning of work. X Customer X Construction upervi r In addition to the agreement as Construction Supervisor Doug Dalke will also be Striping Siding,Installing siding,Installing interior and exterior trim,Insulating and refinishing the front porch as indicated in the attached estimate. All contracts and cost of the addition will be the responsibility of the Customer. Q Estimate: Aug 27, 2007 Carla English 92 Prescott Street North Andover,Ma 01845 978-688-4024 Douglas Dalke 22 Summit Street North Andover,Ma 01845 978-387-7290 License and insurance information: CSL# 95124 HIR#138775 Workers Compensation: Hartford Underwriters Insurance Policy#6s6ou-0422169-8-07 General Liability: Norfolk&Dedham Policy#309214 1. Strip siding: as needed to reinstall siding: Fixed Labor cost$1000.00 Deposit $500.00 Balance when stripping complete $500.00 2. Siding: Installation of cedar butted and squared clear shakes siding 12 SQ or 1200sgft. Installation labor$4000.00 Deposit$2200.00 Balance when complete $1800.00. Approx materials cost supplied by customer 12 sq $3900.00 3. Exterior Trim: Installation of primed 1 x trim of doors cornerboards and windows only fixed labor$2800.00 Deposit$1400.00 Balance $1400.00 when trim is installed. Materials supplied by customer. 4. Interior Trim: Installation of all interior trim of doors windows,baseboard and installation of doors(Crown moldings not included) $4000.00 fixed labor Deposit $2000.00 second payment of$1000.00 when '/2 completed and balance of $1000.00 when completed. All materials supplied by the customer. 5. Exterior Trim: Soffits rakes and overhangs labor fixed cost of$2750.00 Deposit $1750.00 Balance when installed$1000.00. Materials supplied by customer. 6. Insulation: Insulation R30 roof or second floor ceiling R19 exterior walls $1900.00 includes materials and labor Deposit$1000.00 Balance when completed $800.00. Interior walls or between floors additional $180.00 labor and materials for each 54sq ft roll of insulation. 7. Front Porch: remove and install new decking, railing, and stairs $1200.00 labor Materials supplied by customer approx$1800.00 Deposit$900.00 Balance when done $300.00 8. Roofing: installation or roofing underlayment drip edge ridge vent vents and roofing Labor$2000.00 Materials supplied by customer in material estimate. Douglas Dalke 08/27/07 r t f Const Buting Re' _ ' ` Ltc SUperytspr�a►!dStat � `s-� . . ., 1 B�nhgatee Cg =951 Ltcetse ��,��� , ( f�prrattgp -x 1,95 r� stlti p1, f DOUG �� QO rt T� (. 22S LAS 95124 /VO UMM1T STR i r `�f, r�: �r � � o A/�QO{/E� •�\�^��,�/cam s y, —74 j/J N TAT, 1 Board of Bailding 6 RegulaGontikaj '„Standards.r:. HOMEIMPROVEMENTCO RACTOR Reg ratiort 1_38775 �}�XPtratt�n 5/13/ 009 "_' Tr# 128509' 1TY{?e [ndiidual DOUGLA&DALKE!1�3 DOUGLAS DALKE; 22 SUMMIT STREET 1 N.ANDOVER; MA 01845 �stvator BK 9593 PG 128 �Trust, 20 feet%oaoint; thence tuming and rennin in a Northerly direction by d conve ai an a a an a er, rustees, to RaymondlDL an rolyn R. Chadwick, by a a e eptember , an recorded in said Registry, Book 1116, Page 446, 250 feet to a point on the Southerly side of Prescott Street; thence turning and running in an Easterly direction by the Southerly line of Prescott Street, 20 feet to the point of beginning. Being all and the same premises conveyed to me by deed of David T. Louis and Lori A. Howe dated May 20, 2003, recorded with Essex North District Deeds in Book 7815, Page 326. Witness my hand and seal thiSa day of�✓�"`" , 2005. / I � i tt Lesley rlson COMMONWEALTH OF MASSACHUSETTS Essex, ss On this day of U , 2005, before me, the undersigned notary public, personally appeared Lesley Carlson, proved to me through satisfactory evidence of identification, which was a Driver's License, to be the person whose name is signed on the preceding or attached document, and ack dged to me that she signed it voluntarily for its stated purpose. (offiaWf si nature and seal of notary) My Co mission expires 09 +a9 DEEB STH ESSE.d pb/21 0 3x lPMI Ol RACHEL ANN MORIN am.,17 WIM .. NO.P{ft or Mwudkob FEE MpCainHMlaiE�piwApi1,2006 G�,rµ .6,19 1' Q ESSEX NORTH REGISTR F DEEDS LAWRENCE,MASS. -- A TRUE COPT:ATTEST: REGISTER OF DE1 r I' BK 9593 PSG 127 QUITCLAIM DEED I, Lesley Carlson of North Andovier, Essex County, Massachusetts For consideration paid of Four Hundred Ten Thousand and 001100 ($410,000.00) Dollars Grant to Michael S. English and Carla A. English, husband and wife as tenants by the entirety Of 76 Winchester Street, Haverhill, MA With QU17-CLAIM COVENANTS rn w Two continuous parcels of land,with the buildings thereon, situated in Nortl�x Andover, Essex County, Massachusetts, containing 21,895 square feet of la%O; �° more or less, as shown as Plan of Land entitled, "Plan showing land of Wilb ; `� and Frances V. Harvey, North Andover, Mass., August, 1966, Brasseur Associates, 60 Y2 Bailey Street, Haverhill, Mass."which Plan is recorded in Registry of Deeds as Plan No. 5578. �� w M Said parcel is substantially bounded and described as follows: co V' NORTHERLY by Prescott Street, 100 feet; EASTERLY by land of Patrick J. Kennedy, 250.10 feet; c; SOUTHERLY by land of Walter V. Demers and John J. Shea, 100 feet; and o h WESTERLY by other land of said Walter V. Demers and John J. Shea, ^� 250 feet. ^� t� co $r All of said boundaries being shown on said Plan. PARCEL 2: All of the Grantor's right, title and interest in and to a strip of land in said North Andover, bounded and described as follows: Beginning at a point on the southerly side of Prescott Street at the Northeasterly corner of land herein described as Parcel 2, and at the Northwesterly corner of land herein above described as Parcel 1; thence running Southerly by said Parcel 1, 250 feet to a point at the Southwesterly comer of Parcel 1; thence tuming and running Westerly by land now or formerly of Walter V. Demers and John J. Shea, and late of Stanley F. Pankala and John J. Walker, Jr., Trustees of Walker Realty