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Home My WebLink AboutBuilding Permit #203-14 - 97 BRADFORD STREET 9/5/2016 NORTH OF t� ° qti BUILDING PERMIT `: TOWN OF NORTH ANDOVER ° o APPLICATION FOR PLAN EXAMINATION Permit NO• 3 Date Received Date Issued: �9SsgcHus�� a IM ORTANT:Applicant must complete all items on this page LOCATION `l �1' TOY�.f S] "a a .� sz Print PROPERTY OWNER Ebfoo, Print MAP NO: PARCEL: ZONING DISTRICT Historic District eyes no Machine'Sh�op Village ." yes no n TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building X One family ❑ Addition ❑ Two or more family ❑ Industrial ❑Alteration No. of units: 1 ❑ Commercial ❑ Repair, replacement ❑ Assessory Bldg ❑ Others: ❑ Demolition ❑ Other ❑ Septic ❑ Well ❑ Floodplain ❑Wetlands '_ ❑ Watershed District 3 ❑Water/Sewer , :QN�J cv Identification Please Type or Print Clearly) OWNER: Name: Le nc- Fc tcxc,5 Phone: Address: ST N A nc.io✓eJ' CONTRACTOR Name: Phone: 777 7 v F Address: r . - �c1 R, �-c�Sler 51 �'e�bo� f1_ . (D 1960.. Supervisor's Construction License: NOW, Exp. Date: Home Improvement,License: , -' Exp. Dater � 4ft — n 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: $� f�42 FEE: $ I � �'" �• Check No.: Receipt No.: N J'E: r n0onFract rng with unregistered contractors do not have ace g ra ty-fund Signature of Agent/Owner c�� d Signature p contrac ; i i Location &54- No. Date • - TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $1 ` Foundation Permit Fee $ Other Permit Fee $ i TOTAL $ �(hh4 b Check IR 0 Building Inspector Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ TYPE-0E SEWERAGE DISPOSAL i �7 Public Sewer ❑ Tanning/MassageBodyArt ❑. . .Swimming Pools ❑ + Well ❑ Tobacco Sales ❑ Food Packaging/Sales ❑ I 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 Decision: Comments Water & Sewer Connection/Signature& Date Driveway Permit I DPW Tovvo Engineer: Signature: Located 384 Osgood Street x. FIRE DEPARTMENT - Temp Dumpster on site yes no— Located- at'124 Mair, Street Fire Departmdht,signatia"reldate" xs COMMENTS _: i I Dimension Number of Stories: Total square feet of floor area, based on Exterior dimensions._ Total land area, sq. ft.: c 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 I i w ® Notified for pickup - Date � I i Doc.Building Permit Revised 2010 Building Department The fol owing is-a-list of the required forms to be filled out for the appropriate.permit to be obtained. I` 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 cas<s if a variance or special permit was required the Town Clerks office must stamp the decision from the Board of Appeals that the apn,-al period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording must be submAted with the building application Doc: Doc.Bui?,ding Permit Revised 2012 NORTH Town of E I� Andover No. O 3 1Z Mass y h , ver, , $ 1 T O LAN, COC NICNl WIC m � po4ArEO r'PP�'�5 S U BOARD OF HEALTH Food/Kitchen PERMIT L D Septic System ftTHIS CERTIFIES THAT ....... .O..�is. r. .�� .............. ... BUILDING INSPECTOR Foundation has permission to erect .......................... bui dings on ..... .... ......... � ...... ..!r ...... ..+-.... a Rough to be occupied as�$ 1e.*An.. ......W.. 4'.. .. .... .................................. 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 MONT S ELECTRICAL INSPECTOR UNLESS CONSTRUON !!T TS Rough Service ........ ... .... ......... .................................................. Final BUILDING INSPECTOR GAS INSPECTOR Occupancy Permit Required to Occupy Building 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 DPS..ca, 5Om-o4iO4-Gi�)1271 I �I Office of Consumer Affairs&Business Regulation ` } HOME IMPROVEMENT CONTRACTOR Registration: 141124 Type: tSu lement Card Expiration: 1/1212014 pp A+M GENERAL CONTRACTING INC. MICHAEL FITZGERALD 5 SOUTH RIDGE CIRCLE — LYNN,MA 01904 undersecretary Massachusetts -Department of Puatic Safety , 1 Board of Building Regulations and Standards ('nn.structiun Superliw1speciulth License CSSL-099933 MICHAELP FITZGERALD 10 Overlook Trail#1 018 f� Peabody MA 01960 r • i _ _xp�rad�can 06/19/2014 1 �on'VfnJssaoner { ,per The Commonwealth of Massachusetts Department of Industrial Accidents Ogee of Investigations 1 Congress Street,Suite 100 Boston,MA 02114-2017 www mass.gov/dia Workers'Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Le ibl Name(Business/Organization/Individual): A&M General Contracting, Inc. Address:119 R Foster Street BLDG. 14 City/State/Zip:Peabody, MA 01960 Phone#:978-741-7777 Are you an employer?Check the appropriate box: Type of project(required): L I am a er with employer 4. ❑ I am a general contractor and I p y 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. Q Remodeling ship and have no employees These sub-contractors have 1 g, n Demolition and have workers' working for me in any capacity. employees � 9. n Building addition [No workers' comp.insurance comp.insurance.* required.] 5. ❑ We are a corporation and its I0.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 1 I.[]Plumbing.repairs or additions right myself. [No workers' comp. , exemption per MGL 12.[]Roof repairs insurance required.]t c. 152,§1(4).and we have no 13 �Other employees. [No workers' comp. insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they arc 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 state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is lite policy and job site information. Insurance Company Name:TGA Cross Insurance Inc. Policy#or Self--ins. Lic.#:AMWC345622 Expiration Date:March 20,2014 Job Site Address: q7 Srad-Fova� S 1' City1State1Zip:N&A 4()do-v- �M 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 to 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 hereby c Ander the ins and penalties of perjury that the information provided above is true and correct. Sigmature.rZlDate: ✓� f l Phone#: t 7 Vl — 7 7 7 7 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#: f..-MON A&MGE-1 OP ID:SM kft R' ' CERTIFICATE OF LIABILITY INSURANCE DAT03114D/YYYY) �..��' 03114J13 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 REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED,the pollcy(les)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 endorsoment s. ACT PRODUCER 781-914-1000 NAME: TGA Cross Insurance,Inc. PHONE FAX 401 Edgewater Place,Suite 220 IANZ,No Extl. 1(A/c No); _ Wakefield,MA 01880 E-MAIL John Scanlon ADDRESS: _ INSURERS AFFORDING COVERAGE NAIC p INSURER A:Peerless Insurance Co INSURED ABM General Contracting,Inc. INSURER B:Guard Insurance Group ' Norman Dube 1 119R Foster St.Bldg 14 INSURER C Peabody,MA 01960 INSURER D: INSURER E: INSURER 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 ;S SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, INSR POLICY EFF POLICY EXP i LTR TYPE OF INSURANCE P POLICY NUMBER D f MM I LIMITS GENERAL LIABILITY 1 EACH OCCURRENCE $ 1,000,000 A X COMMERCIAL GENERAL LIABILITY ii CBP8833284 i 03120113 03/20/14 r PREMISES tEs oc«,rrence $ 100,000 CLAIMS-MADE I X j OCCUR ! MED EXP(Any one person) $ 5,000 I i �PERSONAL E,ADV INJURY $ 1,000,000 I i GENERAL AGGREGATE S 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: j I ;PRODUCTS-COMP/OP AGG $ 2,000,000 117 I POLICY PRO- � 'LOC i AUTOMOBILE LIABILITYE COMBINED SINGLE LIMIT�(Eeacadent,> $ 1,000,000 A ANY AUTO I I IBAS762301 03120/13 03/20/14 BODILY INJURY(Per person) S _— ALLOWNED SCHEDULED k l t�AUTOS. X AUTOS j f ; BODILY INJURY-Per accident),$ X 1 HIREDAUTOS i X f AUTOS NON-O {3 ;k � I(Perra�ent AMAGE f$ A �X UMBRELLA UAB X OCCUR j ; EACH OCCURRENCE $ 1,000,000 - �i EXCESS LIAB. -- I CLAIMS-MADE! 1CUS762501 03120113 ' 03/20114 AGGREGATE s _ 1,000,000 'DED X RETENTION$ 100001 ' $ WORKERS COMPENSATIONI 1 X Tb Y LiM TS OTH- AND EMPLOYERS'LIABILITY B ANY PROPRIETORMARTNEWEXECUTIVE Y I N t !AMWC345622 03/20113 03/20114 i E L EACH ACCIDENT S 500,000 OFFICER/MEMBER EXCLUDED? � I- N10 ( !---------- (Mandatory In NH) E.L.DISEASE-EA EMPLOYE S 500,000 If yes,describe under DESCRIPTION OF OPERATIONS below i E.L.DISEASE-POLICY LIMIT S ASOO,00000 I l DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD 101,Addnisnai Remarks Schedule,If more space Is required) CERTIFICATE HOLDER CANCELLATION TOWNANI SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Town of North Andover THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 120 Main Street ACCORDANCE WITH THE POLICY PROVISIONS, North Andover,MA 01846 AUTHORIZED REPRESENTATIVE I Q 1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010105) The ACORD name and logo are registered marks of ACORD A & M General Contracting, Inc. 119R. Foster St. Peabody, MA 01960 (978)532-8025 Fax (978)532-1033 Jan. 1, 2013 To whom it may concern, Neil Moore has authorization from 1/01/2013 until 12/31/2013 to pull permits for this company using my licenses. Any questions, feel free to call the office at number listed above, or my cell phone 508-726-1058. Sincerely, Michael Fitzgerald Operations Manager S6, 1 this day of , 2013 ti Not expire date: i 4 Job Number 4681 DATE 23-Aug-13 Client ELENA FALARAS address 97 BRADFORD STREET city/town NOTH ANDOVER MA contractor 1.WEATHERSTRIPPINGlCAULKING QUANTITY TOTAL AUDITOR NOTES Door Kits Q-1-on or Equiv. 3 136.50 Door Sweeps(Regular) 0.00 Door Sweeps(Automatic) 4 92.00 Reglaze Windows/in.inch 0.00 Window.Weathstr Schlegal per side 0.00 Tenmat Recessed Can Cover 6 180.00 5 KITCHEN 1 HALL Attic air sealing per man/hr 2 150.00 basement and living space air sealing 3 225.00 3 BATH ROOM FINISHED BSM: SUBTOTALS 783.60 2A.INFILTRATION J INSULATION AUDITOR NOTES Domestic pipe Hot Water Tank 1 st 6' 0.00 Sill Insulation R-19 CF 0.00 FINISHED BASEMENT Sill Two Part Foam w/Fiberglass Batt 0.00 Drape Perimeter R-5 Anch.Sq.ft. 0.00 Perimeter 2"T-max or equivalent foam board sq.ft. 0.00 Drape DOOR R-5 or T-max or equivalent on door. 0.00 NO SOLID DOOR TO GARAGE Tape Joints(Alums Grip only)per hr. 0.00 Duct Insulation&Tape sq.ft.R-5 0.00 Rigid Foam Board Anch. 1"per board 0.00 Hydronic pipe insulation to 1"R-5 0.00 Hydronic pipe ins.1.25"-1.5"R-5 0.00 Steampipe Ins.tol.25"iron pipe R-5 0.00 Steampipe Ins.1.5"-2"Iron pipe R-5 0.00 Steampipe Ins.3"iron pipe R-5 0.00 Air Conditioner Meeting Rail 0.00 Air Conditioner Cover 1 38.40 15.5 X 26 MASTER BEDROOM Air Conditioner Cover Special Order 0.00 SUBTOTALS 38.40 2B.INSULATION AUDITOR NOTES Open Unrestricted R 49 0.00 I Open Unrestricted R 38 0.00 Open Unrestricted R 30 0.00 Open Unrestricted R 20 0.D0 Open Unrestricted R 10 0.00 Restrict FUSloped R 30 77 113.96 CANTILEVER Restricted FL/Sloped R 20 0.00 Restrict FUSloped R 10 1750 2275.00 R-19 FGB open rafters/walls/kneewalls 24 35.28 DAM AROUND 6'HOUSE FAN R-11 FGB open rafters/walls/kneewalls 0.00 Attic Stairs(stairwell&common wall) 0.00 Cover Pull Down Stairs Thermadome 1 180.00 Site built pull down stairs 2"foam box 1 180.00 WHOLE HOUSE FAN IN ATTIC i AUDITOR NOTES Attic/Kneewal Floor Transition.Dense pack cellulose 0.00 W.S.Hatch Q-Lon or equal 0.00 W,S.&bat Hatch R-30/Q-Lon or= 0.00 Kneewall R-12 cell behind Per.Memb 0.00 Open Rafter R-20 Cell./w poly 0.00 Open Rafter R-30 Cell./w poly 0,00 Basement Overhead R-19 fiberglass 0.00 Basement Overhead R-30 fiberglass 0.00 Crawlpace Overhead<4'high R19 0.00 Crawlpaoe Overhead<4'high R30 0.00 Garage Ceiling cavity filled w/cellulose 700 1470.00 Wood,Shake,Clapboard,Shingles Vinyl 1948 3486.92 Asbestos(single nail)/Asphalt 0.00 Asbestos(doub,Nail)/Aluminum 0.00 Brick/Stucco 0.00 Vinyl over Asbestos 0.00 Multi-layered 3 or more layers 0.00 Drill rough plaster or finish wood plug 0,00 Drill finish plaster 225 427.50 GARAGE WALL Test Drill Walls(all 4) 0.00 SUBTOTALS 8168.66 2.INSULATION TOTAL 2A.+28. 8207.06 &STORM WINDOWS/DEADLITES AUDITOR.NOTES Plexiglass up to 88 u.i. 0.00 Additional per Ul over 88" 0.00 Other(Negotiated Price) 0.00 SUBTOTALS 0.00 6.OTHER MATERIAL AUDITOR NOTES. Ridge vent In ft. 0.00 IS OPEN Vents Gable rectangular 0.00 Varipitch Vent 0.00 Vent Roof 135(1 sq ft NFV)Large 0.00 Vent Roof 865(A sq ft NFV)Small 0.00 Vent Soffit Rectangular 0.00 27 SOFFITS PRESENT Turbine Vents All 0.00 Stack Vent 0.00 Propa Vent 27 108.00 27 DAM OFF PORCH BUT ADD PROPAS Permable House Wrap 0.00 Vapor barrier 0.00 Energy Star R-4 Rigid Vinyl Repl 94-101 U.I. 0,00 SUBTOTALS 108.00 6,A.E.C.MATERIAULABOR 9098.56 Page 3 8a. HEALTH&SAFETY AUDITOR NOTES Vent Bath/Kitchen Fan 2 178.00 MAIN FLOOR SEE BSMT NOTES Dryer vent w/exhaust duct Heartland 0.00 Dryer Transition Duct only 1 40.00 Blower Door Test Pre Post 1 45.00 ALWAYS INCLUDE PRE AND POST SUBTOTALS 263.00 8b.REPAIR MATERIAL/LABOR AUDITOR NOTES Basement outside door only 0.00 Basement outside door wl jambs 0.00 Door Repl pre hung 32-36"Steel**w/Lite 0.00 Door Repl interior solid core 28-32" 0.00 Door Rept pre hung 32-36"wood**w/Lite 0.00 Window Replacement w/SIR less than 1 0.00 Basement Window Repl.Awning/Hopper 0.00 Basement Window Repl.With a frame 0.00 Lockset(door)Schlage or equal 0.00 Repair/Refit Door 0.00 Replace Side Stop 0.00 Replace Casing 0.00 Glass Replacement to 64 u.i. 0.00 Glass Replacement per u.i.over 64 0.00 Sash Sidelock/Top Replacement 0.00 Threshold(Wood) 0.00 Threshold(Aluminum) 0.00 Slide Bolts 0.00 Plug Plate Cover 0,00 Cut/finish attic-kneewall access 0.00 Cut/close attic-kneewall access 0.00 Labor Rate Hours 0.00 Labor Rate Hours 0.00 Labor Rate Hours 0.00 Labor Rate Hours 0.00 Labor Rate Hours 0.00 Permits/Fees(Wap only) 0.00 SUBTOTALS 0.00 TOTAL REPAIR+HEALTH&SAFETY 263.00 GRAND TOTAL WORK ORDER# (A) 4681 9361.56 ELENA FALARAS 97 BRADFORD STREET NOTH ANDOVER MA Any alterations or deviations from the above specifications Involving extra costs must be cleared In writing before installation. The Work Order must be complete within 15 working days from acceptance date below: CONTRACTORICOMPANY: p ACCEPTANCE:Com pany/Contractor AUTHORIZED SIGNATURE: Date AGENCY APPROVALS: CTI Authorized Signature: Date GLCAC Authorized Signature: Date