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HomeMy WebLinkAboutBuilding Permit # 7/1/2015 i 0ORT" BUILDING PERMIT �a®ry'•`n� TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit NO: Date Received qp c«.:•i.... Date Issued: �" ACHU`��4�y a IMPORTANT: Applicant must complete all items on this page LOCATION /32 Q S4--aC)/. 'i ",,/0/-' VC Print PROPERTY OWNER 3A A) A7d A1 �^ ,11a Cf a u[ 7 rcj Print MAP NO: PARCEL: /7 ZONING DISTRICT: Historic District es no Machine Shop Village yes o TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building 2-One family RAddition ❑ Two or more family ❑ Industrial ❑ Alteration No, of units: ❑ Commercial U-Repair, replacement ❑ Assessory Bldg ❑ Others: ❑ Demolition ❑ Other ❑ Septic ❑Well ❑ Floodplain E Wetlands ❑ Watershed District El Water/Sewer Ze/ o("e ex,:ah"4 /3e,,'%l s<'�Cc.v Ica�U e� �M t!a'7`,t�v L•�Cf;(' /®'�.�,�,,.o rs�x � yrC l�v��/4 Identification Please Type or Print Clearly) OWNER: Name: 7c)I,\.U/-P0�,,,0 Crag,6,- d Phone: mss'-oQ76G Address: /3 9 O-S 46®d 15-¢ V�Q' ®/ 3�" — CONTRACTOR Name: Phone: Address: bc 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 4 Total Project Cost: $__.��/� FEE: $ Check No.: I F Receipt No.: id Z NOTE: Persons contr cling with unregistered ontractors do not have access to the guaranty fiend S,'nature of Agent/Owner Signature of contractor Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Starnped-'flans ❑ TYPE OF SEWERAGE DISPOSAL Public Sewer ❑ Tanning/Massage/Body Art ❑ Swimming Pools ❑ Well ❑ Tobacco Sales ❑ Food Packaging/Sales ❑ Private(septic tank,etc. ❑ Permanent Dwnpster on Site ❑ THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF m U FORM PLANNING DEVELOPMENT Reviewed On i5 Signature COMMENTS____ CONSERVATION Reviewed on Si nature 1 COMMENTS LTH Reviewed on Signature A I 7COMMS TS i Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments Conservation Decision: Comments (C, Waf ,r& Sewer Connection/Signature& Date Driveway Permit DPW Town Engineer: Signature: . Located 384 Osgood Street FIRE DEPARTMENT Temp DumOster ob-site yes ;no,, r. dw Located at`1124 Main Street ;,; Fire Departmntaignatu�re/date COMMENTS itORTEIi Town of :7" ndover h ver Mass I Y % LAKE > COCHIC«lw.cK �®A04A7ED S U BOARD OF HEALTH PER.MIT T D Food/Kitchen Septic System THIS CERTIFIES THAT ...... ® ^� ®v"1fJ`� .-.'i�z-el BUILDING INSPECTOR . .................................................................................................... 05n.�. 5'J.... Foundation ...has permission to erect .......................... buildings on . ........ .................................. �i �a Rough to be occupied as er� we.....\. 7 ' - ...... 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 IT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR LESS CONSTRUCTIOlf A Rough Service ................................................................................ Final BUILDING INSPECTOR GAS INSPECTOR Occupancy Permit Required t® 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. NORTH ANDOVER OLDE CENTER HISTORIC DISTRICT COMMISSION Certificate of Appropriateness This Certificate of Appropriateness is issued this Thirty day of April 2015 to John & Donna Crawford for 139 Osgood Street in accordance with Chapter 40C of the General Laws of the Commonwealth of Massachusetts as amended and the by-laws of the North Andover Olde Center Historic District Commission. This will allow for windows to replace screen in porch porch with the plans and narrative approved at this meeting. George H. Schruender, Jr. Chairman Kath yska David Mermelstein Martha Larson Les '-e Fraziel �y Az ' R r L son M 1_4ard S r Michael Lenihan Q 110Rrh TOWN OF NORTH ANDOVER 3�6s`;`.o " OFFICE OF ° p BUILDING DEPARTMENT �o J 1600 Osgood Street Building 20, Suite 2-36 North Andover, Massachusetts 01845 P� t, 9SSACNUS�� Gerald A.Brown Telephone(978)688-9545 Inspector of Buildings Fax (978)688-9542 HOMEOWNER LICENSE EXEMPTION Please print DATE:6/18/2015 JOB LOCATION: 139 Osgood St Number Street Address Ma /Lot HOMEOWNER John Crawford (978)258-8780 (978)273-4674 Name Home Phone Work Phone PRESENT MAILING ADDRESS 139 Osgood St North Andover MA 01845 City Town State Zip Code The current exemption for"homeowners"was extended to include owner-occupied dwellings to two units or less and to allow such homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor). State Building (Code Section 108.3.5.1) DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one or two family structures. A person who constructs more that one home in a two-year period shall not be considered a homeowner. The undersigned"homeowner"assumes responsibility for compliances with the State Building Code and other Applicable codes,by-laws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of North Andover Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. HOMEOWNERS SIGNATURE 61M415- APPROVAL !APPROVAL OF BUILDING OFFICIAL Revised 10.2005 Form Homeowners Exemption BOARD OF APPEALS 688-9541 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535 The Commonwealth of Massa chusetts Department oflndustrialAccidents 7 . a 1 Congress Street, Suite 100 Boston,MA 02114-2017 www.mass.gov/dia Workers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERAUTTING AUTHORITY. Applicant Information ii ( �^ Please Print Le 'bl Name(Business/Organization/Individual): �.J6 N\n1 Address: U3(� ���,�,r,�r 'S1 City/State/Zip: /V�r p�s e-� Phone#: 7 '���— �0 Are you an employer?Check the appropriate box: Type of project(required): 1.❑I am a employer with employees(full and/or part-time).* 7. ❑New construction IF]I am a sole proprietor or partnership and have no employees working for me in g. ❑Remodeling any capacity.[No workers'comp.insurance required.] 9. El Demolition 3. am a homeowner doing all work myself.[No workers'comp.insurance required.]t 10 [t�uilding addition 4. lam a homeowner and will be hiring contractors to conduct all work on my property. I will ensure that all contractors either have workers'compensation insurance or are sole 11.❑Electrical repairs or additions proprietors with no employees. • 12.F1 Plumbing repairs or additions 5. 1 am a general contractor and I have hired the sub-contractors listed on the attached sheet. ❑ 13.E]Roof repairs These sub-contractors have employees and have workers'comp.insurance.$ 6.❑We are a corporation and its officers have exercised their right of exemption per MGL c. 14.E]Other 152,§1(4),and we have no.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 are doing all work and then hire outside contractors must submit a new affidavit indicating such. tContractors 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-coniraclors have employees,tliey must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurancefor my employees.' Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins.Lia#: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under MGL c. 152,§25A is a criminal violation punishable by 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.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do herebycertify r•t ��nd�penalflfpeijuiy that the information provided above is true and correct. Signature- Date: /S Phone#: ' g) S V r 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#: Generated by REScheck-Web Software CertificateCompliance Project 139 Osgood St Energy Code: 2009 IECC Location: Essex County, Massachusetts Construction Type: Single-family Project Type: Addition Climate Zone: 5 Permit Date: Permit Number: Construction Site: Owner/Agent: Designer/Contractor: Compliance: 1.7%Better Than Code Maximum UA: 58 Your UA: 57 The%Better or Worse Than Code Index reflects how close to compliance the house is based on code trade-off rules. It DOES NOT provide an estimate of energy use or cost relative to a minimum-code home. Envelope Assemblies Ceiling: Flat or Scissor Truss 131 38.0 0.0 0.030 4 Wall: Wood Frame, 161n. o.c. 126 19.0 0.0 0.060 4 Window:Wood Frame, 2 Pane w/Low-E 53 0.300 16 Wall: Wood Frame, 16in,D.C. 112 19.0 0.0 0.060 4 Window:Wood Frame, 2 Pane w/Low-E 33 0.300 10 Door: Glass 15 0.350 5 Crawl:Solid Concrete or Masonry 118 0.0 6.0 0.120 11 Wall height: 5.2' Depth below grade: 3.0' Insulation depth:4.8' Floor:All-Wood joist/Truss Over Uncond. Space 131 38.0 0.0 0.026 3 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 2009 IECC requirements in REScheck Version 5.5.0 and to comply with the mandatory requirements listed in the REScheck Inspection Checklist. Name-Title Signature Date Project Notes: addition and renovation of kitchen Project Title: 139 Osgood St Report date: 06/09/15 Data filename: Page 1 of 7 QUOTE NBR CUST NBR CUSTOMER P ENTEREDDATE ORDERED ORDER TYPE 3814674 1060462 6/30/2015 Quote Not Ordered Cash ORDERED BY STATUS SHIP VIA DELIVERY AREA JOHN None Whse Pickup SALEM WAREHOUSE CLERK JOB NAME COUPON gmh -Gaye Hicks OWN HOME LINE# DESCRIPTION QTY UNIT PRIC XTENDED 12000-1 Majesty DH,Unit Size 30 x 67.25,RO 30.5 x67.75,EXTENDED 1 $763.30 $763.30 LEADTIME Half Screen,Virtually Invisible Mesh,Screen Shipping Separate=No Overall Glass Thickness=11/16",Double Glazed,Double Low E, Argon Filled,DSB,Tempered,Custom Annealed IG=No,IG MFG =HY Window Label=Harvey,Single,White,Routed j Unit 1:U-Factor=0.32,SHGC=0.34,VT=0.38,AL-,NFRC CPD Number=HII M 26 00273 00002,Custom/Call Size Option= Custom Size,New Construction - Unit 1 Lower Glass, 1 Upper Glass:NFRC CPD Number=HE M 26 .-fi035- 00273 00002 Primed Pine,Base Color=White,Jamb Liner Color=White / Sim Div Lite,Colonial,White,Interior Finish=Primed,4W3H ; 6 9/16",4 Side Field Applied Applied Nail Fin Overall Rough Opening Width=30.5,Overall Rough Opening Height=67.75 Room Location: TEMP LINE# DESCRIPTION QTY UNIT PRICE EXTENDED, 13000-1 Majesty DH Sash Only Top Only,Unit Size 32 x 60.25,RO 32.25 x 1 $330.38 $330.38 60.5,EXTENDED LEADTIME Unit 1 Lower:Overall Glass Thickness=11/16",Double Glazed, Double Low E,Argon Filled,DSB,Tempered,Custom Annealed IG =No,Custom Temp IG,IG MFG=GD 1 9 Unit 1 Upper:Overall Glass Thickness=11/16",Double Glazed, o 8 Double Low E,Argon Filled,DSB,Tempered,Custom Annealed IG =No,IG MFG=HY Window Label=Harvey, Single,White,Routed Unit 1:NFRC CPD Number=HII M 26 00273 00002,Sash Only, Custom/Call Size Option=Custom Size,Replacement Part Location 32 -. AO-3221 =Top Only,Reason Remade=Charge Order,Replacement Unit 1 Lower Glass:NFRC CPD Number=HII M 26 00198 00001 Unit 1 Upper Glass:NFRC CPD Number=HII M 26 00273 00002 Primed Pine,Base Color=White,Jamb Liner Color=White Unit 1 Bottom:None Unit 1 Top: Sim Div Lite,Colonial,Match Frame,Interior Finish= Primed,4W3H Overall Rough Opening Width=32.25,Overall Rough Opening Height=60.5 Room Location: TOPITEMP Page 2 Of 5 QUOTE NBR CUST NBR CUSTOMER P ENTERED DATE ORDERED -ORDER TYPE 3814674 1060462 1 6/30/2015 Quote Not Ordered I Cash ORDERED BY STATUS SHIP VIA DELIVERY AREA JOHN None Whse Pickup SALEM WAREHOUSE CLERK JOB NAME COUPON gmh -Gaye Hicks OWN HOME LINE# DESCRIPTION QTY UNIT PRICE EXTENDED' 14000-1 Majesty DH Sash Only Bottom Only,Unit Size 32 x 60.25,RO 1 $330.38 $330.38 32.25 x 60.5,EXTENDED LEADTIME Unit 1 Lower:Overall Glass Thickness=11/16",Double Glazed, Double Low E,Argon Filled,DSB,Tempered,Custom Annealed IG =No,IG MFG=HY Unit 1 Upper: Overall Glass Thickness=11/16",Double Glazed, o s Double Low E,Argon Filled,DSB,Tempered,Custom Annealed IG =No,Custom Temp IG,IG MFG=GD Window Label=Harvey, Single,White,Routed Unit 1:NFRC CPD Number=HII M 26 00273 00002,Sash Only, Custom/Call Size Option=Custom Size,Replacement Part Location ----- --- RO.327 -+ =Bottom Only,Reason Remade=Charge Order,Replacement Unit 1 Lower Glass:NFRC CPD Number=HII M 26 00273 00002 Unit 1 Upper Glass:NFRC CPD Number=HII M 26 00198 00001 Primed Pine,Base Color=White,Jamb Liner Color=White Unit 1 Bottom:Sim Div Lite,Colonial,Match Frame,Interior Finish =Primed,4W3H Unit 1 Top:None Overall Rough Opening Width=32.25,Overall Rough Opening Height=60.5 Room Location: BOT/rBMP LINE# DESCRIPTION QTY -UNIT PRICE EXTENDED 15000-1 Majesty Awning,Unit Size 37.75 x 15,RO 38.25 x 15.5 3 $444.63 $1,333.89 Overall Glass Thickness=7/8"Insulated,Triple Glazed,Double Low E,Krypton Filled,Custom Annealed IG=No,IG MFG=HY Energy Star Unit 1:U-Factor=0.27,SHGC=0.22,VT=0.37,AL-,NFRC CPD T T Number=HII M 24 00393 00001,Custom/Call Size Option= Custom Size,New Construction,Fixed Vent 110 1 Unit 1 Glass:NFRC CPD Number=HII M 24 00393 00001 37 75 -- Primed Pine,Base Color=White ao-�75 Window Label=Harvey Sim Div Lite,Colonial,Match Frame,Interior Finish=Primed, 4W1H 6 9/16",4 Side Field Applied Applied Nail Fin Overall Rough Opening Width=38.25,Overall Rough Opening Height= 15.5 Room Location: Paae 3 Of 5 HARVEYManufacturin ACKNOWLEDGEMENT AN Iff. BUILDING PRODUCTS Harvey Industries,Inc. 1400 Main Street.Waltham,MA 02451-1689 Dealer Quote (781)899-3500 harveybp.com Summary BILL TO: SHIP TO: Salem 413 Raymond Road SALEM,NH 03079-9283 Phone:(603)893-1611 Fax:(603)893-8196 CRAWFORD DESIGN CRAWFORD DESIGN 111111111 II IIII �RN � ���I�1)111111 139 OSGOOD ST 139 OSGOOD ST NORTH ANDOVER,MA 01845-0000 NORTH ANDOVER, MA 01845-0000 Phone: 978-2734674 Fax: 0 Phone: 978-2734674 Fax: 0 QUOTE NRR CUST NBR CUSTOMERPI ENTERED: DATEORDERET ORDER TYPE 1 3814674 1060462 1 6/30/2015 Quote Not Ordered I Cash ORDERED BY STATUS SHIP VIA DELIVERY AREA JOHN None Whse Pickup SALEM WAREHOUSE CLERK JOB NAME COUPON gmh -Gaye Hicks OWN HOME LINE# DESCRIPTION QTY UNIT PRICE EXTENDED 10000-1 Majesty DH,Unit Size 37.75 x 67.25,RO 38.25 x 67.75 3 $705.17 $2,115.52 Half Screen,Virtually Invisible Mesh,Screen Shipping Separate=No Overall Glass Thickness= 11/16",Double Glazed,Double Low E, — Argon Filled,Custom Annealed IG=No,IG MFG=HY - Window Label=Harvey,Double Locks,White,Routed Unit 1:U-Factor=0.3,SHGC=0.24,VT=0.4 1,AL-,NFRC CPD Number=HII M 26 00213 00002,Custom/Call Size Option= Custom Size,New Construction Unit 1 Lower Glass, 1 Upper Glass:NFRC CPD Number=HH M 26 — 00213 00002 Energy Star Primed Pine,Base Color=White,Jamb Liner Color=White Sim Div Lite,Colonial,White,Interior Finish=Primed,4W3H 6 9/16",4 Side Field Applied Applied Nail Fin Overall Rough Opening Width=38.25,Overall Rough Opening Height=67.75 Room Location: None Assigned LINE# DESCRIPTION QTY UNIT PRICE EXTENDED 11000-1 Majesty DH,Unit Size 30 x 67.25,RO 30.5 x 67.75 1 $678.67 $678.67 Half Screen,Virtually Invisible Mesh,Screen Shipping Separate=No Overall Glass Thickness= 11/16",Double Glazed,Double Low E, Argon Filled,Custom Annealed IG=No,IG MFG=HY —1—'-�- Window Label=Harvey,Single,White,Routed Unit 1:U-Factor=0.3,SHGC=0.24,VT=0.4 1,AL-,NFRC CPD Number=HII M 26 00213 00002,Custom/Call Size Option= Custom Size,New Construction — Unit 1 Lower Glass, 1 Upper Glass:NFRC CPD Number=HII M 26 00213 00002 1 Energy Star Primed Pine,Base Color=White,Jamb Liner Color=White Sim Div Lite,Colonial,White,Interior Finish=Primed,4W3H 6 9/16",4 Side Field Applied Applied Nail Fin Overall Rough Opening Width=30.5,Overall Rough Opening Height=67.75 Room Location: None Assigned Page 1 Of 5