HomeMy WebLinkAboutBuilding Permit # 10/14/2015 BUILDING A %4ORTe
TOWN OF NORTH ANDOVER o
APPLICATION FOR PLAN EXAMINATIONn '°
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Permit N „... ' Date Received
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Date Issued: l A U
JX4PORT Ta A licant must complete all items on this page
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PROIJ�OWNER
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IViAP NO. F'ARCFL: ZONING.DISTRICT: Hi tone. District', yep o,
M"ackine Shop,Village' yes' o��u
TYPE OF IMPROVEMENT PROPOSED USE
Reside tial Non- Residential
❑ New Building al4fne family
❑Addition ❑ Two or more family ❑ Industrial
❑Alteration No. of units: ❑ Commercial
epair, replacement I1 Assessory Bldg ❑ Others:
❑ Demolition ❑ Other
❑Septic ❑Well ❑ Floodplain ❑Wetlands [I Watershed District
❑Wafter/Sewer
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Idents kation Please Type or Print Clearly)
OWNER: Name: / 01 �► � - Phone: 0 re) 6 c i
Address: ..` 'N Pre-sco - too n ja v(- MA 0l
CQNTRACTtJR Name: Phone:
AAddress ;
kAASperulsor' 4 ► atructicr L� erp; IIt+ �t
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Home Improvement Llcen
Exp,,, "Date
ARCHITECT/ENGINE Phone: "
Address: Regi „
FEE SCHEDULE:BULDINC PERMIT.$12.00 PER$9000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F.
Total Project Cost: $ 3 k FEE: $ �;"--W 11"111111111,,'\
Check No. - Receipt No.
NOTE: Perla
s can rac ng with unregast red contractors da not have a els o e guaranty fiu d
Signature of ent/Owne M ,, Signature of contractor 1, 0, , ll
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Town of
Andover
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No. 7
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16
h,61
, n° LAKE ver, Mass,
10 1
COC LAK
ATED
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BOARD OF HEALTH
Food/kitchen
PERMIT T LD Septic System
THIS CERTIFIES THAT ..,.,,, ' �,�""C -................................ BUILDING INSPECTOR
has permission to erect.................... .. buildings on .. ......... j,o„ ,,,,,...,, .,,..,. Foundation
o Rough
to be occupied as; ..�1.!. ......... ..... ........4...... .. ....... ..........X0!0!.............. .............. Chimney
provided that the perso ,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
PERMITI ELECTRICAL INSPECTOR
eUNLESSRough
Service
.............. ... ........................................................ Final
BUILDING INSPECTOR
GAS INSPECTOR
Occupancy Permit Requiredto OccupV Buildin Rough
Display in a Conspicuous Place on the Premises — Do Not Remove Final
No Lathing r Dry Wall o BeDone FIRE DEPARTMENT
Until Inspected and Approvedthe Building Inspector. Burner
Street No.
Smoke Det.
SILVA LIGHTNING BUILDERS
48 LINDEN AVENUE
NORTH ANDOVER,MA 01845
(978)688-5464 OAF
(617)7994585 C
CONTRACT AGREEMENT
1,Emanuel A. Silva of Silva Lightning Builders will perform work on 55 Prescott St,North
Andover,Massachusetts 01845 for the sum of Thirty-One Thousand Four Hundred Eighty Dollars and
00/100 ($ 31,480.00).
WORK TO BE COMEPLETED:
Exterior and Interior Work
Side Porch (closed top)
Remove existing overhang trim
(upper section =front and two sides)(lower section=front and one side)
• Remove existing storm.units.(10)
• Remove existing exterior and interior window trims.
• Remove existing siding.
• Remove existing window units. (10)
• Remove existing interior wall board on exterior walls.
• Reframe for new window openings. (5)
(one on each side and three on thefront)(size to be determined)
• Cut and install new sheathing.
(missing sections from older windows)
• Cut and install new trim boards to overhangs.
(match existing as close as possible)(Kleer products 1pvc stock)
• Apply house wrap to walls.
(Typar)
• Apply flashing membrane to window openings.
(Grace products)
• Install new windows into openings.(5)
(Paradigm windows) (double hung)
• Apply flashing membranes to window units.
• Cut and install new exterior window trims.
(match existing as close as possible)(Kleer products 1pvc stock)
• Cut and install new siding.
(James Hardie siding Products)
• Install insulation to interior walls.
(fiberglass insulation)
• Install vapor barrier.
(-mil)
Page 1 of 3
• Install wall board to studs.
(half inch board)
• Apply joint compound to wallboard.
• Cut and install new interior window trims.
(wood/Ix stock)(picture frame style with stools and aprons)
• Caulk interior and exterior weather tight.
Side Porch (open bottom)
• Install temporary supports under upper porch comer.
(in order to remove bottom porch)
• Remove existing post and guardrail.
• Remove existing entire porch deck and staircase.
• Remove existing siding along porch deck.
(two or three rows high)
• Dig hole for footing.
(12"dia x 48"deep)
• Dig square trench and install form for staircase landing.
(4"deep x width of staircase)
• Install sono,tube into hole.
• Mix and pour concrete into tube and form.
• Cut and apply self-adhering flashing to house for water protection.
(where deck meets house).
• Frame out deck.
(2x8 pt joists with ledger/nailed together/16"oc bolted to house)
• Attach metal bracket to footing.
• Cut and install post to footing and secure to deck.
(6x6ptpast)
• Frame out staircase.
(2x12 pt stringers 112"oe/secure to deck and concrete pad)
• Wrap bottom section of deck and staircase.
(Kleer products/Ix pvc stock with lattice panels)
• Reinstall existing post.
(ifpossible-dependingon condition of post)
• Apply one coat of finish to deck boards.
(seals all sides and ends of boards for moisture protection)
• Cut and install new decking to platform and staircase.
(Mahogany) (1x4 square edge)(nail and glue)
• Cut and assemble new guard rail.
(match existing as close as possible)(cedar stock)
Contractor will supply permit.(price to be determined and paid on start ofJob)
Contractor will supply all materials.
Contractor will dispose of debris made.
Contractor will not paint or stain project.
Contractor will only paint or stain new deck boards, one coat.
Page 2 of 3
Construction Supervisor License No.065791 Merchants Mutual Insurance Co
Home Improvement Contractor No. 120334 (Liability Insurance)Policy#BOP1070557
FULLYINS URED Associated Employers Insurance Company
(Workers Comp) WCC-500-5010510-2014A
Occupant Confirmation
Pamphlet Receipt
I have received a copy of the lead hazard information pamphlet informing me of the potential
risk of the lead exposure from renovation activity to be performed in my dwelling unit. I
received this pamphlet before the work began.
Printed Name of Owner—occupant,
H�ature of oQe�r'—oc6pdnt Signature Date
Any other work that needs to be done that is not explained on this Contract Agreement will be
executed only upon written order from the Contractor and signed by both parties becoming an
extra charge over the agreed amount. Additional work will be paid in advance.
COSTS
Carpentry Work
Labor: $ 21,670.00
Stock: $ 9,360.00
Debris: $ 450.00
Total: $ 31,480.00
TOTAL PRICE: $ 31,480.00
PAYMENTS
Deposit on signing(09/21/15) $ 1,000.00
October 19,2015 $ 10,160 .00 (pluspermitfee)
November 2,2015 $ 10,160.00
November 16, 2015 or when completed. $ 10,160.00
(Job will take about 4 to 6 weeks,subject to change depending on weather or additional work)
(Approximate start date of October 19,2015,subject to change)
1, Kenneth Tokarz,have had the opportunity to read the above and understand the terms
contained therein and by signing this Contract Agreement,I agree on paying Emanuel A. Silva
of Silva Lightning Builders for the work itemized above on this Contract Agreement.
SIL A LIG BUILDERS
By:
Emanuel A. Silva, Contractor -: Kenneth Tokvrz,.116newk�ner
Page 3 of 3 DATED: SEPTEMBER 21,2015
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_ Office of ConsumerAffairs&Business Regulation
OME IMPROVEMENT CONTRACTOR
egistration: 120334
xpiration: 11/26/2015 Type:
4 DBA
SILVA LIGHTNING BUILDERS
EMANUEL SILVA
48 LINDEN AVE.
N.ANDOVER,MA 01845
Undersecretary
The Commonwealth of Massachusetts
Department of Industi-1alAceidents
I Congress Street,Suite 100
Boston,MA 02114-2017
www.mass.gov1dia
Workers'Compensation Insurance Affidavit:Builders/Contractors/El lectricians/Plumbers.
TO BE FILED RTM THE PERMITTING AUTHORITY.
Applicant Information Please Print LeEibly
NaMe (Business/Organization/Individual): S.,I a r-, G ,!,��(\"(\, 13 S 1-) I&,-�-)
J
Address: Ice C (IJere AIJC-
City/State/Zip: A, // Al),141,,,, IM_,0/fxd-Phone#: Ile- 6'
Are you an employer?Check the appropriate box: Type of project(required):
1.6Z.'
1amaemployer with employces,6�d/or part-time).* 7. El New construction
2.FJ I am a sole proprietor or partnership and have no employees working for me in 8. emodeling
any capacity.[No workers'comp.insurance required.] 9. n Demolition
3.n I am a homeowner doing all work myself.[No workers'comp.insurance required.]t 10 n Building addition
4.FJ I am 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 1l.FJ Electrical repairs or additions
proprietors with no employees. 12.E]Plumbing repairs or additions
5.FJ I am a general contractor and I have hired the sub-contractors listed on the attached sheet 13.n Roof repairs
These sub-contractors have employees and have workers'comp.insurance.t
6,0 We are a corporation and its officers have exercised their right of'exemption per MOL c. 14,F]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 now 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-contractors have employees,they must provide their workers'comp.policy number,
lam an employer ilial ispi-ovidiiigipot-Icers'compensation insurance for iny employees. Below Is the policy and job site
information.
insurance Company Name:—
Policy#or Self-ins.Lie,ff: WC C SO 1 0 S7 0 0/VA Expiration Date:
Job Site Address: .55- pfescdo 's+- ..City/State/Zip: N pdc)v, 10
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.
Ido hereby cerci fyunderthepa s dpenaldes ofpeiyui:p that the information provided above Is trite and correct.
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Signature-5-7,4 M114 A)
Phone#' q 7 0 6 - 15-516 Y,
Official use only. Do not ivrite hi this area,to be completed by city or town official
City or Town: Permit/License#
Issuing Authority(circle one): i
1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector
6.Other
Contact Person: Phone#:
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