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HomeMy WebLinkAboutBuilding Permit # 12/17/2015 (2) OORTH BUILDING PERMIT '1, 6 TOWN OF NORTH ANDOVER 0 ru APPLICATION FOR PLAN EXAMINATION Permit No#: Date Received OZZD Date issued: SS US IMPORTANT: Applicant must complete all items on this page LOCATION 2f--, t, "Ke- r C"N Print PROPERTY OWNER S�6,44CK Pr hif 100 Year Structure Y e MAP PARCEL:_ q7 ZONING DISTRICT: Historic District ye sno Machine Shop Village yes Cno TYPE OF IMPROVEMENT --PROPOSED USE Residential Non- Residential — El New Building 11 One family [I Industrial [I Addition El Two or more family El Alteration No. of units: El Commercial El Repair, replacement El Assessory Bldg [I Others: El Demolition El Other DESCRIPTION OF WORK TO BE PERFORMED: (0, (k Identification- Please Type or Print Clearly OWNER: Name: Phone: Address: Contractor Name: U,69-,'L LJCC�C, Phone: Email: �. ,, I Address: J,q.,-) )73 Supervisor's Construction License: Jb 7 —Exp. Date:. /D 3/'/' 7 Home improvement License: 9 Exp. Date: da l 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: $ FEE: $ Check No.: 0 Receipt No.: a s NOTE: Perso contracting with unregistered contractors do not have access to the g4arantyfund U-1 -Signaturp.-( Flans Submitted ❑ dans Waived ❑ Certified Plot Flan ❑ Stamped Plans ❑ TYPE OF SEWERAGE DISPOSAL Public Sewer Tanning/Massage/Body Art ❑ Swimming Pools Well ❑ Tobacco Sales ❑ Food Packaging/Sales ❑ Private(septic tank, etc. ❑ Permanent Dmupster on Site ❑ THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM PLANNING DEVELOPMENT Reviewed On � '' 1 � � Signature_ . COMMENTS CONSERVATION Reviewed on4 I ... r Signature COMMENTS ,i.uv� _ ,V--.. C 0 k Q�)C-L)C. '�iaA A'ac f HEALTH Reviewed on Signature COMMENTS Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments Conservation Decision: Comments Wafer& Sewer Connection/signature& Date Driveway Permit DPW Town Engineer: Signature: Located 384 Osgood Street FI R E,a0E.R -,Temp Dumpster on site yes no l �lT Located at 124 Main,Stteet Fine Dopartment s i g nattu re/d ate COMMENTS t%ORTBy V1% mover Anct ][ Own of L ® P h ver, Mass, Its_ O LAK E -Ik, .4C0CKICKEWICK V AD"iATED p.P��,�S S U BOARD OF HEALTH L mDmmo" Food/Kitchen Septic System II BUILDING INSPECTOR. THIS CERTIFIES THAT ® ... ... `1!� ..'�i..`!'..4. 4woppo....................... ® oun a io has permission to erect .................. buildings on ..... .�. � ..� ............... ,,,,,,,, Rough 11167 ......1. ...®..................................... Chimney Add, AV to be occupied as ............ ........ ................. ..:.. ..... p e provided that the person accepting this permit shall In eve res ect 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 PLUMBING INSPECTOR Construction of Buildings in the Town of North Andover. Rough VIOLATION of the Zoning or Building Regulations Voids this Permit. Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCT RTS Rough RTS Service ............ .... ........................................... Final BUILDING INSPECTOR GAS INSPECTOR Occupancy Permit Required to Occupy Building Rough ® Final Display in a Conspicuous lace on the Premises — Do Not Remove FIRE DEPARTMENT No Lathing or Dry Wall To Be Done Burner Until Inspected and Approvedy the Building Inspector. Street No. Smoke Det. ordell's Home Solutions LLC Construction Contract fi4 Leslie Wordell Date Contract# HIC#144467 CSL#103272 190 Haverhill St#173 11/10/2015 1837A Methuen, MA 01844 Name/Address David Evangelista 28 Morningside Lace North Andover, MA 01845 Due Date 11/10/2015 Qty UM Total Item Description NOTE: Costs for all materials will be actual costs itemized on final invoice verifiable if required. Please see payment requirements listed under item (#3). Items or changes not listed would be in addition to original quote. A signed copy of this quote will be required at the start of project and can either be mailed or handed over before the start of the project Terms and Conditions 1) Scope of Work; Contractor agrees to furnish all labor, services, materials, installation, supplies, insurance, equipment, tools and other facilities required for prompt and efficient execution of the work described herein in a professional and workmanlike manner 2) Quote Amount; Owner agrees to pay Contractor for the strict performance of his work, the sum as indicated above subject to additions and deductions for changes in the scope of work as may be subsequently agreed upon. 3) Payment Schedule; Owner agrees to pay Contractor in progress payments as follows: Payment#1 $1200.00 upon signing contract Payment#2$6800.00 upon start of project to cover materials Payment#3 $1465.00 upon footing inspection Payment#4$1465.00 upon completion of decking Phone# E-mail Web Site EIN#26-2880144 Total (978)-397-5248 les@wordellshomesolutions.com wordellshomesolutions.com Page 2 Contractors Sig; Home Owner Sig: 0 Wordell's Home Solutions LLC Construction Contract Leslie Wordell HIC#144467 CSL#103272 Date Contract# 190 Haverhill St#173 Methuen, MA 01844 11110/2015 1837A Name/Address David Evangelista 28 Morningside Lace North Andover, MA 01845 Due Date 11/10/2015 Item Description MY UM Total Final Payment#5 Full Balance of Invoice Upon 100% completion of project and final inspection 4)Work Schedule; Contractor shall complete the work as required by agreement with the home owner. Contractor is agreed to be no more than 7 days late to start or finish per agreed schedule. Work schedule may be amended based on additional work inclusions and deductions and by agreement between Owner and Contractor. Not subject to delays caused by other contractors or their agents. The parties hereto have executed this Agreement for themselves, their heirs, executors, successors, administrators, and assignees on the day and year written below. Phone# E-mail Web Site EIN#26-2880144 Total $10,918.34 (978)-397-5248 lest �_) ornesolut*.Com wordellshomesolutions.com Home Owner Sig: Page 3 Contractors z� USP Ao Deck Designer"" DECK DESIGN REPORT Evangelista Below are the Specifications And Materials that you have selected for your deck. Overview Number of Levels: 1 Footer Depth: 48" Total Square Feet: 340 Live Load: 62 Dead Load: 10 Component Size Wood Type Joists 2 X 0 Treated Beams 2 X 10 Treated Posts 4 X 4 Treated Decking 5/4 x 6 DlYosite Railing Craftsman Lattice FooterDe th 48" 1 Live Load 162 psf Dead Load 10 psf i Note: It is your responsibilty to verify complience with all Local Building Code requirements. This is not a finished building plan. Load Calculations and construction practices are based on the International Residential Code (2012). Limited States Design construction practice values are not provided. www.uspconnectors.com All rights reserved copyright©2015 DIY Technologies Page 8 U S P 04.*IDeck Designer V11, DECK DESIGN REPORT Evangelista Beam Layout Level 1 B ill BEAM LABEL BEAM LENGTH POST COUNT POST SPACING A 19' 10 1/4" 4 6'3" B 19' 10 1/4" 4 6'3#1 www.uspconnectors.com All rights reserved copyright©2015 DIY Technologies Page 10 USP Deck Designer V'' DECK IDE31(aN REPORT Evangelista Permit Page: Level 1 LOAD AND SUPPORT: Your deck will support a 62 pounds per square foot(PSF) live load. lift Posts have 48"below ground support. e DECK AND POST HEIGHT: You selected a height of 42"from the top of the decking to the ground level. The top of the deck support posts will therefore be 33"above ground level. 11 11 171=1 A Joists: Set joists on top of beams, 16'; center to center. i Stress Ana sis: Level 1 Joist Deflection 321 Joist Bending 90 Joist Shear 119 Joist Compression 119 Beam Deflection 568 Beam Bending 97 Beam Shear 72 Post Stability 131 Note: It is your responsibilty to verify complience with all Local Building Code requirements. This is not a finished building plan. Load Calculations and construction practices are based on the International Residential Code(2009). Limited States Design construction practice values are not provided. www.uspconnectors.com All rights reserved copyright©2015 DIY Technologies Page 9 E , t i ro g s -- t o — s -k ID-1 iia r t t a_ - — -- — — - — — - - 4 e ` ai _ & Ml t E - - - - w a - - _ (y r fi I 1 I I _ I i I•, 'I - _— _.— -- I a ' P 1 I , , I I I ,. II I _ i I i i t I I � � I I I I I -- 1 -- I I I-- , : - i I 1 : gg I I , _ s � gi 4 s a a ; _ . ._ . Ravi ILI LA I -� — ti _ F — a a —— , rt , z a a - gMAIi i f mA c� a <: CAi iyv a F e 3 r_ a 1 � a .3 3 As CC oL a _ .1 - - z November 30,2015 North Andover MIMAP 12.5 MEADOW VIEWV RD 'kf:' 112, 104.A-0054 ssJt ynJG .:_:_.'• , ...:elf.•: :::::•S�IIr.' �_:•._., . ._ ,.._.. p050s_11f.11: 135 MEADOW VIEWV RD •.*ys.. '-:::..TU. ::: '. ],03.p-p048 N x sal . 1p3'.0-0049 ....., _. _rr IJ =: I 1'04.A-0055 .._. • 4I1 i�`,•,4IJ...•4117!.'. ••.•:baeu9�}J✓+.°.'.'t'.. ":s\�J.�:'.••c:•..Sklf,,: �p..f Ir air lu :_:__ ••'_.. :::.S3J,CC '.'�•_: ,_, ._.. ........S,,UC ...:__• ._ ,• ✓ S+IF �a"' 'vm"" "av" ,ma« m„en I �lfr:::_•::..,�.Itr...,_: 1 l . SUE :I r -,i,--�sJ, a.. a. '�" a� i If- :ni_. »::a: IJ �:'_ I' Ir I,.•'rt I... `.Ut.:'1�'•.:-:�1;€.:: ">al.;. I ::,...;,.:_;" ?fit! ': .0 :r_::,•;: == l.%.::_. 's l r' ._. .... •- 103.0-0047 ,Ir ;_ ,_.. •-•..I, �Jf - !F SwU� salt,^ ..._. ._„ ... kyJtC '_: MORNINGSIM `IrC,•;•_.•.11, .. I T rl SallC IJ ltC... � try 4r.,.... a}I. . !'..sIfC sJF s�JtC .. .'._-...-yslrc,:__•. . ._.-.::,�,�.!i.:_:_.••••s�UC s�rr ?Id< •• Saltc::'.::: SaJfr .:_:.5 ,..,..._.aJ& 104.A-0056 :::•_:._;•::a,U,r:::_:.i,':. -• .IJ sale:•� 5 :::::•:�?�':'�,: '�:�f MORNI .:�•Sala::::_:";' '- •-• ,:•.._;. 103.0-0046 •, •-.• ••!'•::-._. IJ-- .._.. yaU,r i .sla'•..:•.,-sa.0 '•sdt�'..:•.. >ia..:.:�•:.. ..:.:: '>�?�'.'`.-:•..:'�lr�.::': 4i;"�:_:.�;_:::_:..., ... .a;'�':_:.�':_:--:.�SyJfr. ': _:'`;•'-:. ._ q.r :eft ••.::•.. ::.. . .•yyJtr.. ;:•,_-.',;.::. .__ _. ,_,__ ..• .•._: -�--ialt�.:'•::":' -"'s41te _...541.. :::_:::'SaJ.ld : :'._.. l d," . I1 stlfC.•::::: tee. Salk •: :::°SlItG', ,..Siff.•• 4Ur' ;_ ,_, NNW IJ•:_:.�=i-. aJ•:::.. •. .-.., :,:QUA Salt _:_: ;:.._, _.•. slit '=i-:'':'=:. r 33 MC {', Ia SI CYE {,.IIS S�JfI..;:_."-:_.•...::a 541£. .:__.•._: ._. . -- ,._._. .- 104.A-0057 103 SOA 0045--j-,•?-:- .f' 103.0-p 1p3 104.A-0060 20 MC7RC�I[vBtaSICyE LN 104.A-0058 25 MtJsRPt9IP9C:15II1E LN 104.0-0003 Horizontal Datum:MA Staleplane Coordinate System,Datum NAD83, 13 MVPC Be C1 Municipal Boundary Meters Data Sources:The data for this map was produced by Merrimack t10RTM A Valley Planning Commission(MVPC)using data provided by the Town of Rail Line North Andover.Additional data provided by the Executive Otfice.of Interstates Ob ,to ,d.e p Environmental Affairs/MassGIS.The information depicted al this map is _ O for planning purposes only.it may not be adequate for legal boundary SR 3'= M definllion or regulatory Interpretation.THE TOWN OF NORTH ANDOVER MAKES NO WARRANTIES,EXPRESSED OR IMPLIED,CONCERNING Roads f' _ .. THE ACCURACY,COMPLETENESS,RELIABILITY,OR SUITABILITY q"r Easements 4t ,r OF THESE DATA.THE TOWN OF NORTH ANDOVER DOES NOT El Parcels *co'w "•<S y ASSUME ANY LIABILITY ASSOCIATED WITH THE USE OR MISUSE OF THIS INFORMATION Trails °�...o rp°'• '2s Hydrographic Features ��SSACNUS�S — SUeams Wetlands �F Exempt Lands ^=82 ft November 30, 2015 North Andover MIMAP MEAC)UWVIE.WrRD { . r+ �.=•�••';.R:�_: ..., _ la�/p-0054 { :. F]a3.a-p050•. '.. 135 MEAErnAIVIEW .. - . �•.. ////iii/ '_ •'•• -•- �103:a-0049 104.A-0055 w 44 R „;..,y n 1 Werro e R1 ,. • . FLQ ORf^�IEWGSIDE ' • ''• 104.A-0056 . .. -. •.. _- .... RPdIP.dGSIDE,LN .. ; '•_ - /// //'�� 103:0-0046 f _. In O 33 MORNIMGSIDE LN 104.A-0057 103:0=x045•; 103.0-0103 I I 104.A-0058 to 60 2a/MC)R1dICdGSIC►E,LPd 25 MORNINGSIDE LN 3a4.0-0003 Zoning Datum NAD83, :,.Wetlands Busine s 1 District Horizontal Datum:MA Slateplane Coordinate System, MVPC Be Meters Data Sources:The data for this map was produced by Merrimack 7 Exempt Lands Buslne s 2 District Municipal Boundary M gusine s 3 District Valley Planning Commission{MVPC)using data provided by the Town o -» Rall Line Buslna s 4 District HpRTN,q North Andover.Additional data provided by the Executive Office or Genera Business District Qt 4t4K°' rs r't'q Environmental AffairslMassGl$.The Information depicted on this map is Interstates pry planne Commercial Dev } bs s q for planning purposes only.It may not be adequate for legal boundary --I L dafni3On or regulatory interpretation.THE TOWN OF NORTH ANDOVER I Ili Corflde Development Dist 3' M, YR Carrldo Development Dfst O MAKES NO WARRANTIES,EXPRESSED OR IMPLIED,CONCERNING — Roads H Corrido Development Dist �" - — * THE ACCURACY,COMPLETENESS,RELIABILITY,OR SUITABILITY Easements In r o I 1 District >,t OF THESE DATA.THE TOWN OF NORTH ANDOVER DOES NOT Induslri 12 District K t n♦ ASSUME ANY LIABILITY ASSOCIATED WITH THE USE OR MISUSE OF ❑Parcels "6h Industd 13 DisNcl tl'°0 a +r THIS INFORMATION Zo"Ad-.101 ing Overlay Et Industri I S District Adult Entertainment Reside ce 1 District �ySACH115�4 Q Downtown Overlay District Reside ce 2 District Historic District c' Rodd.co 3 District (�Water Protection de ce4 District 'd Hydrographic Features �„=$2 ft de ce 5 District Ede ce6 District --Streams ' ,,,age esldential District 5 G� k l The Commonwealth of Massachusetts Department of Industirial Accidents I Congress street, Suite 100 ' P° Boston,MA.02114-2017 www mass.gov/dia Workers'Compensation Insurance Affidavit:Builders/Contractors/ElectrieiansfPlumbers. TO BB FILED WITH THE PERMITTING AUTHORITY. Please Print Legib Applicant Information Name(Business/Organizationftdividual): k i dellsL UaLLL — Ad&ess: 116 0-'' City/State/Zip: �t l� .016414 Phone#: c' 1$ Areyou an employer?Check the appropriate box: Type of project(1'equii'ed): em to ees full.and/or part-time).* 7. []New construction l.�I am a employer with •c�. . P Y ( 2.�I am a sole proprietor or partnership and have no employees Working for me in 8. Remodeling any capacity.[No workers'comp.insurance required.] 9. ❑Demolition 3.[J lam a homeowner doing all work myself,.[No wozkers'comp.insurance required.]t 10 ❑Building addition 4.❑I am a homeowner and will be hiring contractors to conduct all work on my property. I will 11.❑Electrical repairs or additions ensure that all contractors either have workers'compensation insurance or are sole proprietors with no employees. 12.[]Plumbing repairs or additions 5.❑I am a general contractor and I have hired the sub-contractors listed on the attached sheet. 13. Roof repairs These sub-contractors have employees and have workers'comp.insurance.1 14 El Other 6.Q We are a corporation and its offigers have exercised their right of exemption per MGL c. 152,§1(4),and we have no.employees.[No workers'comp.insurance required.] xAny applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. T Homeowners who shedsubiiti 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(hose entities have employees. If the sub-contractors fiave employees,&,y must provide their workers'comp.policy number. I am an employer that is pNovidirzg-tvorizers'compensation insurance for my employees.'Beloit/is the policy and jolt site information. Insurance Company Name; Policy#or Self-ins,Lic.#: 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 ell as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a and/or one-year imprisonment,as w ay be forwarded to the Office of Investigations of the DIA for insurance day against the violator.A copy of this statement m coverage verification. Ido Hereby certy under the pains andpenalties of pe�''u.�y that the info mation pf ovided alcove�truend cor'f eczDate' f! 3r Si natur Phone#• 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): L ard of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector heract Person: Phone#: Z001/001 DURSO&JANK0ti4SKI INS AGCY ® ■11/30/2015 03:37 FAX 9787940313 JONEILL WORDHOM-o2 DATE(MM/DDIYYYY) CERTIFICATE OF LIABILITY INSURAN '1113012015 RIGHTS UPON THE FICA E HOLDER.THIS IES THIS CERTIFIC AT: IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO THE COVERAGE AFFORIDED Y HE PO lU CERTIFICATE 1;)01; NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND TR ALTER VED sub®ctto E OF INSURANCE DOER NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTWORI BELOW. THI:3 CI:-.TIFICAt , THE CER1 011 les must be endorsed. IF SUBROGATION IS W REPRESENTA'I�I4 1;r 'c® OUCEh_.IderDls an ADDITiIONALENSURED,th®p cYl ) IMPORTANT. iio ,certain policies may require an endorsement. A statement on this certlfloate does not confer rights to the the terms and col II rttone of the Po Y CONTACT certificate hold Or U I Lieu of Such endolslement{S). NAME: as No;(978)688-70 01 PRODUCER PNONfl (978j688-7000 A!C No Ext Durso&Jankowalld II r uurence Agency AooReea: NAIL q 11 Saunders Street INSURER S AFFORDING COVERAGE 1a70g North Andover,N11k 01146 ' lNL1upER A..IVISA Group INSURED INSURER C WOfL11011 1 41Ome SolVtlon8 LLC INSURER D 190 flay jay St.,Suite 173 wgURIM E: Met111Ue1:, I1AA018" INBURQRF; REVISION NUMBER: IOD CERTIFICATE NUMBER: COVERAGES ,.�— (TION OF ANY CONTRACT OR OTHER DOHEREIN IS SUBJECT O ALL T HEIT�MS, THIS IS TO CEIi,TIF I THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSUREDD NAMED ABOVE FOR THE POLICY PER INDICATED. NU'f1N 1I►STANDING ANY REQUIREMENT, TERM OR CO LIMITS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED 6Y PAID CLAIMS' 1 000 000 CERTIFICATE MPN )3 ISSUES OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED EXCLUSIONS ASU;)C_-f---0—_ MMIDDlYYYY--MMIDDIYYYY , POLICY NUMBER EACH OCCURRENCE LTR TYF'li!OF 113URANCE ® 600,00 A }( COMMeaciiLL c e eRAL LITM MPT9992P 1o11812o16 10/1812016 E ■oae�rran�a 6,00 CLAINI,,I•M/C 1Lni OCCUR MED FXP(Any one pereon) $ 11000,000 PERSONAL G ADV INJURY 2,000,000 ------- GENERAL AGGREGATE $ 200,000 PRODUCTS.COMPIOP AGG S GERL AGGREG O E 1111 T APPLIES PER: $ LOC J c EIN D SIN L L M g X POLICY C-Je Ea eceldent OTHER: BODILY INJURY(Per pereon) S AUTOMOeILF LI)t11111-I I BODILY INJURY(Por accident) S R FE ANY AUTO RTY DAMA E ALL OWNS SCHEDULED Po acs do t AUTOS AUTOS NON-OWNED HIRED AUI(9S AUTOS EACHOCOURRENCI_ 9 AGGREGATE 3 UMBRIELLU I.lAI OCCUR EXCESS LOIS CLAIMS-MADE OTM- STATUTE ER DED Lie E F T10N� E 1. E.L,EACI�ACCIDENT WORKERS COM4SN51'i0N AND EMPLOYER I:LU I I-ITY � E,L,DISEASE-EA EMPLOYEE 6 ANY PROPRIETOGSIPAI rNIA I,IERIEXECUTIVE L EL.DISEASE-POLICY LIMIT S OFFICERIMEMBEFI EX%1IOED7 (Mandatory In N111 II YYeo doocrbo urclor PI OESG(RIPTION O.OI LTION3 below /13/LOCATIONS r VEHICI" (ACORD 101,Additional Remarus schedule,may W attachM ed more epees is require DESCRIPTION OF OPEFIATF d) CANCELLATION BEFORE CERTIFICATE H(:IL[II_R SHOULD ANY OF THE AaoVE DESCRIBED POLICIES BE CANCELLED TE EXPIRATION DATE ACCORDANCE WITH THE POLICY PROVISIONS.NOTICE WILL 6E DELIVERED IN LT'North l of 161)rth Andover 11811 ';treat AUTHORIZED RRPR69ENTATIVE Al n hwar,MA 09846 ®1888-2014 ACORD CORPORATION. All rights reserved- ---�-- -' .a.,ontarad marks of ACORD