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HomeMy WebLinkAboutBuilding Permit #70 - 71 Mifflin Drive 7/24/2009Permit NO: Date Issued: TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Date Received IMPORTANT: Applicant must complete all items on this naize LOCATION I� AL1 t=G PROPERTY OWNER --6Z& Print, Print MAP NO: PARCEL: ZONING DISTRICT: Historic District yes no Machine Shop Villaqe ves no TYPE OF IMPROVEMENT PROPOSED USE Resi Non- Residential New Building One family Additionre family Industrial Alteration No. of units: Commercial Repair, replacement Assessory Bldg Others: Demolition Other Septic Well Floodplain Wetlands Watershed District Water/Sewer DESCRIPTION OF WORK TO BE PERFORMED: 6o, 12 (-tem Identification Please Type or Print Clearly) OWNER: Name: Phone: Address: CONTRACTOR Nam Address: Supervisor's Construction License: Exp. Date: Home Improvement License: ( G 1 4 f>( -J Exp. ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE: BOLDING PERMIT: $12.00 PER $1000.00 OF THE TOTAL ESTIMATED COST BASED ON $125.00 PER S.F. Total Project Cost: $ FEE: Check No.:/T,5 1 , ,3 Receipt No.: 00)d — NOTE: Persons contracting with unregistered contractors do not have access to the guar n f nd Signature of Agent/Owner Signature of contract Plans Submitted Plans Waived Certified Plot Plan / S�pmped Plans Building Department The following is a list of the required forms to be filled out for the appropriate permit to be obtained. 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 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 Doc: Doc.Building Permit Revised 2008 TYPE OF SEWERAGE DISPOSAL Public Sewer Tanning/Massage/Body Art Swimming 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 PLANNING & DEVELOPMENT COMMENTS CONSERVATION COMMENTS DATE REJECTED DATE APPROVED Reviewed on Signature HEALTH Reviewed on Signature COMMENTS t 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 DPW Town Engineer: Signature: Located 384 Osqood Street FIRE DEPARTMENT - Temp Dumpster on site yes no Located at 124 Main Street Fire Department sgnatureldate NTS 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 MGL Chapter 166 Section 21A —F and G min.$100-$1000 fine NOTES and DATA — For department use ❑ Notified for pickup - Date Doc:.Building Permit Revised 2008 0 1/1 Location / r'. Del— No. Date NOIIT#y TOWN OF NORTH ANDOVER Of �`••' ',4, i • OL Certificate of Occupancy $ Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # Building Inspector (A m m Icm ,X,w YI m v m v y d � d 'v O CD C's Z y E; o F. r � � o CL =' y 0 CD C O Q CCD O CSD mw a C CD CO) av y �• o cc C � v CO) O 'v Z CD O � • CD O CD goo H C 0 C?OO of =_ 0 doCm y cc E O m c') a*,, d my , - .m T �a,.a .vEr m �O O O O y H O ?o mCD cm S : CD 0 9. O y � . .�„� co) _ CL �m c m CA - C -3 O m CL CO)CL cr CL S C'� mH H O O lu y .'O fn O A ...� O m O . teC*: m�: Vim: _C CD CD Wim: d go CL nR O „O,r t Cos = O o d z p r-4 d '?7 w 0 y IV �7 w q0 b '�7 w ,�O C ro ',tf m C � C r. C a z I -j Cn b - C "xf p CL %� aj d x I • • O z 0 0 omq 09 0 c FIV -1 Greater Lawrence Community Action Council, Inc. Hwap / Wap Program Fax To: Dave From: John Subject 41 Mifflin st North Andover CC: Phone Delivered Date: 7/14 0 Urgent 0 For Review 0 Please Comment 0 Please Reply 0 Please Recycle Comments: Frances Sergi 978-683-9104 New job. Check for top plates in the attic. Lots of pipes to do. Test drill walls felt like maybe f/g or even rock wool to see if we can a Owner very particular about condition of house. Be careful removing Any questions call my cell John 978-590-6504 305 ESSEX STREET LAWRENCE, MA FROM 978-681-4955 OR 978-681-4956 FAX: 978-681-4954 RPE Measure WORKORDER # 3335 Frances Sergi Client 41 Mifflin St North Andover QUANTITY 978-683-9104 TOTAL 1.WEATHERSTRIPPING/CAULKING Revised 7/2008 Door Kits Q -Lon or Equiv. 4 Door Sweeps (Regular) 1 148.00 Door Sweeps (Automatic) 2 12.25 Reglaze Windows /In.inch 0 38.50 Window.Weathstr Schlegal per side 0 0.00 Attic/Basement bypass sealing man/hr 2.75 0.00 Attic sealing with 2 -part foam man/hr 0 151.25 0.00 SUBTOTALS 350.00 2A. I N FI LTRATION/INSULATION Domestic pipe Hot Water Tank 1st 6' 1 Sill Insulation R-19 CF 152 12.30 Drape Perimeter R-5 Anch. Sq. ft. 0 182.40 Drape DOOR f2-5 Anch. 1 0.00 Tape Joints (Aluma Grip only) per hr. 0 36.50 Duct Insulation & Tape Sq.ft. 0 0.00 Rigid Foam Board Anch. 0 60 1/2 inch 0.00 0.00 Hydronic pipe insulation to 1" R-5 271 211 1 inch 78119 Hydronic pipe ins.1.25"-1.5" R-5 52 Steampipe Ins. tol.25" iron pipe R-5 0 173.16 Steampipe Ins. 1.5"- 2" iron pipe R-5 0 0.00 Air Conditioner Meeting Rail 0 0.00 Air Conditioner Cover 0 0.00 0.00 SUBTOTALS _ 1187.55 2B. INSULATION Open Unrestricted R 49 0 0.00 Open Unrestricted R 38 302 338.24 Open Unrestricted R 30 0 0.00 Open Unrestricted R 20 0 0.00 Open Unrestricted R 10 0 0.00 Restrict FUSloped R 30 0 0.00 Restrict FL/Sloped R 20 0 0.00 Restrict FL/Sloped R 10 815 806.85 R-19 FGB open rafters/walls/kneewalls 0 0.00 R-11 FGB open rafters/walls/kneewalls 0 0.00 Attic Stairs(stairwell & common wall) 1 112.00 Cover Pull Down Stairs Thermadome 0 0.00 Site built pull down stairs 2" foam box 0 0.00 W.S. & bat Hatch R-19 /Q -Lon or = 0 0.00 Kneewall R-12 cell behind Per.Memb Open Rafter R-20 Cell. /w poly Basement Overhead R-19 fiberglass Basement Overhead R-30 fiberglass Crawlpace Overhead < 4' high R19 Garage Ceiling cavity filled w/ cellulose Wood, Shake,Clapboard,Shingles Vinyl dense Wood, Shake,Clapboard,Shingles Vinyl 2 -hole Asbestos (single nail) / Asphalt dense Asbestos (single nail) / Asphalt 2 -hole Asbestos (doub. Nail) / Aluminum dense Asbestos (doub. Nail) /Aluminum 2 -hole Brick/Stucco dense Brick/Stucco 2 -hole Vinyl over Asbestos Multi -layered 3 or more layers Drill rough plaster or finish wood plug dense Drill rough plaster or finish wood plug 2 -hole Drill finish plaster dense Drill finish plaster 2 -hole Test Drill Walls (all 4) 0 0 0 0 0 0 1064 if needed 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0.00 0.00 0.00 0.00 0.00 0.00 1478.96 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 53.00 SUBTOTALS _ 2789.05 2. INSULATION TOTAL 2A.+2B. 3976.60 3. STORM WINDOWS/DEADLITES Plexiglass up to 88 u.i. Additional per UI over 88" Glass up to 88 u.i. Additional per UI over 88" 0 0 0 0 0.00 0.00 0.00 0.00 SUBTOTALS 0.00 5. OTHER MATERIAL Ridge vent In ft. Vents Gable rectangular Varipitch Vent Wooden Window vent custom to 42 u.i. Additional over 42 u.i. for vent per u.i. Vent Roof #865 Small Vent Roof #135 Large Vent Soffit Round Vent Soffit Rectangular Turbine Vents All Stack Vent PROPA VENT 0 0 0 0 0 0 0 0 12 0 0 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 276.00 0.00 0.00 0.00 Permable House Wrap 0 Lockset ( door) Schlage or equal 0 Replace Side Stop 0.00 Vapor barrier 0 0.00 Low Flow Shower Head 0 0.00 Low Flow Aerator 0 0.00 Basement outside door only 0 0.00 Basement outside door w/ jambs 1 350.00 Door Repl pre hung 32-36" Steel" 0 0.00 Door Repl interior solid core 28-32" 0 0.00 Door Repl pre hung 32-36" wood* 0 0.00 Rigid Vinyl Repl to 73" U.I. 0 0.00 Rigid Vinyl Repl 74-84" U.I. 0 0.00 Rigid Vinyl Repl 84-93" U.I. 0 0.00 Rigid Vinyl Repl 94-101 U.I. 0 0.00 SUBTOTALS 6./7. E.C. MATERIAULABOR 8. REPAIR MATERIAULABOR Lockset ( door) Schlage or equal 0 Replace Side Stop 0 Replace Casing 0 Glass Replacement to 64 u.i. 0 Glass Replacement per u.i. over 64 0 Sash Sidelock Replacement 0 Shims Replmnt (Plastic) 0 Threshold (Wood) 0 Threshold (Aluminum) 0 L -Brackets 0 Window Controls 0 Vent Bath / Kitchen Fan 0 Dryer vent w/ exhaust duct Heartland 0 Dryer Transition Duct only 1 Parting Bead 0 Slide Bolts 0 Plug Plate Cover 0 Cut / finish attic-kneewall access 0 Cut / close attic-kneewall access 0 Labor Rate Hours 1 storage SUBTOTALS ---------------------------------------------------------------------------- GRAND TOTAL WORK ORDER # 3335 626.00 4952.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 32.00 0.00 0.00 0.00 0.00 0.00 52.00 84.00 5036.60 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 10 working days from acceptance date below: CONTRACTOR/COMPANY: ACCEPTANCE: AUTHORIZED SIGNATURE: AGENCY APPROVAL: AUTHORIZED SIGNATURE: DATE: DATE: Greater Lawrence Community Action Auditor. John Gua Job # First:-(�►4w•e- Address. City. r160t, ►'1- L .17 Zip Code Phone _ , a _ /©, House Type: 1 fam fam duplex other Siding Type: Vinyl Alumn Asb Single Asb Dble i overAsb T111 Brick/ Stucco A ,4,Qo`f Type Hip Y at Gambrel rV� Fair Poor [A Heating System Manufacturer: fh" F�Steam FHA Space Heater Oil Gas,' Electric Wood Wret Coal Pipes Insulated: Yes Treated Ducts: Yes No Domestic Hot Water Tank Gas Oil Electric Tank less 3allons Temp Setting I mb CO: Stack CO: dd 6 Feet of pipe wrap'j ES)�` NO : Client Location Front to out Frontto Hall Rear To out Rear to hall To attic To Basement Basement to out other other other Doors Kits Auto Reg JCa—ulk Caulk Sweep Sweep IN I OUT Location/ Condition Fire place ,�� ! zry Space Heaters - �a-v-. Blower Door Pre - Post Reason not doing Knob and Tube Yes NO Locations l Date inspector called BlowerpoorAir Sealing Comments Damper es �No Client Q&uv �2 Windows F I Direction Client, Basement Conditioned Unconditioned Asbestos Yes No Location Basement Overhead Garage Overhead Sills Drape perimeter Crawl Space Done Steam Iron $hnich h ch h Done Yes No ll9easurments ernent Door Pipes Crawl space Dirt floor Added R I ISO. Feet Steam / Copper FHW .�1 Ducts Mastic seams hrs Square footage Basement Airsealing 0'ptt-/ Drape Repair Caulk _ Ket & Sv Client 41 Mifflin drive North Andover Please indicate: Unheated Common ...... Walls Floor Plan M Exterior wall (,1, 3 .;} X T = )O(py Interior wall 1 �`" X = o° �i v Comments 1st pulled plug feels like do a test drill see if we can add. FIG 2nd 3rd Sq Feet Common Adi Total Please indicate: Unheated Common ...... Walls Floor Plan M Exterior wall (,1, 3 .;} X T = )O(py Interior wall 1 �`" X = Client 41 Mifflin Dr N. Andover Attic Loose Wool or F / G 2.2 Cellulose 3.6 FIG or Wool batts 3.2 Vermiculite 2.3 Vents Type Size Location Amount Present turbine 112 Needed rec soffit vents Insulation Existing R R Added Square Feet Notes LUnfloored r 90 rockwoo/ R 30 302 Floored R 10 R10 23x25 575 R 10 R10 15x16 240 815 Slopes Kneewalls Kneewall Floor Flat Roof Hatches Weatherstrip and Batt Cut And Close Attic Walk u T -Dome Cut and Finish u e Yes No Storage to move es ,.No [o Recessed Lights Cheeks Attic Air Sealing Notes check to see where bath fans are vented out. a a a IA M �1 CL d d d O O 5 v � I y y O O 0_l 8 O O 5 v Attic Inspection dorm Mandatory for all Attic Insulation Jobs Client Name Job # Date Section A: Tobe filled out by wAP auditor during initial interview with client Are there any ee�sed lights in this dwelling ? Locations: YR___ ESI NO Don't Know Secdvn B: To be filled out by auditor upon inspection of the ceiling area beneath the attic ---------------------- 7 Recessed Lighting Fixtures Other potential Heat producers Section C: To be completed by the insulation contractor at the time of installation. Number of recessed lights _ Furnace flues _ should agree with Other heat Producers _ section B. Total Guards needed Section D• To be signed by insulation contractor after completion I have Installed guards Contractor Date: signed Section To be si�ined by the Mvea#herization client. agree that the number of insulation guards indicated have been installed as noted above. have received the notice to the client that was attached below Signature: Date: `---------------------------------------------------- e#achhere and give toClient otece to Weatherization clients: e purpose of the insulation guards is to ensui& that your chyelling is in compliance with the National Electric ,de .The insulation used meets all Federal test spelications. However since insulation retains heat, it is essential I hest producing sources be protected For this reason it is important that the insulation guards not be removed 'red or covered. Be sure to use insulation guards if you install new recessed light fixtures or some similar are. Also be certain not to obstruct any attic ventilation devices. I _.._ - .. ;'�p _6 nbt9irnrtu /� r�..•l�a kt4praGel4 - Uwrd of Building Regulations and Standards Construction Supervisor license License: CS 57754 fi Expiration: 3/4/2010 Tr# 20207 Restriction: 00 WILLIAM D HOPE 589 CHICK13RING RD REAR N ANDOVER, MA 01845 Commissioner ./><¢ l�i0IX418O1t(!/Call/b 6��Lak:QCrrt[O¢�b Board of Building Regulations and Standards L •' ' ' HOME IMPROVEMENT CONTRACTOR Registration, 101730 Expiration, 6/29/2010 Tr# 267903 Type: Private Corporation HRH CONSTRUCTION INC. William Hope 589 CHICKBRING RD. REAR N. ANDOVER, MA 01845 Administrator A i7aa9,-tiF/-R/6 •oui 'uoijonjisuoO H?8H KOM 60 VZ Inf