HomeMy WebLinkAboutBuilding Permit #80 - Foulds Terrace 30 7/31/2007BUILDING PERMIT
TOWN OF NORTH ANDOVER
APPLICATION FOR PLL EXAMINATION
Permit N0: Date eceived / �F
lo -7
TYPE OF IMPROVEMENT
PROPOSED USE
Residential
Non- Residential
❑ New Building
�kOne family
><Addition
❑ Two or more family
❑ Industrial
❑ Alteration
No. of units:
❑ Commercial
❑ Repair, replacement
❑ Assessory Bldg
❑ Others:
❑ Demolition
❑ Other
y�.y�
tr t�eYY_ ¢ 4 y
n £'
nFRCRIPTION OF WORK TO BE PREFORMED:
ri7c- 0(l drinl � 0W4!71QQ / oN 01 4 /(O "X I2
(S UNI?6y>n AI�tJ �X !Z ( Dari W/ JTX+/ef
Identification Please Type or Print Clearly)
OWNER: Name: AI E-P� CA4,� t3oR -T- Phone: 9 ��
ARCHITECT/ENGINEER J"'D14N /Y)4tZ7-/Ae) Phone:
Address: 3 6 LJh1 W060 A4J m DL^�i 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: $ l'q'Z50� Ou FEE: $ J q�
Check No.: & D Receipt No.: --2 b
NOTE: Persons contracting with unregistered contractors do not have access to the guarantyfund
Signature of Agent/O ner Signature of contractor
Location�o
No. Date 6
D
NOTOWN OF NORTH ANDOVER
Oit�•,•,�•O
9
Certificate of Occupancy $
CMU SE<� Building/Frame Permit Fee $
Foundation Permit Fee $
Other Permit Fee $
TOTAL $
Check #
20449
%-Building Inspector
Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑
THE FOLLOWING SECTIONS FOR OFFICE USE ONLY
INTERDEPARTMENTAL SIGN OFF - U FORM
DATE REJECTED DATE APPROVED
PLANNING & DEVELOPMENT
COMMENTS
DATE APPROVED
• N S E R V A T 1, 'ur�"� ■
COMMENTS
HEALTH
COMMENTS
TYPE OF SEWERAGE DISPOSAL
■❑
DATE REJECTED DATE APPROVED
Public Sewer Tanning/Massage/Body Art ❑ Swimming Pools ❑
Well ❑ Tobacco Sales ❑
Food Packaging/Sales ❑
Private (septic tank, etc. ❑ Permanent Dumpster on Site ❑
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
Located at 384 Osgood Street
Dimension
Number of Stories:__ Total square feet of floor area, based on Exterior'
dimensions. /9'a�
Total land area, sq. ft.: C� VCR
ELECTRICAL: Movement of Meter location, mast or service drop requires a rov
Electrical Inspector Yes pp al of
No
DANGER ZONE LITERATURE: Yes
MGL Chapter 166 section 21A —F and G min.$100-$1000 fine NO
r
1
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
Addition Or Decks
/Building Permit Application
4 ---Certified Surveyed Plot Plan
Z� orkers Comp Affidavit
,Photo Copy of H.I.C. And C.S.L. Licenses
��Flcpoy
Of Contract
r/Crossection/Elevation Plan Of Proposed Work With Sprinkler Plan
Pd Hydraulic Calculations (If Applicable)
w/ Mass check Energy Compliance liance Report (If Applicable)
❑ Engineering Affidavits for Engineered products
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
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: INSPECTIONAL SERVICES DEPARTMENT:BPFORM07
Revised 2.2007
CERTIFIED PLOT PLAN
LOCATED IN NORTH ANDOVER, MASS.
SCALE. -I"=30' DATE:7/16/2007
Scott L. Giles R. P. L. S.
Frank. S. Giles R. P. L. S.
50 Deer Meadow Road
FOULDS TERRACE
I CERTIFY THAT
OFFSETS SHOWN ARE FOR THE USE
THE OFFSETS
OF THE BUILDING INSPECTOR ONLY
SHOWN COMPLY
AND SUCH USE IS FOR THE
WITH THE ZONING
DETERMINATION OF ZONING
BYLAWS OF
CONFORMITY OR NON -CONFORMITY
NORTH ANDOVER
WHEN CONSTRUCTED.
WHEN BUILT
of
LAtm
NORTH ANDOVER BUILDING DEPARTMENT
Tel: 978-688-9545
DEBRIS DISPOSAL FORM
In accordance with the provision of MGL c 40 S 54, a condition of Building Permit
at: 3.0 Foc" T T51Ahu=' is that the debris resulting from this work shall be
disposed of in a properly licensed solid waste disposal facility as defined by MGL
c11,S150A.
Also, note Permits are required under Fire Prevention laws. Chapter 148 Section
10A.
The debris will be disposed of in:
(Location of Facility)
00_1Sigr4t_ure of Permit Applicant
Fire Department Sign off: felm"
Dumpster Permit C� �'-�' lt�
-?-)a-D -�
Date
09/13/2006 14:25 6177961086 INSPEU11UNAL StKV1Lt rHuc Ul; Gl
ENERGY CONSERVATION APPLICATION FORM FOR
LOW-RISE RESIDENTIAL NEW CONSTRUCTION and ADDITIONS
780 CMR Appendix J
Applicant Name: DAR2eW /M10 -m-0
Applicant Address: VV ADDiJo.0 Ave &Ar•
Applicant Phone: - 06Z 3 3ft
Compliance Path (check one):
Site.A.ddrCSs: 30 FOIA04 71A4ACe:
City/Town: Al. 4tjDiveA, /PA-
use
hAUse Group: )Z" • -
Date of Application: _ —
Applicant Signature:
❑ Prescriptive Package (i.lmi'ted to 1- or 2 -family wood frame buildings heated with fossil fuels Only)
Package (.A through KK from Table J5.2.1 h): T-Teating Degree bays from Table .15.2.1 a:
(For items d. through i., rI11 in al,l values that apply from Table J5.2. lb:)
a. Gross Wall Arca _ sq.ft .f. Wall R -value R-
b. Glaring Area' „, sq.ft. g. Floor R -value it -
c. Glazing % (loo x b n)„_,_. % h. Basement wall
d. Glaring U -value U- i. Slab Perimeter. R
C, Ceiling R -value lt- j. Heating ARM
❑ Component Performance: "Manual 'Trade -Off' (Limited to wood or metal framed buildings only)
Climate Zone (front Fi.gurc J6.2.�:) ❑ zone Iz ❑Tone 13 ❑ Zone .14
Attach Trade -Off Workrheer front Appendix J, [and HVAC Trade-OJf "Worksheet, if applicable)
❑ MAScheck Software
nttaeb Coinpltance Report and fr cpection Checklist printouts
❑ Home Energy Rating System . valuation .
Attach Nome Energy Rating Certificate (HERS rating score must be 83 or higher)
❑ Systems Analysis OR ❑ Renewable Energy Sources
Attach Mass Registered Architect or .En.gineer. Analysis
O 11r I1AI1
ALTERNATIVE FOR ADDITIONS ONLY.-
a.
NLY:a. Gross Wall + Ceiliog.Area 512sq.ft. b. Glazing Area'” 05 sq.A, c. Glazing %(100x h+u) Q0 %
❑ ADDITION with Glazing % (c.) tip to 40% may use 780 CMR Table J 1.1.2.3.1 below:
MAXIMUMU-valnc MINIM. M R-Voluen
penintretlo ` Cdtlfn '
Wnll Moo
Ba"oment We11 Slnh .Perimeter, Depth
0.39' R-17
R-13.0-19
R-10 R-lA 4 .R
i Glazing Area may be either Rough upenmg or unit onnensions,
2 Based on NFRC listing. Applies either. to every unit, or to area -weighted average of all units,
t R-30. ceiling insulation maybe used in place of R-37 if the insulation achieves the full R -value over tate entire ceiling area
(i.c,- not ctmtpreascd over exterior walls, and including any access opaniogs.)
❑ "SUNROOM" addition (gri:ater than 40% glazing -to -wall and ceiling gross area)
Attach "Consumer Information 1' Drm ' froth, 780 C.MR Appendix B.
Official's Namc: __, Official's Signature: -_
Application Approved ❑ Denied ❑ Date of.Approva;l/DeniaL-
Reason(s) for. Denial: (provide additional details as needed on back side)
The Commonwealth of Massachusetts
Department of Industrial Accidents
Office of Investigations
600 Washington Street
Boston, MA 02111
www massgov/dia
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
licant Information rs
. avwa` 1 ! ljilt LC DIV
Name (Business/Organization/Individual): A��
/l t)
Address:
City/State/Zip: A6 1, U /7714 Phone #: 979-90Z 3-?
Are you an employer? Check th
• e appropriate box:
1 • ❑ I am a employer with 4. ❑ I am a general contractor
2Nemployees (full and/or part-time).*
I am a sole proprietor or
and I
have hired the sub -contractors
listed
partner-
on the attached sheet. _
ship and have no employees
These sub -contractors have
working for me in any capacity.
[No workers' comp, insurance
workers' comp. insurance.
5. ❑ We are a corporation
3 • ❑required.]
I am a homeowner doing all
and its
officers have exercised their
work
myself. [No workers' comp,
right of exemption per MGL
c. 152, § 1(4), and we have
insurance required.] t
no
employees. [No workers'
comp insuranc
Type of project (required):
6. ❑ New construction
7. ❑ Remodeling
8. ❑ Demolition
9. Building addition
10.❑ Electrical repairs or additions
I 1.0 Plumbing repairs or additions
12•❑ Roof repairs
e required ] 13 ❑ Other
*Any applicant that checks box #I must also till out the section below showing their wodcers' compensation policy mformahon.
i Homeowners who submit this affidavit indicating they are 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.contrnctors and their submit
n _ g s
•-
�••� w� cmproyer inert is providing workers' compensation insurance for my employees. Below is the policy and job site
information.
Insurance Company Name:
Policy # or Self -ins. Lic.
Expiration Date:
Job Site Address:
it
Attach a copy of the workers' compensation policy declaration e (showing ti
( he Policy p number and expiration
Failure to secure coverage as required under Section 25A of MGL . 52nal penalties of a
can lead to the imposition of criminal ation datea
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 $250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of
Investigations of the DIA for insurance coverage verification.
- •-�• - ✓ ..crgyy unaer me pains and penalties of perjury that the Information provided above is true and correct
na re• y
c Date 0 —6 —0 %
Vim— S3 S°ld
Official use only. Do not write in this area, to be completed by city or town uJficiat:
City or Town: Permit/License #
Issuing Authority (circle one):
1. Board of Health 2. Building Department 3. City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector
6. Other
Contact Person:
Phone #:
Of -lb -040( l_tNNUA 1NbUXHNUt HlatNLY (Ul byti (33( F'HUtl
DATE IMMIDDIYY)
ACORD„ CERTIFICATE OF LIABILITY INSURANCE 07/16/07
PRODUCER Lennox insurance Agency Inc I THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
553 Salem St ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
Lynnfield, CA 01940 j ALTER Tye QPVf I8&Q9 AFFORDED BY THE POLICIES BELOW.
781-698-7132
INSURERS AFFORDING COVERAGE
NAIC 0
GARAGE LIABILITY
L U ANY AUTO
EXCESS UAWL17Y
I OCCUR L] CLAIMS MADE
PROPERTY DAMAGE
(PeroocLY
AUTO ONLY - EA ACCIDENT
OTHER THAN EAACC
I AUTO ONLY: Ai.n_
EACH OCCURRENCE _
AGGREGATE _
1( i DEDUCTIBLE I -
U RETENTION `
WORKERS COMPENSATION AND I( WC STATU-
EMPLOYERS' UABRJTY I T J. OR
E ANY PROPRIETOR I PARTNER I EXECUTIVE I E.L. EACH ACCIDENT _
OFFICER IMMMBER EXCLUDED? E.L. DISEASE • EA EMPLOYEE
It yea, des0be under —•
SPECIAL PROVISIONS wow. _ I I E.L. DISEASE _,_POLICY LMR
OTHER I
DESCRIPTON OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSION$ ADDED BY ENDORSEMENT I SPECIAL PROVISIONS
CERTIFICATE HOLDER
F*
neff casaburri
30 IDuids terrace
' north andover, MA 01801
L._... I _
ACORD 25 (2001/08)
CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
iEXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO !SAIL
30 OAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO
THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABIUTY
OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES.
AUTHORIZED RE NTATIVE
y/1"-
® ACORD CORPORATION 1980
INSURER A Penn 8nledCa .
INSURED�
Darren Martino
44 Addison Avenue ext.
I INSURER B:
1 INSURER C
Methuen, MA 01844-
! INSURER D:_ ,
INSURER E:
COVERAGES
INSURER F:
THE POLICIES OF INSURANCE LISTED 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 IS SUBJECT TO ALL 1HE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH
POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR
ADM
D
man_
TYPE OF INSURANCE
_ POLICYNU
_
j POLICY EFFECTIVE , POLICY EVIRATION I
DATE 1•- DAA LIMITS -
GENERAL LIABILITY
!MBER
EACH OCCURRENCE 300
{Nj COMMERCIAL GENERAL LIABILITY
;PaC6519799
08/08/06
I iWD
08/08/07 i POR MISESOIF.RaEomffe92d
nrI CLAIMS MADE Vj OCCUR
'MED EXP (Any one person)
�___ •• _ _
!
A
I I
PERSONAL 8 ADV INJURY 800
IJ
(
GENERAL AGGREGATE 6013
I
GEN L AGGREGATE LIMIT APPLIES PER..
; PRODUCTS COMPJOP AGG7 o
_
n POLICY I I PROJECT U LOC
AUTOMOBILE LIABILITY
i _.. .'...
COMBINED SINGLE LWlIT
-
n ANY AUTO
(Ee accident)
I . j ALL OWNED AUTOS
❑
I
'BODILY INJURY
B
❑
SCHEDULED AUTOS
I
I (per person)
I
r� HIREDAUTOS i
I
_
BODILY INJURY
I i NONOWNEDAUTOS
(Peraccixtenq
GARAGE LIABILITY
L U ANY AUTO
EXCESS UAWL17Y
I OCCUR L] CLAIMS MADE
PROPERTY DAMAGE
(PeroocLY
AUTO ONLY - EA ACCIDENT
OTHER THAN EAACC
I AUTO ONLY: Ai.n_
EACH OCCURRENCE _
AGGREGATE _
1( i DEDUCTIBLE I -
U RETENTION `
WORKERS COMPENSATION AND I( WC STATU-
EMPLOYERS' UABRJTY I T J. OR
E ANY PROPRIETOR I PARTNER I EXECUTIVE I E.L. EACH ACCIDENT _
OFFICER IMMMBER EXCLUDED? E.L. DISEASE • EA EMPLOYEE
It yea, des0be under —•
SPECIAL PROVISIONS wow. _ I I E.L. DISEASE _,_POLICY LMR
OTHER I
DESCRIPTON OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSION$ ADDED BY ENDORSEMENT I SPECIAL PROVISIONS
CERTIFICATE HOLDER
F*
neff casaburri
30 IDuids terrace
' north andover, MA 01801
L._... I _
ACORD 25 (2001/08)
CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
iEXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO !SAIL
30 OAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO
THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABIUTY
OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES.
AUTHORIZED RE NTATIVE
y/1"-
® ACORD CORPORATION 1980
DM Co
11W_r.Building with the Q1JALrrY and a2facter of yesteryear.
44 Addison Ave Em.
Methuen, MA 01844
(978) 685-3037
Estimate Submitted To:
Neff Casaburri
30 Foulds Terrace
N. Andover, MA
We hereby purpose to furnish the materials indicated and perform the labor necessary for the
completion of:
Sunroom addition(See specifications and drawings)
All material is guaranteed to be as specified, and the above work to be performed in accordance
with the drawings and specifications submitted for above work and completion in a substantial
workmanlike manner in the sum of. Forty nine thousand two hundred fifty dollars -$49250.00
Payments to be made as follows:
Initial payment $10,000.00
Remaining payments as work progresses.
Respectfully submitted: Darren Martino
Any alteration or deviation from the above specifications involving extra costs will be executed
only upon written order, and will become an extra charge over and above the estimate. All
agreements contingent upon accidents, or delays beyond our control.
Note -This proposal may be
withdrawn if not accepted within 10 days.
Proposal Date 6/28/07
ACCEPTANCE OF PROPOSAL
The above prices, specifications, and conditions are satisfactory and are hereby accepted. You
are authorized to do the work as specified. Paymentswill be m de as outlined above.
Date: Signature:
Fj
Ne- IN i
Casaburri Sunroom
Specifications Sheet
Scope of work Demolition of existing porch and construction of a new sunroom and
deck Approximate size of sunroom 12'x 16' and deck 6'x 12
Permits
DM Construction is responsible for obtaining the following permits required:
building, electrical, and dumpster. The cost of these permits will be billed separately and
is not part of this contract. If any other permits are required this could incur extra cost.
Demolition
The existing deck will be removed. The existing side will be stripped back as
deemed necessary. The existing exterior slider will be removed.
Debris Removal
DM Construction is responsible for all debris generated. A container will be
place on site to ensure a clean work site. The container is for debris generated by DM
Construction only, it is not intended for homeowner use.
Concrete work
Sona tube footings will be installed to support the sunroom and the deck A
cement pad will be poured to support the bottom of the stairs.
Framing
The sunroom will be framed 12'x 16' w/ a gable roof.
Roofing
The sunroom will be roofed with the shingles to match existing conditions. The
existing roof shingles will be stepped back to allow for new roof to be tied in. Ice and
water shield will be installed 3' along the perimeter and in all valleys. A continuous
ridge vent will be installed on the sunroom roof. Due to age an elements new shingles
may not match the existing shingles.
Siding
New hardi plank siding will be installed on the sunroom addition matching the
exposure of the existing house. Siding on the main house will be stepped back as deemed
necessary for a seamless transition.
Exterior trim work
All exterior trim including fascia, softs, rakes, corner boards, etc. will be pvc
boards.
WindowMderior door installation
The windows and exterior doors will be installed The cost of these items is
covered under an allowance.
Insulation
The sunroom will be insulated to meet or exceed local building codes.
Walls R-19 Floor R-30 Ceiling R-30
Casaburri Sunroom
Specifications Sheet
Drywall
%2 " blue board and a plaster skim coat will be install to new walls and ceiling.
Ceilings will receive a smooth finish.
Finish
The windows and doors in the sunroom will receive trim to match existing
conditions of the main house. S %2 " base board will be installed in the sunroom. A new
15 lite interior French door will be installed between the sunroom and the dining area,
replacing the existing exterior slider.
Painting Interior
New plaster walls and ceiling to receive a primer and 2 coats of finish. All new
trim to receive a primer and 2 coats of finish. All paint supplies to be Benjamin Moore
unless other is requested. (Colors to be determined)
Painting -Exterior
All new pvc trim boards to receive I coat of finish paint. All new siding to come
primed and receive two coats of finish. All paint supplies to be Benjamin Moore unless
other is requested. Siding and trim to match existing house colors.
Electrical
Demolition of any wiring or light fixtures as deemed necessary. Provide
receptacles to code. Install one cable jack Provisions for two coach lights and one spot
light. The cost of all light fixtures and recess lighting is covered under an allowance.
Provide one exterior GF[ receptacle on the deck
Heating and Air Conditioning
Extend existing duct work* into new sunroom addition. The sunroom will be an
extension of the existing zone and will not be zoned independently.
*DM Construction reserves the right to adjust the price of this contract, if after a
site visit by the HVAC contractor it is determined that the existing kitchen zone cannot be
extended.
Tile Installation
Prepare sub floor for tile installation and install tile. This estimate includes
standard tile installation only, and patterns such as diagonal could incur extra cost. The
cost of the tile and grout is covered under an allowance.
Gutters
New gutters will be installed on the sunroom addition and as deemed necessary
on the main house rear.
�� i
✓1ze �,,,,,,nooauiealbi o�,�,cioaac�ivaeffd
at L i
BOARD OF BUILDING REGULATIONS
License: CONSTRUCTION SUPERVISOR
Number CS . 066342
Birthdjte 08H5/1971
:-
Expires: 08/151200 7 Tr. no: 2502.0
ReMHCW& 00
DARREN MARTINO. '
44 ADDISON AVE EXT G
METHUEN,
MA 01844 Commissioner
_ = Board of Building Regulations and Standards
HOME IMPROVEMENT CONTRACTOR
Registration: 124961
Expiration: 9/17/2007
Type: Individual
DARREN MARTINO
Darren MARTINO
44 ADDISON AVE. EXT.
METHUEN, MA 01844 Administrator
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