HomeMy WebLinkAboutBuilding Permit # 3/23/2016 BUILDING PERMIT
TOWN OF NORTH ANDOVER
mm . APPLICATION FOR PLAN EXAMINATION
Permit NO: 1 Date Received ______
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Date Issued:
SP-0—RTANT:A licant must complete all items on this a e
LOCATION 74 Wi1cra Ridge Road
Print
PROPERTY, OWNI `R i hael & Lisa ReichZen
Print
SAP NO: 10.7 F'ARC�L: 8 6 ZONING DISTRICT: Res . 2Historic District y nc
Machin 'Shop Village ye no
TYPE OF IMPROVEMENT PROPOSED USE
Residential Non® Residential
❑ New Building X] One family
L-1Addition ❑Two or more family [i Industrial
Yu Alteration No. of units: [I Commercial
❑ Repair, replacement C=1 Assessory Bldg ❑ Others:
CI Demolition ❑ Other
0 Septic11 Well ❑ Floodplain' ❑Wetlands ❑ Watershed District
1.1 Water/Sewer
Renovate existing master bathroom. Replace existing carry wall with
LVL beam posted to basement . Replace one existing & add one additional
window .
Identification please Type or Print Clearly)
OWNER: game: Michael & Lisa Reichlen Phone.603-361- 1212
Address: 74 Willow Ridge Road
CONTRACTOR Name-
"hone:508-509- 1 6 8 7
Ford Fro erties Inc`.
Awi�dre .
10 Locust Road, I,p,swic.,h , MA 01938
Supervisor's Construction License: Exp. Data:
GS_�-04368 1 12/21„/ 17
F-i”, mprovement License,,, Exp,. Data:
139323 6/27/ 17
ARCHITECT/ENGINEER Same as above Phone:
Address: Reg. No.
FEE SCHEDULE.EULCrNG PERMIT:$12.00 PER$9000.00 OF THE TOTAL ESTIMATED COST RASED ON$925.00 PER S.F.
Total Project Coat: c ,
2 2 , 000 , FEE: �1�°L/�
Check No.: .tea ( Receipt No.: a / `
NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund
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Signature of Agent/Owner „a -� ignature of contract
7 ,
�Town otc10RTH
' Andover
hvee Mass,
COC MIGNEWIC"
�9S RATED
U BOARD OF HEALTH
Food/Kitchen
rER IT L D� Septic System
THIS CERTIFIES THAT ..........................................A jZe;Ctj*j BUILDING INSPECTOR
..............� ...... -el5 ...... .. ......... ..........
.. .. ... .. .. ..........
has permission to erect .. buildings on .J.q Foundation
.. .... ... .. . ..
Rough
to be occupied as .... ... oslw.... � . ............... 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
Rough
VIOLATION of the Zoning or Building Regulations Voids this Permit.
Final
PERM,IT EXPIRESIN 6 MONTHS ELECTRICAL INSPECTOR
LESS TR TION TARTS Rough
Service
................ .... ..... .. ..tfB1U6'_1rNG
............................. Final
INSPECTOR
GAS INSPECTOR
Occupancy Permit Required to 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.
CONSTRUCTION CONTRACT
(three pages total)
This contract dated Larch 9,2016 is by and between the following OWNERS and BUILDER:
OWNER: Michael& Lisa Reichlen Hm Phone
74 Willow Ridge Rd. Cell Phone 603.361.1212
North Andover,MA 01845 Wk Phone
BUILDER: Ford Properties Inc. Office Phone (978)356-9333
10 Locust Road Cell MLH (508) 509-1687
Ipswich,MA 01938 Cell TF (508)509-1686
BUILDER' P.:Mark L. Hovey
1. DEFINITION/SCOPE OF WO
The work located at 74 Willow Ridge Road,North Andover,MA generally consisting of the
following: Renovate Master Bathroom as shown on plan titled"Master Bath Renovation,Michael
& Lisa Reichlen". Specifics for design/details will be decided by Lisa Reichlen as the project
progresses.
2. PRICE:
The estimated total price for the work is twenty-two thousand.dollars($22,000.00). The final
project costs will be determined on a cost plus 18%basis.
3e STARTING AND COMPLETION PROVISIONS:
The work shall start on or before March 15,2016 and shall be completed absent any unusual
circumstances on,Tune 15,2016. Any delay in the start date that is not a direct result of our actions
shall be added to the completion date. The BUILDER shall notify the OWNER of any change to
the completion date that is a result of change in the scope of work. The BUILDER will work
expeditiously to complete the project within the specified time frame. However,the BUILDER
reserves the right to extend this agreement for a period of 30 days if necessary to complete the
project.
4. PERMITS AND APPLICABLE CODES:
All work to be done under this contract will be in accordance with building codes and other
applicable laws presently in force in the Town of North Andover. The BUILDER shall obtain and
pay for all necessary permits from the contract sum provided that it is not necessary to retain
outside consultants (i.e. wetlands specialists,land surveyors, civil engineers). The BUILDER
reserves the right to charge the OWNER for any direct costs related to retaining outside consultants
if necessary.
5. SPECIFIC REQUIREMENTS FOR MATERIALS AND WORKMANSHIP:
This work described in this contract will be completed by the BUILDER in a good and workman
like manner using good quality materials and more specifically in accordance with the attached
plans and specifications. The BUILDER reserves the right to make minor deviations from the
plans and specifications to ensure the structural integrity of the design with prior notice to the
OWNER.
6. PAYMENT:
Timely payment by the OWNER of all sums due under this contract is the essence of this contract.
The parties agree to the schedule of payment as specified below. The BUILDER shall receive
payment within 10 days of invoicing provided that the work for which payment is sought has been
completed in accordance with the Plans and Specifications. The BUILDER may cease operations
if any progress payment is not so made by the OWNER as required herein,and proceed to collect
any balance due in accordance with the arbitration provisions of this Agreement. Alternatively, the
BUILDER may continue operations, as set forth in the attached General Conditions.
PAYMENT SCHEDULE
Semimonthly invoicing for work performed during the invoicing period.
7. ALLOWANCES:
Allowances are included in the specifications and are incorporated into this contract. Allowances
represent retail value of products and services including delivery and sales tax. Generally,
allowances are used on items that require specific selection by you. The allowance figures used in
this contract are based upon our prior experience in building similar homes. If the OWNER
chooses options that total more than the allowance figure listed,the OWNER shall pay the retail
cost for products and services plus BUILDER's markup for overhead and profit @ 18%. If the
actual costs of allowance items are less than the allowance price listed,the client is entitled to
100%of the difference between the allowance price listed and the actual cost of the item.
Page 3 of 3
Invoicing will be handled as a change order. Should the OWNER elect to use vendors not
commonly used by the BUILDER it shall be the responsibility of the OWNER to arrange payment
and delivery to the site. The BUILDER will credit the owner at the next billing cycle for any
balance left in the allowance accounts.
ALLOWANCE SCHEDULE
To be determined.
8. SIGNATURES:
Attached hereto are General Conditions governing the rights and obligations of the parties to this
contract. The parties are further subject to the laws of The Commonwealth of Massachusetts
governing contracts and mechanics'liens. IN WITNESS WHEREOF,we have hereunto set our
hands and seals this 9th day of March 2016.
OWNERS BUILDER
Michael Reichlen Ford PropertieP
Inc. z'/(-'
Timothy Ford, resident
Lisa Reichlen
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The Commonwealth of Massachusetts
Department of Industrial Accidents
1 Congress Street,Suite 100
Boston,ALL 02114-2017
www mass gov/dia
Workers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers.
TO BE FILED WITH THE PERMITTING AUTHORITY.
Apalicant Information Please Print Let=ib1V
Name (Business/Organization/Individu ): FORD PROPERTIES INC.
Address: 10 LOCUST ST.
City/State/Zip:IPSWICH, MA 01938 Phone#:978-468-6653
Are you an employer?Check the appropriate box: Type of project(required):
1.M I am a employer with 5 employees(fill and/or part-time).* 7. Q✓ New construction
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.].
3.®1 am a homeowner doingall work myself t 9. ❑Demolition
y IN workers'comp.insurance required.]
4.❑I am a homeowner and will be hiring contractors to conduct all work on my property. I will 10[J Building addition
ensure that all contractors either have workers'compensation insurance or are sole 11.❑Electrical repairs or additions
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;
6.❑We are a corporation and its officers have exercised their right of exemption per MGL a 14.❑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.
(Contractors 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.
I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site
information.
Insurance Company Name:TRAVELERS INSURANCE CO.
Policy#or Self-ins.Lic.#:3294T262 Expiration Date:9/11/16
Job Site Address:IPSWICH, MA City/State/Zip:01938
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 hereby certify under the pains andpenalties of perjury that the information provided a ove is true and correct.
Signature: "'/ - Date:
Phone M(978)356-9333
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#:
&/-e e1;w;,eawwecr1tX a1C/l1auad,,,felt
Office of Consumer Affairs&Business Regulation
@W-W OME IMPROVEMENT CONTRACTOR
registration 139323 Type:
o-3 Expiration -6t17, Private Corporation
FORD PROPERTIES.I_W
MARK HOVEY -
10 LOCUST ROAD
IPSWICH,MA 01938 Undersecretary
Massachusetts Department of Public Safety
`r Board of Building Regulations and Standards
License: CS-043681
Construction Supervisor
MARK L 14OVEY
129 TQPSFIELD RD
WENHAM MA 01984
Expiration:
Commissioner 12121/2017
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