HomeMy WebLinkAboutBuilding Permit # 3/26/2016 BUILDING PERMIT
TOWN OF NORTH ANDOVER 0 a
APPLICATION FOR PLAN EXAMINATION
Permit NO: l Date Received
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Date Issued:
IMPORTANT:Applicant must complete all items on this page
LOCATION Gotq �� �haoL rV. At do 1ch-
Print
PROPERTY OWNER pN'me_ a k:r
Print
PARCEL:tbSl ZONING DISTRICT: Historic District yes n'
Machine Shop Village yes na
TYPE OF IMPROVEMENT PROPOSED USE
Residential Non-Residential
0 New Building Ybne family
❑I.ddition 1 Two or more family Industrial
Alteration No.of units: L,Commercial
Repair,replacement Assessory BldgI I Others:
D Demolition ❑Other
I,Septic I I Well I I Floodplain i I Wetlands i i Watershed District
i-w'VVaterlSeweryy c
CA 4�1`_ cxrc4 tS �?r� e}s�1 hG.1u s fZ10C�^
a�Sltv�a C�_ INC, 6o')V j
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R. nev 'A�) lrawl'.>'y 6-ll, 0.),,) 'ba- cave-, v i_eca
Identification Please Type or Print Clearly)
OWNER: Name: "M'c lIgc_ Phone: q 76- 6)$
Address: 'S(o Ccl ml<. h,,4c , dot Aydove-
CONTRACTOR Name: Phone: Soe Sd,' 9619
"Toi.aAIn-- ®'s'Alou��
Address,': -72 Prevrc),r,ec }-I=li 120A4h; rvX ole-l(l
Supervisor's Construction License: (ZSe-076043 Exp: Date:
Home Improvement License: 1 S�i YY�I Exp; Date: 4/'_i r e
ARCHITECTIENGINEER F%X Ena:nrrnf Phone: 974- 4(.�'y ��I
Address:a s:i r- L«JCC P) IVew5 y T Reg.No.
FEE SCHEDULE:BULDING PERMIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$925.00 PE`R�S.F.
Total Project Cost:$ C3�, Q}IC)s c) FEE:$ -I
Check No.: "�0Receipt No.:
NOTE: Perso s contrachni with unregistered contractors do not have access o the guaranty fund
Signature of Agent/Owner 11-AM —' Signature of contractor°
Town of; Andover
No.
h ver, Mass, Ad
BOARD OF HEALTH
Food/Kitchen
E R I
; 4! •
ILD. Septic System
THIS CERTIFIES THATS •. A BU
ILDING INSPECTOR
.......... 4...... ...............!!!! ....... . .......................I...........
has permission to erect..........................buildings on.3.111P... c....., Foundation
Rough
to be occupied as ..N... . . .....01,111AIIIISIL.............. Chimney
provided that the person accepting this permit shall in every respect conform o fl"rms oTMe'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
PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR
UNLESS CONSTRUCTION STARTS Rough
Service
` .2.t ..........,..........,.,,.....
BUILDING Final
..R,
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 bone FIRE DEPARTMENT
Until Inspected and Approved by the Building Inspector. Burner
Street No.
Smoke Det.
RBUILDING
LING
COOR
MASSACHUSETTS HOME IMPROVEMENTS CONTRACT
This form satisfies all basic requirements of rite state's Home Improvement Contractor Law(MGL chapter 142A),but does not include standard language to
protect homeowners.Seek legal advice if necessary.Any person planning home improvements should first obtain a copy of Massachusetts Consumer
Guide to Home Improvement'before agreeing to any work on your residence.You may obtain a free copy by calling the Office of Consumer Affairs and Business
Regulator's Consumer Information Hoping at 617-973-8787 or 1-888-283-3757 or on our website.
Homeowner Information Contractor Information
Name Company Name
Mr.&Mrs.Hoye
Street Address(do not use a Post Office Box address) Contractor/Salesperson/Owner Name
36 Colgate Drive 'a _.-c..va`
City[Town State tip Code Business Address(must include a street address)
North Andover,MA 01845V_ CAW,*-
Daytime Phone Evening Phone 978-618.9209 Ciryif`,own State Zip Code
Email:mhova.ts ama l,com S&sft,
Mailing Address(It different from above) Business Phone Federal Employer ID or S.S.Number
Hone Improvement Contractor Reg,Number ljli 1'
Explratondate 4-' 21=
The Contractor agrees to do the following work for the Homeowner:
(Describe in detail the wok to complete,specifying the type,brand,and grade of materials to be used,use additional sheets if necessary.)
The following Scope of Work has been figured on plans by Harborhouse Designs,LLC dated 1-22-16 Work to include removing the roof system above the
garage,install a knee wall to gain additional ceiling height,constructing a new roof system,finishing the room above the garage,staircase and mudroom.
Project allowance amounts are listed below and will be finalized once all selectors have been made.Addendum A(Estimate Breakdown)Contract has been
figured on a Cost Plus 15%Overhead and Profit.
• Building permits per the Town of North Andover.
• Disposal of all construction related debris.
• Job site cleanup up and debris removal.
Demolition work to include the removal of the existing roof structure over the garage,second floor garage walls and selective demo throughout the
work area.
Remove and re install the garage doors as needed.Allowance listed.
• Rough carpentry to include the construction of a new roof structure,new exterior second floor walls and mud room modifications.
• Roofing to be asphalt shingles.Calor to be similar to existing.An exact match may be hard due to the age of the existing.
• Insulation per code:R-21 batt insulation exterior walls,R-30 haft insulation garage calling,treads to have mud board,garage exterior walls R-15,
sloped ceiling R-38 insulsafe blowing insulation and air sealing.
• Drywall work to include the garage walls,ceiling,mudroom walls,mudroom ceiling and the family suite.Drywall to be finished ready for painting by
others.51W drywall per code in the garage.
• Install new Harvey Classic double hung windows per plans.
Install new vinyl siding at the front of the garage and to the left side of the garage.Reuse the existing siding along the back and the right side of the
garage.
• Exterior door adjustment per plans leading out to the deck.This is needed to allow for the stairs to work.
. Interior carpentry includes the following:Install anew fire rated garage entrance door,interior doors per plans,baseboard molding,and window
door casings.
• Misc.carpentry work has been figured for the removal and replacement of the drywall in the new room adjacent to the kitchen for a mechanical
chase from the basement.
• Install closet shelving per allowance,install the bar area cabinets.Cabinet allowance listed below.
• Staircase finish to include him and handrail Stair tread finish to be for carpeted stairs.
• Plumbing work to include code upgrades,re working the existing plumbing and installation of the new plumbing fixtures.Vtrk to include the
bathroom.Plumbing facture allowance listed below.
Heating has been figured on installing baseboard heat coming from the existing boiler.A/C not figured at this time.Window units may be the best
approach for a cost savings.
• Bathroom to have a vanity with a top.Allowance listed below.
• Flooring:family room and stairs to be carpeted and the mudmom I bathroom to be ceramic tile.
Electrical work to code and to include the following.
1. Garage area;demo existing wiring,add switching for(4)4'florescent strip lights,add receptacles to code for the door
openers and general use and heat detectors to code.
2. Mud room;demo wiring,add switching for flush mount lights,provided by owner,add receptacles to code,upgrade sub
panel and sub feeder to code,add smoke detectors to code,replace back flood light with motion sensor.
3. Family suite:add receptacles and switches per code,add(6)5"recessed lights,add wiring and support for(2)ceiling
fans,fans provided by owner,add 20 amp circuit for the window AC,add vanity light,GFI,fan I light in bathroom,add
smokes per code,add coaxial cable with wall jack and circuit for mini fridge.
Allowances listed above:
Building permit @ $1,100.00
Bathroom vanity including the top @ $300.00
• Garage door adjustment @ $1,200.00
Shelving materials $150.00
• Plumbing fixtures:
o Bathroom shower unit @ $600.00
o Shower valve and tdm @ $185.00
o Toilet @ $250.00
o Vanity sink @ $90.00
o Vanity faucet @ $75.00
Flooring:
o Bonus room 8 stair carpet @ $2,784.00
o Mud room&bathroom materials @$5 stf $900.00
Total for the above project scope of work and specifications: $82,830.00
Required Permits— Building permit Proposed Start and Completion Schedule-The following
schedule will be adhered to unless tdreumslances beyond the contractors
control arise.
(Owners who secure their own permits will be
excluded from the Guarantee Fund provisions of 3-30.16 Date when contractor will begin contracted work.
MGL chapter 142A.)
6-17-16 Date when contracted work will be substantially completed.
Total Contract Price and Payment Schedule
The Contractor agrees to perform the work,furnish the material and labor specified above for the total sum of$82,8100
Payments will be made according to the following schedule:
$8,283.00 10%Deposit Upon signing contract(not to exceed 113 of the total contract price or the cost ofspeaalolder items,whichever is greater)
$16,566.00 20%Upon the staff of the project
$16,566.00 20%Upon the of the completion of demolition and the start of the frame.
$16,566.00 20%Rough inspections completed and the start of insulation
$16,566.00 20%Drywall complete and the start of carpentry
$8,283.00 10%upon substantial completion of the contract(Law forbids demanding lull payment unlit contract is completed to both party's satisfaction)
The following materiailequipment must be special$0 to be paid for NIA
ordered before the contracted work begins in order to meet the completion schedule.(")$0 to be paid for N/A
NOES:0kuhdrgall fwadwgesMLaw reov Many a P refired byHiewnhdabefarew+xkbegins may
notexceedthe greater of(a)aaftlofthetotal antractOcea@)theadudcostofany qecW e*mentorcustom made mateial
wft nwtt be speed adered n advame th meet the eaotian sdrethde.
Expresswan*-IsanoVmwamrd bdgp vWedbyHreoontra W[RotYes(dt ofHrewam*mustba tothecon t)
Su -The contractor agrstobesaelycespamNeforwoondgrework dewibedregardless oftheactions ofanygSdpo
ukedbythe whclv.The agrees b be W*mstoonsible for al payments to all subconballas br materialsand Wundertldeagreement
Cactract Aaeplansa-!)pon signing,this doaxn�t becomes a 6ln�g contract ands Imo.lhdess athenfse nond withn ths dacumad,the
antract shefl nct irrQly Hud any fen a has b een p a the residence.Remev Hai 9 auliax and natio
we*bsiore signing M contract.
Mont be pawedat*the cmdract.Tie tunela read and k*undersbditAsk questions Hsome*nwulear.
Ifte was the contrak hes a valld Home krgroeaW Centrads Registration.The lax naganas most home tmluownod conbadas
subountradasnberagisleredwiththe UredorofHonekipromwtCantractaRep hf n.You may bx habout a Won
regisbalimbyw*gtithearefrat10ParkPlaza,Room5170,Boston,MA 02116 or4Wng617-8738767or892833757.
Moes the conb*havenstrance?AskHieCodwdakxfdsnsxoueconpenynRxmatiosoHudyoucanconkrm=wage,oraskto
see a copy of a'pmof of kce'document
Mayour dgNsand mWoWn Read the lmpaiwtWonastiononthe reveree"ofthis femand getaopyoftheConsana
Guide to the Home Inprovement COMMON taw.
You may camel His agreement H I his been sigoad at a place Dido to the contracta's mmW place of business,faawded you notify the
contractor in werg at Wier min office or brandy ollke by or5rwy mall pok,by tern sato or by dewy,not War than 6*l d of He
third business day % IofthisagreementSeethedachedndieaofcancellationkxmforanexplanationofHisfight
DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACESIH
Two ides iat oapies ofthe oan must be completed and signed.One my should go to the homeoww.The other copy should be kept by the
contractor
w
HomeowneesS dors Signature
Date Date
Contractor Arbitration
The Home Improvement Contractor Law provides homeowners with the right to initiate an arbitration action(as an alternative to court acdon)if
they have a dispute with a contractor.The same right is not automatically afforded to a contractor,however.The contractor would have to resolve
any dispute helshe has with a homeowner in court unless both panties agree to the optional clause provided below.This clause would give the
contractor the same right to arbitration as is afforded to the homeowner by the Home Improvement Contractor Law.
The contractor and the homeowner hereby mutually agree in advance that in the event the contractor has a dispute concerning this contract,the
contractor may submit the dispute to a private arbitration firm which has been approved by the Secretary of the Executive Office of Consumer
Affairs and Business Regulation and the consumer shall be required to submit to such arbitration as provided In Massachusetts General Laws,
chapter 142A.
IVA
F.
Homeowner's Si '
ors Signature
NOTICE:The signatures of the parties above apply only to the ag parties to altemative dispute resolution initiated by the
contractor.The homeowner may initiate alternative dispute resolution even where this section is not separately signed by the parties.
Homeowner's Rights
A homeowner's rights under the Home Improvement Contractor Law(MGL chapter 142A)and other consumer protection laws(i.e.MGL chapter
93A)may not be waived in any way,even by agreement.However,homeowners may be excluded from certain rights if the contractor they
choose is not property registered as prescribed by law.Homeowners who secure their own building permits are automatically excluded from all
Guaranty Fund provisions of the Home Improvement Contractor law.The contractor is responsible for completing the work as described,in a
timely and workmanlike manner.Homeowners may be entitled to other specific legal rights if the contractor guarantees or provides an express
warranty for workmanship or materials.In addition to guarantees or warranfies provided by the contractor,all goods sold in Massachusetts carry
an implied warranty of merchantability and fitness for a particular purpose.An enumeration of other matters on which the homeowner and
contractor lawfully agree may be added to the terms of the contract as long as they do not restrict a homeowners basic consumer rights.If you
have questions about your consumedhomeowner rights,contact the Consumer Information Hotline(listed below).
Execution of Contract
The contract must be executed in duplicate and should not be signed until a copy of all exhibits and referenced documents have been attached.
Parties are also advised not to sign the document unfit all blank sections have been filled in or marked as void,deleted,or not applicable.One
original signed copy of the contract with attachments is to be given to the owner and the other kept by the contractor.Any modification to the
original contract must be in writing and agreed to by both parties.Contracted work may not begin unfit both parties have received a fully executed
copy of the contract,and the three day rescission period has expired.
Accelerated Payments
A contractor may not demand payments in advance of the dates specified on the payment schedule in cases where the homeowner deems
himAherself to be financially insecure.However,in instances where a contractor deems himlherself to be financially insecure,the contractor may
require that the balance of funds not yet due be placed in a joint escrow account as a prerequisite to continuing the contracted work.Withdrawal
of funds from said account would require the signatures of both parties.
Additional Information
If you have general questions or need additional information about the Home Improvement Contractor Law or other consumer rights,or if you
wish to obtain a free copy of"A Massachusetts Consumer Guide to Home Improvement'contact:
Consumer Information Hotline
Office of Consumer Affairs and Business Regulation
10 Park Plaza,Room 5170,Boston,MA 02116
617-973-8787,888-283-3757 or well the OCABR website at rF _
If you want to verify the registration of a contractor or if you have questions or need additional information specifically about the contractor
registration component of the Home Improvement Contractor Law,contact:
Director of Home Improvement Contractor Registration
Office of Consumer Affairs and Business Regulation
10 Park Plaza,Room 5170,Boston,MA 02116
617-973-8787,888-283-3757 orvisitthe HIC website at h11.0,, _,=mass cons f'
Go online to view the status of a Home Improvement Contractor's Registration 11110do tali aM _ .Dr=yv ua
For assistance with informal mediation of disputes or to register formal complaints against a business,call:
Consumer Complaint Section
Office of the Attorney General
617-727-8400
AND/OR
Better Business Bureau
508-6524800,508.755-2548 or 413-734-3114
FBUILDINEIDELOING� REMt�
TRACTR
72 PROVIDENCE HILL ROAD 185 ATLANTIC AVENUE
Atkinson,NH 03811 Salisbury,MA 01952
603.489.1568 508.523.9635
DATE:March 25,2016
Hoye Residence
ADDENDUM A(Estimate Breakdown)
The following Estimate has been figured on plans by Harborhouse Designs,LLC dated 1-22-16. Work to include
removing the roof system above the garage,install a knee wall to gain additional ceiling height,constructing a
new roof system,finishing the room above the garage,staircase and mudroom. Once all items are selected and
construction methods have been established a final proposed amount will be presented. Project allowance
amounts are listed below and will be finalized once all selections have been made.
1.0 GENERAL CONDITIONS $3,110.00
Project management t supervision
Job site dumpsters and debris removal
Job site general labor and cleanup
Temporary protection during the project
Post construction cleaning
Architectural drawings
2.0 DEMOLITION $3,830.00
3.0 SITEWORK $0
4.0 FOUNDATION $160.00
5.0 MASONRY $0
6.0 STEEL&FASTENERS(Include in Carpentry-Frame,Division 7.0) $0
7.0 CARPENTRY-FRAME $15,500.00
A. LABOR $7,000.00
B. MATERIALS $8,500.00
8.0 CARPENTRY-FINISH $5,308.00
A. LABOR $2,890.00
B. MATERIALS $2,418.00
Carpentry items include: Interior doors,window/door trim,baseboard,vanity cabinet install.
9.0 DOORS&WINDOWS $2,380.00
Install labor included.
Harvey vinyl classic units.
10.0 THERMAL&MOISTURE PROTECTION $13,150.00
Includes Siding,insulation and roofing.
11.0 INTERIOR SHEATHING $6,000.00
Drywall
12.0 PAINT&STAIN $
13.0 CABINETRY(use allowance amount below) $Listed below
A. Countertops $Listed below
14.0 MECHANICAL SYSTEMS $
15.0 PLUMBING&HEATING $8,500.00
Fixtures listed below
16.0 ELECTRICAL $4,700.00
17.0 FLOORING
Allowance listed below $0
Tile $1,754.00
Includes labor(Tile material allowance listed below)
Tile backer board materials and labor included.
18.0 SPECIALTIES $0
19.0 ALLOWANCES
Building permit $1,100.00
Bathroom vanity including top $300.00
Garage door adjustment $1,200.00
Tile materials $900.00
Carpet $2,784.00
Shelving materials $150.00
Plumbing Fixtures $1,200.00
SUB-TOTAL..........................................................................................................$72,026.00
OVERHEAD&PROFIT.........................................................................................$10,804.00
TOTAL...................................................................................................................$82,830.00
MISCELLANEOUS NOTES:
The Commonwealth ofMassaehusetts
Department oflndustrialAccidents
1 Congress Street,Suite 100
JBoston,MA 02114-2017
www.massgov/dia
Workers'Compensation Insurance Affidavit:Builders/ContractorsMectricians/Plumbers.
TO BE FILED WITH THE PERNU TING AUTHORITY.
Applicant Information Please Print Legibly
Name(Bminesslorganizationandividual): JOSC—
Address:`?d- Orc'a,clen,- \4,i1 Yld
City/State/zip:
Are you an emptoyer?Cheek the apprupriata bor: Type of project(required):
41—aemployerwith�_employees(full andfor part-time).* 7. [1 New construction
2.❑I am a sola proprietor or parhrership and have no employees working far me in $,kRemodeling
any capacity.[No workers'camp.tnsurance required.]
9. El Demolition
3.❑I am a homcormer doing ali work myself.[No workers'comp.insurance required.]t
4.E]I ore a homaormer and will be hiring contractors to conduct all work on my property.twill
10 E]Building addition
ura thatall eonuaclors eitber have workers'compensation insurance or are sole 11.❑Electrical repairs or additions
proprietors with no employees. 12.F1 Mourning repairs or additions
5.❑I s m a general contractor and I have hired the subcontractors listed on the attached sheet. 13.❑Roof repairs
These sub-eentmeto.have employees and have workers'comp,insurance.=
6.E]We are a corporation and its officers have ummised theirright ofezernption perMGL c. 24.F1 Other
152,§1(4),and we have m employees.[No workers'comp.insurance required.]
*Any applicant that checks boz#1 most also fill out the section below showing theirworkers'compensation policy information.
t Ilomeownem who submit this affidavit indicating they aro doing all work and than hire outside contractors must submit a new affidavit indicating such.
tContrietors that eheekthis bm must attached an additional Awt showing the name of the sub-contractore and state whether or not those entities have
employees.If the sub-cuntractors have employeas,they must provide their workers'comp.policy number.
I ant an employer that is providing workers'compensation insurancefor my employees.Below is the policy and job site
information. h�[
Insurance Company Name:
Policy#or Self-ins.Lic.#: q�l 9 '(V i Expiration Date: U/� b
` I
Job Site Address:3- C'Ic tt CitytState zip:
Attach a copy of the workers'co ensation 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 cerci reader the pains and penalties of peryuty that the information provided above istriteand correct
Signature: Date: ��/
Phone fl: /11
(DU3- y — IS6�J
Offic 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#:
----- ----- a..Y z_., __,--ice acenc t�r8 r94 4833 PAGE. 1/ 1
CERTIFICATE OF LIABILITY INSURANCE
02/10/2016
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIONTS — THE CER7114CATE HOLDER. THIS
CERTIFICATE DOES NOT APFIRtr1ATWELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER,AND,THE CERTIFICATE HOLDER,
IRWORTANT. If 0 COIa of rN la.an. _. _. -. CA most n0 and.Md. It SUBROGARON ISWAIVED, -Aid t0
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ADVANTAGE SNS. AGENCY INC. PLlouE .-...._..._..,.. .,..... PAz
9T8-681-3055 �pp ly1979-794-4533
184 PLEASANT VALLEY STREET
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BUILDING G REMODELING CONTRACTOR -
CERTIFICATE HOLDER CANCELLATMN '
TOW OF NORTH ANDOVER
BUILDING DE)?ARMtMNT SNOUID MY OF THE ABOVE DESCRIBES POLICIES SE CkKELM BEFORE
THE EAPIRATION DATE THEREOF, NOTICE WILL RE DEuvE IM
1600 OSGOOD SS"R&£T ACCORDANCE WfNTH
i E POLICY PROP Ma,
BUILDING 20, SUITL 2035
nLLiN0.9.. e�SESFMPTitlE'
NORTH ANDOVER!QA 01845
RM-2010 ACORD CORPORATION,AIIdghto reserved.
ACORD 2@(2414105) The ACORD name aept toga Ito Mg1stemd merge of ACORD
EBee afC—unur Affrs&BLLSi ess Regulation
OME IMPROVEMENT CONTRACTOR.
�egistratian: 159W - Type:
_ xpiratian: 413012096. Private Corporal 0
JOSCON MANAGEMENT INC. -
JONATHAN USULUVAN
72 PROVIDENCE HILL RD.
AWNSON,NH 03811 Undetsecretery
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