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HomeMy WebLinkAboutBuilding Permit # 4/11/2016 OORT BUILDING PERMIT .96 TOWN OF NORTH ANDOVER 0 APPLICATION FOR PLAN EXAMINATION 0 Permit Nod: Date Received T Date Issued, IMPORTANT:Applicant must complete all items on this page LOCATION c Print yy Y OWNER PROPERTA e_0 X Print 100 Year Structure yes 1Q1V Historic District PARCEL: 6, ZONING DISTRICT:— yes no MAF Machine Shop Village yes TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential El New Building El One family El Industrial El Addition Ei Two or more family [I Commercial ,L?Alteration No. of units: F1 Others: El Repair, replacement_ Ei Assessory Bldg Ei Demolition [I Other DESCRIPT!9N OF WORK TO BE PERFOKIVIED: Identification- Please Type or Print Clearly el'7 16V �57 Phone: OWNER: Name: m. X2 Address: Phone: Contractor Name: Email: 'e Address: Exp. Date: Supervisor's Construction License: Z/ Improvement License: Exp. Date: Home ARCH ITECT/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. <z/1 145,7 Total Project Cost: 1 —FEE: $ °°Y Check No.: 7 Receipt No.: NOTE: Persons contracting with unregistered contractors do not have access to eguar n rind Aq W-K, AhtlOwner —Si-q- - rim NORTH Anc'tover own of 1 IL _ LAK. h ver, Mass, COCKICNl WICK Rgreo Jklp q5 U BOARD OF HEALTH Food/Kitchen PERMIT T L &J Septic System THIS CERTIFIES THAT �.1��1...... r�N� BUILDING INSPECTOR ................ ...................x........... ...................... ............... / � Foundation has permission to erect.......................... buildings on ..a�.-s�� 1 .. .I'eq. �4:. .. . .... ................. le Rough to be occupied as . \ F 112iA „�. .E.!l�e � ........... 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 EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CTIO TS Rough ............ Service ............:� ........ .�.....=. ......... Final BUILDING 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. ..................I Of PROPOSAL Rev.3 Mike&Carol Moroney 21 South Cross Road North Andover,MA 01845 (H)978-689-3337 (C)Carol 978-835-1705 Kitchen Remodel April 11,2016 Work to be completed includes: * Building Permit * Electrical—Install new trims on existing recessed lights. Install new switches and receptacles.Install new under cabinet lighting. * Repair ceiling over table area. * Replace 9-Light door with new Fiberglass 9-Light. * Install base and wall cabinets.Install crown moulding around cabinets. * Repair exterior of Kitchen window. * Install new vanity in bathroom. * Plumbing-Install new kitchen faucet,tic in dishwasher, install new garbage disposal Install new faucet in bathroom. * Refinish oak floor,sand&apply 3 coats of poly. ® Install Granite counter tops. * Install tile backsplasb. * Install all appliances.(New Fridge to be installed by others.) * histall new interior trim where required. * Removal of all debris. TOTAL LABOR AND MATERIAL 18,650.00 Terms: $6,200.00 to start $6,200.00 after plastering $6250.00 when complete Note: This quote does not include the cost of Cabinets, tile,plumbing fixtures,pendants,or appliances. Painting is also not included. Submitted By: Chris Rivet MA Lic#CS072173 HIC#139962 207 Winter Street (C)508-265-3115 (H)978-794-1165 North Andover,MA 01845 All Home Improvement Contractors shall be registered.Inquiries about a contractor relating to a registration should be directed to; Registration Division,Program Coordinator One Ashburton Place Room 1301 Boston, MA 02108 Tel: 617-727-3200 ext.25239 All building permits required will be the obtained by the contractor, Homeowners who obtain their own permits are excluded from access to the Guarantee Fund. ACCEPTANCE OF PROI10SAL The above prices,specifications and conditions are satisfactory and are hereby accepted. You are authorized to do the work as specified. Payments will be made as jt 1 Xd abovqe Date Signature Date Signature Contractor Arbitration The Home Improvement Contractor Law provides homeowners with the right to initiate an arbitration action(as an alternative to court action)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 he/she has with a homeowner in court unless both parties 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 Secretar/of the Executive Office of Consumer Affairs and Business Regulation and the consumer shall be required to ubpAt to such�bitratiq as provided in Massachusetts Gener Laws,Chapter 42 Homeowner's Signature contractor's Signature NOTICE:The signatures of the parties above apply only to the agreement of the parties to alternative 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 properly 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 tuuely 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 warranties 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 homeowner's basic consumer rights.If you have questions about your consumer/homeowner 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 until 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 until 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 him/herself to be financially insecure.However,in instances where a contractor deems him/herself 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 Consunner Guide to the Home improvement Contractor Law",contact: Consumer Information Hotline Office of Consumer Affairs and Business Regulation 10 Park Plaza,Room 5170,Boston,MA 02116 (617)973-8787 or(888)283-3757 The Commonwealth ofhfassachusetts Department of IndustrialAccidents :« # Office of Investigations 600 Washington Street Boston,MA 021.1.1 www.mass g ov1dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers A>gnlitcant Information Please Print Ledbly Name(Business/Organizafion/Individual): Address: ,��> �,'._� xxt City/State/Zip:./Ur-; .���t�z�r ~'%s> � .� {'S Phone 4: `' �7� = �' ,Z Are you an employer?Check the appropriate box: Type'ofproject(required): 1.❑ I am a employer-with 4. ❑ I am a general contractor and I 6. ❑New construction employees(full and/or part-time).* have hired the sub-contractors 2.® I am a sole proprietor or partner- listed on the attached sheet 7_ F-1Remodeling ship add have no employees These sub-contractors have 8. E3 Demolition working for me in any capacity. employees and have workers' 9. F-1 Budding addition [No workers'comp.insurance comp. insurance.# required.] 5. [] We are a corporation and its ME]Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 1 l.❑Plumbing repairs or additions myself.[No workers'comp. right of exemption per MGL 121-1 Roofrepairs insurance required.]t c. 152,§1(4),and we have no employees.[No workers' 131-1 Other comp.insurance required.] *Any applicant that checks box ml mustalso fill out the section below showing theirworkers'compensation policy information. I Homeowners who submit this affidavit indicating they are doing ail work and then hire outside contractors must submit a new afdavit 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. Ifthe subcontractors have employees,they must provide their workers'comp.policy number. lam an employer that isproviding workers'compensation insurance for my employees. Below zs thepolicy and job site information. i Insurance Company Name: :: `f�/.' Policy#or Self ins.Lie.#: *' �,yb'�/ 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 Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of 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. Be advised that 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 arsd penalties of perjury that the information provided abpve is true and correct -�� s Sienature: Date: Phone# 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#: OP ID: OUJA 14LIABILITY DATE YYYY)CERTIFICATEF IN VRANC 09/2112015 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY 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. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). CONTACT PRODUCER Phone:978-688-6921 NAME: Jane Ouellette Macdonald&Pangione Insurance Fax:978-688-5350 PHONE 978-688-6921 FAX P.O.BOX 428 (A/c,No.Ext): _ ( (vC,No): 978-688-5350 104 Main Street E-MAIL ane m ns.net ADDRESS:) p North Andover, MA 01845 PRODUCER CHRIS-5 Michael Pangione CUSTOMER ID#: _ INSURER(S)AFFORDING COVERAGE NAIC# INSURED Christopher Rivet INSURER A:Preferred Mutual Ins Co 115024 207 Winter St. INSURER B_ North Andover, MA 01845 —-_— — _INSURER C., INSURER D: INSURER E: INSURER COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW 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 THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSRI TYPE OF INSURANCE ADDL BRi POLICY EFF POLICY EXP LTR I SUPOLICY NUMBER MM/DD/YYYY MM/DD/YYYY LIMITS GENERAL LIABILITY I I EACH OCCURRENCE j $ 1,000000 I(DAMAGE TO RENTED A I X COMMERCIAL GENERAL LIABILITY IBOP 0100719749 09/26/2015 109/26/2016 I PREMISES(Ea occurrence) $ 100,,000 CLAIMS-MADE X OCCUR MED EXP An one person) 5 000 _ (Any_ P ) !$ PERSONAL&ADV INJURY $ 1,000,000 ! � GENERAL AGGREGATE �$ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: j 4_PRODUCTS-COMP/OP AGG I$ 2,000,000 I PRO- X POLICY I ! LOC j $ AUTOMOBILE LIABILITY I COMBINED SINGLE LIMIT (Ea accident) $ ANY AUTO BODILY INJURY(Per person) $ L j ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY(Per accident) $ PROPERTY DAMAGE • !HIREDAUTOS I I (Per accident) $ ' NON-OWNED AUTOS $ UMBRELLA LIAB ! OCCUR l EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE' AGGREGATE $ DEDUCTIBLE RETENTION $ I l i$ ' WORKERS COMPENSATION WC STATU- I OTH-1 AND EMPLOYERS'LIABILITY Y/N I ! i__ TORY LIMITS! ! ER J -ANY PROPRIETOR/PARTNER/EXECUTIVEI ! j OFFICER/ EMBER EXCLUDED? N/A! ! E.L.EACH ACCIDENT is (Mandatory in NH) I j I ! E.L.DISEASE-EA EMPLOYEEI S If yes,describe under I _-- I DESCRIPTION OF OPERATIONS belowE.L.DISEASE-POLICY LIMIT I$ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Town of North Andover THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 1600 Osgood St ACCORDANCE WITH THE POLICY PROVISIONS. No Andover, MA 01845 AUTHORIZED REPRESENTATIVE 441/4�� ©1988-2009 ACORD CORPORATION. All rights reserved. ACORD 25(2009/09) The ACORD name and logo are registered marks of ACORD :c a: CS-072173 207 WINTER ST Ind ANDOVEk MA 01b45 .� :. 06/02/2016 '"%fry�nrrtrrrrvrrnr�n�/�r7�<''.frrrurrr��rr.;r�/Lt Office of Consumer Affairs&Business Regulation ?HOME IMPROVEMENT CONTRACTOR V '4' � �Registration: 139952 Type: Expiration: 9/5/2017 Individual CHRISTOPHER F.RIVET CHRISTOPHER RIVET 207 WINTER ST. _ N.ANDOVER, MA 01845 Undersecretary�