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HomeMy WebLinkAboutBuilding Permit # 4/26/2016 FORTH BUILDING PERMIT TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION _ na syn Permit No#: "�° r Date ReceivedC US � Date Issued: ~" IMPORTANT: Applicant must complete all items on this page LOCATION �. .. ° _. ._., ...... rit PROPERTY OWNER 8 + ' ti m Print 100 Year Structure yes MAP 6 PARCELW5 ZONING DISTRICT: Historic District yes en, Machine Shop Village yes ?--0 TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building -%One family ❑Addition ❑Two or more family ❑ Industrial Alteration No. of units: ❑ Commercial ❑ Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other DESCRIPTION OF 1N'tJRFC TO DE PERFORMED: el - Please Type or Print Clearly OWNER: Name: y _�... b w Phone: -vz! i1 Address: . t . ..� ... ° �. .., ._... Contractor Name: Phone: ; ,� Email, ° < Address Gr Jam... ~ Supervisor's Construction License: 5- U° f .. Exp. Dater , , Home Improvement License: 1 " ."tet.. Exp. Date:. ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE.BULDIMG PERMIT:$12.00 PER$9000.00 OF THE TOTAL ESTIMATED COST BASED ON$925.00 PER S.F. Total Project Cost: $ \A---.i It,7IDFEE: $ t , 0 o �° Check No.: i � rq11 Receipt No.; .„�'' � -- NOTE: Persons contracting with unregistered contractors do not have access to the uaran urad`” n,:,�„ ,,.mr^�- , ,. ,,,r✓' 'r z7 �';=.1r'.r i.r >a%'�� /r r/r p. ,.., r��iifi'ri/r.Z�i,!%7.�r'�,r'//,r�L a/7r%ri/i r�;r�Gi ✓ / /i /<,/i, //r .� i1�{7r/?/»r�uaianririj,r7� ✓ormr?�c/lrT"'„ /i/rihti/i^�7/it %� i /ii/ �/ rrri r r�� %�%%!�/ ,,, / � / � i/ ! /„} r/ - r /; // r%ii ,/i r NORTH Town of Andover AV No. low h , ver, Mass, COCNICKl WICK RATE DP M U BOARD OF HEALTH - IT T ERM LD Food/Kitchen Septic System THIS CERTIFIES THAT ........... ``..............j� .. BUILDING INSPECTOR s� has permission to erect buildings on ���... �.�r' .!�"'�?..�:.�:.......:... Foundation .......................... .......... .. .................. Rough I - to be occupied as ��.-�9�. ° - y p� .................. .. .s .. 1.!<.. �::!:5...... .TY.................................... 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 EXPIRESPERMIT IN 6 OTS ELECTRICAL INSPECTOR UNLESS CONSTRUCTIO S ARTS Rough Service ............. ..... ..f .....`. ................................. Final BUILDING INSPECTOR GAS INSPECTOR ccupancy Permit Required to Occupy Puildin 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. 0 98 Forest Street <, 1 ',".e'v1ri M P y ttr 1,i0 North Andover,35 MA 01845 978-688-53 Building Contractor a FAX:978-688-7207 Promosal P To: Rusty&Jen Bilodeau 461 Summer Street All Home improvement Contractors and Subcontractors engaged in home improvement contracting,unless North Andover, Ma. 01845 specifically exempt from registration by Provisions of Chapter 142A of the general laws,must be registered with the Commonwealth of Massachusetts.Inquiries about registration and Status should be made to the Director,Home Improvement Contract Registration,One Ashburton Place, From: Kevin Murphy Room 1301,Boston,MA 02108.(617}727659$ CC: Date: 4/26/2016 Job: Kitchen Date of plans: 3/16 Architect: Kitchen designer Location: Same Section 1 —Work Schedule Contractor will begin the work or order the materials before the third day following the signing of this agreement, unless specified here in writing contractor will begin work on or about 5/1/16. Barring Delay caused by circumstances beyond Contactors control,the work will be completed by 6/30/16.The owner hereby acknowledges and agrees that the scheduling dates are approximate and that such delays that are not avoidable by the Contractor shall no be considered as violations of this agreement. Section 11—Warranty The Contractor warrants that the work furnished hereunder shall be free from defects in materials and workmanship for a period of I year following completion and shall comply with the requirements of this Agreement. In the event any defect in workmanship or materials, or damage caused by the Contractor, his subcontractors, employees or agents, is discovered within one year after completion of any job, including cleanup,the Contractor shall, at his own expense,forthwith remedy, repair correct, replace,or cause to be remedied,repaired, or replaced, such damage or such defect in materials or workmanship. The foregoing warranties shall survive any inspection performed in connection with the agreed-upon work. Section III—Scope of Work Page 1 of 4 Keviri ~^~~p^ky Page of aouumllg,mntrwcl nc 98 Forest Street North Andover po.mvm,xrm, FAX 978Z8&72207 General Proposal is to renovate existing kitchen. Permit will be obtained by contractor. OemnmUtimm Existing kitchen area will becompletely gutted. Building New Anderson six foot slider will be supplied and installed. All vinyl Harvey triple casement window will be supplied / installed in kitchen. Door in rear offamily room will be removed. One new four section Harvey casement window, and two single casement windows will be supplied installed in family room. Exterior will be white clad. Interior will bewood.All frame/siding materials will be provided. P|urn&|nQ Plumbing required to relocate kitchen sink and waste line to second floor will be provided. New sink and faucet hobeprovided byowner. Bec±hua| Electrical work required to renovate kitchen to code will be provided. Eight recessed lights will be supplied / installed. General layout to be approved by owner prior to rough. Any surface mounted fixtures / pendants. under cabinet lights, oe|UnQ lights > to be supplied by owner, installed by contractor. Noallowance has been made to upgrade existing electrical service, or provide any"high def"TV wiring etc. � Nmstmn/AirCondUUoning Heat in kitchen area will be relocated as required. Toe kick heater will be provided. Heat enok)ounae in family room and front hall will bereplaced. New gh|Uwill beinstalled onheat insteps offamily room. � Insulation Any insulation required inexterior wall will beprovided. � Plaster � Kitchen will b8NUnb08rdedand dkincoat plastered.Walls and ceiling will besmooth. � UnteHmr1rimlDmmrs Pre-primed interior trim and doors will be supplied and installed to match existing. New single french door to front hall will be provided. Basement door, front hall doeed, and bathroom door will be replaced. Trim in family room will beclear pine tomatch existing. Kitchen cabinets tobesupplied/installed byothers. Painting Noallowance has been made for any painting. Building a arp�utracr¢.�'r � 98 Forest Street North Andover,MA 01845 PN:978888-5335 FAX 97&88&7207 Flooring New hardwood floors will be supplied, installed, and finished with three coats of oil based urethane. New floors will be provided in kitchen,front hall, and bathroom. Waste Removal Backsplash will be tiled.An allowance of$5 per square foot has been included for tile materials. Waste Removal All demolition/construction debris will be disposed of by contractor. miuripplky Page of 4 Ntu.Mulr)trru„4 olArriin:tor 98 Forest Street North Andover,NIA 01845 PH:97a688-5335 FAX 97868&7207 Section IPrice Schedule We hereby propose to furnish material and labor—complete in Accordance with above specifications for the sum of... ... ... ... ... ... ... ... ... ... ... ....$ 47,600 Payment to be made as follows: Percentage/Item Description Amount 1 Permit obtained / deposit $2700 2 Demolition complete $5000 3 Windows installed $10,000 4 Rough plumbing / electric complete $9000 5 Plastering complete $10,000 6 Floors finished $3000 7 Job 100% complete $2900 Total 17 1 $47,600.00 "Notice:No agreement for Have improvement contracting wDrk shall require a down payment(advance deposit)of more that one-thud of the total contract price of the total amount of all deposits or payments which the contractor must make,in advance,to order and/or otherwise obtain delivery of special order materials and equipment,whichever is greater Contractor: Kevin Murphy 98 Forest Street No.Andover, MA 01845 Registration No: 101874 Section V®Acceptance Acceptance of Proposal—I have read this document and accept the prices, specifications, and conditions stated. understand that upon signing, this proposal becomes a binding contract. You are authorized to do the work as specified. Payment will be made as outlined above. You the buyer may cancel this transaction at any time prior to midnight on the third business day after the date of this transaction cancellation must be done in writing DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES � w�a Signature / w �_ .. .�� ..�..�....,.. Date Signature Date The Commonwealth of Massachusetts Department of industrial Accidents 1 Congress Street,Suite 100 Foston,MA 02114-2017 r 31nvw mtassgovldia Workers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information Please Print I e>?ibly Name(Business/Orgaruzadonnndividual): Address- City/State/Zip: q p g Q 1 45., Phone 4: . 5335` Are you an employer?Check the appropriate box: 'Type of project(required): l. l am a employer with employees(full andlor part-time).* 7. ®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 doing all work myself.[No workers'comp.insurance required.]r 9- Demolition 4.®I am a homeowner and will be hiring contractors to conduct all work on my properly. I will 10E]Building addition ensure that all contractors either have workers'compensation iaswanae or are sok 11.❑Electrical repairs or additions proprietors with no employes. 12.❑Plumbing repairs or additions 5.®1 am a general contractor and I have hived the sub-contractors listed on the attached sheet. ]3 QRoof repairs "these sub-contractors have employers and have workers'comp.inswancc.t 6. We are a corporation and its officers have exercised their right of ex 14.❑Other ❑ rWexemption per MGL e, 152,§1(4),and we have no employees.[No workers'comp.insurance required.] *Any applicant that checks box#1 must also 811 our the section below showing their workers'compensation policy information t Homeowners who submit this affidavit indicating they arc doing all work and then hire outside contractors must submit a new affidavit indicating such. tCoutractors that check this box must attached an additional sheet showing the name of the sub-contractors_and sate whether or not thosc entities have employces. 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 thepolicy andjob site information. Insurance Company Name: morel CIT Policy#or Self-ins.Lic.#: ,i ' P _ �_�. Expiration Date: , _ 1 Job Site Address: '-I,� i, .... City/State(zip. t,)V R 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 S 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 and penaldes of peo ury brat the information provided above is true and correct. _.__. Signature: Date: ',AJ-2,& �. ., _..•. ... " Phone#: ..""�.. _ .,.. Official use only. Do not write in this area,to be completed by city or town o0`iciaL City or Town: Permit/License# Issuing Authority(circle one): I.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: [77(MMM01YYYY) CERTIFICATE OF LIABILITY INSURANCE /2016 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELYOR 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 REPRESENTATN®R PRODUCER,AND THE CERTIFICATEHOLDER. IMPORTANT:If the certificateholder is an ADDITIONAUNSURED,the policy(ies)must be endorsed.If SUBROGATIONS WAIVED,subject to the terrnsandconditionsofthe policypertainpolicieanayrequireanendomementA statementon this certificatedoes not conferdghts tothe certificateholder in lieu of such endomement(s). PRODUCER CONTACT NAME Sandi Munroe M P ROBERTS INS AGCY INC PHONE FAX AMC,No,Ext: (978)683-8073 .nb: (978)683-3147 1060 Osgood Street E-MAI ,: sandi@mprobertsinsurance.com ES North Andover, MA 01845 INSURER(S)AFFORDING COVERAGE NAICM INSURERA: MERCHANTS INSURANCE INSURED KEVIN MURPHY BUILDING & REMODELING INSURER B: GUARD INSURANCE '.,. 98 FOREST STREET INSURERC: NORTH ANDOVER, MA 01845 INSURERD: INSURER E NSURERF: 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, EXCLUSIONSANDCONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BYPAID CLAIMS. POLICY EFF POLICY EXP TYPE OFINSURANCE POLICY NUMBER M222xn wny LIMITS X COMMERCIALGENERAL LIABILITY EACH cwEACH OCCURRENCE $ 1 000 000 I EU _M_➢E 1 A 1 OCCUR PREMISES Ea oaence $ 500,000 11���� MED EXP(Any we person) $ 15,000 A BOPI068945 11/22/15 11/22/16 PERSONAL&ADV INJURY $ INCLUDED GENL AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICY 1 EC LOC PRODUCTS-COMPXWAGG $ 2,000,000 OTHER $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 Ea accident ANYAUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED MCA7013608 01/23/16 01/23/17 BODILY INJURY(Per accident) $ A AUTOS X AUTOS NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS Peraccident $ I UMBRELLA LIAR OCCUR EACH OCCURRENCE $ 1,000,000 F1 A RL..ES.LIAB CLNMSa,1PDE AGGREGATE $ 1,000,000 .ED X RETENTION $ 10 000 CUP9145304 11/22/15 11/22/16 $ WORKERS COMPENSATION X PER OTF+ D EMPLOYERSLIABILITY STATUTE ER _ YIN E.L.EACH ACCIDENT 570,000 Brn rvrxofkarrr� 'j� ,NIA $ (Mandalorgn NH)Lo 111 "' 111 KEWC633734 07/01/15 07/01/16 E.L.DISEASE-EA EMPLOYEE $ 500,000 If yea.desahbe ender 500,000 DESCRIPTION OFOPERATIONS beton E.L DISEASE-POLICY LIM11 $ DESCRIPTION OFOPERATIONS I LOCATIONS/VEHICLES(ACORD 101,Addidonal RemarReSchedule,may bealla dhed If nve space is required) CERTIFICATE HOLDER CANCELLATION TOWN OF NORTH ANDOVER SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 1600 OSGOOD STREET THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. '.. NORTH ANDOVER MA 01845 AUTHORIZED REPRESENTATIVE L___M I ©1988-2014 ACORD CORPORATION. All rights reserved. '.... ACORD25(2014/01) The ACORD name and logo are registered marks of ACORD '... ��e�poo�r��zancaea oC�/fZuJrac/rcaeff Office of Consumer Affairs&Busi ess Regulation UWOME IMPROVEMENT CONTRACTOR egistration: 101874 Type: xpiration:. 6/29720-1.6, Individual KEVIN MURPHY f } Kevin Murphy R` 98 FOREST ST. N.ANDOVER, MA 01845 Undersecretary Massachusetts Department of Public Safety Board of Building Regulations and Standards License: CS-053099 Construction Supervisor KEVIN W MURPHY. 98 FOREST ST NORTH ANDOVER M/4 CA—_ Expiration: Commissioner 06/29/2017