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HomeMy WebLinkAboutBuilding Permit # 5/16/2016 gaO R TH BUILDING PERMIT 0��4�ED �Ho TOWN OF NORTH ANDOVER ° ; APPLICATION FOR PLAN EXAMINATION VL '- - 1 f Permit No#• Date Received ATEO �Ss�csausER Date Issued: � IMP RTA NT:Applicant must complet�all ems onthis page LOCATION Print PROPERTY OWNER ��4d"'� �/ /cn/` Print 166 Year Structure yes c MAP ` PARCEL: ZONING DISTRICT: District yes : Machine Shop Village yes nom TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building ❑ One family 11 Addition ❑Two or more family El Industrial Iteration No. of units: ❑ Commercial ❑ Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other Well ❑ Floodplain ❑Wetlantls ' y ' R ❑ 1/Vatershed Qistrict ..�❑-'Septic � ' � f Fip,f. ld , 6 �l` /F ,e"F �',+ rN `r✓",' '�.ma` 1�s.-r�""eX� r ;'; .•� &�;,ror'�6�' ..� „�„z � i X��� prm'�5 k.�1���i f i � h r `l � f•� yr�� ���i� ������x?i�"'�'? la,�,,;;..,, £ ,,'..:;`„. yOWaterlSeweX . ..• �,..� , .�t. �r .r � ., � . .. �, f ,w, , �. ,.�,_., ,,, ..,-; , ,._ ,., ._._ . DESCRIPTION OF WORK TO BE PERFORMED: ell— lease Type or Print Clearly Identification yp �•� OWNER: Name: ,��s'� ����� �l Phone: f � z!s Address: Contractor Name:�Zf r %c�i� � Phone Email: Address: e Supervisor's Construction License: Exp. Date: zi Home Improvement License: Exp. Date: ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE:BULDING PERMIT:$92.00 PER$9000.00 OF THE TOTAL ESTIMATED COST BASED ON$925.00 PER S.F. Total Project Cost: $ 65711r, dl FEE: $ Check No.: Receipt No.: NOTE: .,Persons contracting with unregistered contractors do not have access to e uaranty fun on_— . i; _ FORTH ndover0 �� .gyp Town of 0 w No. iL-c)61 ;q 4 4.1a. ver, Mass _ COCHICKEWICK 00ATED P"? U BOARD OF HEALTH Food/Kitchen PERMIT T LD Septic System BUILDING INSPECTOR .... THIS CERTIFIES THAT . 26:w 10. " .. .................... ... Foundation ation.. .. .. . . 6W ........ ............ . has permission to erect .......................... buildings on ... ...... . Rough 110W .................................... Chimney to be occupieda 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 PLUMBING INSPECTOR Construction of Buildings in the Town of North Andover. Rough VIOLATION of the Zoning or Building Regulations Voids this Permit. Final EXPIRESPERMIT IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS I R? TARTS ..... .........../. .��:/� y% 1 ............................. ...................... Final BUILDING INSPECTOR GAS INSPECTOR Occupancy Permit Required t® Occupy Buildi Rough Final Display in a Conspicuous Place on the Premises — ® Not Remove No Lathing all To Be Done Until Inspecteda Approveda Building Inspector. Burner FIRE DEPARTMENT • Street No. Smoke Det. 410 eh4b PROPOSAL Rev.2 Jay&Kathryn Sherlock 107 Rocky Brook Road North Andover,MA 01845 (J) 978-732-3739 (K) 978-808-3183 (H) 978-683-4615 Kitchen Remodel April 28,2016 Work,to be completed includes: • Building Permit ® Remove all appliances and cabinets from kitchen. ® Electrical—install all new 5 in cans in ceiling.Run new circuit to wine cooler. Install new switches and receptacles. histall new under cabinet lighting. Install new trims on cans in Family room. ® Skim coat Kitchen and Family room ceiling smooth.Plaster where needed. • install Base and Wall Cabinets.Install all moldings and crown. • Plumbing-Install new kitchen faucet,tic in dishwasher. Refinish oak floor on I"floor,sand&apply 3 coats of poly. • Refinish oak staircase. up 11) cost of granite will change if from another Group. • install Granite counter tops.(Gro • install tile backsplash- • Install all appliances.(New Fridge to be installed by others.) • Install new interior trim where required. ® Removal of all debris. $ 28,165.00 TOTAL LABOR AND MATERIAL Terms: $9,380-00 to start $9,380.00 after plastering $9,405.00 when complete Note:This quote does not include the cost Of plumbing fixtures,pendants, or appliances. Painting is also not included.To smooth coat remaining I"floor ceilings$3,000-00. MA Lic#CS072173 HIC#139962 Submitted By: Chris Rivet Q 508-265-3115 (14)978-794-1165 207 Winter Street North Andover,MA 01845 relating to a registration should be directed to; All Home improvement Contractors shall be registered.inquiries about a contractor Registration Division,Program Coordinator One Ashburton Place Room 1301 Boston, MA 02108 Tel:617-727-3200 ext.25239 who obtain their own permits are excluded from Agll buildinpermits required will be the obtained by the contractor.Homeowners access to the Guarantee Fund. ACCEPTANCE OF PROPOSAL ed. The above prices,specifications and conditions are satisfactory and are hereby accept You are authorized to do the work as specified.Payments will b - /a� lin Signature Date Signature Date 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 d' ute to a private arbitration firm which has been approved by the Secretary of the Executive Office of Consur Affairs and Bus' Regulation and the consumer shall be required to ubmit to such arbitration as provided in Massachusetts Genr al aws,Chapter Homeowner's Signature Z-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 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 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 Consumer 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 OP ID:OUJA DATE(MMlDDIYYYY) LIABILITYINSURANCE 09121/2015 CERTIFICATE OF AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED Y THE POLICIES THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THI CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVE BELOW. THIS CERTIFICATE OF INSURANCE AND THE CERTIFICATE NOT HOLDER.CONSTITUTE A CONTRACT BETWEEN THE ISSUING REPRESENTATIVE OR PRODUCER, require an endorsement. A statement on this certificate does not confer rights to the IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject o the terms and conditions of the policy,certain policies may q certificate holder in lieu of such endorsement(s). CONTACT Jane Ouellette Phone: 78-688-6921 NAME: FAX g78-688-5350 PRODUCER PHONE 978 68$ 6921 Macdonald&Pangione Insurance Fax:978-688-5350 AIC EMAIL L Ext Ins.net P.O.Box 428 ADDRESS:jane mp -- 104 Main Street PRODUCER CHRIS-5 North Andover,MA 01845 CUSTOMER ID#: NAIC# Michael Pangione INSURERS)AFFORDING COVERAGE 15024 INSURER_ A:Preferred Mutual Ins Co _---1— — — — INSURED Christopher Rivet INSURER B,: 207 Winter St. --- North Andover,MA 01845 INSURERC: INSURER D INSURERF: REVISION NUMBER: RIOD COVERAGES CERTIFICATE NUMBER: TERM OR CONDITION OF ANY CONTRACT OR OCREBED HEREIN S DOCUMENT SUB ECTTH PTO ALL O THE I TERMS, TH IS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO T1 IE NAMED ABOVE FOR THE POLICY PE INDICATED. NOTWITHSTANDING ANY REQUIREMENT, CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES LIMITS PO CL CYI EFF POLICY EXP EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID MID CLAIMS. ILTR POLICY NUMBER 1,000,000 TYPE OF INSURANCE EACH OCCURRENCE 5 DAMAGES RENTED 100,000 GENERAL LIABILITY 09/2612015 09/2612016 I PREMISES IEa occurrenc�_�5 5,000 BOP 0100719749 fl!MED EXP(Any one person) $ A X COMMERCIAL GENERAL LIABILITY 1,000,00 CLAIMS-MADE X I OCCUR j PERSONAL&ADV INJURY $ 200000 V GENERAL AGGREGATE $ , , — 2,000,00 PRODUCTS-COMP/OP AGG $ 15 GE_'L AGGREGATE LIMIT APPLIES PER: COMBINED SINGLE LIMIT PRO- n $ X I POLICY�� I LOC I I I (Ea accident) AUTOMOBILE LIABILITY I BODILY INJURY(Per person) i$ _ 1 ANY AUTO I BODILY INJURY(Per accident) 5 j ALL OWNED AUTOS I t PROPERTY DAMAGE 1 5 - I (Per accident) SCHEDULED AUTOS — I III HIRED AUTOS j NON-OWNED AUTOS I I EACH OCCURRENCE 5 UMBRELLA LIAR OCCUR AGGREGATE 15 I 1 { EXCESS LIAB CLAIMS-MADE j 5 i—_ 5 I DEDUCTIBLE � � � � WC ST RETENTION 5 � I I-- TORY LIMITS ER WORKERS COMPENSATION E.L.EACH ACCIDENT 15 AND EMPLOYERS'LIABILITYIN ANY PROPRIETORIPARTNER/EXECUTIVE Y❑ NIA E.L.DISEASE-EA EMPLOYEE`5 OFFICER/MEMBER EXCLUDED? I ,I SEASE-POLICY LIMIT $ (Mandatory in NH) I E.L.DI 1I yes,describe under I DESCRIPTION OF OPERATIONS below I {I I j I I DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space is require CANCELLATION CERTIFICATE HOLDER SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE EXPIRATIONTHE DATE THEREOF, NOTICE WILL BE DELIVERED IN Town of North Andover ACCORDANCE W WITH THE POLICY PROVISIONS. 1600 Osgood St AUTHORIZED REPRESENTATIVE No Andover, MA 01845 ©1988-2009 ACORD CORPORATION. All rights reserved. ACORD 25(2009109) The ACORD name and logo are registered marks of ACORD The Corr nWnweafth of Massachusetts = fleparttnent of tndustrial Accidents Office o Investigations ���F {J �„• ��. 600 Washington,street :.� Boston,MA 02111 ` ../% www.Mass.gov1dia Workers' Compensation Insurance Affidavit: Builders/Contra,-tors/Electricians/PlumbersPlease Print e " licaut Information Frame(Business/Organization/lndividual): Address: �c� r �"�t ago'»° f r rc'r /, alrA Phone city/State/Zip:,X)(!: . Are you an employer?Check the appropriate boa: Type�ofproject(required): 4, ® I am a general contractor and I ®New construction 1.El I am a employerwith � have hired the sub-contractors 7. ❑Remodeling employees(full and/or part-time). listed on the attached sheet 2.R I am a sole proprietor or.partner- These sub-contractors have 8. ®Demolition ship and have no employees employees and have workers' 9. ®Building addition vrorking for me in any capacity. comp.insurance.t [No workers'comp.insurance 5 Q We are a corporation and its 10.❑Electrical repairs or additions required.] officers have exercised their 1 1J Plumbing repairs or additions 3.0 I am a homeowner doing all work righexemption t of MGL 12.[]Raofrepairs myself.[No workers'comp. Ption P er c.152,§1(4),and we have no 13 []Other insurance required.]t employees.[No workers' comp.insurance required.] *Arty applicant that checks box ml must also fill out the section below showing theirworkers'compensation policy infornradon tside contractors must submit I Homeownersthat check this box mast attachedan additional sheet showing the name of the sub contractors and state whether or not those a new affidavit entities have lContmcwrs provide workers'camp.policynumber. _ cmPloYees, if the sub-contractors have employees,they utast P Below is fhe,policy and jab site I am an employer"that is providing workers'compensation insurance for my employees. information. , Insurance Company x ; Expiration Date: Policy#or Self-ins.Lie, r ( City/State/Zip: a � '"✓ Job Site Address: / r. Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required underonment,asSection 5well as A of civil penalties in the forlead io m of a STOP WORK ORDER and I penalties a fine fine up to$1,500.00 andlor one-yearpus 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 cover11 age verification. fy fp j ' f Provided. ✓ nd come I da herebycert%., p Date:the PIR a d enalties o er u that the informationa !rue S nature: Phone#- Official use only. .Do not write in this area,to be completed by city or town.afficiaZ 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 Phone TO: Contact Person Massachusetts Department of Public Safety Board! of Building Regulations and Standards License: CS-072173 Construction Supervisor CHRISTOPHER F RIVET 207 WINTER ST / N ANDOVER MA 01846 �. CA— Expiration: Commissioner 06/02/2018 �rrn�r�,✓�r�' ee.1„trrc�pr,^ , Office of Consumer Affairs&Business Regulation Mil-i §HOME IMPROVEMENT CONTRACTOR r Registration: 139962 Type: ,,9,.V,S Expiration: 9/812017 Individual CHRISTOPHER F.RIVET CHRISTOPHER RIVET 207 WINTER ST. N.ANDOVER,MA 01845 Undersecretary a,.