Loading...
HomeMy WebLinkAboutBuilding Permit # 7/26/2016 Na BUILDING PERMIT of TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION ;F no �0n Permit No#: �� Date Received ��ssacKus��5 Date Issued: IMPORTANT: Applicant must complete all items on this age LOCATIONPLIt — PROPERTY OWNER iZrA I V Print 100 Year Structure yes no MAP �-PARCEL: ZONING DISTRICT: Historic District yes o Machine Shop Village yes TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building ❑ One family ❑Addition ❑Two or more family ❑ Industrial Iteration No. of units: ❑ Commercial ❑ Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other e 'ell oo a +'l•. { nVllet.a ti/11' {e e �- t e Awl= DESCRIPTION OF WORK TO BE PERFORMED: Zd tificatian- Please T�pe or Print Clearly OWNER: Name: -b --V\ � Phone: Address: VA In Contractor ame: 7KcA © Phone: 977- 6 Email: Qq 1,9S Address 5 Supervisor's Construction License: GJ r Exp. Date: Home Improvement License. l Q� � -_ __Exp. Date:_ ��/� ARCH ITECTIENGINEER Phone: Address: Reg. No. FEE SCHEDULE:BULDING PERMIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED N$125.00 PER S.F. Total Project Cost: $ �cP , __ _FEE: $ Check No.: Receipt No.: 34�� Al NOTE: Persons contActing wilt unregistered contractors do not leave access to th r cty nd NORTH own of 2 : Andover O ,a� `" R► No. lof _ �� h ver, Masszo/A 0 LAKE2 s � BOARD OF HEALTH Food/Kitchen PE I ID Septic System THIS CERTIFIES THAT ....._. BUILDING INSPECTOR ).... ., .+,�.! ...!v. Foundation has permission to erect .......................... buildings on .....t .. .... ............ Rough to be occupied as . .. . ... _.., ..................................................... 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 VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONS T10 Rough Service ... ... . ......... ....... ..... Final BUIL INSPE OR GASIN5PECTOR Occu anc Permit Required to QccupE 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. 6038 KEEN CONSTRUCTION CO. PROPOSALPO BOX 935 NORTH ANDOVER, iAA 01845 All home improvement contractors and subcontractors Tel: (978) 691-5201 engaged in home Improvement contracting, unless Fax: (978) 682-3231 specifica€ly exempt from registration by Provisions of i Chapter 142A of the general laws, must be registered Submitted to; 6 L C 41 C\ (7-C with the Commonwealth of Massachusetts. Inquiries about registration and status should be made to the }€1 CC Director, Home Improvement Contract Registration, ll ft r 10 Park Plaza, Room 5170, Boston, MA 02116 617-973-8787 `•-,C•.� 11 r� �- 4 v4J '� owners who secure their own construction related permits or deal with unregistered contractors will be excluded from the Guaranty Fund Provision of MGL c,142A. PHONE DATE ' - REGISTRATION NO. EIN NO. f_� ]_ � — G H T] rZ :Z �� MA.H.I.C. 108383 46--3783401 > C/S=Customer Supplied S+ I=Supply+Install I See Attached Appendix A We hereby submit specifications and estimates for work to be performed and materials to be used: n I 1 The contractor and the homeowner hereby mutually agree 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 6arecutl�e-office of Consumer Affairs and Business Re uI ti In and the consumer shall be required to submit to such arbitration as provided,i ssac sets General Laws,chapter 142A. -- ! '7 Homeo1r's ignat , eure 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. Construction Related Permits: 7 - WORK SCHEDULE Contractor will not beg or ayorder the materials before the third day following the signing of this Agreement,unless specified here In wr tin "0considered t�r will begin the work on or about_(date).Barring delay caused by circumstances beyond Contractor's control,the work will be completed by f' die}.The Owner hereby acknowied cs and agrees that the scheduling dates are approximate and that such decays that are not avoidable by the Contractor sh II not as violations of this Agreement. WARRANTY Thecontractor warrants that the work furnished hereunder shall be free from defects In materials and workmanship for a period of.- f`'"5 following completion and shall comply with the requirements of this Agreement.In the event any defect in workmanship or materials,or damage cau ed by the Contractor,his sub- contractors,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. We Propose hereby to furnish materia and labor-complete i accord nco with above spec€fi t, s,for the sum of r:/ sr,vi >t'iJr t i ft1y1�C 1^P fi(tt Cc/C�7 _ dollars p' y T� Payment to be made as follows: % (S )upon signing Contract,, ROBERT A. KEEN Name of Contractor/Designated Registrant rt ��� � II x % ($ 'p ,o€. pleiion of PO BOX 935 Street Address D N. ANDOVER, MA 01845 a {� )upon completion of City!State Dia {$ )shall be made forthwith upon (978) 691-5201. (978)682-3231 completion of work under this contract, Phones f Fax i Notice:No agreement for home improvement contracting work shall require a ` >down payment(advance deposit)of more than one-third of the total contract. Name of Sales$ price or 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 Authorized Sig tura materials and equipment,which ever amount 1s gLgaLL Note!This proposal may he withdrawn by us if not accepted wltWri_days. Acceptance Of Proposal -I have read both sides of this document and all attached documents 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 outline above.You,the Buyer,may cancel this transaction at any time prior to midnight of the third business d y a ter the date of this transaction,Cancellation must be done in writing. C DO NOT SIGN THIS CONTRACT IF THERE ARE A�Y BLLAI`4K SP.E1C Signature Date 2LI-114 t. _` ��- Date 1 IMPORTANT INFORMATION ON BACK ► .�rClY1 Cf'G(Gi`7,Dlr !Qr EY�M[.)E?1i 1,.1 E"E 4' SE'�C=E!_AE_ES3'S 4130'7 KeenConstructionCo.corn D'Attorre, Ralph &Jen 1.01 Duncan Dr. N.Andover, MA 01845 Contract#6038;Appendix A July 13, 2016 Remove interior walls: • Remove approx. 17' of center load wall. Consult with engineer and provide stamped drawing for proper support of second floor and roof.Supply& install a W8-18 steel I-beam per drawings. • Create approx. 55" half wall from exterior wall between dining room and living room, and create a decorative and supportive square column to support one end of beam spanning to basement stair wall.Total clear span will be approximately 17'6". • Remove partition wall between foyer and living room and approximately 6'of partition wall between dining room and kitchen. • Remove flooring in foyer and Install approx. 3'x 5'area of tile flooring($5/sq ft material allowance) • Supply& Install six recessed LED light fixtures in living room and N room ($1500 allowance per room) • Remove and relocate electrical wires as needed ($1.000 total electrical allowance outside of lighting) • Patch walls and ceiling as needed with smooth skimcoat plaster on walls,texture to match (as close as possible) • Supply& install trim to match existing • Paint walls, ceiling and trim in foyer, living room,dining room and kitchen as needed ($2500 allowance) • Supply& install flooring to match existing in foyer(approx.50 sq ft) • Sand and seal flooring in foyer, living room, dining room and kitchen (three coat, oil-based finish) Total Price:$16, 700(sixteen thousand seven hundred dollars) Price does not include cost of permits or repairs to any unusual, unsafe or non-code compliant existing conditions not addressed in this contract. PO Box 935 Page 1 of 2 P: 978-691-5201 N. Andover, MA 01845 F: 978-682-3231 CSL#076691 Sales@KeenConstructionCo.com HIC #108383 w�mooF�inc sr�c��a�.�s•ws Keen Con structionco.co m Payment Schedule;$1000 due upon signing contract $3000 due the first day of work $3000 due when the beam is installed $3000 due when plaster is complete $3000 due when hardwood flooring is repaired $3700 due at completion of contracted work Custo er Robert Keen -7Z)3 /6 ? Date Bate PO Box 935 Page 2 of 2 P: 978-691-5201 N. Andover, MA 01845 F; 978-682-3231 CSL#076691 Sales@KeenConstructionCo.com HIC #108383 T7,T- 71 DWG.Na. S.1 NEW W 6X18 REAM NEW 114"FITTED STIFFENER el PLATE EACH SIDE OF WEB 3116*314"PLATE 8 NEW L ZMV4 X 211x"LONG NEW 114"A36 STEEL PLATE X Y WIDE NEW 112'BOLT it o 2 3 5.1 S.1 NEW 4X6 POST DOWN 3116 IT-6NEW 4X6 POST u W CONNECTION DETAIL Y NEW W 8X16 BEAM wm NEW4XSPOSTDOWN new 112waRtopost 81 CONTINUOUS 2X6 @ TOP AND BOTTOM w OF BEAM WITH 112"BOLTS STAGGERED Y a LEFT AND RIGHT @ 32'O.C. g -1 g o 09 NEW CONTINUOUS 2X6 m c 112"BOLTS STAGGERED NEW W 8X18 BEAM LEFT AND RIGHT @32"O.C. PARTIAL SECOND FLOOR FRAMING 1 PLAN 3 BEAM DETAIL 114"=1 P_Q„ 11 2"=1 V-0- 'g z x e e s o a U � V K � O U V� The Commonwealth of Massachusetts rA Department of Industrial Accidents to Office of Investigations 600 Washington Street _ Boston, MA 02111 www.mass. ov dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): C eo Address: n:;135 �J City/State/Zip: /] TqPhone #: 972` 691-5Z,61 Are you an employer? Check the appropriate box: Type of project(required): 1.0 I am a employer with 2- 4. ❑ I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. Remodeling ship and have no employees These sub-contractors have g, ❑ Demolition working for me in any capacity. employees and have workers' insurance.t 9 El Building addition com [No workers' comp. insurance p• required.] 5. ❑ We are a corporation and its 10.❑ Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.❑ plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.[] Roof repairs insurance required.] t c. 152, §1(4),and we have no employees. [No workers' 13.0 Other comp. insurance required.] *Any applicant that checks box#I 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. f 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 isproviding workers'compensation insurance for my employees. Below is thepolicy and fob site information. f Insurance Company Name: e rs Policy#or Self-ins.Lic.#: V -- 2 5 Z - IS_ Expiration Date: Jab Site Address: fd 1 h(w t!'Ct,vi 1J„rCity/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 cgverage verification. I do hereby certify un tf pain a d penalties of perjury that the information provided above is true and correct. Signature: Date: Phone#: (0 91 Zee 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#: CERTIFICATE OF LIABILITY INSURANCE DATH(Mh00DlYYYY) 10/23/2015 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 ho€ er Is an ADDITIONAL INSURED,the policy(les)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 Ileu of such endorsemen s. PRODUCER NAME! Barbara McDonough Gilbert Insurance.Agency, Inc. PDN EAk (781)942-2225 PA e,€701)992-2226 137 Main Street 'hU.IES .bmcdonoughpgilbertinaurance,corn IN3URr;R(3I AFFORDING COVERAGE NAIC0 Reading MA P1857-3922 rNSURERA Norfolk 6 Dedham Insurance 23965 INSURED 1q3uRERB-.Safety Insurance Cgirtpany 39454 Keen Construction Company INauRERc-Travelers Ins. Co, 0031 483 Chiokering Road INSURER D: INSURER 5: Horth Andover MA 01845 INSURER F: COVERAGES CERTIFICATE NUMBER:CL1552101779 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. NOTWiTHSTANDINO ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE€SSUED 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, [�TRNSR TYPE OF INSURANCE POL€GYNUMaER POLICY EFF POLICY E7rp EiM1T8 DOL SUHRI X COMMERCIAL GENE RAL LIABILITY EACH OCCURRENCE $ 1,000,000 DAMAVE TO RENTED A CLAIM MADE ❑X OCCUR PREMISESe cccur e e S 100,000 1r,-8-410070/000 3/13/201$ 3/13/2016 MED"p A„ enqpomp) a 3,6°0 PERSONAL d ADV INJURY $ 1,000,000 GEW AGOREOATE LIMITAPPUEB PER; GENERAL AGGREGATE $ 2,000,000 X POLICY 0 JECT ❑LOC PRODUCTS-COMAJOP AGO $ 2,000,000 OTHER: f AUTOMOBILE uABrUTY M-11=1110 I NGLE3 1,000,000 B ANY AUTO BODILY INJURY(Fe r pe, ) $ �� EO X AST LEO 6226001 CON 01 €/23/2015 6/23/2016 BODILY€NJURY(Pereccidsn* 3 X HIRED AUTOS X MON-OWNED PROPERTY OAAfl1flE AUTOS $ Unde,kmumd Mi.dd Is 100,000 UM13"UALIAB OCCUR EACH OCCURRENCE EXCESS LIAR CLAIMSar1AD9 AGGREGATE ; DW I RE NTION s WORKERS COMPENSATION AND EMPLOYERS'LIABI€JTY Y!NSTA FR ANY PROPRIETO€WANTNFRIEXECUTIVE N I A E.L.EACH ACCIDENT 100 000 C Ot`RCERIMEMER EXCLUDED? � thyyl><ndl€wyln NN) 6Ni1B-999u959-2-10 10/0/2015 10/0/201fi E.L.DISEASE-EA EMPLOYE a 100,000 DESCRIP nON OF OPERAT€ONS b.I w 1E.L,.3.E-...Y1.1T 500.000 GFACRIPTEON OFOPERAMONS f LOGATIONC!VEH€CLES(ACORD tat,AE6KIonal Remarks schedule,wy be sttschad It mss space Is re"Frad) CERTIFICATE HOLDER CANCELLATION (978)623-8320 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES Or:CANCELLED BEFORE Town of North Andover THE EXPIRATION BATE THEREOF, NOTICE WILL BE DELn/ERED IN ACCORDANCE WITH THE POLICY PROVISIONS, AUn€onato REPRESENYATIVe N Gilbert, CTC/BARBAR ®1988-2014 ACORD CORPORATION,All rights reserved. ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD INS025r201900 Massachusetts -Department of Public Safety Board of Building Regulations and Standards Construction Supervisor License: CS-078891 ROBERT A"E.. I2 E WATER ST'. T North Andover 0 ,✓ yyl S' '31'l�'\' ' 97Expiration Commissioner 08/1612017 ���rrtmto»raeull�a�vaGaeaa�tute� lee of Consumer Affairs&Business Regulation E IMPROVEMENT CONTRACTOR gistration-m-,j.` 3;° Type; 10, SuPP Explratf¢' ' ,_ lament Gar ^7 KEEN CONSTRUCTI.`" t' ROBERT KEEN ,. 1775 TURNPIKE ST NO.ANDOVER;MA 01845 ^ Undersecretary i