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Home My WebLink AboutBuilding Permit # 10/12/2016 IAORTH owe. of :, � Andover 0 to �Y ,yr No. 01611 - h ver, Mass o «KE t o & 1a gots COC.41c"t WI[K 01,4 4�'?ASEco A4 Cl � u BOARD OF HEALTH Food/Kitchen PERMIT . T LD Septic System THIS CERTIFIES THAT .................ko I-tj..............ft.work I.......................................... BUILDING INSPECTOR has permission to erect .......................... buildings on .......$40.5....ao-t44ON...... Foundation Rough to be occupied as ... .&.........&M.�...W.AN-06M4.......C chimney provided that the person accepting this permit shall In every respect conform to the terms of the application Find on file in this office, and to the provisions of the Codes and By-Laws relating to the Inspection,Alteration and Construction of Buildings in the,Town of North Andover. PLUMBING INSPECTOR Rough VIOLATION of the Zoning or Building Regulations Voids this Permit. Final PERMIT EXPIRES 16 MONTHS ELECTRICAL INSPECTOR LESS S C N STA;&L Rough _....�. ........ Service .... ..... . . .................... Fina BUILDING INSPECTOR GAS INSPECTOR Occupancy Permit Required t® Occupy Ruitdin Rough Display in a Conspicuous Place on the Premises — Do Not Remove Fina' No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. Smoke Det. • . 98 Forest Street �3(T • North Andover,MA 01845 4 Y 1 PH:978-688-5335 Building Contractor FAX:978-68$-7207 Proposal To: Ed Cain 825 Johnson Street All Rome improvement Contractors and Subcontractors engaged in home improvement contracting,unless North Andover, Ma. 01845 speciflicaltyexempt from registration byProvisions ofChapter 142A of the general taws,must be registered with the Commonweallh of Massachusegs,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}727 8598 i CQ Date: 10/1212016 9 .lob: Bay Window Date of plans: None t Architect: None I Location: Same Section !-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 8115116. Barring Relay caused by circumstances beyond Contactors control,the work will be completed by 9115116.The owner hereby acknowledges uch delays that are not avoidable by the Contractor shall no be considered as and agrees that the scheduling dates are approximate and that s 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 1 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 111-Scope of Work Page 1 of 4 Kevin Murphy Page 2 of 4 Building Contractor 98 Forest Street North Andover,MA 01845 PH:97868&5335 FAX:978a fB-7207 General Proposal is to replace existing bay window. Permit will be obtained by contractor. Building Exisitng window will be removed and replaced with a new Harvey, Majesty series angle bay unit. Window will have a clad exterior, and a natural pine interior. Window will be simulated divided light { permanently applied grilles ) . Center sash will be a fixed picture, side windows will be doublehung. Any exterior vinyl 1 trim will be supplied and installed to match existing. Interior Trim/Doors Interior trim will be supplied and installed to match existing. Painting No allowance has been made to provide any painting. Waste Removal I Existing window will be disposed of by contractor. i. Cost of window is $2800. The remainer of the cost is for the permit, miscellaneous materials, disposal, and labor Devin Murphy Page 4 of 4 Building Contractor 98 Fcresk Street North Andover,MA 01845 PH:978688.5335 FAX:978688-7207 Section IV-Price Schedule We hereby propose to furnish material and labor-complete 5800 in Accordance with above specifications for the sum of... ... ... ... ... ... ... ... ... ... ... •.. Payment to be made as follows: Percents a/Item Description Amount 1 De Osit to order window $3000 2 Job complete $2800 Total 12 $5,800.00 "Notice:No agreement for Home improvement conlradng work shall require a down payment(advance deposit)of more that one-third 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. I 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 Signature Date t 91 Signature Date The Commonwealth of Massachusetts Department of IndustrialAccidents I Congress Street,Suite 100 Boston, MA 02114-20.77 www mass gov1dia Workers'Compensation insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant information -- Please Print Legibly Name (Bu6nessiorgartization/Individual): Address: 1�)' Phone#: 1V'L S - Vj, P, City/State/Zip: t�)v Air you an employer?Check the appropriate box: Type of project(required): I.M I am a cmployc3r with � employes(full mid/or part-timc).* 7. E]New construction 2E]I am a sole proprietor orpartncrsbip and have nocinployccs working for mcin 8- ig Remodeling any capacity.[No workers'comp.insurance required.) 9. F1 Demolition 301 am a homeowner doing all work myself.' [No workers'comp.insurance required.)t 10 E] Building addition 4-01 am a hoincowncir and will be hiring contractors to conduct all work on my property. I will ensure:that all contractors ciflicy have workers'comp insurance or am sole I LE]Electrical repairs or additions proprietors with no cmployccs. 12.E]Plumbing repairs or additions 50 1 am a general contractor and I have hired the sub-contractors listed on the attached sheet. 13-nRoof repairs These subcontractors have employees and have workers'corrip.insurance.1 14.El Other 6.n We are a corporation and its offices have exercised their right of exemption per MGL c. 152,§1(4�and we have no employees.(No workers'comp.insurance,required.) "Any applicant that checks box 41 must also fill out the section below showing their workers'compensation policy information- t nomeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. 'Contractors that check this box must attached an additional sheet showing the name of the sub-conwactors.and slate whether or not those entities havc employees. If the sub-contractors have employees,they must provide their workers'comp.policy Dumber. lant air employer that is providing workers'compensation insurance for my employees. Below is thepolicy andjob site information. "I Insurance Company Name: G 1"i% Policy ft or Self-ins.Lic.fl: �1-1 Expiration Date:_ '-V Job Site Address: 'f City/State/Zip: t+ 1,,. Attach a copy of the workers'compensation policy declaration page(showing the Policy number and expiration date). Failure to secure coverage as required under MGI.c. 152,§25A is a criminal violation punishable by a fine up to$1,500.00 and/or one-year imprisomucnt,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 tinder,the pains rand penalties of perjury that the information provided above is true and correct. Signature: Date: Phone N: en !T— 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 S. Plumbing Inspector 6.Other Contact Person: Phone#:_ DATEIMMOOM Y) C CERTIFICATE OF LIABILITY INSURANCE 7/11/2016 THIS CERTIFICATEIS ISSUED AS A MATTER OF INFORMATIONONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATEHOLDER.THIS CERTIFICATE DOES NOT APFIRMATIVELYOR 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),AUTHOR€ZEO REPRESENTATIVMR PRODUCER,AND THE CERTIFICATEHOLDER. IMPORTANT:Ir the cert€f€eateholder Is an AODITIONALINSURED,the policy(1eshust have ADDITIONALINSUREO provislonsor be endorsed. If SUBROGATIONiS WAIVED,subject to the termsand conditionsof the policy,certainpolicicsmayrequireen endorsement.A statemenlon this certificaledoes not confer rightsto the cettificatehoiderin lieu of such endorsement(s). cDNTAOT PRODUCER Sandi Munroe NPAIE M F ROBERTS INS AGCY INC PHONE (978 683^8073 FAxNn; (978)683-3147 AIC.No,EM 1060 Osgood Street E-MAILSS: sandi@mprobertginsurance.com North Andover, MA 01845 INSURER(S)AFFORDING COVERAGE NAICM INSURERA: MERCHANTS INSURANCE INSLREO KEVIN MURPHY BUILDING & REMODELING INSURERS: GUARD INSURANCE 98 FOREST STREET 114SURERO: NORTH ANDOVER, MA 01845 INSURERD: INSURER E INSURe8r: OVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO GERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEFN 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, EXC.USIONSANDCONOITIONS OF SUCHPOLICIES.LIMITS SHOWNMAY HAVEBEENRFDUCED BY PAID CLAIMS. POLICY EFF POLICY EXP LIMITS TYPE OFINSURANCE a POLICY NUMBER M X COMMERCIALGENERAL LIABILITY EAG OCCURRENCE $ 1 000 OOO 141111 r, nnl Q DAMAGE TO 111 S-LNDE CLAIMED �� PREMISES M.oaunenco S :] �fl� MED EXP(Anyone F.—) $ 15,000 SOP1068945 11/22/x5 11/22/x6 PERSONAL&ADVINJURY $ INCLUDED A GENERAL AGGREGATE s 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: i X POL€CY EJ UT LOCPECPRODUCTS-COMPIOPAGGS 2,000,000 I $ OTHER:I COMBINED SINGLE LIMIT $ 1,000,000 AUTOMOBILE LIABILITY Ea accid-1 BODILYINJURY(Per pars.) $'s ANYAUYO MCA7013608 01/23/16 01/23/17 aODkLY INJURY(Peracddenl} OWNED SCHEDULED P. A AUTOS ONLY X AUTOS PROPERTY 57—MME kONoWNED $ AUTDS ONLY AUTOS ONLY Per acdden0 S UMBRELLA{IA8 EACH OCCURRENCE S 1,000,000 OCCUR /� X EXCESSUA8 CLNA15-MACE AGGREGATE S 17000,000 i ICUP1145304 11/22/15 11/22/16 1. DEC, I X I RETENTION $ 10 000 S I PER OD4 WORKERS COMPENSATION X STATUTE ER Mlp EA1PLOYERS'LIABILITY 500 000 u,r EMPs,OYER LLABILrTY �YIN E.L.EACHACC[DENT S T B ,� oro 1--_i NIA 07/01/16 07/01/17 500,000 oe.Ic<ws+rs,aea r s KEWC726509E.L.DISEASE-FA EMPLOYEE 4 ! (Mandalor)n NH) v 500 000 It yes.dwdm under E.L.DISEASE-POLICY LIMB S DESCRIPTION OFOPERATlONS below DESCRIPTION OFOPERATIONS I LOCATIONS)VEHICLES(ACORD*l,Addldonal RomaMs Srhedulo,may be alo shed B mare space N requlmd) CERTIFICATE HOLDER CANCELLATION TOWN OF NORTH ANDOVER 3.600 OSGOOD .STREET SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE Wil BE DELIVERED IN NORTH ANDOVER MA 01845 ACGORDANCEWITHTRE POLICY PROVISIONS. 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