Loading...
HomeMy WebLinkAboutBuilding Permit # 10/13/2016 tAORT" BUILDING PERMIT 0i�4Leo TOWN OF NORTH ANDOVER = .' APPLICATION FOR PLAN EXAMINATION * h Date Received 1 `A Permit Nod: '3 a 8 '1 " i SRCH `'� Date Issued: I L) j3 JO/ 2 IMPORTANT:Applicant must complete all items on this page LOCATION Print a PROPERTY OWNER le P nt 100 Year Structure yes MAP PARCEL: ZONING DISTRICT,.-Historic District yes Machine Shop Village yes !no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building ❑ One family El Addition ❑Two or more family 11 Industrial .Iteration No. of units: ❑ Commercial ❑ Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition L1 Other r -^, hi,:-' �' 9.....?� � n ', ,s%c'•v .,.:��.y^ irmioor� am -.�''"-,sg _"'�.` �hetl�District LlDm��;..r DESCRIPTION OF WORK TO BE PERFORMED: Identification- Please Type or Print Clearly OWNER: Name: � s Phone: Address: Contractor Name• i � 7 Phone: Email: ma�,�P` .,. , �✓ �P Address: �'"� r �>��'cv, - �f Supervisor's Construction License: Exp. Date: Home Improvement License: 2 - Exp. Date: ARCH ITECTIENGINEER 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. Total Project Cost: $ Check No.: Receipt No.: 1 NOTE: Persons contracting with unregistered contractors do not have access to the guaranty and taORTH Town of s 6Andover No. -T ��;4 L--. h ver, Mass, )s • O COlt %r WIC/( -V All S V BOARD OF HEALTH Food/Kitchen PERMIT - T LD Septic System a THIS CERTIFIES THAT ...........�.lIlt. .. ............. . .�.v .... ...................,.....,....................... BUILDING INSPECTOR has permission to erect .......................... buildings on .... F!q Foundation Rough to be occupied as ............94ckew....... ..........!6......gor .........g.e•4L Chimney provided that the person accepting this permit shall n 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- C STRUCVTART Rough ♦ Service ........... .......................................... Final BUILDING INSPECTOR GAS INSPECTOR Occupancy Permit Required to Occupy__Buildin 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. eAvi6 Paua, eem uuctiatt PROPOSAL Jane Running & Per Cines 885 Forest Street North Andover, MA 01845 (J) 978-314-0258 (P) 978-314-0257 (H) 987-686-1904 Egpoijies(ajyerizon,net Kitchen Remodel August 26,2016 Work to be completed includes: • Acquire Building Permit • Demo of kitchen,including removal of all cabinets and appliances,ceiling, floor. • Dei-no of back hall floor,half bath floor vanity&toilet,laundry floor. • Demo of tile floor in foyer,Living room floor,dining room floor. • Electrical-Install 10 new 5 in cans in kitchen ceiling,Two 4 inch cans over sink. Install new undercabinet lighting. Install new plugs and switches. Run new curcuits where needed. • Complete plumbing in kitchen and half bath. • Hang new blueboard and plaster. • Install new red oak flooring in kitchen,back hall, Foyer,living room&dining room. Sand floors and apply 3 coats of poly. • Install Base and Wall Cabinets, Install all moldings and crown. • Install Granite counter tops.(Group 111) Cost of granite will change if from another Group. • Install tile backsplash. • Install tile floor in bathroom&laundry room. • Install all appliances.(New Fridge to be installed by others.) • Install new interior trim where required. • Removal of all debris. TOTAL LABOR AND MATERIAL $40,710.00 Terms: $13,570.00 to start $13,570.00 after plastering $ 13,570.00 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 H IC#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 Tcl: 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 PROPOSAL The above prices,specifications and conditions are satisfactory and are hereby ccepted, 'tory and are�ereby ccepted, I a, You are authorized to do the work as specified.Payments will be ma so fined Date Signat Date---T-7 Signature r 'k Conti-actor 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 Secretary qf the Executive Office of Consumer Affairs and Business Regulation and the consumer shall be require sub it to such arbJ do s provided in Massachusetts General Laws,Chapter 142A. 41Z F��meowner's Signature consumer shall ore 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 florne Improvement Contractor Law(MGL Chapter 142A)and other consumer protection laws(i.e. MG1,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.f lomeowners 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.Au 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 consurner/botneowner 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/herselfto 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 froth 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 Horne 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 6 Tfi L12"- 30" 8" 30 30" 15' 1921'1'' 71€r 21',-6 2118 8 78; 70 g' 29; 39, 142,6' T,f 33'18' 3 2 "�12" 3 15" 112,x" W3033WCM i F W3033WCM W3015WCM 1533 m CO i8 ! BD89.20PSS3"t"121 0-GA5-RAirIGE 3 i5 E ZD c Q m T c U1 C i m�m "ay e C 18WB2 f 3DB36 818L � (,7 o 5" / Srf 4 a i :3m -187- 041- - 4 n _fr i BEI PVR 824SQL L1368724SS 1 i — E W4833 93z' Y 2 f24.f 38rr 2079 f, 8 9i" 1938" 9;" 3$" 28'1 n., All dimensions-size designations Copyright 2015 This is an original design and must Designed: 9/23/2016 given are subject to verification on Pridecraft, Inc not be released or copied unless Printed: 10/4/2016 job site and adjustment to fit job All Rights Reserved applicable fee has been paid or job conditions. order placed. 1 Running Kitchen Rev 1 All Drawing : 1 No Scale. Tile Commonwealth of Massach usetts Department of Industrial Accidents Office ofInvestigations 600 Washington Street t., Caston,MA 02111 -www.massgov/dia Workers' Compensation insurance Affidavit: Builders/Contractors/Electricions/Plumbers Ap,plicant Information Please Print Le 'b Name(Business/organizadorAndividual): r o � Address: Z9S2 7 City/S-tate/Zip:, /L/r: . ��r r�', d'•Vr'J.'eK Phone Are you an employer?Check the appropriate bog: Type•of project(required): 1.❑ I am a employer-with 4. ❑ I am a general contractor and 1 6. ❑ ew construction ,employees(fall and/or part-time).` have hired the sub-contractors 2.® I am a sole proprietor or partner- listed.on the attached sheet. 7. Remodeling t t These sub-contractors,have 8. ship acid have no employees ThDemolition❑ working for ine in any capacity.ca employees and have workers' �'• cum inc�irance.$ 9- ❑Building addition [No workers su comp.insurance comp. required.] 5. EJ are a corporation and its 10.❑Electrical repairs or additions 3.❑ 1 am a homeowner doing all work officers have exercised their 1111 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.[:]Other comp.insurance required.] *Any applicant that checks box#1 must also fill outihe section below showing theirworkors'compensation policy iinformatiou. t Homeowners who submit this affidavit indicating they are doing all work and thea hire outside wntmotom must submit a new affidavit indicating such. lContrwtors that check this box roust attached an additional sheet showing the mmw of the sub-contractors and state-whether or not those entities have employees, if the sub-ccutrsctDrs have employees,they must provide their worker'comp.polioy number. I am an employer that ispro viding workers'compensation insurance for my employees. Below fs the policy andjob site informatio& _ Insurance Company Naame: `A�n/V-11.d el— Policy —Policy#or Self-ins.Lic.#: � t L - ,� T �' o ;7 d Expiration Date: des t� �} ... Sob Site Address: .Y :���r � ----- - --�CitylStatelZip:.O 1�® � -''Y/f m - 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 forovarded to the Office of investigations of the DIA for insurance coverage verification. Ido hereby certify urnder p,'ns a ,penalties of perjury that the information provided abyv is tru and correct 5' e: ✓ � "—. '� � Date: ,. _ Phone Official use only. Do not wrife in this area,to be completed by city or town official City or Town- PermitlLicense# Issuing Authority(circle one): X.Board of Health'2,Building Department 3.City/Town Clerk 4,Electrical Inspector 5.Plumbing Inspector . 6.Other Contact Person: Phone#: y I OP ID:GOGL �► _rro TE(MMIDD/YYM CERTIFICATE OF LIABILITY INSURANCE DA09/15/2016 09/i 5/2016 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(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 lieu of such endorsement(s). PRODUCER Phone:978-688-6921 CON Kim Landry Macdonald&Pangione Insurance Pax:978-668-5350 PHONE Fax: #,978-688-5921 Pv Nn:978-688-5350 104 Main Street North Andover,MA 01845 E-MAIL KIM@mpins.net ins.net ADDRES Michael Panglone PRODUCER CU OM IDs:CHRIS-5 INSURER(S)AFFORDING COVERAGE NAIL 8 INSURED Christopher Rivet INSURER A..Preferred Mutual Ins Co 15024 207 Winter St. North Andover,MA 01845 INSURER B .INSURER C,. INSURER D: ENSURER E: INSURER F 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. INSR TYPE OF INSURANCE DBL UBR POLICY EFF POLICY EXP LIMITS LTR POLICY NUMBER MWDB MM/DD GENERAL LIABILITY EACH OCCURRENCE $ 11000,000 DAMNIE TO RENTED A X COMMERCIAL GENERAL LIABILTTY BOP 0100719749 09/2612016 09/26/2017 PREMISES Ea occurrence $ 100,000 CLAIMS-MADE FKOCCUR MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY $ 11000,000 GENERAL AGGREGATE $ 2,000,400 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOP AGG $ 2,000,000 X POLICY PRO LOG $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ (Ea aocidenq ANY AUTO BODILY INJURY(Per person) $ ALL OWNED AUTOS BODILY INJURY(Per accident) $ SCHEDULER AUTOS PROPERTY DAMAGE $ HIRED AUTOS (Per accident) NON-OWNED AUTOS $ $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAR CLAIMS-MADE AGGREGATE $ DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION WC STATU- OTH- AND EMPLOYERS'LIAMLITY Y N TORY L! ITSLIER ANY PROPRlETORIPARTNERIEXECUTIVE❑ NIA E.L.EACH ACCIDENT $ .OFFICER(MtEMBER EXCLUDED? (Mandatory In NH) E.L.DISEASE.FA EMPLOYE $ Ifes,describe under OSCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ E°vE$C IPTION OF PE ATIONS/LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space is required) lr�ence 0 insurance 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 ACCORDANCE WITH THE POLICY PROVISIONS. 1600 Osgood St No Andover, MA 01845 AUTHORIZED REPRESENTATIVE ©1988-2009 ACORD CORPORATION. All rights reserved. " ACORD 25(2009109) The ACORD name and logo are registered marks of ACORD Massachusetts Department of Public Safety Board of Building Regulations and Standards License: CS-07.2173 Construction Supervisor � CHRISTOPHER F RIVET i 207 WINTER ST ,G, N ANDOVER MA 01845 i ° `✓�--- Expiration: Commissioner 06/02/2018 /✓rr Y�'rre r rr�rtiRrrr�(✓r r �>�(iri.arrr✓trrrr�L, F Office of Consnnier Affairs do Business.Regulation tHOME IMPROVEMENT CONTRACTOR k �Registration: 135962 Type: Expiration: 9/8/2017 Individual CHRISTOPHER F.RIVET CHRISTOPHER RIVET 207 WINTER ST. N.ANDOVER,MA 01845 -- Undersecretary