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Home My WebLink AboutBuilding Permit # 10/31/2016 L 9&j , 3�) R 00F?Tfj BUILDING PERMIT 0. TOWN OF NORTH ANDOVER 0 APPLICATION FOR PLAN EXAMINATION y - Date Received t Q �':,3 T's D 6S C US Date lssued: IMPORTANT: Applicant must com.plate all sterns on,this page uld"I -//a// Print punt; �,;�� OaYeartructure des no, MA,Pt// G 1 T1 no /IacYsine shop Village yes n, TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential 11 New Building 9 One family 11 Industrial 0 Addition 11 Two or more family 11 Commercial IRAlteration No. of units: 11 Repair, replacement El Assessory Bldg El Others: 11 Demolition n Septic [I Well E1 Floodplain 0 Wetlands T] Watershed District aWater/Sewer DESCRIPTION OF WORK TO BE PERFORMED: > iclentification - Please Type or Print Clearly OWNER: Name: Phone: .. ......... v Ar Address: C, _2 Contractor Name', V-)LxC,L Email: - Address: _5 t-A,07)"6,,:i ...JAA, Supervisor's Construction License: c)o cu,s Exp. Date. Hayne Improv�rr�ent License �� Exp.:... Date J l ARCHITECT/ENGINEER Phone: Address: Reg. No.----,- PEE SCHEDULE,BULDING PERMIT.,$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED $125.00 PER S.F. Tow ProieGt COSt' 15c;c-) ----FEE: Che6k No.: Receipt No.: 13 NOTE: Persons contracting with unregistered contractOrS clo not have access to the guaranty-fiInd Aqe-nt/Owner Sicinature of contractor Signature of' FORTH own of z : ndover 0 - . . No. t^N, h ver, Mass, 'QA SOC MIC„l wlCK ��' �® Q"'RTED s u BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System �r V � ' BUILDING INSPECTOR THIS CERTIFIES THAT .......... .............. . ....................... ............ ................... .. .............��..................... ... Foundation has permission to erect .......................... buildings on ......� ..............rt. .N.................. �, Rough to be occupied as ........... ... ' .�.� �.4 .�.' � . .. � � ........ .......... .. ..,... ........ Chimney provided that the person accepting this permit shall in every respect conform to the terms of a 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 6RADNTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCT TA Rough Service ........ ..... ...... .....,.......................BUILDING.,IN......I........SPECTOR... Final GAS INSPECTOR Occupancy Permit Required to OccuVE 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. Back River Development 231 North End Boulevard Salisbury, MA D 1952 (978) 852-3733 CONTRACT To: Bill Wolfenden Date: October 12, 2016 Re: Renovations of Residence 183 Green St.N. Andover, MA Scope of services Back River Development will be responsible for the following: Demolition o Remove two bathrooms down to framing o Remove closets and designated walls in master bedroom and upper hall o Remove designated windows throughout house (TBD) Framing o Re-frame walls upstairs to form two new%baths and closet areas o Re-frame 1"floor bath and laundry area per plan Plumbing o All rough labor and materials and finish(labor only) are included o Faucets, Vanities,toilets and bathroom amenities will be purchased seperately - Blue board and plaster n YT Blue board and skim coat plaster will be applied to all affected areas from renovations only o Plaster finish will be smooth on walls and textured(skip trowel) on ceiling - Insulation o Insulation and draft stop will be installed to building code regulations in open framing walls only - Finish carpentry o Base board trim and window and door trim will match existing throughout house - Siding and exterior trim o Will match existing on house in affected areas only - Windows o Replace 10 windows in house with vinyl replacement windows o New construction window will be installed in master bedroom Electrical o Outlets, switches and fixtures will be installed per code o Fixtures will be supplied by homeowner - Painting o Painting is not included in this contract TOTAL COST $ 48,500.00 PROJECTED TIME SCHEDULE The following is an estimated time schedule for informational purposes only. This schedule may be adjusted as needed to address unforeseen circumstances, including but not limited to hidden obstacles,bad weather, sub-contractor scheduling conflicts,eta It is our goal to complete the work in a timely fashion. Week 1 Demolition and framing 2nd floor Week 2 Rough electrical,plumbing and inspections Week 3 Insulation,blue board,plaster,tiling and windows Week 4 Finish carpentry and flooring install Week 5 Demolition IS'floor,finish baths and bedroom on 2nd floor Week 6 Rough plumbing and electrical 151 floor Week 7 Tiling and finish plumbing Week 8 Project completion Terms and Conditions 1. Contractor agrees to furnish all necessary labor, materials, tools and equipment to complete the work outlined in the scope of services. 2. Contractor shall provide copies of a valid builder's license and proof of liability and workers' compensation insurance prior to commencement of any work. 3. Contractor agrees to complete the scope of Services in a timely, professional manner in accordance with the specifications set forth by the architect and engineers, and in compliance with state and local building regulations. 4. Contractor agrees to clean all debris from construction only and to keep job site in a clean and workable condition at all tit-nes 5. Homeowner shall be responsible for any costs occurring from engineering or architectural plans and site work and any costs incurred from permitting, zoning board of appeals, planning or DEP. 6. Any costs incurred from hazardous materials found during construction are the responsibility of the homeowner 7. Homeowner is responsible for contacting utility companies for disconnect and new hook tips, cable,telephone, gas and electric and any costs that results from these set-vices. 8. Manufacturers' warranties will be turned over to the homeowner and become the homeowner's responsibility to file and pursue any defects or problems that may occur. 9. Any materials, products, or labor not specifically mentioned in scope of services is not covered under contract and will be paid for out of allowance fund or billed to homeowner 10. Homeowner is responsible for any price increase in materials prior to signing of contract 11. Homeowner (not tender) is ultimately responsible for payment upon completion of services and receipt of invoices PAYMENT SCHEDULE The payment for the contract will be as follows 25%upon execution of contract 12,500.00 25%upon commencement of services 12,000.00 25%upon completion of rough inspections 12,000.00 25%upon completion of project 12,000.00 tr � Bill olfenden omeowner William Ferr s Back River Development FLOOR PLAN SECOND FLOOR BATH MASTER: NOT TO EXACT SCALE,APPRX.GRID=6" 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 16 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 39 36 37 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 Cranso m wiridows acro s the bac1c SHOWER FULL GLASS C�OOR SEALS C:I St 8'd cel)x 6' shower. Badi e) vall"'RiPy Door ckI pset :;7enter TV Cable Jack window Bed I SLANT OF CAPE STARTS NON-STANDING SPACE Built in storage Built in Storage BEHIND"KNEE WALL" IIS � IIII �IIII 1 II�II�IIIII�II �� UU ��h�� 1 ® CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDFYYYYY) ACOR[� 10 28/16 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(ies) must be endorsed. If SUBROGATION iS WAIVED,subject to the terms and conditions of the policy,certain policies may refire an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu Of such endorsemen s). PRODUCER CONTACT &A Roberts M.P. Roberts Insurance Agency PHONE 978 683-8073X N (975) 683-3147 1050 Osgood Street E-MAIL am ft robertsinsurance.com North Andover, MA 01845 INSURER(S) AFFORDING COVERAGE MAIC# INSURER A.Merchants Mutual Insurance Co INSURED INwRERB:Associated Em to ers Insurance BACKRZVER DEVELOPMENT LLC INSURER C: 231 NORTH END BLVD. INSURER D: SALISBURY, MA 01952 INSURER 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 ADDL SUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSR wvO POLICY NUMBER MfMN MMIDDIYYYY LIMITS A GENERALLIABILITY BOPI060037 6/20/16 6/20/17 EACH OCCURRENCE $ 11000,000 X 701 MERCIALGENERALLIABILITY DAP1 M MIS 3F ES ETORENTED $ rj00 000 CLAIMS-MADE F-1OCCURMED EXP(Any one person) $ 15,000 PERSONAL&ADV INJURY $ j 000 000 GENERAL AGGREGATE $ 2 000,000 GEN'LAGGREGATE LIMIT APPLIES PER PRODUCTS-OOMPIOPAGG $ 2,000,000 POLICY x PRO- LOC $ AUTOMOBILE LIABILITY CeNAccESIiEDSING ELI I $ ANY AUTO BODILY INJURY(Pe{person) $ ALLOWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS NON,OWNED PROPERTY DAMAGE $ HtREDAUTOS _AUTOS eraccldent $ UMERELLALIAa OUR EACHOCCURRENCE $ EXCESS LIAR CLAIMS-MADE AGGREGATE $ DED RETENTIONS B WORKERS COMPENSATION WCC-500--5014220-201 1/12/16 1/12/17 X WC STATU- OTH- AND EMPLOYERS'LIABILITY ANY PROPRIEIORIPARTNERIEXECUTIVE Y!N E.L.EACHACOGENT $ 500,000 OFFICERfidEMBER EXCLUDED? N I A (Mandatory In NH) E.L.DISEASE-E4 EMPLOYE 500,000 IF yyes deacriheunder DESCRIPTION OF OPERATIONS below E.L.DISEASE_-POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 161,AddRional Remarks Schedule,if more space Is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE ! �Jy THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN :NORTH f-hL WOLFENDEN ACCORDANCE WITH THE POLICY PROVISIONS. 83 GREEN STREET ANDOVER, MA 01845 AUTHORIZED REPRESENTATIVE MICHAEL P ROBERTS O 1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD Phone: Fax: E-Maif: The Commonwealth of Massachusetts _ Department ofIndustrialAeddents M ='� I Cong-cess Street,Suite 100 Sostog,MA -2017 02114 '�M 5Yy www.mass.gov/clia yWovlt`e& Compensation xnsuxance.Affidavit:Srczlderrs/Contxactaxs/E�ectxiciaxrsll'Iumbexs. TO BE PILED WITH THE PF MrTtVG AUTjE(0MT'Y. Please Print Le •bl A licant formation 'Namo(BusinesslO garaizaizanlindividual): City/StatelZip= �ta-�•--�S��lrz.1- � Phone#: � �� _ , ;e.:. .. : xh•= Axe You an employer?Chcel[tIie appropriate box: 'typoi`p�roject(Vequired); em to ees full and/or part tiine)-'k 7. p Natiri'constrirction .�I am a employer with p y 2.❑I am a sole proprietor or partnership andhave no employees Working forme in 8. itemadeliiig any capacity.po workers'comp.insurance required.] 9. ❑Demolition m 3,E]I aahomeowner doing all workmysel�[No workers'comp.insurance required.]t 10❑Building addition 4,E]I am a homeowner andwill be hiring cantractozs to conductall work onmy properEy. Twill 11.0 Eleelxical repairs or additions ensure that all contractors either have workers'compensation insurance or are sola 12,p Plinobang repairs or additions proprietors withno 9;11pj6yees. l J 54-1 I atn a general contractor and Ihavebiredthe sub-contractors listed nn the attached sbeet. l3'.[j I:oafreliairs These sub-contractors have employees andhave workers'comp.insurance$ 14 Q Other (, j]We are a 0orporatio}i and its.OTLI06rsdovO exeroised their right of exemption per MGL e. 7� 152,§I(4),and late have no enmpldyees.[Io workers'COMP.insurance regaired] n Policy *Arty applicant that checks boXadaV§t so vit IndicatitjgtheY are doing out the lall Work andthenlnre OutsTdaow contractors must submilta new affidavit indicating such. i gomaowners Who snbmit•tlns,,, . Contras#ors that checkfhis l7oxznust attached'an additional sheet shawmgthe name ofthe sub-contractors and stato whether o�}rotfhose entitCes ave employees. Ifthe sub conizactozs have employees,they must provide their workers'comp.policy number. xarn an employer that rsprovtdir2gti'otkexs'compensation insurancefar•my employees. Feloty is tFiepolicy andJo7r site itformation. j surance Company Name: ) - Ex iratioxxDate:_i ha +� Policy#or Self-Ins.UG-#:. 0 p CitylStato ip: P Sob Site Address: date. Attach a copy of the�vvoxkexs' compensation policy declarations page(showing the policy number and expiratito�n. is r -00 e by a fifib UP to$1,50 Faiiuxe to secure coverage as required and iver M enaltias in the farm of a OPr �IORI<OTtT]EP minal Violation land as�n e of Up to $200.0 4 a andlor one-year imprisonment,as well a P day against the violator.A cnpy ofthis statement may be forwarded to the C)i�.ca of Sr�vestigations of the DIA for irlsuxance coverage-verification. t do Hereby cert under the pains andpenalties of perjury that tl2e information provided move is true and coYrect. - bate: Si elute: khona It. in this area,to be completed by city or town officia pfficial rise only. 7o riot write l. permit/License# City or Town- Issuing A.nthority(circle one)' 1.Board of Ifealth 2.Buildi g Department 3.CitylTown Clerk 4,Electrical.inspector 5.Plumbing Inspector 6.other Phone R. ContactPerson: Massachusetts Department of Public Safety A, Board of Building Regulations and Standards License: CS-065005 Construction Supervisor BRIAN A LYNCH 31 SEVEN STAR RD GROVELANO MA 01834 Expiration: Commissioner 1111612017 ri;•.. `J/E �auirrrrarrurn/l/r��+l�r;;.rac/r%;eh _ Off ice of Consumer AJTairs&Busfaess Regulation t HOME IMPROVEMENT CONTRACTOR `ri., REgistration: 973255 Type: <; Expfratlon:. ..8l2012016 Individual BRIAN A LYNCH w BRIAN LYNCH 31 SEVEN STAR Rio GROVELAND,MA 01834 _ = .Undersecretary