HomeMy WebLinkAboutBuilding Permit # 1/10/2017 ;ORT}{
BUILDING PERMITof T4o r
2 y��r,c t��6
TOWN OF NORTH ANDOVER o _ >�
APPLICATION FOR PLAN EXAMINATION
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Permit Na#: � A Date Received
. SacHus�
Date Issued:
IMPORTANT:Applicant must complete all items on this page
12:
LOCATION
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PROPERTY OWNER t
Pnnt 10D Year 5fructure yes o
MAP PARGEL ZONING DISTRICT H�star�c D�stnc# yes no
Maci �ne Shop ViLEage yes o.'
TYPE OF IMPROVEMENT PROPOSED USE
Residential Non- Residential
❑ New Building ❑ One family
❑Addition ❑ Two or more family ❑ Industrial
Alteration No. of units: ❑ Commercial
❑ Repair, replacement ❑Assessory Bldg ❑ Others:
❑ Demolition ❑ Other
❑;Septic D Well ❑ Ffoodplan C7 Wetlands ❑ Watershed D�sfir�ct
❑,Wa#erlSewe . .
DESCRIPTION OF WORK TO BE PERFORMED:
UA 0 el L24
Identifi ation- Please Tjor Pri t Clearly
OWNER: Name: � � - � r ` Phone:
Address: 7-(R: � �
Contractor Name :: Phone: �7 -�
Adtl rens. � �
Supervisor's Construction'License Exp. Date:
Home Improvement License Exp. batel `
ARCHITECT/ENGINEER Phone:
Address: Reg. No.
FEE SCHEDULE.BULDING PERMIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST 13ASED ON�$1?5-00 PER S.F.
Total Project Cost;
Check No.: Receipt No". l G%
NOTE: Persons contracting with unregistered contractors do not have access to the g n �
_i
Signature of Agentl0wner Signature of contractor
Enter construction cost for fee cal- North Andover Fee Calculation
Construction Cost
.40 249595.00 m
$ - $ 296.14
Plumbing Fee $ 36.89
Gas Fee 100 comm. 100.00
Electrical Fee $ 36.89
Total fees collected $ 468.93
266 Blue Rod e Road �
706-2017 on 1/10/2017
Kitchen Remodel
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tAoRT1
own �. Andover .
No.
2 AL
AIL
C, h ver, Mass, 1
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COL MIC Kl w1CK V
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BOARD OF HEALTH
Food/Kitchen
PERMIT I LD Septic System
....
THIS CERTIFIES THAT f ........ .N . .....V e �� ...., ........... BUILDING INSPECTOR
. Foundation
has permission to erect .......................... buildings on ......+ ............�. ..le
.a ...,..
........PA. /#..C�.........../C...44,004...... Rough
#0 be occupied aS ....RkmwChimney
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
PERMITEXPIRES IN 6 MONTHSELECTRICAL INSPECTOR
UNLESS CONSTRUCTION T TS Rough
... ...... Final Service
...... .. .. .... . .. .... ... .......
BUILDING. . . .INSPECTOR
GAS INSPECTOR
ccupancE Permit.Reguar to Occupy BuRough
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.
3 � i een
- COW ca,
tttiM.Ulark.l AV[: Si"L'C:t/�t_t5T5
113 718—cow :;a 7
KeenC0n9tractionCo.com
Nicole& Matt Ehrie
266 Blue Ridge Rd.
N. Andover, MA 01845
Contract#6049;Appendix A December 27, 2016
Cabinet hardware: $4595
• Remove and replace existing hardware on cabinets (hinges, drawer glides and knobs)
• Upgrade to slow close hardware
• Replace customer supplied towel racks
Rebuild two Lazy Susans: $460
• Remove existing hardware and replace with new, re-using existing doors
Paint cabinets, inside and out, kitchen walls and ceiling, and all trim and doors in kitchen: $7000
Replace floor with tile:$7140
• Remove and dispose of existing flooring (approx. 300')
• Supply& install tile flooring ($5/sq ft material allowance),standard installation
Built-in microwave: $900
• Remove and dispose of drawers and doors, reconfigure stiles to accommodate microwave
• Supply& install new drawer under micro, approx. 24"x 10"
• Supply&install outlet for micro
Counter&appliances:$1100
• Remove and dispose of existing counter
• Remove and dispose of cabinetry (appliance garage)sitting on counter on inside wall
• Coordinate with granite installer for template and install
• Install customer supplied fixtures &appliances (sink,faucet, dishwasher,gas cooktop, oven,
microwave)
Backsplash: $750
• Install customer supplied 3"x 6"the backsplash
Wail behind cooktop: $1650
• Build wall behind cooktop, approx. 42"tail
• Supply& install two outlets
• Plaster wall to smooth finish
• Supply& install trim to match
• Paint wall and trim
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
(((CUYJS't"Uo6on;Co,
Hi.MC]i]I:I.iIiC: tiPi?c >`i_itirS
KeenConstructlonCn.com
Electrical: $1000 allowance
• Replace 12 outlets and switches
• Remove phone outlet on backsplash
• Add USB outlet on backsplash
• Replace undercabinet lighting
Misc. items included with project:
• Replace customer supplied rear door hardware
• Trim cabinet above refrigerator
Total Price: $24,595 (twenty four thousand five hundred ninety five dollars)
Price does not include cost of permits (approx. $460 total)or repairs to any unusual, unsafe or non-code
compliant existing conditions not addressed in this contract.
Payment Schedule:$1000 due upon signing contract
$5000 due the first day of work(plus permit fees)
$5000 due when cabinet work is complete
$5000 due when painting is complete (except touch-ups)
$5000 due when the floor is complete
$3995 at completion of contracted work
r
Customer Robert A Keen
t 17a
Date Date
r
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
6049
KEEN CONSTRUCTION CO. PROPOSAL
PO BOX 935
NORTH ANDOVER, MA 01845
Tel: (978) 681.5201 All home improvement contractors and subcontractors
engaged in home improvement contracting, unless
Fax, (978) 682-3231• specifically exempt from registration by Provisions of
j 11�� 1 i,l Chapter 142A of the general laws, must he registered
Submitted to: ` ! f'-r,l c 4 ! with the Commonwealth of
Massachusetts. Inquiries
about registration. and status should he made to the
Director, Home Improvement Contract Registration,
;_ fir��. 10 Park Plaza, Room 5170, Boston, MA 02116 617-973-8787
=i ! Owners who secure their own construction related permits
or deaf with unregistered contractors will be excluded from
the Guaranty Fund Provision of MGL c.142A.
PHONE
r -'•,if _ -� (� i_..,+,�-' ` REGISTRATION NO. EINNO.
!Gf (�� MA. H.I.C. 108383 46-3783401
> C/S=Customer Supplied S+ I =Supply+Install P"See Attached Appendix A
We hereby submit specifications and estimates for work to be performed and materials to be used:
f j
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,+
The contractor and the homeowner hereby muj(tally agree that in the event the contractor has a dispute,concerning this contract,the contractor'
may submit the dispute to a private rbltfatloh firm which has been approved by the Secretary of the Zecutiz Office of Consumer Affairs and
Business Regulation and the consum r fall e n6quired to submit to such arbitration as provided in M ssachp atts General Laws,chapter 142A.
l ( !
Homeowner's Signature - Contractor's Signature
NOTICE:The Signatures of the parties above apply only to the agreement of the parVes to alternative dispute resolution initiated by the contractor.The homeowner
may initiate alternative dispute resolution even where Ws section is not separately signed by the parties.
r� Constr ction Related Permits,-
WORK
ermit_s
WORK SCHEDULE -----
Contractor will not begi t o k r•11 der the materials before the Wrd day following the signing of this Agreement,unless specified here In,wri ing.C -tractor will begin
the work on or about 1;d5te].Barring delay caused by circumstances beyond Contractor's control,the work will be completed by ! 'ate}.The
Owner hereby acknowlG ges a d agrees that the scheduling dates are approximate and that such delays that are not avoidable by the Contractor shall at be considered as
violations of this Agreement.
WARRANTY _
The Contractor warrants that the work furnished hereunder shall be free from defects in materials and workmanship for a period of 'f 4f fo€rowing
completion and shall comply with the requirements of this Agreement.in the event any defect in workmanship or materials,or damagb caused by the.Contractor,his sub-
contractors,employees or agents Is discovered withimone year after completlon of any job,including cleanup,the Contractor shall,at his awn expense,forthwith remedy,
repair,correct,replace,or cause to be remedied,repai(ed,or replaced,such damage or such defect in materials or workmanship.The foregoing warranties shall survFve any
inspection performed in connection with the agreed-upon work. -
We Propose herl?by to fur.n.ish material and labor-complete in accprdanc with above specifjcations,for the sum of
;,t' 1 C.: .1( i i '�,�' C I" i c? f Il_• i�1 I't
CIL i I'' _ r t 1 - dollars )-
-Payment to be rAade as fol lows: -
°�° (# }upon signing Cant ct; j ROBERT A.:KEEN
Name ofContractor/Designated Registrant
j n 111-
�11-
!? .r PO BOX 935
% {5�} )}rPfl�cmpltibl"of
+ Street Address
,
u on tenon of N. ANDOVER, MA 01845
P P
City/State
(y shall be made forthwith upon (978) 691-5201 (978)682-3231
Completion of work under this contract. hohk i ) Fax
Notice:No agreement for home improvement contracting work shall require a rf�
>down payment(advance deposit)of more than one-third of the total contract Name of Salesman�a
price or the total amount of all deposits or payments which the contractor must _ 7~~•' _
make, in advance,to order and/or otherwise obtain delivery of special order quthor'ed5igdature s
materials and equipment,whichever amouy>$is greater. Note:This proposal may be withdrawn by us if not accepted within days.
Acceptance of Proposal -I have read both sides of this document and all attached documents 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 outline above.You,the Buyer, may cancel this transaction at any time prior to midnight of the third
business day after the date of this transaction.Cancellation must be done in wl,i(ltl g..!
DQ NOT SIGN THIS CO.NTR CT IF THERE ARE ANY ILA ! S�4CE5.
Signature Date i - .•�(� !�` Signature
IMPORTANT 11MMIZMATION ON RArk, lb-
Tlxevrmvxwecth of N�rsc�c�ir� e ,�
Ve
x Congress Stx'eet,Sine 100
Boston,
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ITIMance CompanyName
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ixation.Date• "� �.p �1c,
Policy#or Se7�ins.Li`c. �(p�vv 1..�
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Attach a copy of f�.e�orl�exs' coxopepsaiionpoTa"tcy decZarationpage(sl�oveirtgthepo�.cy7rix�.xnbex'anal e�p�atz SOO.UO
Failure to sec�_re coverage as-rag11- underMGL ties2in the f ra of as STT'WORK ORDM and fine of
to $ZSQ.00 a
and/or oxte~yeal Ixnprhonznant;as eve as civil penal be fozwarded to the Qlfice of n�estig tioazs of the DIA for i s xrance
day against the violator.A copy Of this stater en_t may
coverage verfflcatlun.
er pui dpe�zr�7i' ofperjury t1zae the information��avideda�flve s true r�n�correct
.i:do 11ereliy certajy q 79~
Date:
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Aare:
phone#:
p ff icier rase or�Zy. Da rzotr'ite irx train area,to be corrapleter�bycity err to-wn q�czai
PermibLicense if
City or Tovn-
Sss'aing An-ff:ority(czxcle One): ectox -.Plumbing hTectox
1.Board of�ealth �,BrrxldzngAeparta�ezxt �.CitylTown CJexl� 4.Elec�zeallnsp
&.Other
Rhone#.
Coma ct Person
,4coR ® CERTIFICATE OF LIABILITY INSURANCE °ATE`MMI°°"YYY'
1/9/2017
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 require an endorsement. A statement on this certificate does not confer rights to the
certificate holder€n lieu of such endorsement(s).
PRODUCER CON CT Barbara McDonough
Gilbert; Insurance Agency, Inc. arc°NIu 1 xe: (781)942-2225 ------� FAIC No:i7a11942-2226
137 Main Street: F-MAILADDRE :bmcdonoughC4gilbertinsurance.com
INSURER 5 AFFORDING COVERAGE NAIC q
Reading MA 01867-3922 INSURERA-.Norfolk & Dedham Insurance 23965
INSUREDINSURER B 39454
Safeky -
Keen Construction Company INSURERG:Travelers ins. Co. 0031
PO Box 935 INSURER D:
INSURER E:
North Andover MA 01845 INSURER F;
COVERAGES CERTIFICATE NUMBER:16-17 MASTER 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 VVHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PE=RTAIN, 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.
!NSR TYPE OF INSURANCE ADDS.SUER POLICY EFF POLICY EXP LIMITS
LTR POLICYNUMBER MMIDDNYYY YYY
MMIDDIY
X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S 1,000,000� � DAMAGE TO RENTED - `
A CLAIMS-MADE E f OCCUR PREM€SES Ea occurrence $ 100,000
ND-P-010078/000 3/13/2016 3/13/2017 MED EXP(Any one person) $ �. 5,-000
PERSONAL&ADV INJURY S 11000,000
GEN'LAGGREGATEUMITAPPLIESPER: GENERAL AGGREGATE $ 2,000,000
__. _....__ LOC `
X POLICY u SEG PRODUCTS $ 2,000.000
OTHER: $
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000
Eo accident
B ANY AUTO BODILY INJURY(Per person) $
ALL-OWNEDSCHEDULED 6228807 COM 02 5/23/2016 5/23/2017 BflOILYINJURY(Peraccidenty $
AUTOS AUTOS _.............__,_----
NON-OWNED PROPERTY DAMAGE
X HIREDAUTOS X AUTOS Peraccident $
Underinsuredmotorist $ 100,000
UMBRELLA LIAB HOCCUR EACH OCCURRENCE $
EXCESS LIAS CLAIMS-MADE AGGREGATE $
DED RETENTION S $
WORKERS COMPENSATION To be issued directly by IN
STATUTE EORH
AND EMPLOYERS'LIABILITY ------_--------
ANY PROPRIETORIPARTNERIEXECUTIVE Y�N!A the Company. E.L.EACH ACCIDENT $ 100,000
OFFICERfMEMBER EXCLUDED? -,_ -,_...__—_
C IMandatorylnNH) ""' 10/8/2015 10/8/2016 E,L.DISEASE-EA EMPLOYE $ 100,000
If yes,describe under
DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000
DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES)ACORD 10i,Additional Remarks Schedule,may be attached if more space is required)
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
Town of North Andover 714E EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
North Andover, MA ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE
M Gilbert, CTC/LTNDSE
O 1986-2014 ACORD CORPORATION. All rights reserved.
ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD
INS025(201401)
Massachusetts -DepartmentofPublic Safety
Board of B)uilding Regulations and Standards
License: C5-076691
ROBERT A KEEN
12 F WATER ST
North Andover AR 0
Expiration
Commissioner 08116/2047
..................... ........... . ...............
Office of consumer Affairs&Business Regulation
HOME IMPROVEMENT CONTRACTOR
Reg lstration:,?'198383 Type:
ExpIrat1on:----AA-8i20-,1.8 DSA 7
KEEN CONSTRUC T04
Kenneth Keen
1175 TURNPIKE ST
NO.ANDOVER, MA 018 Undersecretary