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HomeMy WebLinkAboutBuilding Permit # 1/10/2017 BUILDING PERMIT TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION ° Permit No#: `74)�� Date Received �y AT.k0 aC 14 Date Issued: ' IlVII° TANT. applicant must complete all items on this pale LOCATION Print ry PROPERTY OWNER' Ar Print 100 Year structure yes O MAP PARCEL: � ZONING DISTRICT:, .�_._ Historic District Yes ? Machine Shop Village yes TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential _ ❑ New Building One family 11 Addition ❑ Two or more family 11 Industrial Alteration No. of units: ❑ Commercial _. _m__ _. _----. _._ 1:1 Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition -❑ Other i r DESCRIPTIO OF WORK TO DE PERFORMED: Identification - Please Type or Print Clearly OWNER- Name: Phone: a -2_,-V '-1 ok4A Address: _ Contractor Name: ," .`.1 Phone: j--A Email . "m Address: ALI Supervisor's Construction License: U ,S Exp: Date: Home Improvement License: Exp. Date: ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE:BULDING PERMIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER SY, Total Project Cost: $ 14 ,, Do 0 FEE: $ � ^ Receipt No.: � w Check No.: � .. �„ � P NOTE: Persons contracting with unregistered contractors do not have access to the glcaranly f ind M1, A7 711 -0, /(r, "a 7, �I/I!�"r,/�7r�°i r �n •w'"'71l"9,,ID,1���`,I,7�,NiJPi/A,7I'/til '%/u71�1G/'n/07�1 ,, i /,/�/1 ,l 1" I/� ;' ,i ;�1 r��G 1'(JJff l 1�r-n r I�', '�['/i, � i, Enter construction cost for fee cal- North Andover Fee Calculation ConstructionCost $ 4900.00 m $ $ 588.00 Plumbing Fee $ 73.50 Gas Fee 100 comm. $ 100,00 Electrical Fee $ 73.50 Total fees collected $ 835.00 29 Norman Road Kitchen and DR Remodel 707-2017 on 1/10/2017 DATE(MMIDUYYYYY) ACC) CERTIFICATE OF LIABILITY INSURANCE NO ONLIHI THIS CERTIFICATE IS IST AFD IRMATVELYER OF OR NEGAT INFORMTION AMENDYEXTEND OR ALTETHE COVERA AF ORDED BY THE FOLIC ES CERTIFICATE DOES NO BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. to IMPORTANT: If the Del tNicate holder i GQ aADin pDoIT10eNA lySegR D'uire an endoirsement. A statement on his certificate does not co 1ferDrights t tthe the terms and conditions of the policy, certificate holder in lieu of such en_ "T'U""Z!• CONTACT _ NAME: Sandi PRODUCER PHONE- - --(978) 683.._80"73 FAX1978} 683-3147 M.P. Roberts Insurance Agency �BLC,-N� tl — — E-MAI L 1060 Osgood Street ADORESSand?•@•tamprobertsi.nsurance.com____�_._- North Andover, MA 01845 R( North R(S}AFFORDING insuR�g n.Merchants,Mutual Insurance - INSURER o:Guard..Insurance........ INSURED - KEVIN MURPHY REMODELING _INLLRER.-..;._ ENSURER D, _.—�---- -_- —"_--`_ 98 FOREST STREETf ! NORTH ANDOVER, NIA 01845 INSURERS l INSURER F; €; COVERAGES REVISION NUMBER: CERTIFICATE NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED 70 THE INSURED NAMEQ ABOVE FOR HE POLICY PERIO 1 INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER QOCUMENT WffH RESPECT TO W141CH THIS CERTIFICATE ATAND BE ISSUED S OND OR MAY POLICIES.AIN, LIMITINSURANCE S SHOWN MAY HOAV�EB BEEN REDUD BY THE CED BY PAID CLAIMS. CIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONSii POLICY EFF Policy FJ(P j LLMITS QTR ADDL SUBR[ POLICY NUMBER I MMIWfIYYY MMIDIXYYYY i TYPE OFINSURANCE NS WVDI 1 11/22/16 11/22/17 £ACM OCCURRENCE ___�.S _�-..r 401.00-0--- GENERALLIABILITY iBOPTD68945 1 pig TO F2ENTED S 500'000 1 PR.EMI$E,�{En q.Fcurrence} X .COMMERCIAL GENERAL LIAR ILI TY I MED +(Aryar�P�sai1__ $ _ 15r- Q.00_. -- CLAIMSTNAUE }{ OCCUR I PERSONAL&ADVINJURY $ _- —._.. FRALAGGREGATE__ 2,Q00,,,000, PRO2 DUCTS COMPIOPAGG s2..,..000.,000 GEN`LAGGREGATFLIMIT APPLIES PER I I S - ` PRO. LOC I l COMBINED SINGLE LIMI $ 1 rODD_rflQ.Q ]{ POLICY I CT 1/23/16 1/23/17,(EaacclderiL-,-_ __ A AUTOMOBILE LIABILITY �MCA7 D136DB c BODILY INJURY(Per Person) $ ANYAUTO BODILY INJURY(Per accidenil 15 - SCHEDULED )-.- ALLOAUTOS P Or accidenDAMAGE $ AUTOS X I __ -_. _ ....._... X HIREOAUTOS NON-OWN AUTOS I CUP9145304 11/22/16 11/22/171 EACH OCCURRENCE 5 -1,000,000 UMBRELLA --...... OCCUR_MADE t I I:AGGREGATE �r LIDO-,�.OQ A UMI3RELLALIA6 OCCUR CLAIMS 5 DED RETENTIONS I ` -1/1/16. 7/1/17WCS7ATU 0TH TORYIIMETS_L—.-__ER.- -- -- WORKERSCOMPENSATION III KEWC726509 I 500x_000. AND EMPLOYERS'LIABILITY YIN 4 E. CACTI)SECT QE NT g.,-. ANY PROPRIETORIPARTNERIEXECUT[W l NIA E L DISEASE, EA EMPLOY_EC S 500,000_ _ _._ OFFICE MEMBER EXCLUDED? IMandatoryinNH) E.L.DISEASE-POLICYL.IM IT 3 SLID DOD If es,describeundei O SCRIPTION OF OPERATIONS below ma rks Schedule,it[noro since Is regLl red} DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES(Attach ACORD 104,Addlllonal Re CANCELLATION CERTIFICATE HOLDER SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BF CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE. DELIVERED IN ACCORD 'IN ACCORDANCE WITH E POLICY PROVISIONS. TOWN OF NORTH ANDOVER ' NORTH ANDOVER MA 01845 AUTHORIZEDREPRE E�tAT}1 __ ©1'J80 2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010!05} The ACORD name and logo are registered marks of ACORD E-Mail: Phone: Fax: V%O TH owe of t _ .J"' �6 over ® : tifit No. 0ver Mass o coca`Ic It ICK '�sq�R.trEa Ae��4`� U BOARD OF HEALTH PERMIT L D Food/Kitchen Septic System V � � Y� 5, ............. BUILDING INSPECTOR THIS CERTIFIES THAT....�C,,,,,�............. ,,..,�.... ... .......... ..... ................ �•� Foundation has permission to erect..........................buildings on ................ .,... ....... ,,,,,..............,,........................ 1 Rough to be occupied as ,..RE M.V® `,...... .f4c4 .......��C.. r. .......toll!........,. Chimney provided that the person accepting this permit shall in every respect conform to therms of the application Fina[ p p p g 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 EXPIRESI TNS ELECTRICAL INSPECTOR, UNLESST Tl TRTS Rough Service ,. ....,... Final BUILDING INSPECTOR GAS INSPECTOR ccupancy Permit Required to Occupy BuitdinRough Display in a Conspicuous Place on the Premises — Do Not Remove Fina' No Lathing or Dry (Nall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. Smoke Det. The Commonwealth of Massachusetts Department of Industrial Accidents I Congress Street,Suite 100 Boston,MA 02114-2017 www.mass g0v1dia Workers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/plumbers. TOBE FILED Vffl-M TffEPFR11UTnNCAUTII0RITY- Please Print,legibi Applicant Information _iza6o,,ADdividual): Name(Businesslorg G,' Address: Phone#: City/State/Zip: Are you an employer?Check the app Type of project(required):ri2te I)OX. I. am a employer with-A—cmPloyccs{full and/or parr-timc).* 7. E]New construction 2C]1 am a sole PmPrictOr Or Partnership and have no employees working for me in 8. ta Remodeling any capacity.[No workers,comp.insurance required.)I required.]t 9. F1 Demolition 3.01 am a homeowner doings)]work myself.(No workers comp.insurance 10©Building addition 4-n I am a homeowner and will be hiring contractors to conduct all work on my Property. 1 will 11.[:]Electrical repairs or additions erasure that all Contractors either have work-1,compensation insurance Or arc sole 12.rl Plumbing repairs or additions proprietors with no C:alP)Oyccs- 1 am a general contractor and I have hired the subcontractorslisted on the attached sheet. 13.nRoof repairs 71csc sub-contractors have employees and have workers*comp.iusu=ml 14.E]Other- 6.EJ We arc a corporation and its officers have oKcrcistd their right of cxcrn ption per MCL c. 152,§1(4),and we have no employees.(No workers'camp.insurance Mquired.) the section below showing their workers'compensation Policy information- a°Any applicant that chexks box t7 t must also fill out rc doinnil work and then hire outside contractors must submit a new affidavit indicating such. they g tConnactars that check this box must attached an additional sheet showing the name of the sob-coutractors.and state whether or not those entities have they must provideworkers'comp.policy numberd ant an employer that is providing . cxnPloyexs. 1f the sub contractors have employers workers'compensation insurance for my employees. Below is the policy and job site fitfor'"radom Insurance Company Name: 2 N-A Policy 4 or Self-ins.Lie. Expiration Date City/State/zip: EJ a , t" I Job Site Address: Attach a copy Of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required wider MGL c. 152,§25A is a criminal violation punishable by 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.A copy of this statement may be forwarded to the Office of Investigations of the DIA for i1wirarice coverage verification. - :: ofp:ery ijuthatthe information provided above is true and correct I do hereby,certify under the pains andpenalties Date: S' a tt U r C' e r, Phone ff: Official use only. Do not write in this area,to be completed by city or town official. Permit/Liceuse#_ City or Town' Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.Cityrrown Clerk 4.Electrical inspector S.Plumbing inspector 6.Other Phone H:— Contact Person:-- •:a9 Massachusetts Department of Public Safety I, ' Board of Building Regulations and.Standards P ry., F i License: CS-053099 i Construction Supervisor KEVIN W{MURPHY ss PUREST ST r NORTH ANDOVER M Expiration: 06129/2017 Commissioner E Office of Consumer Affairs&Business Regulation � I10ME IMPROVEMENT CONTRACTOR y. Registration 101874 Type: Expiration 8!2912018 Individual KEVIN MURPHY Kevin Murphy 98 FOREST ST. N.ANDOVER,MA 01845 ' Undersecretary t . 98 Forest Street Kevin Murphy . North Andover,NAA 01845 pH;978-688.5335 . FAX:978.688-7207 Building Contractor Pr To, fag s ey ea 29 Norman Road r14-2A inprovement ConUadors and Subcontractors n home mp avemeni contracting,unless ly exempt Vom reglslralial by Pro�slons of Chapter North Andover, Ma 01845 hegenerallaws,mustbereglsleedwlhthaverallh of Massachusetts.Inquiries about reglstrAOn us should be made to the D rodor,Horne Improvement Contract Registration,One Ashburton Place, From: Kevin Murphy Rocm13o1,8oston,MA02108,(617}7278598 g CC: Date: 1/4/2017 .lob: Kitchen Date of plans: 12118 Architect: Kitchen designer Location: Same I Section l—Work Schedule ing the signing of this agreement,unless specified here in Contractor will begin the work or order the materials before the third day follow writing contractor will begin work on or about 1115117. leted by 7. e owner hereby ges Barring Delay caused by circumstances tes e app oxirnane and that sconctorstuch delays fhatrol,the work liaree ot avoidable a by the lConi actor shall no be considered as and agrees that the scheduling violations of this agreement. Section 11—Warranty ear The Contractor wa€ran dtshaIhcomply withtherequirements of hereunder be hsftggreemeee from dtfIn the matereventJals and any defect in workmanshipanship for a porrtod of I materials,or following completion a within year after completion of damage caused by hCoCrtt fractor, h shall,athis own subcontractors, forthwith remedy,repair correctemployees or agents,is ,replace oorecause to be remedied repaired, including cleanup,the 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 ill-Scope of Work General Page 1 of 4 I k Page 2 of 4 Kevin Murphy Building Contractor 93 romsisWet NOAh Andover,MA 05845 PH:9786885396 FAX:97atW7207 Proposal is to renovate existing kitchen,study,and dining area. Pians to be provided by°weer. Building perms to be obtained by contractor. Demolition between Wtchen and Existing study,small working kitchen area,and om roomand living am will bebe ly gutted. l partially removed. Chimney will be office will be removed. Wall between dining removed.Asbestos siding on kitchen wall will be removed and disposed of. e Building All frame and siding materials to renovate kithenOpan�up ed as shown s,and lon plal new ns window will be provided. One new Harvey twin casement window will be supplied plumbingrovided by owner. Other Plumbing required to relocate kitchen sink will be provided. Sink 1 faucet to be p plumbing required to install kitchen appliances will be provided, Electrical lights, ceiling fan, pendants ) installed by required to wire kitchen to code will be provided. Eight recessed lights have been included. Electrical WOE q owner under cabinet g Surface mounted fixtures to be supplied by t contractor.General layout to be approved by owner,prior to rough.Sub panel will be installed as required. HeatinglAir Conditioning Existing heating will be relocated as required. Insulation Exterior walls will be insulated to meet code. plaster New kitchen area, and all disturbed areas,will be blueboarded and sklmcoat plastered.Walls will be smooth, ceilings to match existing. interior Trim/Doors xisting. Kitchen cabinets to be supplied by owner, installed interior trim will be supplied and installed to match e by contractor.Countertops to be supplied 1 installed by vendor. Painting primer,and two coats of finish will be applied to all All interior and exterior painting will be provided-One coat of painted surfaces. Flooring Page 3 of 4 Kevin Murphy Building Contractor 98 FDM$A sbrea1 Ny xihAndover,!AAO1M5 PH:97VA"335 FAX g7&88&7207 pre-finished hardwood floors will be supplied and installed in nAn ew kitchen, and renovated dining area, allowance of$5 per square foot has been included for flooring material• Waste Removal All demolition 1 construction debris will be disposed of by contractor. Page 4 of 4 Kevin Murphy soiding Contractor Sheet98 F!Orest µrth OAndover,MA 01845 pH:97868&5395 FAX glg W7207 Section IV—price Schedute We hereby propose to furnish material and labor--complete $ 49,000 in Accordance with above specifcations for the sum of pa meat to be made as follows: Amount percenta efitem Descri tion $2500 Permit obtained $7500 2 Demolition com fete $10,000 3 Rou h lumbin 1 electric com fete $8000 4 Plasterin com fete $10000 5 Trim I cabinets installed $6000 6 Paint 1 floors com lets $5400 7 Job 100% com tete $49,000.00 Total 7 stt of more tl�al one-8»rdofthe total Contract price of the total arnwnt of a9 depoails Of shah requYe a down payment(advance depo ) u ani, ldiever is greater «µdiOe,14o agreement for Home improvement contraclingwerk se obtain dOWQry of special order matsdals a;ld eq ipm Payment "ich ft wntradoe must make,in advance,to order arvdYor ditenvl contractor: Kevin Murphy 98 Forest Street No.Andover,MA ntiRe� Section V—Acceptance uthorized to do the work as specified, sal—1 have read this document and accept the pricelou are a s,specifications,and conditions stated,I Acceptance of Pro on signingthis proposal becomes a binding contract. understand that up , 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 NIT' 1F THERE ARE ANY BLANK SPACES _---- Date --- --�- Signature Date Signature r