HomeMy WebLinkAboutBuilding Permit # 2/21/2017 %40RTFI
BUILDING i
TOWN OF NORTH ANDOVER 0
APPLICATION FOR PLAN EXAMINATIONRk-
Permit N ��� �i� Date Received K�, k �
Date Issued _._
PORTANT:Applicant must co fete all items on this page
LOCAaTI I I 'w,µ l ' a"a
PROPERTY
Frit
MAP
NO: � : 1 l�T lit`: Historic District yes,
Machine Shop Village yes eR
TYPE OF IMPROVEMENT PROPOSED USE
Residential Non- residential
C1 New wilding ___r.W C7ne family
0 Addition U Two car more family_14 �1 Industrial
alteration _ l�lo. of units: L� Commercial
6 1 repair, replacement i Assessory Bldg i C tethers:
Demolition E-1 father
i i Septic I I Well u I'Floodplain I i Wetlands i uWatershed Distrlt
v'Water/sewer _
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Identification Please Type or Print t Clearly)
OWNER: acne: 1 r ;� -C C)Pk 1 Phone: �� �� �
Address: A aJ,,,v, .
CONTRACTOR Nam, e. Phone:
d rash: �, T .. ry 03
Supervisor's Constr ti nr License: Exp.
Home Improvement kens . Exp. Date,
ARCH ITECUECoq EE Rhone:
Address: Reg. No.
FEESCHEDULE.-BULDING PERMIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.W PER S.F.
Total Project „Cost: _71 0 , 00 FEE: $ 7>0—
Check
> «Check No.: qm receipt o.:
TEs Persons contracting
' contr ctinwitunregistered contrcto do mat gave access t tye rantpfund
gn t re o Agent/ ner
lure of contractor ,
tjOR H
Town of Andover
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No.
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BOARD OF HEALTH
Food/Kitchen
PERMIT_ LD Septic System
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THIS CERTIFIES THATINN..4.0.!' !C�-. ... , Q � . ... ,:tl BUILDING INSPECTOR
has permission to erect .......................... buildings on .... ...... . .... ,,,. .4 ,.................... Foundation
. � .. . ....... � Rough
to be occupied as ...... ................................................. chimney
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
PERMIT EXPIREST ELECTRICAL INSPECTOR.:
UNLESSI T T Rough
Service
.......... .... .... ... .. .. .... ...................... Final
BUILDING INSPECTOR
GAS INSPECTOR
Occupancy .Permit Required t® QccupE BaLldingRough
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.
BUILDING& REMODELING
CONTRACTOR
MASSACHUSETTS HOME IMPROVEMENTS CONTRACT
This form satisfies all basic requirements of the states Home Improvement Contractor Law(MGL chapter 142A),but does not include standard language to
protect homeowners.Seek legal advice if necessary.Any person planning home improvements should first obtain a copy of"A Massachusetts Consumer
Guide to Home Improvement'before agreeing to any work on your residence.You may obtain a free copy by calling the Office of Consumer Affairs and Business
Regulation's Consumer Information Hotline at 617-973.8787 or 1.888-283-3757 or on our website.
Homeowner Information Contractor Information
Name Company Name
Mr.&Mrs,O'Connell
Tom&Jane Joscon ManagemM,Inc
Street Address(do not use a Post Office Box address) Contiactorl Salesperson/Owner Name
44 Kara Drive Jonalhan C'Sou
City/Town State Zip Code Business Address(must include a street address)
North Andover,MA 01845 185 Aqan6c Avenue
Daytime Phone Evening Phone 978-794A727 City/Town State Zip Code
Email:toconnelltom@comcastmet Salisbwy,MA 01952
Mailing Address(It different from above) Business Phone Federal Employer ID or S,S.Number
603-489-1568 61.1403121
Home Improvement Contractor Reg,Number 159444
Expiration date 00.2018
The Contractor agrees to do the following work for the Homeowner:
(Describe in detail the work to complete;specifying the We,brand,and grade of materials to be used,use additional sheets if necessary.)
Master Bathroom: Renovate the existing master bathroom by reconfiguring the bathroom by eliminating the soaking tub,fabricate a new custom shower
approx.6'x 4'at the soaking tub location,add anew linen closet and renovate the remaining bathroom area. Several items below have Allowance amounts
provided and will be adjusted accordingly once all materials have been selected. Final shower dimensions will determine the actual tile material and labor cost.
Scope of Work
® Building permits per the Town of N Andover.
0 Temporary protection and daily cleanup throughout the remodeled areas.
® Demolition work to include the following: Removal of the tile flooring,shower,mirror,tub unit,vanity and fixtures. Disposal of all construction
related debris.
® Remove the existing sub flooring at the new plumbing locations to access plumbing for the new layout and code upgrades.
® Rough carpentry to include re configuring the existing bathroom per the new layout including the new custom shower and linen closet. Minor
framing adjustments in the floor for the now plumbing supply runs. Shower final dimensions and configuration TBD and pricing adjusted
accordingly.
0 Insulate and fire caulking as needed.
® Install new'W blue board on all new walls and disturbed areas. Ceiling to have a smooth finish over the existing textured plaster. Patch holes as
needed,
® Install homeowner purchased bathroom towel bars,robe hooks and toilet paper holder.
® Plumbing work has been figured on the followiq Demo old shower and cap lines.Install new toilet,install new double vanity and install new
shower with shower head and hand held spray. If we have to run more than Tof 2'PVC to connect the shower drain,pricing will be adjusted
accordingly, All work to code. Opliom Relocate T of baseboard heat behind the toilet @$325.00.
0 Plumbing fixture Allowance listed below,
!
+ Electrical work has been figured on the following: Demo unusable wiring and devises in the master bathroom. Supply and install a Panasonic 80
CFM fan only unit,using existing switching. Replace(3)existing vanity sconces with new,purchased by homeowner. Install light in bathroom
closet. Install switching,wiring and support for chandelier,provided by owner. Replace all existing master bathroom switches,receptacles and
cover plates with new.
+ Carpentry work to include baseboard moldings,and install(1)new linen closet door unit. Linen closet shelving to be white metal vented shelving
with A rows.
+ Install a new vanity and associated hardware. New vanity figured on an W double bowl unit. Vanity and countertop allowance listed below.
+ Install tile backer board throughout the bathroom floor area,shower area, Tile materials allowance listed below.
+ Install new the throughout the bathroom floor and shower area.
+ Install a shower glass door system. Additional specifications needed. Door allowance listed below. Final layout will determine the actual door
amount.
+ Painting throughout the bathroom area for the walls,millwork and ceiling.
+ Final post construction cleaning throughout the project area.
Allowances:
Plumbing work @$2,775.00
Plumbing fixtures
o Toilet @$300.00
o Vanity sink @$100 x 2= $200
o Vanity faucets @$150 x 2 =$300
o Shower trim and valve @$500
• Electrical work @$1,450.00
Vanity including the top. Vanity @$2,000&Top @$1,100 @$3,100.00
• Tile floor(Materials) @$700.00
+ Tile master shower(Materials) @$1,310,00
Custom shower glass enclosure @$3,000.00
Total for the above scope of worst including the Allowance amounts: $30,710.00
Required Permits— Building permit Proposed Start and Completion Schedule-The fallowing
schedule will be adhered to unless circumstances beyond the contractor's
control arise.
(Owners who secure their own permits will be
excluded from the Guarantee Fund provisions of 2-27-17 Date when contractor will begin contacted warts.
MGL chapter 142A) Actual start date will be based on the building permit
rc being issued by the Town of N Andover
4-1-17 Date when contacted work will be substantially completed.
Total Contract Price and Payment Schedule
The Contractor agrees to perform the work,fumish the material and labor specified above for the total sum of,$30,710.00(')
Payments will be made according to the following schedule,
$4,606.50 15%Deposit Upon signing contract. (not to exceed 113 of the total contact price or the cost of special order items,whichever is greater)
$7,677.50 25%Upon the start of the project
$9,213.00 30%Upon the of the completion of demolition and rough in sign offs.
$6,142.00 20%Upon the start of the file install and drywall completed. Carpentry started.
$ 3,071.00 10%Upon substantial completion of the contact. (Law forbids demanding full payment until contact is completed to both party's satisfaction)
The following material/equipment must be special$0 to be paid for NIA
ordered before the contacted work begins in order to meet the completion schedule.(")$0 to be paid for NIA
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NOTES:(')Including all finance charges(' )Law requires that any deposit or down-payment required by the contractor before work begins may
not exceed the greater of(a)one-third of the total contract price or(b)the actual cost of any special equipment or custom made material
which must be special ordered in advance to meet the completion schedule.
i
Express Warranty-Is an express warranty being provided by the contractor? No fl Yes(all terms of the warranty must be attached to the contract) I
Subcontractors-The contractor agrees to be solely responsible for completion of the work described regardless of the actions of any third party/subcontractor
utilized by the contractor,The contractor further agrees to be solely responsible for all payments to all subcontractors for materials and labor under this agreement.
Contract Acceptance-Upon signing,this document becomes a binding contract under law.Unless otherwise noted within this document,the
contract shall not imply$at any lien or other security interest has been placed on the residence.Review the following cautions and notices
carefully before signing this contract.
M}on't be pressured into signing the contract.Take time to read and fully understand it.Ask questions if something is unclear,
Make sure the contractor has a valid Home Improvement Contractor Registration.The law requires most home improvement contractors and
subcontractors to be registered with the Director of Home Improvement Contractor Registration.You may inquire about contractor
registration by writing to the Director at 10 Park Plaza,Room 6170,Boston,MA 02116 or by calling 617-9734787 of 888-283-3757.
Moes the contractor have insurance?Ask the Contractor for his insurance company information so that you can confirm coverage,or ask to
see a copy of a'proof of insurance document,
ftow your rights and responsibilities.Read the Important Information on the reverse side of this form and get a copy of the Consumer
Guide to the Home Improvement Contractor Law.
You may cancel this agreement if it has been signed at a place other than the contractor's normal place of business,provided you notify the
contractor in writing at his/her main office or branch office by ordinary mail posted,by telegram sent or by delivery,not later than midnight of the
third business day fallowing the signing of this agreement.See the attached notice of cancellation form for an explanation of this right.
DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACESIll
Two identical s of the contract ust be completed and signed.One copy sho Id go to the homeowner.The other copy should be kept by the
co r.
Ho eownePs Si atu �) Conl s Signature
L
Date
Date
Contractor 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 of the Executive Office of Consumer
Affairs and Business Regulation and the consumer shall be required to submit to such arbitration as provided to Massachusetts General Laws,
chapter 1
too
omeownees Signature Co clor's Signature
p
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 altemative dispute resolution even where this section is not separately signed by the parties.
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Homeowner's Rights
A homeowner's rights under the Home Improvement Contractor Law(MGL chapter 142A)and other consumer protection laws(i.e.MGL 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.Homeowners 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.An 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 consumerlhomeowner 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
him1herself to 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 confinuing the contracted work.Withdrawal
of funds from 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 Massachusetts Consumer Guide to Home Improvement'contact:
Consumer Information Hotline
Office of Consumer Affairs and Business Regulation
10 Park Plaza,Room 5170,Boston,MA 02116
617-973-8787,888-283-3757 or visit the OCABR website at hftp1hVW .niass,gov/ocabr/
If you want to verify the registration of a contractor or if you have questions or need additional information specifically about the contractor
registration component of the Home Improvement Contractor Law,contact:
Director of Home Improvement Contractor Registration
Office of Consumer Affairs and Business Regulation
10 Park Plaza,Room 5170,Boston,MA 02116
617-973-8787,888-283-3757 or visit the HIC website at httpJ/www.rnass.gov/ocabd
Go online to view the status of a Home Improvement Contractor's Registration:littpJ/6,Mate.rre&Li Sibc�i'neimprove enUllce�"6eeli sta t
For assistance with informal mediation of disputes or to register formal complaints against a business,call:
Consumer Complaint Section
Office of the Attorney General
617-727.8400
AND/OR
Better Business Bureau
508-652-4800,508.755-2548 or 413-734-3114
The Commonwealth ofHassachusetts
Department of lndustrialAccidettts
I Congress Street,Suite.100
Boston,SIA 0.2114-2017
r www.massgov/dia
Worlters'Compensation Insurance Affidavit:Btdider s/Contractors/Electricians/Plumbers. p
TO BE FILEII WITH THE PERMCI ING AUTHORITY.
AMplicant Information Please Print URN
Name(Businesslorganizationllndividaal): (3
Address: �7a, arc v,Ji±n� IIS
City/State/Zip: lu K C)34,1 Phone#: G C) t� - 1 S
Are you an employer?Check the appropriate box: Type of project(required):
/.darn a employer with �employees(dill and/or part-time).`' 7. 0 N W construction
2.0 I ant a sote proprietoror partnership and have no employ=working for me in $• remodeling
any capacity.[No workers'camp.insurance required]
9. El Demolition
3.0 I am a homeowner doing all work myself.[No workers'comp.insurancerequired.]t
10 0 Building addition
4,0 I am a homeowner and will be hiring contractors to conduct all work on my property. 1 will
ensurc that all contractors either have workers'compensation insurance or are sole 11.0 Electrical repairs or additions
proprietors with no employees. 11 Q Plumbing repairs or additions
5.0 I am a general contractor and I have hired the sub-contractors listed on the attached sheet 13,❑Roof repairs
These sub-contractors have employees and have workers'comp.insurance.t
6.[J We are a corporation and its officers have exercised their right of exemption per MGL o.
14.[�Other
152,§1(4),and we have m employees.[No workers'comp.insurance required.]
*Any appl icant that checks box#1 must also fill out the section below showing theirworkers'compensation policy information.
t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a now affidavit indicating such-
tContractors that chock this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have
employees, If the sub-contractors have employees,thoy must provide their workers'camp.policy number. !
Y am an employer that is providing workers'compensation insurance for rrey employees. Below is flee policy and_job site !
information.
Insurance Company Name:
Policy#or Self-ins.Lie.#;� �`i ('� o
Expiration Date: 1
�`` Vc�r� 0r tat i . N A+-clove
Job Site Address: `7 � City/5 el p•
Attach a copy of the worltets'compensation policy declaration page(showing the policy number and expiration date).
Failure to secure coverage as required under MGL c, 152,§25A is a criminal violation punishable by a fine up to$1,500.00
and/or one-year imprisortment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a
day against the violator.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance
i
coverage verification.
I do hereby Berl'y under the pains`andpenalties ofperjury Heat Iiia lrtforrnation provided above is titre and Correct.
Si afore: Date:
Phone# a
Official use only. Do not write in this area,to be completed by city or town off lclal.
City or Town: Permit/License#
Issuing Authority(circle one):
1.Board of Health 2.Building Department 3.City/Town Clerlt 4.Electrical Inspector S.Plumbing Inspector
6.Other
Contact Person: Phone#:
E:
jan.26.2017 03:03 PM Advantage insurance Agcnc 978 794 4833 PAGE. 1/
CERTIFICATE OF LIABILITY INSURANCE DATE(MMASDNm)
01/4¢/2017
THIS CERTIFICATE IS ISSUED AS A MATTER OF IHIFORMATION ONLY AND COM=ERS NO RIGHTS UPON THE CERTIFICATE HOLDER, THIS
CERTIFICATE DOES NOT AVI'MMA'TIYELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. TH19 CERTIFICATE OF INSURANCE TIDES HOT CONSTITUTE A COWRACT BETWEEN TH9 MUINO INSURER(S), AUTHORIZED
REPRESENTATIVE CR PRODUCER,AND THE CERTIFICATE HOLDER,
JMMMNT. if the Gert Icat$ holder le an ADDITIONAL INSURED, the polity((ea) must bi an ore , au Gt to
the terms and conditions of the policy, certain polloloo may Oqulra an andn(Eelhent. A atatament on this coAlticate does not G 6kr Oghtli to the
Gert1 IoW holder In tlau of eltoh e1<dorsament(s), y
PRODUCER NAMF, PAUL DEVIN
ADVJWTAM INS. AGIMCT I100. PMNs 978-681-1065 �� 976-794-4933
f=,Ne,Ed):
104 'PLIMASANT,C VAIJAIZ STRZET
ADDRFUS:
NSTHUEN, MA 41844 RmuRERt41AFFORDIN40oVPRACR NAIC*
MUUREPIA;ARSELLA PROTECTION INS. CO.
MISURQG ----------'------- `-" INSURERS:
aO$CON MANAGNtaNT INC. IHBupRRQ:
72 PROVIDENCE HILI, ROAD IK%VR6R D:
ATKINSOBT N H 03911 INSURER E
INSURER F
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER;
THIS i TO C19WIVY THAT 7m PQUCIES OF D4VRAWE L$TEE) UP-LOW DAVE EiEEN ISSURD TO THE INURED NAMED ABDVIF FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY RGQUIRFMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BF ISSUFD OR MAY PERTAIN. THE INWRANCF AFFORDED SY THE POLICIES DESCRIBED HEREIN 10 GUIMOT TO ALL THE TERMS,
EXCLUSION&AND CONDITIONS OF 8UCH POLICIES.LIMITS SHOWN MAY HAVE SEEN REDUDED BY PAIDOLPIMS.
POLOY EFT
ZNSR LTR TYPE DF INSURANCE WORAUM VUKI vfm POLICYRUMBBR IHMTDM YI (MMlD I____.___.._�...�_......,..--•LIMITS
A DFRERALLIASILITY 8500086690 Q5/30/2017 EACH OCCURRENCE $ 1,000,000
LAW
x COMMERCIALOENERALUASIUTY PREMISE illi cufrbrv* 3 100,040
CLAIMS-MATJE 0 OCCUR VIED EXP(ki0tl$WOW 1 5,000
PERSONAL BAOVINJURY 1 110001400
OCNERAL AC?OREs3ATE 1 2,000,000
..—....-..............., ,-.. .-
4FN'LAOGREOATELIFAITAPPLIESPER: PR¢OSlGFS�uCOHPl0PA0G - 6 2,000,000
POLICY. JECT
AUTOMOSILE LEAUILITY
(En ncddam) $
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ALL QWNFP 211H1:aA51) BODILYINJURY(For gols90 i
AU10a AUTQS .. ..
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filRED AUTOS A10ts SPdr cLr]dont
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WEErlUAO CLAMS-MADE AGURE0ATE $
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ARD EMPLDYERW LIABILITY
ANY PROPRiETOWARTNEFUEXECVTIYf. YfN E.L.EACH ACCIDENT 1 1,040,444 '
OPFLLJIGt!WMEMBEREXCLU€3EDT NIA
tMandefary In Nili E.L PISBASE-EA EMPLOYEE $ 1,000,000
Ilya,ddWiba undef
OESCE.L.CkSEABE-POLICYLIMIT $ ,�I.T�i4Q,44Q
RIPTIDN OF OPERAiA]N6 below
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t1t1TI,T)INA &•RUNObza,1140 COHMCTOR
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CERTIFICATE HOLDER CANCELLATION
9,m or NORTH ANDOVL"R
SHOULD ANY OF THE ABOVE TJE.9UKftI61) 1-01.102.8 BE CANOFI.LED OWORE
BUXLOING, DEIN. TNR' E1(PIRAMON DATE THEREOF, NOTICE. MLL RK DFLIVERRO IN
120 tdAiN STREET ACCORDANCE WITH THE POLICY PROVISIONS.
NORTH AMOVER MA, 01845 MTTHORSz6BREPREa TIVE
019E 10 ACORD CORPORATION. All e19hM fA60 ad.
ACORD 2S(2010105) Tho ACORD mina and logo are m9latered marks of ACORD
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. .s r!1%f' 'i",-fe/p Id%f Ii P1Y'Idlf�'(`✓'�"�L(d✓.ifff"Ftdda✓r°a '.
office of Consumer Affairs&Business Regulation
�i-HOME IMPROVEMENT CONTRACTOR
Registration: 159444 Type:
, r Expiration: 4/30/2013 Private Corporation
JOSCON MANAGEMENT INC.
JONATHAN.O'SULLIVAN
72 PROVIDENCE MILL RD. N, r %-;.... t
ATKINSON,NH 03811 Undersecretary
Massachusetts Department of Public Safety
Board of Building Regulations and Standards
License: CS-070043
i;
JONATHAN VSULLIVAN
195 ATLANTIC AVENUE#4 r
SALISBURY MA 01952
rn," Zuz Expiration:
Commissioner 4912612019