Loading...
HomeMy WebLinkAboutBuilding Permit #695-11 - 100 BEAR HILL ROAD 4/13/2011 r40RTH BUILDING PERMIT 0� q t�ttlO ,be 1•� TOWN OF NORTH ANDOVER 0� APPLICATION FOR PLAN EXAMINATION Permit NO: r- / Date Received A7ED ' Date Issued: SSAGHU`��� IMPORTANT: Applicant must complete all items on this page LOCATION sprint .- h - PROPERTY OWNER : kPrint MAP'.210 PRCEJ_, ZONJI�IG DJS7RICT= Hhs#onc=District yes lUlachin Shop, zMage des TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential New Building Onefamil Addition Two or more family Industrial Alteration No. of units: Commercial Repair, replacement Assessory Bldg Others: Demolition Other Septic Flodpiain 1i!1/etlanrs Vaersheci District aterlSe ._ DESCRIPTION OF WORK TO BE PREFORMED: 1Ze�V-0v i Identification Please Type or Print Clearly) OWNER: Name: t a.,�e l V,-oe L. ,_ Phone.k,n±) 6y S,3 3 5- Address: low `CONTRACT 0 OR;Name h � �, . .. Phone. y n .6 dress- s � ` ' : tx4 Svpervisor's Construction Llcense� c75'3 u' Exp Dade 6 t Nome 1rn� rovemant zLiaense ' " Exp abate. L Z-V,� t ,. ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE:BULD/NG PERM/T:$12.00 PER$1000.00 OF THE TOTAL EST/MATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ ? ,aa o FEE: $ - 2-(L4 ,0 0 Check No.: M 3 Receipt No.: �� D NOTE: Persons contracting with unregistered contractors do not have access to the guaran and x tJ'.f Signature of A ent/Owner g w nature of contractor g Location 1490 ��w �!// No. Date MaRTN TOWN OF NORTH ANDOVER � 9 �o Certificate of Occupancy $ Building/Frame Permit Fee $ 4 Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check #/—/) / 2 4 v 6 " Building Inspector i Plans Submitted Plans Waived Certified Plot Plan Stamped Plans TYPE OF SEWERAGE DISPOSAL Public Sewer Tanning/Massage/Body Art Swimming Pools Well Tobacco Sales Food Packaging/Sales Private(septic tank,etc. Permanent Dumpster on Site III THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM DATE REJECTED DATE APPROVED PLANNING & DEVELOPMENT COMMENTS CONSERVATION Reviewed on Signature COMMENTS HEALTH Reviewed on Signature COMMENTS fr y Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments Conservation Decision: Comments Water & Sewer Connection/signature & Date Driveway Permit DPW Town Engineer: Signature: Located 384 Osgood Street FIRE rDEPARTME�IT Temp Dumpster onisite 'yes- no. ,,Located at1.24,Main:"Scree# Fire.Department.sag a#ure da#e R COMMENTS k'. r Dimension Number of Stories: Total square feet of floor area, based on Exterior dimensions. J Total land area, sq. ft.: ELECTRICAL: Movement of Meter location, mast or service drop requires approval of Electrical Inspector Yes No DANGER ZONE LITERATURE: Yes No MGL Chapter 166 Section 21A—F and G min.$100-$1000 fine NOTES and DATA— (For department use) ❑ Notified for pickup - Date Doc.Building Permit Revised 2010 Building Department The following is a list of the required forms to be filled out for the appropriate permit to be obtained. Roofing, Siding, Interior Rehabilitation Permits ❑ Building Permit Application ❑ Workers Comp Affidavit ❑ Photo Copy Of H.I.C. And/Or C.S.L. Licenses ❑ Copy of Contract ❑ Floor Plan Or Proposed Interior Work ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit Addition Or Decks ❑ Building Permit Application ❑ Certified Surveyed Plot Plan ❑ Workers Comp Affidavit ❑ Photo Copy of H.I.C. And C.S.L. Licenses ❑ Copy Of Contract ❑ Floor/Crossection/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (If Applicable). ❑ Mass check Energy Compliance Report (If Applicable) ❑ Engineering Affidavits for Engineered products -NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit New Construction (Single and Two Family) ❑ Building Permit Application ❑ Certified Proposed Plot Pian ❑ Photo of H.I.C. And C.S.L. Licenses ❑ Workers Comp Affidavit ❑ Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Copy of Contract ❑ Mass check Energy Compliance Report ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit In all cases if a variance or special permit was required the Town Clerks office must stamp the decision from the Board of Appeals that the appeal period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording must be submitted with the building application Doc:Building Permit Revised 2008 F ORTH TO" of A, oAndover . o No. ,,... Y ZQ - LAKE `O dover, Mass., A_ COC MICMEwICK Y old Dot? TEDP? C) 7SS BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System BUILDING INSPECTOR THIS CERTIFIES THAT......... ............................... . ......R-0-.61.0AFoundation I �J� has permission to erect.................:...................... buildings on ..1.0.0 ......... 1 '��. .I......K�-. `......................... Rough to be occupied.as..........eeN..0q.AA--).... .. ....... .......SGS! .. q' G�.........� ....GJ!rtG .S — Chimney provided that the person accepting this permit shall in eve respect conform to the terms of the application on file in Final 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 UNLESS CONSTRUCTI N S TS ELECTRICAL INSPECTOR Rough ..................... .......................................................................................... Service BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR 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. SEE REVERSE S 1 D E Smoke Det. arty, g . I un't of Pul ' pard grit'Bu' ,Ire Sufct� ,Idin�Rc�Ju .� lations Construction .rrr<I St• Supervisorrntl;rrclti p License License: CS 53099 Restricted to: 00 KEVIN W MURPHY 169 BOXFORD ST N ANDOVER, MA 01845 Expiration: 6/29/2011 (' nmiis.�iuner Tr#: 16540 Office o HOME IMPROVEMENT CONTRACTOR Registration: ¢101874 T Expiration: `6/29!2012 Individual Individual MURPHY,,- Kevin Murphy 1r „}I 169 Boxford St � c k N.Andover, MA 01845 �_Z Undersecretary J A 169 Boxford Street K' ,_ei '0 6 � • North Andover,MA 01845 ;! PH:978-688-6335 Building Contractor FAX:978-688-XXm( Proposal To: Dan&Lisa Boehm 100 Bearhill Road All Home improvernerrt Contractors and Subcontractors engaghorne North Andover, Ma. 01845 �ry exempt registrationby Provisions contracting, of chapter 142A of the general laws,must be registered with the Goran onweallh of Massachusetts.Inquiries about registration and Status should be made to the Director,Home From: Kevin Murphy Room 01,Bosto,,MA02nt Contract r1108.�s1n�Ashburton sp nPte' CC: Date: 4/12/2011 Job: Porch renovation/Window installation in dining room Date of piano None Architect Owner Location: Same Section 1-Work Schedule Contractor will begin the work or order the materials before the third day following the signing of this agreement, unless specified here in writing contractor will begin work on or about 4/12/11. Barring Delay caused by circumstances beyond Contactors control,the work will be completed by 5/15/11.The owner hereby acknowledges and agrees that the scheduling dates are approximate and that such delays that are not avoidable by the Contractor shall no be considered as violations of this agreement Section 11-Warranty The Contractor warrants that the work furnished hereunder shall be free from defects in materials and workmanship for a period of 1 year following completion and shall comply with the requirements of this Agreement In the event any defect in workmanship or materials, or damage caused by the Contractor, his subcontractors, employees or agents, is discovered within one year after completion of any job, including cleanup,the Contractor shall,at his own expense,forthwith remedy,repair correct, replace,or cause to be remedied,repaired,or 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. Page 1 of 4 w5F }�, `*. I I i i I I Utnee of invesuganons -" T,, 3; `600 Washing#on'bYreet :. . Boston,MA 02111 www.mass.govMa. , .. Workers' Compensation-lnsurance Affidavit: Bw'lders/Contractors4E1ectricans/Plumbers Please PrintLegibly Applicant Information Name(snsi (?rganization/udMduil). Address: City/State/Zip: .��,.` ,� , `1�.. c�i�s4d' Phone##:. ��-��6 6 :-!;733 5r Are you an employer?Checkthe-appropriate box: Type of project(required): 1.%I am a employer with ! 4. ❑T-am a general contractovand 1 6. ❑-New construction employees(full and/or part-time).* have hired the sub-contractors 2.❑ I am a sole proprietor or partner ..listed on the attached sheet$ ?- Remodeling ship and have no employees These sub-conttac tors have 8. ❑ Demolition ace workers' comp. instuanee. - 9. Building addition working for mein any capacity.- • ❑ g (No workers' comp.insurance 5: ❑r'We are a`corporation and its lU.❑ Electrical iepairs or additions required.] officers have exercised their 3_El am a homeowner.doing all work' right of exemption pet MGL, i 1.Q Plumbing repairs or additions myself[No workers' comp. C. 152,§1'(4),and we have no 12:❑'Roof repairs insurance required.]t employees. [No workers' Un Other` comp-insurance required: ] *Any applicant that checks box.#i-must also fill out the section below showing their workers compensation policy inforr 1ation t Homeownens who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new.affidavit.ardicating such tContractvrs that check this box most attached<an additional sheet'showing the name of the subcontractors and thea workers'comp.policy infoYznatiom I am an-employerthat is providing workers'compensation_inswwwc for my employees Below is the policy and job site information. CVInsurance Company Name: �-s --- Policy#or Self-ills.Lic.#. e_L lti C_ 1 o o �'% t Expiration Date: Job Site Address: City/Staw&ip: i\Jv 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 n the form of a SWOP 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 forwarded to tile•Office of Investigations of the DIA for insurance coverage verification. I do hereby,certify under the pains and penalties of perjury that the information provided above is true and correct:; Signafore: Date Q-1 3 Phone# "�`1 b�� - 37< pffWal use only. Do not write in this area,to be completed by city or town offixial. City or Town- PermitlLicense# Issuing Authority(circle one): 1.Board of Health 2.Building Department: 3_Cityfrown'Clerk 4_Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone*4. / , ® DATE(MM/DD/YYW) ACORO CERTIFICATE OF LIABILITY INSURANCE 7/1/2010 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 in lieu of such endorsement(s). PRODUCER NAME: M P ROBERTS INS AGCY INC PHONE (g78) 683-8073 w A/C No xt VC,,o):(978) 683-3147 E 1060 Osgood Street E-MAIL ADDREss:sandi@mprobertsinsurance.com North Andover, MA 01845 PRODUCER CUSTOMER ID#: INSURERS) AFFORDING COVERAGE NAICN INSURED KEVIN MURPHY BUILDING & REMODELING INSURER A:PROVIDENCE MUTUAL 169 BOXFORD STREET INSURER B:MERCHANTS INSURANCE INSURER C:GUARD INSURANCE NORTH ANDOVER, MA 01845 INSURER D: 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 SUBRPOLICY LTR INS TYPE OF INSURANCE R WVD POLICY NUMBER MM/ D/Y POLICY DWDIYYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 DAMAGE TO R ED- X COMMERCIAL GENERAL LIABILITY PREMISES Ea occurrence $ 100,000 CLAIMS-MADE CI OCCUR MED EXP(Any one person) $ 5,000 A CPP0060868 11/22/09 11/22/10 PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,000 POLICY PRO LOC $ JECT AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000 ANYAUTO BODILY INJURY(Per person) $ ALL OWNED AUTOS BODILY INJURY(Per accident) $ B X SCHEDULED AUTOS MCA7013608 01/23/10 01/23/11 PROPERTY DAMAGE $ HIRED AUTOS (Per accident) NON-OWNED AUTOS $ $ UMBRELLA LIAB HOCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION I WC STATU- OTH- AND EMPLOYERS'LIABILITY TORY LIMITS XER YIN C ANY PROPRIETOR/PARTNERIEXECUTIVE C� N/A E.L.EACH ACCIDENT $ 500,000 OFFICER/MEMBER EXCLUDED? O (Mandatory In NH) KEWC.10 98 8 i 07/01/10 07/01/11 E.L.DISEASE-EA EMPLOYEE $ 500,000 If yes,describe und DESCRIPTION OFeOPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space is required) CERTIFICATE HOLDER CANCELLATION TOWN OF ANDOVER SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE ANDOVER, MA 01810 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENT ©1988-2009 ACORD CORPORATION. All rights reserved. ACORD25(2009/09) The ACORD name and logo are registered marks of ACORD { Kevin Murphy Page 2 of 95Building Contractor 169 Bo)dord street North Andover,MA 01845 PH:978-6885335 FAX 978-6WXXXX Section III-Scope of Work We hereby submit specifications and estimates for work to be performed and materials to be used: General Proposal is to renovate existing screened porch, supply and install five new windows in dining room, and replace front door unit. Building permit will be provided by contractor. Demolition Ceiling in existing screened porch will be completely gutted and removed. Building All frame and siding materials will be provided. Five new Harvey doublehung window units will be supplied and installed in dining room (two in rear wall, three in side wall ) . Window units will be white clad exterior, natural wood interior,with wood removable grilles. New front door unit will be supplied and installed in existing opening. An allowance of$1000 has been included for door unit. Cedar clapboards will be installed around exterior to match existing. Ceiling of screened porch will be removed and made cathedral. Ridge beam will be supplied and installed as required. Rear wall will have two middle screens removed and two new screen doors installed. Rear wall will have triangular shaped screens installed above new doors. other screens and door to remain. Tongue and groove pine ceiling will be installed in porch to match existing. No allowances have been made for any other changes to porch,or any other structural work. Electrical Electrical work required to relocate dining room light, and add six recessed lights in screened porch will be provided. Porch will be prepped for installation of a ceiling fan. Fan unit to be provided by owner. No allowance has been made for any other electrical work. Interior Trim/Doors Pre-primed interior trim will be supplied and installed to match existing. No allowance has been made for any door units. Painting No allowance has been made for any painting. Waste Removal All demolition/construction debris will be disposed of by contractor. i Kevin Murphy Page of qj Building Contractor 169 Boxford street North Andover,MA 01 B45 PH:9784688-5335 FAX 978-688-XXXX Section IV-Price Schedule We hereby propose to furnish material and labor-complete in Accordance with above specifications for the sum of... ... ... ... ......... ...... ... .......$ 17,800 Payment to be made as follows: Percenta elltem Description Amount 1 Permit obtained $3000 2 Windows installed $6000 3 Porch ceiling installed $6000 4 Job 100% complete $2800 Total 4 $17,800.00-1 "'Notice:No agreement for Home improvement oontradmg work shall moue a drnm payment(advance deposit)of more that orra- rt of the total contract price of the total amount of all deposits or payments which the contractor must make,in advance,to order arndlor otherwise obtain delivery of special order materials and eWipment,whichever is greater Contractor: Kevin Murphy 169 Boxford Street No.Andover, MA 01845 Registration No: 101874 Section V—Acceptance Acceptance of Proposal—I have read this document 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 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 CONTRACT IF THERE ARE ANY BLANK SPACES Signature ✓ Date Signature Date