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Home My WebLink AboutBuilding Permit #255-16 - 115 OLYMPIC LANE 8/31/2015 BUILDING PERMIT of No or"qti TOWN OF NORTH ANDOVERy 4` o APPLICATION FOR PLAN EXAMINATION - _ ry Permit No#: ` 'l Date Received 7RA�RArep gSSACNU`�� Date Issued: IMPORTANT:Applicant must complete all items on this page LOCATION, ,._ Print PROPERTY OWNER ��,, _ _ ;r•,. __-__ - ___ . , ---_ .. _ _- Print 100 Year Structure yes n MAPPARCEL: .? _ZONING DISTRICT: _ Historic District yes w _ -MachineShopVillage yes TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building 4 One family ❑Addition ❑Two or more family ❑ Industrial JAlteration No. of units: ❑ Commercial ❑ Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other �Spt` ❑Well 11p Floodplain WWetlands- ❑ Watershed Dis ^ trict Sewer DESCRIPTION OF WORK TO BE PERFORMED: ir•..�..s�. G ± Plans Submitted ❑ Plans Waived Certified Plot Plan ❑ Stamped Plans ❑ TYPE"OF SEWERAGE DISPOSAL Public Sewer ❑ Tanning/Massage/Body Art ❑ Swmmning Pools ❑ Well ❑ Tobacco Sales ❑ Food Packaging/Sales ❑ Private(septic tank,etc. ❑ Permanent Dumpster on Site ❑ THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM PLANNING & DEVELOPMENT Reviewed On Signature_ COMMENTS CONSERVATION Reviewed on Signature COMMENTS a HEALTH Reviewed on Signature COMMENTS ,,Zoning Board of Appeals: Variance Petition No: Zoning Decision/receipt t submitted es � 9 Pp � 9 p Y s w Planning Board Decision: Comments i Conservation Decision: Comments Water & Sewer Connection/Signature& Date Driveway Permit DPW Town Engineer: Signature: Located 384 Osgoo Street FIRE DEPARTMENT - Temp Dumpster on site yes_ _ no Located at 124-MainStreet Fire Department signature/date f COMMENTS _ Dimension Number of Stories: Total square feet of floor area, based on Exterior dimensions. 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.$10041000 fine NOTES and DATA — (For department use) I ❑ Notified for pickup Call Email Date Time Contact Name Doc.Building Pennit Revised 2014 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 o Building Permit Application o Workers Comp Affidavit o Photo Copy Of H.I.C. And/Or C.S.L. Licenses D Copy of Contract a 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 o Building Permit Application ❑ Certified Surveyed Plot Plan o Workers Comp Affidavit ❑ Photo Copy of H.I.C. And C.S.L. Licenses o Copy Of Contract ❑ Floor/Cross Section/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Mass check Energy Compliance Report (If Applicable) a 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) o Building Permit Application a Certified Proposed Plot Plan ❑ Photo of H.I.C. And C.S.L. Licenses ❑ Workers Comp Affidavit o Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (If Applicable) o Copy of Contract o 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 thea appeal period is over. The pp p 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 2014 lLocation- No. — �!9 . Date I . - TOWN OF NORTH ANDOVER Certificate of Occupancy $ f� Building/Frame Permit Fee $ i . Foundation Permit Fee $ Other Permit Fee $ x TOTAL $ a Check# L 7 3:_ Building Inspector NORTH own of E n.dover o - : ver, Mass hI O t, A- COC NIcC MI WICK � '7 AOOATE0 1'PA` .�5 '4S U BOARD OF HEALTH Food/Kitchen PERMIT D Septic System THIS CERTIFIES THAT + ............... BUILDING INSPECTOR .............. ................. ...... ....................................... has permission to erect .......................... buildings on ........� . ........40. .��trK...�►.�t.o:...... . Foundation Rough tobe occupied as .......r).m.S. .. ........ .... ....... .. ....................................................................... 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 EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR • UNLESS CONSTRUCTIO T S Rough Service .................. ... ..... .............................................. final BUILDING INSPECTOR GAS INSPECTOR Occupancy Permit Required to Occupy 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. e 98 Forest Street K., 4.hj • North Andover,MA 01845 6PH:978.688-6335 Building Contractor FAX:9784M7207 Proposal Tb: John&Julie Cox 115 Olympic Lane All Home impmernent Contractors and Subcontractors engaged in home improvement contracting,unless North Andover, Ma 01845 speaficatiy exempt from registration by Provisions of chapter 142A of the general laws,must be registered with the Commonwealth of Massachusetts.Inquiries about registration and Status should be made to the Director,Hans Improvement Contract Registration,One Ashburton Place, From: Kevin Murphy Roan 1301,eosion,MA 02108.(817}727 8598 CC: Date: 8/30/2015 Job: Basement Date of plans: None Architect: None' Locathn: 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 9/1/15. Barring Delay caused b circumstances beyond Contactors control the work will be completed b 10/30/15.The owner hereby acknowledges Y Y P Y Y 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. i Section 111-Scope of Work Page 1 of 4 Kevin Murphy Page 2 of 4 Building Contractor 98 Forest Street Nath Andover,MA 01845 PH:9785885335 FAX 97858&7207 General Proposal is to finish portion of existing basement area. Finished section of basement to be approximately 26'x26'. Building permit will be obtained by contractor. No allowance has been made for any conservation or board of health approvals if required by town. Building All framing material required to frame basement will be provided. Basement walls will be 2x4. Bottom plate will be pressure treated. Three Harvey all vinyl replacement windows will be supplied and installed in existing openings in basement. Existing exterior door unit in basement to remain. Electrical Electrical work required to wire basement to code will be provided. Twelve recessed lights have been included for basement. General layout to be approved by owner prior to rough. Any surface mounted fixtures to be supplied by owner, installed by contractor. Any high def wiring for television / surround sound to be done by others. Heating/Air Conditioning No allowance has been made for any heating or air conditioning in basement. Insulation Finished basement area will have fiberglass insulation supplied and installed. i Plaster Walls in basement will be blueboarded and skimcoat plastered. Basement ceiling will be suspended type. Two by two revealed edge tile/grid will be used. Sample will be provided prior to installation. Interior Trim/Doors Pre-primed interior trim and doors will be supplied and installed to match existing. Painting Interior painting for basement area will be provided. One coat of primer and two coats of finish will be applied to all painted surfaces. Flooring Laminte floor will be supplied and installed in basement.An allowance of$4 per square foot has been included for flooring materials in basement Waste Removal All construction debris will be disposed of by contractor. Kevin Murphy Page 4 of 4 Building Contractor 98 Forest Street Nath Andover,MA 01845 PH:9786886335 FAX 978688.7207 Section IV-Price Schedule We hereby propose to furnish material and labor—complete in Accordance with above specifications for the sum of...... ... ... ... ...... ... ... ... ... ....$ 291500 Payment to be made as follows: Percentage/ltem Description Amount 1 Deposit/ Permit obtained $2500 2 Walls framed /windows installed $101000 3 Plasteiing complete $8000 4 Painting /flooring complete $5000 5 Job 100% complete $4000 Total 5 $29,500.00 "Notice:No agraenrent far Hare improvement contracting work shell require a down payment(advance deposit)of more tut one-third of the total ombW pica of the total amount of all deposits or payments which the contractor must make,in advance,to order ardor otherwise obtain de ivory of spial order materials and ecopment,whidrever is greater Contractor: Kevin Murphy 98 Forest Street No.Andover, MA 01845 Registration No: 109874 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 , a Date, Signature Date The Commonwealth of Massachusetts Department of Industrial Accidents 1 Congress street,Suite 100 Boston,MA 02114-2017 www massgov/dia Workers'Compensation Insurance Affidavit:Builders/Contractors/Eleetzicians/Plumbers. TO BE FILED WITH THE PERRVIITTING AUTHORITY. Applicant Information Please Print Legibly Name (Business/Organization/Individual): �4-e - t,�, Address: to City/State/Zip: w., k—A-vy o kf tOhone#: qry bm.45'3'3 3 Are you an employer?Check the appropriate box: Type of protect(required): 1-FAI am a employer with employees(full and/or part-time).* 7. New construction In I am a sole proprietor or partnership and have no employees workingfor me in 8. Remodeling � any capacity.[No workers'comp.insurance required.] - 3.❑I am a homeowner doing all work myself[No workers'comp.insurance required.]t 9. Demolition 10 Building addition 4.❑I am a homeowner and will be hiring contractors to conduct all work on my property. I will ensure that all contractors either have workers'compensation insurance or are sole 1I Q Electrical repairs or additions proprietors with no employees. 12.[]Plumbing repairs or additions 5.R I am a general contractor and i have hired the sub-contractors listed on the attached sheet. 13.F1 Roof repairs These sub-contractors have employees and have workers'comp.insumnce.x 6.FJ We are a corporation and its officers have exercised their right of exemption per MGL c. 14•[J Other 152,§1(4),and we have no employees.[No workers'comp.insurance required.] 'Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. tContractors that check 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;they must provide their workers'comp.policy number. X am an employer tliat is providing Ivor/fees'eorszperzsatiorz insurance for-my employees. Beloit,is the policy and job site Information. j Insurance Company Name: C_xl 4:r-4-.. Policy#or Self-ins.Lic. 0�_—C.. 63 3-'1 Expiration Date: -1 Job Site Address: City/State/Zip: Nh Attach a copy of the workers'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 imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do Trer by certify«rider the pains artd penalties of perjury that the information Pro vided above is true and correct - -_ Si nature. Date: Phone#• V% ' tt, Z( Official use only. Do not sprite in this area,to be completed by city or-tolyl offzciat City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector S.Plumbing Inspector 6.Other Contact Person: Phone It: DATE(MMIDDIVYYY) le CERTIFICATE OF LIABILITY INSURANCE F/15/2015 THIS CERTIFICATEIS ISSUED AS A MATTER OF INFORMATIONONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATEHOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVEL.YOR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVEDR PRODUCER,AND THE CERTIFICATEHOLDER. IMPORTANT:N the certi8cateholder is an ADDITIONALINSURED,the policy(ies)must be endorsed.B SUBROGATIOMS WAIVED,subject to the terms and conditions of the policypertain pollciesnayrequireanendorsement A statementon thiscorifficatedoes not conferdghts to the aerdficateholder In lieu of such endorsement($). - '"20D10ER `T Sandi Munroe M P ROBERTS INS AGCY INC PHONE FAX Osgood NNo. : (978)683-8073 Ne: (978)683 1060 Os Street EM -3197 g ADDRESS: sandi@mprobertsinsurance.com North Andover, MA 01845 INSURER(S)AFFORDING COVERAGE NAIL* INSURERA: MERCHANTS INSURANCE INSURED KEVIN MURPHY BUILDING & REMODELING INSURER B: GUARD INSURANCE 169 BOXFORD STREET INSURERC: NORTH ANDOVER, MA 01845 INSURERD: INSURER E INSURERF: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW WAVE 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, - DTCLUSIONSANDCONDITIONSOF SUCH POLICIES LIMITS SHOWNMAY HAVEBEETIREDUCED BYPAD CLAMS. Nstr m+aa POLICY EFF POLICY EXP TYPE OF INSURANCE i POLICY NUMBER LIMITS X COMMERMALGENERAL LIABILITY EACH OCCURRENCE $ 1 000,000 CLA NISMADE El OCCUR PREMISES(Ea=urivnw) $ 500,000 MEDEXP(Anyo pmw) $ 15 000 A BOPI068945 1/22/19 1/22/15 PERSONAL$ADV INJURY $ INCLUDED GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE s 2,000,000 X POLICY M JJEC M LOC PRODUCTS-COMP/OPAGG $ 2,000,000 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 ANYAUTO BODILY INJURY(ft pmm) $ ALL OWNED SCHEDULED MCA7013608 1/23/15 1/23/16 A AUTOS �{ AUTOS BODILY INJURY(Per ac idw!) s NON-OWNED PROPERLY DMINGE HIRED AUTOS AUTOS Per abddeM $ $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ 1,000,000 A EXCESS LIAR CLAIMSMADE AGGREGATE 5 1,000,000 CUP9145304 1/22/19 1/22/15 DED RETENTION $ - $ RKERS COMPENSATIONX PEPT OTFF AND EMPLOYERSYIN USTATE ER mawelrnmrxmewxxecums B omemnaeem acwoeoa N 500000 NIA E.L EACH ACCIDENT S r (Mandatoryn NN) KEWC633734 7/01/15 7/01/16 E.L.DISEASE-EA EMPLOYEE $ 500,000 Ifyes.deudbe under 500 0 DESCRIPTION OFOPERATIONS below EL DISEASE-POLICY UMIT $ r 00 DESCRIPTION OFOPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Addgimal Remaft Schedule.may be atlantad If nue spew Is regi red) CERTIFICATE HOLDER CANCELLATION TOWN OF NORTH ANDOVER SHOULD ANY Cr THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE VALL ITE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. NORTH ANDOVER MA 01845 AUTHORIZED REPRESENTATIVE i ®1988-2014 ACORD CORPORATION. All rights reserved. ACORD25(2014101) The ACORD name and logo are registered marks of ACORD 7/20/2015 Gmail-Fwd:Department of Public Safety Authorized Payment Confirmation Michelle Roche<michelleroche14@gmail.com> Fwd: Department of Public Safety Authorized Payment Confirmation Kevin Murphy <kevinmurphybuilding@gmail.com> Mon, Jul 20, 2015 at 6:57 AM To: Michelle Roche <michelleroche 1 4@g mail.com> Can,you print this for me? Thanks !!!!!!!!!!!!!!!!!! ---------- Forwarded message---------- From: <ConveniencePayClientSupport@hp.com> Date: Wed, Jun 10, 2015 at 5:42 AM Subject: Department of Public Safety Authorized Payment Confirmation To: kevinmurphybuilding@gmail.com �. This is an electronically generated acknowledgement of jr6ur payment to Department of Public Safety Payment. Please print this message or save it on your computer for future reference. Here is your payment information: License Number: CS-053099 Payment Date/Time: 6/10/2015 5:37:19 AM (ET) Payment Amount: -$100.00 Convenience Fee Amount: $2.49 Method of Payment: Visa Card Number: ****3909 Confirmation Number: 02365A --- -�--—' Jauoisstwwok `l 960Z16Z190 uo!WIJ!dx3 ' !IV , l .taeopnt'WPOK t81 Y; ZS ZS'32Io3 86 o �11yQ M NIAWI 660£50 �nl ca03 .tos!+�►adnS ao!i. 1 fiu!pi►n8}o paeo8 Aoki spaepue}S PUe suo►;ein6ab s asnyOesseUl Alales o!icfind} ! I o�uaua}�edaa- 11