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HomeMy WebLinkAboutBuilding Permit #229 - 1160 GREAT POND ROAD 10/2/2008 pOR BUILDING PERMIT Ot ftAOR T►1 TOWN OF NORTH ANDOVER �t' '`''- APPLICATION FOR PLAN EXAMINATION # Permit NO: . 2�7 Date Received Date Issued: A9101AP, SS'gCHUSfc iij IMPORTANT:Applicant must complete all items on this page / LOCATION 1, [ t D 9rz6--f " Po-;`j4 � . PROPERTY OWNER 7T-�>re-c>b k s Print S cs, Print MAP NO: `1 O PARCEL: Z Sr ZONING DISTRICT: Historic District yes no Machine Shop Village yes no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential New Building One famil Addition Two or more family Industrial era ion No. of units: Commercial epai , eplacement Assessory Bldg Others: Demolition Other SQDtiC Well Floodplain Wetlands Watershed District DESCRIPTION OF WORK TO BE PREFORMED: f-��� Y�� Y� 1�`�f/l 1�VV '� , 06 yzk � KA,e Cin rJ C 7 ec, c-A `te;vyt S, Identification Please Type or Print Clearly) OWNER: Name: CS �'� zt 12avA q.Q_ Phone: (vZ�O Address: CONTRACTOR Name:' m V C>iU S* �,o r i , ;Phone:q 7 g q/,, -J';'O3 E I Address: R .l .r Supervisor's Construction License: Exp. Date: 11_. c' It Home Improvement License: 1!n 0 6 5 9 Exp. Date. -7 I r D ARCHITECT/ENGINEER T��C�P,rZ�' �►�+�n/LS Phone: -7 9 Address: 7(,, YA e,Y?- y.yA Ste}- x; !ge o>J Reg. No. FEE SCHEDULE.BULDING PETIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ 00 S� FEE: Check No.: cly/o Receipt No.: -2 NOTE: Persons contractinz with unreffiste ed contractors do not have access to the guaranty fund A S' A 6f--r & ,e5 _ Signature of Agent/Ownei` m Signature of contractor 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 Plan ❑ 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 Dor.INSPECTIONAL SERVICES DEPARTMENT:BPFORM07 Revised 2.2008 L Dimension Number of Stories: V 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.$100-$1000 fine NOTES and DATA— (For department use ❑ Notified for pickup - Date Doc.Building Permit Revised 2008 r - Plans Submitted Plans Waived Certified Plot Plan Stamped Plans TYPE OF SEWERAGE DISPOSAL Puewer Tanning/Massage/Body Art Swimming 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 DATE REJECTED DATE APPROVED PLANNING & DEVELOPMENT COMMENTS CONSERVATION Reviewed on Signature COMMENTS HEALTH Reviewed on Signature COMMENTS 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 DEPARTMENT -Temp Dumpster on site yes L/' no Located at 124 Main Street Fire Department signature/date -2 ®v COMMENTS Location r No. ,� �'/ Date �O f f NaRTM TOWN OF NORTH ANDOVER Cf�.Jo y,ti i 1 Certificate of Occupancy $ �'�s'•^°•tt�' Building/Frame Permit Fee $ seC s Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # 2 t 5 U /Building Inspector NORTH TO" of 6Andover No. - o dower> Mass., �� W 6 o �. COC MIC ME WICK � S RATED Pk?0 5 ` BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System THIS CERTIFIES THATS��� -� �e���� BUILDING INSPECTOR r ............... ................................................... ................................ Foundation . has permission to erect..............................'.... buildings on .. � (;�? 'n�.�.......© ................ Rough � Chimney n��.... ��:to be occupied as........ .1 ... ............. . ................................... provided that the person accepting this permit shall in every 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 CONSTRUCTION TARTS � ELECTRICAL INSPECTOR Rough ...................... ... .. .............. .. .. .�...... ..r................................... 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 SIDE Smoke Det. wcen�rf sirt�a:t BROOKSSCHOOL NORTH 4t DUVER MASSACHUSETTS 0184y 12-08 Mr. Brett Murphy Murphy Construction Company Vice President P.O. Box 1510 Newburyport, MA 01950 Dear Brett, This letter serves as your Notice to Proceed: with the renovations of the Brooks School Headmaster Residence. The scope of'this work is per plans, specifications and addendum by Robert. Adams, Architect, and your revised proposal dated October 1, 2008. The value of this agreement is $640,005.00. We look forward to working with you on this project. Sincerely; BROOKS SCH OL John Trovage Director of Facilities Management xc: Robert Adams Mf-7UI--D) Construction Company, Inc. October 1,2008 Brooks School 1160 Great Pond Road North Andover,MA 01845 Attn.: John Trovage, Director of Facilities Re: H.O.C.Residence Renovations Dear John, We are pleased to submit a price of Six Hundred Forty Thousand and Five Dollars ($640,005.00) for the renovations and maintenance work to the H.O.C. Residence, as per plans and specs by Robert Adams Architect dated August 14,2008 and Addendum dated September 30,2008. Please see the attached breakdown summary of our price. We have estimated approximately two-thirds ($426,672.00) of this cost would be for renovation work and one-third($213,333.00)would be for maintenance work. We have estimated construction time of five months,depending on weather conditions. If there is any further information you need please do not hesitate to call our office. Thank you for asking Murphy Construction Company Inc.for this proposal. Sincerely yours, Brett Murphy Vice President 1 Attachment �? Com. Bc;.x 1510 • N!e�prbilrypOrt, Massachusetts 01950 • (978) 46H::-"':sc "'GUARD. Workers' Compensation and Employer's Liability Policy INSURANCE EastGUARD Insurance Po Policy Number MUWC910834 (6 R U P Renewal of MUWC806086 NCCI No.[33936] Policy Information Page Endorsement [1] Named Insured and Mailing Address Agency __.._.__...___.._...._...____...__..-..__.___._.._...._.__.__........_._ MURPHY CONSTRUCTION CO., INC. PO Box 1510 MICHAUD, ROWE, & RUSCAK Newburyport, MA 01950 198 Massachusetts Ave. North Andover, MA 01845 Agency Code: MALAND10Federal Employer's ID 04-2817768 Insured is Corporation Risk ID Number 000096367 Locations On Policy (L1) 3 Marsh Street , Newburyport, MA 01950 (01/19/2008 - 01/19/2009) ..._.__---_-_._.-..._...-.---_..-._---..._...._...__.._._.......................__ ._---._.__._._ ._._._. ..-._-__.._..._._..-_....._._..._.._ [2] Policy Period _.._.._._.._..._-_.____.....__........_.__. .._: From January 19, 2008 to January 19, 2009, 12:01 AM, standard time at the insured's mailing address. Endorsement EEndorsement #3, effective on the date shown below, 12:01 AM, standard time, changes items. All other terms and conditions of the policy remain unchanged. 5 - Payroll - Eff. 01/19/2008 [3] Coverage - A. Workers' Compensation Insurance - Part One of this policy applies to the Workers' Compensation Law of the following states: Massachusetts B. Employer's Liability Insurance - Part Two of this policy applies to work in each of the states listed in item [3]A.. The limits of our liability under Part Two are: Bodily Injury by Accident - each accident $1,000,000 Bodily Injury by Disease - each employee $1,000,000 Bodily Injury by Disease - policy limit $1,000,000 C. Other States Insurance - Part Three of this policy applies to all states, except any state listed in item [3]A. and the states of North Dakota, Ohio, Washington, West Virginia, and Wyoming. D. This policy includes these endorsements and schedules: .See Extension of Information Page - Schedule of Forms ......_................ ........... ..........._..__....._.__........_............... .... —-- ----._..._.-----------....._......_. __. - - _ 4] Premium _. ..........._.__._....._....__....------ _ ..........._...-...__.._..._.....____......._...------------..._.__._..; The Premium Basis and, therefore, the premium will be determined by our Manual of Rules, Classifications, Rates, and Rating Plans. All required information is subject to verification and change by audit. (Continued on another page) FTotal Estimated Policy Premium _ Total Surcharges/Assessments - Total Estimated Cost $ INTERNAL USE KB Page - 1 - MGA : MUWC910834 Endorsement Date : 05/07/2008 WC890600 16 South River Street•P.O. Box A-H •Wilkes-Barre, PA 18703-0020 •www.guard.com Board of Building Regulations and Standards Construction Supervisor License License CS 34380 El { X217/2009 Tr# 12381 BRETT P MURPHY, MARSH ST PLUM I ��-- NEWBURYPORT,MA 01950 f Commissioner ---� ,per �/te r�omvnz�z�uealbZ a�./�aaac�ic�aelta �\ Board of Building Regulations and Standards HOME IMPROVEMENT CONTRACTOR Registratiorrc, 160559 E b&-Z- 17/2010 Tr# 272255 Tjrpe Pivate Corporation MURPHY CONSTRtlONO L BRETT MURPHY 3 MARSH ST NEWBURYPORT MA Ot9Or Administrator