HomeMy WebLinkAboutBuilding Permit #934-15 - 118 SUTTON HILL ROAD 5/1/2018 rrt NORTH i
BUILDING PERMIT
TOWN OF NORTH ANDOVER -
o
APPLICATION FOR PLAN EXAMINATION
�L�_ �5 Date Received `°
Permit No#: 0R Oreo
gSSACHUS
Date Issued:
IMPORTANT: Applicant must complete all items on this page
LOCATION S k c' A // I`
Print f
PROPERTY OWNER 0,1 a lS c l
G� Prini 100 Year Structure yes no
MAP ` 7 PARCEL: 5" ZONING DISTRICT: Historic District yes no
Machine Shop Village yes. no
TYPE OF IMPROVEMENT PROPOSED USE
Residential Non- Residential
❑ New Building ❑ One family
❑Addition ❑ Two or more family ❑ Industrial
5q Alteration No. of units: ❑ Commercial
❑ Repair, replacement ❑Assessory Bldg ❑ Others:
❑ Demolition ❑ Other
SeptYc 1/1(ell q Floodplain II4 Wetlands ❑ WafierShetl District
C7 Water/Sewed _
{
DESCRIPTION OF WORK TO BE PERFORMED:
-e ► G e �'�. �e-, Cis !�� �� e
Identification- Please Type or Print Clearly
OWNER: Name: h4a <-;- G Phone:
Address: /g ��(411
Contractor Name: 15P 6 (,a .� - ePhone: �P '7 0/2
Email: S 14 e a�c , -
Address- /10 1A-) ( I rZ J
Supervisor's Construction License: S (�� � g1 fl z1 Exp. Date:
J r
Home Improvement License: /Cf f�� 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 S.F.
Total Project Cost: $ -7f F C FEE: $
Check No.: 7/-2/ Receipt No.:
NOTE: Persons contracting reg
ractin with ist ed contra ors do not have access to the guaranty fund
_ -- -
Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ N""
TYPE OF SEWERAGE DISPOSAL I
4
Public Sewer ❑ TanniuglMassage/Body Art ❑ Swimming Pools ❑
Well ❑ Tobacco Sales ❑
Food Packaging/Sales ❑ )
Private(septic tank,etc. ❑ Pennanent Dumpster on Site ❑ I
II
THE FOLLOWING SECTIONS FOR OFFICE USE ONLY �
INTERDEPARTMENTAL SIGN OFF m lI FORM
PLANNING & DEVELOPMENT Reviewed On Signature_
COMMENT'S
CONSERVATION Reviewed on Signature
COMMENTS
HEALTH Reviewed on Signature
COMMENTS
Zot.ing Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes
Planning Board Decision: Comments
Conservation Decision: Comments
!Nater& Sewer Connection/Signature& Date Driveway Permit
DPW Town Engineer: Signature:
Located 384 Osgood Street
FIRE DE RTI�IE - �� -��� w
PtA �� _NtT =.Temp Dempster ori site�,Wplss ' 1 _.. o
Loeatecl a1'124
in Str.eett
Fire Dep rt ent signage/ahte '_ s
Dimension
Number of Stories: Total square feet of floor area, based on Exterior dimensions.
Total land area, sq. ft.:
ELECTRICALS Movement of Meter location, trust 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 Call Email
Date Time Contact Name I
Doc.Building Permit 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
4. Building Permit Application
Workers Comp Affidavit M
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
OTE: 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
4. 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)
Engineering Affidavits for Engineered products
OTE: All dumpster permits require sign offrom 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
2012 IECC Energy code
Engineering Affidavits for Engineered products
OTE: 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 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
Building Permit Application
4� Workers Comp Affidavit
4, 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
OTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit
Addition Or Decks
Building Pp Permit Application
Certified Surveyed Plot Plan
Workers Comp Affidavit
Photo Copy of H.I.C. And C.S.L. Licenses
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)
�
Engineering Affidavits for Engineered products
OTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit
New Construction (Single and Two Family)
4. Building Permit Application
4, Certified Proposed Plot Plan
4� Photo of H.I.C. And C.S.L. Licenses
4 Workers Comp Affidavit
4 Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And
Hydraulic Calculations (If Applicable)
Copy of Contract
2012 IECC Energy code
Engineering Affidavits for Engineered products
OTE: 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 2014
Location die A/1 1//
No. Date l5-111 5
/ 1
i
. - TOWN OF NORTH ANDOVER
• S
DI
Certificate of Occupancy $
I uilding/Frame Permit Fee $ -
-- Foundation Permit Fee $
Other Permit Fee $
TOTAL $
Check# X/l
�>
t _
23' 79
i wilding Inspector
Enter construction cost for fee cal - North Andover Fee Calculation
Construction Cost
$ 711635.00 m
$ - $ 859.62
Plumbing Fee $ 107.45
Gas Fee 100 comm. $ 100.00
Electrical Fee $ 107.45
Total fees collected $ 1,174.53
118 Sutton Hill Road
934-15 on 5/18/2015
Kitchen and Bath Remodel
F NORTH
own of ; E ndover
46�
No.
,� oh ver, Mass,
COCNICHR WICK
S U
BOARD OF HEALTH
PER- MIT T LD Food/Kitchen
Septic System
THIS CERTIFIES THAT ........ ..��e'e` ..Cf.n.�......... �:f.....................`.....................................................
BUILDING INSPECTOR
�{ s� ' ! .0 - / I..:../J Foundation
has permission to erect .......................... buildings on .......................... .. ....
� Rough
tobe occupied as ........... Ik.�F. .�............................ .............. .......... ,�....................................... y
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 ARTS 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.
Segal Construction LLC
Estimate
A NH LLC Registered in Massachusetts
Manager Jonathan Segal DATE ESTIMATE#
Manager's Address:190 Wallis RD.
5/17/2015 3442
Rye,NH 03870
NAME/ADDRESS
Robert Segal
118 Sutton Hill Rd.
Andover,Ma.
PROJECT
DESCRIPTION COST TOTAL
Dumpsters 1,600.00 1,600.00
Demo 4,000.00 4,000.00
HVAC move ac units,install fans in kitchen,laundry and bathroom Fans to be 3,450.00 3,450.00
provided by owner
Insulation 3,315.00 3,315.00
Electrical fixtures by owner 12,000.00 12,000.00
Plumbing Sinks and fixtures by owner 10,000.00 10,000.00
Kitchen cabinet installation cabinets by owner countertops by owner 7,200.00 7,200.00
Flooring does not include preparing floor 15,000.00 15,000.00
Doors and basic hardware 2,700.00 2,700.00
Interior trim 2,000.00 2,000.00
Interior trim labor and installation of doors 6,560.00 6,560.00
Framing materials 900.00 900.00
Framing Labor 6,480.00 6,480.00
Plaster 9,430.00 9,430.00
Painting 9,000.00 9,000.00
Does not include kitchen appliances
TOTAL $93,635.00
Either owner may cancel this agreement without any penalty or obligation
within three business days of the above date. Attached hereto find notice of
cancellation, which shall be used by owner if owner desires to cancel contract.
There are two notices for each owner.
"Do Not sign this contract if there are any blank spaces"
In Witness Whereof, the parties have hereunto set their hands the day and date first above
written.. � �J
�CI.t.Cc-
SEGAL CONSTRU TION,L p0wn�,�er-
BY:-
N SEGAL, AGER Owner
711We carry adequate insurance to protect our customers against injuries to our workmen or the
public during the performance of our contract.
Page 2
SEGAL CONSTRUCTION LLC
A NEW HAMPSHIRE LLC.REGISTERED IN THE COMMONWEALTH OF
MASSACHUSETTS
MANAGER JONATHAN SEGAL
MANAGER'S ADDRESS: 190 Wallis Road,Rye, NH 03870 Tel: 978 580 0125
H.I.C.#132833 C.S.L.#056994 Soc.Sec.#024-35-3107
CONTRACT
This agreement made and entered into this 17th day of May, 2015, by and between Segal Construction,
LLC, hereinafter referred to as the "Contractor," and Maralyn and Robert Segal, 118 Sutton Hill Rd.,
North Andover,Massachusetts, hereinafter referred to as "Owner,"witnesseth:
Whereas, said Owner is desirous of having improvements made on the premises known as: Sutton
Hill Rd.,North Andover,Massachusetts
A. Contractor agrees to perform said improvements in a workmanlike manner for said
Owner, according to the following Specifications:
Plan drawn by Kerri Frick,RA 05/15/15
B. Said improvements are to be made for the consideration of$45 per hour per
carpenter.All materials purchased by contractor will include a 15%markup. To be paid at the end of each
week
C. To be paid as follows:
The owner shall supply and pay for all kitchen cabinets and bathroom cabinets and all
countertops as needed for the renovation as well as all plumbing and electrical fixtures.
D. The Contractor agrees to start on or before May 22, 2015. The Contractor agrees to
substantially complete the improvements on November 22,2015.
E. Any changes to be subject to the order and direction of said Contractor and must be in
writing.
F. Contractor shall not be liable for any delay or nonperformance caused by war conditions,
priorities, restrictions, or other regulations pursuant to public authority affecting performance or credit,
strikes, lockouts, accidents, Act of God, reduced supplies or material or labor or any other contingency
beyond its control. In the event of Contractor's inability for any reason above stated to perform or to
complete performance of this agreement,Contractor may at its option cancel or terminate this agreement;
provided that in the event of the termination of this contract by the Contractor by reason of any of the
above causes after partial performance by the Contractor the Owner shall and hereby agrees to pay to
the Contractor such proportion of the entire consideration as the amount of material and labor furnished
and performed shall bear to the total amount of material and labor to be furnished and performed under
this contract immediately after the termination of this agreement. This agreement is not subject to
cancellation.
G. If the contractor is unable to obtain all the necessary permits to begin the improvements
covered by this agreement by May 18,2015,then the contractor shall be able to extend the completion date
one day for each lost day.
H. The owner shall have all warranties and rights under the provisions of Chapter 140A of
the General Laws of the Commonwealth of Massachusetts.
CONTRACTOR TO VERIFY ALL
DIMENSIONS IN FIELD
IKEA CABINETS,RINGHULT
HIGH GLOSS WHITE,DUPONT
15-0' 1SO' td-0" ZODIAC SNOW WHITE OR
EOUAL COUNTER
13-3' 10-1" 23'-11 1n NEW SINK IN E%rG LOCATION
IKEA CABINETS,RINGHULT
HIGH GLOSS WHITE,DUPONT
ZODIAC SNOW WHITE OR
ECUAL COUNTER
N DW I 9 OVEN
rn
to KITCHEN
m DEIMASTER BEDROOM OFFICE NEW REFRIGERATOR,
A' ®
FIE COORDINATE WATER SUPPLY
3' FOR ICEMNKER
= REF.
in 4 IKEA CABINETS,RINGHULT
ro 0 HIGH GLOSS WHITE
IKEA CABINETS,RINGHULT
3 1',01n' 10-11• 3'-S' Y HIGH GLOSS WHITE,DUPONT
§ ZODIAC SNOW WHITE OR
§ : FE'
c> m EQUAL COUNTER
a
ALIGN
:[ELECTRICAL
0SRNG COLUMN,WHITE
CARPET
Our COUJMN,TO ACCOMMODATE
4 I 8q OUTLEB
IT TIT LIVING ROOMFO-2 I
CLOSET CLOSETASTER BATH
� ® UT WALL,TO ACCOA9AODATE
CAL OUTLETS
55' S-s' 10'-2' TILE SHOWER WITH BUILT IN BENCH
71,
48'-& AND GLASS DOOR
DOUBLE VANITY WITH RECESSED MIRRORED
MEDICINE CABWETS,ROSERN AIO SERIES,OR SIM.
120 VAC 20 AM GFI REOD.
LINEN CLOSET
KERRI FRICK,RA Segal Residence
118 Sutton Hill Rd. sore Reference No.
516 Concord Ave. N.Andover,MA
Lexington,MA 02421
Tel 713-829-9759 Date 15 DravAA1.01-T3.OGR PLAN
Date Drawing
CONTRACTOR TO VERFY ALL
DIMENSIONS INFIELD
IKEA CABINETS,RINGHULT
HIGH GLOSS WHTE DUPONT
ZODIAC SNOW WHITE OR
EQUAL COUNTER
23'-11 ff NEW SINK IN EXPG LOCATION
IKEA CABINETS,RINGHULT
HIGH GLOSS WHITE,DUPONT
ZODIAC SNOW WHITE OR
EQUAL COUNTER
lV
DW 0O0 OVEN
h
1N
o KITCHEN ZN
MASTER BEDROOM OFFICE b10 NEW RIEFRGER\TOR,
N ® ® COORDINATE WATER SUPPLY
3' FOR ICEMAKER
REF.
,n § 4 IKEA CABINETS,RINGHULT
�+ b HIGH GLOSS WHITE
IKEA CABINETS,RNGHULT
HIGH GLOSS WHITF-DUPONT
1d-11' S. Y ZODIAC SNOW WHITE OR
m v m EQUAL COUNTER
AUGN PAINT DeSTING COLUMN,WHITE
PET O
FURR OUT COLUMN,TO ACCOMMODATE
C 4 Sp ELECTRCALOUTLETS
a LIVING ROOM
❑ h Q
m CLOSET CLOSET ASTER BATH
® ® ? ® FURh
r ❑
N ELECTRICAL OUT WALL,TO ACCOMMODATE
0 TRICAL OUTLETS
SS' 10'Q' TILE SHOWER WITH BUILT IN BENCH
AND GLASS DOOR
DOUBLE VANITY WITH RECESSED MIRRORED
MEDICINE CABINETS,HOSERN AIO SERIES,OR SIM
120 VAC M AM GFI READ.
LINEN CLOSET
KERRI FRICK,RA Segal Residence
118 Sutton Hill Rd. scale Reference No.
516 Concord Ave. N.Andover,MA
Lexington,MA 02421
Tel 713-829-9759 Date 15 AravAng FLOOR PLAN
Date Drawing