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Home My WebLink AboutBuilding Permit #469 - 121 HERRICK ROAD 12/12/2011 TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit NO: Date Received Date Issued: IMPORTANT:Applicant must coin Tete all items j on this page I LOCATION Z ZI z!"4 j Cr— /? PROPERTY OWNER /t/ Print Unit# U Print MAP NO:a- PA.RCEL:Q�C ZONING DISTRICT: Historic District { yes o I Machine Shop Village yes n 100 year-old structure yes o TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building One family ❑Addition ❑Two or more family ❑ Industrial Alteration No. of units: ❑Commercial ❑ Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other 15111 i0 S ptic ® �. . -- -.� r. - .o. +:111Y,lodpla We- s � � ' ` ® �Wa'shed ►istriet$ . c Water/Sewers f DESCRIPTION OF WORK TO BE PERFORMED: i (Identification Please Type or Print Clearly) OWNER: Name:_ � ��','�'' Phone 8r Address: CONTRACTOR Name: �e s Phone:' ' Address: Supervisor's Construction License: /d Sp 86 Exp. Date: _ /v 9�/�� 3 Home Improvement License: / S 88 Exp. Date: ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE:BULDING PERMIT:$92.00 PER$9000.00 OF THE TOTAL EST/MATED COS�TBA(,D ON$925.00 PER S.F. Total Project Cost: $ Aw FEE: $ � Check No.:_� Receipt No.: NOTE: rersons contracting with unregistered contra s do got have c ess t h ranty fund Signature.,; -,g r Plans Submitted ElPlans Waived ❑ Certified Plot Plan El Stamped Plans 0 TYPE OF SEWERAGE DISPOSAL Public Sewer ❑ Tanning/MassageBody Art ❑ Swimming Pools Well ❑ Tobacco Sales ❑ Food Packaging/Sales C1 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 1 CONSERVATION Reviewed on Si nature COMMENTS HEALTH Reviewed on Si nature COMgENTS Zoning Board of Appeals:Variance, Petition No: Zonin g Decisionfreceipt submitted yes Planning Board Decision: Comments I Conservation Decision: comment- Driveway Drivewa Permit n Water& Sewer Con nection/Sici nature&Date DPW Town Engineer: Signature: Located 384 Osgood Street FIRE DEPARTMENT -Temp Dumpster on site yes no Located at 124 Main Street Fire Department signature/date COMMENTS I - - 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 servicedroprequires approval of Electrical Inspector Yes 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 2011 June/mi J 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 Li Workers Comp Affidavit o 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 I Addition or Decks o Building Permit Application o Certified Surveyed Plot Plan ❑ Workers Comp Affidavit o Photo Copy of H.I.C. And C.S.L. Licenses ❑ Copy Of Contract ❑ Floor/Crosse'ction/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (If Applicable) o 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) o Building Permit Application ❑ Certified Proposed Plot Plan o 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) ❑ Copy of Contract o Mass check Energy Compliance Report o 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 specialpermit 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 J Doc: Doc.Building Permit Revised 2008mi Locational No. Date TOWN OF NORTH ANDOVER o F Certificate of Occupancy $ A J�CNus t� Building/Frame Permit Fee $ -� Foundation Permit Fee $ Other Permit Fee $ TOTAL $ .Check # �) 24876 Building Inspector TMK Remodeling CS# 105086,HIC Lic# 165887,RRP#LR000106 214 Sutton Hill Rd North Andover MA 01845 978 852-4491 Lynne Allen 121 Herrick Street North Andover MA 01845 P: 857 756-6080 Project: Master Bathroom Remodel Date:December 3,2011 Dear Lynne, I have attached a standard contract to perform the remodeling work in your master bathroom as discussed previously. Included with the contract is Exhibit A describing the scope of work. Please review and verify I have documented your requirements fully and if acceptable,please print and sign two copies. I look forward to working with beatify our master bathroom. you to fY Y Sincerely, Ted Kelley TMK Remodeling CS Lic# 105086 214 Sutton Hill Rd North Andover MA 01845 978 852-4491 www.tmkremodeling.com I www.tmkremodeling com 978 852-4491 Page 1 TMK Remodeling CS# 105086,HIC Lic# 165887,RRP#LR000106 214 Sutton Hill Rd North Andover MA 01845 978 852-4491 CONTRACTOR AGREEMENT THIS AGREEMENT made this Z)iC 201,/by and between Theodore Kelley dba TMK Remodeling, Construction Supervisor License#105086,214 Sutton Hill Rd,North Andover MA 01845 hereinafter called the Contractor,and Lynne Allen,hereinafter called the Owner. WITNESSETH,that the Contractor and the Owner for the consideration named herein agree as follows: ARTICLE 1. SCOPE OF THE WORK The Contractor shall perform all of the work described in the specifications entitled Exhibit A,as annexed hereto as it pertains to work to be performed on property located at: 121 Herrick Street North Andover MA 01845. ARTICLE 2. TIME OF COMPLETION The work to be performed under this Contract shall be commenced on or before December 12,2011 and shall be substantially completed on or before December 31,2011. ARTICLE 3. THE CONTRACT PRICE f The'owner shall pay the Contractor for the labor and materials to be performed and supplied under the Contract the wvX\ sum of S' Thousand Dollars 000 subject to additions and deductions pursuant to authorized change orders. Bath li tin g and plumbing fi tu�o be supplied by Owner and are not included in the contract price. ARTICLE 4. PROGRESS PAYMENTS Payments of the Contract price shall be paid in the following manner from the Owner to the Contractor: 33%upon contract acceptance and signature 33%upon installation of wall board on walls and ceiling and swanstone shower surround 33%upon final completion and inspections ARTICLE 5. GENERAL PROVISIONS 1.All work shall be completed in a workmanship like manner and in compliance with all building codes and other applicable laws. 2.To:the extent required by law all work shall be performed by individuals duly licensed and authorized by law to perform said work. 3.Contractor may at its discretion engage subcontractors to perform work hereunder,provided Contractor shall fully pay said subcontractor and in all instances remain responsible for the proper completion of this Contract. 4.Contractor shall furnish Owner appropriate releases or waivers of lien for all work performed or materials provided at the time the next periodic payment shall be due. www.tmkremodeling.com 978 852-4491 Page 2 TMK Remodeling CS# 105086,HIC Lic# 165887,RRP#LR000106 214 Sutton Hill Rd North Andover MA 01845 978 852-4491 ARTICLE 7. ACCEPTANCE Sig&thisday of �� ,20W Old 161 �) Owner Contractor NOTICE. The signatures of the pard above apply only to the agreement of the parties to alternate dispute resolution initiated by the contractor The owner may initiate alternative dispute resolution even where this section is not signed separately by the pa s. DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES www.fmkremodelinci.com 978 852-4491 Page 4 TMK Remodeling CS#,105086,HIC Lic# 165887,RRP#LR000106 214 Sutton Hill Rd North Andover MA 01845 9788524491 Exhibit A - Statement of Work Project Scope:Remodel Master bathroom Note: Owner has removed existing fiberglass shower surround,plaster walls and ceiling,and a portion of the tile floor. • Disconnect supply and waste lines and remove pedastal sink.Retain for reinstallation • Disconnect supply line and remove toilet. Retain for installation Remove ceramic tile floor and subfloor • Remove remaining metal lathing on ceiling and walls • Rough in plumbing(new temp/vol control valve, overhead spray, tub spout, drain and pop-up). Fixtures to be supplied by Owner a Frame out and construct shelves under dormer. • Install new drywall ceiling and moisture resistant drywall,Fill and tape all joints. Sand andp rime • Prime and paint ceiling,walls and trim Install Ditri mat sub-floor(approx 30 SF) • Install new ceramic tile floor(approx 30 SF). Tiles TBD • Grout and seal all tile joints • Install cement board around shower area,tape and fill joints, sand and prime • Install Swanstone walls surrounding tub up to finished ceiling(approx 56 SF) • Reinstall pedastal sink with new faucet, connect to supply and waste lines. Faucet to be supplied by Owner • Reinstall existing toilet and connect to supply and waste lines. Relocate waste line 12" from finished wall prior to installation • Install new surface mounted wall fixtures on each side of mirror on existing switch • Fixtures to be supplied by Owner • Install new light and fan on new switch. Vent to exterior.Fixture to be supplied by i Own r • RrGFI outlet and switch • Install towel rod, TP dispenser and hand towel ring. Accessories to be supplied by Owner • Install new raised panel 28 x 78" door, lockest and trim,prime and paint Tub finish options U�included in contract price: �� • New American Standard 60x30 tub --�3-� ox www,tmkremodeling.com 978 852-4491 Page 5 NORT1y , And TONM Of over .. No. � X r0 dover, Mass. �0�• � a.` Q =- LAKE , ' ' COCHICHEWICK V oRATED v ` BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System BUILDING INSPECTOR UTHIS CERTIFIES THAT....................... . Ilt....................................................... .. ................................................................ Foundation �< has permission to ct............:........................... buil ngs on ....E44 ..................... Rough to be occupied as .. ... ... ` �i ' Chimney ........ ............. 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 CONSTRUC STARTS ELECTRICAL INSPECTOR ' Rough .j ................................ �. .... 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 LathingDry To Be Done__ -- • or � -—: FIRE.DEPARTMENT Until Inspected and Approved by the Building Inspector.- Burner - Street No. SEE REVERSE SIDE Smoke Det. V DAC HARTFORD WORKERS COMPENSATION AND EMPLOYERS LIABILITY POLICY TYPE AR INFORMATION PAGE WC 00 00 01 ( A) POLICY NUMBER: (GS60UB-4184P88-A-11 ) RENEWAL OF (6S60UB-4184P88-A-10) INSURER: HARTFORD UNDERWRITERS INSURANCE COMPANY. NCCI CO CODE: 80411 1. INSURED: PRODUCER: KELLEY, THEODORE DBA JOHN H FERNEKEES TMK REMODELING 95 MAIN ST 214 SUTTON HILL RD READING MA 01867 NORTH ANDOVER MA 01845 Insured is AN INDIVIDUAL Other work places and identification numbers are shown in the schedule(s) attached. 2. The policy period is from 04-02-11 to. 04-02-12 12:01 A.M. at the insured's mailing address. 3. A. WORKERS COMPENSATION INSURANCE: Part One of the policy applies to the Workers Compensation Law of the state(s) listed here: MA s B. EMPLOYERS LIABILITY INSURANCE: Part Two of the policy applies to work in each state listed in iter 3.A. The limits of our liability under Part Two are: Bodily Injury by Accident: $ 100000 Each Accident Bodily Injury by Disease: $ 500000 Policy Limit Bodily Injury by Disease: $ 100000 Each Employee �— C. OTHER STATES INSURANCE: Part Three of the policy applies to the states, if any, listed here: COVERAGE REPLACED BY ENDORSEMENT WC 20 03 06A D. This policy includes these endorsements and schedules: SEE LISTING OF ENDORSEMENTS - EXTENSION OF INFO PAGE 4. The premium for this policy will be determined by our Manuals of Rules, Classifications, Rates and Rating Plans.'All required information is subject to verification and change by audit to be made ANNUALLY. DATE OF ISSUE: 03-18-11 WC ST ASSIGN: MA, ORLANDO DA HTFD 05G PRODUCER: JOHN H FERNEKEES 77RCB 004142 PREFERRED MUTUAL INSURANCE COMPANY COMMERCIAL GENERAL LIABILITY COVERAGE PART DECLARATIONS RENEWAL BUSINESS DIRECT BILL Policy Number: CPP 0110 60 04 09 Named_Insured: THEODORE KELLY DBA TMK REMODELING Address: 214 SUTTON HILL ROAD NORTH ANDOVER MA 01845 Replacement or Renewal Number of CPP 0100600409 Agent: JOHN H FERNEKEES INSURANCE AGY 20 12700 Address: READING MA 01867 Policy Period: From 03/29/11 to 03129/12 12:01 A.M. standard time at the mailing address of the named insured as stated herein. In return for the payment of the premium, and subject to all the terms of this policy, we agree with you to provide the insurance as stated in this policy. LIMITS OF INSURANCE GENERAL AGGREGATE LIMIT (Other than Products-Completed Operations) $ 2,000 ,000 PRODUCTS-COMPLETED OPERATIONS AGGREGATE LIMIT $ 2,000,000 PERSONAL AND ADVERTISING INJURY LIMIT $ 11000,000 EACH OCCURRENCE LIMIT $ 11000 ,000 DAMAGE TO PREMISES RENTED TO YOU LIMIT (Any One Premises) $ 100,000 MEDICAL EXPENSE LIMIT (Any One Person) $ 5,000 The Named Insured is: INDIVIDUAL Business of the Named Insured is: REMODELING/HOME IMPROVEMENTS Audit Period: ANNUAL FORMS & ENDORSEMENTS ATTACHED TO THIS POLICY CG2404(0509) CG2503(0509) CG9501(0101) CG9502(0101) CG2151(0989)' CG2147(1207) CG9506(0709) CG0068(0509) CG2132(0509) IL0003(0908) IL0021(0908) CG2171(0608) CG0203(0308) CG2187(0107) CG2167(1204) CG2186(1204) CG2426(0704) CG9505(0104) CG2160(0998) CG2161(0498) CG0001(1207) TOTAL ADVANCE PREMIUM $ 2,046.00 THESE DECLARATIONS ARE PART OF THE POLICY DECLARATIONS CONTAINING THE NAME OF THE INSURED AND THE POLICY PERIOD. PMD1 (06-10) Includes copyrighted material of Insurance Services Office, Inc.,with permission.Copyright, Insurance Services Office, Inc., 1983, 1984. 03/11/11 BSH WJ INSURED COPY CPP GLO 0110600409 954414002 00468 + .x.. -Massachusetts- Department ofPublic,Safet� ' Board of Buildin!a Re!lulations and Standards - - - - - - - Construction Supervisor License - - - License: CS 105086 THEODORE KELLEY +.v t° 214 SUTTON HILL RD NORTH ANDOVER, MA 01845 i Expiration: 10/8/2013 i iuncr Tr#: 105086 Co mill ._" f� C�arrinz b"c U mess egu anon OfficP�f onsumer airs HOME IMPROVEMENT CONTRACTOR Type: Registration: 165887 Individual Expiration: A12 T 'EMO ELING'= - A, err:--.._ " ._ THEODORE KELLE`(szFr otr 214 SUTTON HILL F3D :;r �� NORTHANDOVER,MA;Q1i$45„; Undersecretary ,_.`:,