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Home My WebLink AboutBuilding Permit #32-12 - 127 KARA DRIVE 5/1/2018 TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit NO• 2� Date Receive Tim Date Issued: IMPORTANT:Applicant must com Tete all i ,_, age IV �, V"t t. J. LOCATION VLI-L Print �< PROPERTY OWNER Print MAP NO: q L&ARCEL-Jt ZONING DISTRICT: Historic District yes Machine Shop Village yes 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 _ El odpl ®hWetl ds f rf W, ershed Dis ict ,septic ®Well .� �, :. } s ®Water/Sewer 4 DESCRIPTION OF WORK TO BE PERFORMED: Identification Please Type or Print Clearly) OWNER: Name: ! �r•�- Phone: �`� Address: 1,Z"1 C-4 A On-"J" CONTRACTOR Name: Phone: Address: (r� �o d- Supervisor's Construction License: W f L xp. Date: %121�?-,-t 1 Home Improvement License: to�.Ali'? � Exp. Date: L I,Z ARCHITECT/ENGINEEPhone: �..., ` Re No. �^ Address: g FEE SCHEDULE:BULDING PERMIT:$12.00 PER$9000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ �lZ �Vy FEE: Check No.: lo y e5 Receipt No.: NOTE: Persons contracting with unregistered contractors do not have acc ss to the guaranty fund Si atuCe'ofcontracto Signature;of?/lgent/Qwn _------=--- Plans Submitted ❑ Plans Waive Certified Plot Plan ❑ Stamped Plans ❑ [Well YPE OF SEWERAGE DISPOSAL ublic Sewer Tanning/MassageBody Art ❑ Swimming Pools ❑ ❑ Tobacco Sales ❑ Food Packaging/Sales ❑ivate(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 ❑ ❑ i COMMENTS CONSERVATION Reviewed on Signature COMMENTS HEALTH Reviewed on Signature COMMENTS 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 I DPW Town Engineer: Signature: Located 384 O oo Street FIRE DEPARTMENT - Temp Dumpster on site yes no Located at 124 Main Street Fire Department signature/date 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 re vires 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 I I ® Notified for pickup - Date ' Doc:.Building Permit Revised 2008 I I I Building Department artment 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 u 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 40TE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit n all cases if a variance or special permit was required the Town clerks office must stamp the decision from the Board of Appeals lat the appeal period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording Inst be submitted with the building application Doc: Doc-Building permit Revised 2008mi Location / No. Date MORTq TOWN OF NORTH ANDOVER O � w 9 i =o Certificate of Occupancy $ - NuEta' Building/Frame Permit Fee $ �= a�cs Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # / y / 93 r i 2 ��, Building Inspector NORTH To of :. Andover . . , No. �o .2, o , '� dover, 1VMass.,l • I Z • I� 0LAKE A. COC MIC NE WICK V 21,9So ?Areo Pl? cb BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System THIS CERTIFIES THAT BUILDING INSPECTOR T...... ... . ...... .>rr..!!1.... .................................................................. • Foundation has permission to erect :. ........................ buildings on ......� .f"W .......... ...... Rough to be occupied as........ �.. ... .. wR...4...... 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 ELECTRICAL INSPECTOR UNLESS CONSTRUCTIT TS 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 SIDE Smoke Det. 1"' c� r—, r--r • 169 Boxford Street r Hca �>�ti Asx �� y ens �e �c i1�ti x ny a r.�ti�s� • North Andover,MA 01845 •-�C.l t�_^J lJ [�]L 7[..7 LIVUt-- �r.� 1"JJUfV \1 �. • PH:978-688-335 Building Contractor FAX:978.688-7207 Proposal To: Kathy Bennett 127 Cara Drive All Home improvement Contractors and Subcontractors ergaged in home improvernert contracdirg,unless North Andover, Ma 01845 specifically exempt from registration by Provisions of Chapter 142A of the general lavas,must be registered with the Commonwealth of Massachusetts.Inquiries about registration and Status should be made to the Director,Home Improvement Contract Registration,One Ashburton Place, From: Kevin Murphy Room 1301,Boston,MA02108.(617)-7278598 CC: Date: 3/10/2011 Job: Master bedroom/Bath renovation Date of plans- None to date 3/14105 Ardritect: None to date LocvMon: 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 5/1/11. Barring Delay caused by circumstances beyond Contactors control,the work will be completed by 7/30/11.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 fumished 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. Section 111-Scope of Work Y U7lAwwww 1<`YJwwY.ww.Illww. Page 2 of 4 r�rrw�y IIW\Yi sY.Yw 169 Boxford$beet North Andover,MA 01645 PH:976868,5335 FAX 978888-XXXX General Proposal is to alter cathedral ceiling in master bedroom, eliminate opening to ceiling in great room, reconfigure closets, and renovate existing masterbath area as shown on plans. Building permit to be provided by contractor. Plans to be provided by owner. Demolition Existing masterbath area will be completely gutted. Building Framing materials will be provided to lower master bedroom ceiling, close in great room ceiling, create additional attic storage, build new closet area,and relocate doorways as shown on plans. Plumbing Plumbing required to renovate existing masterbath will be provided. Copper pan will be supplied for new tile shower. An allowance of$2600 has been included for plumbing fixtures($250 for shower valve, $250 for toilet, $500 for two faucets,$1200 for tub,$400 for tub filler). Fixtures to remain in roughly same locations. Electrical Electrical work required to wire renovation to meet code will be provided. Bath fan/light unit will be provided. Eight recessed lights have been included. Surface mounted fixtures to be provided by owner ( ceiling fan / vanity lights). General layout to be approved by owner prior to rough. Heating/Air Conditioning Heating supplies/returns will be lowered/relocated as required. Insulation All renovated areas will be insulated to meet code(R-13 in exterior walls, R-30 in ceilings). Plaster All renovated areas will be blueboarded and skimcoat plastered. Walls will be smooth, ceilings to match existing. Interior Trim/Doom Interior trim and doors will be supplied and installed to match existing. Three door units have been included. White wire shelving will be provided in closets. Painting All interior painting will be provided. Walls will have one coat of primer, and two coats of finish applied. Trim to match existing.All trim in master bedroom will be painted. Entire ceiling in greatroom area will be painted. Page 3 of 4 169 Bo)ftd Sweet Nath Andover,MA 01845 PH:97840&-6335 FAX 978688-)0000 Flooring Tile floor and shower will be provided in bath area.An allowance of$5 per square foot has been included for the materials. An allowance of$30 per square yard, has been included to supply and install new carpets in master bedroom area. Other Allowances An allowance of$5000 has been included to supply bath cabinets and countertops. Waste Removal All demolition/constructon debris will be disposed of by contractor. Items Not Included No allowances have been made for any shower doors,or built in closet organizers O(' 1 r • V 4,6 Page 4 of 4 169 Boxford Street North Ardover,MA 01845 PH:9786895335 FAX 978688-X)00( Section IV-Price Schedule We hereby propose to furnish material and labor—complete in Accordance with above specifications for the sum of... ... ... ... ... ...... ... ... ...... ....$ 42,600 Payment to be made as follows: Percenta eAtem Description Amount 1 Permit Obtained $2000 2 Demolition complete $9000 3 Rough plumbing / electric complete $10,000 4 Plastering complete $8000 5 Tile / painting corn lets $9000 6 Job 100% complete $4600 Total 6 $42,600.00 Notice:No apeemerd for Home irtprovertW canhaclaV work shall reWre a damn paymerk(advance deposi)of more that one-tturd of the total contract price of the trial arr owd of all deposits or payments which the mntracor must make,in advance,to order ardlor otawise obtain delivery of special order materials and equipment,Wvdhever 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 I Signature �— Date (3 ` Q)d `" Signature ` DateU / I i 07/11/2011 07:45 9786833147 PAGE 01101 4c6m" CERTIFICATE OF LIABILITY INSURANCE ?iii/` O 1 THIS CER'IIF"TE IS ISSUED AS A NATTER OF INFOw ATION ONLY AND CONFERS NO RtGWTS UPON THE CERTIFICATE HOLDER. THIS CMMFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY ANIEfl13, MffM OR ALTER THE COVERAGE AFFORDED BY THE MUM WWW THM CERTIFICATE OF U14UR+►M DOES NW CONSTITUTE A CONTRACT BETWEEN THE OWING ROURER(Sh AU'MORM REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the owffmft imom Is ea ADDITIONAL INSURED.ro O*fldo must be eedoreed. M SUBROGATION IS WAIVED.suW to the Wam amt WWWoras of the poSay,cern packs nml/mgaq 4m ennorsomwL A ateftnmit on tom W§%M*does teat can w Mott to the 4eru holder M Reu of adO eltlet+ * WNTACT PRODUCER M P RoSSRTS INS AGCY INC P Eft (978)613-9073 No (976)663-3147 1060 Osgood Street AD zanARLdiftprobe=tsissawrance.OM North Andover, NA, 01845 I AFFUMM Cam INSURER A:PRO VIDENCR MOTIM INSURED A&VIN MURPHY BUILDING & R3NODELING mnm e-WINCERNTS INURANCS 169 BOVORD STREET msmp : *GUARD 199URANCE INSURER xORTH ANDOVER, NA 01845 t-WRL RER E COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY-I4AT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWMISTANDPIG ANY REQUIREMENT.TERM OR CONDRION OF ANY CONTRACT OR OTHER DOCUMENT Wrn4 RESPECT TO WHICH THIS OERTIFICATE 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 CLAItI+►S. TM OF'NSURANCE PONUMM M99 CgIlITS egum AL L"WV I EACH 00WRl%WM S 1,000,000 7I; COMMERGIAL GENERAL UASOM PREMeSEs ! 100,000 MA1NI WAM Q ocm MEOW Anyons 1 s 5.000 A CPP0060868 11/22/1011/x2/11 PERSONALaADVWMy s 1,00 ,000 GENERAL AGGREGATE $ 2,000,00 LZE fL AOMCATE 1.00 APPLIES FER pR xm"-cowwp AGG s 2,000_,000 Loc s AUrob1091LE LIAtMM „ „I s 1,000 000 ANYAUTOMCA70136Q8 1/23/11 01/23/12 SODILYINJURY(Parpe�son) s $ ALL 7OYUNED � � BaDIL.Y SlutlgY(Par aatidellt> 4 _..—. "=Amos mos UIdBREt1N LIAR OCCUR EACH OCCURRENCE s ExCEss LE" CtAtlN 4*m AGOREGA7E I; OEO I mmms : MPUMN ,ArM mHY ArU. AND OWPLOYER.R'LbmRI7Y ANY MMWWAr IVE „" E.L.EACH ACOMW s500,000 C IOppmeumum� WOW= � "IA gBWC213375 107/01/11 07/01/12 e L.OSEASE-EA EM s 500,0 0 0 WWWWOMMATIOM below E.L.OLSEASE-POLICY LW $ 500 000 DE8CRIPTION OF OPERATl0W l LOCATIDN6 r VEHICLES IAHMM ACORD Ion,AaMWW ftwwks SaWOft ams apace d req*w) CERTIF19EE HWER CANCELLATION TOOM OF NORTH A14DOVER SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE NOMM A'NDMM, 3M 01845 THE EXPIRATION DATE THEREOF. NOTICE HALL BE OWMRED IN ACCORDANCE WRH THE POLICY PROVISION& AIITHOROD 01988-2010 ACORO CORPORATION. All Ifo to merVed. ACORQ25(201=5) The ACORD name and kvo are mgbmnd marks of ACORD SlIx -The Commonwealth of Massachusetts- Department of Industrial Accidents -Office of Investigations 600 Washington Street Boston,MA 02111 mm.mass,gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business orpaizationdodividual): C..,_ Address: 9,4-7C,,A S - City/State/Lip: q.Ir. 'li' a.� � :. ALV&hone it: ��1 �b •�� Ar you an employer?Cheek the appropriate box: Type of project(required): 1I am a employer with 4. f am a general contractor and 1 6. E]New construction employees(full and/or part-time).* have hired the sub-contractors -listed on the attached sheet vt Remodeling 2. I am a sole proprietor or partner- ship and have uo employees These sub-contractors have 8. Q Demolition working for me in any capacity. workers' comp. insurance. . 9. ❑ Building addition [No workers'cow.insurance. 5: [jf We are a corporation and its - 101:1 Electrical repairs or additions required.] officers have exercised their: 3.El im a homeowner doing all work right of exemption per MGL 11.0 Pltmrtbing repairs or additions c.12, ,and we have no myself. [No workers 152,- §1�4) 12.n'Roofrepairs - insurance required.]# . . employees.[Ata workers' 13.[ Other comp:insurance required:] *Any applicant that checks box M.must-also fill out the section below showing their workers'compensation policy'infmnation: t Homeowners who submit this affidavit indicating thoy are doing all work and then hire outside contractors mit submit a new affidavit indicating.suck tContractois that check 8ris box must attached an additional sheet showing the name of the sub-contraotors and their workers'camp.policy information. lam an employef that is providing workers'compensatfon.insurance for my employees. Below is the policy and job site information. Insurance Company Name: V�,,o.--� i+`�S• W Policy#or Self-ins.Lic.#: \t_. wC, OALPi�°J Z Expiration Date: Job Site Address: V lz° City/Sta#elZip: VAv,, v�-•� �l 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-yea imprisonment,as well as civil penalties in 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 the Office of Investigations of the DIA for insurance coverage verification. I do here cern,fy under the parrs andpe tties�f perjury that the information provided aboveistrue and correct. Si tore: Dane:` ` t Phone#: Of�rcial use only. Do not write in this area,to be completed by city or town-of Ficial City or Town: PermWi iceuse# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3-City/Town Clerk 4_Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: