HomeMy WebLinkAboutBuilding Permit #670-14 - 131 DUNCAN DRIVE 4/1/2014 i
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BUILDING PERMIT �? ::. 4 °0
TOWN OF NORTH ANDOVER o
APPLICATION FOR PLAN EXAMIN T O
Permit NO: ' " Date Received
Argo
Date Issued:
.1 �°SSACHus��
I ORT('A�NT:Applicant must complete all items on this page
LOCATION D'-`
Pdnt
PROPERTY OWNER 1`
Pdnt
MAP NO: (� 1ZONING DISTRICT: Historic District yes
�PARCEL:� o
Machine Shop Village yes (noT
TYPE OF IMPROVEMENT PROPOSED USE
Residential Non-Residential
❑ New Building One family j
❑Addition ❑ Two or more family ❑ Industrial
Alteration No. of units: ❑ Commercial
❑ epair, replacement ❑Assessory Bldg ❑ Others:
❑ Demolition ❑ Other
❑ Septic ElWell ❑ Floodplain 13Wetlands ElWatershed District
❑ Water/Sewer
�y
Identification Please Type or Print Clearly)
OWNER: Name: L k��v `y�� Phone: 17� T� —790J
I
Address: (77 I�U' C-C-U.r\ p�c�.v Q
CONTRACTOR Name: Phone:
Address:
Supervisor's Construction License: � Exp. Date:
Home Improvement License: I 73 Exp. Date:
ARCHITECT/ENGINEER MA Phone:
Address: Reg. No.
FEE SCHEDULE.BULDING PERMIT.$1200 PER
(($1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F.
Total Project Cost: $ 6i FEE: $ qu -
Check No.: — Receipt No.:
NOTE: Persons c tracting with nr eyed contractors do not have access tot my fund
;Signature of Agent/Owner r— ill
of contractor 7
T
Locationz-31 nC � ��'
No. �v ' ( Date /
. - TOWN OF NORTH ANDOVER
• �+ ED 16
•
Certificate of Occupancy $
� Building/Frame Permit Fee $ Un
� x Foundation Permit Fee $
Other Permit Fee $
TOTAL $ _
Check
Building Inspector
- Plans Submitted D .-.--Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑
,TYP1J Oh:SEWPRAGE.DiSP.OSAL
Public Sewer ❑ Tanning/Massage/Body Art ❑. Swimming Pools ❑
Well ❑ Tobacco.Sales -•Food Packaging/Sales ❑
Pxivate{septic tank,etc:_ ❑ -Permanent DUmpster on:Site ❑
THE-FOLLOWING SECTIONS FOR OFFICE USE ONLY
INTERDEPARTMENTAL SIGN OFF - U FORM
DATE REJECTED DATE:A PPROVED
PLANNING &DEVELOPMENT-
COMMENTS
EVELOPMENTCOMMENTS
.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
,onservation Decision: Comments
Water & Sewer Connection/signature Date Driveway Permit
DPW'To` o Engineer: Signature:
Located 384 Osgood Street
FIRE-DEPART_M:,EN ,-::Temp Dumpster on site yes no
Located7at 124,mair, Street
Fire'Departme t signature/date . , °` ,` f `' °,:•.`., .' `. ; e. . . , ,
COMMENTS ,
Dimension
Number of Stories: Total square feet of floor area, based on Exterior dimensions.
-Total land area; sq. ft.:
-ELECTRICAL: Movement of Meter. IocatFon, roast-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
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Doe.Building Permit Revised 2010
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Building Department
The fol,'�wing isa l'i'st of the•required-forms to befilled out'-for:the appropriate.permit to.be obtained.
Roofing, Siding, Interior Rehabilitation Permits
❑ Building Permit Application
❑ Wor.kers Comp Affidavit
❑ Photo Copy Of H.I.C. And/G(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
I �
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 Issuane og P
cfldermit
In all c iscs if a variance or special permit was required the Town Clerks office must stamp the decision from the Board of Appeals
that th apor�al period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording
must b subm,rted with the building application
Doc: Doc.Building Permit Revised 2012
Enter construction cost for fee cal - North Andover Fee Calculation
Construction Cost
35X0.00 m
$ - $ 420.00
Plumbing Fee $ 52.50
Gas Fee 100 comm. $ 100.00
Electrical Fee $ 52.50
Total fees collected $ 625.00
131 Duncan Drive
670-14 on 4/1/2014
Remodel 2.5 Baths
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NORTH
Town of y. tAndover
h ver, Mass,
COCMIC"IWICK
ADRAtED
S u
BOARD OF HEALTH
Food/Kitchen
PERMIT T LD Septic System
THIS CERTIFIES THAT ....................Lh �i.✓............. .1 ...�/.O.P.01.4.................................................. BUILDING INSPECTOR
has.permission to erect.. .. buildings on 1_14.1..... T)PFoundation
. � Rough
to be occupied as .......♦ ..... ....! ..�........ .... ........ ......-............... 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
�D PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR
UNLESS CONSTRU ON 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.
NORT#i
Town of 2 ndover
O Y M
h ver, Mass,
COC MIC"IWIC.1 �1•
S ll
BOARD OF HEALTH
Food/Kitchen
PERMIT T D Septic System
THIS CERTIFIES THAT .................... ,I� th Vii✓ . ...v r ov;................................................. BUILDING INSPECTOR
................
.1. DfJ.Yl§W"AV0
Dr-4
Foundation
has permission to erect ...................... .. buildings on ....`. 1� ...... .... ..........
Rough
to be occupied as .......♦ ..... ....! ..�ir........ ....0011� - -
........ . ....... ............... 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 CONSTRU ON 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.
itMassachusetts -Department of Public Safety
Board of Building Regulations and Standards
Construction Supervisor
License: CS-087851 -
vii,
MICHAEL R NORMAN '
63 PEASLEE CROSSING RD' s
NEWTON NH 0A58 `
Expiration
Commissioner 09/2312015
CW11 evininowl"wIll,n�6�/t2�ustt�c�r�sells
Office of Consumer Affairs&Busidess Regulation
ME IMPROVEMENT CONTRACTOR UW.
egistration: 174384 Type:
xpiration: 2/4/2015 DBA
M.R.NORMAN BUILDERS
MICHAEL NORMAN
63 PEASLEE CROSSING RD
NEWTON,NH 03858 Undersecretary
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The Commonwealth of Massachusetts
Department of Industrial Accidents
Office of Inveskgations
600 Washington Street
-- Boston, MA 02111
wivrv.nrassgov1dia
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Applicant Information Please Print Le ibhv
1Varne(Business/Organization/Individual): / 6A, LL(
Address: _(P
(�
City/State/Zip: F ti� �,, (;5`55 Phone : `( ��
Are you an employer?Check the appropriate box:
Type of project(required):
am a generacontractor an
1. 4.I am a employer with ❑ I l d I 6" 0 New construction
employees(full and/or part-time).* have hired the sub-contractors
2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. Remodeling
ship and have no employees These sub-contractors have 8. 0 Demolition
working for me in any capacity. employees and have workers'
9_ E] Building addition
[No workers'comp.insurance comp.insurance.=
required.] 5. 0 We are a corporation and its 10.0 Electrical repairs or additions
3.❑ I am a homeowner doing all work officers have exercised their 11.0 Plumbing repairs or additions
myself. [`No workers' comp. right of exemption per 1v7GL 1?.[-1 Roof repairs
insurance required.] c. 152.§1(4).and we have no
employees. tNo workers' 13"0 Other
P t
comp. insurance required.]
'Any applicant that checks box#1 must also till out the section below showin,their workers'compensation policy information.
Homeowners who submit this affidavit intiicating they are doing all xvork and then hire:outside contractors must submit a new affidavit indicating such.
"Contractors that check this box must attached an additional sheet shox ing the name of the sub-contractor and state whether or not those entities have
emnlovees. if the sub-contractors have employees_they must provide their workers comp"policy number"
I am an employer that is providing workers'compensation insurance for rrry employees. Below is fire policy and job site.
information. /1
Insurance Company Name: A C'oA t G\
Policy 401-Self-ins.Lic.#: \111\2 X '.��.� '�`( t �` �l Expiration Date:
Job Site Address: City/State/Zip:
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-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a.line
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 hereby certify under in =1ties perjzaT that the information provided aboovve i ttzte nd correct.
Signature: 7 Date:
Phone#:
Official rtse only. Do not write in this area,to be completed by city or tower official.
City or Town: PermitfLicense#
Issuing Authority(circle one):
1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector
6.Other
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Contact Person: Phone#:
M
FIXED CONTRACT AMOUNT
THIS AGREEMENT,Made as of December 12`h in the Year of 2013
Between the Owner: Linda Burns
131 Duncan Drive
North North Andover,MA
And the Contractor: M.R.Norman LLC dba
M.Ryan Norman
Norman Builders
Norman Properties&Development
CS 87851/HIC 160921
63 Peaslee Crossing Road
Newton.NH 03858
603-974-2874
For the Project: Home Remodeling
131 Duncan Drive
North Andover,MA
ARTICLE 1. CONTRACT DOCUMENTS
1.1 The contract documents consist of this agreement,general conditions,construction documents,
specifications,allowances,finish schedules,construction draw schedule, information disclosure
statement,all addenda issued prior to execution of this agreement and all change orders or modifications
issued and agreed to by both parties. All documents noted herein shall be provided to the Contractor by
the Owner. These contract documents represent the entire agreement of both parties and supersede any
prior oral or written agreement.
ARTICLE 2. SCOPE OF WORK
2.1 The Contractor agrees to purchase and construct the above mentioned structure and fixtures
attached thereto in North Andover according to the bathroom remodeling specifications,allowances,all
addenda,change orders,modifications and specifications set forth in the specification booklet.
ARTICLE 3. TIME OF COMPLETION
3.1 The approximate commencement date of the project shall be February 241h,2013.The
approximate completion date of the project shall be April 25th,2013;however any change orders and/or
unusual weather might delay or otherwise affect the completion date.
ARTICLE 4. THE CONTRACT PRICE
4.1 The purchase price of the project shall be set at the sum of forty three thousand five hundred
twenty seven dollars,($43,527.00);for remodeling on property at 131 Duncan Drive to be started in
February and completed in April,as agreed upon in this entire contract with specifications, subject to
additions and deductions pursuant to authorized change orders and allowances.
4.2 The Owner and the Contractor acknowledge that the Owner has paid a non-refundable sum of
three thousand dollars,($3,000.00)as part of signing this contract.
ARTICLE 5. PROGRESS PAYMENTS
5.1 The Owner will make payments to the contractor pursuant to the attached construction draw
schedule as work required by said schedule is satisfactorily completed. Owner shall make draw payments
to contractor within 3 days after request by contractor. Should the owner fail to make payment,
contractor may charge a penalty of 18% annually upon the unpaid amount until paid.
5.2 If payment is not received by the Contractor within 5 days after delivery of payment demand for
work satisfactorily completed,contractor shall have the right to stop work or terminate the contract at his
option. Termination by Contractor under the provisions of this paragraph shall not relieve the Owner of
the obligations of payments to Contractor for that part of the work performed prior to such termination.
Termination by Owner under the provisions of this paragraph shall not relieve the Owner of the
obligations of payments to Contractor for that part of the work performed prior to such termination.
5.3 Payment Schedule and Amounts
1. Signing of Contract: $3,000
2. Master Bath Special Order Items: Actual Cost
3. Master Bathroom Start Date: $7,000
4. Master Bath Rough Ins Inspected: $7,000
5. Master Bath Complete: $1,822
6. Common Bath Special Order Items: Actual Cost
7. Common Bathroom Start Date: $3,000
8. Common Bath Rough Ins Inspected: $3,000
9. Common Bath Complete: $1,860
10. Half Bath Special Order Items: Actual Cost
11. Half Bathroom Start Date: $2,000
12. Half Bath Rough Ins Inspected: $2,000
13. Half Bath Complete: $1,845
THE ALLOWANCES HAVE BEEN DEDUCTED FROM THE PAYMENT SCHEDULE,BUT WILL NEED TO BE
PAID FOR WHEN THE ORDER IS PLACED BY THE CONTRACTOR
ARTICLE 6. DUTIES OF THE CONTRACTOR
6.1 All work shall be in accordance to the provisions of the plans and specifications. All systems
shall be in good working order.
6.2 All work shall be completed in a workman like manner,and shall comply with all applicable
national, state and local building codes and laws.
6.3 All work shall be performed by licensed individuals to perform their said work,as outlined by
law.
6.4 Contractor shall obtain all permits necessary for the work to be completed.
6.5 Contractor shall remove all construction debris and leave the project in a broom clean condition.
6.6 Upon satisfactory payment being made for any portion of the work performed,Contractor shall
furnish a full and unconditional release from any claim or mechanics' lien for that portion of the work for
which payment has been made.
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ARTICLE 7. OWNER
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7.1 The Owner shall communicate with subcontractors only through the Contractor.
7.2 The Owner will not assume any liability or responsibility,nor have control over or charge of
construction means,methods,techniques,sequences,procedures,or for safety precautions and
programs in connection with the project,since these are solely the Contractor's responsibility.
7.3 All persons working on this,i.e.sub-contractors,foremen or laborers will be notified that no
payments will be made by owners of property to them,that only Norman Builders is responsible for
payments to them. All contractors shall be insured to the minimums provided as described by Norman
Properties and not the responsibility of the owner.
ARTICLE 8. CHANGE ORDERS AND FINISH SCHEDULES
8.1 A Change Order is any change to the original plans and/or specifications. All change orders need
to be agreed upon in writing,including cost,additional time considerations,approximate dates when the
work will begin and be completed,a legal description of the location where the work will be done and
signed by both parties. 50%of the cost of each change order will be paid prior to the change,with the
final 50%paid upon completion of the change order. A 0%fee shall be added to all change orders and
overages in excess of initial allowances. Additional time needed to complete change orders shall be taken
into consideration in the project completion date.
8.2 Any delays or changes in finish selection schedules will delay the projected completion date.
ARTICLE 9. INSURANCE
9.1 The Owner will purchase and maintain property insurance to the full and insurable value of the
project, in case of a fire,vandalism,malicious mischief or other instances that may occur.
9.2 All Workers will be covered by Workman's Compensation and Liability insurance coverage as
needed and required by law.
ARTICLE 10. GENERAL PROVISIONS
10.1 If conditions are encountered at the construction site which are subsurface or otherwise concealed
physical conditions or unknown physical conditions of an unusual nature,which differ naturally from
those ordinarily found to exist and generally recognized as inherent in construction activities,the Owner
will promptly investigate such conditions and,if they differ materially and cause an increase or decrease
in the Contractor's cost of,and/or time required for,performance of any part of the work,will negotiate
with the Contractor an equitable adjustment in the contract sum,contract time or both.
ARTICLE 11. HAZARDOUS MATERIALS,WASTE AND ASBESTOS
11.1 Both parties agree that dealing with hazardous materials,waste or asbestos requires specialized
training,processes,precautions and licenses.Therefore,unless the scope of this agreement includes the
specific handling,disturbance,removal or transportation of hazardous materials,waste or asbestos,upon
discovery of such hazardous materials the Contractor shall notify the Owner immediately and allow the
Owner/Contractor to contract with a properly licensed and qualified hazardous material contractor.Any
such work shall be treated as a Change Order resulting in additional costs and time considerations.
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ARTICLE 12. ARBITRATION OF DISPUTES
12.1 Any controversy or claim arising out of or relating to this contract,or the breach thereof, shall be
settled by arbitration administered by the American Arbitration Association under its Construction
Industry Arbitration Rules,and judgment on the award rendered by the arbitrator(s)may be entered in any
court having jurisdiction thereof.
ARTICLE 13. WARRANTY
13.1 At the completion of this project,Contractor shall execute an instrument to Owner warranting the
project for 1 year against defects in workmanship or materials utilized. The manufacturer's warranty will
prevail.No legal action of any kind relating to the project,project performance or this contract shall be
initiated by either party against the other party after 1 year beyond the completion of the project.
ARTICLE 14. TERMINATION OF THE CONTRACT
14.1 Should the Owner or Contractor fail to carry out this contract,with all of its provisions,the
following options and stipulations shall apply;
14.1.1 If the Owner or the Contractor shall default on the contract,the non-defaulting party may
declare the contract is in default and proceed against the defaulting party for the recovery of all
damages incurred as a result of said breach of contract,including a reasonable attorney's fee. In
the case of a defaulting Owner,the Earnest money herein mentioned shall be applied to the
legally ascertained damages.
14.1.2 In the event of a default by the Owner or Contractor,the non-defaulting party may state
his intention to comply with the contract and proceed for specific performance.
14.1.3 In the case of a defaulting Owner,the Contractor may accept,at his option the earnest
money as shown herein as liquidated damages,should earnest money not cover the expenses to
date,the Contractor may make claim to the Owner for all work executed and for proven loss with
respect to equipment,materials,tools,construction equipment and machinery,including
reasonable overhead,profit and damages applicable to the property less the earnest money.
ARTICLE 15. ATTORNEY FEES
15.1 In the event of any arbitration or litigation relating to the project,project performance or
this contract,the prevailing party shall be entitled to reasonable attorney fees,costs and expenses.
ARTICLE 16. ACCEPTANCE AND OCCUPANCY
16.1 Upon completion,the project shall be inspected by the Owner and the Contractor,and any repairs
necessary to comply with the contract documents shall be made by the Contractor.
16.2 Building inspector of North Andover,MA must sign off on final inspection prior to final payment
by owners to Norman Builders,for completed work at 131 Duncan Drive.
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ARTICLE 17. CONTRACT LANGUAGE REQUIRED BY THE COMMONWEALTH OF MASSACHUSETTS
17.1 All home improvement contractors and subcontractors shall be registered and that any inquiries
about a contractor relating to a registration should be directed to:
Office of Consumer Affairs and Business Regulation
Ten Park Plaza,Suite 5170
Boston,MA 02116
Phone:(617)973-8700
17.2 DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES
17.3 PERMIT NOTICE
1• ANY AND ALL NECESSARY CONSTRUCTION RELATED PERMITS
SHALL BE THE OBLIGATION OF THE CONTRACTOR TO OBTAIN SUCH PERMITS
2. IF ANY ADDITIONAL APPROVALS OR PERMITS ARE REQUIRED OTHER THAN THE BUILDING
PERMIT TO START CONSTRUCTION,THERE WILL BE ADDITIONAL DELAYS AND FEES
INCURRED THAT WILL BE THE RESPONSIBILITY OF THE HOME OWNER
3. OWNERS WHO SECURE THEIR OWN CONSTRUCTION RELATED PERMITS OR DEAL WITH
UNREGISTERED CONTRACTORS SHALL BE EXCLUDED ACCESS TO THE GUARANTEE FUND
17.4 The contractor and the homeowner herby mutually agree in advance that in the event that the
contractor has a dispute concerning this contract,the contractor may submit such dispute to a private
arbitration service which has been approved by the Office of Consumer Affairs and Business Regulation
and the consumer shall be required to submit to such arbitration as provided in MGL c 142A.
Witness Witness
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Contractor Signature Os er Signature
Owner Signature Owner Signature
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131 Duncan Drive, North Andover
Bathroom Remodels
Master Bath Common Bath
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Half Bath