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Home My WebLink AboutBuilding Permit #560 - 137 WEYLAND CIRCLE 2/22/2007 TOWN OF NORTH ANDOVER NORTH APPLICATION FOR PLAN EXAMINATIONof It,i.1107" #6'6#b gtio �? y6'.�i,` .. O pL I 1 A i Permit NO: � Date Received Date Issued: 2 `y y6 7 9SSACHus�� IMPORTANT: Applicant must complete all items on this page LOCATION _13"'t �.\.lti�c,rr� CZE LLo, t Print PROPERTY OWNER C�.L3 Cz,.jw-4�-t Print MAP NO.: PARCEL: ZONING DISTRICT: TYPE AND USE OF BUILDING HISTORIC DISTRICT YES ❑ TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑New Building AOne family ❑ Addition ❑Two or more family ❑ Industrial t4,Alteration No. of units: ❑ Repair, replacement ❑ Assessory Bldg ❑Commercial ❑ Demolition ❑ Moving(relocation) ❑Other ❑ Others: ❑ Foundation only DESCRIPTION OF WORK TO BE PREFORMED Identification Please Type or Print Clearly) OWNER: Name:_ r � tis Phone: kS I Address: CONTRACTOR Name: ��p.,,� fe„,,,,off,�„ Phone: 3 3 5 Address: i o-y aj Supervisor's Construction License: 0a3 y ASO\ Exp. Date: Home Improvement License: �-p�(A—1 K Exp. Date: ID ARCHITECUENGINEER y✓,c, 4_ Name: Phone: Address: Reg. No. FEE SCHEDULE:BULDING PERMIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost :$ L a, FEE:$ Check No.: U �� Receipt No.: Page I of 4 TYPE OF SEWERAGE DISPOSAL Swimming Pools ❑ Tanning/Massage/Body Art E] • Public Sewer ❑ Tobacco Sales Food Packaging/Sales ❑ Well ❑ ❑ Permanent Dumpster on Site Private(septic tank,etc. ❑ Electric Meter location to proj ect NOTE: Persons contracting with unregistered contractors do not have access to the guarantyfund Signature of Agent/Owner �s�:� Signature of contractor _ Plans Submitted Plans Waive Certified Plot Plan ❑ Stamped Plan THE FOLLOWING SECTIONS FOR O>lFIfE USE ONLY ` INTERDEPARTMENTAL SIGN OFF". U FORM ` DATE REJECTED DATE APPROVED PLANNING & DEVELOPMENT ❑ ❑ COMMENTS DATE REJECTED DATE APPROVED CONSERVATION ❑ ❑ COMMENTS DATE REJECTED DATE APPROVED HEALTH ❑ ❑ COMMENTS FIRE DEPARTMENT - Temp Dumpster on site yes no Fire Department signature/date 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 Building Setback(ft.) Front Yard Side Yard Rear Yard Required Provided Required Provides Required Provided- Dimension rovidedDimension � i Number of Stories: ` Total square feet of floor area, based on Exterior dimensions. Total land area, sq. ft.: NOTES and DATA— For department use i Page 3 of 4 Doe:INSPECTIONAL SERVICES DEPARTMENT:BPFORM05 Created JMC.Jan2006 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 �I ❑ 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 Addition Or Decks ❑ Building Permit Application ❑ 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) 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 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:INSPECTIONAL SERVICES DEPARTMENT:BPFORM05 Page 4 of 4 , �, rl'� Location 7 F�Ae�� cT" No. Date �O^T� TOWN OF NORTH ANDOVER Certificate of Occupancy $ �'S'••• E<� Building/Frame Permit Fee $ JAGMUS Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # 3 20000 Building Inspector i The Commonwealth of Massachusetts Department of Industrial Accidents 4 t I ', Office of Investigations 600 Washington Street UU6 1 Boston MA 02111 www mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legib Name(t3usincss/t)rganirttionllndividual): ��-e.r�� '��-o�--•x' v��:,.-- �''��'`'-'"�-�'`'� v Address:_ City/State/Zip: ►qtr -` M><., y t Phone# 't1 � -S Are ou an employer?Check the appropriate box: Type of project(required): —Xm a employer with _ 4. ❑ I am a general contractor and 1 b• ❑New construction employees(full and/or part-time).* have hired the sub-contractors ? remodeling 2.❑ I am a sole proprietor or partner- listed on the attached sheet.+ ship and have no employees These sub-contractors have 8. ❑ Demolition working for me in any capacity. workers'comp.insurance. q• ❑ Building addition (No workers'comp. insurance 5• ❑ We are a corporation and its 10❑Electrical repairs or additions required.] officers have exercised their right oFexem tion MGL I I.[] Plumbing repairs or additions 3.F1 am a homeowner doing all work g p myself.[No workers comp. c. 152,§1(4),and we have no 12.❑ Roof repairs insurance required.] employees.[No workers' 13.❑Other, comp. insurance required.] *Any applicant that checks box#i must also till out the section below showing their workers'compensation policy information. #Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. I sheet showing the name of the sub-contractors and their workers'comp.policy information <L'ontractars that check this box must attached an additiona . I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: r2 Policy ff or Self-ins.Lie.#: fvy w 3 a L S 3 3 S Expiration Date:_�� job Site Address:_kg ��`1 l rj 3% ' "t City/State/Zip: IV,.W��u.�-�t. �1 tY/t-t 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 fine of up to$250.00 y g 250.00 a da 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 there y cerci y ains and penalties of perjury that the information provided above is true and correct. Si nature: Date: U Phone It: �� S ojficial use only. Do not write in this area,to be completed by city or town official. City or Town: Permit/License# Issuing Authority(circle one): t. Board of Health 2. Building Department 3.City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector 6.Other Phone#: Contact Person: 4ORTH Town of _: s 4Andover 0 No. S G �, c dover, Mass., - " Q LAKE COCMICMEWICK 7,9 ADRATE D �G BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System BUILDING INSPECTOR THIS CERTIFIES THAT �� G . ........................................................................ .. Foundation has permission to erect........................................ buildings on..................11*...... .....04U Rough to be occupied as.........6-"-4WWsT- .............................A. !............................................................................ 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 ONTH ELECTRICAL INSPECTOR . UNLESS CONS TR CTTON TAR 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. Roberts In5urdnce FAX N0. :19786833147 A=M All. 18 2006 11:10AM P1 CERTIFICATE OF LIABILITY INSURANCE ROBIRTS INSURANM T"IS CERn��r� i A�iENC? INC. ONLY AND comae IF�++�o�uruT►ori 1060 OSGOOD STREET mourn se Cd " � TW CERTIMAT6 NORTH MA 01845ALTER TMbl�tp eYT SND EXTEND opt ��'�. M,'I1i 1�1RPHY IbVILDil�la & $y q APPoMWQ om s COVERAGE .. NArc. Zb0 molarpRa $n"'r pORTli ONBR, MA 01845 -- aa�Ett n COVERAGE& xtaNaut -, THE P(Xmo OF wGURAMM UQTED KLOW NAVE BEEN MMD To TNp%SUM MAY PERT SYWWtffQUWW4MWr OR COWO 'ON OF/WY CONTPACT pp pTy� D ABOVE FOR'I'He NOLtLri!'dt�gp prq UMNCE 11FFORDED!Y THE POUCla OEAGM�D►8A TO AU T11!TpI CERT t rw1v POtcls AGti11E�iATEUMtfldNOlMdW1YWWleEiN OUCR�OBYPAIpCHMMF UBgNa AkO40NORIMS OF 9ucto ORWlent tWl{tiY '�t--- g � �ICUI lnEVll UA6t.Nr ttAd+ A� - ' O,p00 j CPPOU60868-ni +wrora.y�.,,,, t _ 11/22/03 11/22/06 ►ue��e�avwww , __ LAW aetn AenMpA'm urwn+wun p": aNaw �OOIIlC�TR oom LM aicns.cae rbe.. : 2.�. H na�weeat►.u�mem AWAVTO e�kr IJMtt r w 0VMfDALffM tco.oaettN ' 500,000 Mcma AVMs eootrwlscr�� { "WAD ALM* 7aw027701360e dMME0AV1Qp 1/23/06 1/23/07 eaoar taAntr .� . GMUM UwMY j ova i t A"YAM AUTQOM Y��EAACCC�tNt 't OTm*To%w 4AAW. t EK tuu LAkrtY 4tAbo"►r. AVy t nCLAMMAM - �W oewcTro�4 —'— —I t y ��MATgNMp j ...7 EeOLbYQ"er LNWUTY ° 7/01/06 7/01/07 �.� "� ►„ �` --soo ooa eNLIµ,1ryt01(AtptKly�py &L COMM,LEA _— CAA— E.t.oAtr,�.�r ' 000 t50 00 OC9UtfPAO"OY OPCRA1IOtq,IOCATtptq lMnOlft�r�roNSMO11DKp�gq�N*, �� { { I 1 , uTMM TOM OF MMMA, NA aweu��wvaT"ERepvEOCson�o.«la�sea � �+va�ao NtF►01Ht Tlrt�KMtKTtrnt DAATLETT $T M-t Dna T"Mor.Ttm+oeum, etrefavolt To wAa w*ITTrti ANDOVER, M 01®i 0 tr n,IYR wonq To Yom{a ure. n...e�erR►u Moo To»�uvr,euT�eauka u u10 o....».k f BUXLDING DEPAJttPMT watts 40 MJOA o"a L"WTY os."v Kftj uro"nc t r+n as i trA 1 OAcoRD CORPORATION IM I i NORTH ANDOVER BUILDING DEPARTMENT Tel: 978-688-9545 DEBRIS DISPOSAL FORM In accordance with the provision of NIGL c 40 S 54, a condition of Building Permit at: 137_ •,_�,�►N� w:��. is that the debris resu}ling from this work shat} be disposed of in a properly licensed solid waste disposal facility as defined by NIGL 11, S 150 A. Also, note Permits are required under Fire Prevention laws Chapter 148 Section I OA. The debris will be disposed of in: (Location of Facility) Signa of ermit Applicant Fire Department Sign off, Dumpster Permit -tel-� l � � Date • o O • 169 Boxford Street t • North Andover,MA 01845 ` • PH:978-688-5335 Building Contractor • FAX:978-688-7207 Proposal To: Chris Conway 137 Wayland Circle All Home improvement Contractors and Subcontractors engaged in home improvement contracting,unless North Andover, Ma. 01845 specifically exempt from registration by Provisions of chapter 142A of the general laws,must be registered with the Commornveatth 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,MA 02109.(617}727 8598 cC: Date: 1/8/2007 Job: Finish existing basement Date of plans: none Architect: none Location: 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 3/1/07. Barring Delay caused by circumstances beyond Contactors control,the work will be co�mpleted by 5/15/07.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 furnished 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 McVEM wmn7hy Page 2 of Badding Contractor 169 Boxford Street Nath Andover,MA 01645 PH:978-686-5335 FAX 978-688-XXXX General Building permit will be provided by contractor. Proposal is to finish area at base of existing stairs, and entire area at rear of basement. Comer of basement to the right of existing stairs, to remain as unfinished storage area. Two closets will be built at base of stairs,area under existing stairs will be finished storage space. Building All framing and siding materials required to build walls, petitons, and install five new windows will be provided. Five Harvey vinyl doublehung windows will be provided. Three new windows will be cut into existing rear wall, two existing windows will be replaced. Existing door to remain. Plumbing Plumbing required to install sink for wet bar will be provided. An allowance of$500 has been included to supply sink and faucet.Gas piping for gas fireplace will be provided. Electrical Electrical work required to wire basement to meet code will be provided. Fifteen recessed lights have been included. Additional lights can be added at a cost of $75 per light. Phone, cable, and computer lines will be roughed in by electrician, to be connected by their service provider at owner's expense. Heating/Air Conditioning A separate zone of forced hot air heating will be provided off of exsting furnace. No allowance has been made to replace/upgrade existing furnace. Insulation All finished areas will be insulated to meet code. (R-13 in exterior walls with vapor barrier) Plaster All finished areas will be blueboarded and skimcoat plastered. Walls will be smooth, closets will be textured. No allowance has been made to plaster ceilings. Walls and ceiling of existing stairway will be replastered to a smooth finish. Interior Trim/Doors Pre-primed interior trim and doors will be supplied and installed to match existing. Side of existing stairs will be opened up and have railings and balusters installed. Approximately twelve feet of railing will also be supplied and installed at stairs to sunken rear section of basement. Doors will be pre-primed, solid core,six panel units. Painting Interior painting will be provided. One coat of primer and two coats of finish will be provided on all trim, doors, and walls. Colors to be determined. No allowance has been made for any wallpaping. Flooring An allowance of $2400 has been included to supply and install carpets on stairs and in main sections of basement.An allowance of$2200 has been included to supply and install pergo type floor in wet bar area Hevfum Mmn7 ny Page 3 of 1� Suiidiug Contractor 169 Bo)lord Street North Andover,MA 01845 PH:978-688-5335 FAX 978688-XXXX Other Allowances An allowance of$5000 has been included for cabinets and countertops. An allowance of$2500 has been included to supply and install zero clearance gas fireplace and surround. An allowance of$2600 has been included for suspended ceiling. (figured 2x2 revealed edge file with white grid) Waste Removal All construction debris will be disposed of by contractor. Items Not Included There have been no allowances made for renovations to other sections of existing house. No allowance has been made to build a sub floor over existing concrete floors. Flooring will be installed directly over existing concrete floor. OPTIONS A 3/4 bath can be added for an additional cost of$7500. Bath option includes plumbing for a toilet, sink, and stall shower. An allowance of $850 has been included for plumbing fixtures. ( $400 for shower, $100 for simmons shower valve, $200 for Kohler wellworth light toilet, $150 for faucet)An allowance of$500 has been included for vanity and countertop. Electrical work required to wire bath will be provided. Fan/light unit in ceiling will be provided. Surface mounted fixture (vanity light)to be provided by owner. Floor will be tile an allowance$300 has been included for file materials. Pocket door will be supplied and installed for entrance o bath. No allowance has been made to supply or install a glass shower door. Page of BuUding Contractor 169 Boxford street North A iclow,MA 01845 PH:978-688-5335 FAX 978-688-)00(X Section IV-Price Schedule We hereby propose to furnish material and labor—complete in Accordance with above specifications for the sum of... ... ... ... ... ... ...... ... ... ... ....$ 62,700 Payment to be made as follows: Percenta e/ltem Description Amount 1 Permit obtained $3000 2 Wall framing complete /windows installed $15,000 3 Rough plumbing / electric / heat complete $12,000 4 Plastering complete $10,000 5 Interior trim / cabinets 10,complete 000 p $ 6 Painting /flooring complete $8000 7 Job 100% complete $4700 r--T-0Z1 7 $62,700 Notice:No agreement for Home improvement mntracting work shall require a dam payment(advance deposit)of more that one-third of the total contract price of the total amount of all deposits or payments which the contractor must make,in advance,to order ardor otherwise obtain delivery of special order materials and equipment,whichever 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 Signatur Date 11Q 62 17 Signature Date 4v Le • � ,J k'bl� t�,vris ''war-�J uW�.. :. � i .. - � gd flA r i