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Home My WebLink AboutBuilding Permit #452 - 137 WEYLAND CIRCLE 11/29/2010 BUILDING PERMIT OR NORTH `S1LtD Ib• �O TOWN OF NORTH ANDOVER 0Z. APPLICATION FOR PLAN EXAMINATION Permit NO:-. Date-��-- Ra 9 /a Received �O Ar Date Issued: i t 10 SSACHU5�4�� IMPORTANT: Applicant must complete all items on this page LOCATION . . f PROPEf2TY 01111NER M 0-6 . --nnt RCEIAP ONING DISTRICT, Flistori District yes -'Machine Shop Village ''.yes TYPE OF IMPROVEMENT PROPOSED USE si Non- Residential New Building One famil Addition Tw more family Industrial Iteraf No. of units: Commercial Repair, replacement Assessory Bldg Others: Demolition Other Septic;` 11Veil Floodplain 1Ne#lands . lrlatershed Distict ValateT/Sewer L DESCRIPTION OF WORK TO BE PREFORMED: /�7 sS -Zz-e Identification Please Type or Print Clearly) OWNER: Name: C�+��s (', ,,:.� Phone(�t L< �--k5-Z/5- Address: k`�i'� Address: - k � (`�o.� LV�-t CONTRACTOR; Name ' Address ` Supervisor's Construction License Home Irnpr9yorpent License - .`I" Exp. :Date ;6�.°Z C ARCHITECT/ENGINEER Y�/Gor-� 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: $_ 6300 FEE: $ Check No.: Receipt No.: NOTE: Persons contract' with unregistered contractors do not have access to the guaranty fund t �- 5agnature of Agent/Owner i Signature:of contractor i Plans Submitted Plans Waived Certified Plot Plan Stamped Plans TYPE OF SEWERAGE DISPOSAL Public Sewer Swimming Pools �r , •`�` Tanning/Massage/Body Art Well Tobacco Sales Food Packaging/Sales -Private(septic tank,etc. Permanent Dumpster on Site i THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM DATE REJECTED DATE APPROVED PLANNING & DEVELOPMENT COMMENTS i CONSERVATION Reviewed on Siqnature COMMENTS HEALTH Reviewed on Signature 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 DPW Town Engineer: Signature: Located 384 Os oo Street SIRE DEPARTMIT -Temp'�Durnpster:on site.: yes no Located-,at 124'Mains reef `F re.D:epartrnent sign,atureIdate, _. r.. CO:MME=NTS ' ,. 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 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 �Ia ❑ Notified for pickup - Date i Doc.Building Permit Revised 2010 1 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 ❑ 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 Piot 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 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 2008 r Location No. �� ,. Date NORTH TOWN OF NORTH ANDOVER F A 9 Certificate of Occupancy $ Buildin /Frame Permit Fee $ s,+cMust 9 Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # 10 / s- y 23746 - Building Inspector Massachusetts- Department (if Public Satet% I Board of Building Regulations and Standards Construction Supervisor License j License: CS 53099 Restricted to: 00 KEVIN W MURPHY m.'"' 169 BOXFORD ST N ANDOVER, MA 01845 �--�- Expiration: 6/29/2011 ('ununissiuncr Tr#: 16540 Offia �o �� HOME IMPROVEMENT CONTRACTOR Registration: 101874 Type: Expiration: 6/29/2012 Individual Kevin Murphy r�x 169 Boxford St N.Andover, MA 01845 " =':;<''` Undersecretary a 169 Boxford Street 0 North Andover,MA 01845 7� 9 PH:978-68M336 = Building Contractor - • FAX:978-688-7207 Proposal To: Chris Conway 137 Weyland 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 Commonwealth of Massachusetts.Inquiries about registration and Status should be made to the Director,Home From: Kevin Murphy Room 1301,Boston,MA 02108.(617)-727nt Contract 5%on Place' CC: Date: 10/26/2010 .lob: Replacement windows 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 11/1/10. Barring Delay caused by circumstances beyond Contactors control,the work will be completed by 12/24/10.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. i Section 111-Scope of Work MevAm Umn7hy Page 2 of Sanding Contractor 169 Boxford street North Andover,MA 01845 PH:9786885335 FAX 978666-)O= General Proposal is to replace eight existing window units in front of house. Building permit will be obtained by contractor. Demolition Existing windows,frames,and exterior trim will be removed. Building Eight new Harvey, all vinyl, doublehung windows will be supplied and installed in existing openings. Windows will have grilles between the glass, and a half screen. Exterior trim will be Azek. Interior trim to be reused ( if possible).Any related rot will be repaired/replaced. Waste Removal All demolition/conctruction debris will be disposed of by contractor. Items Not Included No allowance has been made for any painting. i Page of Building Conttractor 169 Bo ftd Street North Andover,MA 01645 PH:978688-5335 FAX 978-688-X)00( Section IV-Price Schedule We hereby propose to furnish material and labor—complete in Accordance with above specifications for the sum of... ... ... ... ... ... ...... ... ... ... ....$ 6300 Payment to be made as follows: Percenta elitem Description Amount 1 Permit obtained $2300 2 Job complete $4000 Total 2 $6,300.00 "Notice:No agreement for Horne improvement contracting work shall require a dam payment(advance deposit)of more that one4hird of the total contract price of the total amount of all deposits or payments which One contractor must make,in advance,to order and/or otherwise obtain delivery of special order materials and equiprTaA 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 Signature c 1 Date Signature Date The Commonwealth of Massachusetts Department of Industrial Accidents LA Office of Investigations 600 Washington Street Boston, MA 02111 kv www mass.gov/dia Workers' Compensation insurance Alidavit: Builders/Contractors/Electric*anolumbers ARolicant,Information Please Print Legibly ibl Name(Business/Organizationftdividual): Address:_ City/State/Zip: NY t1 .• t �•�, u `�` _ Phone#: '\-I Are you an employer?Check the-appropriate box: Type of project(required): 4. ❑ I am a general contractor and 1 6. construction am employer with New l. I ai ❑ employees(full and/or part-time).* have hired fire sub-contractorst 7. �Remodeling �.❑ 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. 9. ❑ Building addition [No workers' comp. insurance 5. ❑ We are a corporation and its 10.❑ Electrical repairs or additions required.] officers have exercised their 3.❑ Lim a homeowner doing all work right of exemption per MGL IL❑ plumbing repairs or additions myself. [No workers' comp. e. 152,§1(4),and we have no 12.❑ Roof repairs insurance required.] t employm. [No workers' 13.❑ Other comp. insurance required.) Any applicant that checirs box#1 must also 611 out the section below showing their workers'compensation policy information Homeowners who submit ibis affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such -'ontracton tbst cheek this box must attsched pn additional sheet showing the nestle of the sub-cmiiaetom and their workers'mM.policy info'rmettion. an are employer that is providing workers'compensation_insurance for my employee& Below is the.pofq&nd job site nformation. nsarauce Company Name: C t„ 1,.s C,�• r 'olicy#or Self-ins.Lie #: wC_ \pal Expiration Date: ob Site Address: City/StOWZip: kttach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). -ailive to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a ine 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 if up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of nvestigations of the DIA for insurance coverage verification. . 'do he bye jy under the pains and penalties of perjury that the information provided above is true and correct ii tut Date: 1S&7g i 'hone#: Official 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): 1.Board of Health 2.Building Department 3.Cityfrown Clerk 4.Electrical Inspector S.Plumbing Inspector 6.Other Contact Person: Phone#• �® DATE(MMIDDiYYYY) CERTIFICATE OF LIABILITY INSURANCE 7/1/2010 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AfFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURERS), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED,the policy(ft)must be endorsed. If SUBROGATION IS WANED,subject to the to.. and condiMme of the policy,certain policies may require an endorsement A statement on this certificate does not confer rights to the certlNcats holder In lieu of such sndorsement(s), RODUCER NUUNIACV AME, M P ROBERTS INS AGCY INC E , (978) 683-8073 (978)683-3147 1060 Osgood Street AODss.sandi@ robertsinsurance.com North Andover, MA 01845 T EIDE INBUREM)AFFORDING COVERAGE MNCs ISURED KEVIN MURPHY BUILDING & REMODELING I INSURER A:PROVIDEiNCE MUTUAL 169 BOXFORD STREET INSURERB:MERCHANTS INSURANCE u GUARD INSURANCE 169 BOXFORD STREET INSURER C. NORTH ANDOVER, MA 01845 INSURER D: INSURER E INSURER F :OVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE 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 CLAIMS. ADM SUISR POLICY EFF QLI IRR TYPE OF INSURANCE POLICY NUMBER MMIDDNYYY DIYYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE S 1,000,000 X COMMERCIAL GENERAL LIABILITY PREMISES Ea accarrence $ 100,000 CLAIMSMADE 7X I OCCUR MED EXP one 5 000 Ia+Y person) a , A CPP0060969 11/22/09 11/22/10 PERSONAL 8 ADV RVJURY , O ,OO S GENERAL AGGREGATE S 2,000,60-0— GENT ,OOO, OGENT AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOP AGG a 2,006—,-000 POLICY PR LOC S AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ANYAUTO (Ea acciderrl) $ 1,000,000 BODILY INJURY(Per perm) S ALL OWNED AUTOS BODILY INJURY(Per accident) $ 3 X scHEDuLED AUTO$ MCA7013608 01/23/10 01/23/11 PROPERTY DAMAGE a HIRED AUTOS (Peraocidem) NON-OWNED AUTOS a S UMBRELLA LI1B OCCUR EACH OCCURRENCE S EXCESS LIAR CLAIM84ME AGGREGATE $ DEDUCTIBLE S RETENTION $ S WORKERS COMPENSATION AND EMPLOYERS'LIABILITY YIN T X ANYPROPRIEroRIP�CUTNE 0M E.L.EACH ACCIDENT $ 500,000 (Mand R exaur>eor "r" KENC109881 07/01/10 07/01/11 , y� E.L.DISEASE-EA EMPLOYEES 500,O O WdRtPIPT 0 OF OPERATIONS below E.L.DISEASE-POLICY LIMIT S 500,000 :SCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Ate1cFl ACORD 101,Additional Remarks Schedule,it more apace is required) ERTIFICATE HOLDER CANCELLATION TOWN OF NORTH ANDOVER SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE NORTH ANDOVER, MA 01845 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESE NE A t� 01988-2009ACORD CORPORATION. All rights reserved. '.ORD25(2009109) The ACORD name and logo are registered marks of ACORD