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Home My WebLink AboutBuilding Permit #102 - 145 BARKER STREET 8/9/2007 BUILDING PERMIT cF NORTH TOWN OF NORTH ANDOVER do APPLICATION FOR PLAN EXAMINATION w Permit NO: Date Received 9 �9SS�CHUS Date Issued: U IMPORTANT:Applicant must complete all items on this page LOCATION # t P Print PROPERTY OW.N,E t-M - Punt MAtP NOS PARCEL ZON DISTRICT. Histodc District es —� Y Mach ne Shgp Vallbge yes n I TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential New Building /15ne famil ddition Two or more family Industrial era ion No. of units: Commercial Repair, replacement Assessory Bldg Others: Demolition Other :Septic Weil ;_ k Floodplain 1/e#lands> Wat' i'li d'District DESCRIPTION OF WORK TO BE PREFORMED: at amkS �"oom Tou RAoc+tot1 111�CNee( md Identification Please Type or Print Clearly) OWNER: Name:_ Phone Address: C � I t ul -70 CONTRACTO' Nt ame _ § Iifl,ne: t- C Address > Supervis'or's Construction [icense, 04,444 Q Exp.., Da#e: :, : Home 1m roverneh License, 1 P :Exp. ;Date. C �- ec'r S ARCHITZTaq�§Zee�ktPhone: G 12� Address: I R' 1 e1P,-<,�— t�ec.1 d it MQ Reg. No. ()Q FEE SCHEDULE.BOLDING PERMIT-$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ FEE: $ .� i 3� YJ- Check No.: 4017 Receipt No.: NOTE: Persons contracting with unregistered contractors do not have acc ss to the guaranty fund 04 5ignaturi-Agent/Owner- _ t mature of nr�tracto, Location Ar 4eOA, � No. d�- Date NORTH TOWN OF NORTH ANDOVER O L N � A ♦ y Certificate of Occupancy $ MUS<� Building/Frame Permit Feb $ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # 204 i t Building Inspector Plans Submitted Plans Waived Certified Plot Plan Stamped Plans TYPE OF SEWERAGE DISPOSAL Public Sewer Tanning/Massage/Body Art Swimming Pools Well Tobacco Sales Food Packaging/Sales Private(septic tank,etc. Permanent Dumpster on Site THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM � � I 647'eQS1,v d DATE REJECTED DATE APPROVED PLANNING & DEVELOPMENT COMMENTS E REJECTED DATE APPROVED CONSERVATI0 COMMENTS DATE REJECTED DATE APPROVED HEALTH 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 Located at 384 Osgood Street :F1RE:DEPAR ':MENT -1 emp Durt�pster.on site yes -no - Located•at l —M'�n Street Fire DeartrnEn#stgntureldate 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 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 Doc.Building Permit Revised 2007 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 i ❑ 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 ❑ Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (If Applicable) o 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:INSPECTIONAL SERVICES DEPARTMENT:BPFORM07 Revised 2.2007 ,tIORT11 Town of Andover No./to Iwo C, dower, Mass., 0 LAKE COCHICHEW"ro OA?ATED BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System / INSPECTOR ............................................................................ THIS CERTIFIES THAT.............7................................ ...................... ..e.466 10 Foundation has permission to erect-go (11 s on ./ .......... .....:�7777....................... Rough `jryd ... .ST ��d a +'� Chimney ......................... to be occupied as f-11.... ... .. .... .. . .................064( _L -�3 very provided that the person accepting this permit shall 1 very respect conform to the terms of the application on file in Final this office, and to the provisions of the Codes and -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 CONSTRUCTI TARTS Rough ............ ....... . .. .... ....... .. .... ..Z....O........� , ... Service BUILDING NS�6T R 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. ✓�ie "(�om��zonure� o��aac`u.�aetlb Board of Building Regulations and Standards ug HOME IMPROVEMENT CONTRACTOR Registratiorfk:, 147359 Expiration 6129/2009 Tr# 132233 l Type DBA JOHN BUTLER I'NTEf7ESTS JOHN BUTLER 4 DRAPER ST UNIT.;C; WOBURN,MA 01970 Administrator �,�oat�ivaeC{a BOA O DUILDIN AEGUL�AFIONS` tense; CONSTRUCTION SUPERV.i8OR p - ismber OS 044498 xplres, OW-16/2,007, Tr: no`' 19033 L Ott ie :. oo 5 �. A01970 COrrirrllSSlOne.� ._ } 1 1 i i 1 JOHN BUTLER INTERESTS JBI 4 Draper Street, Unit C Woburn, MA 01801 P: 781-932-1330 F: 866-690-9477 1VIA Lid 044498 HIC # 147359 DATE: June 29,2007 CONTRACT: This agreement is between JBI and Tim&Mary Lou Medlock 145 Barker Road N.Andover,MA The owner agrees to hire the contractor to perform the following: INCLUSIONS• PERMITS&FEES $2100.00 DEMOLITION: $8526.00 Outside Wall/Kitchen Cabinets and Tile Floors Siding/Windows Dining Room Floor&Wall Decks Master bathroom Closet Master Bathroom-Including floors/shower/vanity Removal of Bedroom window Mud Room Floor &old laundry hook-up Misc.Selective Demo Includes Dum sters EXCAVATION: $7350.00 Removal of excess materials from site Stock pile loom Back fill foundation Rough Grade Finish grade by others Includes Perimeter Drain to dry well FOUNDATION: $ 16065.00 Footings/walls/3-windows and floor BULKHEAD&DOORS $4200.00 FOUNDATION SEALANT&INSULATION: $ 1050.00 f ` 2 FRAMING: $ 19005.00 Install beams kitchen&dining room(waiting on design and approval) Frame floor/walls/roof/ceiling/doors&windows Frame kneewall at kitchen island Frame stove wall in family room Re-frame pocket doors at mud room/laundry/half bath/office Master bathroom—re-frame closet Re-framing 1 bedroom window $2047.00 Frame and install l bedroom window EXTERIOR TREWSIDING: $5901.00 Frame small deck&landing Frame two stairs at new doors Outside trim Fascia Soffit Window/doors Install primed cedar clapboard Manufacture&Install Quoines to match i ELECTRICAL: $14826.00 Kitchen/Dining Room Family Room Mud Room/Bathroom Office Master Bedroom Move Service/Move Disconnects Master Bathroom—Fan light/Scones and sealed beam in shower Per Drawings Recessed lighting/Panasonic Fan/Light and devices by contractor Allpendants/deco lights and fans by others HVAC: $5512.00 Move units&reconnect Reconfigure kitchen ducts New A/C family room only Split(1 -1/2 ton)system by Goodman Ext.compressor unit int.fan coil unit including wiring &non-programmable thermostat PLUMBING/HEATING: $13890.00 Kitchen/Dining/Mudroom/Laundry/Master Bathroom&Family Room Install toe kick heater/slant fin baseboard heat were needed Move and increase gas line to new stove and zero clearance fireplace(add supply for grill—No Charge) Rough and install kitchen sink/bar sink/2 faucets/ice maker New laundry hook-up Half Bath install new toilet and sink in existing locations Master Bathroom Rough and install vanity/single bowl sink&faucet Rough and install copper pan&stainless drain/shower valve and shower head i Suspended Ceiling: $ 525.00 Partial removal and replacement for access as needed INSULATION: $ 1838.00 All exterior floors/walls&ceilings Sound batt between Bathroom and laundry wall at Dining Room wall PLASTER: $5355.00 Addition/kitchen/baddlaundry/island/office/master bath&master bedroom closets Any patches necessary due to construction PAINT: Exterior -New work areas only(two sides) $3675.00 Interior—New work—Paint or stain to match (no faux or decorative paint carried) $ 5250.00 GUTTERS: $ 525.00 White gutters and downspouts on new addition TRIM: $4988.00 Build and install columns in arches in kitchen Trim all new windows and doors int.and ext. New base board in all new areas Patch in existing baseboard ADDED ITEMS: Build 2 master bedroom closets—approx.5 feet each $ 1365.00 Buy and install—Brazilian Oak Flooring in Family Room $3360.00 New 3 zone 169K boiler including wiring and thermostat for Family Room $8820.00 STOCK: $37655.00 Framing/Roofing/Sliding/Decking Int.Doors and Finish Misc. 7-New Andersen Wood Wright Windows 2—New Andersen—3 panel French wood hinged doors SUB-TOTAL: $173829.00 l O&P: $34766.00 16 New—Andersen Wood Wright Insert Windows:(No Mark Up) $ 13890.00 CONTRACT TOTAL: J $222485.00 The price for the above outlined work$222,485.00 The payment schedule for the above outlined work is as follows: The 18`payment will be:$31,314.16 (Window payment$21,314.16 and Gen.Conditions of $10,000.00.) Remaining Balance:$191,170.84 The remaining payments will be drawn by requisition weekly.These payments will be potions of line items drawn before,during and after commencement of work per line item,till project is complete. Any work above and beyond contract or industry standard or special/custom items requested by owner, i performed by contractor or sub-contractors will be billed with a 20%mark up on labor and materials. Please make all checks payable to: John E. Butler i i 4 Permit notice:That it shall be the obligation of the contractor to obtain such permits as the owner's agent. The owner shall be responsible to obtain the permits for any work he has performed. Owner's that obtain their own permits or hire unregistered contractors shall be exempt from access to the Guaranty Fund. All home improvement contractors and subcontractors shall be registered and that any inquiries about a contractor or his subcontractors relating to a registration should be directed to;Director,Home Improvement Contractor Registration,P.O.Box 871 Taunton,MA 02780-0871 (508)821-9375. ARBITRATION:The contractor and owner hereby mutually agree in advance that in the event the contractor has a dispute concerning this contract,the contractor may submit such a dispute to a private arbitration service which has been approved by the Office of Consumer Affairs and Business Regulation and the owner/consumer shall be required to submit such arbitration as provided by Massachusetts General Law MGL C.142A I JBI Zaf:�_C.. (f Date: G 67 Timothy Medlock )k;� Date: / Mary Lou Medlock Date: ( 3610 REQUIRED SIGNATURE LINE(for arbitration clause only) NOTICE:The signatures of the parties above agree 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 the parties. No work shall begin prior to the signing of the contract and transmittal to the owner of a copy of this contract. As a homeowner you have a three-day right of rescission to rescind this contract under MGL c93 sec.48:MGL cl40D sec.10 or MGL C255D sec.14 as may apply. No work will commence nor materials ordered prior to three days from the signing of this agreement. DO NOT SIGN THIS CONTRAC IFTHERE B SPACES /� JBI &7Date: 1p4Q Timothy Medlock Date: (J- Mary Lou Medlock Date: C.1,213 d KENNETH A.WOODS,P.E. STRUCTURAL ENGR4M ,,DB SHEET NO. CALCULATED BY DATEM/ Ph:978-985-6129 Fay 978-255-3555 18 Temple Sheer CHECKED DATE e-mail:kenwoods@oomc asr-ncc Newburypom MA 01950 .xALE _....__.__...__............_._........................ - ........._._.__..._ - - - -. ................... .............._.. _. _ I I :.... i : i ......._.............. .........__......... _._....__...._."...1.__... . - ..... - - _ ......-- _... _. : - .. _ T. It f ......... ......... ............ o...... . .... _. _ ................ -- -- —_ . ...:.... .._:.. —.- -- --- : . : : : : : : : . ..:.. ....:.... . . : . . , . : . . : . : . 4. ... .....:... . _. . ...__ ..... . . — .. — — — — — -- ............ T . . . : : : . . ... : . .. _ ._ __ - - . . . : . . . . . . : . . : : : _ - - . b r. - - - ............. _ __ ..------ ----- .... ..- — ------ - --- -- -- .......... -...--._.. . - - . ....:.... ........ ...:.. __ . ..... ...:... . ....:.... ........ ... .. - - - - - - - . _ _ _ ..... _ -.......- ............. .._ : : . . : . . . . : : : : : : : : .._ - - _... - - _ - .... _ _ ...- . z3 ,) . �t -- .. .......... r _... .. - LV S.2 t%OF i A � : ....v-...... ..................._ _.. __ -- -- - . -- a _ _ _� _ AC The Commonwealth of Massachusetts � Department of Industrial Accidents ; l Office of Investigations .��., . 600 Washington Street Boston, MA 02111 www.mass.gov/dia f Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/flrganization/[ndividuaw ohrN -�P, Address:_1 \ City/State/Zip: Phone#: 1 t � ) 3� Are an employer?Check the appropriate box: Type of project(required): 1.E5 I am a employer with 4. ❑ I am a general contractor and I 6. ❑New construction employees(full and/or part-time).* have hired the sub-contractors 2.El am a sole proprietor or partner- listed on the attached sheet. z ❑ Remodeling ship and have no employees These sub-contractors have 8. ❑ Demolition insurance.- comp.working forme in any capacity. workersP 9. ❑ Building addition [No workers'comp.insurance 5. ❑ We are a corporation and its 10.F-1 Electrical repairs or additions required.] officers have exercised their 3.❑ I am a homeowner doing all work light of exemption per MGL 11.[:] Plumbing repairs or additions myself.[No workers' comp. c. 152,§1(4),and we have no 12.0 Roof repairs insurance required.]f employees. [No workers' 13.❑Other comp. insurance required.] *Any applicant that checks boz R l must also fill out the section below showing their workers'compensation policy information. f Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicatine such. lContractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: A 171 C C L i;cLrN —c)r i C 1 n S C Q Policy 4 or Self-ins. Lic.#: 6 z Z Q o Expiration Date: 1 j O W Job Site Address: 1 q_-T 7=,oSk L'c � /U _ bl 60U e City/State/Zip: M(A 0 [ 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 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 un er the pains and pei aides of perjury that the information provided above is true and correct Si ature: Date: 7 Phone#: "— 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): I. Board of Health 2. Building Department 3.City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector 6.Other Contact Person: Phone#: