HomeMy WebLinkAboutBuilding Permit #546-12 - 15 MAIN STREET 1/11/2012 BUILDING-PERMIT of OORTH
TOWN OF NORTH ANDOVER `-'M1`=6
APPLICATION FOR PLAN EXAMINATION
Permit NO: L-5-Y6 Date Received ^A°�-'°�"K• ^�y
1ssrep 11�(
Date Issued: �- •acHus
IMPORTANT:Applicant must complete all items on this page
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TYPE OF IMPROVEMENT PROPOSED USE
New Building. 1,22Lfar Non- Residential
Addition Two or more family Industrial
S�eratfioeratio . of
Nounits: Commercial
CKe2air, replacemea Assessory Bldg Others:
Demolition Other
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DESCRIPTION
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DESCRIPTION OF WORK TO BE PREFORMED:
1tC_cs—
Identification PIease Type or Print Clearly)
OWNER: Name:_ t Phone• bI6 5112 v 3 L2,b
Address: l.�s• ..,-ter , '� A�- �.«
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ARCHITECT/ENGINEER !�/yv�/�-C Phone: f
Address: Reg. No.
FEE SCHEDULE:BULDING PERMIT.$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON123.0
$ 0 PER S.F. �
Total Project Cost: $ 1 , J 0FEE: $ ` , V
Check No.: �"Y41 Receipt No.-- I
NOTE: Persons conte 'n w'h unregistered contractors do not have access to the guaranty nd
i
ur- arofgen0aru
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
DATE REJECTED DATE APPROVED
PLANNING & DEVELOPMENT
COMMENTS
CONSERVATION Reviewed on Sigriature
VIVINICIVTS
HEALTH Reviewed on Signature
COMMENTS
Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes
Planning Board Decision: Comments
I
Conservation Decision: Comments
Water& Sewer Connection/Sic nature&Date Driveway Permit
DPW Town Engineer: Signature:
Located 384 Os000j Street
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l
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.$10041000 fine
NOTES and DATA— (For department use)
❑ Notified for pickup - Date
Doe.Building Permit Revised 2010
I
I
J
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 N.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
D 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)
❑ Copy of Contract
❑ Mass check Energy Compliance Report
❑ Engineering Affidavits for Engineered products
NOTE: All dumpster permits require sign offfrom Fire Department prior to issuance of Bid Permit
mit
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 a building
b application
Doc:Building Permit Revised 2008 '
Location
No. .7 �6 —/ z Date
�O0 TOWN OF NORTH ANDOVER
O
F AL
9
` Certificate of Occupancy $
Building/Frame/Frame Permit Fee $
s�cMusa 9
Foundation Permit Fee $
Other Permit Fee $
TOTAL $
Check # O yy
R
24960 Building Inspector
NORT►y
ToVM of
No.
x
0 , dover, Mass., /i.�Z
(� LAKE
s� COC.ICMEWICK
%S RATED P`P�,`��
U BOARD OF HEALTH
PERMIT T D Food/Kitchen
Septic System
BUILDING INSPECTOR
THIS CERTIFIES THAT............ ��'�... �'
................................................................................................
Foundation
has permission to erect........................................ buildings on .... `-S! ...�G'.0 ........... Rough
. .. ...........................................
Av'0144'e- / Chimneto be occupied as :, .......... ..............���....°�'-5............................................................................. y
...................... ..... ..
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 CONSTRUCTION FARTS Rough
Service
BG 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 BeDone FIRE,DEPARTMENT
Until Inspected and Approved by the Building Inspector. Burner
Street No.
SEE REVERSE SIDE Smoke Det.
�r w
• 169 Boxford Sheet
- ei
' • North Andover,MA 01845
• PH:978-688-035
Building Contractor • FAX:978-688-XXXX
Proposal
To: Brian&Sande Coutu
15 Lisa lane AN Hone improvement Contactors and Subcontractors
North Andover, Ma. 01845 sspecifiicallaged y exernpt registration by contracting,
unless
�of Chapter
142A of the general laws,must be registered with the
Convnonweafth 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.t617�-r7 8598
CC:
Date: 1/8/2012
Job: Install five new windows
Date of plans: 7/11
Anchibect: J. Schwartz Design
Locatimm: 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 11/15/11.
Barring Delay caused by circumstances beyond Contactors control,the work will be completed by 12/15/11.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 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 III-Scope of Work
Page 1 of 4
i
i
Kevin Murphy Page 2 of 4
Building Contractor
189 Bo)dord Street
North Andover,MA 01845
PH 978,688-5335
FAX 978-6W)O X
General
Proposal is to supply and install seven new Anderson TW400 series doublehung windows. Five in rear wallof
existing family room,two next to existing fireplace. Building permit will be provided by contractor.
Demolition
Existing rear wall will be gutted as required to frame new window openings.
Building
Seven new Anderson TW400 series doublehung windows will be supplied and installed. Windows in rear wall
will be same width as existing,six and a half feet tall.Two side windows will be same width as existing,six and a
half feet tall. (approximately 18"off the floor)All frame and siding materials will be supplied as required. Pre-
primed siding to match existing.
Plumbing
No allowance has been made to relocate any plumbing lines in existing rear wall.
Electrical
Minor electrical work required to relocate wires in rear wall will be provided.
Heating/Air Conditioning
No allowance has been made to relocate any heating or air conditioning lines in rear wall.
Insulation
Rear wall will be insulated to meet code.
Plaster
Rear wall will be blueboarded and skimcoat palstered.
Interior Trim/Doors
New pre-primed interior trim will be supplied and installed to match existing.
Painting
Interior and exterior painting will be provided. One coat of primer and two coats of finish will be applied to all
painted surfaces. Family room wall will be painted to each comer, color to match existing. No allowance has
been made to paint entire room.
Waste Removal
All demolition/construction debris will be disposed of by contractor.
i
Kevin Murphy
Building Contractor Page 4 of 4
y 169 Boxford Street
North Andover,MA 01645
PH:978£88-53.35
FAX:97868 XXXX
Section IV-Price Schedule
We hereby propose to furnish material and labor—complete
in Accordance with above specifications for the sum of... ............ ...... ... ... ... .......$ 13,000
Payment to be made as follows:
Percenta entero Description Amount
1 Permit obtained $3000
2 Windows installed /siding & trim complete $9000
3 Job 100% complete $1000
Total 3 F $13,000.00
"Notice:No agreement for Home improvement mntrading work stall regiie a down payment(advance deposit)of more that one-ttYd of the total contract price of the total amount of all deposits or
payments which the contractor must make,in advance,to order and/or o1herw4se obtain delivery of special order materials and egripment,whidever is Beater
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 Date
Signature Date
i
07/11/2011 07:45 9786833147 PAGE 01/01
4� CERTIFICATE OF LIABILITY INSURANCE11/11/2011
THIS CE nmAr7E IS ISSM AS A MATT OF NPOR11101001 ONLY AND CONFERS NO MMM UPON IM SATE HocM THIS
CERTMICATE DOES NOT AFWMEMIME3.Y OR f*MTpd LY AMEND. E1nM OR ALIM 71M *VV9RAOE AFFORDED BY 701E POLIM
BmAVL THIS CEiiEfnmAm OF M/BiRiA" DOES NOT amgnnt1TE A COUMVr t0@TYEEEN THE fSStJl 0 INWRERM AUMOR
ME RESEMTATWB OR PR=XlEK AM THE t.'BR7t WAM HOLUM
MEf'ORTANT: If tht eeralIM tinkle►h sa ADUrnONAt. .fie 0 }mmt,pe a«darsod. K St O@ATffRE M MIAfMED.suit tD
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THIS IS TT1D C� "-IWT.7HE POLICIES OF INSURANCE LUTED BEIAW NAVE SEEN ISMOD TO THE OMM MM MOVE FOR THE POLICY PERIM
INDICATED. NOTV MOTANDMIG ANY SIT.TE.RLI OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO V*Km THIS
CERnFCATE MAY BE MED OR WAY PERTAN.THE MSURANOE APFOMIA BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS.
EXCLUSIONS AND CO11Df floNS OF SUCH POLICIES.UWTS SHOWN LAY HAVR OEIMI REMOCSO BY PART CLAW
TYPE(P INSUFAM LATS
GPEFAL LVOLITY EACH 00Cs 1,000.000
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GIDEM ACIa WRATE s 2 000 00
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ACCORDANCE V4M THE POLICY PROVISIONS.
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01988-MO ACORO CORPORATION. All rloft reserved.
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