HomeMy WebLinkAboutBuilding Permit #830-14 - 160 BRIDLE PATH 5/15/2014 9 Cf f tIORTH A
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BUILDING PERMIT j.� b.,;�. . 0
TOWN OF NORTH ANDOVER
APPLICATION FOR PLAN EXAMINA
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Permit N0: ! VL
Date Received 1 °0 : .'"+
9qC `
Date Issued:
ACHUS t
IMPORTANT:Applicant must complete all items on this page
LOCATION- sn d e-
p Print
PROPERTJDPA
ER
�7 Print
MAP NO: RCEL I ZONING DISTRICT: Historic District yesesno
Machine Shop Village no
TYPE OF IMPROVEMENT PROPOSED USE
Residential Non- Residential
❑ New Building ®COne family
❑Addition ❑Two or more family ❑ Industrial
Alteration No. of units: ❑ Commercial
MRepair, replacement ❑Assessory Bldg ❑ Others:
❑ Demolition ❑ Other
Q Septic ❑Well ❑ Floodplain ❑Wetlands ❑ Watershed District
KWater/Sewer
j L a /
Grp //9�l ld/
Identification Please Type or Print Clearly)
OWNER: Name: ,�r Phone:
Address: /13r-%,�le /011� ,ill woolei<j-
CONTRACTOR Name: �' / Phone:
Address:
Supervisor's Construction License: Exp. Date:
Home Improvement License: Exp. Date:
ARCHITECT/ENGINEER 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.
G �
Total Project Cost: $ FEE: $ "1 (,®
Check No.: Z-\KS Receipt No.: 7150D
NOTE: Persons contra ting un gistered contractors do not have access to the guaranty fund
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i nature of Aent/�n "i
Signature of contractor
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Location �`' `�- `�-
No. U' Date
TOWN OF NORTH ANDOVER
�;ylY
Certificate of Occupancy $
Building/Frame Permit Fee $
Foundation Permit Fee $
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Other Permit Fee $
TOTAL $
Check#.21
Building Inspector
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Plans Submitted ❑ Plans-W- aived ❑ Certified Plot Plan ❑ Stamped Plans ❑
..-TYPEOF-:SEWERACE DISP OSAL-
Public Sewer El Tanning/MassageBodyArt ❑
Swimming Pools 0
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
D: DATE-APPROVED REJECTE
PLANNING & DEVELOPMENT ❑
El
COMMENTS
.CONSERVATION Reviewed on Si nature
COMMENTS
HEALTH Reviewed on Si nature
COMMENTS
' p
t submitted yes
Zoning Board of Appeals:Variance, Petition No:
Zoning Decision/receipt
Planning Board Decision: Comments
Conservation Decision: Comments
Driveway
Water & Sewer Con nectiontsi nature&Date
Permit
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DPW Tow;-, Engineer: Signature: Located 384 Osgood Street
F[RE �EPARTM+AT =Temp Dump'ster on site yes.. .. :.. : ..... no
Located"at 124 Mair, Street.
Fire ®epartmeritsignatureldate
COMMENTS
Dimension
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Number of Stories: Total square feet of floor area, based on Exterior dimensions.
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Total land area, sq. ft.:
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ELECTRICAL: Movement of Motor location, wast 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 Call Email
Date Time Contact Name
Doc.Building Permit Revised 2014
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
Per
o Building
Permit Application
pp
❑ 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
vire sign off from Fire
NOTE: All dumpster permits req Department prior to issuance of Bldg Permit g
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
L3Floor/Cross Section/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
Report
❑ Mass check Energy Compliance p
❑ 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
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Doc:Building Permit Revised 2014
Enter construction cost for fee cal - North Andover Fee Calculation
Construction Cost
$ 80,000.00 m
$ - $ 960.00
Plumbing Fee $ 120.00
Gas Fee 100 comm. $ 100.00
Electrical Fee $ 120.00
Total fees collected $ 1,300.00
160 Bridle Path
830-14 on 5/15/2014
Kitchen Remodel
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NORTH
own of : Andover
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BOARD OF HEALTH
Food/Kitchen
PERMIT LD Septic System
piq ��THIS CERTIFIES THAT ................................ BUILDING INSPECTOR
has permission to erect .......................... buildings on ......l COQ.. .�X�e� ( Foundation
..... .... ....................................
.. Rough
tobe occupied as ................................ .Oh.�................................................................... 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
Rough
VIOLATION of the Zoning or Building Regulations Voids this Permit.
Final
PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR
UNLESS CONSTRUCTION STARTS Rough
Service
. ........... .........: :: ............................. Final
BUILDING INSPECTOR
GAS INSPECTOR
Occupancy Permit Required to Occupy Buildinz 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.
130 Centre St. Proposal
Box C-1
Danvers, Ma. 01923 978-423-8463
Christina Morgan
5/14/2014
160 Bridle Path Rd.
N. Andover, Ma.
Project Description Total
This estimate is for the following work. 495700.00
Hi Patrick & Christina,
Here is the estimate for all of the work in the house. If you have any questions
please feel free to call me or send me an e-mail after Patrick recovers.
Regards,
Mike
I
1 st floor remodel
Scope of work;
We will apply for the proper permits.
The kitchen and bathroom appliances and plumbing fixtures will be
disconnected and removed.
The kitchen ceiling, walls that have cabinets, and all tile flooring will be
demo'd.
The two closets in the kitchen will be removed.
The carpet in the office room will be pulled up.
The cabinets on each side of the fireplace will be removed.
New insulation will be installed in the exterior walls that are opened up.
Total
Signature
mf oodwincom an ail.com
g P Y@�
Page 1
Mass.CSL #081670 Mass. HIC #105029
Proposal
130 Centre St. Pro p
Box C-1 , • ,
Danvers, Ma. 01923 978-423-8463
i
Christina Morgan j
160 Bridle Path Rd. 5/14/2014
N. Andover, Ma.
Project Description Total
The ceiling and walls will be blueboarded and veneer plastered.
The ceilings in the diningroom, fireplace, front hall and office will all be
plastered smooth.
Durock the underlayment will be installed on all floors to prep for tiles.
All of the cabinets, hardware and moldings for the kitchen, bathroom and
fireplace room will be installed.
All of the appliances will be installed.
The hood will be installed to the exterior.
We will install new baseboards in the kitchen, bathroom and front hallway. The
kitchen window will get a new sill and trim.
We will install 3-1/4" crown molding in the office room.
We will sand and apply 3 coats of oil base polyurethane on the existing
hardwood floors in the office.
All of the interior doors will be changed out with primed solid core 6-panel
molded door slabs using the existing brass hinges and locksets.
Plumbing;
Our plumber will rework the plumbing for the corner sink location.
New shut-offs will be installed under both sinks.
The kitchen sink, faucet, dishwasher, refrigerator water line will be installed.
The bathroom sink, faucet and toilet will be installed.
Total
Signature
mfgoodwincompany@gmail.com
Page 2
Mass.CSL #081670 Mass. HIC #105029
130 Centre St. Proposal
Box C-1 • � ,
Danvers, Ma. 01923 978-423-8463
Christina Morgan 5/14/2014
160 Bridle Path Rd.
N. Andover, Ma.
Project Description Total
Electrical;
Our electrician will rewire the kitchen for the new layout and bring things up to
code.
9 LED recess lights will be installed in the ceiling and one pendant light over
the window.
Wiring for the beverage cooler, double oven, refrigerator, dishwasher, stove
hood, electric stove and vanity light will all be installed.
Undercabinet lighting will be installed under all of the kitchen wall cabinets,
under the wall cabinets in the fireplace room, inside the glass door cabinets in
the fireplace room and the 3 kitchen cabinets.
All of the recess lighting will be on dimmable switches.
The dinin oom ceiling light will be centered over the table.
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Plastic protective barriers will be put u where needed.
P P p
Existing flooring in the fireplace room and the diningroom will be protected.
All town permits will be applied for.
All rubbish will be removed from the premises.
Town permit fees are additional and will be billed separately.
An allowance of$ 7,500.00 is given for all electrical.
An allowance of$6,688.66 is what Jen at the Tile Source came up with for the
tile.
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Total
Signature
mfgoodwincompany@gmail.com
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Page 3
Mass.CSL #081670 Mass. HIC #105029
I
Proposal
130 Centre St. Pro p
Box C-1
Danvers, Ma. 01923 978-423-8463
II
Christina Morgan 5/14/2014
160 Bridle Path Rd.
N. Andover, Ma.
Project Description Total
No painting is included. I know that you have your own painter.
The homeowner will provide the cabinets, hardware, countertops, appliances,
plumbing fixtures, pendant light.
The work will commence on the week of May 19th and will take approx 6
weeks to complete.
All work will be completed in a workmanlike manner according to standard
business practices. Any deviation from the above specifications involving
additional labor and materials will be an additional charge and will be executed
upon written authorization.
Total estimate: $ 49,700.00
Payment schedule:
A deposit of$14,910.00 is due upon signing.
A payment of$14,910.00 is due upon completion of tile work.
A payment of$14,910.00 is due upon major completion of cabinets and trim.
Balance of$ 4,970.00 is due upon completion.
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Total
Signature
mfgoodwincompany@gmail.com
Page 4
Mass.CSL #081670 Mass. HIC #105029
Proposal
130 Centre St. Pro I�
Box C-1
Danvers, Ma. 01923 978-423-8463
I
I
Christina Morgan 5/14/2014
160 Bridle Path Rd.
N. Andover, Ma.
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Project Description Total j
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Acceptance of proposal:
Contractor: `%% Date:
Homeown ar— Date: 5
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This proposal may be withdrawn by either party within 4 days of signing.
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Total
Signature
mfgoodwincompany@gmail.com
Page 5
Mass.CSL #081670 Mass. HIC #105029
i
Proposal
130 Centre St. + Pro h
Box C-1
Danvers, Ma. 01923 978-423-8463
Christina Morgan 5/14/2014
160 Bridle Path Rd.
N. Andover, Ma.
Description tion Total
p
i
Total $49,700.00
Signature
mfgoodwincompany@g,mail.com
Page 6
Mass.CSL #081670 Mass. HIC #105029
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Wall_Base Cabinets/Authentic End lainscot
Tray Divider \ V Right Side
M IIa i \ Trash/Recycle Bins Clipped Corners/Flutes
E rYi Tiitout TrayAnd Wainscoting Sides
4 Drawer Base/Cutlery Divider
M — li ll 24"7ine Coolerol''! raDivider 2 Rollout Shelves
TRP043404 TRP043404
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All dimensions_size designations 2C� '" '. At This is an original design and must Designed: 3/27/2014
given are subject to verification ons $ " not be released or copied unless Printed: 4/14/20_14
g .1 TECHNOLOGIES —_
job site and adjustment to fit job applicable fee has been paid or job -
conditions, order placed.
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Note: This drawing is an artistic ZQ20�� Designed: 3/27/20
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interpretation of the general LOG1ESPrinted: 4/14/2014
appearance of the design. It is
not meant to be an exact rendition.
Morgan P_C 6 Kitchen All Drawing#: 1
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Note:This drawing is an artistic 20 ,
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appearance of the design. It is
not meant to be an exact rendition.
Morgan P_C 6 Kitchen All Drawing#: I
all L
Note: This drawing is an artistic 20 �� Designed: 3/27/2014
interpretation of the general TECHNOLOGIES Printed: 4/17/2014
appearance of the design. It is
not meant to be an exact rendition.
Morgan P_C 5 Hutch All Drawing#: ].
The Commonwealth o Massachusetts Print Form
Department of Industrial Accidents
Office o Investig ations
-` I Congress Street,Suite 100
Sys`•: Boston,MA 02114-2017
www.mass gov/dia
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Applicant Information Please Print Leagibly
Name(Business/Organization/Individual):
MF Goodwin Co.
Address:7 Holt Rd.
city/state/Zip:Epping MH 03042 p #..978-423-8463
hone
Are you an employer?Check the appropriate box: Type of project(required):
1.® I am a employer with 3 4. ❑ I am a general contractor and I
6. F1 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. ELRemodeling
ship and have no employees These sub-contractors have g. ❑Demolition
working for me in any capacity. employees and have workers' 9. E] Building addition
[No workers' comp. insurance comp.insurance.=
l
.
re uired5. E] We are a corporation and its 10.0 Electrical repairs or additions
required.]
3.❑ I am a homeowner doing all work officers have exercised their i I.r_1 Plumbing repairs or additions
myself o workerscomp. right of exemption per MGL
y � ' p 12.0 Roof repairs
insurance
required.]'� c. 152,§1(4),and we have no
employees. [No workers' 131-1 Other
comp. insurance required.]
*Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information.
T Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such.
$Contractors that check this box musth
attac ed an additional sheet showing the name of the sub-contractors and state whether or not those entities have
employees. 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 my employee& Below is the and job site
information.
Insurance Company Name:AIM Mutual Ins
Policy#or Self-ins.Lie.#:VWC 601517501 Expiration Date:24
Job Site Address: `�0 �'���e ���"� City/State/Zip: ./P4010ie'1rl" A/4
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 EM under the pains and penalties o erju that the in ormation provided above is true and correct
Si ature: Date `
Phone#:978423-8463
Oficial 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.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector
6. Other
Contact Person: Phone#:
i
1 i0assachuseUs -Department of Public Safe=y I
Board of Buildina Regulations and Standards
Construction Supervisor
License: CS-081670 (11!n
MICHAEL F GOO
pWIN
7 HOLT RD {
Epping NH 03042- ;
Commissioner 08/08/2015
iwW Me"I�.r eAll License or registration valid for individu!useonl
Office of Consumer Affairs&Busifiess Regulation gi y '
-_ .___,.
HOME IMPROVEMENT CONTRACTOR before the expiration dace. H found return to:
— Registration: 105029 Type: Office of Consumer Affairs and Business Regulation
- . �Ex iration:. 7/162014 Individual 10 Park Plaza-Suite 5170
., p Boston,MA 02116
MICHAEL F.GOODWIN JR.
Michael Goodwin Jr.
7 HOLT.RD.
EPPING,NH 03042 Undersecretary Not valid without signature
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