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HomeMy WebLinkAboutBuilding Permit #454-13 - 200 BRADFORD STREET 12/7/2012 TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit NO: ��/�� Date Received Date Issued: 1 4 v IMPORTANT: Applicant must complete all items on this page LOCATION C) C) 5 t. nn t i i j PROPERTY OWNER i�' y 1 Qt1 OrLi zatC3 C?� D 3Q- ,,, Print 100 Year Old Structure yes no MAP NO: PARCEL ZONING DISTRICT: Historic District yes no Machine Shop Village yes no TYPE OF IMPROVEMENT PROPOSED USE Reside tial Non- Residential ❑ New Building ne family ❑Addition ❑Two or more family ❑ Industrial Iteration No. of units: ❑ Commercial ❑ Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other [Septic ❑Well ❑ Floodplain ❑Wetlands ❑ Watershe6District - W Vater/Sewer i DES RIPTION OF WORK TO BE PERFORMED: Identification Please Type or Print Clearly) OWNER: Name: PIXI-) I a e\A j= L i za ne+k 2 0..E-; Phone: G'-7 9 (o to L-4 Address: -Po r CONTRACTOR Name: r\Awero-ows+, C&Phone: SQ 3" Q L4 Address: 13- A �00et- Supervisor's Construction License: 5 -Exp. Date:_ Home Improvement License: Exp. Date: , aL. ( 3 ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE.BOLDING PERMIT.$12.00 PER$1000.00 OF E TOTALLEESTIMATE l rrj41MED ON$125.00 PER S.F. , Total Project Cost: $ L4 , ® FE ® . O L� tic.'� E: $ � 40 Check No.: /a , ` Receipt No.: 12602- NOTE: Persons contracting wi unregistered contrkctors_do not have access to the guarantyfund (Signature vof Agent/Owner. � � Sig nature.of'contractor __ Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ Location No. `I5 Date • • TOWN OF NORTH ANDOVER • Certificate of Occupancy $ '' Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check# • j 26020 Building Inspector Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ TYPE OF SEWERAGE DISPOSAL Public Sewer ❑ TanningNassageBody 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 i CONSERVATION Reviewed on Signature COMMENTS HEALTH Reviewed on Signature COMMENTS Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes I Planning Board Decision: Comments Conservation Decision: Comments Water & Sewer Connection/Signature& Date Driveway Permit DPW Towp- Engineer: Signature: Located 384 Osgood Stregt FIRE DEPARTMENT - Temp Dumpster onyes np Located at 124 Main Street /1 Fire Departinedt signature/date COMMENTS Dimension Number of Stories: Total square feet of floor area, based on Exterior dimensions. Total land area, sq. ft.: {ELECTRICAL: Movement of Dieter 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 s i Doc.Building Permit Revised 2010 i 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 o Workers Comp Affidavit o Photo Copy of H.I.C. And C.S.L. Licenses ❑ Copy Of Contract o Floor/Crossection/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Mass check Energy Compliance Report (If Applicable) o 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 o Certified Proposed Plot Plan ❑ Photo of H.I.C. And C.S.L. Licenses ❑ Workers Comp Affidavit o Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Copy of Contract o 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 submAted with the building application Doc: Doc.Building Permit Revised 2012 Enter construction cost for fee cal - North Andover Fee Calculation Construction Cost 4%000.00 m $ - $ 480.00 Plumbing Fee $ 60.00 Gas Fee 100 comm. $ 100.00 Electrical Fee $ 60.00 Total fees collected $ 700.00 200 Bradford Street 454-13 on 12/7/2012 Kitchen Renovation I I i NORT#i t E Town of ndover O No. 4 13 * _ h ver, Mass, / Z-7LA z COCHIC141WICK y1. �f.9s RATED 11"P U BOARD OF HEALTH RM I T' T LDFood/Kitchen PE . Septic System THIS CERTIFIES THAT .......U.. .! P..l :.................................. ........... BUILDING INSPECTOR Foundation has permission to erect .......................... buildings on �Rqe.do ..��'. ...S .......................... Rough to be occupied as ............. .. .t:frrr!l..........&-imeqV ................................................................ 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 VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCT STARTS Rough Service. ..... ..... .�j . .................... ��1''�" ....--................ Final BUILDING INSPECTOR GAS INSPECTOR Occupancy Permit Required to Occupy Building 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. SEE REVERSE SIDE CONTRACTOR AGREEMENT THIS AGREEMENT made the 5th day of December, 2012 by and between Robert Moore ,hereinafter called the Contractor. 137 Forest.St. No. Andover, MA 01845 and Paul and Elizabeth Rosati 200 Bradford St. North Andover, MA. 01845 Witnessed, that the Contractor and the Owner for the consideration named agree as follows: Article 1. Scope of the Work The Contractor shall furnish all of the materials (except the cabinets,light fixtures and appliances) and perform all of the work described in the Specifications entitled Addendum A, as annexed hereto as it pertains to work to be performed on property at 200 Bradford St Article 2. Time of Completion The work to be done under this contract shall be commenced on or aboutJanuary 2nd, 2013 and completed within 2 months of start.Time is of the essence. Article 3. The Contract Price The Owner shall pay the Contractor for the material and labor to be perlorined under the Contract the sum of $24,200.00 , subject to additions and deductions pursuant to authorized change orders. Article 4. Progress Payments Payments of the Contract Price shall be paid in the manner following: At Signing of Contract $6,000.00 I Additional payments will follow Addundem A breakdown Article 5. General Provisions 1 All work shall be completed in a workmanship like manner and in compliance with P P P all building codes and other applicable laws. 2) To the extent required by law all work shall be perfonned by individuals duly licensed and authorized by law to perform said work. 3) Contractor may at its discretion engage subcontractors to perform work hereunder, provided Contractor shall fully pay said subcontractor and in all instances remain responsible for the proper completion of this Contract. Sub Contractors work for North Andover Construction Co.;any extra work preformed by them will be billed as Extra Work Orders. 4) All Extra Work orders shall be in writing and signed both by Owner and Contractor. 5) Contractor warrants it is adequately insured for injury to its employees and others incurring loss or injury as a result of the acts of Contractor or its employees of subcontractors. 6) Contractor shall at its own expense, obtain all permits necessary for the work described herein to be performed. The Contractor will also be responsible for implementing on- site work required of the Order Of Conditions (OOC) issued by the Town Conservation Commission if one has been issued. The Owner will be responsible for implementing all administrative conditions of the OOC including but not limited to required recordings at the Registry of Deeds, bond postings, as-built plans or obtaining the Certificate Of Compliance. i 7) Contractor agrees to remove all debris and leave premises in broom clean condition. 8) In the event Owner shall fail to pay any periodic or installment payment due hereunder, Contractor may cease work without breach pending payment or resolution of any dispute. I 9) Contractor shall not be liable for any delay due to circumstances beyond its control including strikes,casualty or general unavailability of materials. 10) Contractor warrants all work for a period of 1 year following completion. 11) Contractor has given The Lead-Safe Certified Guide To RENOVATE RIGHT to the customer. The customer has read and signed the pre-renovation form. 12) Any landscaping, driveways and sprinklers that we disturb during construction will be repaired to the best of our ability within a reasonable cost. This excludes any work that is part of the agreed contracted work and cost is included in the price. 14) If Owner chooses to have their own sub contractor perform work they will solely be responsible to schedule work, delivery of materials and warranty die work performed. If any damage to work that has been performed by or will affect the job performance of North Andover Construction Co.,then die Owner will be billed directly for cost of repairs. 15) In any case where unsuitable soils exist or ledge is found, an additional charge may be billed to accommodate the additional costs. Article 6. Other Terms: NONE Notice: All home improvement contractors and subcontractors engaged in home improvement contracting,unless 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 Improvement Contract Registration, One Ashburton Place, Room 1301, Boston MA 02108. Designated Registrants Name Robert Moore Registration Number 162156 Salespersons Naive Robert Moore Notice: No agreement for home improvement contracting work shall require a down payment (advance deposit) of more than one-third of the total contract price or the total amount of all deposits or payments which the contractor must make, in advance, to order and/or otherwise obtain delivery of special order materials and equipment,whichever amount is greater. Notice: If the homeowner obtains his own construction-related permits for the work described under this agreement, the homeowner is hereby advised that.in the event of a dispute, judgment and nonpayment of the contractor, the homeowner will not be entitled to make a claim to or collect from the guaranty fund established by Chapter 142A, M.G.L SPECIFICATIONS As specified in written quote. (attached) ADDENDUM A PAGES 1 AND 2 GUARANTEE: The contractor shall guarantee that he will make good, at his own expense, any defects arising from poor or improper workmanship for a period of one year after completion or provide the same guarantees from his subcontractors or from manufacturers of materials and/or appliances installed in this home. This building will conform to all muiucipal, state,and federal regulations affecting this work. HOMEOWNER: DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES. Signed under seal this 5th day of December, 2012. Signed ithe presence of- By n e By Contractor B y --'z— -- Owner i i T1. office of Consumer Affairs&Business Regulation HOME IMPROVEMENT CONTRACTOR Type Registration: '162156 V Expiration:--j-126120.-1.3 DBA NORTH ANDOVE,4, OIf�UCTCON CO. ROBERT MOORE z> y 137 FOREST ST Gia NO.ANDOVER,MA 01$85'=<> Undersecretary Massachusetts- D t. t , - cl a-i ntnt tt Puhlic Satets Board of Building Re,-,u I at ions and Standards Construction Supervisor License One-and Two-Family Dwellings License: CS 52483 ROBERT G MOORE 137 FOREST ST 0 N ANDOVER, MA 01845 An Expiration: 2/6/2013 t'r unnr ksiuoc r' Tr#: 9582 North .Andover Constriction Co. 137 Forest street Remodeling/Kitchens and Baths/Basements North Andover,MA Robert Mare Owner i ♦r" 1 I North Andover Construction Co. ' 137 Forest Street North Andover, MA 01845 50&509-9440 Licensed and Insured bobmoorcO1845Ca, crizon.nct Paul and Betsy Rosati 200 Bradford St. North Andover, MA.01845 RE: KIICHEN REMODEL PERMIT: Contractor is responsible for the permit and permitting process. DEMO : Contractor to bring in a 30 yard dumpster for all debris. The cabinets, countertops, flooring, doors,trim,the underlayment etc. to be removed and put in dumpster. The customer is free to use the dumpster and acknowledges that no hazardous material will be disposed of. ELECTRICAL: The contractor will hire and pay for all the electrical work. The work will include 3 -5"recessed lights, 2 additional outlets on wall, 1 outlet on island, 1 hockey puck light in glass cabinet, 2 lights over island, 1 light over sink,upgrade stove outlet, remove phone line on wall,relocate switch in kitchen to hallway, add switches as needed to control lights. The customer will purchase the 3 hanging fixtures. This proposal does include the upgrade or cost of the electrical panel in the basement. It may be necessary to upgrade the panel for the kitchen remodel. PL.UMBBING: The contractor will hire and pay for all the plumbing work. The work will include installing a stainless steel under-mount sink, faucet and strainer. The allowance for these items is $600.00 and will be purchased at Peabody Supply. New shutoffs are included. The customer will get the contractors pricing. Install new baseboard heat trim. WOODWORK: Install a new entry door into the kitchen(allowance for door is $500.00). Remove closet door,window trim, baseboard and trim from cased opening into the dining room. Install, stain and poly new trim and doors. FLOORING: Install a 3/4"x 3"to 4"pre-finished hardwood floor. The allowance for the flooring is $5.50 a sq. ft.. The customer will get contractor pricing. Screw down existing subfloor to eliminate any squeaks. ADDENDUM A CABINETS: The customer is responsible for the purchase of the kitchen cabinets. The contractor is responsible for the installation. GRANITE: The customer will select the granite from Gerrity Stone in Woburn. The allowance for granite and installation is $5000.00. There will be no granite backsplash. TILE: The customer will select the backsplash tile from National Tile in North Reading. The allowance for the tile, grout and caulking is $250.00. The contractor will hire and pay for the installation. APPLIANCES: The customer is responsible for the purchase of the new appliances. The contractor will install a dishwasher, stove,microwave with a recirculation kit and a refrigerator. PAINT: painting will consist of stripping the wallpaper,Patchin any holes,painting the ceiling and walls. The price for the Kitchen Remodel is $24,200.00 The following is a payment breakdown: $6000.00 at start $4550.00 after rough electrical $4550.00 after floor installation $4550.00 after cabinet installation $4550.00 upon completion AC PTED: Paul Rosati Date Robert Moore Date 11 izabeth Rosati Date ADDENDUM A The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 Ulf. www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information LPlease Print Legibly Name (Business/Organization/Individual): Q Q. Ano 0 u e r-- G oro,5+r lJC T i Dnj C� Address: 1 '3-1 S+ &%0— City/State/Zip: r0,0 ea A d 0",p r- Q 1 g H Phone#: 509 50 cl CJy 1.l U Are you an employer?Check the appropriate box: Type of project(required): 1.❑ I am a employer with 4. ❑ I am a general contractor and 1 6. ❑New construction Kloyees (full and/or part-time).* have hired the sub-contractors ,R,2. a sole proprietor or partner- listed on the attached sheet. I Lremodeling 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 required.] officers have exercised their 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work right of exemption per MGL 11.❑Plumbing repairs or additions myself. [No workers' comp. c. 152, §1(4),and we have no 12.❑Roof repairs insurance required.] t employees. [No workers' 13.❑ Other comp. insurance required.] 'Any applicant that checks box#1 must also fill 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. 1Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information, — F am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site ?reformation. :assurance Company Name: & G e— GL ry% ,e P 1 Coo PJ f l ?olicy#or Self-ins.Lic.#: (4)C, H G 3 Q' P5 i T I[ — A Q Expiration Date: � d � ` ,ma lob Site Address: ��® 13/`� � 'pr � + No•(,►n�OLWity/State/Zip: n d UJ('f' Qi gy,5' attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). ,ailure 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 hereby cert' under the pains and penalties of perjury that the information provided above is true and correct. .i nature: Date: I `al 'hone#: 5 C) A 5 0 R q t4 N C) 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.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractor(s)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 Tel. # 617-727-4900 ext 406 or 1-877-MASSAFE EZevised 5-26-05 Fax# 617-727-7749 www.mass.izov/dia 188=." t 24" , 18" 50" 36" 1+. 36" 23� •_ - - 2511" - -54$" 20}" +, i" 36" - -18"- -27" - X24" - 24" it 28' rs rJa_i� WI 830LF 2W3830 F1,530 N OI D 2RW3612 ` 2C. isy 003111 TKBW18IMBD24,DISHW 2B:RSEP.75836REF-20 F1.579 � � V � � N W� Z 1 � M la'1 � 1L R•1J �� V 2836(FHD VIEW) 04" ��7t 30821 )5"O-ep — I�� /X ry I� I I I All dimensions_size designations Kitchen Designs This is an original design and must Designed: 12/1/201 I given are subject to verification on. Unlimited not be released or copied unless Printed: 12/1/2012 job site and adjustment to fit.job applicable fee has been paid or job j conditions. order placed. 12osati2 JAII Drawing 4: 1 Scale : 0 1/4" = i i Kitchen Designs Kitchen Designs Designed: 12/1/2012 Unlimited lie. Unlimited Printed: 12/1/2012 Rosati2 All Drawing : 1 t —944'"----j 4; —2Q 30"--112",-24"—t LO LOLOr r N I M � 24 --f— 30"--4--36" 4 i -434"' 51 All dimensions-size designations Kitchen Designs This is an original design and must Designed: 12/1/2012 given are subject to verification on Unlimited not be released or copied unless Printed: 12/1/2012 job site and adjustment to fit_job applicable fee has been paid or job conditions. order placed. Rosati2 FI 2 I Drawing#: I i Scale : 0 1/4" = 1' j 16841" 24" 18"711 50" --36"— --- „ 2-" 36 I N I f fi BO N LO CO I M I I a I I II 36" 18"�—2!' '-�-2 'F 24"-t--3 8 2 7" 71t ,e All dimensions_size designations Kitchen Designs This is an original design and gust Designed: 12/1/2012 given are subject to verification on Unlimited not be released or copied unless Printed: 12/1/2012 job site and adjustment to fit job applicable fee has been paid or job conditions. order placed. I Rosati2 F.l 1 Drawing #: 1 Scale : 0 1/4" = 1'