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Home My WebLink AboutBuilding Permit #828-13 - 21 WOODBRIDGE ROAD 6/3/2013TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit NO: (� Date Received Date Issued: 't MIc PORTANT: Applicant must complete all items on this LOCATION' PROPERTY OWNERw. Print 100 YearOld Structure yes MAP NO- PARCEL: L ZONING DISTRICT: Historic District yes Machine Shoo Village ves TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building bOne family ❑ Addition u I wo or more family ❑ Industrial Iteration No. of units: ❑ Commercial ❑ Repair, replacement ❑ Assessory Bldg ❑ Others: ❑ Demolition ❑ Other 0 Septic ❑ Well ❑ Floodplain, ❑ Wetlands ❑ Watershed District JkWater/Sewer DESCRIPTION OF WORVO BE PERFORMED: Identification Please Type or Print Clearly) OWNER: Name:C 12ew,�2�-, Phone: '11(4- 356L1 Address: '2- t.,, v b 9 CONTRACTOR Name:Phone: ,^, 5 3 3 Address: ,%w) ty- t� _ Supervisor's Construction License \ Exp: Date: VZqA �3 Home Improvement License: CJ > U Exp. Date: A ARCHITECT/ENGINEER b,4) 1\I-4, 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: $ 'SS, 9 0 l) FEE: $ --�- L—) J Check No.: 11-71-7 Receipt No.: rZf-0 NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund Signature of Agent/Ovvn Signature ofconfractor . ei Plans Submitted ❑ Plans Waived�j Certified Plot Plan ❑ Stamped PI s i . Plans Submitted ❑ Plans Waive Certified Plot Plan ❑ Stamped Plans ❑ TYPE OF SEWERAGE DISPOSAL Public Sewer ❑Swimming Tanning/Massage/Body Art ❑ 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 Siqnature COMMENTS HEALTH Reviewed on Signature COMMENTS Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments a Conservation Decision: Comments Water & Sewer Connection/Signature & Date Driveway Permit DPW Towo ]Engineer: Signature: Located 384 Us o d Street FIRE DEPARTMENT - Temp Dumpster on site yes no Located at 124 MainStreet Fire Departinent,signatu"rbldate ` COMMENTS 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 I Doc.Building Permit Revised 2010 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 (VOTE: 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 a 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) a Engineering Affidavits for Engineered products (VOTE: 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 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: Doc.Building permit Revised 2012 Location 1d No. q Z3 7 Date o - TOWN OF NORTH ANDOVER O Certificate of Occupancy $ Building/Frame Permit Fee $.lam Foundation Permit Fee $ Other Permit Fee $ TOTAL $ 4' Check # (i �� 7 26463 Building Inspector Enter construction cost for fee cal - North Andover Fee Calculation Construction Cost $ 55,800.00 m $ - $ 669.60 Plumbing Fee $ 83.70 Gas Fee 100 comm. $ 100.00 Electrical Fee $ 83.70 Total fees collected $ 937.00 21 Woodbridge Road 828-13 on 6/3/2013 Remodel Kitchen H WJ 2 LL o m C N U Y \ M LL y > LAi0 U_ y. 0 0 i N Z Z �_ m C O C LCL bhp T N E U ll o ~ a N ? Z m J d to I.L 0 d N ? U G W J W 3 1' u V) LL 4 LU d Z N ; L t CL LL Wc G Q W 5 LL d L Co p Z N Q Y O Ln 40 t C4*4% r-- N v O w W O LL O .Fr z a O N I c N Q .E m O V � L O CL CL cn cmQ O v_ J �0 CL O O � Z O V cnCL O � ca � CL ChD The Commonwealth of Massachusetts Department of IndustrialAccidents Office of Investigations 600 Washington Street Boston, MA 02111 www mass gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/organization/Individual):- Address: City/State/Zip:_ NA • Mme. vLY`kTPhone #: SISD Are you an employer? Check the appropriate bog: . 1: b I am a employer with _ 4. ElI am a general contractor and I Wa employees (full and/or part-time).* have hired the sub -contractors 2. F1 am a sole proprietor or partner- i ship and have no employees working forme in any capacity. [No workers' comp. insurance required.] 3.E] I am a homeowner doing all work myself. [No workers' comp. insurance required.] t listed on the attached sheet. These sub -contractors have workers' comp. insurance. 5. ❑ We are a corporation and its officers have exercised their right of exemption per MGL c. 152, § 1(4), and we have no employees. [No workers' comp. insurance required] Type of project (required): 6. ❑ New construction 7. Remodeling 8. Demolition 9. ❑ Building addition 10.0 Electrical repairs or additions 11.❑ Plumbing repairs or additions 12TI Roof repairs 13.❑ Other *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 tContractors 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 information. Insurance Company Name: �..,n r,� �tiS • G v Policy # or Self -ins. Lic. #: �L w ��1 Yj 1) 0 Expiration Date: Job Site Address: f*,,- f> 6 A City/State/Zip: l lr • a �A�n.-- � jV�` • U � iPi `2 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 here cert under the 57: rjury that the information provided above is true and correct Si tore: Date: l7 Phone #: �� x.33 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 It. CERTIFICATE OF LIABILITY INSURANCE 12/4/2012 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON MTHE 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 INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the policy(Les) must be endorsed H SUBROGATION IS WAIVED, subject to the terms and conditions of the Policy, certain policies may require an endorsemefT Astatement on this certificate does not corder rights to the certificate holder in Into of such mrdorsemant(s)_ PRODUCER M P ROBERTS INS AGCY INCPHONE 1060 Osgood Street North Andover, MA 01845 LAMIALol NAME FAX , No, (978)683-8073 (ArC. Not: ( 978) 683-3147 AtOREw. mP Sandi@ robertsinsurance.color iNSIIREII(S) AFFOIWOtG COVERAGE NAILS INSURER A: PROVIDENCE MUTUAL INSURED KEVIN MURPHY BUILDING & REMODELING 98 FOREST STREET NORTH ANDOVER, MA 01845 INSURER B: MERCHANTS INSURANCE wsuRER c: GUARD INSURANCE INSURER D: INSURER E: INSURER F: %1VVCR/il7C0 GtKf t-IL;R1tNUMBhK: RFVICI(MI Nllunl=o- 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. INSRR TYPEOFINSURANCEMR WWD POLICY NUMBER (MMIDDIYYW) (MWDD)YYYY) LIMITS GENERAL LIABarrY EACH OCCURRENCE s1,000,000 X COMMERCIAL GENERAL LIABILITY PREMISES (Ea o=ffnn e) $ 500,000 CIAIMSMADE E, OCCUR MED EXP 4"onepersan) $ 15,000 A BOPI068945 1/22/12 1/22/13 PERsoNALSADvINJURY s 1,000,000 GENERAL AGGREGATE s 2,000,000 GENIAGGREGATE LIMIT APPLIES PER: PRODUCTS - OOMPIOPAGG $ 2,000,000 POLICYPRO- LOC $ AUTOMOBILE LIABILITY 1,000,000 (E2 aoddeM y BODILY INJURY (Per Person) $ ANYAUTO ALLOWNED SCHEDULED MCA7013608 1/23/12 1/23/13 B AUTO AUTOS x BODILY INJURY (Per accident) S NON-OYMED HIRED AUTOS AUTOS PROPERTY DAMAGE (ParaWdeM) $ S L1A8 OCCUR EACH OCCURRENCE s 1,000,000 B EXCESS F>(CESS UAB CLAIMS -MADE CUP9145304 1/22/12 1/22/13 AGGREGATE $ 1,000,000 DED RETENTION s $ WORKERS COMPENSATION AND EMPLOYERS LIABILITY X TO YT MRS L:R ('' YIN � q� ❑ MIA EL EACH ACCIDENT $ 500,000 (Mandatory inNIT) REWC317800 7/01/12 7/01/13 E.L. DISEASE -EAEMPLOYEE s 500,000 nYes.aesmbeurder EL DISEASE -POUCYUMiT $ 500,000 DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS ILOCATIONS /VEHICLES (A11adl ACORD 101,Adffilional RemaosSdmUe,tf morespaosis nxp&erq ucm 1IrN.N In A\1 "1 n rAkfn tA—^., TOWN OF NORTH ANDOVER NORTH ANDOVER MA 01845 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE TM; EOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WRH THE POLICY PROVISIONS. AurHORUM wry v 1W& ZO10 ACORD CORPORATION. All rights reserved. ACORD25 (2010105) The ACORD name and logo are registered marks of ACORD Proposal To: Steve & Kim Remley 21 Woodbridge Road North Andover, Ma 01845 From: Kevin Murphy CC: Date: 6/3/2013 Job: Kitchen remodel Date of plans: None to date Architect None to date Location: Same Section 1- Work Schedule 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 Commonweafth of Massachusetts. Inquiries about registration end Status should be made to the Director, Home Improvement Contract Registration, One Ashburton Place, Room 1301, Boston, MA 02108.(617)-727 8598 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 6/10/13. Barring Delay caused by circumstances beyond Contactors control, the work will be completed by 8/15/13. 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 famished 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 98 Forest Street Kevl*n Murphy North Andover, MA 01845 • PH: 978-688-66335 Building Contractor 0FAX: 978-688-7207 Proposal To: Steve & Kim Remley 21 Woodbridge Road North Andover, Ma 01845 From: Kevin Murphy CC: Date: 6/3/2013 Job: Kitchen remodel Date of plans: None to date Architect None to date Location: Same Section 1- Work Schedule 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 Commonweafth of Massachusetts. Inquiries about registration end Status should be made to the Director, Home Improvement Contract Registration, One Ashburton Place, Room 1301, Boston, MA 02108.(617)-727 8598 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 6/10/13. Barring Delay caused by circumstances beyond Contactors control, the work will be completed by 8/15/13. 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 famished 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 Kevin Murphy Building Contractor 98 Forest Street North Andover, MA 01845 PH: 97868&5335 FAX 97&688-7207 General Page 2 of 4 Proposal is to renovate existing kitchen, family room, and front hall. Building permit will be obtained by contractor. No structural changes will be made to existing house. Demolition Existing kitchen will be completely gutted. All floors, walls, and ceilings will be removed. Family room and front hall will also be gutted. Floors in these areas to remain. Building Any framing materials required to renovate kitchen will be provided. Wall to dining room will be opened up approximately two feet. Existing window to remain. New openings will be framed to living room. Plumbing Plumbing required to renovate kitchen / install appliances will be provided. Sink to remain in same location. An allowance of $1200 has been included to supply sink / faucet. Electrical Electrical work required to renovate kitchen to meet code will be provided. Ten recessed lights have been included. Sub panel will be provided off of existing electrical service. Surface mounted fixtures ( pendants etc) will be provided by owner, installed by contractor. Heating/Air Conditioning Existing baseboard heat will be removed. New toekick heater will be supplied / installed.. No allowance has been made for any air conditioning. Insulation Exterior walls will have all new insulation installed. Plaster Kitchen, family room, hallway, disturbed areas will be blueboarded and skimcoat plastered. Walls and ceilings will be smooth. Interior Trim/Doors Pre -primed interior trim will be supplied and installed to match existing. No allowance has been made for any door units. Painting Interior painting will be provided. One coat of primer and two coats of finish will be applied to all painted surfaces. Flooring Kevin Murphy Building Contractor 98 Forest Street North Andover, MA 01645 PH:978fi66 5335 FAX 97866&7207 Page 3 of 4 Hardwood flooring will be installed / sanded / finished with three coats of oil based urethane in kitchen area. Exisitng dining and living room floors will be sanded and finished to match. Other Allowances Tile backsplash will be supplied / installed. An allowance of $6 per square foot has been included for tile materials. Waste Removal All demolition / construction debris will be disposed of by contractor. Items Not Included No allowance has been made to supply kitchen cabinets, countertops, or appliances. These items to be supplied by owner, installed by contractor. Kevin Murphy Building Contractor 98 Forest Street North Andover, MA 01845 PH: 9788885335 FAX: 97888&7207 Section IV - Price Schedule Total Page 4 of 4 We hereby propose to furnish material and labor— complete in Accordance with above specifications for the sum of .....................................$ 33,800 Payment to be made as follows: PercentageAtem Description Amount 1 Permit obtained $1800 2 Demolition Complete $8000 3 Plastering complete $10,000 4 Cabinets Installed $6000 5 Flooring / Painting complete $5000 6 Job 100% Complete $3000 5 $33,800.00 "•Notice: No agreement for Home in provement cont Wong work shall regime a down payment (advance deposd) of more that onet rd of the total contract price of the total amount of all deposits or payments which the contractor must make, in advance, to order anc/or otherwise obtain delivery of special order materials and equipment, whichever is greater Contractor: Kevin Murphy 98 Forest 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 l 3 Signature, Date