HomeMy WebLinkAboutBuilding Permit #257-13 - 273 OSGOOD STREET 10/2/2012 TOWN OF NORTH ANDOVER
APPLICATION FOR PLAN EXAMINATION /J /
Permit NO: _ Date Receivedwtv
Date Issued:
IMPORTANT:Applicant must complete all items on this page
LOCATION e'—:� 3
.� nfrt
PROPERTY OWNER r125irQ� r�'�?ods
�— Print 100 Year Old Structure yes o
MAP NO: ,VS"9. PARCEL:00/ZZONING DISTRICT: Historic District yes o
Machine Shop Village yes o
TYPE OF IMPROVEMENT PROPOSED USE
Residential Non- Residential
❑ New Building ❑ One family
❑Addition C,fwo or more family ❑ Industrial
❑Alleration No. of units: ❑ Commercial
Pi�epair, replacement ❑Assessory Bldg ❑ Others:
❑ Demolition ❑ Other
❑ Septic ❑Well ❑ Floodplain ❑Wetlands ❑ Watershed District
0 Water/Sewer
DESCRIPTION OF WORK TO BE PERFORMED:
Identific 'on Please Type or Print Clearly)
OWNER: Name: ig-�, Phone/ Sys Z,3
Address: 7
CONTRACTOR Name: , L-Phone:
Address: /�� 2 L (�.4ik S' ��C:-
Supervisor's Construction License: Exp. Date:
Home Improvement License: 1 S3 l f Exp. Date: Z,;// "
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.
Total Project Cost: $ DD — FEE: $ C
Check No.: ao Receipt No.: �{� 7 2
NOTE: Persons contracting with unregistered contractors do not have access to the guaran fund
Signature of Agent/Owner Signature of contractoTI
Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑
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 Signature
COMMENTS
I
HEALTH Reviewed on Signature
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
DPW Town ]Engineer: Signature:
Located 384 Osgood Street
FIRE DEPARTMENT - Temp Dumpster on site yes no
Located at'124 MainStreet
Fire Departinent.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 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
B Notified for pickup - Date
Doe.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
o Building Permit Application
❑ Workers Comp Affidavit
❑ Photo Copy Of H.I.C. And/Or C.S.L. Licenses
❑ Copy of Contract
o 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
o 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)
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
❑ 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
Date e) 2 Z
z
• • TOWN OF NORTH ANDOVER
s
Certificate of Occupancy $
Building/Frame Permit Fee
xfw Foundation Permit Fee $
Yi
Other Permit Fee $
TOTAL $
Check#-
25772 Building Inspector
k NORTH
Town of t _E �. Andover
No.
h ," ver, Mass,
CO[N.CHI W.CK �1'
S U
BOARD OF HEALTH
PERMIT T LD Food/Kitchen
Septic System
THIS CERTIFIES THAT ...... a!�!.'...�c���..:5...................................................................................
BUILDING INSPECTOR
..�'.��..
Foundation
haspermission to erect .......................... buildings on .a7.. .. ...5 0., .1 .. f......................................
Rough
to be occupied as ............G.�.�: � � ............................................................. ............. 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 CONSTRUCTION !TTS Rough
j Service
Final
BUILDING INSPECTOR
GAS INSPECTOR
i
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
Massachusetts-Department of Public Safety
Board of Building Regulations and Standards
Construction Supen-isor
License:CS-058241
RONALD S ffl4iRT rWill
102 ADAMS AVE,, r; }
N ANDOVE4MA 01845 = i
,� ,. Expiration
Commissioner 01/08/2014
p� T1 e �o,,,,nzo uuea�`c o� ac�euaeka '
�\ Office of Consumer Affairs&Business Regulatio>R
HOME IMPROVEMENT CONTRACTOR
Registratlan:"x,153811 Type,
Expiration 1/9/2013 Private Cocpertiio
R. .HEBERT CO 8 REMODEUNG•INC.
. }RONALD HEBERT `-��
102 ADAMS AVE. ` `
k1
NO ANDOVER,MA 81$�t5_�. `' Undersecretary
i
SEP-10-2012 (MON) 15: 17 (FAX) 9785572130 P. 001
Transaction Report
i
Send
ERROR: Re-send error page(s) .
No. TX Date/Time Destination Duration P. # Result Mode
568 SEP-10 15: 16 19786860786 000 Busy
CERTIFICATE OF LIABILITY INSURANCE OPID SR DATE{MM(DDIYYYY)
RSHEB-1 09/10/12
RODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
iichaud, Rowe And Ruscak in$. HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR
�.O. Box 188 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW,
IQrth Andover ISR 01845.
?hone: 978 688 8829 rax:978 557 2130 INSURERS AFFORDING COVERAGE _ NAIC0
4SURE0 ` _ INSURER A: AMGUard _ _•
INSURER n: Guard Insurance Group
R S Hebert Const b Remod, Inc. INSuNEkC: Cocmaerce Insurance Company 34754
102 Adam Avenue INSURER D:
N Andover HA 01845
INSURER C•:
:OVERAGES
THE POLICIES Of INSURANCE LISTED BELOW HAVE RF.EN ISSUED TO THE INSURED NAMED MOVE FOR THC POLICY PERIOD INDICATED.NOTWITHSTANDING
ANY REQUIREMENT,TERM 00 CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RGSPCCTTO WHICH THIS CERTIFICATE MAY BE ISSUED OR
MAY PERTAIN,THE INSURANCC AFFORDED BY THE POLICIES DESCRIBED 14CRCIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH
POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE DCCN REDUCED BY PAID CLAIMS.ITC M
. POLICY EfF
TR�INSRD TYPE OF INSURANCE POLICY NUMBER ID
DATE MMD1YriY DATE Y LIMITS
09NORAL LIABILITY EACH OCCURRENCE $1000000 _
A X_ COMMERCIAL GENERALLIAVILII'Y RSBP303083 05/11/12 05/11/13 PRCMises Eeaxurer+ce) $50000
CLAIMS MADE XX OCCUR MED EXP(NW one person) $5000
PERSONALaAD IwJURY $1000000
GENERAL AGGREGATE s2000000
GEMLAGCRECATLLIMITAPPLIE6PFR: PRODUCTS-COMPIOPAGG 52000000,_
PRO, LOC
X7 POLICY 17 JECT .
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 51000000
C ANY AUTO BBCMOS 12/19/11 12/19/12 (rxaow' eM) ..T
ALL OWNED AUTOS RODILY INJURY $
X SCHEDULEDAU1'OS (�P—) -
X I IIRCO AUTOS BODILY INJURY $
X NON-OWNED AUTOS {Per accldenq
PROPCRTY DAMAGE S
._ (Per occident)
GARAGE 4IA0IL11Y TO ONLY-FAACCIOCNT $
ANY AUTO OTI4CR THAN EA ACC $
AUTO ONLY: AGG $
EXCESS I UMBRELLA LIABILITY F.ACH OCCURRENCE $_
OCCUR n CLAIMS MADE AGGREGATE S
$
IDEDUCTIBLE
RETENTION $ $
WORKERS COMPENSATION " i
AND EMPLOYERS'LIABILITY _.TORY LIMITS R
B ANY PROPRICTORIPARTNERIMCL11 RSWC346459 01/01/12 01/01/13 E.LEACH ACCIDENT $100000
OFFICERIMCMDCR EXCLUDED7 l_1
(UwWatory In NHI tL.DISEASE-EAEMPLOYc $100000
PROVISIONS Ix4�
( tle under
SPECIAL.I'I20E.L.DISEASE-POLICY LIMIT $500000
..PEC
OTHER
R.S. HEBERT
Construction & Remodeling Inc.
102 Adams Ave.
No. Andover Mass. 01845
(978) 686-0786 Phone / Fax
Lic. #:058241 Reg. #:153811
DATE 9/31/12
Job name. Bryan Foulds
273 Osgood st.
North Andover Ma. 01845
PROJECT:1St floor bathroom
I. PARTIES
This contract (hereinafter referred to as "Agreement") is made and entered
into on this _31st day of Sept. by and between Bryan Foulds (hereinafter
referred to as "Owner"); and R.S.Hebert Construction & Remodeling Inc.,
(hereinafter referred to as "Contractor"). In consideration of the mutual
promises contained herein, Contractor agrees to perform the following work,
subject to the terms and conditions below:
II. GENERAL SCOPE OF WORK DESCRIPTION
Supply all material and labor required to build the following.
1. Remove sheetrock and the from tub area.
2. Remove existing tub and valve.
3. Install three piece fiberglass tub and new valve.
4. Sheetrock walls and ceiling in tub area.
5. Install new fan light vented to exterior.
6. Install sheetrock to bathroom ceiling,
7. Install new bathroom replacement window.
8. Install new vinyl flooring.
9. Remove all trash from site.
10. Paint ceiling and walls two coats.
Contractor Owner Owner
A. LUMP SUM PRICE FOR ALL WORK ABOVE* $6500.00
Six thousand five hundred dollars.
III. GENERAL CONDITIONS FOR THE AGREEMENT ABOVE
2. STANDARD EXCLUSIONS: Unless specifically included in the
"General Scope of Work" section above, this Agreement does not include
labor or materials for the following work: Plans, engineering fees,
Testing, removal and disposal of any materials containing asbestos (or
any other hazardous material as defined by the EPA). Custom milling of
any wood for use in project. Moving Owner's property around the site.
Labor or materials required to repair or replace any Owner-supplied
materials. Final construction cleaning (Contractor will leave site in
"broom swept" condition).,correction of existing out-of-plumb or out-of-
level conditions in existing structure. Correction of concealed
substandard framing. which may be discovered in the removal of walls
or the cutting of openings in walls. Removal and replacement of existing
rot or insect infestation. Failure of surrounding part of existing structure,
despite Contractor's good faith efforts to minimize damage, such as
plaster or drywall cracking and popped nails in adjacent rooms or
blockage of pipes or plumbing fixtures caused by loosened rust within
pipes. Exact matching of existing finishes. Cost of /testing/remediating
mold/fungus/mildew and organic pathogens unless caused by the sole
and active negligence of Contractor as a direct result of a construction
defect that caused sudden and significant water infiltration into a part of
the structure. B. DATE OF WORK COMMENCEMENT AND
SUBSTANTIAL COMPLETION
Commence work: r O/tA-L Construction time through substantial
completion: Approximately / .week, not including delays and
adjustments for delays caused by: holidays; inclement weather;
accidents; shortage of materials; additional time required for Change
Order and additional work; delays caused by Owner, Owner's design
professionals, agents, and separate contractors; and other delays
unavoidable or beyond the control of the Contractor.
C. CHARGES FOR ADDITIONAL WORK: CONCEALED CONDITIONS,
Contractor Owner Owner
DEVIATION FROM SCOPE OF WORK, AND CHANGES IN THE WORK
1. CONCEALED CONDITIONS: This Agreement is based solely on the
observations Contractor was able to make with the project in its
condition at the time the work of this Agreement was bid. If additional
concealed conditions are discovered once work has commenced or after
this Agreement is executed which were not visible at the time this
Agreement was bid, Contractor will point out these concealed conditions
to Owner, and these concealed conditions will be treated as Additional
Work under this Agreement. Contractor and Owner may execute a
Change Order for this Additional Work. Contractor is released, held
harmless, and indemnified by Owner from all pre-existing mold, fungus,
mildew, and organic pathogen problems and is not responsible for costs
or damages associated with correcting, containing, testing, or
remediating the same.
D. PAYMENT SCHEDULE AND PAYMENT TERMS
1. PAYMENT SCHEDULE:
* First Payment: $3500.00 due when job is started.
* Final Payment: Balance of contract amount due upon Substantial
Completion of all work under contract: $3000.00
2. PAYMENT OF CHANGE ORDERS/ADDITIONAL WORK: Payment
for Additional Work is due upon completion of either all or part of the
Additional Work and submittal of invoice by Contractor.
E. WARRANTY
Thank you for choosing our company to perform this work for you. Your
satisfaction with our work is a high priority for us, however, not all
possible complaints are covered by our warranty. Contractor does
provides a limited warranty against material defects on all Contractor-
and subcontractor-supplied labor and materials used in this project for a
year following
substantial completion period of one Y g o pletion of all work. This
warranty covers normal usage only. You must contact the Contractor
upon discovering an item in need of warranty service. Additionally,
Owner's hiring of others or direct actions by Owner or Owner's separate
contractors to repair a warranty item are not covered by this warranty
and will not be reimbursed by Contractor.
No warranty is provided by Contractor on any materials furnished by the
Contractor Owner Owner
Owner for installation. No warranty is provided on any existing materials
that are moved and/or reinstalled by the Contractor within the dwelling
or the property (including any warranty that existing/used materials will
not be damaged during the removal and reinstallation process). One
year after substantial completion of the project, the Owner's sole remedy
(for materials and labor) on all materials that are covered by a
manufacturer's warranty is strictly with the manufacturer, not with the
Contractor.
Repair of the following items and related damages of every kind are
specifically excluded from Contractor's warranty: problems caused by
lack of Owner maintenance; problems caused by Owner abuse, Owner
misuse, vandalism, Owner modification, or alteration; and ordinary wear
and tear. Damages resulting from mold, fungus, and other organic
pathogens are excluded from this warranty unless caused by the sole
and active negligence of contractor as a direct result of a construction
defect which caused sudden and significant amounts of water infiltration
into a part of the structure. Deviations that arise such as the minor
cracking of concrete, stucco, and plaster; minor stress fractures in
drywall due to the curing of lumber; warping and deflection of wood;
shrinking/cracking of grouts and caulking; fading of paints and finishes
exposed to sunlight are all typical (not material) defects in construction,
and are strictly excluded from Contractor's warranty.
I have read and understood, and I agree to, all the terms and conditions
contained in the Agreement above.
DATE CONTRACTOR'S SIGNATURE
1112,- CHMJL
DATE OWNER'S SIGNATURE
Contractor Owner Owner