Loading...
HomeMy WebLinkAboutBuilding Permit #062-2012 - 29 BARCO LANE 7/26/2011 TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit NO: ^ Q�2- Date Received .� kz Date Issued: 2—;4 O ANT:A licant must complete all items on this _C C> LOCATION Print PROPERTY OWNER k L^'e t Print MAP NO:�_O7•, PARCEL:�ZONING DISTRICT: Historic District yes Machine Shop Village yes I TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building R)Jne family ❑Addition ❑Two or more family ❑ Industrial Iteration No. of units: ❑ Commercial ❑Assessor Bldg ❑ Others: • Y g El Repair, replacement - ❑ Demolition ❑ Other ptic Nell fO�Floodplain `Wetlands Watershed�Distr`ict f _ . ®_ Water/Sewer ` DESCRIPTION OF WORK TO BE PERFOFMED ►(s.ila���CJL- '1 s��,t`-" 1�. �C.��.� O�►J Lt�'1L.. <. N� y��"' i Identification Please Type or Print Clearly) OWNER: Name: �� - �- Phone: Address: 2 �X' CONTRACTOR Name: V446v � tk .r Phone: yllt k" .44M.5-31!r Address: `��� gv� ) S�•,,....._'t' � Oa-. .v.�.�� �^;. © , Supervisor's Construction License: 0 S3 a A..4\_ Exp. Date: Home Improvement License: _ u 0 S-77`'t Exp. Date: �,( �.'Z.► ARCH ITECT/ENGI NEE Phone: -> Address: Reg. No. FEE SCHEDULE:BULDING PERMIT:$12.00 PER$9000.00 OF THE TOTAL ESTIMATED COST BASED ON$925.00 PER S.F. Total Project Cost: $ UL +J FEE: $ . `ld Check No.: 162 Sr6 Receipt No.: a NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fu Si natu e_of�A ent%Own ' ,�gnature oftcoritract_,. . .4:�. Location TMC G 16/LPA No. 2©/ Z Date /G1/ NORT#j TOWN OF NORTH ANDOVER ' O F p Certificate of Occupancy $ Building/Frame/Frame Permit Fee $ s�cwust 9 Foundation Permit Fee $ Other Permit Fee $ TOTAL $ / S Check 24 ; 1 , Building Inspector 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 HEALTH Reviewed on Signature COMMENTS Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes i PlanningBoard 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 Main Street Fire Department 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 ® Notified for pickup - Date Doc:.Building Permit Revised 2008 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 ❑ 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) ❑ 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 :hat the appeal period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording nust be submitted with the building application Doe: Doc.Building Permit Revised 2008mi AORTH 0 of over 0 No. 06) o , '� dover, Mass., 7/.aP6 `-`1t V 0 -- LAKE COCHICHEWICK S RATED PPa�.�C� 7 v BOARD OF HEALTH Food/Kitchen Septic System -PER .MIT T D� ) BUILDING INSPECTOR THIS CERTIFIES THAT.........GfJC'........... C� - ............ .................................... Foundation ........................................................ vee has permission to erect........... ........................... buildings on .a. ...... . .... / ........................................ Rough s / Chimney to be occupied as...............X�2 ...�..�/..1.. !�. . provided that the person accepting this permit shall in every respecYc nform 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 CONSTRUCTIO STARTS Rough ....... . ........... ............ . --.............................................. Service BUILDING 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 Be Done FIR_E-DEPARTMENT Until Inspected and Approved by the Building Inspector. Bumer Street No. I SEE REVERSE SIDE smoke Det. r f � 1s 169 Boxford street n- IMuiphy, 0• PH North A over, A 01845 Building Contractor 0FAX'978-688-XM Proposal To: Peter&Carol Weger 29 Barco Lane All Home improvement Camas and Subcontractors engaged home North Andover, Ma. 01845 lro �� bynt ��ofChapter 142A of the general taws,must be registered with the Comrnormwit t of Massachusetts.Inquiries about registration and Status should be made to the Director,Home Improvement Contract Registration,One Ashburton Place, From: Kevin Murphy Room 1901,Boston,MA 02108.(617-)-727 8598 cQ Date: 6/14/2011 Job: Repair existing deck Date of plans: None Artchhect: None Location: Same Section I-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 7/11/11. Barring Delay caused by circumstances beyond Contactors control,the work will be completed by .The owner hereby acknowledges and agrees that the scheduling dates are approAmate 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 fumished hereunder shall be free from defects in materials and workmanship for a period of 9/30/11 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 Page 2 of 4 Building Contractor 169 Bo)dord Street North Andover,MA 01845 PH:978fi68-5335 FAX 978-6WXXXX General Proposal is to repair existing deck. No allowance has been made for any changes to footprint of existing deck. All decking and railings will be replaced. Building permit will be provided by contractor. Demolition All existing decking and railings will be removed and disposed of. Existing pressure treated frame to remain. Foundation Existing footings to remain. Building New 5/46 pressure treated decking will be supplied and installed on entire deck, porch and stairs. New pressure treated railing will have 44 posts,2x4 handrails,and 2x2 square balusters. Waste Removal All demolition/construction debris wil be disposed of by contractor. Other Allowances Option to screen in existing covered porch area would add a cost of$2500. Kevin Murphy Page 4 of 4 Building Contractor 169 BoMord street North Andover,MA 01845 PH:978F88-5335 FAX 978-6WXXXX Section IV—Price Schedule We hereby propose to fumish material and labor—complete in Accordance with above specifications for the sum of............ ... ............ ... .......$ 10,000 Payment t y o be made as follows: Percenta entero Description Amount 1 Permit obtained $3000 2 Job complete $7000 Total 2 $10,000.00 `?40bce:No agreement for Home improvement oontracting work shall require a down payment(advance deposit)of more that one-third of the total contract price of the total amount of all deposits or payments which the contractor must make,in advance,to order and/or otherwise obtain delivery of special order materials and equipment,whichever is greater Contractor: Kevin Murphy 169 Boxford Street No.Andover,MA 01845 Registration No: 101874 Section V-Acceptance Acceptance of Proposal—I have read this document and accept the prices,specifications,and conditions stated. I understand that upon signing,this proposal becomes a binding contract You are authorized to do the work as specified. Payment will be made as outlined above. You the buyer may cancel this transaction at any time prior to midnight on the third business day after the date of this transaction cancellation must be done in writing DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES Signature JDatey 4+A—_Zm Signature Date Tlie Comm©mvealth of 1 losachusetfs. 5 Department of Industrial Accidents i --Of, ce of Investigations , 600 Washington Fstreet Boston,MA 02111 • w"".mass.gov/dia Workers' Compensation Insurance:Affidavit:Buiilders/Contractors/Electriciang/Plumbers ApWicant Information Please PrintL.egibly Name(gins/prganint onftdividuai):' \,�,:-,:r,r Address: J. City/State/Zip:: r, A',;. ,,��..,., R ©tis'"-Phone#: �-i 6 -5335' Are you an employer?Cheek the appropriate hoz: Type of project(required): 1.1D I am a employer with 4• ❑ 1`am a general contractor and 1 6. ❑New construction employees(full and/or part-time)_* have hired the sub-contractors 2.❑ I am a sole proprietor or partner- - listed on the attached.sheet.$ 7.- Remodeling ship and have no employees These sub-contractors have S. ❑ Demolition workers' comp.insurance. . 9. Building addition working for mein any.capacity._. ❑ g o workers'comp.insurance. 5: ❑`'we are a`corporation and its [N l.o.❑ Electrical repairs or additions required.] officers have exercised their 3.❑ I am a homeowner doing all work right of exemption per MGL° 11.[] Pl unbing repairs or additions c. 152, 1'(4),and we have no myself[No workers comp. § 12.❑`Roof repairs insurance required.]t . employees.[No workers' e9 ] 13.❑ Other - comp.insurance required.] 'Anyapplicant that checks box#I.must",fill out the section below showing their workers'compensation policy in&"ns ion: Horneowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such tConvaeton that check this box must attached an additional sheet showing the name of the sub-ooutmctom and their wo&ers'camp.policy information. I am an employer that is providing workers'compensalion_insurance for.my employees. Below is the policy and job site information- Insurance t��y Name: anee Co - Policy#or Self-ins.Lic.#: Expiration Date:� 2- Job Site Address: T.P�_ �ww-t- 4h,�.1� �..�... City/State zip: 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$250.00 a day against the violator. Be advised that a copy ofthis statement maybe forwarded to the Offiice of Investigations of the DIA for insurance coverage verification I do her by certify under the pains and aloes ofperjury that the information provided above is true and correct,. Si afore_ Date: "� L Phone#: Oficial use only. Do not write in this area,to be completed by city or town official, City or Town: PermitfUceuse# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3_Cityfrowu Clerk 4_Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone'#: 07/11/2011 07:45 9786833147 PAGE 01/01 4��/"�� a DATE(NQuMbONWM) R CERTIFICATE OF LIABILITY INSURANCE 11/11/2011 THIS CERTIFICATE M ISSUED AS A MATMR OF INFORMATION ONLY AND CONFERS NO RMM UPON YK CERTWICATE HMER. THIS CERMCATE DOE$ 140T AFR MATNELY OR NE6ATI4EI.Y AMEND, MaM OR ALTER THE COVERAGE AFFORDED BY TME POLICIES gajaW nils CER MATE OF INSMNCE DOES NOT CONSTITUTE A CONTRACT WTWM THE MM VMRER44 AUTHOR M REPRESERrATM OR PRODUCER►AND THE CER MATE HOLDER. IMPORTANT: IT the cook=*haMw b an ADDIIT10N/LL WWRED,tho 909wi est must Oe WUMMSa. 9 SWROCrA70N IS WANED,sUtled to go tensa dna condltloro of Nre pf 6q,cwWn I ftW mag MW"an momm"L A sUbmed en thb cefUllim a doss not=do rWft to No corNfloab bolder M ass of SUM ondo WVM(* CAWACT MMCER N P ROBERTS INS ACCt INC FIRM En (9787683-8073 IFXt (978)683-3147 1060 Osgood Street AD sanf3i@mprobertsinsurance.cam► North Andovlar, MR 01845 a j AFFUMMa INSWM A:PRWIDENCS 140lvM ISD "vIN 14Mt M BUILDING a RMGMLIM mujLRg.MRCELWTS IN 169 ARD STRUT nlstm c:GUARD INSURANCE INSURER ; NORM ANDGM, NA 01845 e E INS f COVERAGES CERnFrAT'E NUMBER: REVISION NUMBER! THIS 13 TO CERTIFY-HAT THE POLICIES OF INSURANCE LISTED BELOW NAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT.PERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BS ISSUED OR MAY PERTANN,THE INSURANCE AFFORDED BY THE POLK:IES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND COMMONS OF SUCH POLICIES.LOUTS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAW. rM OF' ML NUNm OMITS GGNERAL LU181UTY ► CACI OOOLWJ ENCS N 1,000,000 X COMME M AL GCWJM LIA9fi Y PRE S 100,000 c AM"AM ®OCCUR KOEXP("amPBrsoIU S 5 000 A CPP0060968 1/22/1011/22/11 PERSOmaADYIWRY S 1,00 ,000 Geme I AwwcATE % 2,000,0 cetl9.Ac;G ATe IM APPLES FM pmxnc s-COMPIOP Ado I e 2,000,000 POLICY LOC is AUTOMORIM LMa1L" S 1,000 000 ANYAUTO Per (Per son SOMY MJURY ) S MCA7013608 1!23/11 01/23/12 BODILY INJURY(Par aorJderp) I HIRED AUTOS At E VMBREIIA LOGOCCUR EaCM OCCURRENCE I EXCESS LUIS HCLAOA94mm AtREGATE R OED mmms S $ ANA SOWYM U6191UITY TO ATO. im C '� NIA ' E.LEACH ACCIDENT I 800,000 a s q raw 2213375 07/02/11 07/01/1.2 E L.DtSFSl W-EA EPL = 300,000 DN OF MATIOM WM E.I.OISEASE-POLICY trrOT 1 s 500 000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(AUM ACORD 1M,Ad MW ftwwM Srhedub,A mm aPooe a te"w) CERTIFICATE HOLDER CANCELLATION TOM OF NORTB ANDCKM SHOULD ANY OF THE ABOVE DESCRIBED POUC ES BE CANCELLED BEFORE NOMS AMOVSR, NA 01845 THE EXPIRAnON DATE THEREOF. NOTICE WILL BE DW MERED IN ACCORDANCE WITH THE POLICY PROVISIONS. wvff - p AUTHORRED 1 IF 6 F PlAw ---,I ®198&2090 ACtIFtD CORPORATION. All rtghfa reserved. ACORD25(2010M The ACORD name and RV ere mgWemd marks of ACORD i I