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Home My WebLink AboutBuilding Permit #538-14 - 29 DELUCIA WAY 1/13/2014BUILDING PERMIT TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION +- Permit N0: ""I Date Received AwTlO Date Issued: 9SSACHU`�� IMPORTANT: Applicant must complete all items on this nage LOCATION o?9 /_)UuuA &#!e Print PROPERTY OWNp Print MAP NO*�&?i PARCEL: O13 ZONING DISTRICT: Historic District yesno Machine Shop Village ves no TYPE OF IMPROVEMENT PROPOSED USE esi tial Non- Residential ❑ New Building One family �E] ❑ Addition wo or more family ❑ Industrial ❑ A ation No. of units: ❑ Commercial epair, replacement ❑ Assessory Bldg ❑ Others: ❑ Demolition ❑ Other ❑ Septic ❑ Well ❑ Floodplain ❑ Wetlands ❑ Watershed District ❑ Water/Sewer Identification Please Type or Print Clearly) OWNER: Name:-__ , nj) Phone: 7g'I.5 Address: CONTRACTOR Name: _mss Phone: 6 /7 799.5' -2i Address: U SN49TO6 Z OLSy� Supervisor's Construction License: Aliz 74 Exp. Date: Home Improvement License: Exp. Date: l ARCHITECT/ENGINEER ofy Z 44 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: $ `JJ LDD FEE: $ 9x6 _ Check No.: Receipt No.: TT i NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund Signature of Agent/Owner _ Signature of contractor Permit NO: Date Issued: TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Date Received IMPORTANT: Applicant must complete all items on this page .TYPE OF IMPROVEMENT. PROPOSED USE Residential Non- Residential ❑ New Building ❑ One family ❑ Addition ❑ Two or more family ❑ Industrial ❑ Alteration No. of units: ❑ Commercial ❑ Repair, replacement ❑ Assessory Bldg ❑ Others: ❑ Demolition ❑ Other El Septic Well ❑ Floodplain ❑ Wetlands El [District' ❑ Water/Sewer DESCRIPTION OF WORK TO tat rtXt-UMMtU: Identification Please Type or Print Clearly) OWNER: Name: or4r4roco- one: 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: $ FEE: $ Check No.: Receipt No.: NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund Signatu of. ` " t/ w0 nerr S�g-�atureaof'confractor,_. Plans Submitted Li Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ 1. i Location 2 I No. "" y� / Date III -311V - TOWN I3 1 TOWN OF NORTH ANDOVER Certificate of Occupancy $�Q Building/Frame Permit Fee $ /' Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # -Q v v 27221 Buildin9 Inspector ector Plans Submitted ❑ Plans -Waived-❑ ..Certified Plot Plan ❑ Stamped Plans ❑ 'TYPE_OF°:S)✓WER-AGEDISPOSAL ' - 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 DATEAPPROVED PLANNING & DEVELOPMENT ❑ ❑ COMMENTS CONSERVATION COMMENTS HEALTH COMMENTS Reviewed on Signature Reviewed on Signature Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments s_ Conservation Decision: Comments a Water & Sewer ConnectionlSignature & Date Driveway Permit DPW Todvi-, Engineer: Signature: Located 384 Osgood Street FIRE DEP,4RTIi NT Temp Dumpster on site :yes no Located at.124{Mair, Street `Fire Departure►it,sidnatUF61date ti �� <^ a 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.Z®NE LITERATURE: Yes No MGL -Chapter -166 Section 21A --F and G min.$100-$1000.fine NUTES and DATA — (For department use B Notified for pickup - Date Doe.Building Permit Revised 2010 ?; Building Department -The foil Sw+ng is a]ist of the required -forms to be filled out for the appropriate -permit to be obtained. Roofh g, Siding, Interior Rehabilitation Permits ❑ Btailding Permit Application o Workers Comp Affidavit ❑ Photo Copy Of H.I.C. And/Or C. S. L.- Licenses o 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 a 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) o 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 cascs if a variance or special permit was required the Town Clerks office must stamp the decision from the Board of Appeals that the apn.,al period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording must be subm.tted with the building application Doc: Doc.BuNjing Permit Revised 2012 Enter construction cost for fee cal - North Andover Fee Calculation Construction Cost $ 71,600.00 m $ - $ 859.20 Plumbing Fee $ 107.40 Gas Fee 100 comm. $ 100.00 Electrical Fee $ 107.40 Total fees collected $ 1,174.00 29 Delucia way 538-14 on 1/13/2014 Interior Remodel from Sprinkler Head Failure n F 0 N tn' U) O CD O CD L- Im r-rn m� cn — 0 "'1 Om z -v 158 O 00,0° 9 -4 T 7C1 O T (A m n T y #** lro - 0 )NIP � N% CDO .a X0 00 °S. CD N U) :• ' ID Co 0 — v CD CD '-000 4. 0 a�o�CL N Oaa CD C: L Z W T 7C1 O T (A ;u O UQ T y A O 000 T j N r) S rD �o O OC7 T O 3 a� b N fD 'o N T O Q n T OH D � Z H A 7O0 m m A VZi A M C W Z tZif A C G Z n� A S ' W > O m O � 4 y 0 ISI The Commonwealth of Massachusetts Print Form Department of Industrial Accidents Office of Investigations ' I Congress Street, Suite 100 Boston, MA 02114-2017 www mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers DDlicant Information Please Print Leffibly Name (Business/Organization/Individual): Address: ST ZI N4 Phone #: b// 7 Are you an employer? Check the appropriate box: ✓`i► I am a employer with 4. ❑ I am a general contractor and I employees (full and/or part-time).* have hired the sub -contractors 2. ❑ I am a sole proprietor or partner- listed on the attached sheet. ship and have no employees These sub -contractors have working for me in any capacity. [No workers' comp. insurance required.] 3. ❑ I am a homeowner doing all work myself. [No workers' comp. insurance required.] t employees and have workers' comp. insurance J 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 12.❑ 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. $Contractors that check this box must attached 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 employees. Below is the policy and job site information. A 'd Insurance Company Name: �&A gv� •' Policy # or Self -ins. Lic. #: LSL,91/A - 5'36W 5'0 -4- 1-3Expiration Date: ,� f / A Job Site Address: -Pf 7)�4elO 4 City/State/Zip: /V • r/1 1 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. 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 #: TOWN OF NORTH ANDOVER AFFIDAVIT Home Improvement Contractor Law Supplement to Permit Application MGL c. 142 A requires that the "reconstruction, alteration, renovation, repair, modernization, conversion, improvement, removal, demolition, or construction of an addition to any pre-existing owner occupied building containing at least one but not more than four dwelling units ... or to structures which are adjacent to such residence or building" be done by registered contractors, with certain exception, along with other requirements. Type of Work: �,o� ,1��'at�+Ei Est. Cost 7/ gap, pp Address of Work Owner Name -f =iW4mic k4cticen I Date of Permit Application: //I3/ `! I hereby certify that: Registration is not required for the following reason(s): For office Use Only Work excluded by law Permit No. Job under $1,000 Date Building not owner -occupied Owner pulling own permit Other (specify) Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FIND UNER MGL c. 142A. Signed under penalties of perjury: I hereby apply for a permit as the agent of the owner: \ /X-31-ty Date Contractor Name Registration No. OR: Notwithstanding the above notice, I hereby apply for a permit as the owner of the above property: ='- Owner Name /Massachusetts - Ueoaitinent a, ice!! 11C Ja'E"E;t cw Board or Building -regulations and Standards ~ DRIVER'S LICENSEConstruction 5upen-isor License: C gun f � S -046676P-> 704431 g VCR BOB JAMES C SHEEEO IH,.:, ,19-2'-2014 �09-211-1962�� ... �" F 7 MT WASHINGTON ST -.=s ?tet xcr soc = EVERETT MA 02149 9.10 Cd € Si,iwEHAN - �v ki,1ES C t €4T WASHINGTON ST s21,9 -"s107 A/ Commissioner 09/2112015 'COm rnon�-12ait'h 07_i+.ij_acS�Ci,Ls� _3 _y-.�. _� __ �e a�rr�rroarraealff a 6�i%�rrs;rrc�re,nlli art 3 ii 0 U C >afetP \ Office of Consumer Affairs & Business Regulation # :* t�tsc,ME IMPROVEMENT CONTRACTOR License: HE -068713 �gegistration: 111000 Type: ;Expiration: - .11/18/2014 DBA JAMES C SHEEHAN III SHEEHAN BUILDING 8 REMODELING 7 MT WASHINGTON ST EVERETT MA -02149 JAMES SHEEHAN 7 MT WASHINGTON ST.. g_ EVERETT, MA 02149 Undersecretary cc 3„issio;:" 09/21/2014 I �':iit EFidli3\1 c lth tSl a is'sat'1 us,"3 , Oeltified Building Official SHEEHAN, i.atjtes � . �Ipet'Ii.a�t JAMES C Local Inspector Expires i 26JUN2016 { 1 F aasp,,rt2,_on WorkzrFdzntification C. enti✓f� 0 DATE (MMIDDIYYYY) ,a►co CERTIFICATE OF LIABILITY INSURANCE10/17/2013 ---i '1—� THIS CERTIFICATE IS ISS TE HOLDER. THIS UED AS A MATTER ONEGATIVELY AMENDTION YEXTEND OR ALTERAND CONFERS NO RTHE COVERAGE AFFORDEDIGHTS UPON THE CER ABY THE POLICIES CERTIFICATE DOES FIC AFFIRMATIVELY OR AUTHORIZED BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), REPRESENTATIVE OR PRODUCER, AND T11 HE CERTIFICATE HOLDER Ilc Les must be endorsed. if SUBROGATION IS WAIVED, subject to F&R 11 the certificate holder is an ADDITIONAL INSURED, the po Y( ) conditions of the policy, certa t policies may require an endorsement A statement on this certificate does not confer rights to the lder in lieu of such endorseme () CONTACT Robert Marino NAME, PHONE (781) 289-3627 FAX(781)289-4147 rance EMAIL BmarinoO rrinsurance•nete Beach Parkway ADORES NAIC4 rusURPRISI AFFORDING COVERAGE MA 02151 INSUREKA W+- --- Revere. �__--T-- INSURER B Ace American Insurance Com an INSURED James Sheehan, DBA: J Sheehan Remodeling INSURERC: INSURER D: 7 Mt. Washington St. INSURER E MA 02149 INSURER F Everett REVISION NUMBER: COVERAGES CERTIFICATE Nx+ UMBER 13101701755 THIS IS TO CERTIFY THA NIHE DING POLICIES I IES Of INSURANCE LI ORDCOr BEEN -0 NDITION OF ANY CONTRACT OR OTHE ITHER DOCUMENT WITH RESPECT TOE ED ABOVE FOR THE LIWHINSUR CHRTH S INDICATED. NOTWITHSTANDING CERTIFICATE MAY BE ISSUED OF SUCH OL CIES. LIMITS IN SHOWN MAY HAVE BEEN REDUCED POLICIES PAID CLAIMS. HE IS SUBJECT 70 ALL THE TERMS, EXCLUSIONS AND CONDITIONSR Mph pY EFF M ppY EXP LIMITS INSR TYPE OF INSURANCE POLICY NUMBER 1,000,00 LTR EACH OCCURRENCE $ GENERAL LIABILITY DA A E RENT $ 50,00 PREMISES Ea occurrence 1,00 X COMMERCIAL GENERAL LIABILITY /29/2013 /29/2014 MED EXP (An one person) $ DQ7261 A CLAIMS -MADE a OCCUR PERSONAL & ADV INJURY $ 1,000,00 GENERAL AGGREGATE $ 2 , 000 , Oa PRODUCTS - Comp/OP AGG S 2,000,OC rcru i AGGREGATE LIMIT APPLIES PER: $ AUTOMOBILE LIABILITY BODILY INJURY (Per person) $ BODILY INJURY (Per accident) S ANY AUTO ALOWNED SCHEDULED PROPERTY DAMAGE $ AUTOS AUTOS NON-0WNED Per accident $ HIRED AUTOS AUTOS EACH OCCURRENCE $ UMBRELLA UAB OCCUR AGGREGATE $ EXCESS LIAR CLAIMS -MADE S B WOKKEKb%,U rE.L .L. EACH ACL aUtrvt AND EMPLOYERS' LIABILITY Y I N ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ NIA /8/2013 /8/2014 DISEASE -EAEMPLOYE $ OFFICER/MEMBER EXCLUDED? S62UB-5B52954-A-13(Mandatory in NH) .L DISEASE - POLICY LIMIT $ If ves• describe under___. .. I VEHICLES (Attach ACORD Jai, Additional Remarks Schedule, if more space is required) DESCRIPTION OF OPERATIONS f LOCATIONS SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, ACCORDANCE WITH THE POLICY PROVISIONS. ALL BE DELIVERED IN - AUTHORIZED REPRESENTATIVE Robert Marino/BOBM ----------- (c)1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) nor The OR INS025 ren+neat m (1Rf1 mo end innn ism ronictnrod m2r4a of Al^_!1 James Sheehan 7 Mt. Washington St. Everett, Mass. 02149 Construction Supervisors License # 046676 Home Improvement License # 111000 617-799-5627 Fax 617-387-3387 Email Turnkey 05 @ Comcast.net 1/9/14 This agreement is between James Sheehan and Richard and Celia Relined 29 Delucia Way N. Andover, Ma. 01845 The Owner agrees to hire the Construction Manager to perform the following: Remodel/Repair all areas affected by sprinkler failure with the following Specifics: 1. We shall provide all labor, materials, tools, equipment, and insurance. 2. Provide all related permits and inspections. 3. Pack -out the rest of the household items into attic, garage, or basement as needed. 4. As discussed all work will restore all affected areas back to original condition before sprinkler failure. 5. Demolish the second floor hallway bathroom, the remainder of the dining room walls, foyer, hallway, kitchen and family room ceiling, and kitchen exterior wall as discussed. Remove the balance of the hardwood flooring in master bedroom. Remove all tile and subflooring in foyer, kitchen and second floor bathroom. 6. Re -wire to code all wiring that has been wet from sprinkler failure. Including smoke and carbon monoxide detectors. 7. Adjust plumbing as required to be code compliant. Re -use existing tub/shower combo unit. 8. Spray with oil based stain kill all areas that had been wet as a result of sprinkler failure. 9. Insulate to code all areas that were removed from sprinkler failure including basement walls and ceiling. Insulate 1 st. floor ceiling with un faced fiberglass batt insulation for sound as discussed. 10. Blue board and plaster all areas where board has been removed all smooth finish. Dining room tray ceiling to be re-created. 11. Provide all interior trim complete as was before including dining room simulated wainscoting. 12. Prime and paint all new plaster and new trim with required coats of paint for proper finish. Repaint complete the entire interior with required coats for proper finish. 4 colors of wall paint included. 13. Install a new kitchen complete with cabinet hardware. Cabinets, Hardware, and Granite countertops supplied by others. Kitchen wiring will include 4" recessed lights, under cabinet lighting, and pendants over island. Microwave unit will be vented to exterior as discussed. 14. Bath remodel will include a new vanity, countertop, sink, faucet, and toilet all fixtures by others complete. 15. S&I new 2-1/4 select red oak on first and second floor complete with 3 coats of polyurethane. 16. Install new kitchen appliances supplied by others complete. 17. Remove all debris created by our work and leave premises clean. 18. As agreed all allowances have been removed, price reduced, and no warrantee will be provided for materials supplied by others. Anticipated additional billing for code related items and billing for hold back will be addressed as the job progresses. The price for the above outlined work is $71,600.00 Seventy One Thousand Sig Hundred Dollars The payment schedule/ schedule of values for the above outlined work is as follows: Upon Acceptance $15,000.00 When plastered $15,000.00 When painted $15,000.00 When flooring is delivered $10,000.00 When flooring is installed $5,000.00 When kitchen is installed $8,000.00 When complete $3,600.00 Total Payments $71,600.00 Permit $1,500.00 Demo misc. Rough carpentry $5,920.00 Finish carpentry $9,500.00 Wire rough and finish $4,500.00 Plumbing rough and finish $2,500.00 Insulation $3,000.00 Blueboard and plaster $9,500.00 �aint $5,000.00 Hardwood $23,700.00 Subtotal $59,200.00 10% overhead $5,920.00 10% profit $6,512.00 Total $71,632.00 Any Special/Custom items required will require materials to be paid in full upon ordering plus 20% Labor if needed or desired will be billed upon installation@ $800.00/ Day for men, trucks and equipment. Permit notice: That it shall be the obligation of the contractor to obtain such permits as the owner's agent. The owner shall be responsible to obtain the permits for any work he has performed. Owner's that obtain their own permits or hire unregistered contractors shall be exempt from access to the Guaranty Fund. All home improvement contractors and subcontractors shall be registered and that any inquires about a contractor or his subcontractors relating to a registration should be directed to; Director, Home Improvement Contractor Registration, One Ashburton Place Boston, Mass. ARBITRATION: The contractor and owner hereby mutually agree in advance that in the event the contractor has a dispute concerning this contract, the contractor may submit such a dispute to a private arbitration service which has been approved by the Office of Consumer Affairs and Business Regulation and the owner/consumer shall be required to submit such arbitration as provided by Massachusetts General Law MGL C. 142A JIM SHEEHAN .RICHARD REPUCCI CELIA REPUCCI REQUIRED SIGNATURE LINE (for the arbitration clause only) NOTICE: The signatures of the parties above apply only to the agreement of the parties to alternate dispute resolution initiated by the contractor. The owner may initiate alternative dispute resolution even where this section is not signed separately by the parties. No work shall begin prior to the signing of the contract and transmittal to the owner of a copy of this contract. As a homeowner you have a three-day right of rescission to rescind this contract under MGL c93 sec. 48: MGL 0401) sec. 10 or MGL c2551) sec. 14 as may apply. No work will commence nor materials ordered prior to three days from the signing of this agreement. DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES JIM SHEEHAN RICHARD REPUCCI CELIA REPUCCI FAILURE OF PURCHASER TO PAY: In the event of default of the purchaser to make payment as herein provided, the purchaser irrevocably authorizes any attorney of any court of record to appear in his or her behalf, either in vacation or in term time, to waive the issuance of process and trial by jury and confess judgment without notice against the purchaser for the full amount due, plus interest and reasonable attorney's fees. A lien will also be placed on the property. Initials Com/ Initials