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Home My WebLink AboutBuilding Permit #596-13 - 29 HEATH ROAD 3/7/2013 TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit NO: Date Received 1 Date Issue-,0+ o I"S IMPORTANT:Applicant must complete all items on this page LOCATION2"l -h..x`1,._ 4x Irk _ Print - PROPERTY OWNER_ ��u Print 100 Year Old Structure yes no MAP NO: 060. PARCEL:C)L)(-cF ZONING DISTRICT: .Historic District yes 0 Machine.Shop Village yes 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 ❑ Septic ❑Well ❑ Floodplain ❑Wetlands ❑ Watershed District Water/Sewer DESCRIPTION OF WORK TO BE PERFORMED: Identification Please Type or Print Clearly) OWNER: Name: I-•.\c c Phone:c,-I � 7_9b -53-� �► Address: 2`k S-Lt 5- CONTRACTOR Name: 'Phone: q-,!S Address: `� {��wo-t-- 5�— ►w , ► .,,,�.. h�•�, 0��'4 f _ Supervisor's Construction License: 61;-3 u 1.5 Exp. Date: Home Improvement License: -Exp. Date: ARCHITECT/ENGINEER_ Phone: Address: ►wv.rt 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: $ 2,S 5 4- FEE: $ Check No.: l� Receipt No.: NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund SignI .ature:of Agent/Ovvner I �, , . _ __ Signature of contractor I Plans Submitted ❑ Plans Waived Certified Plot Plan ❑ Stamped ns 11 J Plans Submitted ❑ Plans Waived Certified Plot Plan ❑ Stamped Plans ❑ TYPE OF SEWERAGE DISPOSAL Public Sewer Tanning/Massage/Body Art ❑ Swimming Pools U ❑._ 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 i DATE REJECTED DATE APPROVED PLANNING & DEVELOPMENT ❑ ❑ COMMENTS CONSERVATION Reviewed on Signature i COMMENTS I -q, 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 Towp. )Engineef.4'Signature: � Located 384 Osgood Street FIRE DEPARTMi �T, - Ternp 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 El 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 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) o 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 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 subm:ated with the building application Doc: Doc.Building Permit Revised 2012 Location � � No. Date TOWN OF NORTH ANDOVER 4 'fur,1)1 �4 O Certificate of Occupancy $ Building/Frame Permit Fee Foundation Permit Fee �- "' Other Permit Fee $ TOTAL $ v Check#](r� 26195 Building Inspector Enter construction cost for fee cal- North Andover Fee Calculation Construction Cost 45,050.00 m $ - $ 540.60 Plumbing Fee $ 67.58 Gas Fee 100 comm. $ 100.00 Electrical Fee $ 67.58 Total fees collected $ 775.75 29 Heath Road 596-13 on 3/7/13 Remodel Existing Kitchen NORTH own ® . � E ., Andover No. x - o h ver, Mass, J COCMICNIWICK y1. ORATED S U BOARD OF HEALTH PERMIT T L D Food/Kitchen Septic System THIS CERTIFIES THAT ............... :�.��.�.. ...... .......................................................... BUILDING INSPECTOR Foundation has permission to erect ............... buildings on .L.. ... ........ . .... . .. ......... . .............................. Rough ............................... Chimney to be occupied as ........�1��.. .... ..... ...........................:........ v 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 STA S Rough Service ............... ............................................................... 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 CERTIFICATE OF LIABILITY INSURANCE 12/41/2012 THIS CERnFIrA7E IS ISS AS A MATTER OF W-ORMATION ONLY AND COMERS NO RIGHTS UPON_-THE IERTIRCATE HOtDER TTS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGAMMY AMEND,- EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLIOS BELOW_ THIS CEIMF LATE OF DMIRANCE ODES NOT CONSTMITE A CONTRACT BETWEEN THE 6SLONG M=;RET(S), AITTHOR® REPRESENTATIVE OR PRODUICER, AND THE CE UVATE HOLDER. IMPORTANT N the certificate holler is an ADDITIONAL LIEURED; the Dol 08) mug be endorsed. If SUBROGATION IS WAIVED, subject to the terms and corWWwns of the PefieY. caltah Policies UW require an endarsenwaL Astatemarrt an ldis e >e does act corft rWds to the certificate holder in fieu of such eadorsement(s). PRODUCER NAME M P ROBERTS INS AGCY INC P"°NE978 683-8073 No)(978)583-3147 1060 Osgood Street ADDRESS:sandilaTnprobartsinsurance.com North Andover, MA 01845 OMPM Armaisa INSURER A: PROVIDENCE MUTUAL INSURED HEVIN MURPHY BUILDING MUMBLING INSURER B: MERCHANTS INSURANCE 98 FOREST STREET INS c: GUARD INSURANCE DISUR82 D: NORTH ANDOVER, MA 01845 INSURER E: INSIZER F• COVERAGES CE MRCATENLWElt REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LWED BELOW HAVE BEEN MWED TO THE INSURED NAFFED ABOVE FOR THE POLICY PE3RIM INDICATED. NOTWITHSTANDING ANY REGUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOMMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PBTTAIK 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. um UntTYPEOFINSUR�4NCE Men YWD POJCYNU BER (lliVltfVliyYyp) (liDrIDOtYYYY) Lam GENERAL UABIUTY EACH OCCURRENCE $ 1,000,000 % COMM8aX4L caNERALLIAtatm PREMISES Me-) s 500,000 CLAIMS-MADE 1.b 1 OCCUR MED EXPV fcwpmm) $ 15,000 A BOP1068945 1/22/12 1/22/13 PeRsoNALaAwlHtmr $ 1 000 000 GENERAL AGGREGATE s 2,000,000 GENL AGGRWATELIffAPPLIESPElt PRODUCTS-OOMPIOPAm s 2,000,000 POLICY Om n Loc $ AUTOMOBILE UAeaITY $ 1,000,000 AAUTO BOMMCA7013608 1/23/12 1/23/13 INJURYY ) s Auo B AUTOS AUTOS BOMLYMMY(Peramicf" S KREDAUTOS DAMAGE S S uMBRELLa LIAROCCUREACHOCC RR131 E $ 1,000,000 B HED(CESS LIAB CLas>s-T ADE ANTE s 1,000,000 CIIP9145304 1/22/}.2 1/22/13 — mml RETTamm s $ WORKERS COMPENSATION AND EMPLOYEW UAMURY YIN % mL M(�75 � C �� NIA ELEAMnaxDrT s 500,000 terL,10 me � KEWC317800 7/01/12 7/01/13 E -EA500,000 Myer,desa t uxim DESCRIPTION OF MMATIO S below eL 0SEAM-PmcY UMrT s 500,000 DESCMPTIO OF OPMATI MJS ILOCATMM IVBTICLES~ACORD iM.Ad36areI RemwksStlm&A-_d n..mspme La eeWAred) CERTIFICATE HOLDER CANCELLATION TOWN OF NORTH ANDOVER SHOULD ANY OF THE ABOVE DESCRIBED POLICES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF. NOTICE WRL BE DELIVERED IN NORTH ANDOVER MA 01845 ACCoRamcE WITH THE PoucY PRImsoms. AUnRORIZED THE 0 19W201 ACORD CORPORAnON.An rtgflt3 reserved. ACORD25(2010/)5) The ACORD name and logo are registered marks of ACORD The Commonwealth of Massachusetts Department of IndushialAccidents Offwe of Investigations 600 Washington Street Boston,MA 02111 www massgov/dia Workers' Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers _Applicant Information Please Print Legibly Name(Businesslorganization/Individual): ��•.� Q Address: City/State/Zip: U LCLC'Phone#: 5-1'V- Are you an employer?Check the appropriate box: Type of project(required): 1-6T am a employer with�_ 4. ❑I am a general contractor and I 6. ❑New construction employees(full and/or part-time).* have hued the sub-contractors 2.❑ T am a sole proprietor or partner- listed on the attached sheet.t ?•`5 Remodeling ship and have no employees These sub-contractors have 8. ❑Demolition working for me in any capacity. workers'comp.insurance. g. n Building addition [No workers'comp.insurance 5. ❑ We are a corporation and its 10.0 Electrical repairs or additions required.] officers have exercised their 3.❑ T am a homeowner doing all work right of exemption per MGL 1 i.[]Plumbing repairs or additions myself.[No workers'comp. c. 152,§1(4),and we have no 12.❑Roof repairs t employees.[No workers' insurance required] 13.0 Other comp.insurance required.] *Any applicant that checks box p 1 must also fill out the section below showing their workers'compensation policy information. I 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'tromp.policy information. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and fob site information. Insurance Company Name: r,", CU Policy#or Self-ins.Lie.#: Expiration Date---all V Job Site Address: Z� �-�- a^' �� City/State/Zip: �,4 h,-J ��- �"'-- O L('3'-LS 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 hereby certify under the pains and penalties of perjury that the information provided above is true and correct Sianafore: Date: Phone#: 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 M D • 98 Forest Street I(evM�e �tl � 4!>� Lp+c t • North Andover,MA 01845 1 • PH:978-688-6335 Building Contractor 0FAX:978-688-7207 Proposal To: Mike&Betsy Quinn 29 Heath Road All Home improvement Contractors and Subcontractors engaged in North Andover, Ma 01845 specifically exempt improvement 1 i bation by P contracting, i�wtns sns 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 Contra Registration,One Ashburton Place, From: Kevin Murphy Roan 1301,titan,MA 02108.(617)-727 8598 CC: Date: 3/7/2013 Job: Kitchen Date of plans: 2/13 Architect: Kitchen Designer Location: Same Section 1-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 3/11/13. Barring Delay caused by circumstances beyond Contactors control,the work will be completed by 5/15/13.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 furnished 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 111-Scope of Work Page 1 of 4 a Kevin Murphy Page 2 of 4 Building Contractor 98 Forest Street North Andover,MA 01845 PH:97868&5335 FAX 97868&7207 General Proposal is to renovate existing kitchen, as shown on owner's plans. Building permit will be provided by contractor. Demolition Existing cabinets/countertops will be removed. Exisitng wall will be gutted as required. No allowance has been made to completely gut kitchen area. Building Any miscellaneous materials required to renovate kitchen,will be provided. Plumbing Plumbing required to relocate kitchen sink, and connect new appliances will be provided. New sink and faucet to be supplied by owner. Electrical Electrical work required to renovate kitchen to meet code will be provided. Existing recessed lights will be replaced with new five inch ones. New appliances will be wired/installed. Surface mounted fixtures(pendants, under cabinet lights ) to be supplied by owner, installed by contractor. No allowance has been made to upgrade existing electrical service. Heating/Air Conditioning Existing heating and air conditioning to remain. Insulation Any insulation required will be supplied/installed. Plaster Any plastering/patching of walls/ceiling will be provided as required. Interior Trim/Doors Interior trim will be supplied and installed to match existing. New Azek base trim will be installed in basement area. New oak stair treads/trim will be installed on basement stairs.Two door slabs will be replaced in rear hall area. Four doors will be replaced to existing bedrooms. (more doors can be replaced at same time, if desired) . Kitchen cabinets to be supplied by owner, installed by contractor. Countertops to be installed by vendor. Painting Interior painting of kitchen will be provided ( entire large room, that kitchen is located in . Ceiling will be painted.Walls and trim will have one coat of primer,and two coats of finish applied. w Kevin Murphy Page 3 of 4 Building Contractor 98 Forest Street North Andover,MA 01845 PH:978885335 FAX 978-68&7207 Flooring Any patching of hardwood floor will be provided. Floors in large kitchen area, dining room, hall, and front entry area will be refinished.Three coats of oil based urethane will be applied. Waste Removal All demolition tion/construction debris will be disposed of by contractor. Kevin Murphy Page 4 of 4 Buflding Contractor 98 Forest Street North Andover,MA 01845 PH:978AZ85335 FAX:978588-7207 I Section IV-Price Schedule We hereby propose to fumish material and labor-complete in Accordance with above specifications for the sum of... ......... .................. .......$ 25,050 Payment to be made as follows: Percentagentem Description Amount 1 Permit obtained $2050 2 Plastering complete $8000 3 Cabinets installed $9000 4 Flooring / painting complete $4000 5 Job 100% complete $2000 Total 5 $25,050.00 "No6oe:No aTeemerd for Home improvement cont ad M work shall require a down payment(advanoe deposit)of am brat one4hird of the total contrail price of the total arrrount of all deposits or payments which the oontrador must make,in advance,to order and/or otherwise obtain cle ivM of special order materials and equipment,whichever is 9feater 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 Signature Date