HomeMy WebLinkAboutBuilding Permit #234 - 29 NORMAN ROAD 9/26/2006 TOWN OF NORTH ANDOVER
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APPLICATION FOR PLAN EXAMINATION +
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Permit NO: Date Received
e
Arap
Date Issued: ��SSACHU`����y
IMPORTANT: Applicant must complete all items on this page
No2Mel r)
LOCATION �� II�/��..,,...r—•� �.o�
Print
PROPERTY OWNER GLS::� &- s' �
Print
MAP NO.: 5— PARCEL: 2., ZONING DISTRICT:
TYPE AND USE OF BUILDING HISTORIC DISTRICT YES ❑
TYPE OF IMPROVEMENT PROPOSED USE
Residential Non- Residential
❑New Building J One family
❑ Addition ❑ Two or more family ❑ Industrial
alteration No. of units:
❑ Repair, replacement ❑Assessory Bldg ❑Commercial
❑ Demolition
❑ Moving(relocation) ❑ Other ❑ Others:
❑ Foundation only
DESCRIPTION OF WORK TO BE PREFORMED
_ Tut�r v., 12.�..��+--a IQ-) v.e�,
— E
Identification Please Type or Print Clearly)
OWNER: Name: G v.,_ f. 51.x.._ Phone: 2,Ss3
Address: <..�
CONTRACTOR Name: Phone:
Address: vL-�
Supervisor's Construction License: 033 U` fs, Exp. Date:
Home Improvement License: D, Exp. Date: L`Z2 11
ARCHITECT/ENGINEER ,�,,�_ �c ,}�e... Name: Phone: 33
Address: �+(.�J Mso�,�llv..i ..,,� Reg. No.
FEE SCHEDULE:BULDING PERMIT.$72.00 PER$1000.00 OF THE TOTAL ESTIMATED CO T BASED ON$125.00 PER S.F.
Total Project Cost :$ `� O` J U FEE:$
Check No.: '�5 Receipt No.:
Page 1 of 4
G
TYPE OF SEWERAGE DISPOSAL Swimming Pools ❑
Tanning/Massage/Body Art ❑
Public Sewer
Tobacco Sales ❑ Food Packaging/Sales ❑
Well ❑
Permanent Dumpster on Site ❑
Private(septic tank,etc. El Permanent
Meter location to
proj ect
NOTE: Persons contracting with unregistered contractors do not have access to tine guaranty fund
Signature of Agent/Owner �(- Signature of contractor
Plans Submitted Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans
THE FOLLOWING SECTIONS FOR OFFICE USE ONLY
INTERDEPARTMENTAL SIGN OFF-U FORM
DATE REJECTED DATE APPROVED
PLANNING & DEVELOPMENT ❑ ❑
COMMENTS
DATE REJECTED DATE APPROVED
CONSERVATION ❑ ❑
COMMENTS
DATE REJECTED DATE APPROVED
HEALTH ❑ ❑
COMMENTS
FIRE DEPARTMENT - Temp Dumpster on site yes no
Fire Department signature/date
COMMENTS
Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes
Planning Board Decision: Comments
Conservation Decision: Comments
it
Water& Sewer connection/Signature& Date Driveway Permit
Building Setback(ft.) Nil A �'v 4:�"Le C"-" S�
Front Yard Side Yard Rear Yard
Required Provided Required Provides Required Provided
Dimension
Number of Stories: Total square feet of floor area, based on Exterior dimensions.
Total land area, sq. ft.:
NOTES and DATA—(For department use
I
Page 3 of 4
Doc:INSPECTIONAL SERVICES DEPARTMENT:BPFORM05
Created JMC.Jan.2006
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
o Copy of Contract
❑ Floor Plan Or Proposed Interior Work
Addition Or Decks
❑ Building Permit Application
❑ 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)
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
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:INSPECTIONAL SERVICES DEPARTMENT:11PFORM05
Page 4 of 4
I
__ I
4 NORTH
Town of s �r. Andover
No.
A E dover, Mass.,.J&& foeo
0 LK
COC KICMEWICK
�d ADRATED
`r BOARD OF HEALTH
Food/Kitchen
Septic System
BUILDING INSPEC'T'OR
THIS CERTIFIES THAT........ 11� ......SA-1111i ! /................................................................................................. Foundation
has permission to ere �.......................... buildings on .a01..........N.� ......O. .............. Rough
to be occupied as... ...t .W.....P,►I Oh........ ...... 04.4........2r�.�t.... ��.�. Chimney
provided that the person ftcepting this permit shall in every respect conform 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
W _- Final
4
PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR
UNLESS CONSTRU STAR Rough
........................... Service
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 FIRE DEPARTMENT
Until Inspected and Approved by the Building Inspector. Burner
Street No.
SEE REVERSE SIDE Smoke Det.
NORTH ANDOVER BUILDING DEPARTMENT
Tel: 978-688-9545
DEBRIS DISPOSAL FORM
In accordance with the provision of NIGL c 40 S 54, a condition of Building Permit
at: 7� is that the debris resulting from this work shall be
disposed of in a properly licensed solid waste disposal facility as defined by NIGL
_ 11, S150A.
Also, note Permits are required under Fire Prevention laws Chapter 148 Section
I OA.
The debris will be disposed of in:
141ocation of Facility)
Signa�t re o ermit Applicant
Fire Department Sign off:
Dumpster Permit
`t � Li 106
Date
The Commonweallh of Mossachusetts
DOParlmeat of Industrial accidents
Office of Investigations
600 Washington Street
t!$4 Boston, MA 02111
www mass gov/dia
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricions/Plumbers
A tlof
r PILeast Print LIS b
ly
Name I limines4A kpnization/Individual): f L
Address:_ U`L
City/State/Zip: 1,. . �__�`"",-_�.�.`•SL� ' Phone #: `'
Ar you ab employer?Check the appropriate box:
Ty�Gfro ect uired :
sj ( )
rn a employer er wiHt 4. 1 am a �
p Y ,� ❑ general contractor and i
s 6.
erni b New
p yeas(foil and/orpart-time), have hired the sub-contractors ❑ construction
2. is _
m a sole I ist
fetor tx r ed on the 7
Propr P attached sheet. • Remodciin
❑ g
ship and have no employees These sub-contractors have 8. (� Demolition
working for me in any capacity. workers'comp. insurance.
1No workers'comp. insurance 5- ❑ We are a corporation and its 9. ❑ Building addition
required.) officers have exercised their 10.0 Electrical repairs or additions
3.(] i am a homeowner doing all work right Of exemption per MGL i I.Q Plumbing repairs or additions
myself.[No workers' comp, c. 152.§1(4).and we have no 12.❑ Roof repairs
insurance required.[r employees. (No workers'
COMP. insurance required.) 13.0 Other_, ^�
#.Arry npplicM tipn dKt*s t"#1 tttust also"ort the wetion below sbowinit their.voricerx'wrnpa+titian polity intMrtnalion. _
tioaneovAwn who 401111111111 this rrtTdwit indianting they aro doing{nit wtwR and them bite outside c0ownwtors must nttsubmit a new ahTidavit iaadicat'
Cotaction that check this box awn atttaehed an additional 4ed sMwinp the name otthe sub exmau�guns ins st"c'
and their
workers' 1xclicy inliumalion
/am sr►ett�NYr,prr/t cal h prlerl�p�war�ttns'conip�nrtegtew iasuruNce jar�► .�
BrRuw h Mre
Itirrjetrttr+tghrrr, po#q andPb x*
Insurance Company Name:
Policy#or Self-iris. t-ic. s: we,. Expiration Date:
Job Site Address: ` Nt •. __ City/State/Zip: &&,•.._IC.=-, -.^..z_.�...
Attach a copy of the workers'compiensation 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 criminalpe nalties of a
line up to S i.500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER ami a fiisle
of up to 5250.00 a day against the violator. Be advised that a copy of this statement may he forwarded to the Office of
investigations of the DIA for insurance coverage verification.
I tto r0"& prices and prirrehm ojPedafY that the Mformwdan prolddedabove is trr�e and comet.
s' [/ _�--,
Phnt�g 4 _ -
0Yjkhd Kse o,91y. ,Do a'w write/n this#held,to be s canted by miry or lawn n( chit!
City or Town: Permit/License N
Isstt1ft Authority Icirele orte):
1. hoard of Health 2. Ruilill"Department 3.City/i`own Clerk d. Electrical inspector S. Plumbing Inspector
b.Other
CoAgret Pers": Moot rl:
FRIM :M.P. Roberts Insurance FAX NO. :19786833147 Jul. 18 20% 11:10AM P1
AGQBQ- CERTIFICATE OF LIABILITY INSURANCE °"TE`"w°°Ym'Alloauueft 07118Z.2906
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THIS GElITIFICATE 13 I SMD AS A MATTER OF INFORMATION
M.P.ROBERTS INSURANCE AMC? INC. ONLY AND COf*V0 No RWHTZ UVOM THE CERTIFICATE
HOLDO1060 09000D STREET TW 3'�RTIFI"It DOES NOT AMRNo, exTrA0 ae
COVE M APFORDEO 8Y THE POLICIES sEx.Ow.
NORTH ANDOWIR MA 01845
978—M-4071 WILPROW AFFOROM COVIEMOE NAICA
I&VIN MURPHY BUILDING 6 REMODELING wauRelA PROD
169 BOXFORD STREET Mom C: s`�•`" __
NORTH ANDOVER, NA 01845 0: --i— -;
COVERAGES
IHE POLICIES OF INSURANCE LINED BELOW NAVE BEEN IB MD TO THE IN6Lfto W P*D ABOVE FOR•1ME roucr pMW INWATea WMVITOCTANWNG
ANY ReQUIREWINT.TT/RM 00 CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WfTM ReSPLLCT TO WNK:N THIS CFRT1FfUle MAV Ap ISgUE0 ON I
MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLIGl8 DESORM NEREIN►10 SUBJECT TO ALL THF TERMS."CLU610as AN O46NO PIS OF SIrC" I
POLMS.AGOREOATE UNITE SHOWN MAYNb1Ve 4EiN REOUCEO SY IINO CLMMB.
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9000RtPT10114f OPCfMTIOIiprLOCArlolgrYEr0lE0rQOtIN10tgA00lDaYnNIaOlawtNrraPECIALPAowIONr
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CERTIFICATE CANCELLATM
a"OWOAW OF THE ANVE Desaa pm '
TOWN OF ANDOVER, MA mRxa as cnwcauao aaPORrr n.F AIINIRATON
NIAATLl1TT STREET oATa"W"'TW I ROM Of^"%K.L 04WAY "10 w1L 10 1LrA MRIrrF.4
ANDOVXR, MR 01810 "07"rO"e 00"'r Ve'OLMA NIA M TO r"e NPT,nUT AAAAIMR u vu
BUILDING DEPl1RTM6NT WOW NO OKAATfON OR Lkk@WW OP ANY 11wu UP1R!Inc
IT N"011 i
A"TNOMM AnY7<
ACOROtB(300t)te) OACOKO CORPORATION Wn
I
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• 169 Boxford Street
evi _ VWW Why,- North a PH: 8-68945 A 01845
Building Contractor FAX:9784M7207
Proposal
TO: Greg&Ashley Shea
29 Norman Road All Hom improvement Contractors and subomtracbrs
engaged 1n nave fmprovenwO rentracling,vibes
North Andover, Ma. 01845 suemficarb ex-v h0m mo*ation b'''10 Im—of Chapier
142A of 9+e general laws,must be registered wflh Me
CAmmornrealU or Massadu seas.IngWdw aha,t
reg shabon and Status shw1d be made to tyre Dhr ,Ham
Improvement Cor&W Registration,One Ashburton Place,
Frobme Kevin Murphy Room 1301,Boston,MA 02108.(817}727 6598
cc:
Dsfte; 9/16/2006
dobe Renovate existing second floor
Datta of plans: 9/06
Arab Steve Foster
Loaattiona 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 10/1/06.
Barring Delay caused by circumstances beyond Contactors control,the work will be completed by 12115/06.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 II-Warranty
The Contractor warrants that the work furnished hereunder shall be free from defects M materials and workmanship for a penod of 1 year
following completion and shoo 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 wodc nanship. The foregoing warranties shall survive any inspection performed in
connection with the agreed-upon work.
Section III-Scope of Work
f
Ietln Mu rphy Page 2 of 4
ovdlding contractear
169 Bo)ftd$heel
North Ar ,dover,MA 01645
PR 978-68&5335
FAX,97868&XXXX
General
Building permit will be provided by contractor. Plans to be provided by owner.
Demolition
Existing second floor walls and ceilings will be gutted. Existing hardwood floors to remain.
Building
All framing materials required to raise ceiling height, relocate/build petitions as shown on plans will be provided_
Three Velux skylights will be supplied and installed as shown on plans. All existing second floor windows will
have Harvey replacement units supplied and installed in existing openings ( to match first floor windows ) . No
allowances have been made to change exterior roof lines/dormers.
Plumbing
Plumbing required to add three fixture bath on second floor will be provided. An allowance of$850 has been
included for plumbing fixtures. { $400 for shower, $100 for simmons shower valve, $200 for Kohler wellworth
light toilet,$150 for bath faucet)
Electrical
Electrical work required to wire second floor area to meet code will be provided_ Bedrooms will be wired for
switched outlets or overhead lights as directed by owner. Outlets to code. Surface mounted fixtures to be
provided by owner ( ceilingl lights, vanity lights ) . Bath fan light unit will be provided. Phone, cable, and
computer lines will be roughed in by electrician, to be connected by their service provider at owner's expense.
No allowance has been made to upgrade existing electrical service.
Heating/Air Conditioning
A separate zone of forced hot water heating, will be provided of off existing steam boiler, to property heat
renovated second floor area. No allowance has been made to upgrade existing boiler.
No allowance has been made for any air conditioning.
Insulation
Second floor area will be insulated to meet code. (R-30 in ceiling , R-13 in walls)
Player
All second floor areas will be blueboarded and skimcoat plastered. Ceilings to match existing, walls will be
smooth, closets will be textured.
Interior TrimiDoom
All pre-primed interior trim and doors will be supplied and installed to match existing. New railing around stairs
will be supplied and installed to match existing. No allowance has been made for stain grade trim or doors.
Kevf=Murphy
� Ctwaetow Page 3 of 4
NOM Andover,MA ow
PH:978ZBB{M
FAX 97"WxXX(
Flooring - ....-
Existing hardwood floors will be refinished.Three coats of oil based uerathane will be provided
An allowance of$800 has been included to supply and install carpet in third bedroom.
Tile floor will be provided in new bath area.An allowance of$600 has been included for file materials.
Other Allowances
An allowance of$600 has been included for bathroom vanity and countertop.
Waste Renoval
All demolition/construdon debris will be disposed of by contractor.
Item Not Induded
There have been no allowances made for any painting or shower doors.
r I
Kevin Mvurptry
Bmmdittg con"a etoe Page 4 of 4
168 Boxford Suaet
North Andover,row 01845
PH:976688-5335
FAX:976686-XXX(
Secdon IV-Price Schedule
We hereby propose to famish material and labor—complete
in Accordance with above specifications for the sum of ... ... ... ... ... ... ... ... ... ... ....
Payment to be made as follows:
Percen e/ttem Descri ion Amount
1 Demolition complete $10,000
2 Skylights/windows/wall framing complete ete $15,000
3 Rough plumbing / electric complete $10,000
4 Plasteiing complete $8000
5 Interior trim / doors complete $10,000
6 Job 100% complete $7000
Total 16 $60,000.00
"N&jw-No a,#eemw to Hamm aanbachrV wak ,e Lft a down"MeM( deposit}of move f0 a*4*d at tt,e ON aantrad price of the tots amass a eii depot or
PaYma+la aAdch the aaraac4or must make,in advarke,to artier andh,r att,ennve obtain ddnery or apodal order and egtdgner,t,wrucF,ever is gpater
Contractor: Kevin Murphy
169 Boxford Street
No.Andover, MA 01845
Registration No: 101874
section V—Accepbmce
Acceptance of Proposal—I have read this document and accept the prices, specifications,and conditions stated. I
understand that upon signing,this proposal becomes a binding contract.You are authorized to do the work as specified.
Payment will be made as outlined above.
You the buyer may cancel this transaction at any time prior to midnight on the third business day after the date of this
transaction cancellation must be done in waiting
DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES
Signage r paw y
Signature Date
RevinMurphy �also
Building Contractor 0 FAX:078-$-rM
Toe Greg&Ashley Shea
29 Norman Road
North Andover, Ma. 01845 r am. Mtm reg n cry Proataiarhe d CrhapW
142A d9te 90 1081 MW nwN be registered YA h the
Co--WMRM Of MmehhWhW abM
M9bnW-and Stade dtotdd be made to the DOwW Horne
tFsol Kevin Murphy Roo condsa ,one Asf>wft Ram,
BOWn AAA WOO.(617)-?27 SON
cc:
Donee 6/112006
Job: Repair porch
Dabs of p hmc none
Aidilleft none
doe same
Section 1-Vim Schedule
Contractor vM begin the wok or order the materials before the thkd day blowing the signing of this agreement, unless specified here in
w UXI contractor will begs t work on or about 6N sm.
Barring Delay caused by&arnstanc s beyond Contactors control,the work will be completed by 8/30/05.The owner hereby acknMviedges
a ctt� re the scheduling dates aapproximate and that such delays that are not avoidable by the Contractor shad no be considered as
agreement.Vlowsm
Section 11-W rranty
The Contractor warrants the the work furnished hereunder shall be he from defects in materials and worktna mhip for a perlod of 1 year
"Ming completion and shaft amply with the neWkwrents of this moment. In the gent any detect in worWTw1ship or materials, or
damage caused by the Contractor, his subcontractors, employees or agents, is discovered within one year after completion of any Job,
tt�o
including deanup,the Gonr shall,at his own expense,foth vM remedy,repair correct,replace,or cruse to be remedied,repaired,or
replaced, such damage or such deled in meleriais or worltmanship. The foregoing warranties shall sari"any ropection pedbrmed In
Wnriection wfih the agreed-upon work,
Section 111-Scope of Work
Kevin Meshy Page 2 of i
soikUng Contractor
169 B042d S"Ot
North Andover,MA O1W
PH;97845884W
FAX:978688-X)=
General
Building permit will be provided by contractor. Existing foot print of porch to remain unchanged.
Demolition
Existing railings,decking,floor joists,and stairs will be completely removed.Existing roof to remain.
Foundation
New 12'W'footings will be provided as required.
Building
New 2x8 pressure treated floor joists will be provided. Decking will be Timbertec k/Trex or equivalent. Railings
and lattice will be white vinyl type. New square columns will be wrapped with Azek. ( I dont think they make any
parts to connect the vinyl railings to round columns)
Waste Removal
AA demolition I construction debris will be disposed of by contractor.
Items Not Included
There have been no allowances made for any painting.
l
Revirn MuwPriY Page3 of
BUildiug ICCWdZactor
169 Sodom street
Nmt,Andover,MA 01945
PH:978688,5=
FAX 97$-6WXXXX
SOCI& t IV-Prim Schedule
We hereby propose to furnish material and labor—complete
in Accordance with above specifications for the sum of... ... ... ... ... ... ...... ... ... ... ....$ 10,500
Payment to be made as fo�lQm:
Percentage/item Dmcri tion Amount
1 Pemit obtained $2500
2 Demolition complete/floor frame complete $4000
3 Job 100% complete $4000
Total 3 $10,500.00
"NO No apr--O for Wane�yravertaxN amtrssirn wak ahaM lequire a down peyrra3nt(eduenae deposit)d more tatorelhMd dtle told axtad R=dtw WW anwuk dad depoeta 0r
Peyrnerde wtedh tie ow*wotarm m make,in advance,b oidar o Km atowbs daab dekmv d apedel ader nm6adds and eqwpnwd,u4wimet is geater
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 staged. l
understand that upon signing,this proposal becomes a binding contract You are authorbmd 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
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