Loading...
HomeMy WebLinkAboutBuilding Permit #799-14 - 330 MARBLERIDGE ROAD 5/7/2014t ., r,N BUILDING PERMIT TOWN OF NORTH ANDOVER ° t f APPLICATION FOR PLAN EXAMINAT ; Permit NO: '" I Date Received Date Issued: �9S4ACHUS IMPORTANT: Applicant must complete all items on this LOCA Print� PROPERTY OWNER �� N$O��t . �7 Print MAP NO: 0 ! PARCEL ZONING DISTRICT: Historic District yes no Machine Shop Village yes no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New BuildingOne family El 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 m aqu bLttUY14 Il .¢1 •Lain bV csWn . T a -Ew tt\ shaweY , `4�b :DL�6- i P�2G ltfl0 r. NGW WN1(, "qc� ��u 1 • 5 aa SUM", �tW,r 11 4;::1oUdc . Glass c dasr. Identification Please Type or Print Clearly) OWNER: Name: —�� t4lw6r) Phone: tp1�} as -'103 Address: , CONTRACTOR Name: ..1 � Phone: �li"b • `dap" U�; PjllGl,Vl�,� +yU,SYtws+C Address: i3 (ZtvQ,rraoW �ir.. L'%w�S c IUA o1�2�( Supervisor's Construction License: Exp. Date: tola�l Home Improvement License: Exp. Date: t ltal 25% 0121 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: $ 3D 1 201Q FEE: $ 3�Z• Check No.: Receipt No.: 2'I c; -4q NOTE: Persons contracting with registered contractors do not have access to the guaranty fund Signature of Agent%Owner Signature of contract r 0 TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit NO: Date Received Date Issued: . IMPORTANT: Applicant must complete all items on this page LOCATION _ - --- PROPERTY OWNER' Print, 1:00 Year Old Structure yes no; MAP NO: PARCEL:.._ ZONING.DISTRICT ,, _Historic District yes no. — Machine Shop Vilaage yes .TYPE OF IMPROVEMENT. PROPOSED USE Residential Non- Residential ❑ New Building ❑ One family ❑ Addition ❑ Two or more family ❑ Industrial ❑ Alteration No. of units: ❑ Assessory Bldg ❑ Commercial ❑ Repair, replacement ❑ Others: ❑ Demolition ❑ Other ❑Septic ❑ Well ❑ Floodplain [dWetlands 0 Watershed District' 11 Water/.Sewer DESCRIPTION OF WORK TO BE PEK1-OKMtu: Identification Please Type or Print Clearly) OWNER: Name: Phone: Arirlracc- ARCHITECT/ENGINEE Address: Phone: 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 guarantyfund Sign ur of Agent/Owner''_ _ SgturP cf ontracto .�_ Plans Submitted Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ Building Department The fol!''. W" g is'a list of he required.forms to befilled out -for: the appropriate. permit to.be obtained. Roofil,g, Siding, Interior Rehabilitation Permits Building Permit Application ❑ Workers Comp Affidavit ❑ Photo Copy Of H.I.C. And/O'r" 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 L3 Workers Comp Affidavit o Photo Copy of H.I.C. And C.S.L. Licenses ❑ Copy Of Contract o 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) o Building Permit Application o Certified Proposed Plot Plan o 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 cas<s if a variance or special permit was required the Town Clerks office must stamp the decision from the Board of Appeals that the apwr 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.Bui?ding Permit Revised 2012 Plans Submitted ❑ ".PlansWaived ❑ -..:'__.Certified Plot Plan ❑ . Stamped Plans ❑ . -TYPE-OF-.SEWERAGEDISP.OEAL" Public Sewer ❑ Tanning/MassageBodyArt ❑ .. Swimming Pools ❑ Well ❑ Tobacco.Sales 0 -Food Packaging/Sales ❑ -Private:(septic tank, etc__ permanent D'iimpster on-site THE_.FOL'LOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM PLANNING & DEVELOPMENT' COMMENTS CONSERVATION COMMENTS HEALTH COMMENTS DATE REJECTED ❑ DATE ,APPROVED Reviewed on Signature Reviewed on Signature Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes - Planning Board Decision: Conservation Decision: Comme :Comments. Water & Sewer Connection/Signature & Date Driveway Permit DPW 'I owe Enganeer: Signature: Located 384 Osgood Street FIRE DEPARTM AT Tetiip Dumps er on site .yes no Fire ®e'partme►�t signatare/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-, 'niast-or service drop requires approval of Electrical Inspector Yes No DANGER ZONELITERATURE: 'Yes No MGL-Chapter, 166.Section21A-F and G min.$100-$1000.fiine F r y i t5 and UA I A — (1 -or department use D Notified for pickup - Date Doc.Building Permit Revised 2010 Location�� No. [— I j Date Check # 27549 TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $� Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Qv Building Inspector A. Enter construction cost for fee cal - North Andover Fee Calculation Construction Cost $ 30,206.00 m $ - $ 362.47 Plumbing Fee $ 45.31 Gas Fee 100 comm. $ 100.00 Electrical Fee $ 45.31 Total fees collected $ 553.09 330 Marbleridge Road 799-14 on 5/7/2014 Bath Remodel Enter construction cost for fee cal - North Andover Fee Cakulation Construction Cost 30,206.00 m $ - $ 362.47 Plumbing Fee $ 45.31 Gas Fee 100 comm. $ 100.00 Electrical Fee $ 45.31 Total fees collected $ 553.09 330 Marbleridge Road 799-14 on 5/7/2014 Bath Remodel r0 Z O CL r O � r D to O 00 C C a 2) N O Cl) n U) r_ U) CD rF CD CD a. U) CD N O CD O CD c� 15 -v ''mA V+ Z Z cn <O � -1O O CD CAy C -ni CDCD0 n O f'- — a z o =r mo N O O y a: �'2 w W RCN CD 0 N =• m CD o a3 .t m D C n —I to Q rt _ O P. O �• Cn' W � CD p Q. CD 'a -1 ar." G COp to CD c 0 H z � O O CD a vDcn CL y C 0 toZ < CL O = N p < Q � O N O CD O N W O � y r 03 0O ••r O ..,� IAF CD CD C C 0 00;u C ((D U) C N D O O � T 3' N O CD CO) r m D v m 0 T 3 W O S r- C ZcZi Cii m 0 T (, S rD .�7 O S T O Q co DCD N (D Ln O 3 T O \ S rD W v O D _ CD -0 @ Y 0 O r�•F sl Q . In 3 77 (De N - M -F O 00;u C ((D M m M D 3M m -1 O O Z N O T 3' N O ;u O r m D v m 0 T 3 W O S r- C ZcZi Cii m 0 T (, S rD .�7 O S T O Q co W C m A 0 N (D Ln O 3 T O \ S rD W v O D _ fD V rA V Z' Z, r, Massachusetts - Department of Public Safety Board of Building Regulations and Standards y Construction Supervisor License: CS -101971 BRANDON D NEW -HOUSE' 4106 ARCHSTONE AVENUE TEWKSBURY Na' 01876 �i X44 Expiration Commissioner 07/26/2014 ��.e �pomvn�,00u�seal� o��uoaac�utaeC�a Office of Consumer Affairs & Business Regulation VME IMPROVEMENT CONTRACTOR ,relgistration: ;.fi67257 Type: piration: _:8/2412{1-14,k DBA SUPERIOR KITCHENS&=BATHS � ,`,-� BRANDON 13 RIVERMEADOW DRIVES=-. CHELMSFORD, MA 01824" Undersecretary. TY-� Rt r �r-r � �r.�•�•r rti �r ti r_-�. L��' tai r rs� •�v--L � fl►�.S i�f 1�i�-� superiorkIiteme,02 7r7s, com, CONTRACTOR AGREEMENT THIS AGREEMENT made this 3rd day of April, 2014 by and between Brandon and Jane Newhouse, hereinafter called the Contractor, and Gina and Jason Newton hereinafter called the Owner. WITNESSETH, that the Contractor and the Owner for the consideration named herein agree as follows: ARTICLE 1. SCOPE OF THE WORK The Contractor shall furnish all the materials and perform all of the work shown on the drawings and/or described in the specifications entitled Master Bathroom Work Order, as annexed hereto as it pertains to work to be performed on property located at: 330 Marbleridge Road North Andover, MA ARTICLE 2. TIME OF COMPLETION The work to be performed under this Contract shall be commenced on or before May 5a` 2014 and shall be substantially completed on or before June 6th, 2014. Time is of the essence. ARTICLE 3. THE CONTRACT PRICE The owner shall pay the Contractor for the material and labor to be performed under the Contract the sum of Thirty thousand two hundred six dollars ($30,2o6) subject to additions and deductions pursuant to authorized change orders. ARTICLE 4. PROGRESS PAYMENTS Payments of the Contract price shall be paid in the manner following: 1sT Payment - $3,000 Nonrefundable deposit to hold date due at contract signing 2"d Payment - $7,735 Due on start date 3rd Payment - $7,735 Due after passing rough inspections 4th Payment - $7,735 Due after file installation Final Payment - $4,000 Due at project completion ARTICLE 5. GENERAL PROVISIONS 1. All work shall be completed in a workmanship like manner and in compliance with all building codes and other applicable laws. 2. To the extent required by law all work shall be performed by individuals duly licensed and authorized by law to perform said work. 3. Contractor may at its discretion engage subcontractors to perform work hereunder, provided Contractor shall fully pay said subcontractor and in all instances remain responsible for the proper completion of this Contract. 4. Contractor shall furnish Owner (upon request) all appropriate releases or waivers of lien for all work performed or materials provided at the time the next periodic payment shall be due. 5. All change orders shall be in writing and signed by both Owner and Contractor. 6. Contractor warrants it is adequately insured for injury to its employees and others incurring loss or injury as a result of the acts of Contractor or its employees and subcontractors. 7. Contractor shall at its own expense obtain all permits necessary for the work to be performed. 8. Contractor agrees to remove all debris and leave the premises in broom clean condition. 9. In the event Owner shall fail to pay any periodic or installment payment due hereunder, Contractor may cease work without breach pending payment or resolution of any dispute. io. All disputes hereunder shall be resolved by binding arbitration in accordance with the rules of the American Arbitration Association. ii. Contractor shall not be liable for any delay due to circumstances beyond its control including strikes, casualty or general unavailability of materials. 12. Contractor warrants all work for a period of 12 months following completion. ARTICLE 6. JOBSITE EXPECTATIONS 1. Homeowners are responsible for any pets(s) on premises. All pets should be contained in a separate part of the house during all phases of project. Contractor, employees, & subcontractors may not be held responsible for pet(s) left unattended for duration of remodeling project. 2. Contractor does not assume liability for pre-existing problems found during demolition phase. Existing conditions of structure are assumed to be adequate unless otherwise noted by homeowner. Leveling of pre-existing walls, ceilings, and floors is not assumed to be included within unless otherwise specified. 3. Area where work is to be performed is to be cleared by homeowner of all belongings prior to project start. A fee of $50 per 1/2 hour will be charged if responsibility of clearing the area is left to Superior Kitchens & Baths employees. Damage from dust & demolition to objects left in work area by homeowner is not Superior Kitchen & Baths responsibility. 4. Homeowners are not permitted to observe within immediate or adjacent rooms while remodeling is in progress. Superior Kitchens & Baths and its employees and sub -contractors are to be allowed to work uninterrupted within the immediate project boundaries. Inspection of job site by homeowners is permitted after jobsite has been cleaned and remodeling has ceased each day. 5. Homeowners are not permitted to help with remodeling process unless otherwise noted.Superior Kitchen & Baths does not assume liability for injury to homeowners performing work on the job site. 6. By entering into this contract, the homeowner(s) acknowledge that adequate time must be allocated with respect to selection of finish materials in preparation for project start date. These materials include, but are not limited to, appliances, electrical fixtures, plumbing fixtures, cabinets, etc. Superior Kitchens & Baths, at its own discretion, will aid in locating & choosing any of the items listed. The ordering & delivery of items in time for the project start date is the homeowner's responsibility. Homeowner(s) understand that selection of finish materials directly impacts the project schedule and all related contractor & sub -contractor obligations to the project. Any delay of project start date and any subsequent delay of project schedule due to failure to have necessary materials available to Superior Kitchens & Baths will result in a non-negotiable $40o re -scheduling fee (per separate project delay). 7. Project scheduling is sole responsibility of Superior Kitchens & Baths. Though homeowner suggestions are taken into consideration with respect to the schedule, Superior Kitchens & Baths reserves the primary role in the schedule decision making process. If owner delays projects due to personal preferences on scheduling or by refusing entry to Superior, its employees or subcontractors, the owner will be charged at $400 per rescheduling fee until reentry is allowed. 8. If, during our team meeting, our plumber or electrician's estimates come in higher than what we initially estimated their portions to cost, this contract is void and home owner's deposit will be refunded. ARTICLE 7. ADDITIONAL NOTES Signed this day of April 3rd, 2014 Gina Newto ,Homeowner Date Jason N on, o er Dat " Ir` IrrarldoAlNewhouse, Contractor Date r Al i Marciano Plumbin Saugus, MA 617-775-7335 TD Electric Tom Donahue 42 Fulton Street Medford, MA 02155 617-718-7344 The Commonwealth of Massachusetts r 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 Applicant Information Please Print Legibly Name (Business/Organization/Individual): Brandon Newhouse dba Superior Kitchens & Baths Address: 13 Rivermeadow Drive Citv/State/Zip: Chelmsford, MA 01824 Phone #:978-806-6857 Are you an employer? Check the appropriate box: 1. I am a employer with 4. Q✓ 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. employees and have workers' [No workers' comp. insurance comp. insurance.: required.] 5. We are a corporation and its 3. 1 am a homeowner doing all work officers have exercised their myself. [No workers' comp. right of exemption per MGL insurance required.] t c. 152, § 1(4), and we have no employees. [No workers' msurance Type of project (required): 6. New construction 7. 0✓ Remodeling 8. _ Demolition 9. Building addition 10. Electrical repairs or additions 11. _ Plumbing repairs or additions 12._ Roof repairs 13. Other *Any applicant that checks box #I 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. Insurance Company Name: AIM Mutual Insurance Policy # or Self -ins. Lic. #: WCC -500-5012548-2013A Expiration Date: 10-1-2014 Job Site Address: 330 Marbleridge City/State/Zip: North Andover, MA 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 cedj&,uudq the paigd-andVenalties ofperjury that the information provided above is true and correct. 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 #: