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Home My WebLink AboutBuilding Permit #341-12 - 332 CAMPBELL ROAD 10/18/2011 TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit N pJ Date Received Date Issued: IMPORTANT:Applicant must complete all items on this page LOCATION 3 a C G Print PROPERTY _ PROPERTY OWNER b v N'.Uh Unit# Print MAP NO/"ARCEL: ZONING DISTRICT: Historic District yesTno Machine Shop Village yes 100 year-old structure yes TYPE OF IMPROVEMENT PROPOSED USE _ Residential Non- Residential ❑ New Building ROne family ❑Addition ❑Two or more family ❑ Industrial KAlteration No. of units: ❑ Commercial ❑ Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other ❑'Se tic Well 0fflb0dplavi {EWA la-d `� FWatersheclFDistrict DESCRIPTION OF WORK TO BE PERFORMED: Rog Please Type or Print Clearly) p OWNER: Name: o b r Q_n Phone: L2— Address: W I RtckA _ _ i CONTRACTOR Name: UC>�� Ca��r ® Phone: �� Address: c eso t �l h�� A'K , I'S o2_ Construction License: CS $Ce�8.3 Exp. Date: d 1 ( Home Improvement License: Exp. Date: / ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE.BULDING PERMIT.$92.00 PER$9000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. 6b Total Project Cost: $ �� p FEE: $ � Check No.: 9- 100 Receipt No.:_ NOT ;. erso ratting with unregistered con Yat �d�ve ess to the guaranty fund �', /. i Location 3 32 r_ Date �l NaRrh TOWN OR NOR AND o •: :•• NORTH w . OVER Certificate of Occupancy $ ;�JACMus t� BUII di n g/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee TOTAL $ Check # Olt 24728 Buildin9 inspector I I 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 ❑ I THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM DATE REJECTED DATE APPROVED PLANNING & DEVELOPMENT ❑ ❑ COMMENTS j CONSERVATION Reviewed on Siqnature COMMENTS HEALTH Reviewed on Signature COOS„ M, ENTS Zoning Board of Appeals:Variance, Petition No: Zoning Decision/receipt submitfbd yes Planning Board Decision: Comments Conservation Decision: Comments Wafer& 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 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.$10041000 fine NOTES and DATA For department use Notified for pickup - Date Doc:.Building Permit Revised 2011 June/mi 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 o 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 i 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: Doc.Building Permit Revised 2008mi -' Tomm Of XAORTH Andover . 0 No. C, = o' dover, Mass., loo 19t T O - LAKE COC NICMEWICK TE D �7 BOARD OF HEALTH PER M. IT T D Food/Kitchen Septic System BUILDING INSPECTOR THIS CERTIFIES THAT........P—*b.. ........... .. Foundation has permission to erect .................................... buildin s on ....C^0040.... 194.• Rough �. Chimney to be occupied as ............ ..1.:.Mo� ...... ..... �. ................ .. .... . provided that the person accepting this permit shall in every respecrm 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 lowPERMIT EXPIRES IN b ONTHS ELECTRICAL INSPECTOR UNLESS LESS CONS 1 R TI�L�TS Rough :.............. ........... Service . ... . ..:. ..... .. .... ..... .... BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove Rough 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. OCT-13-2011 THU 11;31 AM FAX NO. P. 01 1. AGER CERTIFICATE OF LIABILITY INSURANCE M 10/1 AYDD)Y11 to/is/2011 PRODUCER (617) 846-8600 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION John M. Siggio Ins Agency ONLY AND CONFERS NO RIGHT'S UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE OCIE I!i NOT AMEND, EXTEND OR 399 Winthrop Street ALTER THE COVERAGE AFFORD&0 BY THE POLICIES BELOW. I WinthropMA 02152- INSURERS AFFORDING COVERAGE _ NAIC I INSURED INSURER A:Harleysville FMC Realty & Construction INSURER B: 15 Pleasant Pl. INSURER C: _ ENSURER D: ^._•, � Lawrence MA 01841- INSURER D: COVERAGE$ THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PER10171INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICA,T:I:MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAMS. INSR ADWL POLICY EFFEOTIVIE POLICY EXPIRATION LTR INSRO TYPE OF INSURANCE POLICY NUMBER DATE MMIDDfYY DATE(MWID LIMITS A GENERAL LIABILITY SPP 974818 10/04/2017. 10/04/2012 EACH 0 CI.RRENCE $ 500,000 X COMMERCIAL GENERAL LIABILITY D E T/`RENTED PREMIS 1 100,000 CLAIMS MADE 1 16 1 OCCUR / / / / MED EXPLA.II one on $ 51000 PERSON JIL:11.ADV INJURY $ 500,000 GENERALAii GREGATE $ 1,000.000 GEN'LAGGREGATE LIMITAPPLIES PER: POLICY LOC PRODUCT1 S•COMPtOPAGG $ 1000,000 JEL`T / / / / i AUTOMOBILE LIABILITY COMBINED DINGLE LIMIT ANY AUTO (Ee 8Wdenl} $ ALL OWNED AUTOS BODILY IAIAdIZY SCHEDULED AUTOS (Per Peru-) $ / / / / _•• HIRED AUTOS BOOILI'INILIRY NON-OWNEDAUTOS (PeracciftnQ $ PROPERTY I:IAMAGE (Perac+Adanll $ GARAGE LIABILITY AUTOONI;Y,IEAACCIDENT $ ANY AUTO / / OTHERTM4bl EA ACC S AUTO ONLY: AGG $ / / E%CESS/UMBRELLA LUIBILITY EACH OC;UfIIRENCE $ i OCCUR CLAIMS MADE AGGREGATE;. $ �TE._ $ DEDUCTIBLE / / / / $ RETENTION $ $ WORKERS COMPENSATION AND / / / / =S %O EMPLOYERS'LIABILITY TWE, ;iI S E ANY PROPRIETORIPARTNER/EXECUTIVE E.L.EACH.161(DENT $ OFFICER/MEMBER EXCLUDED? E.L.DISEAISE i,EA EMPLOYE $ If yes,describe under SPECIAL PROVISIONS below E.L.DISEARE••POLICY LIMIT $ OTHER DESCRIPTION OF OPERATIONSILOCATIONSIVENICLESIE)CCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS i CERTIFICATE HOLDER CANCELLATION _ t SHOULD ANY OF THE ABOVE DESCRIBED PIJL,I(:IES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING IN-IbURER WILL ENDEAVOR TO MAIL 10 DAYS WiUTTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BLIT Town of North Andover FAILURE TO DO$0 SHALL IMPOSE NO OBLFGA*M)N OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGI'NTS OR REPRESENTATIVE$. _ AUTHORED=ENTATIV North Andover MA 01845- r " ACORD 25(2001!08) ®ACORD CORPORATION 1988 INS025(0108).05 ELECTRONIC LASER FORMS,INC.-(800)327{545 Page 1 of 2 i 1lassachusetts- Dilmrtment r>f public Safety Board of Building Re;;ulations and Standards Construction Supervisor License � License: CS 86883 Restricted to: 00 NOEL L COSTANTINO PO BOX 92 N ANDOVER, MA 01845 rs— �,.� Expiration: 12/2612011 (mnmi..i;ncr Tr#?: 12 408 i TIM >n� � ° Office of Consumer Affairs&B siness Regulation CU IMPROVEMENT CONTRACTOR Registration: .-143050DBA ,b Expiration: 5!14/2012 Type: C ANTINO REALTY+CONST• NOEL COSTANTINO 13 PAULINE STREET WINTHROP,MA 01841 Undersecretary I it The Commonwealth of Massachusetts Department of Industrial Accident Office of Investigations 600 Washington Street Boston,Mass 02111 www mass gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers _Applicant Information Please Print Legibly Name(Business/ftwization/Individud): �M f �i' G/ z&, Address: City/State/Zip: r> Phone#: Are you an employer?Check the appropriate box: Type of project(required): 1. ❑ 1 am an employer with 4. :3 I am a general contractor and I 6. ❑New construction employees(full and/or part time).* have hired the sub-contractors 7. LE-Remodeling 2. ❑ I am a sole proprietor or partner- listed on the attached sheet. ship and have no employees These sub-contractors have 8. C Demolition working for me in any capacity. employees and have workers' 9. C Building addition [No workers'comp. insurance imp. insurance.$ P( required] 5. We are a corporation and its 10. F Electrical repairs or additions 3. fl I am a homeowner doing all work officers have exercised their 11. C Plumbing repairs or additions myself [No workers'comp. right of exemption perm MGL insurance required]t c. 152, § 1(4),and we have no 12. L Roof repairs employees. [no workers' 13. 1 Other comp. insurance required.] "Any applicant that checks bog#1 must also fill out the section below showing their workers'compensation policy information. tHomeownen who submit this affidavit Indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. $Contactors that check this bog must attach 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'comg poifcy number. I am an employer that is providing workers'compensation insurance for my employees.Below is the policy andjob site information. Insurance Company Name: Policy#or Self-ins.Lic.#: Expiration Date: Job Site Address: 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 152 can lead to the imposition of criminal penalties of a fore 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 $250.00 a day against violator.Be advised that a copy of this statement maybe forwarded to the Office of Investigations of the DIA for coverage verification. I do herby c JyVU )epains andpenalties of perjury that the information provided above is true and correct 4fGE� Date: 7 -19 Print Name: Q. Phone#: 7d ' S 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 Heath 2. Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact person: Phone#: I c (C®MOPTRUIC"THOKINC. Phone: 978-569-3519 Fax: 978-824-2319 E-mail: noel@fmcconstruction.biz Online: www1racconstruction.biz Mail: P.O. Box 92 North Andover MA 01845 HIC Registration: 143050, Exp. date: 6/14/2012 Tax ID: 271 468 346 MA CS License: 86883, Noel Costantino, General contractor Job No. 206 Date: 9/27/2011 Customer: Rob Obrien 332 Campbell Road North Andover,MA Description of labor for basement remodel project: 1. Remove all existing drywall from ceiling and walls in basement bathroom and bedroom areas 2. Remove textured drywall in adjacent room around bedroom door area 3. Demolish existing closet walls* 4. Re-frame bathroom wall with new door opening to bathroom(re-use existing pine door) and pocket door frame to new closet. Exact location of doorways to be determined by homeowner 5. Remove existing shower stall, adjoining wall and closet 6. Demolish concrete slab around shower drain. Install new drain and trap assembly for tub and sink. Patch slab where necessary 7. Apply floor leveler to tiled floor areas to provide smooth, level surface 8. Construct two access panels for drainage cleanouts in floor 9. Fur out existing studs on the outside walls with 1"wood strips and create a 3-1/2" depth to facilitate new insulation 10. Install R-13 fiberglass batt insulation to outside walls and 9-1/4"fiberglass batt insulation to ceiling cavity for sound attenuation. 11. Install new 1/2"blueboard to all affected walls and ceiling areas(this includes the area under the stairs)and provide smooth plaster finish 12. Install new pocket door slab, re-install bathroom door and re-install all existing door casing 13. Fabricate and install two oak thresholds (one at bathroom door and one at door to bedroom) LICENSED View examples of our work at: vU�L9Ju BBB. INSURED www.fmcconstruction.biz NAT-28333-1 14. Install decoupling membrane and new ceramic the** floor and grout to bathroom 15. Install new tub/shower walls, pedestal sink and re-install toilet** 16. Install new baseboard trim around perimeter of all new wall surfaces 17. Perform all finish plumbing(this includes installation of shower faucet, sink drain and supply lines, sink faucet,connection of water line to toilet, etc.) 18. Install homeowner-supplied toilet paper holder,towel bars and shower rod(if a glass shower is to be installed and up-charge of$100 will be applied to the final billing) 19. Cover ceiling with(2)two coats flat white ceiling paint(a mold-inhibitor will be added to the ceiling paint) 20. Cover all trim with(2)two coats of paint 21. Cover walls with(2)two coats of paint * The wiring and plumbing contained within the closet walls will need to be relocated when they are removed. The cost of which is not included in this proposal **The cost for the ceramic tile and plumbing fixtures is also not included in this proposal I I Payment Schedule: The cost to build the above project is$11,500. This is a labor and materials quote, except where noted,based upon the initial consultation. A non-refundable deposit of$200 will be required to secure a start date* for the project. The remaining payments will be made as follows: ➢ First day of construction 4000 ➢ At the start of the second work week 4000 ➢ Completion of project 3300 *work will commence on November 21'h and be significantly completed by December 2nd I �jEMLICENSED View examples of our work at: . 1 13BB, INSURED www.fmcconstruction.biz NAT-28333-1 r All home a improvement contractors and subcontractors engaged in home P gg improvement contracting, unless specifically exempt from registration by Provisions of Chapter 142A of general laws,must be registered with the Commonwealth of Massachusetts. Inquires about registration and status should be made to the Director,Home Improvement Contract Registration, One Ashburton Place,Room 1301,Boston,MA 02108(617)727-3200 i TERMS AND CONDITIONS WARRANTY INFORMATION: The Contractor warrants that the work furnished hereunder shall be free from defects in materials and workmanship for a period of one 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 substantial 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. All warranties for equipment supplied by the Contractor under this agreement shall be those given by the manufacturers of such equipment,which shall be and are hereby passed through directly to the Owner. Under such manufactures' warranties,the Owner may be required to register or mail in a warranty card or other evidence of ownership and use of such equipment in order to activate such warranties. The Owner's failure to mail in or register such documentation, which failure voids the manufacturer's warranty, shall not create any responsibility for the Contractor to warranty such equipment. The warranty gives the Owner specific legal rights, and Owner may also have the other rights which vary from state to state. Under Massachusetts law, sales of M goods carry an implied warranty of merchantability and fitness for a particular purpose. All material is guaranteed to be as specified. All work to be completed in a workmanlike manner according to standard practices. SPECIFIC TERMS AND CONDITIONS: • Any and all construction-related permits shall be the obligation of the contractor to obtain. Homeowners that secure their own construction- related permits or deal with unregistered contractors shall be excluded from access to the Guarantee Fund • Permit fees associated with the project are the customer's responsibility and will be added to the final billing �y 4 LICENSED View examples of our work at: + �01 BBB, INSURED www.fmcconstruction.biz NAT-28333-1 I • FMC is not responsible for any existing defects, structural or cosmetic, that are undisclosed or undiscovered prior to the start of the project • Any such undisclosed or"hidden"damages could result in a project delay • If an existing defects arise and do hinder the projects progress a labor and Y g P 3 P >�' materials quote to remedy the issue will be presented to the homeowner in a timely fashion • Any delays with permits or inspections could result in a project delay • Any delays with special orders of materials could result in a project delay • Any delays with payments could result in a project delay • All waste materials will be disposed of into an on-site dumpster, or removed off- site to a transfer facility • No assumed work beyond the specifics of this proposal will be performed • If additional.work for this project is desired,a separate labor and materials quote will be pro,6ded andmust must be agreed upon by FMC and .customer before aftfiand work is perfoTmed resaves &r rigtz ta P- Z of the ed from stm to mi antd'may use the images for promotion • In the event of a project cancellation, all project-related expenses (labor and materials)incurred to date will be applied to the most recent payment • FMC reserves the right to terminate the project if payments are neglected or ignored,without notice, for a period of seven days past due • Reasonable care will be taken not to damage any landscaping surrounding the perimeter of the home or property however FMC is not responsible for any minor damage that may occur as a result of the construction process • Homeowners shall not deposit anything non-project related into the on-site container unless permission has been granted by FMC • FMC contracting work will meet all state and local building codes • The customer reserves the right to reject any lumber or building materials deemed unacceptable or of poor quality • No work shall begin prior to the signing of the contract and transmittal to the owner of a copy of such contract • After a thirty day period,prices of this contract are subject to revision I.the customer,hereby understand and agree to the terms and conditions contained in titin contract fbr"T Winn ces.-lie not sign this contract if there are any blank spaces. f Customer Signature Date !�`k td � Contractor Signature Date ZQ ZO 6� a LICENSED View examples of our work at: i BB: INSURED www.fmccon struction.biz NAT-28333-1 I NOTICE OF CANCELLATION You may cancel this transaction, without penalty or obligation, five business days after FMC Realty&Construction,Inc. receives the signed proposal and deposit. If you cancel, any property traded in, any payments made by you under the contract or sale, and any negotiable instruments executed by you will be returned within ten business days following receipt by the contractor of your cancellation notice,and any security interest I arising out of the transaction will be cancelled. If you cancel,you must make available to the contractor at your residence, in substantially as good condition as when received, any goods delivered to you under this contract or sale; or you may, if you wish, comply with the instructions of the contractor regarding the return shipment of the goods at the contractor's expense and risk. If you do make the goods available to the contractor and P Y your contractor does not pick them up within twenty days of the date of cancellation you may retain or dispose of the goods without any further obligation. If you fail to make the goods to the contractor and fail to do so,then you remain liable for performance of all obligations under the contract. To cancel this transaction,mail or deliver a signed and dated copy of this cancellation notice or any other written notice to the contractor at the following address: FMC Realty& Construction, Inc. P.O. Box 92 North Andover,MA 01845 I hereby cancel this transaction Buyer's signature Date yLICENSED View examples of our work at: BBB. INSURED www.fmcconstruction.biz NAT-28333-1 l