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HomeMy WebLinkAboutBuilding Permit #385-2016 - 336 CANDLESTICK ROAD 9/25/2016 42/19//'r _5e,4,V A' NORTH BUILDING PERMIT 0 6 0 TOWN OF NORTH ANDOVER 0 APPLICATION FOR PLAN EXAMINATION ;0.n g. ey Permit No#: Date Received ^0`1ATED CHUS Date Issued: IMPORTANT: Applicant must complete all items on this page WCATION, Print PROPERTY QW- RF _ - " R �MAP tt 1-65 H, C stf[C- -M y rM --h-J- S" Village ygs- !C�o-)- Aham TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential 0 New Building --irone family [I Addition D Two or more family El Industrial Iteration No. of units: 0 Commercial -Repair, replacement 0 Assessory Bldg 0 Others: 0 Demolition 0 Other DESCRIPTION OF WORK TO BE PERFORMED: Identification- Please Type or Print Clearly' OWNER: Name: 1v\,r-r-.4 Y^-e,ckok 0 iJ Phone: 11-1 Address: 9' 6 Contractor N r� -_a pm-g�A$�- - Phone., Add-f�es;-, CR_I.- ate: ,s LJ q�&n L rW-.e.Lfi 0.r 0- k, —J 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.: A- I NOTE: Persons contrM w un *te d contractors do not have ac s to the guaranty nd gq re ss ty�, n Signature e of A ro.,,d_ . _ _,-__ _„._.ter _ _ __ _ _ _ ts'� s y . . .: .. - - _ .: . ' .. - .. - • - .. '. ..1' :. 2:' _ J, :: % - I a - - r ,.- _ w' 5 .._.. : .:.e c :.: _ _ . .. _. ..:N. :.... .. :�:. �.Jy - .l'-.. t �.- _.. ... ....- .. : .--­. .. ...r .. .. - - - 1 .... ..:_..._.. ..-:......._.... . .. fes_ _._ ._ .. :..: tie.:- -._.-. ... .. ..._.. . -a _ _ _ ._ - .:._ - .. ,. - ' J. t - _ _ - . • -.. e .. _ _ ...' i.7I. - - _ I - - i- - jry.} r. - .. s.« r.. J,..'. v 3�OI �0 � . . AV. . I .d*: . Location— i"K� 5' 1l. eX• .c� 4 . No. s —20, ' Date Z5 7 G • ' TOWN OF NORTH ANDOVER S�? Dr6 �- ' . �. Certificate of Occupancy $ �. 3 . } I I "x Building/Frame Permit Fee $ U" - , " - Foundation Permit Fee $ ' ` -� Other Permit Fee • O rAL $ .. _' . . . ._. . . _... __._ ..... . //Vj' . ter;_ • '- Check# il,1.r �i wilding Inspector i •.w :r. � _ � :, t . Li 4I. r:•. ..:. .. . :... ' .. ..+ �. - F. fes_ ll 1. .r . . - .. f - - - - _ .. ... -- . .�- ....- I ..- .._ -:. 1 - ..._ .. - RT j . ._. -.. - .. ir' _ - .... .i- .. _ _r . . - .. "' ;< 1 Plans Submitted ❑ Plans Waived-6 Certified Plot Plan ❑ Stamped Plans ❑ T SEWERAGE DISPOSAL 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 PLANNING & DEVELOPMENT Reviewed On Signature_ COMMENTS CONSERVATION Reviewed on Signature COMMENTS HEALTH Reviewed on Signature COMMENTS Zoning Board of Appeals:Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments R� Conservation Decision: Comments Water & Sewer Connection/Si nature& Date Driveway Permit Connection/Signature v DPW Town Engineer: Signature: Located 384 Osgood treet FIRE'6EPART,MENT - Te_rnp ®umpsteraonu (Locatedat 124;EMamStreet iFireaDepartm§f ftgnature/date COMMENTS 1 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) i I I ❑ Notified for pickup Call Email Date Time Contact Name Doc.Building Permit Revised 2014 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/Cross Section/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 ❑ 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 submitted with the building application Doc:Building Permit Revised 2014 it j10 R TIy Town of E ndover 0 . � No. StI5 - ,� oh , ver, Mass, Zb� 64 COC NIC Hl W_ICK y1' Ii,r �y S u - BOARD OF HEALTH Food/Kitchen PER IT T LD Septic System THIS CERTIFIES THAT ............. ':. tej HAJJe''� BUILDING INSPECTOR e ` p _ n Foundation has permission to erect .......................... buildings on ...3...... ....0 '' ..... 'I:......`44?.! C..... n Rough to be occupied as ...... � N .� .. 5�.'.`�. �Qe� ..�0f2� Chimney .. ................ ...................... . ....... .................................... 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 CONSTRUCTION STARTS Rough Service .................. ....................... Final BUILDING INSPECTOR GAS INSPECTOR Occupancy Permit Required to Occupy.Buildin 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. 9/10/2015 Fwd:Department of Public Safety Authorized Payment Confirmation-michellerochel4@gmail.com-Gmail _ Click h Gmail COMPOSE Fwd: Department of Public Safety Authorized Payment Col ' Inbox(2,079) Kevin Murphy Starred to me . - Important Forwarded message--------- Sent Mail From: <ConveniencePayClientSupport(a)hp.com> Drafts (4) Date: Wed, Jun 10, 2015 at 5:42 AM Subject: Department of Public Safety Authorized Payment Confirmation Facebook To: kevinmurphybuildinganmail.com Notes Personal This is an electronically generated acknowledgement of your payment to Recipes Department of Public Safety Payment. Please print this message or Travel save it on your computer for future reference. More Here is your payment information: License Number: CS-053099 Payment Date/Time: 6/1012015 5:37:19 AM (ET) Payment Amount: $100.00 Convenience Fee Amount: $2.49 Method of Payment: Visa Card Number: ****3909 Confirmation Number: 02365A 98 Forest Street Nevin 1 • North Andover,MA 01845 M,uiirrp ./ • PH:978-688-W35 Building Contractor FAX:978.688-7207 --- -- - - Proposal To: Mary Ellen Madden 336 Candlestick Road Ail borne improvernent Contactors and subcontactors engaged in home mp vvernerd contacting,unless North Andover, Ma. 01845 specifically exempt from mghstration by Prowsons of Chapter 142A of the general laws,rrwst be registered with the Corntnonwealth of Massachusetts.Inquiries about registration and status should be made to the Director,Home Improvernent Contract Registration,One Ashburton Place, From: Kevin Murphy Room 1301,Boston,MAo2,o8.(s,7}727n5N CC: Date: 9/25/2015 .lob: Renovate porch Date of plans: None Architect: None 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 921/15. Barring Delay caused by circumstances beyond Contactors control,the work will be completed by 11/15/15.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. i Section 11-Warranty The Contractor warrants that the work fumished hereunder shag 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 Kevin Murphy Page 2 of 4 Building Contractor 98 Forest Street North Arxtover,MA 01845 PH:9788885335 FAX 978888-7207 General Proposal is to renovate existing screened porch. Building permit will be obtained by contractor. Footprint of porch to remain the same. Demolition Existing flooring,decking, and post will be removed. Footings,floor frame,and roof structure to remain. Building New sub floor,and wonder board will be installed on floor. New posts will be wrapped with Azek. Brosco storm panels(with removable screen and glass sashes)will be supplied and installed. Exterior landing will have new Azek decking supplied and installed. New lattice will be installed around existing porch. Painting Interior and exterior painting will be provided. One coat of primer, and two coats of finish will be applied to all painted surfaces. Flooring New floor in porch will be tile.An allowance of$6 per square foot has been included for file materials. Waste Removal All demolition/construction debris will be disposed of by contractor. Kevin Murphy Building contractor Page 4 Of 4 98 Forest Street Nath Andover,MA 01845 PH:9785885335 FAX 978688-7207 Section N-Price Schedule We hereby propose to furnish material and labor—complete in Accordance with above specifications for the sum of............ ... ...... ...... ... .......$ 24,200 Payment to be made as follows: Percents e/ltem Description Amount 1 Permit obtained / demolition complete $5000 2 Storm panels installed /trim complete $10,000 3 Flooring / paint complete $5000 4 Job complete $4200 Total 4 $24,200.00 *Notice:No agreement for Horne improvenrent conlractirlg work"mghure a down payment(advanoe deposit)of nhore that onefihird of the total oaArad prise of the total amount of all deposits or payments which the contractor must make,in advance,to order erdfor otherwise obtain delivery of special order materials and egh8pment,w hidhever is greater Contractor: Kevin Murphy rp y 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 CONN T IF THERE ARE ANY BLANK SPACES I Signature hlI c Date - CJ Signature Date i; The Commonwealth of Massachusetts Department oflndustrialAccidents -- i; I Congress Street,Suite 100 Boston,MA 02114-2017 www.mass.gov/dia Workers'Compensation Insurance Affidavit:Builders/Contractors/Eieeh•icians/Plumbers. TO BE FILED WITH THE PERIM[TTMG AUTHORITY. Applicant Information Please Print Legibly Name(Business/Organization/Individual): V-42-,, Address: ",'a �'� i 'fti.a _V— City/State/Zip: &jv.. ,,�,�.,w. tom. �> hone#: °�"1� i`�`�_ 5,3Tf, Are you an employer?Check the appropriate box: Type of project(required): 1.EI am a employer with_A _employees(full and/or part-time).- 7. ❑New construction 2.Q I am a sole proprietor or partnership and have no employees working for me in 8.�Remodeling any capacity.[No workers'comp.insurance required.] 3.0 I am a homeowner doing all work myself.[No workers'comp.insurance required.]t 9. Demolition 10 Q Building addition 4.a I am a homeowner and will be hiring contractors to conduct all work on my property. I will ensure that all contractors either have workers'compensation insurance or are sole 11.0 Electrical repairs or additions proprietors with no employees. 12.[:]Plumbing repairs or additions 5.❑I am a general contractor and I have hired the sub-contractors fisted on the attached sheet 13.Q Roof repairs These subcontractors have employees and have workers'comp,insurance.= 6.❑We are a corporation and its officers have exercised their right of exemption per MGL a 14.Q Other 152,§1(4),and we have no employees.[No workers'comp.insurance required.] '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 subcontractors have employees,they must provide their workers'comp.policy number. I am alt employer that is providing workers'conrpeiisation insurance for•rrty employees. Below is thepolicy and job site inforination. /^ Insurance Company Name: t t�✓a;� ,i r,l S C•y Policy#or Self-ins.Lic.#: �L l;lr..rG., 3 `? L1 Expiration Date: Job Site Address: _3 f14 A--d' _ 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 MGL c.152,§25A is a criminal violation punishable by 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.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. Ido hereb certify under thepains andpenalties ofperjury that the information provided above is true and correct f Si nature: � 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#: GATE(MMOQYYYY) CERTIFICATE OF LIABILITY INSURANCE 7/15/2015 THIS CERTIFICATEIS ISSUED AS A MATTER OF INFORMATIONONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATEHOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELYOR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVEOR PRODUCER,AND THE CERTIFICATEHOLDER. IMPORTANT:H the certlficateholder is an ADDITIONAUNSURED,the policy(les);nust be andoraed.N SUBROGATIONS WAIVED,subject to the terms andeondltionsof the palicygerlaln polictes layrequlrsonendorsement.A statememon NJscerNflcatedoes not eonferrlghts to the certlficatehokler In lieu of such endorsement(s). PRODUCER AcT Sandi Munroe M P ROBERTS INS °AGCY INC PHDNE FAx 'No.E# (978)683-8073 TZNo, (978)683-3147 1060 Osgood Street EMAILS: sandi@mprobertsinsurance.com AD North Andover, MA 01845 INSu S)AFFORDING COVERAGE Noce INSURERA: MERCHANTS INSURANCE INSURED KEVIN MURPHY BUILDING & REMODELING INSURER B: GUARD INSURANCE 169 BOXFORD STREET INSURERC: NORTH ANDOVER, MA 01845 INSURERD: INSURER E: INSURERF: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR TFTE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, E(CLUSIONSANDCONDITIONS OF SUCHPOUCIES.LIMITS SHOWNMAY HAVEBEEN REDUCED BYPAID CLAIMS. POLICY EFF POUCY EXP TYPE OFINSURANCE ML. POLICY NUMBER MMDYYM LIMITS X COMMERCUILGENERALUABITJTY EACH OCCURRENCE $ 1,000,000 CL'NMSMADE M OCCUR PREMISES a ammence $ 500,000 MEDEIP(Anya po—) $ 15 000 A BOPI068945 1/22/14 1/22/15 PERSONALaADVINJURV s INCLUDED GEN'LAGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE S 2,000,000 X POLICY F_]JEE.T D LOC PRODUCTS-COMPIOPAGG s 2,000,000 OTHER $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT(Ea aoddent) $ 1,000,000 ANYAUTO BODILYINJURY(Perpenon) $ ALL OWNED SCHEDULED MCA7013608 1/23/15 1/23/16 X BODILY INJURY(Per aocBent) $ A AUTOS AUTOS NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS acddam S UMBRELLA LIAB OCCIRt EACH OCCURRENCE $ 1,000,000 A EXCESS UAS CWMSMADE - AGGREGATE $ 1,000,000 CUP9145304 1/22/14 1/22/15 DED RETENTION $ $ ORXERS.COMPENsxnoNX PER OTI+ AND EMPLOYERS'LIABILITY STATUTE ER Y'" 500 000 E.L.EACH ACCIDENT $ / B ornc�sxcwosw N NIA (Malydffioryn NH) KEWC633734 7/01/15 7/01/16 E.L.DISEASE-EA EMPLOYEE S 500,000 lf),m deaulbs ender 500 0 0 DESCRIPTION OFOPERATIONS below E.L.DISEASE-PODGY LIMIT $ / DESCRIPTION OFOPERATIONS I LOCATIONS/VEHICLES(ACORD 101,Additional Reme�ks Sd,edme,may beetlad,ed N Ime space M repitllad) CERTIFICATE HOLDER CANCELLATION TOWN OF NORTH ANDOVER SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS NORTH ANDOVER MA 01845 AUTHORIZED REPRESENTATIVE C 1988-2014 ACORD CORPORATION. All rights reserved. ACORD25(2014/01) The ACORD name and logo are registered marks of ACORD Y 9/10/2015 Fwd:.Deparhnent of Public Safety Authorized Payment Confirmation-michellerochel4@gmail.com-Gmail Click h Gmail COMPOSE Fwd: Department of Public Safety Authorized Payment Col ' Inbox(2,079) Kevin Murphy Starred to me Important -------Forwarded message--------- Sent Mail From: <ConveniencePayClientSupportanhp.com> Drafts (4) Date: Wed, .Jun 10, 2015 at 5:42 AM Subject: Department of Public Safety Authorized Payment Confirmation Facebook ' To: kevinmurp_ybuilding(&gmail.com Notes Personal This is an electronically generated acknowledgement of your payment to Recipes Department of Public Safety Payment. Please print this message or Travel save it on your computer for future reference. More Here is your payment information: License Number: CS-053099 Payment Date/Time: 6/10/2015 5:37:19 AM (ET) Payment Amount: $100.00 Convenience Fee Amount: $2.49 Method of Payment: Visa Card Number: ****3909 Confirmation Number: 02365A Click here to Reply_or Forward A 1.17 GB(7%)of 15 GB used Search people... Manage Brvan I �R 1 ex,WoazzinzoAwecz z. 4 Office of Consumer Affairs&Buse ess Regulation OME IMPROVEMENT CONTRACTOR Type. egistration: 101874 Individual xpiration: 6/29/2016 KEVIN MURPHY Kevin Murphy 98 FOREST ST. N.ANDOVER,MA 01845 Undersecretary a Massachusett s _Department of Pudic Safety Board of Building Regulations and Standards Construction Supen75or License: CS - � -053099 KEVIN v����.r�.ti I 98 F0 r.. 1 REST ST North Andover ll 01�g5 Commissioner EXpi ration 06/29/2015 ''