HomeMy WebLinkAboutBuilding Permit #385-2016 - 336 CANDLESTICK ROAD 9/25/2016 42/19//'r
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NORTH
BUILDING PERMIT 0
6 0
TOWN OF NORTH ANDOVER 0
APPLICATION FOR PLAN EXAMINATION
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Permit No#: Date Received ^0`1ATED
CHUS
Date Issued:
IMPORTANT: Applicant must complete all items on this page
WCATION,
Print
PROPERTY QW- RF
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1-65 H, C stf[C-
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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
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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
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Location— i"K� 5' 1l. eX•
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No. s —20, ' Date Z5 7
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• ' TOWN OF NORTH ANDOVER
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. �. Certificate of Occupancy $
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} I I "x Building/Frame Permit Fee $ U" - ,
" - Foundation Permit Fee $
' ` -� Other Permit Fee
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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
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Kevin Murphy
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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
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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
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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 ''