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Home My WebLink AboutBuilding Permit #555-14 - 35 WOODBERRY LANE 1/22/2014 TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit N0: /:;� Date Received Date Issued: L2��//c// frAPORTANT: Applicant must complete all items on this page G- - - :__.. - { LOCATION' S _ w u09 Vxle- Printf s PROP ERTY'QWNER Pnnt 100 Year>OIdStructure� Yyes, n MAP NO: PARCEL: L ZONING DISTRICT: Historic Wt_ft;f yes, Machine Slio^;Villa a es: n - -- - - ---p _g Y_ TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building _AOne family ❑Addition ❑Two or more family ❑ Industrial -Alteration No. of units: ❑ Commercial ❑ Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other ❑ $_eptici ❑1NelU ❑ Floodplain, a ❑Wetlands o Watershed District ater/Sewer DESCRIPTION OF WORK TO BE PERFORMED: Identification Please Type or Print Clearly) OWNER: Name: l21" Phone: Address: S moa 3 err CONTRACTOR Name: .,— Phone:. 4 Add gess: Supe,rvisor's:.Construction License, U53 A11\ _ Expo 'Date. Home Iranprovement;License:: `rL Ex p Date., _ �"vv"` J 0� '1 ARCHITECT/ENGINEER tyvu-C, 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: $ zn Check No.: t Receipt No.: NOTE: P o s contra ing with�tcnregistered contractors do not have access to the guaranty fund ;S gnature of Agent/Ovvner �Sig:?attai'e of contractor` � . Plans Submitted ❑ Plans Waived Certified Plot Plan ❑ Stamped Plan Plans Submitted ❑ Plans Waived Certified Plot Plan ❑ Stamped Plans ❑ TYPE-OF SEWERAGE DIS Public L Public Sewer Tannin Swimming Pools 11g/MassageBodyArt ❑ 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 DATE REJECTED DATE APPROVED PLANNING & DEVELOPMENT ❑ ❑ COMMENTS CONSERVATION Reviewed on Siqnature COMMENTS HEALTH - . Reviewed on Signature COMMENTS e Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes . Planning Board Decision: Comments • Conservation Decision: Comments 4 Water & Sewer ConneCUOWSignature& Date Driveway Permit DPW To`vo Engineer: Signature: Located 384 gigogb Shet `- FIRE DEPARTMENT - Temp Dumpster on site yes no Located at'124 MainStreet Fire Departiner t.signature/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, mast or service drop requires approval of Electrical Inspector Yes iso DANGER ZONE LITERATURE: Yes No MGL Chapter 166 Section 21A-F and G min.$100-$1000 fine NOTES and DATA— (For department use ® Notified for pickup - Date E Doc.Building Permit Revised 2010 r Building Department The fol owing is a list of the required forms to be filled out for the appropriate permit to be obtained. Roofivg, Siding, Interior Rehabilitation Permits D, Building Permit Application o Workers Comp Affidavit Li Photo Copy Of H.I.C. And/Or C.S.L. Licenses u Copy of Contract o Floor Plan Or Proposed Interior Work o Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit Addition Or Decks Li Building Permit Application o Certified Surveyed Plot Plan Li Workers Comp Affidavit o Photo Copy of H.I.C. And C.S.L. Licenses o Copy Of Contract a Floor/Crossection/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (If Applicable) o Mass check Energy Compliance Report (If Applicable) o 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) u Building Permit Application o Certified Proposed Plot Plan Li Photo of H.I.C. And C.S.L. Licenses o Workers Comp Affidavit u Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (If Applicable) L) Copy of Contract a Mass check Energy Compliance Report o 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 app,,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.Buhding permit Revised 2012 Location No. Date Z 4 f � ® - TOWN OF NORTH ANDOVER Certificate of Occupancy $ 2 Building/Frame Permit Fee $ '7 Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check# 2724- 6 Building Inspector Enter construction cost for fee cal - North Andover Fee Calculation Construction Cost $ 239100.00 m $ - $ 277.20 Plumbing Fee $ 34.65 Gas Fee 100 comm. $ 100.00 Electrical Fee $ 34.65 Total fees collected $ 446.50 35 Woodberry Lane Bath Remodel 555-14 on 1/22/2014 NORTH Town of . S E ndover No. ' h ver, Mass, J Z O LAME coc«ic«Eca pORA7E0 PP�,`'�5 S U BOARD OF HEALTH Food/Kitchen PERM T, T LD Septic System THIS CERTIFIES THAT , .. ..... .. . �.r,. .... BUILDING INSPECTOR . Foundation has permission to erect ...... ........... ... buildings n k3.5.....�� l�. ..................... Rough % dn� tobe occupied as .............. .. .. ... ....... ........ .................... ............. ................................. 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 Rough VIOLATION of the Zoning or Building Regulations Voids this Permit. Final U�'ar PERMIT EXPIRES 6 MONT S ELECTRICAL INSPECTOR UNLESS CONST N T Rough Service ...... .... ............................................................. Final BUILDING INSPECTOR GAS INSPECTOR .Occupancy Permit Required to Occupy Building 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. SEE REVERSE SIDE DATE(MWDD1YYYY) CERTIFICATE OF LIABILITY INSURANCE 7l17/2a13 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION CHLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUNNG wsuRER(s). AU ® REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: I the cetlNkste holder tt:an ADDITIONAL INSURED,ms PollcY(in)must be w40r"d. R SUBROGATION IS WAIVED,sLdl d to the terms and conditm of me poMry$certain poocWs nay re pArt an endorssmerl; A stshrmerlt on tllia twill cats docs not 00nfsr rghti tO� cortll0cata hailer in Hsu of seeh endorsemeage). MP DEROBERTS INS AGCY INC 4978 683-8073 �( x;(978)653-3147_ 1060 Osgood Street „ Ss:ssndi@ robertsinsuranee.coa ! North Andover, MA 01845 tNeUNN(a) AFFORWM COVERME NA1Cs A:PROVIDENCE MUTUAL NSURED KEVIN MURPHY BUILDING Sr REMODELING eNSURER B:I4F,RCHAl�1S INSURANCE 169 BORF'ORD STREET INSURER C:GOARD IN CE NORTH ANDOVER, MA 01845 INSURER 0: INSURER E: INSURER F :.OVERAGES CERTIFICATE NUMBER REVISION NUMBER: iHiS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE 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, j EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.UMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAMS. I �� WSW TYPE OF INSURANCE POLICY NUMBER M LVP (POLICY EXP LIMITSYYY LTS corlrrMa�Al¢eeEAAI LtA�ry EACH OCCURRENCE S 1,a02 0 ®D�uR ( PREMISES Ea 0=Mw a S 500,000 1 PGEOWL MED EXP(Ary ore Pte) s 15 000A BOPI068945 11/22/12 11/22/13 PERSONAL aADywAw s 1,000,000 AGGREGATE LfWT APPLIES PER: _ GENERAL AGGREGATE S 2,000,000 POLICY D PPRCU1 El LOC I � PRODUCTS-COMPtOP AGG S 2,000,0001 OTHER: _ I AUTOMOBILE LIA611.ITY iEs aocidsnt _ s 1,000,000 ANYAWOMCA7013608 01/23/13 01/23/14 BODS.YKWRY(Perpown) B ' AALL UTOS ViNE X SCHEDULED OD aIY INJURY(Pr wddwt) S AUTOSHIRED AUTOS AUTOS D Par acddvd) S I s ! UMBRELLA LIAR �_jOCCUR EACH OCCURRENCE S 1,000,0001 CUP9145304 EXCESS LIAR cE 11/22!12 11/22!13 -AGGREGATEs 1,000,000 j OED RETENTIONS $ wURICERS COMPENSATION R Mw AND EMPLOYERS'LIABILrrY YEN $I STATUTE ER C � NIA E.L.EACH ACCENT $ 500,000 I+yyeep� nwA" IMW422467 7/01/13 07/01/14 EL DISEASE-EA EMPLOYE S 500,000 Undw DESCRIPTgN OF OPERATIONS babw E.L.DISEASE-POLICY LWr S 500,000 l DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Adds mnM Rwnaft Sdwdule,may be attached if more space is required) i CERTIFICATE HOLDER CANCELLATION TOWN OF NORTH ANDOVER SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE BUILDING DEPT. THE EXPIRATION DATE THEREOF, NOTICE WALL BE DELIVERED IN NORTH ANDOVER MA 01845 ACCORDANCE WITH THE POLICY PROVISIONS. MM40RIZED REPRE A i ®1986-2013 ACORD CORPORATION. All rights reserved. ACORD25(2013104) The ACORD name and logo are registered manes of ACORD o • 98 Forest Street � � � • North Andover,MA 01845 • PH:978.688-6335 Building Contractor FAX:978-688-7207 Proposal TO: John&Linda Schrader 35 Woodberry Lane All Home improvement Contractors and Suboontractors engaged in have improvement contracting,unless North Andover, Ma. 01845 specifically exempt from regnftahon by Provisions of Chapter 142A of the general laws,must be registered with the Comnonweafth of Massa&wie ts.Inquiries about registration and Status should be made to the Director,Home Improvement Contrail Registration,One Ashburton Place, Ftrorn: Kevin Murphy Room 1301,tom«,,MA02108.(617)-727 8598 cc: Date: 1/15/2014 Job: Bath renovation 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 1/13/14. Barring Delay caused by circumstances beyond Contactors control,the work will be completed by 2/28/14.The owner hereby acknowledges and agrees that the scheduling dates are approbmate 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 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 III-Scope of Work Page 1 of 1 I . � � . . i � � � � � ;{C�!�ar.' .��.1. r �� .. r- r .n� r .... r_. �� . � � � �. .� .. .. ..Y��i.r5 *"` � .. ..?.' �M MURphy Page 2 of 2 aiding Contractor 98 Forest Street Nath Andover,MA 01845 PH:9786885335 FAX 978688-7207 General Proposal is to renovate/expand exisitng second floor main bath. Most of closet in existing bedroom, will be taken to expand/square off bathroom. Small closet will be left in bedroom. Building permit will be provided by contractor. Demolition Existing bathroom will be completely demolished.Area in rear of wine cellar will be gutted. Building Any framing materials required to renovate / expand existing bath area will be provided. Existing window to remain. Plumbing Plumbing required to renovate/expand existing bathroom will be provided. Plumbing fixtures to be supplied by owner, installed by contractor. Cold water supply to exisitng kitchen sink will be repaired/replaced as required. Electrical Electrical work required to renovate exising bath will be provided. Recessed lights will be relocated/replaced as required. Surface mounted fixtures ( vanity light ) to be provided by owner, installed by contractor. Electric radiant heat will be supplied/installed in bathroom floor. Heating/Air Conditioning Existing forced hot water heating to remain. New baseboard enclosures will be supplied and installed. No allowance has been made for any air conditioning. Insulation Any insulation required, will be supplied and installed. Exposed area in kitchen ceiling and bath walls will be insulated for sound deadening. Plaster Bathroom, bedroom closet area, and kitchen ceiling will be blueboarded and skimcoat plastered. Disturbed areas in basement will be patched as required. Interior TrimlDoors Interior trim will be supplied and installed to match existing. One new interior door unit will be supplied installed for small closet in bedroom. Bathroom vanity to be supplied by owner, installed by contractor. No allowance has been made for built in units in bedroom. Bead board will be supplied /installed on lower half of bathroom walls. Painting Interior painting will be provided. One coat of primer, and two coats of finish will be applied to all painted surfaces. r I •_ �� . - 5 .'a • i .. 1'i ..• � � � i .. f '. � `� ' +, • Page 3 of 3 Building Contractor 98 Forest Street North Andover,MA 01845 PH:978£885335 FAX 978-688.7207 Flooring Tile floor will be supplied/installed in bath area. An allowance of$6 per square foot has been included for file materials. Waste Removal All demolition/construction debris will be disposed of by contractor. 19evfin MMUy$ny Page 4 of 4 Sti Uding Contractor 98 Forest Street North Andover,MA 01845 PH:9782881335 FAX 978288.7207 Section N-Price Schedule We hereby propose to furnish material and labor—complete in Accordance with above specifications for the sum of... ... ... ... ... ... ... ... ... ... ... ....$ 23,100 Payment to be made as follows: Percentage/item Description Amount 1 Demolition complete $5000 2 Plastering complete $8000 3 Floors / painting complete $6000 4 Job 100% complete $4100 Total 4 $231100.00 "Notice:No agreement for Home improv~contracting work shall require a down payment(advance deposit)of more that one-third of the total contract price of the total amount of all deposits or payrnents wh ch the contractor must make,in advance,to order ardor otherwise obtain delivery of special order rraterials and equipnreM whidww is greater Contractor: Kevin Murphy 98 Forest Street No.Andover, MA 01845 t 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 CONTRACT IF THERE ARE ANY BLANK SPACES Signature d Date / /l J Signature Date r3 3t� `:� I[,' I The Commonwealth of Massachusetts Department of Industrigl Accidents Office of Invesfigadons 600 Washington Street Boston,MA 021X1 www-mass gov/dia Workers' Compensation Insurance Affidavit:Builders/Contractors/lElectricianss/Piumbers ,Applicant h1formation PIease Print Legibly Name(Business/organization/Individual): Address: S� City/State/Zip: Nti . Q v-d`c.,-�-., I�,..... o l `. Phone#: 0.1b 6�i S3 3 Are you an employer?Check the appropriate box: Type of project(required): 1I am a employer with 4. [] I am a general contractor and I employees(full and/orpart-time).* have hired the sub-contractors 6. ®New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet.T T-S Remodeling ship and'have no employees These sub-contractors have 8. []Demolition working for me in any capacity. workers'comp.insurance. 9, E]Building addition [No workers' comp.insurance 5. ❑ We are a corporation and its required.] officers have exercised their lU.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work right of exemption per MGL I I.[]Plumbing repairs or additions myself.[No workers' comp, c. 152,§1(4),and we have no 12.❑Roof repairs insurance required]t employees.[No workers' 1 ®.3. other comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they hie doing all work and then hire outside contractors must submit a new affidavit indicating such. tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information. I am an employer that Is providing workers'compensation Insurance for my employees. Below is thepolicy and job site informatlon. Insurance Company Name: a� NS C' Policy#or Self-ins,Lic.#:_ ��—�% wC.- `-�'LZ _ Expiration Date:. l �� Job Site Address-� �� L^� �) _�_. �t City/State/Zip: Y-JV 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 Iead 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 DLA for insurance coverage verification. X do hereby certify under the pains and penalties of perjury that the information provided above Is true and correct. l�Sa a Date: L� � Phony#: Official use only. Do not write in this area,to be completed by city or town offtclal. City or Town: Permit/License 9 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#: