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HomeMy WebLinkAboutBuilding Permit #450-11 - 371 MARBLERIDGE ROAD 11/29/2010 BUILDING PERMIT 0* y14ORTF1;6.g1'o ?TOWN OF NORTH ANDOVER F 6 44. �` APPLICATION FOR PLAN EXAMINATION ^4 e« Permit NO: Date Received SSACHU`-+� Date Issued: IMPORTANT:Applicant must complete all items on this page LOCATION . "1 Perot PROPERTY OWNER PrinY MAP 210 =G. V. 0- ' :PARCEL: ZONING DISTRICT. Historic District yes x Machine Shop Village yes TYPE OF IMPROVEMENT PROPOSED USE Resi Non- Residential New Building One famil J - Addif Two or more family Industrial Itera ion No. of units: Commercial r, replacement Assessory Bldg Others: Demolition Other Septic Well gig` Floodplain_ Wetlands'- Watershed District y ;� DESCRIPTION OF WORK TO BE PREFORMED: Identification Please Type or Print Clearly) OWNER: Name: ��vv��v. ��L,c.`,, Phone(an-t-) a Address: 3-1 Zd CONTRACTOR Name: Rhone. q,�i t Address ,'. Supervisors Construction License-, .05-3 : :� Exp. Date: j,- , -2, 1 , Home Improvement.License: k D♦ "� _ � . `xp. Dater ARCHITECT/ENGINEER N/t-'� Phone: Address: Reg. No. FEE SCHEDULE:BOLDING PERMIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ u FEE: Check No.: 6 Receipt No.: NOTE: Persons contracting with unregistered contractors do not have acces to the guaranty fund ignlEature of Agent/Owne Signature of contractor 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 ❑ 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 2008 Plans Submitted Plans Waived Certified Plot Plan Stamped Plans I TYPE OF SEWERAGE DISPOSAL Public Sewer Tanning/Massage/Body Art Swimming Pools 's' •; ',, , 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 Signature COMMENTS HEALTH Reviewed on - Signature COMMENTS Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments i Conservation Decision: Comments Water & Sewer Connection/Signature & Date Driveway Permit DPW Town Engineer: Signature: Located 384 Osg000 Street FIRE A EPARTJUIENETemp Dempster©nsite yes nfl-- catedat 1? 1i Street fire Department sign tureldate COMMENTS = as 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) ❑ Notified for pickup - Date Doc.Building Permit Revised 2010 Location No. Date 11 ` ,.OR,h TOWN OF NORTH ANDOVER F � 9 Certificate of Occupancy $ M�s.�' BuildinglFrame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # 23744 Building Inspector ORTH TO" of 6 Andover . D dover, Mass., I� COCHICHEWICK �. 7�AD'QATED P'P�,��C� `S J BOARD OF HEALTH Food/Kitchen Septic System .PERMIT T D BUILDING INSPECTOR THISCERTIFIES THAT........... 0.`N-I^A........... .... ............. ......................................................................................... Foundation has permission to erect........................................ buildings on .............. ... ..........N�..6k....94Z.4.-.......... Rough Chimney to be occupied as.................�. ..................... ..�'' �.............. .1.til.aa. .. ....................................................... y provided that the person accepting this per shall in every respect conform 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 PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTI S TS Rough Service BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR 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. SEE REVERSE SIDE Smoke Det. ORTH T0VM of 6An 0ve No. - � 10dover, Mass., I. I�Ao COCHICHEWICK V 7�ADRATED PP�t�y BOARD OF HEALTH Food/Kitchen Septic System �\ BUILDING INSPECTOR THIS CERTIFIES THAT........... T.�0.. ... ........• '+............. ......................................................................................... Foundation has permission to erect........................................ buildings on .............. ... ..........1!.!�:%.6k....9.. ........a.-.......... Rough � to be occupied as................. ............. .. ....................................................... Chimney provided that the person accepting this per tt shall in every respect conform 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 PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTI S TS Q Rough ......................................................................................................... Service BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR 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 Nlassaehusetts- Department of Public SafetN Board of Buildin.t! Regulations and Standards Construction Supervisor License License: CS 53099 Restricted to: 00 KEVIN W MURPHY 169 BOXFORD ST N ANDOVER, MA 01845 Expiration: 6/29/2011 ('ununissiuncr Tr#: 16540 Offic, on 194 HOME IMPROVEMENT CONTRACTOR JRegistration: 101874 Type: Expiration: (6j20/2012 Individual IMURPHY Kevin Murphy 169 Boxford St `V ..l N.Andover, MA 01845. = i'' Undersecretary ►' ►�, 169 Boxford Street 0 North Andover,MA 01845 • PH:978-688-035 Building Contractor • FAX:978488-7207 Proposal TO: Gloria Foley 371 Marbleridge Road All Home improvement Cornkactos and Suboonhsctors engaged in horn improvement contracting,unless North Andover, Ma. 01845 specifically exempt from regisbation by Provisions or chapter 142A of the gerneial laws,must be registered Wh the Commonyvealih of Massachusetts.Inquiries about registration and Status should be made to the Director.Home knprovemot Coftract Registration,One Ashburton Place, From: Kevin Murphy Room 1301,Boston,MA 02108.(617)-727 85% CC: Dates 9/29/2010 i JOIN Replacement windows 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 10/25/10. BarringDela caused b circumstances beyond Contactors control the work will be completed b 11/30/10.The owner hereby acknowledges Y Y Y P Y Y 9 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. Section 11-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. I I Section 111-Scope of Work s Uevin M+urphY Page 2 of Sundtng Contractor 169 Boxford sweet Morro Andover,MA 01845 PH:9785885335 FAX:978588-X000( General Proposal is to replace a total of eighteen existing windows. All windows will be Harvey, all vinyl, classic units, with grilles between the glass and a half screen. Building permit will be provided by contractor. Building Fourteen doublehung windows,will have new units supplied and installed in the existing frames. Existing frames and trim to remain. The four windows, located on the first floor, in the front of the house, will have the entire window unit, and window frame replaced. Existing panels below these four windows will be replaced with Azek. Four new Harvey pediment heads will be supplied and installed over four windows. New trim will be supplied/ installed as required. Rotted trim around existing front entry door, will be replaced with Azek as required. No allowance has been made to replace front door unit. Waste Removal All construction related debris will be disposed of by contractor. Items Not Included There have been no allowances made for any interior or exterior painting. IIlsevin Mu2phY Page of Sn Uding Contractor 169 BorAord street North Andover,MA 01845 PH:9786885335 FAX 9786WXXXX Section IV-Price Schedule We hereby propose to furnish material and labor—complete in Accordance with above specifications for the sum of... ...... ... ... ... ... ... ...... ... ....$ 9700 Payment to be made as follows: Percentage/Item Description Amount 1 Job complete $9700 Total 1 $9,700.00 -Notice:No agreement for Home improvernent contracting work shall require a conn payment(advance depose)of nae that ane-third of the total contract price of the total amount of all deposits or payments which the contractor moist make,in advance,to order and/or otherwise obtain delivery of special order materials and eWprtrent,whichever is greater Contractor: Kevin Murphy 169 Boxford Street No.Andover,MA 01845 Registration No: 101874 I I 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 A_' Date Signature Date The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 www massgov/dia Workers' Compensation insurance Affidavit: Builders/Contractors/Electricians/Plumbers Appticant Information Please Print Le ibl Name cssstess7r1 2atian/Indiaidual>: �' - Address:, City/State/Zip: k,_A o� Phone#: Are you an employer?Check the-appropriate box: Type of project(required). with 4. ❑ 1 am a general contractor and 1 6, New construction I� am a employer �-- ❑ erMYees(full and/or part-time)-* to .* have hired the sub-contractors listed on the attached sheet.t 7.�Relnodeliag ?.El am a sole proprietor or partner- ship and have no employees Tliese sub-contractors have 8. [] Detnoiition aci workers'comp. insurance. 9. Building addition working for me in any capacity. ❑ g [No workers' comp. insurance 5• ❑ We are a corporation and its 10.❑ Electrics!repairs or additions required.] officers have exercised their 3.❑ i im a homeowner doing all work right of exemption per MGL 11.❑ Plumbing repairs or additions c. 12,§1(4),and we have no 12. myself.[No workers 5 ❑ Roof comp• repairs insurance required.] t employm. (No workers' 13.❑ Other comp. insurance required.) Any applicant that cheep box#1 must also 611 out the section below showing their workers'compensation policy infomaetiorL Horrteowneas who submit this affidavit indicating they arc doing all work and then hits outside contractors must submit a new afftdevit indicating such. �ontractois that check this box must mached qmadditional sheet showing the nerrae of the sub-c o ntractot and their workers'comp.policy information. am an employer that is providing workers'compensation.insurance for my employees. Below is the,policy and job site nfornmtion. asurance Company Name:, 'olicy#or Self-ins.Lic. #: C t� �- l U`� Expiration Date: 1 � 1 ob Site Address: City/StatePZip: (a/._. ( .� k f a l,ttach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). -aihtre to secure as coverage required under Section 25A of MGL c. 152 can lead to the inVosition of criminal penalties of a ine up to S 1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine if up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of nvestigations of the DIA for insurance coverage verification. 'do hereby entify under the pains and penalties of perjury that the information provided above is JJ true and correct. ii Date: k. ` c L.0 phone#• `�'� �, 3 OffwW use only. Do not write in this area,to be completed by city.or town official City or Town: PermUMcense# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector S.Plumbing Inspector 6.Other Phone#• Contact Person: 4C0 DATE( 1YYYY► CERTIFICATE OF LIABILITY INSURANCE 7/1/2010 THIS CERTIFICATE IS ISSUED AS A (MATTER OF INFORMATION ONLY 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 ISSUING INSURERIS), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the cerUlluft holder Is an ADDITIONAL INSURED,the pollcy(les)must be endorsed. If SUBROGATION IS WAIVED,subject to the taints and condWons of the poky,csrtaln poikles may require an endorsenwL A statement on this certificate does not confer rights to the coMeate holder In lieu of such endomema"O. RODUCER NAME: M P ROBERTS INS AGCY INC P E (978) 683-8073 ac N (978)683-3147 1060 Osgood Street North Andover, MA 01845 AODREss:sandi@ xobertsinsnrance.com C T R tD IMIURMS) AWORWNO COVERAGE "Cs ISURED KEVIN NURPHY BUILDING & REMODELING I INSURER A:PROVIDENCE MUTUAL 169 BOXFORD STREET INSURERB:MERCHANTS INSURANCE 169 BOXFORD STREET INSURER C:GUARD INSURANCE NORTH ANDOVER, MA 01845 INSURER 0: INSURER E: INSURER F :OVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS 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, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. rsRPOLI — AODL SUER POLICY EFF RTYPE OF INSURANCE110111 wwD POLICY NUMBER MMIDDIYYYY D/YYYYL LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY PREMIS�EES Eoowr�enos 3 100,000 CLAW-MADE i X I OCCUR MED EXP(Any one parson) $ 5,000 A CPP0060868 11/22/0911/22/10 PERSON&a ADV INJURY $ 1 r0 r GENERAL AGGREGATE s 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOP AGO $ 2 r 0 0 r 0 00 POLICY PRO- LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 ANY AUTO ALL OWNED AUTOS BODILY INJURY(Per parson) $ S X SCHEDULED AUTOS MCA7013608 01/23/10 01/23/11 BODILY INJURY(Par accident) $PROPERTY DAMAGE HIRED AUTOS (Per seddent) $ NON-OWNED AUTOS $ $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAR CLAIMS-MADE AGGREGATE $ DEDUCTIBLE g RETENTION $ g WORKERS COMPENSATION AND EMPLOYERS'LIABILITY YIN T X AW PR0FIsETOWMTMft9xECuTwE E.L.EACH ACCIDENT $ 500,000 EXCLUDED?OFFICEPAWJMR a NIA KENC109881 07/01/10 07/01/11 (Mands"In 104)yes E.L.DISEASE-EA EMPLOYEE $ 500,000 DESCRIPTION OF OPERATIONS Gelm E.L.DISEASE-POLICY LIMIT $ 500,000 :SCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101,Additional Remarks 8d*We,it mom space is required) :RTIFICATE HOLDER CANCELLATION TOWN OF NORTH ANDOVER SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE NORTH ANDOVER, MA 01845 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESE AYE T;-- 0 1988-2009 ;01988-2009 ACORD CORPORATION. All rights reserved. .ORD25(2009109) The ACORD name and logo are registered marks of ACORD