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Home My WebLink AboutBuilding Permit #09 - 39 HAWKINS LANE 7/2/2009 BUILDING PERMIT 0* NORTH q `StilD I,$ �O TOWN OF NORTH ANDOVER �4' '`- °p APPLICATION FOR PLAN EXAMINATION Permit NO: Date ReceivedArgo ��SSgCHU <'�h Date Issued: 2 O IMPORTANT: Applicant must complete all items on this page LOCATION 343, Print PROPERTYOWNER J e.cC' Print MAP NO: PARCEL: ZONING DISTRICT: Historic District yes n Machine Shop Village yes o TYPE OF IMPROVEMENT PROPOSED USE Reside Non- Residential New Building ne famil Add*tmnLI Two or more family Industrial Alteratio No. of units: Commercial Repair, replacement Assessory Bldg i-J-0 Others: De olition Other Septic Well Floodplain Wetlands ; wo Watershed District a er/Sewer AN)Cb DESCRIPTION OF WORK TO BE PREFORMED: Identification Please Type or Print Clearly) OWNER: Name: TvPw SCVTt` Phone: cL-Nc- -7(L( -15-ZA Address: SA r,-2 CONTRACTOR Name: 1<g,,, , 1` r--,._ Phone: 6W -5335- C-1 Address: 33'- Address: 1 o ,. . .,.°. y% 4,y�, ry-1.4,_. Supervisor's Construction License: 015-3 n� tl\, Exp. Date: Home Improvement License: y'l `-t Exp. Date: (2 k, It 0 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: $ 3�-1 ,oU o FEE: $ k u$ Check No.: 5775-- Receipt No.: 22 t7 NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fun Signature of Agent/ i �;L;- , Signature of contractor 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 nvate(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 Siqnature COMMENTS Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes " Planning Board Decision: Comments Conservation Decision: Comments Water & Sewer Con nection/si-q nature& Date Driveway Permit DPW Town Engineer: Signature: Located 384 Os ood Street — E FIRE DEPARTMENT - Temp Dumpster on site yes no Located at 124 Main Street Doc.Bi Fire Department signature/date COMMENTS - 7. Use - tt► RVICESDEYAR►�'"• .� YECT�ONAESE - --- Dpe;INS Resed 2.2008 Dimension b Number of Stories. --- Total square feet of floor area, based on Exterior dimensions.1--0 Total land area, sq. ft.: 3 JOE+-e-- S ELECTRICAL: Movement of Meter location, mast or service drop re 'res approval of Electrical Inspector Yes No 1/ 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 2008 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:INSPECTIONAL SERVICES DEPARTMENT:BPFORM07 Revised 2.2008 Location No. DateOf s r MORTIy TOWN OF NORTH ANDOVER 16. • s ; . Certificate of Occupancy $ Building/Frame Permit Fee $ s�CHus Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # _'1 221iU- Building Inspector The Commonwealth of Massachusetts Department of Industrial Accidents fu D2 Office of Investigations Ulf 600 Washington Street Boston, MA 02111 www mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Uejdbly Name(BusinesstoTpnization/individual): � ��►� Address: a— City/State/Zip: �/� , W�.dlt ��Yr`(Sr Phone#:_ bq,�-3-3,3 Are you an employer?Check the appropriate box: T 1.al am a employer with _`�_ 4. ❑ I am a general contractor and I 6�`�of project(required): ❑New construction employees(full and/or part-time)." brave hired the sub-oontractors 2.n I am a sole proprietor or partner- listed on the attached sheet l 7. Remodeling ship and have no employees These sub-contractors have 8. ❑ Demolition workingfor me in m capacity- workers' comp. insurance. Y cep �iy. 9. [�j Building addition (No workers' comp. insurance 5. ❑ We are a corporation and its requited.] officers have exercised their l0,❑ Electrical repairs or additions 3.❑ 1 bm 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 employces. (No workers' 13.0 Other comp. insurance required.] Any applicant tMt cheeb box 01 mm also till out the section below showing their workers'compensation policy infotntntion: Momeownevs who submit this affidavit indicating they ate doing all work and then hue outside conbactm const submit a new affidavit indicating such contractors tbat check this box must attached an additional duvet showing Se nasne of the sub•contsactors and their workers'comp.policy intbrrnation. am an employer that is providing workers'compensation.insurance for my employees. Below is the,policy and fob site Kfornmation. usurance Company Name: 'o1icy#or Self-ins.Lic. #: ��, w�. 0 U p1'3 j Expiration Date: -1 \ `tom ob Site Address: 30\- Kcu.,,.t,r,.�a� city/Statemip: ►ttach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). 'aihire to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition 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 f up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of avestigations of the DIA for insurance coverage verification. do hereb cerci un and penalties of perjury that the information provided above is true and correct. J ature• Date: L d ne#: 1Y� b � Qj]'rciai use only. Do not write in this area,to be completed by city or town ofdictaL City or Town: PermivUeense# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.Clty/Town Clerk 4.Electrical Inspector S.Plumbing Inspector 6.Other i Contact Person: Phone#: J2! CERTIFICATE OF LIABILITYN_ INSURANCE VA pM, • 7/1/09 Roberts me n GBtTIt�CA'l'!! IS 18;stJED AS A MATTER OF INFORMATION 1060 Os lOx NLY AND 06"N i", NO RIGHTS UPON THE CENTIRCATE 9 street H Et- p1 RRTIFI ATF DOLS NOT AMEND E7c'1'END OR llftwth A�ndowft, wh 0106E 0Y THE p fC10 BELOW INSURERSA [11Np COVE .... RAGE NgIC 9 169 S�AES2 rNsu�R s z 1010 AN1 OWIlt, MR 01065 �I tNDu11Mt1UMN a Ek cOVERAL9 tANY Pat aC�� car cnx�N�a"n } �b *'�y► kVAWAKWEPaa�PoLVr p� OR OCMRACT OR rn D=PAW VMH uvCICAlIID.N01wrrWAND1NM Y PER i j} AFFC 9Y TW PMoss Qc t 148"N M SUBJWT TO TT A& MS 0971 f�MATE MAY 8E 1$&M 012 PO1.CM R ►'lE umrre BHOM MAY WIVE Blest Id�LZ BYPONDCLASO. �� E MLftNB AND 0VjMT W OF 8UC.H _.. IIlhtr11m umoUry LWTS A 0WAM iI QiIEf^LJ tIU ffIs CUIMINtttE 1[ 00CUR CPP0060868 04 11/22/08 11/22/019 MaDop a M.. ob -- -3,000 1 VW AL&ADV ttt"y 1 t�ltll.A�Q1M51tItYELMTMaIiB!!R � i -.�. 0 P LDC pRODU4f8•�1PIOP A@0 i 000 At17dM0iN!i UAW" ANYAUW �6�tst�l�err 2 500.000 ALLOWINDAUMO a AttT+Od 7AM1d277013600 1/23/09 1/23/10 ;•~Hard% s +Il�aacrr+7a .. NC -DWWDA" AM,,= i 500,000 aARAclequaaan�r ^ ]7ALM MY-MA.- cfr�Nr a FAAM m AaTo alar; ocexsl a.AUS04Ap4 ogouc�lelR waM�a ...__ ASIDewwwm Lymo " r ^ -�--- C IMM006931 7/1/09 7/1/l0 ___. 1�-, QzOob —1p 1900 0 OTTER MANIAMMUML SOO,000 eMadoPTlaltorarinlato�t f,D19►vONll tMUeoltel�Ilxaul�elonsAoewwtEWapelwrwtrtr�wl,rRoulalolt� AX: 070-698-7207 ag- CiMt LA N it10ULA ANYOteTIwAt>O{IE DPOLIp�bttGA�LLEO BATS THe1(IOP,711E 1�171Np IbNtIRlR TH4ltOMRATk7N %vw or 1� R ItoTloe TOTtIM oet�TweATe ' �►acAwolt Tv AAJL 1�0�GAYA Mss x,600 0sww 0102319 NUUM m TO WT.Off FA1LM Tom aq GWU �To�78 11t9[!opm, Nh 0 048 Wfoa�� Ira Aeon tw tMMEU , WO ACO W aM"W and lW am IaobMledAlolks s-An • Ail rt f4"tmwwrd. I, NORTH Town of 4Andover . 0 y„4,. o dover, Mass., %;- X)'l If, COC/i1C s RATED BOARD OF HEALTH 7 Food/Kitchen PERMIT T D Septic System BUILDING INSPECTOR THIS CERTIFIES THAT........rO.'.IAW........................1�-4.................................................................................................... Foundation has permission to erect........................................ buildings on ...... ..................... Rough to be occupied as.... Q.e ..... .... L.I.J :?........... /.:.. �.. Chimney C e provided that the person accepting this permit shall in every respect conform to the terms of th4 cation 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 CONSTRUCTION ARTS Rough ........................ . 4r4r..!-.....4+' � Service BUILDIN SPECTOR 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. 169 xford Street ndover PH:North78-688 3� 5 01845 Building Contractor • FAX:978-688-7207 Proposal To: Tom&Maureen Scott 39 Hawkins Lane All Home improvennent Cora ors and subcontractors engaged in horse improvernere connac",unless North Andover, •Ma. 01845 specifically exempt from registration by Provisions of Chapter 142A of the general laws,must be registered with the CornrnmNeafth of MassaCwsetts.Inquiries about registration and stabs should be made to the Director,Horne Improvernent Contract Registration,One Ashburton Place, From: Kevin Murphy Room 1301,Boston,MA 02108.(617)-727 M8 CC: Date: 7/2/2009 Job: Bathroom Renovations. Date of plans: 6/09 Architect; Mark Spiker 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 7/13/09. Barring Delay caused by circumstances beyond Contactors control,the work will be completed by 8/30/09.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. 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. Section 111-Scope of Work McVAM wwn7 ny Page 2 of 4 Building Contractor 169 Boxford Street North Andover,MA 01845 PH:978-688-5335 FAX 978866-)O= General Building permit will be provided by contractor. Proposal is to renovate two existing second floor bathrooms. Footprint of both bathrooms to remain same. Demolition Both bathrooms will be completely gutted. Existing doors to remain. Building Any framing materials required to renovate baths will be supplied. Existing windows to remain. Plumbing Plumbing required to renovate baths to meet code will be provided. General layout of main bath to remain the same. Master bath will have shower expanded and sink relocated as shown on plan. Copper pan will be provided by contractor.All finish plumbing fixtures to be supplied by owner/designer, installed by contractor. Heating/Air Conditioning Existing baseboard heating will have new covers/trim installed.Air conditioning to remain. Electrical Electrical work required to renovate both baths to code will be provided. New recessed lights and exhaust fans will be supplied and installed by contractor. New surface mounted fixtures (walls sconces ) to be supplied by owner, installed by contractor. Electric radiant floor heating will be supplied and installed in both bathrooms. Insulation All renovated areas will be insulated to meet code(R-19 in exterior code, R-30 in ceilings). Plaster All renovated areas will be blueboarded and skimcoat plastered. Walls will be smooth, closets will be textured, ceilings to match existing. Interior Trim/Doors Preprimed interior trim will be supplied and installed to match existing. Existing door units to remain. Bathroom vanities to be supplied by owner,installed by contractor. Painting All interior painting of bathrooms will be provided. No allowance has been made to paint existing hallway/foyer area. Price will be submitted when bath painting is being performed. Ecevfi id MMD?hy Page 3 of 4 Baiidiag Contractor 169 Bo fiord sheet North Andover,MA 01845 PR 978688-5335 FAX 9786W)OM Flooring i Floor in main bathroom will be tiled. Pebble section of floor, to be supplied and installed by designer. Tub walls in main bathroom will be tiled. Master bath floor and baseboard will be tiled. Shower floor, seat, and walls will be tiled.All file materials to be supplied by owner, installed by contractor. Other Allowances An allowance of $2000 has been included to supply and install glass shower enclosure in master bath. No allowance has been made for any glass tub enclosure in main bath. Waste Removal All demolition!construction debris will be disposed of by contractor. II$evfim mmn7 y Page 4 of 4 SuBding Coat taaetoa 169 Boxford sheet North Andover,MA 01845 PH:978-688-5335 FAX 978-688-)000( Section IV-Price Schedule We hereby propose to furnish material and labor—complete in Accordance with above specifications for the sum of... ... ... ...... ...... ...... ... ... ....$ 34,000 Payment to be made as follows: Percentage/item Description Amount 1 Demolition complete $10,000 2 Plastering complete $10,000 3 Interior trim /Tile complete $10,000 4 Job 100% complete $4000 Total 14 1 $34,000.00 "Nottoe:No agreement for Home improvement convaclirg work shall require a down pWmed(tee )of more that m*4nrd of the total contract price of the total amount of all deposits or payrrrents which the contractor frost make,in advance,to order and/or o(Wwise obtain delivery of special order..otev als and equgrnreM whichever is Breater Contractor: Kevin Murphy 169 Boxford 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 CONTRACT IF THERE ARE ANY BLANK SPACES A Signature Date rl Z U Signature Date