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Home My WebLink AboutBuilding Permit #359 - 395 CHESTNUT STREET 10/24/2011 TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit NO: � l Date Received Date Issued: 2q_(/ IMPORTANT:Applicant must complete all items on this page LOCATION �9, ' C 1tic 6t fi uf_ PROPERTY OWNER"RC-b x_(�hn P * Unit# Print MAP NO: qko,PARCEL: 90 ZONING DISTRICT: Historic District yes noa Machine Shop Village yes no 100 year-old structure yes TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building One family ❑Addition ❑Two or more family ❑ Industrial 2Alteration No. of units: ❑ Commercial ❑ Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other WjSeptic OWell ®Floodplain ®)Wetlands ®#,'WatershedlDlsirlct;. D}Water/,Sewer; DESCRIPTION OF WORK TO BE PER ORMED: .�.�C - V I�J_ I (Identification Pfl se Type or Print Clearly) OWNER: Name: ,o i-to..e..d Phone !2 7�Y Address: �� -' CONTRACTOR Name: ACLr SK A r, ih.4hon( - S/ Address: (e ��' I�� /�! �1 `r e Supervisor's Construction License: d� Z 3 )Exp. Date: I Home Improvement License: U % S Exp. Date: ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE.BULDING PERMIT.,$12.00 PER$9000.00 OF THE TOTAL ESTIMATED COST BASED ON$925.00 PER S.F.Total Project Cost: $ -3 q FEE: $ 4 (� Check No.: C�� _ Receipt No.: NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund �SLg nature_of Ag"ent/Owner,,6., -w�. w Signatureofacoritractor:�. 4.k._. n Location -3' s c7- No. Date %ORTN TOWN OF NORTH ANDOVER 0 0 0 Certificate of Occupancy $ q15 Building/Franie Permit Fee $ ACHU Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # Building Inspector 24749 Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ TYPE OF SEWERAGE DISPOSAL Public Sewer ❑ Tanning/Massage/Body Art ElSwimming Pools El Well ❑ Tobacco Sales ❑ Food Packaging/Sales ❑ Private(septic tank,etc. ❑ Permanent Dumpster on Site ❑ I 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 k COMMENTS Zoning Board of Appeals:Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments Conservation Decision: Comments Water& Sewer Connection/Signature& Date Driveway Permit DPW Town Engineer: Signature: Located 384 Osgood Street FIRE DEPARTMENT -Temp Dumpster on site yes no Located at 124 Main Street Fire Department signature/date COMMENTS i i i 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 2011 June/mi 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 a Photo Copy of H.I.C. And/Or C.S.L. Licenses a Copy of Contract a 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 o Certified Surveyed Plot Plan a 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 o 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 (VOTE: 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: Doc.Building Permit Revised 2008mi FORTH , ToVM of 0 .VL 7i_ Andover , lover, Mass., COCHICHEWICK BOARD OF HEALTH PEIiMIT T D Food/Kitchen Septic System BUILDING INSPECTOR w� J THIS CERTIFIES THAT........... .... t�. /................... ............. Foundation has.permission to erect.. .......... Kildings on ....... 4C.........IC��.Wr.........0+..• Rough to be occupied as K L.......... *......................... Chimney provided that the person accepting this permit 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 IIT6 THIS UNLESS � _ ELECTRICAL INSPECTOR NLESS CONST ��.�i �.1S Rough ............................................. Service t 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 (Mall To Be Done FIREE_DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. SEE REVERSE SIDE Smoke Det. i i11:tssaCltusetts- Depar-turent of Public Safety Board of Buildinu Re,Fulations and Standards Construction Supervisor License License: cs 58238 GLENN M GARY 507 W LOWELL AVE HAVERHILL, MA 01832 i Expiration: 9/15/201.3 ('unmusivncr Tr-#: 1556 r GlennGary General Contractors 60 Island Street Builders Lic.# 058238&065519 Lawrence, MA 01840 Home Improvement Lic.#105965& 122124 Telephone 978-557-5981 978-469-0055 Lawrence Haverhill Fax 978-557-5439 Glenn Gary Buddy Latham CONTRACT PROPOSAL FORM Prepared Rich&Chris Pineau For: Date: 06/08/2011 Telephone: (978)683-1569 Location 395 Chestnut Street North Andover Ma 01845 General Description of Project: Master bathroom &walk-in closet remodel Demo • Remove all drywall from walls and ceilings in the master bath and closet • Remove floor covering down to the sub floor • Remove three doors(bathroom, closet, and linen from main bath) • Remove hallway window and frame in opening • Remove all existing bathroom and closet components Rough carpentry • Frame bathroom/closet demising wall • Frame in hallway opening • Frame opening for new bathroom window • Frame in linen closet doorway(main bath) • Frame two pocket doors opening • Frame in floor joist for new water closet location • Install new window in master bath as per layout under(101 ui) • Insulate exterior walls and ceiling in master bath and walk-in Finishes • Drywall bathroom and closet walls and tape three coats • Install owner supplied bathroom floor tile • Install owner supplied bathroom walls tile 4' up • Install owner supplied tile to the shower interior • Install casing to new bathroom window • Install base board in new walk in closet • Install pocket door casings • Install baseboard in master at pocket doors • Purchase and install cedar clapboard around new window and were hallway window was • Purchase and install base and wall cabinets(vanity and med-cabs) • Supply and install granite wall cap for shower half wall. • Relocate central vac port Execution of Contract The contract must be executed in duplicate and should not be signed until a copy of all exhibits and referenced documents have been attached. Parties are also advised not to sign the document until all blank sections have been filled in or marked as void, deleted, or not applicable. One original signed copy of the contract with attachments is to be given to the owner and the other kept by the contractor. Any modification to the original contract must be in writing and agreed to by both parties. Contracted work may not begin until both parties have received a fully executed copy of the contract, and the three day rescission period has expired. Accelerated Payments A contractor may not demand payments in advance of the dates specified on the payment schedule in cases where the homeowner deems him/herself to be financially insecure. However, in instances where a contractor deems him/herself to be financially insecure, the contractor may require that the balance of funds not yet due be placed in a joint escrow account as a prerequisite to continuing the contracted work. Withdrawal of funds from said account would require the signatures of both parties. Additional Information If you have general questions or need additional information about the Home Improvement Contractor Law or other consumer rights, or if you wish to obtain a free copy of"A Massachusetts Consumer Guide to Home Improvement" contact: Consumer Information Hotline Office of Consumer Affairs and Business Regulation 10 Park Plaza, Room 5170, Boston, MA 02116 617-973-8787, 888-283-3757 or visit the OCABR website at http://www.mass.gov/ocabr/ If you want to verify the registration of a contractor or if you have questions or need additional information specifically about the contractor registration component of the Home Improvement Contractor Law, contact: Director of Home Improvement Contractor Registration Office of Consumer Affairs and Business Regulation 10 Park Plaza, Room 5170, Boston, MA 02116 617-973-8787, 888-283-3757 or visit the HIC website at http://www.mass.gov/ocabr/ Go online to view the status of a Home Improvement Contractor's Registration: http:l/db.state.ma.us/homeimprovement/Iicenseelist.asp For assistance with informal mediation of disputes or to register formal complaints against a business, call: Consumer Complaint Section Office of the Attorney General 617-727-8400 AND/OR Better Business Bureau 508-652-4800, 508-755-2548 or 413-734-3114 Electrical Bathroom • Demo of existing electrical • Supply and install(2)20amp GFCI circuit for new tub • Supply and install (1)20A circuit with (2)vanity outlets for Chris and one for Rich • Supply and install (1)exhaust fan only • Supply and install (1) recessed light over shower • Supply and install (2) recessed lights over tub • Supply and install(2) recessed lights in bathroom for general lighting • Supply and install(2) recessed lights in bathroom for general lighting (switched separately) • Wire and install(2)customer supplied wall sconces for vanity • Supply and install(5)switch locations • Supply and install wiring for toe-kick heater power only(not its own separate zone) Plumbing • Purchase and install all bathroom components listed on the Peabody Supply quote# 242003 Dated 06/24/2011 ( please note there are no counter tops included on this quote this item can be added T&M). Purchase and install 36"x48"copper pan for shower Toe kick heater controlled by second floor thermostat(not its own separate zone) Painting • Prep, prime and paint new master bathroom walls, trim, and ceiling • Prep, prime and paint new walk-in closet walls, trim, and ceiling Acceptance of Proposal Upon Completion $17,200.00 $17,200.00 Glenn Gary General Contractors shall not be held liable for delays due to circumstances beyond our control.Glenn Gary General Contractors shall not be held liable for any pre-existing conditions including but not limited to insect damage,unforseen rot,mold,mildew,unforseen damage, undersized framing,improper flashing,or inadequate support.Though our greatest effort will be put forth to protect and preserve the beauty and curb apeal of your property Glenn Gary General Contractors may not be held liable for any damages to landscaping,driveway,or walkways All material is guaranteed to be as specified.All work to be completed in a workmanlike manner.according to standard practices.Any alteration or deviation from above specifications involving extra costs will be executed only upon written orders,and will become an extra charge over and above the estimate.All agreements.are contingent upon strikes, accidents or delays beyond our control.Owner to carry all required insurance on the property being worked by the contractor.Contractor will provide full Workmen's Compensation Insurance for the employees used at the site. Please review this Proposal and if acceptable plea n both copies and retain one for your files.If there are any changes please modify thi poVyma g the nges and providing us with the document for review and preparation of a final opos I Thopos may b i drawn if not accepted within 30 ays. Accepted: By: Date: a 2i — Accepted: rr.ai . %y�aFure) Francis Lat�am Date r (Contractors Si late e) Contractor Arbitration The Home Improvement Contractor Law provides homeowners with the right to initiate an arbitration action (as an alternative to court action) if they have a dispute with a contractor. The same right is not automatically afforded to a contractor, however. The contractor would have to resolve any dispute he/she has with a homeowner in court unless both parties agree to the optional clause provided below. This clause would give the contractor the same right to arbitration as is afforded to the homeowner by the Home Improvement Contractor Law. The contractor and the homeowner hereby mutually agree in advance that in the event the contractor has a dispute concerning this contract, the contractor may submit the dispute to a private arbitration firm which has been approved by the Secretary of the Executive Office of Consumer Affairs and Business Regulation and the consumer shall be required to submit to such arbitration as provided In Massachusetts General Laws, chapter 142A. Homeowner's Signature Contractor's Signature NOTICE: The signatures of the parties above apply only to the agreement of the parties to alternative dispute resolution initiated by the contractor. The homeowner may initiate alternative dispute resolution even where this section is not separately signed by the parties. Homeowner's Rights A homeowner's rights under the Home Improvement Contractor Law(MGL chapter 142A) and other consumer protection laws (i.e. MGL chapter 93A) may not be waived in any way, even by agreement. However, homeowners may be excluded from certain rights if the contractor they choose is not properly registered as prescribed by law. Homeowners who secure their own building permits are automatically excluded from all Guaranty Fund provisions of the Home Improvement Contractor Law. The contractor is responsible for completing the work as described, in a timely and workmanlike manner. Homeowners may be entitled to other specific legal rights if the contractor guarantees or provides an express warranty for workmanship or materials. In addition to guarantees or warranties provided by the contractor, all goods sold in Massachusetts carry an implied warranty of merchantability and fitness for a particular purpose. An enumeration of other matters on which the homeowner and contractor lawfully agree may be added to the terms of the contract as long as they do not restrict a homeowner's basic consumer rights. If you have questions about your consumer/homeowner rights, contact the Consumer Information Hotline (listed below). AORTH ® of Y �[! }'- LAK o lover, Mass., (16 � r it COC HICMEWICK S RATED BOARD OF HEALTH PE� nMIT T D Food/Kitchen Septic System BUILDING INSPECTOR THIS CERTIFIES THAT .�.....t...�.....J..... ........................................................................................hFoundation has permission to erect.. ... buildinas aq.r.........o��.�........0+..9 Rough to be occupied as........... M►. L.......... ....... W..#........................................................ ...... Chimney provided that the person accepting this permit 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 THS ELECTRICAL INSPECTOR L)INLESS CONS SI_ Rough Service BUILDING INSPECTOR Final Oecac ancyPermit Rewired 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. The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Avolicant Information Please Print Legibly Nate (Business/Organization/Indivi dual): Ali f Address: (00 14 6Q City/State/Zip:�� Cd� — Phone#:_60 Aire pyrou an employer?Check t e appropriate box: Type of project(required): I am a employer with 4. ❑ I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6' El New construction 2. ❑ I am a sole proprietor or partner- listed on the attached sheet.t [ Remodeling ship and have no employees These sub-contractors have 8. ❑Demolition working for me in any capacity. workers'comp.insurance. 9. ❑Building addition [No workers'comp.insurance 5. ❑ We are a corporation and its 10.[1 Electrical repairs or additions required.] officers have exercised their 3.❑ I am a homeowner doing all work right of exemption per MGL 11.0 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' 13.❑Other comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. i Homeowners who submit this affidavit indicating they are 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 the policy and job site information. Insurance Company Name: _J Policy#or Self-ins.Lic.#: / Expiration Date: Job Site Address: h �/ City/State/Zip: fi a- Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). I Failure to secure coverage as required under Section 25A of MGL c. 152 can lead 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 DIA for insurance coverage verification. I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct. Si nature: Date: /C)/Zi/ Phone#: 1�y,1 ?' �5 � 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 S.Plumbing Inspector 6.Other Contact Person: Phone th