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Home My WebLink AboutBuilding Permit #59 - 40 MEADOW LANE 7/23/2008 pORTH BUILDING PERMIT 0F�t�ao ,bgti TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit NO: Date Received �SSgcHus�� Date Issued: `2 IMPORTANT:Applicant must complete all items on this page LOCATION Print .PROPERTY OWNER AAAA. <- l<a,fitN 0am.C.1..rEl+t°: Print MAP NO,: APARCEL -' ZONING DISTRICT: Historic District yes Machine Shop Village ...YeS TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential New Building One family Addi ' Two or more family Industrial Iteration No. of units: Commercial Repair, replacement Assessory Bldg Others: Demolition Other Septic Well— Elecdplaim Wetlands U�laters#�ed District Water/Sewer (� DESCRIPTION OFi WORK TO BE PREFORMED: �5"'\�k LSb$-0o SL D �a�c� riv.� ^�y�P d i_d�LS Ev , 1Cs�C-lam Identification Please Type or Print Clearly) OWNER: Name: tynprut c, c.l< Phone: M -L(Kock Address: SA :nom CONTRACTOR.Name: ;�' ( i,. .,r�.- -- Phone: Plans Submitted Plans Waived Certified Plot Plan Stamped Plans TYPE OF SEWERAGE DISPOSAL =Publicer 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 DATE REJECTED DATE APPROVED PLANNING & DEVELOPMENT COMMENTS DATE REJECTED DATE APPROVED CONSERVATION COMMENTS DATE REJECTED DATE APPROVED HEALTH 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 Located at 384 Osgood Street =FIRE DEPARTMENT .-Temp Du-m.pster-on site yes no Located at 124 Main Street Fire'Department 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 ce drop r quires approval of Electrical Inspector Yes No DANGER ZONE LITERATURE: Yes No MGL Chapter 166 Section 2 1 A—F and G min.$100-$1000 fine NOTES and DATA— For department use ❑ Notified for pickup - Date Doc.Building Permit Revised 2007 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 2.2007 LocationO No. Date p� NORTH TOWN OF NORTH ANDOVER F 9 + ; ; Certificate of Occupancy MwUst� Building/Frame Permit Fee Foundation Permit Fee Other Permit Fee = TOTAL 3 Check # 2 . 5 .J J Bul�nglns�pecto, — -- ff �' egu a o> ai' n ards nstruction Supervisor License License: CS 53099 Bi rthdate: .6/29/1967 Expiration: $/29/2009 Tr# 14120 Restriction: 0U jkEVILPHY'S 1,69 BOXFORD ST N`ANDOVER,MA 01845 . Commissioner ✓!� 1°omvnzo�wrecz�i o�./G(',aaaaclZuaetta Board of Building Regulationt_and Standards HOME IMPROVEMENT CONTRACTOR Registration: 101874 Expiration.7-6j29/2010 — Tr# 267315 •Type: Individual KEVIN MURPHY;', Kevin Murphy 169 Boxford St N.Andover,MA 01845 Administrator � 4 Morrison Mahoney LLP 7/21/2008 5:33 :47 PM PAGE 2/002 .t ' Saw ru •� - -::SII I� 3�," �97b -OV r• _q Ila* tt .• MTV .60 �,, ,•', .•� `;c `� `.rte �S .[ n. ., •. �' • NORTH � Town of 4Andover 0 .: :. No. S - o over, Mass., • 7 1 - 0 kol COCMICKEWICK �. 21,9 A�Rgreo S BOARD OF HEALTH PE ,RM -IT T D Food/Kitchen Septic System BUILDING INSPECTOR THIS CERTIFIES THAT.. 4./Aw........� ........................... Foundation has permission to erect........................................ b iidi son ........ ®...... !+R�. 1!!0.....0..!�! ................. Rough �! , t0 b8 occupied as /// /D.,�.l .... Chimney p ........... ..lir^. ... ..........0. ......��<..l'�!.M. . . ..... ..��... .... ........ y provided that the person accepting this permit shall in every respect conform to the terms of t application on fie in Final this office, and to the provisions of the Codes and By:Laws relating to the Inspection, After on and Construction of Buildings in the Town of North Andover. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final l �Z PERMIT EXPIRES IN 6 MONTHS e _ ELECTRICAL INSPECTOR UNLESS LESS CONST V C 1 IO 1 ARTS Rough ..........................:...........�iUILDING .......... Service TOR 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. t. r-rr•-s o r__N 169 Boxford Street I'-1 ::-14 A "_=i r i:�-�4��' • North Andover,MA 01845 L-i L-1%-_—_ it_- L L—i �a i L__1 1 's='t;;� u &_ PH 978-688-5335 Building Contractor • FAX:978-688-7207 Proposal To: Mark&Joyce Komachuk 40 Meadow Lane All Home improvement Contractors and Subcontractors engaged in home improvement contracting,unless North Andover, Ma. 01845 specifically exempt from registration by Provisions of Chapter 142A of the general laws,must be registered with the Commonwealth of Massachusetts.Inquiries about registration and Status should be made to the Director,Home Improvement Contract Registration,One Ashburton Place, From: Kevin Murphy Room 1301,Boston,MA 02108.(617)-72785M CC: Date: 4/22/2008 Job: Screened 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 6/1/08. Barring Delay caused by circumstances beyond Contactors control,the work will be completed by 7/30/08.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 fumished 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 Y Page 2 of 7s •. s iaa:isusaaa��.tDs3�raa:twc` 169 Bo)dord Street North Andover,MA 01845 PH:978-688.5335 FAX 978-688-)O= General Building permit will be provided by contractor. No allowance has been made to provide plans, plot plan, any variances, board of health, or conservation approvals. Proposal is to build screened porch on existing 16'x16' deck. Footprint of deck to remain unchanged. Porch will have walls and gable roof framed, and roof shingles installed. No allowance has been made to trim exterior walls,finish interior of porch,or install screens. Demolition Existing railings will be removed and disposed of. Decking to remain. Foundation Five new footings will be installed as required to support new structure Building All frame and roofing materials will be provided to match existing house/meet code. Walls will be 2x4, bottom plate will be pressure treated, roof rafters will be M. Roof sheathing will be 5/8 fir plywood. Ice&water sheild will be installed at roof edges, thirty year shingles will be supplied and installed to match existing. Siding will be patched/replaced as required on rear wall of existing house. Gable end wall will have two openings framed, for fixed triangular windows or screens. Waste Removal All construction related debris will be disposed of by contractor. Items Not Included There have been no allowances made for any electrical work, interior finishing, screens, doors, painting, windows,trim on exterior of walls or screen openings. Electrical Electrical work required to add four recessed lights, and six outlets in porch,can be added at a cost of$1600. Other Allowances Option to supply and install two triangular glass panels in gable end can be added at a cost of$1000. L t >*� z � ,tt►�:r Page s of?3 4 otiiititiit�l i�YaaNt'dca:iYY 169 Bordord Street North Mdover,MA 01845 PH:978688-5335 FAX 978688-XXXX Section IV-Price Schedule We hereby propose to furnish material and labor—complete in Accordance with above specifications for the sum of... ... ... ... ... ... ... ... ... ... ... ....$ 9300 Payment to be made as follows: PercentagelItem Description Amount 1 Permit obtained $2000 2 Roof complete $7300 Total 2 $9,300.00 —Notice:No agreement for Home improvement 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 payments which the contractor must make,in advance,to order w6or otherwise obtain delivery of special order materials and equipment,v idr ever is greater 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 Signature Date 2 $ d$ Signatur Date 7 Al 'a� The of !Pj Offlce of *63M)WOR strew &*A*&- MA 02111 kf' - Worke",con"Watia" in ""W-MWO-Raw'did Ih Oft Aft"": 48nlo Add":—xig Are ym*wsWpbygj?Cbqcjjthe 4ppffoprbII LVIMsenipk)f wim 602: --------- 2_ 4- 0 f My sgrhhrrat Typearpse*j . �_ . *mph"@@(#A and4or pw4jMj.* taw how the w9"Iffmall, 6. DNew eonshwkm I PwWw or pnow, IIWd ship MW have no 080*eft ""e lub-conwack"have Ret*O*Iing *I** fiw I me in my Comity, work"'camp. 4"Uroaft 0 rx-M.4w." (No Mquiled-I sd&&m A afficaft have extrejud their 10.0 0*61d I r on 9- [3,[] ad oftir 10.0 6� I Am-2 kneownsr doft affiaoc* M ryoff � at. LV'""I fOPhifs or Addhiaft Myseff-pu mia awtp. N*,0�1"effloiaft per MG#_ 0 Pk MWW" ft 116 C. 152.41(4L and we how nu -0 pkw**Mpoin Or 4*wiw, as (No warkm. ]ROOf"p" cof� MSUP""M"ired. ftw w*w*#M- j halma ion. OwAftefto 4WW fto w"Wiv awpl MAft Co"" or Sw-wa. Date:__-) A*She Add FaMn toVulop "Jiby wafter ad w W atim 25A Of MOL c. 152 &W up in i-j--;;790 medlar sawyaw UWSJ*FA 10 the b"fth'M Ofthmiftl ptnaffia of a "01 lhenaitits is dimfs'm'fa'STOP WMK(MIXR*W.jift OIruPIDS2_W.d9s&yqpkg#wWWM kv@Wkmdsft Offt IXA he�kw� 'Old"*Wuwa may be fwmd to the(ace ov 1+14► A_4W* ~—CAvft". Cloy or reww. P*FMWUC*mw 1. Owd affledgh IL 990*00PIPOWN J.CWf6w4 CW& 4. Churkal jw"8014w it COMMON"Posen: wheat 07/09/2008 10:02 FAX 19786833147 M.P.ROBERTS INSURANCE 0 002 DAYE(MWDONYYY) AMM. CERTIFICATE OF LIABILITY INSURANCE 2008 PRODUCER THIS CERTIFICATE IS ISSUED AS A(NATTER OF INFORMATION 14.P. ROT381�T8 INS AGCY INC ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 1060 Osgood Street ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. North Andsver, NA 01845 $ 683-x:3073 INSURERS AFFORDING COVERAGE NAIC INSURED nV7:N mRpn EQImINTG" & REMODELING INSURER A; IgQVIDENCE MUTUAL INSURER B: MERQKMT$ INSURANCE 16!1 ARD STREET INSURER 0: NORTH ANDOVER, MA 01845 INSURER D: GUARD INSURANCE INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED,NOTWITHSTANDING ANY REQUIREfAJIT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,TAE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLIGM&AGGREGATE L14JIlTuSHOM tAAY HAVE BEEN RV-DUCW BY PAM)CLAUS. LTR RD 1 POLICYNUM9ER GATE M TWE DAI ID/YY WITS GENERA.�M, EACH OCCURRENCE 6_1,000 000 1C COMMERCIALGENERALL"LITY PREMISE EpdeGoo = _100,000 ----1 CLAIM NIAM 7OCCUR MEDEXP(AlrW0f*P&Vffl) S 5 0 0 A CPP0060868 11/22/07 11/22/08 PERSONAL&AOVINJURY s 1 0 o GENERAL AGGREGATE 6 2.000,000 GEN,LAOGREGA.rELIMIT APPLIES PElt PRODUCTS•COMPIOPAGG s 2 000 000 POLICY 71 PRO-JECT LOC AUTOMOSILELABILITY COMBBINNSOISINGLE LlMI7 $ 500,000 ANYAUTO —�— ALL OWNED AUTOS SOOILYINJURY S $ SCHEDULED AUTOS ( ) B HIREDAUTOS 7AM0277013608 1/23/091 1/23/09 soDiLnNJURY = NON.OWNEDAUYOS (Pareceldent) PROPERTY DAMAGE 6 (Perecddprrl) GARAGE UABRM AUYOONLY-ERACCIDENY S ANYAUTO OTHERTHAN EAACC 9 AUTOONLY: AGG $ EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE 6 OCCUR CI CLAIMSMADE AGGREGATE 6 DEDUCTIBLE 6 REI'EURIDN $ 6 WORHERSCOIM+ENSAAONAWD YLIMlT3 R R MmLcmv Loma" E.L EM"ACCIDENT S 500,000 ANY iRat'WMkPAMYYlII! EA,D13EASE-F.A.EMPLOYE $ 500 000 D 0ppw�ww>MEmmq ECLUDE '' MUWC913513 7/1/08 7/1/09 n�yes dp n'*"» E.L.DISEASE-POLICY LIMIT $ ,500,000 $PECNL T>wIDNS eeldw OTHER DEBCRIPTIONOF OPERATIONS]LOCATIONSIVEHICtI EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CAWDELLEO DEFORETHE EXPIRATION Tc4W OF NORTR ANDOVER, MA DATE THEREOF',THE ISSUING INSURER WILL ENDEAVOR TO MAIL10 DAYS WRITTEN 1(;00 OSGOOD STREET NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE 10 DO SO SHALL NTCIRTB ANDOVER, MA 01845 IMPOSE NO OBLIGATION OR LJABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR i REPAESEMTATIVES. AUYHORIZED REPRESENTATNE 0 ACORD CORPORATION 1988 ACORD250001108) I NORTH ANDOVER BUILDING DEPARTMENT Tel: 978-688-9545 DEBRIS DISPOSAL FORM In accordance with the provision of MGL c 40 S 54, a condition of Building Permit at: �,.j y is that the debris resulting from this work shall be disposed of in a properly licensed solid waste disposal facility as defined by NIGL lt, S 150 A. Also, note Permits are required under Fire Prevention laws Chapter 148 Section 10A. The debris will be disposed of in: Location of Facil ty} r, SignaA&Permit Applicant Fire Department Sign off: l..)1) Dumpster Permit Date