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HomeMy WebLinkAboutBuilding Permit #291-12 - 400 FOSTER STREET 10/5/2009 i TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit NO: Date Received Date Issued: IMPORTANT:Applicant must com Tete all items on this page LOCATION i4 ,— S fi Print PROPERTY OWNER .l v��-� 9 4-,v-1-,e,,e Unit# MAP NO:16� %' Print PARCEL:l�04 ZONING DISTRICT: Historic District yes r� Machine Shop Village yes nc 100 year-old structure yes n TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building ' One family ❑Addition ❑Two or more family ❑ Industrial Alteration No. of units: ❑ Commercial 'S Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other Se t--ic�� El Well ❑Floodplain ❑ Wetlands ❑ Watershed District NQUeAewer DESCRIPTION OF WORK TO BE PERFORMED: Identification Please Type or Print Clearly) OWNER: Name: W Phone: UT3 2,S2 b Address:_ LIVD k`vS )A- S -- CONTRACTOR Name: -Phone: Address: b -y �- ,.-- S S-- t� , Ac•.�..,. �✓�.. Supervisor's Construction License: Exp. Date: , Home Improvement License: ��\� t �-( Exp. Date: ARCHITECT/ENGINEER_ -� 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: $__. \ l V. V V'o FEE: $ Lk Wu I VID Check No.: /eq Gap Receipt No.: C9 Z/6 5 NOTE: Persons contracting with unreged contractors do not have access to the guaranty fund ignature.of Agent/Owner :�,. ignature of contract _ r Location goo 0j _ No. �C1�— 12 ' Date A NORTq TOWN OF NORTH ANDOVER � s u D Certificate of Occupancy $ s�cM o ` Building/Frame Permit Fee $ Foundation Permit Fee $ r Other Permit Fee $ TOTAL $ Check # /o63y 24665 - � Building Inspector 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 ❑ Private(septic tank,etc. I 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 Conservation Decision: Comments Water & Sewer Connection/Signature& Date Driveway Permit DPW Town Engineer: Signature: Located 384 O oo Street FIRE DEPARTMENT - Temp Dumpster 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 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 i Doc:.Building Permit Revised 2011 June/mi J 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) o 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: Doc.Building Permit Revised 2008mi r Town NORT of . � , ..:, Andover .. , _ - . O ,.4w-.r ti-��5•� . JL ..... ..... No. q/� C,o o , '� dover, Mass., :�_zz// COCHICHEWICK ORATED P'V '9S BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System / BUILDING INSPECTOR l C ........................................................................................ THIS CERTIFIES T HAT...1O.v���..........��.�r.f....................... Foundation buildin s on .. c?.../ �'s �'". .................... ............ Rough has permission to erect................. g �w L�.�rF�"� �s%zt G(a�S' �(aQc`S , / ..:............. Chimney to be occupied as............ c ey provided that the person accepting this permit shall in every respect conform to thf3 terms of t e application n 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 MONS ELECTRICAL INSPECTOR UNLESS V LESS CONS 1 Is V C� STARTS 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 xford KevinMurphy • h Ando Street • North th Andover,MA 01845 • PH:97"88-335 Building Contractor • FAX:978.688-XXXX Proposal To: Julie Durkee 400 Foster Street All Home improvement Contractors and subcontractors erWged in tame improvement contracting,unless North Andover, Ma 01845 M exec from region by Provisions of Chapter 142A of the general laws,must be registered with the Commonweatth of Massachusetts.Inquiries about registration and status should be made to the Doector,Home Improvement Contract Registration,One Ashburton Place, From: Kevin Murphy Room 1301,Boston,MA0210a.I617-727 9598 CC: Date: 10/5/2011 Job: Siding/windows/doors Date of planet None Architeell: 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 9/1/11. Barring Delay caused by circumstances beyond Contactors control,the work will be completed by 10/15/11.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 flee 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 coned, 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 perforated in connection with the agreed-upon work. i Section 111-Scope of Work Page 1 of 4 Xi Kevin Murphy Page 4 of 4 Building Contractor 169 Boxdord Street North Andover,MA 01845 PH:9786885335 FAX 978&6WXXXX Section IV—Price Schedule We hereby propose to furnish material and labor—complete in Accordance with above specifications for the sum of........................... ..........$ 40,000 Payment to be made as follows: Percentage/item Description Amount 1 Permit obtained $3000 2 Windows installed $15,000 3 Siding installed $15,000 4 Job corn tete $7000 Total 4 1 $40,000.00 Notice:No ageernerd for Home improvemerit contracting work shall require a down paymerd(advance deposit)of moue that or e4wd of the total contract price of the total amovmt of all deposits or payments which the cortiractor must mace,in advance,to order MUM otherwise obW delivery of specW order n>aterials and e"xnertt,whichever is greater Contractor: Kevin Murphy 169 Boxford Street No.Andover, MA 01845 Registration No: 101874 Section V—Acceptance Acceptance of Proposal—I have read this document and accept the prices,specifications,and conditions stated. I understand that upon signing,this proposal becomes a binding contract You are authorized to do the work as specified. Payment will be made as outlined above. You the buyer may cancel this transaction at any time prior to midnight on the third business day after the date of this transaction cancellation must be done in writing DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES I Signaturesk. Date o Signature Date 07/11/2011 07:45 9786833147 PAGE 01/01 4�© CERTIFICATE OF LIABILITY INSURANCE 7/11 f2`DII THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RMWS UJPON TMS CERTIFICATE HOLOER. THIS CERTIFICATE DOES NOT AFFIRMATIV&Y OR NEGATN&V AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY WE POLICIES SELOW. THIS COMMOATS OF IMM NCE DOES %W CONSTIf11TE A CONTRACT WMIEEN THE ISSUING MSURER(SI AUTHOR REPRESENTATIVE OR PRODUCER,AND THE CER't1MATB HOLUM NNPORTANT. lift caUkite WNW IS=ADDITIONAL 196SUREO,tft pallcyON)must P8 Sndoread. K SUBROQATION 1$WANED.sui>�ect to ft Wffm and wn MW4B d the pOky,=WWn p~uW reqdft an WdorawaviL A statement On Oft DWM*a do"not canTcst R9ft tD the 4001 alo holder M tIWl of emb"dpmdr� °RODUCER M P ROBERTS MRS AGCY- INC Edw (978)ft93-8073 97 ( 8)683-3147 1060 Osgood Street ondi@uprobertalusurance.cm North, Andover, NA 01845 mumm AFFORD"eommm INSURFR A:PRmE iiiCS I40TURL INSURED xXvIN MFJ?8Y BUILDING & RE4DDELnM NSUKER e a INSURAINCE 169 BOXFORD STREET IwsuRER c:TiamINS INsuREtt o ROM ANDMU, NA 01845 ea E nes F: i CpVERAGM CERTIMATE NUMBER: REVISION NUMBER THIS 13 TO CERTIFY-LLAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOO INDICATED. NOTWITHSTANDING ANY REQUIREMENT.'PERM 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 POLICES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LOTS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. TR 1YPB OF'NSURMICE Brett UBl1R UAMTS GINQRAL 1.081IrrY 1 EACH OOL'VNURE CE S 1,0001000 X CONWERCLAt GENERAL.LPS UIY PR sss a ocart�+w i 100.000 Q OCM 5.000 A CPP0060968 11/22/10 1/22/11 PEPJXK4L&AVV NWRY s 1,000,000 cekm AGGREfMATE 1 2,000,000 GEWL AGGREGATE LOU APPLE=Pax PRODW.TS-commp Aw s 2,000,000 PotrcY PIS. LOc s AUTOMONLE LWT s 1,000000 ANYAO MCA7013608 01/23/11 01/23/12 BODEY INJURY leer a=w) s $ AALL UT 09DU� X BOD1tYINJURY(Para�) 4 HItEP AUTOS AUTOS 1 s UMBRELLA Lt" O UR EACH OCCURRENCE i 0(cm LLA= AGMGATE $ DED S $ WOMM Nr.AT1ON V A OT ANY uao AND IRMPLOYERV � =fly T!A E.L.EACH ACOMW i_ 500,000 NIA IM=21331S 07/01/1107/01/12 cIa° mq sl0C1 ' a L.DISEASE-EA EMPLOYEES 300,000 =�Mmwlcm Mm E).OMEM-POLICY t1w 1 500 000 OBSCRIPTLON OF OPERATIONS I LOCATIONS I VFNWAr3S WM AGM,D,.Ad=WW Rwmaft S&Mkft d more Ffma is mplism i CERTIFICATE ER CANCELLATION TOWN OF NORTH ANDOVER SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE NORT3 AUDOVER, mA 01$45 THE EXPIRATION DATE THEREOF. NOTICE WILL BE 00MRED IN ACCORDANCE WITH THE POLICY PROVISIONS, AUTHORIZED REP it #&"Moir 0 198e-2010 ACORD CORPORATION. A l ftt,w reserwa. ACORD25(2010" The ACORD name and Iogo are MiMeled marks of ACORD _ T i 1he��e �ealt)t e�'MossachusefLs r Department ofIndush&W;4 4 -free afLraestigations. 600 Washmgoi SWeet ,.". Boston,MA 02111 issgovlae Workers',Compensation lnsuranceAffidavrt $molders/Contrairs ApDficant information S*Prim Le ibl� Name(9„ za ion/indiddoal): 16LOP � Address: X�� - aL City/State/Z.ip: A :� 1�-�; phone.#: Are you an employer?Cb kf appropriate boz:. Type-of project(required): 4. 0 Dann.a general contractor and-1 . = 6: l I am a employer w� l = ❑New-consoraceon. . eanployees(fan and,or pmt4m)}* have l�cd the 7 - _ - fisted on the attached sheet..# Remodebmg. 2.[] am a sols;pmpn�or of Farmer These sub-eontmcos b.we 8. ❑Demolmon At and have no employees Demolition . working for nxe in any capacity_. " workers'cow-insivamce _ 9. ❑Bm-kft addition [No workers'comp.Msuramce. 5:[�W e are a'carporation"and its 10_�Electrical iepairs or additiains j office halve exeacised thk : " 3.❑ I am a homeowner,doing all work right ofexemption pet MG F_ ILEJ Plambing.repairs or addition emelt[ , camp. c.152,§2(4),and webweno I2. `Roof s -1 t loyees jNo vvockers', 13-El Othear' woe regviredj _ ;==bmcaswho=bmkBisa ftYmeaHwo*=dS=hbes oa mumdsubmiramwdEdwut:.m such =Contrac��stbati t�isbm� >ioosc`ame anad�twmalsheatshowin�ffie�nneafthea �saedekeffwokMe COMPyft infoyrnatiom l am" a t7iat&pri6vuhngtvorken conq*wation_an wwwefor.my ewpJp*e&-Belirm►.iar t1upul�ey_-end jab sue information. Insurance Company Flame: L.� _.�.iNS C4 Policy#or Selnins.I.ic.M. : w C.""2.�3 '� Expiration Dat+ Job site Address: Lt Vs Attach a copy of toe werkers'comp tion policy declaration page(showing the policy.number and eipliktion date Failure to secure-coverage as requix-ed under Section 25A ofMGL c.152 ean_lead to the Of caimmaipenalties'of a - fine up to$1,500.00 and/or oge-year amt;as welt as-civit:peaalties;n the form"ofa STOP WORK ORDER,and a fine of up m$20.00 a day against the'violator_ Be Advised.tiW a copy ofth s statement maybe fDXWSrded t0&e Office of Investigations of the DIA for inscRace coverage verifiCatin- Ido J*eb AcoMfj,.wi&rthep&WsandApamwiesofperpnyMswdiiinfw=adonpnwi*dabomis*wmdco" cz_ Ofi`Feial use only` Do nal write in A&area,to be completed bvi*yQr ti►wn.gffi aiai City or Town- Issuing Authority(cirde one): 1.Board of Health 2.Building Department 3.4Citylrov0s;Ll6rk 4'Electrical lamCdor 5,Numbing Inspector 6.Other Contact Peraoa; _ Ph"e