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Home My WebLink AboutBuilding Permit #415-14 - 44 LISA LANE 11/6/2013 TOWN OF NORTH ANDOVER 1� APPLICATION FOR PLAN EXAMINATION Permit NO: ' Date Received Date Issued: I IMPORTANT:Applicant must complete all items on this page LOCATION_ Print PROPERTY OWNER C-M�o\- Print 100 Year Old Structure yes In MAP NO: 81Z PARCEL:I? ZONING DISTRICT: Historic District yes Machine Shop Village yes n TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building -40ne family ❑Addition ❑Two or more family ❑ Industrial Alteration No. of units: ❑ Commercial ❑ Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other ❑ Septic ❑Well p Floodplain ❑Wetlands p Watershed District Water/Sewer DESCRIPTION OF WORK TO BE PERFORMED: Identification Please Type or Print Clearly) OWNER: Name: Phone: 14 K - Ga 1 a Address: q\-k- CONTRACTOR Name: Phone: 5,'IE t t$-5 3 3 Address: C( b Supervisor's Construction License: 6 5-3 v 4\, Exp. Date: 6 t2q 1 Home Improvement License: k 0 1 9v, Exp. Date: Zn. l 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: $ y k 1 p U FEE: $ 3 Check No.: 1\ "I1 � Receipt No.: �10 , NOTE: .Persons contracting with unregistered contractors do not have acc s to the guaranty fund Signature of Agent/Owner ;�� Signature of contractor Plans Submitted ❑ Plans Waived Certified Plot Plan ❑ Stamped Plans Plans Submitted ❑ Plans Waived-6 Certified Plot Plan ❑ Stamped Plans ❑ TYPE OF SEWERAGE DISPOSAL 1 Public Sewer 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 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 1% Sewer Connection/Signature& Date Driveway Permit DPW To-,v;! Engineer: Signature: Located 384 Osgood Street FIRE DEPARTMENT - Temp Dumpster on site yes no Located at'124 Main'Street Fire Departmerit signaturefdate 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 2010 it Building Department Tine following is a list of the required forms to be filled out for the appropriate permit to be obtained. I'Zoofivg, 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 of Bldg Permit dumpster permits require sign off from Fire Department prior to issuanceg 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 app,-al period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording must bP submitted with the building application Doc: Doc.Building Permit Revised 2012 LocationNo-415- 14 Date (P I • - TOWN OF NORTH ANDOVER • D01 r, s' • • Certificate of Occupancy $ Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee TOTAL $ Check# t� 2f iii Building Inspector Enter construction cost for fee cal - North Andover Fee Calculation Construction Cost $ 413100.00 m $ - $ 493.20 Plumbing Fee $ 61.65 Gas Fee 100 comm. $ 100.00 Electrical Fee $ 61.65 Total fees collected $ 716.50 44 Lisa Lane 415-14 on 11/6/2013 Renovate Exisiting Sun Porch and 1/2 bath NORTH own o EAndover O y � No. -00- 14 - oLAKG h ver, Mass Wt COCMIC HI WICK �� ds RATED U BOARD OF HEALTH PE IT T LD Food/Kitchen Septic System THIS CERTIFIES THAT ... �....... .... . . ... ... ! ........................................ BUILDING INSPECTOR has permission to ere t .............. buildings on Foundation .. .... ..... ..• Rough to be occupied as ...'.. I�.. .� .. ••••, •...b Chimney provided that the person accepting this permit shall in ely respect co form to the terms of the application Final on file in 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 ON S ELECTRICAL INSPECTOR UNLESS CONSTRUCT: STA S Rough Service ................ .......... ........................................... Final BUILDING INSPECTOR GAS INSPECTOR Occupancy Permit Required to Occupy Building 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 .•�• •- - ��ie�arrvrrw�rawe�r�o�G�a�czcLuaelld.� Office of Consumer Affairs&Busihess_Regulation OME giIPROVEMENT CONTRACTOR Type. e�egistration: 101874 xpiration: 6/29/2014, Individual KEVIN MURPHY Kevin Murphy 98 FOREST ST. g N.ANDOVER,MA 01845 Undersecretar-;y . t Massachusetts -Department of Public Safety ( Board of Building Regulations and Standards Construction Supervisor ' License: CS-653099 ,J �t KEVIN W MURPIjt 98 FOREST ST North Andover WA 4451 Expiration Commissioner 06/29/2015 98 st et Kevin Murphy North Andover, • North Andover,MA 01845 • PH:978-688-035 Building Contractor 0FAX:978.688-7207 Proposal To: Steve&Carla Dawe 44 Lisa Lane All Hone improvement contractors and Subcontractors erKiaWd North Andover, Ma 01845 ry� contracting,home improvement 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)-727 8598 CC: Date: 11/5/2013 Jot: Sunroom/Bath/Basement 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 9/15/13. Barring Delay caused by circumstances beyond Contactors control,the work will be completed by 12/15/13.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 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 performed in connection with the agreed-upon work. Section 111-Scope of Work Page 1 of 4 vd J Kevin Murphy Page 2 of 4 Building Contractor 98 Forest Street North Andover,MA 01845 PH:9786885335 FAX 97868&7207 General Proposal is to renovate exisitng sunroom, remodel half bath on first floor, and upgrade basement area. Permit will be obtained by contractor. Demolition Existing sunroom and half bath will be completely gutted. Flooring in basement will be removed. Building All frame and siding materials will be supplied and installed to renovate sunroom. One Anderson frenchwood sliding door will be supplied and installed. Ten Harvey, all vinyl doublehung windows will be supplied and installed. Five new Harvey basement windows will be supplied and installed. Electrical Electrical work required to wire sunroom and bathroom to code will be provided. Four recessed lights will be supplied and installed in sunroom. Panasonic bath fan/light will be supplied/installed in bath. General layout to be approved by owner prior to rough. No allowance has been made to upgrade exisitng electrical service. Any surface mounted fixtures(vanity lights/wall sconces )to be supplied by owner, installed by contractor. Heating/Air Conditioning No allowance has been made for any heating in sunroom. Baseboard heat cover will be replaced in bathroom. Plumbing Plumbing required to renovate half bath will be provided. Bath fixtures to be supplied by owner. Insulation Sunroom and bath will be insulated to meet code. Floor of sunroom will have sprayfoam insulation installed. Plaster Sunroom and bath will be blueboarded and skimcoat plastered. Walls and ceilings will be smooth. Interior Trim/Doors Pre-primed interior trim will be supplied and installed to match exisitng. Three new six panel , solid core door slabs will be supplied and installed. New fire door to garage will be supplied/ installed. New pre-finished stair treads will be supplied / installed on basement stairway. An allowance of $40 per tread has been included. Beadboard will be supplied /installed in new cathedral ceiling area in sunroom. Bath vanity/countertop to be supplied by owner, installed by contractor. Painting Interior and exterior painting will be provided for sunroom and half bath. One coat of primer, and two coats of finish will be provided. Flooring 4 • Kevin Murphy Page 3 of 4 Building Contractor 98 Forest Street North Andover,MA 01845 PH:978£885335 FAX 978-688-7207 Pre-finished hardwood / laminate flooring will be supplied and installed in sunroom and basement area. An allowance of$5 per square foot has been included for material. Tile floor will be provided in bath. An allowance of$5 per square foot has been included for file materials. Waste Removal All demolition/construction debris will be disposed of by contractor. -tt Kevin Murphy Page 4 of 4 Building Contractor 98 Forest Street North Andover,MA 01845 PH:978j688-5335 FAX:978.888-7207 Section IV—Price Schedule We hereby propose to furnish material and labor—complete in Accordance with above specifications for the sum of... ............ ...... ...... ... .......$ 41,100 Payment to be made as follows: Percentage/ltem Description Amount 1 Permit obtained $2100 2 Porch windows / door installed $15,000 3 Plasteiing complete $10,000 4 Paint/flooring complete $10,000 5 Job 100% complete $4000 Total 5 $41,100.00 —Notice:No agreement for Home improvement contracting work sta regime a down payment(advanoe deposit)of more that oneahud of the total centrad price of the total arrwunt of all deposits or payments which the contractor must make,in advarue,to order and/or otherwise obtain delivery of speed order rneterds and eWpmeM whichever is greater Contractor: Kevin Murphy rA Y 98 Forest 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,,J+t-v-4, _ �,,,,.� Date �V Signature Date i The Commonwealth ofMassachusetts - Department oflndustrialAccidents Office oflnvestigations 600 Washutgton Street Boston,MA 02111 www.mass gov/dia Workers' Compensation insurance Affidavit:Builders/Contractors/Electricians/PIumbers Applicant Information A Please Print Legibly Name(Business/organization/individual): Address:_ �f; L S-}-• City/State/Zip: ' Q r, \-VI-t6 Phone#: 0,,'1 V 1 3 3 Are you an employer?Check the appropriate box: Type of project(required): 1:�; I am a employer with 4. ❑ I am a general contractor and I 6. ❑New construction employees(fall and/or part time).* have liked the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet.t 7.-n Remodeling ship and have no employees These sub-contractors have 8. ❑Demolition working for me in any capacity. workers'comp.insurance. . 9. E]Building addition [No workers'comp.insurance 5. El We are a corporation and its 10.❑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.❑Roofrepairs inmra„ce required.]t employees.[No workers' comp.insurance required.] 13.❑Other *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t 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. -ram an employer that is providbig workers'compensation insurance for my employees Below is thepolicy and job site information. Insurance Company Name.. ��.✓��,.o� `��r.�S - CU Policy#or Self-ins.Lie.#: \L�'—�' C. I-LrLZ �J 6- Expiration Date:- Job ate:Job Site Address. l`-L L : i L A City/State/Zip: r —,V, Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). 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$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. X do hereb "t under the palms and penalties of perjury that the information provided above is true and correct Signature. ce • Date: Phone#: 1 Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6,Other - - - Contact Person: Phone#: ACORbrDATE(MMIDDNYYY) CERTIFICATE OF LIABILITY INSURANCE 17/17/2013 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: S the cert ficaW holder Is an ADDITIONAL INSURED,the pollcy(ies)must be endorsed, If SUBROGATION IS WAIVED,subject to the terms and conditions of the pocky,certain policies may require an endorsmnenL A statement on this certificate does not confer rights to the certificate holder in Neu of such endorsement(s). PRODUCER CONTACT M P ROBERTS INS AGCY INC P (978)683-8073 Avg x-(978)683-3147 1060 Osgood Street ADOREsssand-@mprobertsinsurance.com North Andover, MA 01845 T wFFOROane covatncse Nems 94SUFMRA:PROVIDENCE MUTUAL INSURED KEVIN MURPHY BUILDING REMODELING e:MERCHANTS INSURANCE 169 BOXFORD STREET INSURER C:GUARD INSURANCE NORTH ANDOVER, MA 01845 INSURER 0: INSURER E: INSURER F: COVERAGE$ CERTIFICATE NUMBER REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW 14AVE 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.IN" MAY HAVE BEEN REDUCED BY PAID CLAIMS. MR TYPE OF INSURANCE am VJVD POLICY NUMBER ADM SUOR POLICY FBF C LIMITS X CONRAERML GTL WORM EACH OCCURRENCE $ 11000,000 CLABAS-MADE ®OCCUR PREMISES ooa,rence $ 500,000 MEDDIP(ftoneperson) s ----15,000 A BOP1068945 1/22/1211/22/13 PERSONAL a ADV INJURY $ 1,000,000 GEN'L AGGREGATE UMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY D JEEC ❑Loc PRODUCTS-COMPlOP AGG s 2,000,000 FIOTHER:- $ AUTOMOBILE LABUTY INGLE LIMIT $ 1,000,000 ANYAUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED MCA7013609 61/23/13 01/23/14 B AUTOS X AUTOS BODILY INJURY(Per aocident) s HIRED AUTOS NO"WNED PROPERTY AUTOS (per $ $ UMBRELLA LAB OCCUR $ EMCEES LAB EACH OCCURRENCE $ 1,000/000 C`A'MS-MADE CUP9145304 1/22/12 1/22/13 AGGREGATE s 1,000,000 DEO I I RETENTION$ $ WORKERS COMPENSATION AND EMPLOYERS LABILITY YIN X STATUTE ER AW PROPRETMPARTMEMOMEMM C Oinn ' NIA KLWC422467 07/01/13 07/01!14 EL EACH ACCIDENT $ 500,000 (mandstary In B describeunder EL DISEASE-EA 9h 0 s -500,000 DESCRIPTION OF OPERATIONS below EL DISEASE-POLICY LIMIT s 500,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101.AdMormt Remarks Schedule,may be anached if more space is reqAremi CERTIFICATE HOLDER CANCELLATION TOWN OF NORTH ANDOVER BUILDING DEPT. - SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF. NOTICE WILL BE DELIVERED IN NORTH ANDOVER MA 01845 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIED A 0 1988-2013 ACORD CORPORATION. Ail rights reserved. ACORD25(2013/04) The ACORD name and logo are registered marks of ACORD