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Home My WebLink AboutBuilding Permit #425 - 444 SALEM STREET 1/16/2009 NORTF/ BUILDING PERMIT cf - TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit NO: 7 Date Received Areo•�`�`cy �! gSSACHUs�� Date Issued: f� I PO TANT: Applicant must complete all items on this page "`Yro. 30 2 "A 07 MIT 'g"'& � eA". - MR- " ..• C`,t;t': 'mrr. .- moi, ..�., ,r, " `. ` "� &,3 ?.'7 , �' # Nix r m If' ; x � ��P► C�L � fl1G s TR% .x 4r ...t x `f tr'Kc. �° '`w. r - P. +n# ,.ss ' * ''F'' u a; �t:e' 'h;5. ..; a"..f• fg a ;°�' TYPE OF IMPROVEMENT PROPOSED USE Resid Non- Residential New BuildingOne famiI Ad ' ' n Two or more family Industrial Iterati No. of units: Commercial Repair, replacement Assessory Bldg Others: Demolition Other t�...- S�� rxy"k,� ..DESCRIPTION OF WORK TO BE PREF RMED: Identification Please Type or Print Clearly) OWNER: Name: Phone: c.vg�- 6F, -0.3 Address: L-k� `aEm ` �.Cia112 - GOA- � rR a� n � '.'s.i �,YY� Y-� w _ �, u, {C£ar _s`".n 3�`d «''3'tt " "s' ¢ t �,3 fr'd XPi „'iti' .w,?.,gS• 3Sdper�sr4sp� #ruineras s ;� fla#ear ^ r .,2.$�b... ,...• ..,_ .AS`s e�x YxM � .� 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: $ �Ll ��'^!� 1j FEE: $ a Check No.: � S 3 Receipt No.: f 7 1 7 NOTE: Persons contracting with unregistered contractors do not have access to the guarantyfund cif# tlneTv,x , .., Snar orctor _. i Plans Submitted Plans Waived Certified Plot Plan Stamped Plans TYPE OF SEWERAGE DISPOSAL Public Sewer Tanning/Massage/Body Art Swimming Pools s Well Tobacco Sales Food Packaging/Sales ,Irriv tank c. 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 i Planning Board Decision: Comments Conservation Decision: Comments Water & Sewer Con nection/si nature & Date Driveway Permit DPW Town Engineer: Signature: Located 384 Osgood Street RESP Tllle071I �? �7S _ ' °€n yS+� ,b- 4,,-.r-d";�;y 5 c..' " y,� 5.1" i�`il2ainS rerl mcatePa10, y?F iF �34 h 5",`..Z �� . �"��.. ��' ?cru"' �-' �� -�'c�. �ry,..�aa^k �"�r''�Lv. Y�`"�`�,} ',�' .�'�,�, �'•:+�'`- fss. �,�'�'`rr'� Y ruo--x "*.�"f-'a�"Y ,+ � $�,a""- a'�"4�',"��R� ++ yy �''��'�„t-�:,�'�;.�„•�''fis-�➢rt�$ r^�rt3* �.�" �'s.cay-�3g�s:,y�'�,s- t>3 .,. �''�;- �t�. 4,. 'fir w "_.• .� �z�-, -�,.��,:.�.-�,.,� �F�.''5 � J i,�.... :r� Dimension r 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 7� MGL Chapter 166 Section 21A—F and G min.$100-$1000 fine NOTES and DATA—(for department use 1 ❑ Notified for pickup - Date Doc.Building Permit Revised 2008 I 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 ❑ 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 I 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 thea appeal pp period is over.er. 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 /Z�No. t� Date �aRTM TOWN OF NORTH ANDOVER 3 _ �L s Certificate of Occupancy $ �'�S'•^°''<�' Building/Frame/Frame Permit Fee $ swcHust 9 Foundation Permit Fee $ s Other Permit Fee $ TOTAL Check # �? 21797 `bdilding Inspector NORtT H Town of 6Andover No. 0 LAK o dover, Mass., r lb 2COCMICKEWICK A0RATE D PpP �y BOARD OF HEALTH Food/Kitchen Septic System PERMIT T D BUILDING INSPECTOR THIS CERTIFIES THAT.....:..../ ... v /� `� �."...........................................................................................:............ Foundation has permission to erect........................................ buildings on ... �Tr.�i'.....J� /... �' !7... ................................. Rough to be occupied as ! ?6�'16�6 ..... .. .. .....le �Gsr.^:cx �� ........ Chimney provided that the person accepting this permit shall in every respect conform to the terms of the ap ation on file in licFinal 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 1 ELECTRICAL INSPECTOR UNLESS CONSTRUCTION TARTS 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 !■all 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 67 Department of Indusirfal Accidents 130 Office of Investigations 604 Washington Street Boston, MA 42111 U1W_ www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers AvyUcant Information R / Please Print Le ibl Name (BusinesstOrganization/Individual):---��J Address: City/State/Zip: ll � i�,.� 4 �.�.. a V<�Phone M (1��Vi Are you an employer?Check the-appropriate boz: Type of project(required): 1. .I am a employer with 2-- 4. Q I am a general contractor and 1 6. ❑ New construction employees(full and/or part-time).* have hired the sub-contractors 2.F1 I am a sole proprietor or partner- listed on the attached sheet 1 ?• ORemodeling ship and have no employees These sub-contractors have 8. ❑ Demolition working for me in any capacity. workers' comp. insurance. 9. Q Building addition [No workers' comp. insurance 5. ❑ We are a corporation and its . equired.] officers have exercised their 10.0 Electrical repairs or additions r 3.Q 1 am a homeowner doing all work right of exemption per MGL 11.❑Phurtbing repairs or additions myself. [No workers' comp. c. 152,§1(4),and we have no 12.0 Roof repairs insurance required.] t employees. fNo workers' 13.0 Other comp.insurance required.] 'Any applicant that checks box#1 moat also fill out the section below showing their workers'compensation policy infommfion.- r Homeowntra who submit this affidavit indicating thcy we doing all work and then hire outside contractors must snbittit a new affidavit indicating such. Contractors that check this box mus!attached an additional sheet showing the name of the suacontmetors and their workers'comp.policy infonrnation_ r am an employer that is providing workers'compensation.insurance for my employees Below is the.polky and job site wyornmation. Insurance Company Name: ,tJ2 , Policy#or Self-ins.Lic. #: r1.0 (Z- `�� i 3 Expiration Date: :� lob Site Address: tyCity/StatelZip: tyz„�� ,.'„�,_ , o 1.�T- 4ttach 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 cri mitW penalties of a Eine 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 A up to$250.00 a day,against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. F do kerscertify under the pains and penahies of perjury that the information provided above is true and correct 3izaatureT f Date: 1 Pho aM 1 L —'-5-3 3 5- . Oft-wial use only. Do not write in this area,to be completed by city.or town oj)k*L City or Town: PermitfUcense# Issuing Authority(circle one): 1.Board of Aealth 2.Building Department 3.City/Town Clerk 4.Electrical Inspector, 5.Plumbing Inspector 6.Other Contact Person: Phone#: I of/vvizvuu 10:02 FAX 19786833147 li.P.ROBERTS INSURANCE Rool ! CERTIFfCATS OF LIABUTY INWRANCE THM I K.s. �$ gyms Awy we ONLY AS AMI► of t�anMA 1060 Oaa�grmd Street HOLM, TNM C6RnFtCA78 No RKM u�ok � CC-nwAT'i VOWth �bver, � NOT aMMQND� SEND PRIMUM M04 ska . � o�.e�g ALTER THE ca�� 1CtE8 etttow , ��.�..` N M 1 o 9 ARD A;MMT INSURER IQ D1863G; "I0: AW THS POUC16l8 OR L18TOt!9El..OW HAVE elwpl i88UED to HE M►SIJR@D wwEa�Aa30VE MWAY 181RNElti',T7:�lafll 1OR �LICY i�i10b aN01CAT D. BrM THE MAIN me"m a t ffN TM70 �TlpICATB IIMY BE ISOM 0R �1C®9Y PAM CEAsIlB AND COMOMOW OF WJC" a'OLCY N dEWl1'AI.L111KNY CAnUf'6 01 emmiL LaAl UM L4W i l>fa�kA>f� 00mm to QOi A CSP0060860 11/22/Q7 11/22/08 mnawu.iAuvarua,�Y i o AENY Afdf l►76 tiiNi APS ppR 1E s Q P► Lm MI AM agoQ Autaanea�ulw�mr _ AW%Vr y COMWM smote LIMIT ` A LUMMAlJfps 500,000 AaR109 AWMSF*Pw nm hON H NMOCWM1EDMDaUT08 7]1M27701.3608 1/23/08 1/23/09 ' SO03.YDI,a�Y (�fN4CNaiSt) � MMU LVAL" (PatNafd�nq i AWAM Avmr�er. i OTt1ER 7fiAM _GAACG i p�LYIdAfYY AUTOONLY: AM ; OOG/R �o�laawwe � i oL�1CY�LB i RET61JtIQN = MN D NOVARWrX913513 %1"aw''1A0 "' — 0 7/1/08 17/1/09 E.a. p1II COMA D@SCpIR'atQl�IDar TIONS,LOCA'1pN6111E1flCtC91®tGCU6iOtt3AD0�IsY6�pR /Ia',16PppALPROV161oN8 TOM OF ANDOM, MA s►aow.oAMv OF TM ABU"oaf p&aCIEB ee eeRan�rilE�r:nna�a 36 =aT STRUT DATE TWORW,IWE X980"0 IMW e�WQ 117 MAM 10 �, UK Onto NOT"70 TW CEW*VA1T -- DAYS YY MVM IIOt>7elt 1M1L�D TO Ta!!uesT Wt FAaum ro 00 so emu. MpOse n0 OW"TIOM OR UAKrrlr CIF ANY We UPoM ttATir�g "�' ns AMM OR +�++o►�o Rer+I�Eiel+ra i, CE„IDMIpp�/Qg� ® ORATION 1898 169 Boxford Street W A-)- 101 North Andover,MA 01845 �. • PH:9785885335 Building Contractor FAX:978588-7207 Proposal To: Beverly Spicer 444 Salem Street All Horne improvement Contractors and Subcontractors engaged in hone 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 abort registration and Status should be made to the Director,Home Improvement Contract Registration,One Ashburton Place, Frorrc Kevin Murphy Room 1301,Boston,MA 02108.(617)-72785% cc: Date: 1/16/2009 Job: Bathroom renovation/Laundry room/Replace interior doors Date of plans: None Architect: None Location: Same Section I-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 2/1/09. Barring Delay caused by circumstances beyond Contactors control,the.work will be completed by 3/30/09.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 in materials and workmanship fora eriod of 1 year The Contractor warrants that the work furnished hereunder shall be free from defects mat a s p p y 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 III-Scope of Work Kevin Mnuphy Page 2 of 4 sund€ang contractor 169 Boxford Street North Andover,MA 01845 PH:978-6885335 FAX 978-688-)C= General Proposal in to renovate existing first floor bathroom, relocate laundry to first floor, add closet to existing first floor bedroom, and replace existing interior doors on first floor. Building permit will be provided by contractor. Demolition Existing bathroom and proposed laundry area will be completely gutted. Building Framing materials will be supplied to relocate existing first floor walls, as shown on owner's plan. Plumbing Plumbing required to renovate bathroom, and add laundry connections will be provided to meet code. Sink and toilet locations to remain the same. Tub will be relocated.An allowance of$900 has been included for plumbing fixtures($400 for tub,$100 for tub valve,$150 for bath faucet,$250 for toilet) . Electrical Electrical work required to wire bath to code will be provided. Bath fan light unit will be supplied and installed.. Owner to provide surface mounted fixtures ( vanity lights, ceiling lights ) . General layout to be approved by owner prior to rough. Heating/Air Conditioning Forced hot water baseboard will be relocated / replaced as required. No allowance has been made for any air conditioning. Insulation All renovated areas will be insulated to meet code. Plaster Renovated areas will be blueboarded and skimcoat plastered. Walls will be smooth, closets will be textured, ceilings to match existing. Interior Trim/Doors Pre-primed interior trim and doors will be supplied and installed to match existing. Doors will be pre-primed, solid core, six panel units. One new double door unit will be supplied for closet, one new unit to laundry room, and six door slabs will be replaced in their existing openings. Flooring Tile floors will be provided in bathroom and laundry area.An allowance of$5 per square foot has been included for tile materials. Hardwood floors will be patched as required. i Kevin Murphy Page 3 of 4 S.Udinng Caantaackw 169 eoxdord street North Andover,MA 01645 PH:978-688-5335 FAX 978-688-)O= Waste Removal All demolition/construction debris will be disposed of by contractor. Painting There have been no allowances made for any painting. Items Not Included There have been no allowance made to supply any cabinet or countertops. Cabinets to be supplied by owner, installed by contractor. No allowance has been made to supply or install any replacement windows. I Kevin Murphy Page 4 of 4 Building Contractor 169 Bom60rd Street North Andover,MA 01845 PH:978-5685335 FAX 978588-)000( Section IV-Price Schedule We hereby propose to furnish material and labor—complete in Accordance with above specifications for the sum of... ... ... ... ... ... ... ... ... ... ... ....$ 21,500 Payment to be made as follows: Percentage/item Description Amount 1 Permit obtained $2000 2 Demolition complete $5000 3 Rough plumbing / electric complete $7000 4 Interior trim /the complete $5000 5 1�ob 100% complete $2500 Total 5 $21,500.00 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 nxist make,in advance,to order andfor otherwise obtain delivery of special order materials and equiprrrent,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 Signature k_A-% c> Date Signature Date