The URL can be used to link to this page

Home My WebLink AboutBuilding Permit #153-2016 - 48 PHILLIPS COURT 8/4/2015 4 U _ TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit NO: " p ate Received Date Issued: �S IMPORTANT:Applicant must complete all items on this page LOCATION i1f�' gF 3& ro Pnni . PROPEkTY OWNER. Priv# " IIIA NO` �P,zARCEL ZONING DISTRICT �listoric'Ustnct s C - p MacFiire Shap Village des o a. tin TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential New Building One family Addition Two or more family Industrial Alteration No. of units: Commercial Repair, replacement Assessory Bldg Others: Demolition Other Septic . "1IVe11 t Floodplair WWetlarids Watershed )istt Water/Sewer DESCRIPTION OF WORK TO BE PERFORMED: Identificat• Please Type or Print Clearly) OWNER: Name: `v ,�� , Phone: 3�S-f� Address: �'i /eellf5 U CON7`RACTOR Marne Phone `, .Address Supervisor's Construction License -� Exp "Date / Home#rim��rovemerIttic ;1 - p P ense. y . '�xp� .Da#e: � p ARCHITECT/ENGINEER Phone: R Address: Reg. No. FEE SCHEDULE:BULDING PERMIT-'M00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ fl�c�'.�� o FEE: $ / Check No.: `� (joReceipt No.: NOTE: Persons contracting with unregistered contractors do not have access to te guaranty find 4 ig _D Agent%Owner { Signature of.con#racto° t 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/Sates 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 ' I Planning Board Decision: Comments Conservation Decision: Comments Water & Sewer Connection/Signature& Date Driveway Permit DPW Town Engineer: Signature: Located 384 Osgood Street -FIRE DEPARTMENT -Temfi~Dumpster.o , it yes �:nori -Located"at 1124'Nlain Street Fire:De artrnent si 9natureldate a ..' P, � a COMMENTS a ------------- : : h 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 21 A—F and G min.$100-$1000 fine NOTES and DATA— For department use i i I i ❑ Notified foricku - Date p p 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 Li Workers Comp Affidavit Li Photo Copy Of H.I.C. And/Or C.S.L. Licenses o 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 a Building Pp Permit Application a Certified Surveyed Plot Plan ❑ Workers Comp Affidavit a Photo Copy of H.I.C. And C.S.L. Licenses ❑ Copy Of Contract o 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 y (If Applicable o Copy of Contract a 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 2008 �- {1�, �- Location � No. I 7 3�Z O Date T ! �✓� e - TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee -s Foundation,Permit Fee $ ` Other Permit Fee $ TOTAL $ y Check Building In p ,ctor 2-9154 �1i• '+3.`�-',..._;axv�_ - - h+�G ,.,x ;t i` - 1 a`FLs.w�'.+C;.: G'FY.r F NORTH own of EAndover 0 I_ ail 2 I y soh ver, Mass, 4a2AIS COCMICHI .#CM 1• �V 7,p �R.1TED S U BOARD OF HEALTH Food/Kitchen PERMIT LD Septic System THIS CERTIFIES THATBUILDING INSPECTOR ............... .. ........ ..A4.... ........ ......... ..................... ..... ...... .... has permission to erect . 6'��Krb.&'4 .... buildings on ............. ��NO$..4•d V?W .................. Foundation . . • Rough tobe occupied as ............ .... ... .............................................. Chimney provided that the person accepting this permit shall in every respect conform 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 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTION TARTS 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 Fjnal No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. - Burner Street No. Smoke Det. a a � PROPOSAL Erin Canty 48 Phillips Court North Andover, MA 01845 erincanty28@gmail.com (C) 978-395-5285 March 29,2015 Bathroom Remodel Work to be included includes: • Acquire Building Permit • Demo of Bathroom. • Complete all required plumbing. • Complete all electrical. • Bump out wall to accommodate vanity. • Insulate exterior wall. • Hang new blueboard and plaster. • Install window above tub. • Install vanity. • Install new tub. • Install DenseShield Tile board on tub walls. • Install tile on tub walls. • Install DenseShield tile board on floor. • Install new the floor. • Install Pocket door. • Install new baseboard. • Install new toilet paper holder,towel bars. • Removal of all debris. TOTAL LABOR AND MATERIAL $ 9,000.00 Note: This quote does not include any plumbing fixtures,vanity,tiles, grout,granite, or paint. Terms: $3000.00 upon signing of contract(not to exceed 1/3 of contract price) $6,000.00 when job complete Submitted By: Chris Rivet MA Lic#CS072173 HIC#139962 207 Winter Street (C)508-265-3115 (II)978-794-1165 North Andover,MA 01845 All Home Improvement Contractors shall be registered.Inquiries about a contractor relating to a registration should be directed to; Registration Division,Program Coordinator One Ashburton Place Room 1301 Boston, MA 02108 Tel:617-727-3200 ext.25239 All building permits required will be the obtained by the contractor.Homeowners who obtain their own permits are excluded from access to the Guarantee Fund. ACCEPTANCE OF PROPOSAL The above prices,specifications and conditions are satisfactory and are hereby accepted. You are authorized to do the work as specified.Payments will be made as outlined above. Date Homeowner Signature Date �S i S Contractor Signature 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 Mass chusetts 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 homeowners 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). 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 Consumer Guide to the Home Improvement Contractor Law",contact: Consumer Information Hotline Office of Consumer Affairs and Business Regulation 10 Park Plaza,Room 5170,Boston,MA 02116 (617)973-8787 or(888)283-3757 The Coinniontvealth ofMassitchusetts Departfnent ofIndustrial ial Accidents Office of Investigations 600 Washington Street Boston,M4 02111 UT wfvw.;`tiass gov/dia Workers' Compensation Insurance Affida-vit: Builders/Coneractors/Electricians/Plumbers Apiplicant formation Please Print Ledbli- Name (Business/Organ'►zationlIndividual)' Address: C= 0 f,, `_/I,�'/!X_ ! f' City/State/Zip:<lU/1: �U;',,�:�'r� .�' �-iJ = ' i< Phone t;: 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(full and/or part-time).* have hired the sub-contractors 2. I am a sole proprietor or partner- - listed on the attached sheet.t 7. [[Remodeling ❑ ship and have no employees. These sub-contractors have S. ❑Demolition working for mein any capacity, workers'comp.insurance. 9. ❑Building addition [No workers- comp.insurance 5. ❑We are a corporation and its 10.E1 Electrical repairs or additions required.] officers have exercised their . 3.❑ I am a homeo�mer doing all work right of exemption per MGL 11.n Plumbing repairs or additions myself.[No workers' comp. c.152,§1(4),and we have no 12.❑Roof repairs insurance required.]i employees.[No workers' 13.❑Other comp.insurance required.) 11 Any applicant that checks box is l must also fill out the section below showing their workers'compensation policy information. Homeowners Avho submit this affidavit indicating they are doing all work and then hire outside contractor must submit a new affidavit indicatine such. Contractors that check this box must attached an additional sheet showin.-the name of the sub-contractors and their workers'comp.policy information. ant an employer that is providing workers'compensation insurance for tnji employees. Bel01v is the policy anti job site niformation. assurance Company Name: . 'olicy 1 or Self-ins.Lic. � n Expiratio Date: ---- -- ob Site Address: Ci rt. aoy ty/State/Zi r: r,7. �n� k /!4 attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). 'ailure to secure coverage as required under Section 25A of MGL c.152 can lead to the imposition of criminal penalties of a ine up to S 1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine -f up to$250.00 a day against the violator. Be advised that a copy of this statement may be fonvarded to the Office of avestigations of the DIA for insurance coverage verification. do Herebycert fli tenderIze pains aiztl p alties of perjurythat the itzfornzation provided abov is trite anti correct. ianature: Date: hone#: Official use only. Do not write in this area,to be completed by city or to)vn offtciaL i j City or Town: Permit/License r Issuing Authority(circle one): I.Board of health 2.Building Department 3.City/Town Cierk 4.Electrical Inspector 3.Plumbing Inspector 6.Other Contact Person: Phone C� OP ID:SHHE •4 °� CERTIFICATE OF LIABILITY INSURANCE DAT 09130DIYYYY) 09130!13 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(les)must be endorsed. If SUBROGATION 1S WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCERPhone:97$-6$$-6921 NAME:CT Macdonald&Pangione Insurance Fax:978-688-5350 PHONE FAX P.O.Box 428 (Arc No Ext): JAIC,No): 104 Main Street E-MAIL North Andover,MA 01845 ADDRESS: PRODUCER Michael Pangione cusTOMERID#:CHRIS-5 INSURERS AFFORDING COVERAGE NAIC# INSURED Christopher Rivet INSURER A:Preferred Mutual Ins CO 15024 207 Winter St. INSURER B: c North Andover, MA 01845 INSURERC: INSURER D: i INSURER E: i INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE 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_LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INS !LTR TYPE OF INSURANCE ;ADDLISUBR: ; POLICY EFF i POLICY EXP I POLICY NUMBER IMMIDDIYYYY 1 MNMDIYYYY ! LIMITS GENERAL LIABILITY " EACH OCCURRENCE f S 1,000,000 i A I X ;COMMERCIAL GENERAL LIABILITY i ;CPP 0180 57 0105 09/26113 091261 1 DAtYIA O R N D i ( i PREMISES Ea oceurcence s S 100,000 i ClAuAS-MADE i X OCCUR I ±_MED EXP(Any one person) i S 5,000 -- --- PERSONAL&ADV INJURY I S 1,000,000 i GENERAL AGGREGATE S 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: (�PRO- ! ! 1 PRODUCTS-COMPIOP AGG i S 2,000,000 i X I POLICY t i t i LOC i I I S AUTOMOBILE LIABILITY i 1 I I COMBINED SINGLE LIMIT I ANY AUTO 1 (Ea accident) S ALL OWNED AUTOS BODILY INJURY(Per person) I S _— � � _ ! _! I BODILY INJURY(Per accident) S SCHEDULED AUTOS PROPERTY DAMAGE L_HIRED AUTOS 1 !(Per accident) j S t ! ' _NON-OWNED AUTOS ( j 'is UMBRELLA LIAR j i i I S �.._.._ ! OCCUR i 1 fj EACH OCCURRENCE i S EXCESS LIAB I CLAIMS 1 { AGGREGATE is ! 1 -MADE DEDUCTIBLE 1 is RETENTION S WORKERS COMPENSATION 1 I WC STATU- f iOTH-s AND EMPLOYERS'LIABILITY YIN N ! I T RY T i ER f i ° • LIMI S ANY PP,OPRIETORIPARTNERIEXECUTIVE iOFFICERWEMBER EXCLUDED? !NIA! E.L.EACH ACCIDENT S (Mandatory in NH) ; ! i i If yes,describe under E.L DISEASE-EA EMPLOYEE]S I DESCRIPTION OF OPERATIONS beton E.L DISEASE-POLICY LIMIT)S 1 1 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Town Of North Andover THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 1600 Osgood St ACCORDANCE WITH THE POLICY PROVISIONS. No Andover, MA 01845 - AUTHORIZED REPRESENTATIVE / Michael Pangio�n i O 1988-2009 ACORD CORPORATION- All rights reserved. ACORD 25(2009109) The ACORD name and logo are registered marks of ACORD I Massachusefts-Department of Public Safety s . Board of Building Regulations and Standards Construction Supen-isor ' License:CS-072173 CISTOPHER -RIWT- 207 WINTER ST;' r N ANDOVER MA 01845 F �,,L�, ��81 •.';';`'` Expiration Commissioner 06/02/2016 \. Oltice of:�onsuner iffa.rS&Business RcbuLtion ZOME IMPROVEMENT CONTRACTOR f Registration: 139962 Type r apiratioit: 91812015 Individual CHRISTOPHER F.RIVET CHRISTOPHER RIVET 207 WINTER ST. N.ANDOVER;MA 01845 Undersecretary;