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HomeMy WebLinkAboutBuilding Permit #1116-2016 - 461 SUMMER STREET 4/26/2016 i T A' BUILDING PERMIT o��O�T,6 TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION * _ jh ll ��ti 1m Permit No#: I�4 Date Received SSgCHUS� Date Issued: IMPORTANT: Applicant must complete all items on this page L®'C`ATI,ON },. y y'6l Y°`SUw•ver ...S.'srte : .. . �+ ,;� '',��r. PROPERT, ,Y OWNEf2`r' .�'� t,+ -;"�" Sys arm ; . , - �,�. r - ,r miner+"r , eS+ti n0 P �rP.nnt ; ,100 Year Structure y_ { MAP `PARCEL ` ZONING DISTRICT HistoricDistrct f yesr� r'r _ e •:3t a s S' - f 1 x 'it '„"'•• �`.' .it, r kt� .r y;,. �Macliine Shop.Village yes, TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building One family ❑Addition ❑Two or more family ❑ Industrial Iteration No. of units: ❑ Commercial ❑Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other epflJell ❑�F,loodl"ain1Netlarids _ g¢r ❑ " lteYshebrarin DESCRIPTION OF WORK TO BE PERFORMED: .Identification- Please Type or Print Clearly OWNER: Name: �e-r '13AbA--� Phone: 0\ Address: lb S..N.w.�r 5���� fi ti�• b.,.a,�.n^- R Contractor Name Vic .,;-, 1 ... Phone tEmail Address-�'`t xS� #�^DltJ`�'M' .S�r°t't.fi' '� f�Y*••X1:n.�fsVK/t . 't 1"w�" WIVUlC/�)'r cz _ svrk-. t;� i ' 4� 4- �" �5.�* P - r t',`t �'+`t. ,ti r.K j' �'Y, - - "`.K. -�'.�'S �k`�+�`'y� s �t'd�'�. ;,• Super'visCactio ,t icense o , ` �Horrme,ImprovementLicense . .: •E 1 ARCHITECT/ENGINEER "tr� 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: $ -\—t.bc'D FEE: $ Check No.: P/ Aq Receipt No.: NOTE: Persons contracting with unregistered contractors do not have,access to the guaranty fu d 9 F- Plans Subrnitted.❑ 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. ❑ Permanent Dempster on Site ❑ THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF m U FORM PLANNING & DEVELOPMENT Reviewed On Signature_ 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 Osgood Street FIRE DEPARTMENTTernp ®wrnpster on sit yes < no } Located at Fire De, � ,�•• ° . : °.� �, o �t partmen sign fere/date �� :,� - a•. - s.a '�i .. ,,�. � + 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) Ll Notified for pickup Call Email Date Time Contact Name Doc.Building Permit Revised 2014 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 I OTE: 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/Cross Section/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 OTE: 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 Hvdraulic Calculations (If Applicable) Copy of Contract 2012 IECC Energy code Engineering Affidavits for Engineered products OTE: 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:Building Permit Revised 2014 Location 4W iy m 4i,,,t'+ No. (6 -26th Date -1 2 (P f • • TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $t; Foundation Permit Fee $ y Other Permit Fee $ TOTAL $ Check# " 1 28 Building Inspector Enter construction cost for fee cal- North Andover Fee Calculation Construction Cost $ 47,600.00 m $ - $ 571.20 Plumbing Fee $ 71.40 Gas Fee 100 comm. $ 100.00 Electrical Fee $ 71.40 Total fees collected $ 814.00 461 Summer Street 1116-2016 on 5/3/2016 Remodel Kitchen NORTH own of No. 1 — i oh ver, Mass, . Z—//.O1__/6 coc»ic»e w¢» �1 x,95 1*ArED L) BOARD OF HEALTH Food/Kitchen PERMIT T LD Septic System THIS CERTIFIES THAT ........... ........................ BUILDING INSPECTOR has permission to erect .......................... buildings on ...yl... :!Y.�1.. .r:...: ..............:::, Foundation Rough L Chimney be occupied as .................. .................................... 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 CONSTRUCTIO S ARTS Rough Service ............. ..... . . ..... .../..:�``:............................... Final BUILDING INSPECTOR GAS INSPECTOR Occupancy Permit Required to Occupy Buildinz 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. t • Murphy j • 98 Forest Street Kevin.. i tl l l,�,l. 1✓. � tl North Andover,MA 01845 .__! 0 PH:978-688-5335 Building Contractor • FAX:978-688-7207 Proposal To: Rusty&Jen Bilodeau 461 Summer Street 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)-727 8598 CC: Date: 4/26/2016 Job: Kitchen Date of plans: 3/16 Architect: Kitchen designer 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 5/1/16. Barring Delay caused by circumstances beyond Contactors control,the work will be completed by 6/30/16.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 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 Page 1 of 4 Kevin Murphy Page 2 of 4 Building Contractor 98 Forest Street North Andover,MA 01845 PH:978E88-5335 FAX 978ag-7207 General Proposal is to renovate existing kitchen. Permit will be obtained by contractor. Demolition Existing kitchen area will be completely gutted. Building New Anderson six foot slider will be supplied and installed. All vinyl Harvey triple casement window will be supplied / installed in kitchen. Door in rear of family room will be removed. One new four section Harvey casement window, and two single casement windows will be supplied installed in family room. Exterior will be white clad. Interior will be wood.All frame/siding materials will be provided. Plumbing Plumbing required to relocate kitchen sink and waste line to second floor will be provided. New sink and faucet to be provided by owner. Electrical Electrical work required to renovate kitchen to code will be provided. Eight recessed lights will be supplied / installed. General layout to be approved by owner prior to rough. Any surface mounted fixtures ( pendants, under cabinet lights, ceiling lights ) to be supplied by owner, installed by contractor. No allowance has been made to upgrade existing electrical service,or provide any"high def"TV wiring etc. Heating/Air Conditioning Heat in kitchen area will be relocated as required. Toe kick heater will be provided. Heat enclosures in family room and front hall will be replaced. New grilll will be installed on heat in steps of family room. Insulation Any insulation required in exterior wall will be provided. Plaster Kitchen will be blueboarded and skimcoat plastered.Walls and ceiling will be smooth. Interior Trim/Doors Pre-primed interior trim and doors will be supplied and installed to match existing. New single french door to front hall will be provided. Basement door, front hall closet, and bathroom door will be replaced. Trim in family room will be clear pine to match existing. Kitchen cabinets to be supplied/installed by others. Painting No allowance has been made for any painting. Kevin Murphy Building Contractor Page 3 G. 4 98 Forest Street North Andover,MA 01845 PH:978-688-5335 FAX 978-688-7207 Flooring New hardwood floors will be supplied, installed, and finished with three coats of oil based urethane. New floors will be provided in kitchen,front hall,and bathroom. Waste Removal Backsplash will be tiled.An allowance of$5 per square foot has been included for tile materials. Waste Removal All demolition/construction debris will be disposed of by contractor. Kevin Murphy Page 4 of 4 Building Contractor 98 Forest Street North Andover,MA 01845 PH:978,689-1,3M FAX 97868a7207 Section IV-Price Schedule We hereby propose to furnish material and labor-complete in Accordance with above specifications for the sum of... ... ... ... ... ...... ... ... ... ... ....$ 47,600 Payment to be made as follows: Percentage/Item Description Amount 1 Permit obtained / deposit $2700 2 Demolition complete $5000 3 Windows installed $10,000 4 Rough plumbing / electric complete $9000 5 Plastering complete $10,000 6 Floors finished $8000 7 Job 100% complete $2900 Total 7 $47,600.00 "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 and/or otherwise obtain delivery of special order materials and equipment,whichever is greater Contractor: Kevin Murphy 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 A Date LJ7-5/I b Signature Date The Commonwealth o Massachusetts Department of IndustrialAccidents vi- I Congress Street,Suite 100 Boston,MA 021142017www.massgov/dia orkers"Compensation Insurance Affidavit:Bur7ders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Aoolicant Information Please Print Le My Name(Business/Organizatiowlndividual): Address: Ciry/State/Zip: Phone#: 2"S •53 35 Are you an employer?Chedc the appropriate box: - Type of project(required): am a employs with_�_cmployas(full and/or part-time).- 7. El New construction 20 I am a sole proprietor or partnership and have no employees working for the in $. Remodeling any capacity.[No workers'comp.insurance required.] 3.]I am a homeowner doingall work m If 9. Demolition yse [No workers'comp.insurance rogttired.]t 4.❑I am a homeowner and will be hiring contractors to conduct all work on10[:]Building addition my property. I will ensure that all contractors either have workers'compeasation insurance or are sole 11.[]Electrical repairs or additions proprietors with Do employees. 12.❑Plumbing repairs or additions SO I am a general contractor and I have hired the sub-contractors listed on the attached shed. These subcontractorsin have employees and have workers'comp. wmce.t 13.DRoof repairs 6.❑We arc a co ration and its officers have exercised their right of ex 14.Q Other � gh exemption per MGL e. . 152,§1(41 and we have no employees.[No workers'comp.insurance required.] *AnY applicant that checks box#i must also fill out the section below showing their workers'compemsation polity 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. tComtractors that check this box mast attached an additional sheet showing the name of the sub-contractorsand state whether or not those entities have employees. If the sub contractors have employees,they must provide their workers'comp-policy rumba. I am an employer that isproviding workers'corapensation insurance for my employees. Below is the policy andjob site information. Insurance Company Name: L��.or'o� S,+✓s . C„ Policy#or Self-ins.Lic.#: �C.EwC �3 3 3 Expiration Date: -1.�k- L, Job.Site Address: kl b l City/Stata7lp: ", Q„��,r,�,", �n�, u 1�d- Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under MGL c_ 152,§25A is a criminal violation punishable by a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORIC.ORDER and a fine of up to$250.00 a day against the violator.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do here y certify under thepains and penalties of perjury that the information provided above is true and correct Si ature.- Date: Phone VK- OffWal use only. Do not write in this area,to be completed by city or town ofcial City or Town: Permit/License# Issuing Authority(circle one): I.Board of Health 2.Building Department 3.Cityrrown Clerk 4.Electrical Inspector S.Plumbing Inspector 6.Other Contact Person: Phone#- 16 �` CERTIFICATE OF LIABILITY INSURANCE FDATEIM��7 /25/2016 THIS CERTIFICATEIS ISSUED AS A MATTER OF INFORMATIONONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELYOR 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 REPRESENTATIVEOR PRODUCER,AND THE CERTIFICATEHOLDER. IMPORTANT:N the certificateholder is an ADDITIONALINSURED,the policy(les)must be endorsed.N SUBROGATIONIS WAIVED,subject to the termsandconditionsofthe policypertain policiesmayrequireanendorsemeM.A statementon thiscertificatedoesnot conferrightstothe certificateholder in lieu of such endomment(s). PRODUCER CONTACT NAME Sandi Munroe M P ROBERTS INS AGCY INC PHONEFAX ND,E. (978)683-8073 ae,MD: (978)683-3147 1060 Osgood Street ADDESS: sandi@mprobertsinsurance.com North Andover, MA 01845 INSURER(S)AFFORDING COVERAGE NAICN INSURERA: MERCHANTS INSURANCE INSURED KEVIN MURPHY BUILDING & REMODELING INSURER B: GUARD INSURANCE 98 FOREST STREET INSURERC: NORTH ANDOVER, MA 01845 INSURERD: INSURER E INSURERF: 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, EXCLUSIONSANDCONDITIONS OF SUCHPOUCIES.LIMITS SHOWNMAY HAVEBEENREDUCED BYPAID CLAIMS. ixsa TYPEOFINSURANCE a POLICY EFF POUCY EXP POLICY NUMBER MMOD LIMITS X COMMERCIALGENERAL LIABILITY EACH OCCURRENCE $ 1 000 000 CLAIMSMADE 1 A 1 OCCUR PREMISES Ea ocwrtence $ 5 0,000 MED EXP(Any�p�n) $ 15,000 A BOP2068945 1/22/15 1/22/16 PERSONAL&ADV INJURY $ INCLUDED GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICY a JJET E]LOC PRODUCTS-COMPIOPAGG $ 2 000 000 OTHER $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,006- Ea accident) ANYAUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED MCA7013608 1/23/16 1/23/17 X BODILY INJURY(Per acciderd) $ A AUTOS AUTOS NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS Per accident A dUMBRELLA LIAB OCCUR EACH OCCURRENCE $ 1,000,000 EXCESS LIAB ClA1MSMADE AGGREGATE $ 1,000,000 A DEX RETENTION $ 10 000 CUP9145304 1/22/15 1/22/16 $ WORKERS COMPENSATIONX PER OTF+ AND EMPLOYERS'LIABILITV S YIN TATUTE ER B amcePweu�PostxaetExc�DSDD?arra NIA E.L.EACH ACCIDENT $ 500,000 (MaMatoryn NH)Lu N FCEWC633734 7/01/15 7/01/16 E.L.DISEASE-EA EMPLOYEE $ 500,000 If yes,describe under 500,000 DESCRIPTION OFOPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached N more space is required) CERTIFICATE HOLDER CANCELLATION TOWN OF NORTH ANDOVER SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 1600 OSGOOD STREET THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. NORTH ANDOVER MA 01845 AUTHORIZED REPRESENTATIVE M � ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD25(2014/01) The ACORD name and logo are registered marks of ACORD i �E Vlze�parnmao�i�ca a�C-?�aac�i✓�r�eta I Office of Consumer Affairs&Busi ess'Regulation OME IMPROVEMENT CONTRACTOR egistration: ,01874 Type: xpiration:t_612972046 Individual KEVIN MURPHY �YFI Kevin Murphy 98 FOREST ST. N.ANDOVER, MA 01845 ,'-F .r . Undersecretary Massachusetts Department of Public Safety ® , Board of Building Regulations and Standards License: CS-053099 ; i Construction Supervisor 1 \ `�*•. ,A KEVIN W MURPHY- .1 aI- 1 98 FOREST ST fU66 - NORTH ANDOVER MK M ZZK— Expiration: 11 Commissioner 0612912017