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HomeMy WebLinkAboutBuilding Permit #277-13 - 461 SUMMER STREET 5/1/2018 BUILDING PERMIT °F NORTH q �67 �Q TOWN OF NORTH ANDOVER �' APPLICATION FOR PLAN EXAMINATION * _ Permit NO: Date Received ! Q0R^TEO �SSACHUS�� Date Issued: IMPORTANT:Applicant must complete all items on this page ..,.,,.•, J, �.J� 1�t � Purl =IP,RO We—RT�YOINNER Print, t I � uPARCEL`` bZ®N.ING ®ISTRICT fHistorrc f Distract Eyes,no' u_ achine�Shop Village dye 0! TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building -& One family ❑Addition ❑Two or more family ❑ Industrial ,,Alteration No. of units: ❑ Commercial 1J Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other fy7�IFloodplan- �p�Wetla�nds � . D �Vllatersl _ed�®stnet; Wate Sewers _ .� - 3 } DESCRIPTION OF WORK TO BE PREFORMED: j e-�4-k:�S rxA--C.IG.(/ 9(- �.�.-+o-t- 22 y.c� Identification Please Type or Print Clearly) OWNER: Name: Je Lfj� Phone: -%-Ib -)22 -13 Address: u S Ste. v�,,,.wsv�. j �-�'� '•�-, a- -me �. 11ti,�.,- � _sP_hone't' ~�� CONTRACTOR {Na_ .- _ lAddi=ess���.�.., - �.�Ya;F"' _ -. I errs^�i}s rar-�a-`�Y'.-awe . ,..ac,•�+� n. I Suprerviso�sConstrucfio- Ldk ECT/ENGINEER Phone: ARCH ITECT/ENGI Address: Reg. No. FEE SCHEDULE.BULDING PERMIT:$92.00 PER$9000.00 OF THE TOTAL ESTIMATED COST BASED ON$925.00 PER S.F. Total Project Cost: $ 31L 2,90 FEE: $ Check No.: Receipt No.: NOTE: Persons contracting with unregistered contractors do not have acce s to the guaranty fund ' d Certified Plot Plan ❑ Stamped Plans ❑ Plans Submitted ❑ Plans Waived-6 p TYPE OF SEWERAGE DISPOSAL 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& Sewer Connection/Signature& Date Driveway Permit DPW Town Engineer: Signature: Located 384 Osgood Street _ !FIRE DEPARTM Tem Dum "ster<on siteaRyes. - no � � Locatedcatn124MainStreet y Y �FireDepa�tm 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.$10041000 fine NOTES and DATA— For department use ❑ Notified for pickup - Date i 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 ❑ 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 a 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:INSPECTIONAL SERVICES DEPARTMENT:BPFORM07 Revised 2.2008 Aq Location �u x l No.—2- '7 1 Date ti . ' TOWN OF NORTH ANDOVER e - - Certificate of Occupancy $ Building/Frame Permit Fee bo .:L, Foundation Permit Fee $ Other Permit Fee $ orra TOTAL Check# 25795 I/Building Inspector Enter construction cost for fee cal- North Andover Fee Calculation Construction Cost 39,200.00 m $ - $ 470.40 Plumbing Fee $ 58.80 Gas Fee 100 comm. $ 100.00 Electrical Fee $ 58.80 Total fees collected $ 688.00 461 Summer Street 277-13 on 10/9/12 Rebuild/Repair Existing Deck and Screened Porch The Commonwealth of Massachusetts Department of Industrial Accidents Ln Office of Investigations 600 Washington Street Boston,MA 02111 www mass gov/dia Workers' Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers _Applicant Information Please Print Legibly Name(Business/organization/Individual): v Address: lb C City/State/Zip: lq _Phone#: �� �' ' 5 3`� t�n.,, ���u-�.�-t ll�.�-- Are you an employer?Check the appropriate box: Type of project(required): 1 I am a employer with k 4. ❑I am a general contractor and I 6. E]New construction employees(full and/or part-time).* have hired the sub-contractors ? Remodeling 2.❑ I am a sole proprietor or partner listed on the attached sheet t ship and have no employees These sub-contractors have 8. ❑Demolition working for me in any capacity. workers'comp.insurance. 9. ❑Building addition [No workers'comp.insurance 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions required.] officers have exercised their I am a homeowner doingall work right of exemption per MGL 1.[]Plumbing repairs or additions 3 ❑ myself.[No workers'comp. c.152,§1(4),and we have no 12.❑Roof repairs insurance required.]t employees.[No workers' 13.❑Other comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information f Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. #Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'cramp.policy information lam an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Cu,4�—k. erJJ ` C& l Policy#or Self-ins.Lic.#: L%�/ y�°1 V Expiration Date: Job Site Address: S"`•--'•-^v`- City/State/Zip: iay,, r• � �� 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. Tdoherelyperfify under the ains and penalties of perjury that the information provided above is true and correct. Si ature: Date: r'1.L-Lc, L l2 Phone#: R1 official use only. Do not write in this area,to be completed by city or town offrciaL City or Town: PermitUcense# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3`.'Cityfrown Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Phone#: Contact Person:_ � NORTf-r own -o � t E 6Andover o - .:�.. 0% h . h ver, Mass, 1 Z A- coc..icNew.cu y7. 7�ADRi1TED PP�,�'�y , s � BOARD OF HEALTH Food/Kitchen PE -Rml . LD Septic System THIS CERTIFIES THAT % BUILDING INSPECTOR .... .C�. ....T- o '...... .'. ... .�-........................... ......... has permission to erect :5+ Foundation4...... buildings on 1.... 1.x!^.. .... Rough to be occupied as ...�;.we.*AC4 /conform !! .t .... .......... .. Chimney provided that the person accepting this permit shall in every respec 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 CONSTRUCTIONS ARTS Rough � Service ............... .... .t,� .. ..... ................................ 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. SEE REVERSE SIDE NORTH own -o t 6 ndover' No. LAN, h ver, Mass, � 1 Z C OC ANIC"EWICK �•9 SR^reo �P���S S U BOARD OF HEALTH Food/Kitchen PE .R L D Septic System THIS CERTIFIES THATBUILDING INSPECTOR .....J.e.!�1 t!............ .�. ... .�-........................... ......... �....� �� �� Foundation has permission to erect ........................... buildings on .. .... .......... .,....... . Rough tobe occupied as ...'000�;Ike.*Ara. . .. ��. .... .......... .. Chimney. provided that the person accepting this permit shall in every respec 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 CONSTRUCTIONS ARTS Rough Service ............... .... .� ..... ................................ Final BUILDING INSPECTOR GAS INSPECTOR Oeeupaney 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. SEE REVERSE SIDE DAT CERTIFICATE OF LIABILITY INSURANCE 8/7%2012 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(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. Astatement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER WNIAGI NAME: PH M P Roberts Insurance Agency Inc Lj/,C°,No,Ext: 978-683-8073 i! No):978-683-3147 1060 Osgood Street ADDRESS sandi@mprobertsinsurance.com North Andover Ma 01845 INSURER(S) AFFORDING COVERAGE NAIL# INSURER A: PROVIDENCE MUTUAL INSURED KEVIN MURPHY BUILDING & REMODELING INSURER B: MERCHANTS INSURANCE 169 BOXFORD STREET INSURER c: GUARD INSURANCE INSURER D: NORTH ANDOVER, MA 01845 INSURER E: 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. LTR TYPE OF INSURANCE ADDIL INSR WVD POLICY NUMBER (MM/DDM/YY) (MM/DD/YYYY) LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABIUTY PREMISES(Ea occurrence) $ 100,000 ICLAIMS-MADE CI OCCUR MED EXP(Anyone person) $ 5,000 A CPP0060868 1/22/11 1/22/12 PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,000 POLICY PRO JECT El LOC $ AUTOMOBILE LIABILITYCUMBINED 51 1,000,000 Ea accident $ ANYAUTO BODILY INJURY(Per person) $ ALLOWNEDSCHEDULED MCA7013608 01/23/12 01/23/13 B AUTOS N AUTO BODILY INJURY(Per accident) $ NON-OWNED PROPERTY DAMAGE $ HIRED AUTOSAUTOS (Per accident) $ UMBRELLA LIAR OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION $ $ WORKERS COMPENSATION YX WC STATU- OTH- AND EMPLOYERS'LIABIUTYIN TORY LIMITS ER ANY PROPRIETORIPARTNER/EXECLMVE ❑ NIA E.L.EACH ACCIDENT $ 500,000 C OFFICER(Mandattory nNH)ER LUDED? MWC317800 7/01/12 7/01/13 E.L.DISEASE-EA EMPLOYEE $ 500,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.LDISEASE-POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if morespace is required) CERTIFICATE HOLDER CANCELLATION TOWN OF NORTH ANDOVER SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE BUILDING DEPT THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN NORTH ANDOVER MA 01845 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REP IVE ©1988-2010 ACORD CORPORATION.All rights reserved. ACORD25(2010/05) The ACORD name and logo are registered marks of ACORD i 98 Forest Street e . M � I i"�p� � North Andover,MA 01845 ,J • PH:978-688-5335 Building Contractor FAX:978-688-7207 Proposal To: Jennifer Bilodeau 461 Summer Street All Horne 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 Common eealth 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: 9/28/2012 Job: Deck/Sreened porch Date of plans: None to date AfChH ect None to date 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 wrding contractor will begin work on or about 10/15/12. Barring Delay caused by circumstances beyond Contactors control,the work will be completed by 12/30/12.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 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:978-6885335 FAX 97868&7207 General Proposal is to rebuild deck,and rebuild existing screened porch. Building permit will be obtained by contractor. Demolition Existing deck will have decking / railing removed. Existing screened porch will be gutted, decking will be removed, and walls removed. Both existing floor structures,and roof of porch to remain Building Steps will be built along entire length of adjoining deck areas. All new Azek decking will be provided in porch, on existing and new deck. Color to be determined. If special order/premium color decking is selected, there may be an additional charge. ( would inform of cost increase prior to ordering any materials ) . All new Radiance vinyl railings will be provided on existing deck. A sample will be provided prior to installation. Screened porch will have windows / storm panels supplied and installed. An allowance of $4000 has been included for windows or doors. Stairs from deck,to pool area will be approximately six feet wide. Some type of gate will be built at top of stairs. Electrical Electrical work required to add four/ six recessed lights in screened porch will be provided. Outlets will be installed to code in porch. Ceiling fan to be provided by owner, installed by electrician. Insulation Ceiling of screened porch will be insulated. Interior Trim/Doors Ceiling of screened porch will have beadboard supplied and installed. Painting No allowance has been made for any painting Waste Removal All demolition/construction debris will be disposed of by contractor.Any damage to lawn will be repaired. Other Allowances Gutters will be supplied/installed on screened porch. w Uevim Mmuphy Page 4 of 4 Building Contractor %Forest street North Andover,MA 01845 PH:9784688.5335 FAX 978586-7207 Section IV-Price Schedule We hereby propose to furnish material and labor—complete in Accordance with above specifications for the sum of... ... ...... ... ...... ...... ... .......$ 39,200 Payment to be made as follows: Percentage/Item Description Amount 1 Permit obtained $2200 2 Demolition complete $10,000 3 Decks complete $10,000 4 Porch complete $12,000 5 Job 100% complete $5000 Total J.5 $39,200.00 Notice:No agreement far Home improvement contracting work shalt require a down payrnent(advance deposit)d more that one4vrd of the total contract Vice of the total mnmint of ail deposits or payments which the contractor must make,in advance,to order ardor otherwise own 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 THI CONTRACT IF THERE ARE ANY BLANK SPACES Signature Date Signature Date