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HomeMy WebLinkAboutBuilding Permit #269-15 - 5 VILLAGE WAY 9/17/2014 TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit N0: 262 Date Received Date Issued: l7 A-/ IMPORTANT: Applicant must complete all items on this page LOCATION j;..V` � .S4 -Print PROPERTY OWNER 't %�'(� .l��i�o - Print 100 Year Old Structure yes - MAP NO: b PARCEL: ZONING DISTRICT: Historic District yes -Z Machine Shop Village yes TYPE OF IMPROVEMENT, PROPOSED USE Residential Non- Residential ❑ New Building One family ❑Addition ❑Two or more family ❑ Industrial IKAlteration No. of units: ❑ Commercial ❑ Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other ❑ Septic p c ❑'Well ❑ Floodplain El Wetlands ❑ Watershed District Water/Sewer DESCRIPTION OF WORK TO BE PERFORMED: �Jkck Ebrw.e,r's Nv-6� Identification Please Type or Print Clearly) OWNER: Name: `a�„�;:�\� '� .\�.�va Phone:g-i� 1a- 10 - Z-`�3S Address: CONTRACTOR Name: Phone; Address: q �6 \u r Supervisor's Construction License: 05"3 v°,c1 Exp. Date: Home Improvement License: \ ! 1 onl Exp. Date: 6 X-LA .1 b ARCHITECT/ENGINEER kQ c..,j C-j:,..rro `\ Phone:g-VC - Q,oZ- 0 l3 1 Address: v . Do +- 'Sub b fes._.• 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: $ FEE: $_ Z.,8 .D D __ 5 Check No.: �� Receipt No.: ,2 ,9'0..A 2 NOTE: .Persons contracting with unregistered contractors do not have access to the guaranty fund Sig"nature of A`gent/Ovvner3L _ Sig-iature of coritracto f_ Plans Submittedb Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans Plans Submtte Plans Waived ❑ -Certified Plot Plan ❑ Stamped Plans ❑ .T W-1J-o"EWERAGEDISPOSAL 2... Public Sewer ❑ Tanning/Massage/Body Art ❑. . ..Swimming Pools ❑ Well ❑ Tobacco.Sales ❑ •Food Packaging/Sales ❑ Private(septic tank,etc._ permanent Di#mpster 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 d 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 To`vo Engineer: Signature: r Located 384 0_qgoqfl Street FIRE DEPARTP �i�T 'Temp Dumpster on site yes no Located at-124{Mair1"Street: Fire"Departure►�t signatu'reldate '' ": 'r, `. •x ". 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.Z®NE LITERATURE: Yes No MGL-Chapter-'466.Section 21A.--F and G min.$100=$1000..fine NOTES and DATA— (For department use + El Notified for pickup - Date L E Doc.Building Permit Revised 2010 Building Department - The fol;-)wingis'a list of,.the.required forms to be.filled out.for the appropriate.permit to-be obtained. Roofing, Siding, Interior Rehabilitation Permits o Building Permit Application o Workers Comp Affidavit o Photo Copy Of H.I.C. And7Or C.S.L' Licenses o Copy of Contract o Floor Plan Or Proposed Interior Work o Engineering Affidavits for Engineered products NOTE: All dumpster.permits require sign off from Fire Department prior to issuance of Bldg Permit Addition Or Decks o Building Permit Application Li Certified Surveyed Plot Plan a Workers Comp Affidavit o Photo Copy of H.I.C. And C.S.L. Licenses o Copy Of Contract Floor/Crossection/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (If Applicable) o 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) o Building Permit Application o Certified Proposed Plot Plan Li Photo of H.I.C. And C.S.L. Licenses D Workers Comp Affidavit u Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (If Applicable) o Copy of Contract u Mass check Energy Compliance Report o 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 apv�al period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording must be subm:tted with the building application Doc: Doc.Buiiding Permit Revised 2012 Location No. Date ?J—/ 7 . - TOWN OF NORTH ANDOVER . t Certificate of Occupancy $ r . Building/Frame Permit Fee $ l Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check W y 4- / ilding Inspector i NORTH own of 0 ; - to No. 0� h ver.*7 , Mass, �' 7 i C OC NIC 11 4!WICK ��• A. tl BOARD OF HEALTH Food/Kitchen PERMIT T LD Septic System THIS CERTIFIES THAT ..........��'W...e e...e�E.. .��:���.��............................................................. BUILDING INSPECTOR . Foundation has permission to erect buildings on �/./r f �� .......................... .............. ...... .................................. Rough to be occupied as l " `^/'h�I E.. v 1�04............................................................... 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 STARTS Rough Service ............. ...... .. .... ... . .. ...... .............. Final .... B.UILDING INS CTOR 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. Massachusetts -Departand standards i Board of Building Regulations Construction Supervisor li License: CS-053099�� �. i KED W M RP#v �,- I 98 FOREST ST North Andover 0A 0jo Expiration 0612912015 Commissioner �fe oazr�aa�aa0 e a,Imb6 � cava reel Office of Consumer Affairs&Busi ess Regulation OME IMPROVEMENT CONTRACTOR Type: egistration: 101874 xpiration: 612912016: Individual KEVIN MURPHY j i Kevin Murphy 98 FOREST ST. g N.ANDOVER,MA 01845 Undersecretary tUa N011117 A7dOV&11 6 ! !! ! i I `! i i _l L1. �j_T�--J 1-•- -r�-1,--��:: --1'-'r�`�---'- -i- '-�-T'--` -T�._�J .r �! i I -•-r ` T L L� r J I I , �T �1 T �. LLi _: L_i r_I,i .J.. _i .L._ !_L 1 Z �T - - r-- - : ..1_. _ _ �. 1T..iT.,-.. ' L.f!. ti ._Lr .1 -T ! j r i �.._i i r ' �_�!�r'._.! ,-�,-�f r ( ( i..: ! T! � ( Tf �.ur-'r' �7 : -J -' r r'T i! { --,IJ,-.1.,=.,_'-,Jl ! -- .i,�'(---r 1-'.. ...L,+._.L!..-•'-rL-- -_L,i- J' _ T II 7T 'r l [!! LY' !_j .. i-�- _4� 1 (_ -L rl! ! �� I _L� T` J rT - 1r'-!-:'-'-`� - - ;' - 'T T S -rT jr. 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L ............ r I .—_—-- _ — �. .I _ -- - --- --- -- ------ - 11. 11 FED _ i 'Ti -It L7I-,.-L -..---_ L IJ.,.Lr , l Ji ljll,: TLL �r - ---- ------ -- — r r: _--_. -_--_ -- �_ _-- ! _.L_.I�. 'i I L '! !t �L !J_ ! i i I Lrll_i���.....��-•11 - -- --- --"SFJ+-- lip Ljl !Ua/kuray fpm&VdscIP/ng -_--__ --_ -- lo Mlch Up f/u.Sh W/fh c7'eck1,7q Iv. IF ,&jsoo '36 - �eYjs Com 4?fl&4fv /rocs /60 �''/sasar�t ,5tr��t North ,�lr�doYer, AW O/8�.5 �' 91'8-90��0,31 ,4/w Com// 9 �$�/. -.�.63✓'�' P.O. ,fox .506.x, 47d®ver, O/BIO Qu�9tfOn9 � G'omm�nt,�, contact- a/analca�af t/ngcom /1 3 Sheafh/v�q Z7I6yO.C_ q 3-?xBBeam '� � °� °� Poef C�►a � k � 1` { I 1 1 a d y 8 D y /LJ b y 70 a �/1d1/G✓�J/.7t�.L.✓ 75 0° zo y Deck,�ig Derck �ramir� Poet Cep ?XB //4'1/L) on L edge i y 76 j � I I I I I I 1111 Zx 6 V I6 y0_C 1 Inn i I I I - I _ _ ___ _ _ _ _ _ _ _ _ _ _ -------------------------------—---————————---—---—————— F/ fing j day bo/fs �7 I6 y0_C. DBckkg y --�— ?x Deck fiamfrq 0=.r! � I p ✓o/sf f/�e� I Gonc�te Fnundatran ; 1111 y a I 4 i I 447 Cd1rr7// 978-90?-CI3� Questions - Gvmments, contact- a/an�Jcd�aftingcom ASSESSORS MAP 104C PARCEL 82 ASSESSORS MAP 104C PARCEL 81 ;SESSORS MAP 104C PARCEL 83 N83'50 53»E c� 356.85 rn w o a i A8 A9,,� A5 A6 A4,,1i EDGE OF A WETLAND 31i A2ASSESSORS MAP 104C 231.8' PARCEL 111 AREA=3.0 ACRES 198.8' 259.87 �. Sa().03 20 W ASSES: 137.8' P ASSESSORS MAP 104C .-0dO—'42.1' PARCEL 112 23.5 acy- ED pROPO5E0 I' —GARAGE tJPROPOSE EXISTING n X00 ADDITION 2 1/2 S W.F.D. ROPOSED 42.8 RETAINING WALLS PROPOSED 45.9' /�oECK 45'7' BAY WINDO GARAGE & PORTICO 41.1' , f PROPOSED � o2' BAY WINDOW ��Q N \�`!✓- 84.4 m P�1"OF Mgss�� \ O DAVID LVES v 5454 VILLAGE (50' WIDE—PUBLIC) WAY A � DATE(NMIDDYYYY) CERTIFICATE OF LIABILITY INSURANCE 6/25/2014 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. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Sandi Munroe NA ME: M P ROBERTS INS AGCY INC PHONE g']13 683-8073 F (978) 683-3147 1060 Osgood Street ooR�:san i mpro ertsinsurance.com North Andover, MA 01845 INSURER($) AFFORDING COVERAGE NAIC# INSURER A: MERCHANTS INSURANCE INSURED KEVIN MURPHY BUILDING & REMODELING INSURER B: GUARD INSURANCE 169 BOXFORD STREETI SURER : NORTH ANDOVER, MA 01845 INSURER D: I ERE: 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 INSD POLI YNUMBER POLICY EFF POLICY EXP LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE OCCUR P EMI S a occur $ 500,000 BOPI068945 1/22/13 1/22/14 MED EXP(Anyone person) $ 15,000 A PERSONAL BADVINJURY $ INCLUDED GEN'L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $ 2,000,000 POLICY QPRO- ❑ JECT LOC PRODUCTS-COIvP/OPAGG $ 2,000,000 OTHER: $ AUTOMOBILE LIABILITY EO BII tlEDD SINGLE LIM T $ 11000,05T entl ANYAUTO BODILY INJURY(Per person) $ A AUTOS ALLOWNED X SCHEAUTODULED MCA7013608 01/23/14 1/23/15 BODILY INJURY(Per accident) $ HIRED AUTOS NON-OWNED PROPERDAMAGE $ AUTOS Per i TY t UMBRELLA LIAB OCCUR EACH OCCURRENCE $ 1,000,000 A EXCESS UAB CLAIMS-MADE AGGREGATE $ 1,000,000 CUP9145304 11/22/1311/22/14 DED I I RETENTION WORKERS COMPENSATION X I SEAT OTH- AND EMPLOYERS'LIABILITY ANY PROPRIErOR/PARTNERIEXECUTIVE Y E.L.EACH ACCIDENT $ 500 r 000 B OFFICERIMEMBER EXCLUDED? NIA (Mandatory in NH) KEWC527844 07/01/14 7/01/15 E.L.DISEASE-EA EMPLOYEE $ r Ifyes,descrbeunder DESCRIPTION FOP RATIONS below E.L.DISEASE-PO1 Y IT 500,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHCLES (ACORD 101,Adclibonal Remarks Schedule,may be attached if 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 NORTH ANDOVER MA 01845 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIIm VE ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD The Commonwealth of Massachusetts Department of Industrial Accidents 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 LeLyibly Name(Business/Organization/Individual): Address: 'R�,6 tw cS City/State/Zip: ki-y o Q Phone -5'3-3 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 c6nstruction `V' sub- contractors e sub contractors employees(full and/or part-time). have hired h 2.❑ I am a sole proprietor or partner- listed on the attached sheet. T Remodeling ship and'have no employees These sub-contractors have 8. M 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 3.❑ 1 am a homeowner doing all work right of exemption per MGL 11.❑Plumbing repairs or additions 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. t Homeowners who submit this affidavit indicating they aie 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. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company NameN S. Cu . l Policy#or Self-ins.Lie.#: U,(-, 5 Z71 `lei 4 A . Expiration Date: Job Site Address: City/State/Zip: Nll• Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as requiredunder 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. I do hereby certify under the pains and penalties of perjury that the information provided aboveistrue and correct Si ature. Date: Phone#: 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#: - - _ *` • 98 Forest Street � ' v'1 �.Y°���1 • North Andover,MA 01845 • PH:978-688-5335 Building Contractor FAX:978-688-7207 Proposal To: Danielle Dellovo 5 Village Way 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: 9/17/2014 Job: Farmers Porch Date of plans: 8/11 Architect: Alan Carroll 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 9/29/14. Barring Delay caused by circumstances beyond Contactors control,the work will be completed by 11/30/14.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:978688-5335 FAX 97868&7207 General Proposal is to build farmers porch as shown on owner's plans. Building permit will be obtained by contractor. No allowance has been made for conservation approvals, if required by town. Demolition Existing landing/steps will be removed and disposed of. Foundation Existing concrete pad/footings to remain. Building All frame, roof, and any siding materials, will be supplied and installed as shown on plans/to match existing. Floor frame will be pressure treated 2x8. Composite decking will be Azek brand. Color to be determined. If a "premium color' is selected, an additional charge may apply. Ceiling joists / roof rafters will be 2x8. Roof sheathing will be 5/8 fir plywood. Roof shingles and railings to match existing. Ceiling will be beadboard. Electrical Electrical work required to add four recessed lights will be provided. Any surface mounted fixtures, to be supplied by owner, installed by contractor. Painting Exterior painting will be provided. One coat of primer, and two coats of finish, will be applied to all painted surfaces. Waste Removal All demolition/construction debris willi be disposed of by contractor. Kevin Murphy Page 4 of 4 Building contractor 98 Forest Street North Andover,MA 01845 PH:978-688-5335 FAX 978688-7207 Section IV-Price Schedule We hereby propose to furnish material and labor—complete in Accordance with above specifications for the sum of... ... ...... ... ... ... ... ... ... ... ....$ 22,300 Payment to be made as follows: Percentage/item Description Amount 1 Deposit / Permit obtained $2300 2 Roof framing complete $10,000 3 Railings / ceiling installed $6000 4 Job 100% complete $4000 Total j 4 $22,300.00 "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 andfor 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 Date q t l^t l 1 y Signature Date