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Home My WebLink AboutBuilding Permit #357 - 50 CAMPBELL ROAD 11/2/2006 M TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION o�"°oTM A Permit NO: Date Received-//- Date eceived //-Date Issued: �9s so SACHuss IMPORTANT: Applicant must complete all items on this page LOCATION Print PROPERTY OWNER \\c—"a� \\iI'd \Ck4,A� Print MAP NO.: PARCEL: ZONING DISTRICT: TYPE AND USE OF BUILDING HISTORIC DISTRICT YES ❑ I TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑New Building )(,One family ❑ Addition ❑ Two or more family ❑Industrial ❑'Alteration No. of units: Repair, replacement ❑Assessory Bldg ❑ Commercial ❑ Demolition ❑ Movingrelocation (relocation) ❑ Other [I Others: ❑ Foundation only DESCRIPTION OF WORK TO BEP FORMED Identification Please Type or Print Clearly) OWNER: Name: Q�.,.,..� 1�e.,,.�vwe �L�,Le�+ �< . .rc r� Phone: "�'1 DD 1 0 Address: 1�;-Lp CONTRACTOR Name: \44, -a, Phone: %V— 53 3 S e Address: L R lei4� .�'�.,.,��`1 0 SLOE Supervisor's Construction License: b S3 Exp. Date: Home Improvement License: �`0 L Exp. Date: �Ze b k ARCHITECT/ENGINEER NV Name: Phone: Address: Reg. No. FEE SCHEDULE:BULDING PERMIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. I Total Project Cost :$ 31J, uU J FEE:$ f Check No.: ► Receipt No.: l �S Page 1 of 4 y. ._.-.T-. _. .. . .. .,.._..p,...�_ � ..-.eras .. -, ,•r _. ..�.r•:r;�-..._:a-..r,-:..r"^.'. i....;j LocationA � No. Date �oRT� TOWN OF NORTH ANDOVER 9 x : ; Certificate of Occupancy $ b.•� CNUs<� BuildinglFrame Permit Fee $ F Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check# Y 3759 Building Inspector �- TYPE OF SEWERAGE DISPOSAL Tanning/Massage/Body Art ❑ Swimming Pools ❑ Public Sewer ❑ ❑ Tobacco Sales Food Packaging/Sales ❑ Well ❑ ❑ • Private(septic tank,etc. Permanent Dumpster on Site Electric Meter location to project �. NOTE: Persons contracting with a red cofitrac orsdo not have access to the guaranty fund Signature of Agent/Owner �`r Signature of contractor Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Pla ❑ THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF-U FORM DATE REJECTED DATE APPROVED. PLANNING & DEVELOPMENT ❑ ❑ COMMENTS - DATE REJECTED DATE APPROVED CONSERVATION ❑ ❑ COMMENTS t DATE REJECTED DATE APPROVED HEALTH ❑ ❑, ` COMMENTS i FIRE DEPARTMENT - Temp Dumpster on site yes - no Fire Department signature/date 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 Building Setback (ft.) Front Yard Side Yard Rear Yard RequiredProvided Required Provides Required Provided- Dimension rovidedDimension Number of Stories:_Total square feet of floor area, based on Exterior dimensions. V I Total land area, sq. ft.: NOTES and DATA—(For department use I i } Page 3 of 4 i Doc:INSPECTIONAL SERVICES DEPARTMENT:BPFORM05 Created JMC.Jan.2006 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 Addition Or Decks ❑ Building Permit Application ❑ 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) 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 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:BPFORM05 Page 4 of 4 F xA®RTH Town of 4Andover No. 257 _ _ 10, A dover, Mass., �Z • OGS COC MICMEWICK y ADRATED `s BOARD OF HEALTH Food/Kitchen . PERMIT T D Septic System 6 6 400 BUILDING INSPECTOR THISCERTIFIES THAT......... ( I..r�........ ........................... .................... ................................:........... Foundation has permission toe ct.... buildings,on.., � �� Rough ........ ... .... .. . . . 0 to be occupied as ...t..�Oo..A 1�,�I ..... . ^ Chimney �...... ............... ... provided that the person accep g this permit shall in every re confor to the terms of the application on file in Final 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. Route Final 360"- PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTR. .... ... tTS 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 Wall 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 Department of Industrial Accidents ( ., �'e Office of Investigations 600 Washington Street t t'. Ili Boston, MA 02111 t 7 www mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly NametittRtiiness/()munirxttionAoidividual): �P,, r r Address:_ S'hr —t City/State/Zip:_ QlWi ' Phone Are you an employer?Check the appropriate box: Type of project(required): 1�i am a employer with 4. ❑ 1 am a general contractor and 1 e)» have hired the sub-contractors 6. El New construction employees{full and/or part-time}, 7. remodeling 2.❑ 1 am a sole proprietor or partner- listed on the attached sheet. ship and have no employees These sub-contractors have 8. E] Demolition working for me in any capacity. workers'comp. insurance. q. ❑ Building addition (No workers'camp. insurance 5. ❑ We are a corporation and its officers have exercised their 10 ❑ Electrical repairs or additions required.) of 3.❑ I am a homeowner doing all work right of exemption per MGL I I.❑ Plumbing repairs or additions myself. [No workers' comp, c. 152,§1(4),and we have no 12J;9,Roof repairs insurance required.] employees, fNo workers' comp. insurance required.] 13.❑ Other _..____.___ *.Any applicant that checks box tl l must also till out the section below showing their workers'compensation policy information. tlomeowners who submit this atTidavit indicating they are doing all work and then hire outside contractors mast submit a new affidavit indicating such. <C'ontructors that check this box must attached an additional shret showing the name of the subrcontraciors and their workers'comp,policy information. I nue an employer that is providing workers'compen adon insurance for my enrloyees, Below is the policy andlob site infornmtion. n Insurance Company Name: Policy t#or Self-ins. Lic. f#:�hNv w.s._5-_J_9a. _C�.__-____._._--.. Expiration Date:_ ') t 1-v_.__r1,___ Job Site Address: /St Cityate/Zip: ,_pwwr.�, h.�, AL1 ,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 line 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$250.00 a day against the violator. Be advised that a copy of this statement inay be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby I�ertify nder , ins and penalties of per -hat the inforniaden provided above is true and correct. Signature: __...� Date: Phone It' — Qlfecial use on4f. Do not write in this area,to be conipleted by city or town gffleial Cltv or Town- Permit/License## Issuing Authority(circle one): I. ifiSoard of Health t. Building Department 3.City/Town Clerk 4. Electrical inspector 5. Plumbing Inspector 6.Other Contact.Person: Phone E#: FROM :M.P. Roberts Insurance FAX Imo. :19786833147 Jul. 18 2006 11:10AM P1 ,ACDjW- CERTIFICATE OF LIABILITY INSURANCE DTIWmMm'•r"'I i PRO&AMP 01/1812006 THIS GERTIF[AIM LS as=04 A N{AMR of www"mom N.$.ROBERTS INSURANCE AGENCY INC. ONLY AND COWM NO R,lO1N'Ts LM" THE CERTIFI ATE 1060 OSGOOD STARLET ,�o�B ymmm- -979-663-8073 s��ow. � NORTH ANDOVER MA 01845 7 — — 7 INSURNRO APFOROm covERA% NAICV X9VIN MRM BUILDING & R81~p urm MgI,ReRA _PROVIDEN QL 169 BOXFORD STREET OAS~O. NORTH ANDOVER, NA 01845 RI.IANIIA n, coveRAQes ME PMOES OF IWGURAMCE USM SELOW HAVE BEEN,98ia'ED TO THE ENSURED NAKDABOVE POR 7NE POUCT'PERIOD;NDICA-M&NO7WITH$TAN*NG ANY REQUM"NT,TERM OR CONOITM"OF ANY CONTRACT 00 OTHER OOCUWW WITH RCSPI!CT TO WMCH THIS CFNtTIPlCATt OKAY A['188UF.D OR MAY PERTAIN.THE INBURANCE AFFORDED BY THE POLtM DEAORIBM HEREIN!B SUMCT TO ALL THE TERMS,MLUSNONS AND CONDRION3 Of SUCH POLICIES.AGGREOATE UMRS SHOWN MAY"AVO BL'EN REDUCED BY PAID CLANS, 1 PaCV hiumm VOkICr rQ PpU�� DA uwn oeNEINAL UAKf" wu+office nonreR"t 09KR AL UASaI TY — ciuu,twoa OcaAz 0116YNu0(ltAfamroncf s _ 09,000 A+maID�WgrenffeneA, N 5.000 1 4 }► Cg40060866-01 11/22/05 11/22/06 PIYNsoYALAAovNrAnNr 1.000.000, !� Oent,Nu AoamcATP �s 2-000 000 j l MMAooaDATe LM TAirue�POW: _ nRnpucTls•CwAProo PRO- Loc -g"a .16 -2 r 0 �0 0 111 ooucr � AUTOMMAIJAft" ANYAWO ao °N akc w'�� N 500,000 ALLONlEDAUTOR . .._••- _ SOMM MALMOS IhrpneA!,IODNow$ it i 8 H"w-06 7AM0277013608 1/23/06 1./23/07 .— eop�LrsaA/RY NY+OWNIDAtROG R+neaa�p f j V PROPIRTY OAM.MC P'ernatlmono 7—, MRA6E LIAe<.f!Y yf AtROOM Y•EA ACCIpENY �t 0T11eR r1AM GA ACI: Lf ANVALIM AUTArMOY ArU � "�—' fx06* Um6fAUA WSW" EACH OCCLRRIAC& f M OCCUR n CtNY8LYl06 AOORIMATIl f � oeDucTrLe - f -•-------� Re�lErnorl • � t VAf14RlOON�pIN4TlON/dAD ewtrffckv UAWUTv TOIITLIMRN 11 _ f f.rrAorAmOAf.ATANNUNO MUWC530339 7/01/06 7/01/07 I-LRACHAftm.wr , 500,000 - Nw rdfeesfAse, aL Dome.IA NNN4ADYPF S►SDuLPRDYq�0lq fAw. E.L.DPtCME•PouCY LAfrT : on+eR 0 0 ; i DUCAP mat OPCRATCNlr LOCATOW/V69CUL7 r OOLWN3*0 AOOeOer emom a wriapSOL"LPROV{/km I CERTMICA CANCELLATM f TOWN OF ANDOVER,, NA @"OULD ANY OF THE ASM 0"C"90 POM" CAMMUSO W'001 I*"RA MR y BAATL16'1"1' STP"? oaaWkL tp,aUVM'o VAX 10 n.rA VAtTrp% ANDOVER, M► 01810 Nance To W*C&"vCAM.CkJMM NAMOD TO WT FALL*!I U uo w e�L BUILDING DEPARTMENT Heroes Na OOWATCM OR LWWL"y OF ANY Nina)V""C m NIS on IePReeeNrA uiTraroiED ATrut ACORD2i12001MI 0ACORO CORPORATNON ion I NORTH ANDOVER BUILDING DEPARTMENT Tel: 978-688-9545 DEBRIS DISPOSAL FORM In accordance with the provision of MGL c 40 S 54, a condition of Building Permit at. !o ,� f 1�is that the debris resulting from this work shall be disposed of in a properly licensed solid waste disposal facility as defined by NIGL 11 i1, S 150 A. Also, note Permits are required under Fire Prevention laws Chapter 148 Section I OA. The debris will be disposed of in: (Location of acility) —, Signature e t Applicant Fire Department Sign off. Dumpster Permit Date i i r • 169 Boxford Street r Kevin Murphy 0 North Andover,MA 01845 z PH:978-688-6335 Building Contractor FAX:978-688-7207 Proposal To: Dennis Harrigan 50 Campbell Road All Home improvement Contractors and Subcontractors engaged in tome 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 021108.(617)-727 8598 cc: Date: 10/17/2006 .lob: Bam Repair Date of plans: none Architect: none 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 10/15/06. Barring Delay caused by circumstances beyond Contactors control,the work will be completed by 12/15/06.The owner hereby acknowledges a'nd 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 II-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"111-Scope of Work Kevin Murphy Page 2 of 3 BuUdLb&g Contractor l' 169 Bo fiord Street North Andover,MA 01845 PH:978688-5335 FAX 978-6WXXXX General Building permit will be provided by contractor. No allowances have been made to obtain variance, board of health, or conservation approvals. Proposal is to repair rotted sections of barn, repair roof, wall framing and siding. Middle section of barn{approximately 1:4'x16"section )will be completely rebuilt. Concrete pad will be poured(approximately 4'x12')and new garage door will be supplied and installed. Demolition All rotted sections of wall and roof will be-removed. Existing overhang at:peak of bam roof will be removed. -Building Frame ,:roof, and siding.materials.required to.build garage door opening,:and repair all rotted areas,to. meet code will be provided. All sheathing will be plywood ( 1/2 on walls, 5/8 on roof) . One therma-tru steel exterior -door unit, and four doublehung windows will be supplied and installed. Existing .sections of roof will be completely stripped and replaced. Entire barn will be vinyl sided to match existing . One insulated steel garage door.and opener will be supplied .and ,installed. Any .rotted window sills / trim will.be repaired / replaced as, required. Electrical Electrical work required to add two fluorescent lights,.plugs,-and switches to code will be provided. Motion light will be installed on exterior of barn, No allowance has been made to replace existing underground feed to barn. Insulation No allowance has been made for any insulation. Painting No.allowance.has been made for any painting. Waste Removal All.d,emolition/construction.debris will be disposed of by contractor._ Items Not Included There have been no allowances made for any.paving. r Kevin Murphy Pageof 8uUdL1nq Couf---- r 33 169 Boxford Street • North Andover,MA 01645 PH:978688-5335 FAX:978-68&XXXX Section IV Price Schedule We hereby propose to furnish material and labor—complete in Accordance with above specifications for the sum of... ...... ... ... ... ...... ... ... ... ....$ 30,000 Pa. merit to.be made as follows: Percentagefltem Description Amount 1 Permit obtained $3000 2 Demolition / Framing complete $12,000 3 Roofing / sidin ,corn tete 12 000 P $ , 4 Job 100% complete $3000 Total 4 $301000.00 "Notice:No agreement for Home improvement contracting work shall require a down payment(advance deposit)of more that one-third of the total contract price of the total amount of all deposits or payments which the contractor must make,in advance,to order and/or otherwise obtain delivery of special order materials aril equipment,whichever is greater Contractor: Kevin Murphy 169 Boxford Street No.Andover, MA 01845 Registration No: 101874 Section V—Acceptance Acceptance of Proposal—I have read this document and accept the prices,specifications,and conditions stated. I understand that upon signing,this proposal becomes a binding contract.You are authorized to do the work as specified. Payment will be made as outlined above. You the buyer may cancel this transaction at any time prior to midnight on the third business day after the date of this transaction cancellation must be done in writing D T I NTH,A CONTRACT IF THERE ARE ANY BLANK SPACES Signature Date Signature ' Date lxe 6"vawouuea i �/�aaaac�ivaetla BOARD OF BUILDINI2EGULAT€IONS License CON STRUCTION:SUPERVI$OR G IOU- a C1 � 05,0'* 36�rth ate-t�6&4f-1167 { *E pu06 7373 0`7 Tr no: 12810 { KEVIN VV MURP � ` N ANDOVER MA 01.515`';. a Commisdi666r ✓lie oamz m,�hu«.czl� o�, a.�uaeCCa Board of Building Regulations and Standards HOME IMPROVEMENT CONTRACTOR' Registration: 101874 . Expiration: '6/29/2008 Type: IndNidual KEVIN MURPHY Kevin Murphy 169 Boxford Sty N:Andover,MA 01845 Deputy Administrator