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Home My WebLink AboutBuilding Permit #85 - 51 HAY MEADOW ROAD 8/1/2011Permit NO: Date Issued: TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Date Received �_ IMPORTANT: Applicant must complete all items on this 1)a1ze LOCATION , �-kati VJ F.a ,c sk Print PROPERTY OWNER ZA t,P IA et -4c)5 Unit # jj /� C/ Print MAP NO: ? PARCEL: b ZONING DISTRICT: Historic District yes Machine Shop Village yes 100 year-old structure yes 690 TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building One family ❑ Addition 0 Two or more family ❑ Industrial Alteration No. of units: ❑ Commercial ff Repair, replacement ❑ Assessory Bldg ❑ Others: ❑ Demolition ❑ Other 3Septic ❑ Well ❑ Floodplain ❑ Wetlands ❑ Watershed District a /Sewer 'TION OF WORK TO BE PERFORMED: (Identification Please Type or Print Clearly) OWNER: Name: A %.- P L-, E N X1; Phone �'��,'� ` 16► f Address: S '� JL- J CONTRACTOR Name: Phone: 0.n4:C- k!Ma S3'3 j' Address: LLQ Zv x'. k-- Supervisor's Construction License: C5--2 y Ox Exp. Date: Zq-�L Home Improvement License: Exp. Date ARCHITECT/ENGINEER Phone: Address: Reg. No. LL2_' %.U 2, FEE SCHEDULE: BOLDING PERMIT. $12.00 PER $1000.00 OF THE TOTAL ESTIMATED COST BASED ON $125.00 PER S.F. Total Project Cost: $ FEE: $_ Check No.: 1 U I L Receipt No.- NOTE: Persons contracting wi h unregistered contractors do not have ac ess to the guaranty yfd Signature of Agent/Owner S' ature ofcontract) 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/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. COMMENTS Reviewed on Signature Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Conservation Decision: Comments Comments Water & Sewer Connection/Signature & Date Driveway Permit DPW Town Engineer: Signature: FIRE DEPARTMENT - Temp Dumpster on site yes. Located at 124 Main Street Fire Department signature/date COMMENTS Located 384 Osgood Street no !iK Dimension Number of Stories: 1. Total square feet of floor area, based on Exterior dimensions. Total land area, sq. ft.: ELECTRICAL: Movement of Meter location, mast or service droprequ' es 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 ❑ Notified for pickup - Date Doc:.Building Permit Revised 2011 June/mi 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 ❑ 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 Doe: Doe.Building Permit Revised 2008mi Location5l -t-k�meigw—ovv No. H-97— Date TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $ MU Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check# 2 4 4:�. 2 Building Inspector O a ; 5 Cl F. I R, ar 2 0 co O co O 0 v Z CD C. O CO) D C I Com_ CA p 'O C McD E m w ow co0 cc O d CL vmQ co c cc o c Q J .� .FL O CD co Z co C.3 co � C loft _c �. G uj U) LLI U) W W oc W U) a a � W O. x v� U u� O T �J U Q v w w_ z w° U w a�' w r� cn w w cA U) cn a ; 5 Cl F. I R, ar 2 0 co O co O 0 v Z CD C. O CO) D C I Com_ CA p 'O C McD E m w ow co0 cc O d CL vmQ co c cc o c Q J .� .FL O CD co Z co C.3 co � C loft _c �. G uj U) LLI U) W W oc W U) � ,orse� /�eok� HOME IMPROVEMENT CONTRACTOR Registration: . 101874 Type: Expiration: `-6/29/2012 Individual I_EtfhN MURPHY Kevin Murphy= 169 Boxford St N. Andover, MA 01845 Undersecretary a Massachusetts - Depal�ne1it of Public Safety rt Board of Buildima Regulations and Standards Construction Supervisor License License: CS 53099 t I KEVIN W MURPHY 169 BOXFORD ST ' - ' N ANDOVER, MA 01845 i Expiration: 6/29/2013 Tr#: 16666 commissioner The Commonwealth of Massachusetts Department of Industrial Accidents Office of InwWgadons 600 Washington Street Boston, MA 02111 www.massgovklia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Le�iblY Name (Business/0rZ3uizati0n/indiv1dnal): k Co-- Address: City/State/Zip: the. meq,• 0-%10 G %one #: Are you an employer? Cheek the appropriate box: 1 I am a employer with k 4. {� 1 am a general contractor and I employees (fall and/or part-time)-* have hired the sub -contractors 2. ❑ I am a sole proprietor or partner- listed on the attached sheet l ship and have no employees These sub -contractors have working for me in any capacity- workers' comp. insurance- . [No workers' comp_ insurance. 5: []'We are a corporation and its officers have exercised their required.] 3_ ❑ Lim a homeowner doing all work right of exemption per MGL myself [No workers cow. c-152, § 1(4), and we have no insurance required-] t employees- (No workers' comp- insurance required-] Type of project (required): •6_ ❑ New construction 7`-P Remodeling 8. ❑ Demolition 9. ❑ Building addition 10.❑ Electrical repairs or additions 11.0 Pbmbing repairs or additions 12.Q -Roof repairs 13.0 Other, *Any applicant that checks box #1 must also fiII out the section below showing their wo tcW compensation policy infonpation: t Homeowners wbo submit this affidavit indicating they are doing all work and then hire outside contractors most submit a new aff davit =cheating suck tContractors that check firs box waist attached an additional sheet showing the name of 8e sub -contractors and their workers' coW. policy information. I am an employer that is providing workers' compensadon"insurance for my employees. Below is the"policy and job site information. Insurance Company Name Policy # or, Self -ins. LiQ .2-k 3 3 '1 V_ Expiration Date: Job Site Address: City/StatetLip: ► 1t�� v- _�L' 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 ofthis statement may be forwarded to the Office of Investigations of tate DIA for insurance coverage verification - I do hereb certify under the pains and penalties of perjury that the information provided above is true and correct. Si tore: Date: L 3 Of w- ial use only. Do not write in this area, to be completed by city or town official. City or Town: PermitfUcense # Issuing Authority (drde one): 1. Board of Health 2. Building Department 3. City/Town Clerk 4- Electrical Inspector 5_ Plumbing Inspector 6. Other Contact Person: Phone #• 07/11/2011 07:45 9786833147 PAGE 01/01 4co' CERTIFICATE OF LIABILITY INSURANCE 7/11° 201�' THIS CERTIFICATE is ISSUED AS A MATTER OF WPOMMATION ONLY AND GO""" NO RIGKM UK N TME CERTIFICATE MOLDER. THIS CERTIFICATE DOES NOTA q/ATryELY OR WZQATWEI.Y AMHNO. EXTEND OR ALjW TME COVERAGE AFF01lDRID BY fiU rD1.WI apW. THIS G&WV CA -M OF INSUt"M Wn NOT CONSTMYM A CONTRACT eETIM" THE NOUNERM AU7HOR� WORK262rTATIVE OR PRODUCERS AND THE C¢RTMATB HOLUM MOKWANT. R ft unum a himw Is ao ADDYi1ON4L INSWIED. UI! PAWW) ew!lt a *ad-*" If SItBRdfs 7 N 98 WAMM. WJWd td the Mnw Ma 9muffli o of the po". cede Pop jo "M m*nm aw endorsommiL A•ittll -1 on t& OWWASW dam tat cattier rWft to the ..nfa. sm hamw in use of *wb wwkw tefMlfl * _ N P ROEMES 3315 ACC=: IMC 1060 Osgood Strut North Andamr, NA 01845 a 169 HaQOr= STREET NORTE ANDOVER, MR 01845 InUD ..7 .0 vcn..r. — ...r . - –.-----•----- _-- - -- - - INDICATM No7WRHSTANOM ANY REOUVJPAENT. -ERM OR CONDITION of ANY CONTRACT OR OWe THER CER-1FICATE VAy 06 ISSUED OR MAY PER -AIN, THE INSURANCE AFFORDED BY TME POLICIES DESCRIBED EXCLUSIONS AND CONDITIONS OF SUCH POUCIE& LIAiITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAW TYPE OF'NSMANIX too mm" x cAAIf11Elm" cEW-W t.>r+et m ►ne Q OGWI A CPP0060868 G`ENL AGGROMM LM APPLEti PER I AUTOMOM LVORM ANYAUO W -A7013608 1/23/11 01/23/12 g A tOWAUTIM mei o s"s° t�teREUA LtAk =UR EXCESS LU18 G�,#{qp� vicifflam oED s TION AND 0AWYM L ftffY .re C � rrrA i IM=213375 7/01/11 7/01/3.2 OPERA91ONS J LORA-MM / vr;mtcLEs {AeaCrf ACORD IM. AadMW Rwvpn ttrlA&ft rr laws aFoco IS raqwed) nAunG7 1 A Mt W OCInQiMN kil1URKrH NAMEO ABOVE FOR THE POLICY PERIOD UWNT WITH RESPECT TO WHICH THIS 4EREIN IB SUBJECT TO ALL THE TERMS. u rm EACH 000LIftliirce s 1,0 000 lqmlcLF neft-4 M2 o=xmncm E 100 •000 MEoexP{Aavof 9emM) s 5 000 I'MMOMsADVINJURY s 1,00 ,000 GENERA, ArWGATE s 2,000,000 PROM= -COWPWAM s 2,000,00 0=71 INGLE LWTs = 1,000 ao0 BODILY PQURY (Par Ilwma+) s IMMY NAM (PQ aoddel=) f EACW OC=ItFHCE s AGGREGATE s s E.LEACH AGCIOENT 500,000 E L. DISEASE - EA EMPL S 500,000 E.1. MEASE -POLICY LMIT s 500 000 TOWN OF STB A11DOVER sHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE NOR= Alm, MW 01845 THE ExPIRe►mm DATE THEREOF. NOTICE WILL BE MLIVERED EI ACCORDANCE WITH THE POUCY PROVISIONS. AUTitoaaED ROnn if? 40 Vf AOW mi ngnm reservee. ACORD25(201005) The AOMD name and top are regish red marks of ACORD r� Kevin Murphy Building Contractor Propos-81 TO: Ralph & Maureen Enos 51 Haymeadow Road North Andover, Ma. 01845 From: Kevin Murphy cc: Date: 6/29/2011 Job: Bath Remodel Date of plate 6/11 Am-hetev- Owner Location: Same Section 1- Work Schedule • ,.169 Boxford Street • North Andover, MA 01845 • PH: 978-688-6335 • FAX:978-688-XXXX All Home improvement Contractors and Subcontractors engaged in home improvement contracting, unless specifically exempt from registration by Provisions of Chapter 142A of the general laws, must be registered with the Convtorwealth of Massachusetts, inquiries about registration and Stam should be made to the Director, Home Improvement Contract Registration, One Ashburton Place, Room 1301, Boston, MA 02108.(617)-727 8598 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 Barring Delay caused by circumstances beyond Contactors control, the work will be completed by C' 0111 . 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 coned, 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 Page 1 of 4 • >7 1 F'Eavnm VZMIM Mav Mulld',i=v coantrracCor 169 Bo)dord Sbad North Andover, MA 01815 PH: 97&688.5335 FAX 978686-XxXX General Page 2 of 4 Proposal is to renovate existing second floor master bath. Building permit will be provided by contractor. Plans to be provided by owner. No allowance has been made for any structural changes to existing building. Non structural interior petitions will be relocated as shown on plan. Demolition Existing masterbath will be completely gutted. Closet wall will be stripped as required. Building All framing materials required to relocate doorways / petitons will be supplied as required. No allowance has been made for any window units or changes to exterior of existing building. Plumbing Plumbing required to renovate masterbath to meet code will be provided. Fixtures to be relocated as shown on plans. Two sinks will be provided, Shower will be tiled. An allowance of $850 has been included for plumbing fixtures ( $200 for shower valve, $250 for toilet, $200 for each faucet) . Copper shower pan will be supplied / installed for file shower. Electrical Electrical work required to renovate bath to meet code will be provided. Swithes will be relocated as required. Two gfi plugs will be installed at counter. Panasonic bath fan /light will be supplied and installed. Surface mounted fixtures to be supplied by owner ( vanity lights) , installed by contractor. Heating/Air Conditioning Forced hot water baseboard will be relocated / replaced as required. No allowance has been made for any air conditioning. Insulation All renovated areas will be insulated to meet code. Plaster Masterbath will be blueboarded and skimcoat plastered. Walls will be smooth, ceilings to match existing. Walls in Closet / master bedroom area will be patched as required. Interior Trim/Doors Pre -primed interior trim, and one new door unit will be supplied and installed to match existing. Painting All interior painting will be provided. One coat of primer and two coats of finish will be applied to all painted surfaces. Any walls that have been disturbed will be painted to nearesr comer, to match existing. 1 Page 3 of 4 Building Contractor 169 Boyd street North Andover, AAA 01845 PH: 9786865335 FAX 978MB-)OQIX Flooring Tile floor and shower will be proviided in master bath. An allowance of $5 per square foot has been included far the materials. Tile will be installed in a straight or staggered pattern. if tile is installed on the diagonal, additional charges will aplly. Waste Removal All demolition l construction debris will be disposed of by contractor. Other Allowances An allowance of $1500 has been included for bath vanity 1 countertop. An allowance of $1000 has been included to supply and install glass shower door. Revim wwrpnty Building Cont --'or 169 Boxford Street North Andover, MA 01845 PH: 978688-5335 FAX: 978588XXXX Section 1V - Price Schedule Page 4 of 4 We hereby propose to furnish material and labor — complete in Accordance with above specifications for the sum of ..................................... $21,500 Payment to be made as follows: Percenta e/ltem Description Amount 1 _ _ _ _ _Demolition complete - ----------- --- - _--_$2500 Rough - plumbing / electric complete - $8000 2 3 Plastering complete $5000 4 dile / Paint complete $4000 5 Job 100% complete $2000 5 $21,500.00 "Notio: No agreement for Ham irthprovenhert g work shall nye a down payment (advarwe deposit) of more that oneJhrrd of the total contract price of the total amcaat of all deposits or payrnents which the contractor naat make, in advance, to order andfor otherwise obtain delivery of special order materials and egwpment, whidvww 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 DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES Date 8 / Siqnature�2�0,,fe', Date,