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Home My WebLink AboutBuilding Permit #335 - 54 PENNI LANE 10/26/2006 - - L TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATIONo No DT a quo 0 t 'A Permit NO: Date Received Date Issued: cd Argo9Sc►+us i IMPORTANT: Applicant must complete all items on this page LOCATION Print PROPERTY OWNER 7A -6 dl/vr— . Print MAP NO.: PARCEL: ZONING DISTRICT: TYPE AND USE OF BUILDING HISTORIC DISTRICT YES ❑ TYPE OF IMPROVEMENT PROPOSED USE Residential Non-Residential ❑New Building ne family ❑Addition ❑ Two or more family ❑ Industrial I41 teration No. of units: ❑ Repair, replacement ❑Assessory Bldg ❑ Commercial ❑Demolition ❑Moving(relocation) ❑Other ❑ Others: ❑Foundation only DESCRIPTION OF WORK TO BEP EFORMED Identificatio��n` Please Type or Print Clearly) r�if'V�4 "' �t i OWNER: Name: Phone: q �� eJ Address: .. f �i o/ L6Mc , 1,)047# 4W Ooa 100 CONTRACTOR Name: a_17 Phone:(P7S--97-3 y)-c�f �� 99 , Address: C -11/o A), hwz�v oa t ' ot, ' a Supervisor's Construction License: Exp. Date: Home Improvement License: i q q lq l Exp. Date: /V/�Z b y ARCHITECT/ENGINEER Name: Phone: Address: Reg. No. FEE SCHEDULE:BULDING PERMIT:$12.00 PER$10.00 OF THE TOTAL ESTIM TED COST BASED ON$125.00 PER S.F. Total Project Cost :$ 016 evo FEESTA/1*1 Check No.:&4� 4/ Receipt No.: i Page lof4 J 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 I TYPE OF SEWERAGE DISPOSAL Swimming Pools ❑ 11Tanning/Massage/Body Art ❑ Public Sewer Well Tobacco Sales ❑ Food Packaging/Sales 11❑ Permanent Dumpster on Site ElPrivate(septic tank,etc. Electric Meter location to project NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund Signature of Agent/Owner C / Signature of contractor Plans Submitted ❑ Plans Waived Certified Plot Plan ❑ Sta ped Plans ❑ THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF-U FORM DATE REJECTED DATE APPROVED PLANNING& DEVELOPMENT ❑ ❑ COMMENTS c DATE REJECTED DATE APPROVED CONSERVATION ❑ ❑ COMMENTS 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 Required Provided Required Provides Required Provided Dimension Number of Stories: Total square feet of floor area, based on Exterior dimensions. Total land area, sq. ft.: S N TE and DATA— For department use O I ' I Page 3 of 4 Doc:INSPECTIONAL SERVICES DEPARTMENT:BPFORM05 Created JMC.Jan.2006 — r r Locationl No. Date 4 ,►ORTq TOWN OF NORTH ANDOVER •. O ;^ p Certificate of Occupancy $ z ,ssACNUSEtt� Building/Frame Permit Fee $ ��zal e„ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ F, Check # _ 19735 �- ,` Building Inspector 1 F NORTH Town of �_ R over No. .3.3JO0 _ LA over, Mass./ G O COCMICKEWICK RATED `S BOARD OF HEALTH M I PER T T Food/Kitchen Septic System 1 ' BUILDING INSPECTOR THIS CERTIFIES THAT ....j�lj.... .... ................................ ............................................... Foundation ............ .... has permission to erect........................................ buildings onSf......pervvv�..... ....h. .............................. Rough to be occupied as R.�.�. el1l��l.�.. Chimney ...... ....... .......................... provided that the person accepting this permit shall in every respect conform 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. Rough V I20V PERMTT EXPIRES IN 6 M S Final ELECTRICAL INSPECTOR UNLESS CONSTRUCTIYST. .. TS Rough ................... ............ .............................. Service B DING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove RoughFinal 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. I C.J. Coder Associates, LLC 38 Royal Crest Dr. # 10 N. Andover, MA 01845 Massachusetts Home Improvement Contractor Registration# 149241 Contract Agreement This agreement between Mr. &Mrs. Thomas O'Neil(Home Owners) &C.J. Coder Associates, LLC (Home Improvement Contractor)is drafted as a matter of understanding between both parties related to the remodeling of the Owners' kitchen located at 54 Penni Lane North Andover,MA 01845. Work to begin November 30, 2006 and expected completion would be mid December depending upon cabinet deliver and counter top installation. All sub contractors such as but no limited to,plumbers& electricians shall be licensed in the Commonwealth of Massachusetts and obtain the require local Building Permits. C.J. Coder Associates agrees to be responsible for the following: Prepare all areas for cabinet installation such as, demolition, leveling floors,prep. walls for cabinet installation&tile,remove wall paper,patch/paint ceiling,walls, &trim, install cabinet sophist, dispose of debris, install hardwood flooring&thresholds, install wall tile above back splash, grout& seal, "shop build"shelving for TV &control box, reasonably clean job site upon completion. The following areas/tasks are understood not be the responsibility of C.J. Coder Associates, LLC and no liability is assumed for the following: Window replacement, electrical,plumbing, and any unforeseen job changes that maybe necessary beyond the expected. It is also understood that the design,measurements, and accuracy of the cabinet installation process is the sole responsibility of the kitchen designer. Mr. &Mrs. Thomas O'Neil agree to the following: Supply all materials&/or reimburse C. J. Coder Associates forthwith for supplies purchased by C. J. Coder Associates, LLC as specified in exhibit"A",make all work areas accessible including garage space for field workshop,removal of all cabinets& drawers,pantry contents, & furnishings,allow for"debris"space on the exterior of the dwelling, &payment plan as specified in exhibit"A". Both parties have a mutual understanding that the length of the project is not exactly known and that the project will be completed in the most efficient time table possible. It is further understood that there will be owner inconvenience, such as,but not limited to dust, debris&dirt throughout the project. All reasonable efforts will be taken to limit these inconveniences. It is further understood that there will likely be delays due to climate, &unforeseen circumstances. (pg. 1 of 3) i This contract agreement is hereby agreed to on /� ;4 L6 6 Thomas O'Neil Carl J. oder, C. . Coder Associated, LLC (pg. 2 of 3) C.J. Coder Associates, LLC 38 Royal Crest Dr. # 10 N. Andover, MA 01845 Schedule"A"-Payment Terms As mutually understood,the rough estimate for this project is$11,750.00. This estimate is subject to change as we proceed and could be higher or lower based upon agreed to changes&circumstances. Owner will be kept advised of any deviations from the estimate as the project develops. All changes from original estimate will be discussed with the owners for final disposition. Payment Schedule: C. J. Coder Associates, LLC will invoice the owner on a weekly basis for labor& materials. All material receipts will be attached to the invoice. Payment is expected at the time of invoice. Final payment will be invoiced to the owner at the completion of the project and final inspection by the local Building Inspector. Payment is expected at time of final invoice. Terms of Schedule"A"is here by agreed to on: _f0 "9 �? Thomas 6'Li Carl JJ C der, President C.J. C r Associates, LLC (pg. 3 of 3) -q,z f 3,e- 4 Board of Building Regulations and Standards One Ashburton Place - Room 1301 Boston, Massachusetts 02108 Home Improvement Contractor Registration Registration: 149241 Type: DBA Expiration: 12/16/2007 C.J. CODER ASSOCIATES CARL CODER 38 ROYAL CREST DR #10 NORTH ANDOVER, MA 01845 Update Address and return card.Mark reason for change. Address Renewal Employment 77- Lost Card ,RTISAN CONTRACTORS POLICY Prepared for: CJ ASSOCIATES 38 ROYAL CREST DRIVE#10 NORTH ANDOVER, MA 01845 PATRONS MUTUAL INSURANCE COMPANY OF CONNECTICUT A member of The Patrons Group g NTRCINS •3 L+ `SINCE 1833 The insured is notified that by virtue of this policy,he is a member of the Patrons Mutual Insurance Company of Connecticut of Glastonbury, Connecticut, and is entitled to vote either in person or by proxy at any and all meetings of said Company. The Annual Meetings are held in its Home Office on the third Thursday of May of each year,at 9:30 o'clock a.m. Fred A. Taverne William Siclari Vice President,Underwriting and Marketing President Mutual Company Non-Assessable Policy s-C� PATRONS MUTUAL INSURANCE COMPANY OF CONNECTICUT GLASTONBURY, CONNECTICUT ARTISAN CONTRACTORS POLICY DECLARATIONS - 5LVf.E1� Policy Number: CTR0007359 NEW Effective date: 11/08!05 NAMED INSURED AGENT 8640` CJ ASSOCIATES T A SULLIVAN INSURANCE AGCY, INC 38 ROYAL CREST DRIVE#10 344 SOUTH UNION STREET NORTH ANDOVER, MA 01845 LAWRENCE, MA 01843 (978)681-8200 Policy Period: from 11/08/05 to 11/08!06 12:01 a.m. Standard Time at your mailing address shotiNm above. Insured is: INDIVIDUAL Business Classification: CARPENTRY- RESIDENTIAL Code: 10030 LIABILITY COVERAGE COVERAGES LIMITS OF INSURANCE L. Bodily Injury and Property Damage Liability $1,000,000 Per Occurrence $2,000,000 Aggregate M. Medical Payments $5,000 Per Person N. Products/Completed Work $1,000,000 Per Occurrence $2,000,000 Aggregate 0. Fire Legal Liability $50,000 Per Occurrence P. Personal and Advertising Injury Liability $1,000,000 Per Occurrence PROPERTY COVERAGE DESCRIPTION AND LOCATION OF PROPERTY Loc. 1: 38 ROYAL CREST DRIVE#10 NORTH ANDOVER, MA 01845 COVERAGES LIMITS OF INSURANCE A. Bull!#pg Loc. # Building# Limit ACV B. Business Personal Property 1 1 $20,000 C. Loss of Income ACTUAL LOSS SUSTAINED, NOT TO EXCEED 12 MONTHS. WAITING PERIOD: 72 HOURS Increased Property Off Premises: Automatic Increase—Coverages A&B: 0% ANNUALLY Property Deductible: $500 SUBJECT TO THE FOLLOWING FORMS AND ENDORSEMENTS AP-100 Ed. 2.0 AP 0611 01 99 AP 0643 12 99 AP 0432 12 03 BP-348 Ed. 1.0 GL-895 Ed. 2.0 AP 0700 12 02 AP 0740 12 02 AP 1740 06 04 AP 0688 06 02 AP 0690 06 02 AP 0692 06 02 PREMIUM AND BILLING INFORMATION ANNUAL POLICY PREMIUM: $511 $500 Minimum Earned Premium Regardless of Term ENDORSEMENT PREMIUM: BILL TO: Direct Bill To The Insured TERRORISM PREMIUM: $1 NON-CERT TERRORISM PREMIUM: $ MORTGAGEES PRINTED: 11/20/05 INSURED COPY THIS IS NOT A BILL ,�=-------__------------------- ---------209 a"__ ----- --------; --------45< ---; ----- -- ---- 73z" -- ----;-13-7 O W2830/B ao DV03SO4X49Ii 1 ; 3lq cot, 11c;i" ESF01 N' %RAISED PANEL _ LL ROLL OUTS i S FACEFRAME&DOORS O M Dj/VV PANELS j`� TOE BOARD UNDER j PJ i + I 3 DOORS M ; ' ®r, >� Co j M N1= I N "W �Q 24" DEEP PANELIN F-- Zj STYLE A MULLIONS \ OPO4/A DECO MOULDING ON \� / ANGLE FILLER — ��- 'M BRR12R B24/28 T278424B 79.5N) ml w — W3613.5/13 - W T1230R1(2\4-30/2B I I - - - -- -.. ----- - -- --209 s"- -- ROLL OUTS All dimensions_size designations given are20 �fir] This is an original design and must not be Designed: 10/12/2006 subject to verification on job site and TECH NO, released or copied unless applicable fee Printed: 10/17/2006 adjustment to fit job conditions. has been paid or job order placed. sm33 oneil kitchen 10-12-06 ushape 36 pantry Ali Drawing#: i Scale : 0 3/8" = V The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations .6 600 Washington Street II %J ; Boston AIA 02111 s www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/organization/Individual): C-7- toDi'r.,le f o /P ✓ ,5 L� Address:_3. 4 C ity/Statel ip: /P. f AOWo�U so pjAIr Phone #J7f'IP7.3 ' Are you an employer?Check the appropriate box: Type of project(required): 1.❑ 1 am a employer with 4. ❑ 1 am a general contractor and 1 6. ❑New construction e ployees(full and/or part-time).* have hired the sub-contractors ,� 2. 1 am 2 Ka sole proprietor or partner- listed on the attached sheet.+ 7. emodeling 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 required.] officers have exercised their 10.❑ Electrical repairs or additions 3.❑ 1 am a homeowner doing all work right of exemption per MGL 1 I.❑ Plumbing repairs or additions myself. [No workers' comp. c. 152,§1(4),and we have no 12.❑ Roof repairs insurance required.] employees. [No workers' 13.0 Other comp. insurance required.] *Any applicant that checks box g 1 must also till out the section below showing their workers'compensation policy 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. 'Contractors 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 Name: Policy #or Self-ins. Lic.#: Expiration Date: Job Site Address: City/State/Zip: 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. I do hereby cert' tun er pains and penalties of perjury that the information provided above is true and correct. Si nature: Date: /O DS Phone#: 8-' — 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#: JAGRTk TOWN OF NORTH ANDOVER OFFICE OF BUILDING DEPARTMENT 4K ;'�` , '' 1600 Osgood Street Building Su 9rQAC'"'�"'' t�` North Andover, Massachusetts 011.845 te �� Gerald A, Brown Inspector of Buildings Telephone(978)6,98-9545 Fax 19?.4 j FigB-qi4� H0IEOVUNER LICENSE EYE�tPTION PlW5l' rint DATE:__ !OB LOCATION:�� Number A�-00;y�tao,�,�� fi�dT �� StreetAddress —"'—- \ddress �-�------ ---____,_ ,ti-tap,'Lot HO,biE0�4T,FER �i �d�f S 01� �- 97 —68 -c3 77.E Name Home Phone Work Phone PRESENT MAILING ADDRESS S- Fes( el 4,We /V° rw thv;b0(,1&0�, lv 4- City Town State Zip Code The current exemption for"homeowners"was extended to include owner-occupied dwellings to two units or less and to allow such homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor). State Building (Code Section 108.3.5.1) DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land un which he/she resides or intends to reside.on which there is,or is intended to be,a one or two family structures. A person who constructs more that one home in a two-year period s considered a homeowner. p hall not be The undersigned"homeowner"assumes responsibility for compliances with the State Building Code and other Applicable codes, by-laws. rules and regulations. The undersigned"homeowner"certifies that he,she understands the Town of North Andover Building Department minimum inspection procedures and requirements and that he/she will cOMPI ith,aid procedures and requirements. HO.MEOW HERS SIGL`ATURE__X_. \PPROV:\L-OF RCILDING OFFICIAL_{ � 1=,rni Homo wvjtcj-s