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HomeMy WebLinkAboutBuilding Permit #77-14 - 60 MOODY STREET 7/23/2013.14 TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit NO: 9-7-13,113 Date Date Received IMPORTANT: Applicant must complete all items on this page LOCATION LS /��*��f�i /� Print . PROPERTY OWNER 4✓��O 4 o%��� Print 100 Year Old Structure yes no MAP NO: iS ( PARCEL: ZONING DISTRICT: Historic District yes pQ Machine Shop Villaqe ves nt TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building ❑ One family ❑ Addition ❑ Two or more family ❑ Industrial aeration No. of units: ❑ Commercial ❑ Repair, replacement ❑ Assessory Bldg ❑ Others: ❑ Demolition ❑ Other ❑ Septic ❑ Well ❑ Floodplain ❑ Wetlands ❑ Watershed District ❑ Water/Sewer DESCRIPTION OF WORK TO BE PERFORMED: Type or Print Clearly) OWNER: Name: 1,446111-9 �S"4vf 71-070. Address: 62) i!% -V -oz CONTRACTOR Name: C_ •-s G'L/l r� l Phone: _.S Address:c;GO % ,1 716/�� vL Supervisor's Construction License: o52/ 7 �3 Exp. Date: Home Improvement License: Exp. Date: ARCHITECT/ENGINEER 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. Total Project Cost: $ :: J 4 FEE: $ ��' �� 0 o Check No.: �,� 4 J Receipt No.: NOTE: Persons contracting with unregistered contractors do not have access to the g ran f d Signature of Agent/Owner Signature of contractor Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan 11 Stamped Plans ❑ 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 Reviewed on Signature r COMMENTS Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments Conservation Decision: Comments Water & Sewer Connection/Driveway Permit DPW Tbvv;d Engineer: Signature: FIRE DEPARTMENT' - Temp Dumpster on site Located at 124 Mair, Street Fire DepartmeFit signature/date COMMENTS yes Located 384 Osgood Street no 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.$100-$1000 fine NOTES and UATA — (For department use ® Notified for pickup - Date Doc.Building Permit Revised 2010 Building Department The folb3wing is a list of the required forms to be filled out for the appropriate permit to be obtained. Roofivg, Siding, Interior Rehabilitation Permits ❑ Building Permit Application o Workers Comp Affidavit ❑ Photo Copy Of H.I.C. And/Or C.S.L. Licenses o Copy of Contract o 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 Li Building Permit Application o 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) o 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 o Photo of H.I.C. And C.S.L. Licenses ❑ Workers Comp Affidavit o 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 app%,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 Doe: Doc.Buh ling Permit Revised 2012 Location 6o 060 y -1 No. 1 Datel a 3 3 Check #/ TOWN OF NORTH ANDOVER Certificate of Occupancy $Ji Building/Frame Permit Fee Foundation Permit Fee $ Other Permit Fee $ TOTAL $ 64��� Building Inspector 3 0 ENO Q W LL O OC O m C N O LL cu TO en O.. V) 0 WLLI o. Z 0 J m C ;� 7 LLL : O.' >. C E U C LL 0 N Z m = J d. t :3 O' LL 0 N ? Q ~ W W L on :3-Fu7 d' U N LL a LnQ Z y C7 t 0' C I.L W 2 °C CL C LU LL N i m Z `l N p Y O Ln V, v CA 0 :O Cc 0 v W d O. d Z y ��. :Z a) Q C7 • c : Z N V J r S� E y m x it L Yz C Cl) Cl) ,v E 2 0 CO (� L U) 10 ,* Q N J L d L m d Mn Z V •>� to _ �mC°� w W o c 0 p� 1— N CO '`• c ca U = U)a. .NVQ c Wp a E 0 0 U roc °�' �� _ W '> c W J c o a. Z 1 a � 'a o • m O CL to V N .. .w O O � LULi '� C w= O , 'C. t O 1- N �+ yV am,+ Z V W L- 0 d C 0 ~� �j• �.± C O 'OG1 F J pl .O 1— 0 . " c a. O 0 > 5. O � O }. O 4) Z N O .CMa N Q W C CD o CL O CL ca OCc = v_ J 0 .O- O }; C Z CD O V N CL U) 0 Kitchen Remodel Work to be completed includes: PROPOSAL Dave Gove 60 Moody Street North Andover, MA 01845 (C)978-973-7103 (H)978-794-0705 davidgove@comcast.net July 18, 2013 • Building Permit $ 600.00 • Dumpster ( additional dumpsters will be extra) $ 500.00 • Demo Kitchen — To include removal of all appliances, cabinets and ceiling. Remove kitchen and hall floor. Gut all kitchen walls. $ 2,800.00 • Electrical — Install nine, 5 inch recessed lights. Two, four inch recessed lights. Run 5 new circuits. Install new switches and receptacles. Wire for two pendants over island. Install outlet in island. (Doesn't include new lighting in living room) $ 3,400.00 • Install under cabinet lighting. $ 500.00 • Hang new ceiling and two walls and plaster. $ 2,600.00 • Remove existing window in kitchen, side to match exterior. $ 1,200.00 • Install base and wall cabinets. Install crown moulding around cabinets. $ 3,000.00 • All necessary plumbing. (this does not include heat.) $ 1,500.00 • Open up wall between kitchen & living room. $ 700.00 • Install new 2 '/4 oak flooring in kitchen and hall area. Sand and finish. $ 3,000.00 • Install new baseboard heat covers on first floor. $ 1,750.00 • Install new interior trim on first floor. $ 2,200.00 est. • Install appliances. $ 500.00 TOTAL LABOR AND MATERIAL $ 24,250.00 f Terms: $ 8,000.00 to start Cabinet cost -est. $ 20,000.00 $ 8,000.00 after plastering Granite cost -est. $ 5,000.00 $ 8,250.00 when complete Total project cost $ 49,250.00 Proposed Start and Completion Date- The following schedule will be adhered to unless circumstances beyond the contractor's control arise. gate when contractor will begin contracted work. 93 Date when contracted work will be substantially completed. z /I Submitted By: Chris Rivet MA Lic #CS072173 HIC #139962 207 Winter Street (C) 508-265-3115 (H) 978-794-1165 North Andover, MA 01845 I Enter construction cost for fee cal - I North Andover Fee Calculation Construction Cost 60 MOODY STREET 077-14 on 7/23/2013 Kitchen Remodel Homeowner's Rights ! A homeowner's rights under the Home Improvement Contractor Law (MGL chapter 142A) and other consumer Protection laws (Le. MGL chapter 93A) may not be waived, in any way, even by agreement. However, homeowners may be, excluded from certain rights if the contractor they choose is not properly registered as prescribed bylaw. Holneowaxers who secure their own building permits are automatically excluded from all GuarantyFum.d provisions of the Home improvement Contractor -Law. The contractor is responsible for completing the work as described, in a timely and worltmaulike manner. Homeowners may be entitled to other specific legal rights if the contractor guarantees or provides an express warranty for workmanship or materials. In addition to Provided by the contractor, all goods sold -in Massachusetts cavy an implied, warranty ofguarantees channteab�..warranties and fi uess for a particular purpose. An enumeration of other matters on which the homeowner and contractor lawfully agree may ve added to the teams of the contract as long as they do not restrict a homeowner's basic consumer rights. If you have questions about your consumer/bomeownerrtghts, contact the Consumer information Hotline (listed below). xeci!''don of contraec The contract must be executed in plicate and should not be signed until a copy of all exhibits and referenced documents have been attached. Parties are also advised not to sign the document tmtil all blank sections have been filled in or marked as void, deleted, or not applicable. One original signed copy of the contract with attachments . to be given to the owner and the other Rept by the co>, tractor. Any modification to the original and agreed to by both parties. Contracted worlt may not begin. until both parties have received a {f fully �x ted copylAof the contract, and the three day rescission period has expired. Accelerated Payments A contractor may not demand payments in advance of the dates specified on the PaYmejat homeowner deems him/herself to be financially insecure. However, in instances where a contractor deems hihim/herself to be financially insecure, the contractor may require that the balance of funds not yet dile be placed in a joint escrow account as a preregttisite to continuing the contracted work. Withdrawal of fimds from said -account would require the signatures of both parties. Additional Information If you have general questions or need additional inrorrnation about the Home Improvement Contr consumer rights, or if you wish to obtain a free"actor Law or ocher contact copy of A Massachusetts Conauumer Guide to Roane Improvement" Consumer Information Hoti me Office of Consumer Affairs and Business Regulation 10 Park Plaz�, RoOm:5170,13Qston, 617-.973-8787,'888-283-3757 or visit the OCABRwebsiie at1�tt l16 // v ---� mass.aov/ocabr/ If you want to verify the registration of a contractor or if you have questions or need additionalc about the contractor registration component of the Home Improvement Contractor iufozmation ecu Cally Law, contact: Director of Home Improvement Contractor Registration Office of Consumer Affairs and•Busiuess Regulation ld "laza, ROOM 5170, Boston, MA 617-973-8787, 888 2 3-3757 or vis t the HIC webs to t 02116 Go online to view the status of a Home Improvement Contractors Resix '' //vans �OVIOcabTl T1_ ii��://db.state.xna.us/tirn•nP;,,,,, g�aiion: , rovemealt/licenseelist.as For assistance with informal mediation of disputes or to register formal complaints against a business, tail: Consumer Complaint Section O£fico of the Attorney General 617-727-8400 AND/OR Better Business Bureau 508-652-4800,508,755-2548 or 413-734-3114 version 21-11/2v2010 f All Home Improvement Contractors shall be registered. Inquiries about a contractor relating to a registration should be directed to; Registration Division, Program Coordinator One Ashburton Place Room 1301 Boston, MA 02108 Tel: 617-727-3200 ext.25239 All building permits required will be the obtained by the contractor. Homeowners who obtain their own permits are excluded from access to the Guarantee Fund. ACCEPTANCE OF PROPOSAL The above prices, specifications and conditions are satisfactory and are hereby accepted. You are authorized to d the work as specified. Payments will be m e outlin d abo Date % 02 3 3 Signature Date -1 i23 3�,." -�1 . J .f the parties. Signature Contractor Arbitration. The IIome Improvement Confractor Law provides homeowners withihe right to initiate an arbitration action (as an 'alternative to court action) if they have a dispute with a contractor. The same right is not automatically afforded to a contractor, however. The contractor would have to resolve any dispute he/she unless has with a hameowner.in court - both parties agree to the optional clause provided below. This Claus ctor the sae would give the contraane right to afforded to the homeovaner by the Home Improvement Contractor Law. arbitration as is a The contractor and the homeowner hereby mutually agree in advance that in the event the contractor has a dispute concerning this contract,• the contractor may submit the dispute to a private arbitration firm which has be roved Uy the Secretary of the EXecuiave Office of Consumer Affairs and Business Re to submit to sach arbitration as.provided In Macsachuseiis General Laws, chap •trop and the const. Ue required r�.omeoti `s Si tt�u�-e NOTICE: The signatures ofthe pal. -ties above a gr actoiSi e apply Only -to thea Bement ofthe parties to alternative dispute resolution initiated by the contractor: The homeowner may initiate aiteivative dispute resolution even where this section is not separately signed by z i�_�ti CS -072173 -' UIRIS T OPi'!ER F: RIVET ' Aa 207 WIN'T'ER ST.-* N COVER AIA 01845 06/02/2014 Office o'Consumcr affairs & B sincss I{cguiatir..; HOiViE '.1PROVEMENT CONTRACTOR _ iegistrazion: 139962 Type: ` F- xpitation: 9/812013 Individual ;P1i�7STOPHER F. RIVET CHRISTOPHER, RIVET K. WINTER ST_ N. ANDOVER, MA 01845 Undcrsccrctan•' The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 UIP. www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers r • 1_ r Name (Business/Organization/Individual):�Lf%� t Address: CX 0 City/State/Zip: Phone Are you an employer? Check the appropriate box: 1. ❑ I am a employer with 4. ❑ I am a general contractor and I employees (full and/or part-time).x have hired the sub -contractors 2. O'I am a sole proprietor or partner- listed on the attached sheet. I 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 required.] officers have exercised their 3. ❑ I am a homeowner doing all work right of exemption per MGL myself. [No workers' comp. c. 152, §1(4), and we have no insurance required.] employees. [No workers' comp. insurance required.] Type of project (required): 6. ❑ New construction 7. ®"Remodeling 8. ❑ Demolition 9. [:]Building addition 10.❑ Electrical repairs or additions 11.❑ Plumbing repairs or additions 12.❑ Roof repairs 13.❑ Other *Any applicant that checks box #1 must also fill out the section below showing their workers' compensation policy information. 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. AInsurance Company Name: az S n Ara i l Policy # or Self -ins. Lic. #: ' "/ )?c M / ;/ Expiration Date: > ' Job Site Address :_/` ® ///`UIQ l� City/State/Zip: AJO/�Va_VXKI e" �(( 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. F do hereby c7�i,-;Y acnt rd pains andpee/n ies ofperjury that the information provided aboveistru and correct. � Date: / J 3 Pl- nn a 41 • "5� I lT'•4.. `� ?//s' 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 #: OP ID: SHHE L> CERTIFICATE OF LIABILITY INSURANCE DATDIYYYY) 1 1 0/120112112 T141S 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 I 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). PRODUCER978-688-6921 Macdonald & Pangione Insurance 978-688-5350 P.O. BOX 428 104 Main Street North Andover, MA 01845 !Michael Pangione CONTACT NAME: PHONE FAX _(A/C_No, Ext): (AIC, No): --MAIL E PRODUCER CHRIS5 CUSTOMER ID #: -A_ - INSURERS) AFFORDING COVERAGENAIC # I ___. —__ L'JSURED Christopher Rivet INSURER A: Preferred Mutual Ins Co 115024 207 Winter St. North Andover, IVIA 01845-- ' i INSURER B: - - INSURER C _ i INSURER D: i — S INSURER E: j COMBINED SINGLE LIMIT S INSURER F: (Ea accident) 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, XCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. (ItJSI2 TYPE OF INSURANCE ADDL,SUB-R POLICY EFF i POLICY EXP ! I -TR V ; POLICY NUMBER . (MMIDDNYYY i MMIDD/YYYY i 1 LIMITS GENERAL LIABILITY i ( EACH OCCURRENCE S 1,000,000 j A X COMMERCIAL GE14ER_ALLIABILITY :CPP 0180 57 01 05 09/26/12 1 09/26/13 I IvpREMSESO(Eaotecurrence) j S 100.000 t _ Ct_AItJS-MADE X .00CUR MED EXP (Any one person) j S 5,000 PERSONAL & ADV INJURY j S 1,000,000 GENERAL AGGREGATE S 2,000,000 GEN -1- AGGREGATE LIMIT APPLIES PER: --- -- PRODUCTS - COMP/OP AGG I S 2,000,000 PRO- J X POLICY _IEC 1 LOG j — S 'AUTOMOBILE LIABILITYI COMBINED SINGLE LIMIT S (Ea accident) ANY AUTO I BODILY INJURY (Per person) S E ALL OWNED AUTOS i CBODILY } -- INJURY (Per accident) I S } SCI-IEDULED AUTOS PROPERTY DAMAGE i HIRED AUTOS c j (Per accident) I'� 140I1-01r'.rNED AUTOS ! S I _ — IS I UMBRELLA LIABOCCUR EACH OCCURRENCE S EXCESS LIAB CLAIMS -MADE -_ I i AGGREGATE S • r:EDUCTIBLE S I RLTENTION S j I j S WORKERS COMPENSATION i WC STATU-OTH-� I 1 AND EMPLOYERS' LIABILITY YIN I 1 1W( LIMITS I ER i PROPRIETORIPARTNERrY.ECUTiVE ' OFFICER/MEMBER EXCLUDED? INIA E.L. EACH ACCIDENT S (Mandatory in NH) i E.L. DISEASE EA If yes. describe under - EMPLOYEE S DESCRIPTION OF OPERATIONS below I E.L. DISEASE - POLICY LIMIT I S DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101. Additional Remarks Schedule. if more space is required) i I G E -H 1 It -1 Town of North Andover 1600 Osgood St No Andover, MA 01845 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Michael Pangione ©1988-2009 ACORD CORPORATION. All rights reserved. ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD