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Home My WebLink AboutBuilding Permit #396 - 600 OSGOOD STREET 11/18/2009 BUILDING PERMIT "O oT"�ti TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION '' '° Permit NO: Date Received 5 ATED ' �( SSACHUS� Date Issued: l IMPORTANT:Applicant must complete all items on this page LOCATION ,. Print PROPERTY OWNER fi,ra n .<� Print MAP NO, PARCEL: ZONING DISTRICT Historic District yes, u Machine-Shop Village des n TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential New Building One family Addition Two or more family Industrial eratio No. of units: Commercial epair, placeme Assessory Bldg Others: Demolition Other Septic" Well F aodpla n Wetlands ' Y VNatershed District E, Wafer/Sewer DESCRIPTION OF WORK TO BE PREFORMED: ,yam ^-x- 2 LC—L'_ c Identification Please Type or Print Clearly) OWNER: Name: Phone: Phone: Address: �vO 0,3!So vel S'� t' ��x.-41 b ,.ri o t.t�T CONTRACTOR Name: ! Phone- Address; t k, , i + -44 Supervispes-Construction License: b Wkl� Exp. 'flat: `, , Horne Improvement License: t t tv�ti Exp -,Date: 6 "t p ARCHITECT/ENGINEER �,Jvv - , Phone: Address: Reg. No. FEE SCHEDULE:BOLDING PERMIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ 0,TV U FEE: $ Check No.: 9 -1/1-Li Receipt No.: Z�, NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund R ., Signature of,Agenat t/Ouuner '` - Signure of contractor _ 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 COMMENTS Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes r Planning Board Decision: Comments a Conservation Decision: Comments Water & Sewer Connection/Signature&Date Driveway Permit DPW Town Engineer: Signature: Located 384 Osgood Street FIRE DEPARTMENT -'Temp;Dumpster on site yes, ,. no Located at 241Vlain-Street _ . Fire Department signature/date_ , ca a COMMENTS u d 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 DATA For department use 4 ' ❑ Notified for pickup - Date I Doc.Building Permit Revised 2008 Building Department The following is a list of the required forms to be filled out for the appropriate permit to be obtained. I _ 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 j Addition Or Decks I' ❑ Building Permit Application ❑ Certified Surveyed Plot Plan ❑ Workers Comp Affidavit ❑ Photo Copy of H.I.C. And C.S.L. Licenses ❑ Copy Of Contract I' o 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 j ; ❑ 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 Doc:INSPECTIONAL SERVICES DEPARTMENT:BPFORM07 Revised 2.2008 I i. // Location ( ,w OU a�f o o U( S—h— 'No. � � r� �"``' Date � NORTH TOWN OF NORTH ANDOVER 10.? • Ly ' Certificate of Occupancy $ , Building/Frame Permit Fee $ �o �— swcMus Foundation Permit Fee $, Other Permit Fee $ TOTAL $ Check # 22639 �` ` ,w.... . 5.. Building Inspector NORTH '9 ToVM of 4Andover 0 - -A& No. o dover, Mass., ` O COC NIC E"ICK_ ADRATE D Cl �5 `S E BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System s BUILDING INSPECTOR THIS CERTIFIES THAT...... /� .... G`� ................ ... .. ........ .... .. .......................................................................................... Foundation has permission to erect........................................ buildings on .... .v......... ........ . a ..... ....................... Rough 6�✓l �► �►.j' �Lp1— 4- c��dl_ Chimney to be occupied as .. . . .. . . ...... . ... . . . . . . . . . . . .. .................... ... . . . .. . .. . . . ................ provided that the person accepting this permits all 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 Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR. UNLESS CONSTR N ARTS 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. = Massachusetts- Department of Public Sxfct, V .Board of Building Regulations and Standar-ds, Construction Supervisor License 4 License: CS 53099 Restricted to: 00 KEVIN W MURPHY 169 BOXFORD ST N ANDOVER, MA 01845 c-- J Expiration: 6/29/2011 i ('uumissiuncr Tr#: 16540 ,per ✓lam �a.,��.�,�P,a/,rl� �✓l�o��lz�a ,{ Board of Building Regulations and Standards HOME IMPROVEMENT CONTRACTOR .. RegistrAbOh". 101874 Expiratioh:--`-"r 6/29/2010 Tr# 267315 ' `Type Intlividual KEVIN MURPHY Kevin Murphy 169 Boxford St N.Andover, MA 01845 Administrator f 44 169 Boxford Street 9 North Andover, 01845 ttt��iii��; �-' �✓ PH:978-68863356 Building Contractor 0FAX:978-688-7207 Proposal To: Mark 8c Kim Mollica 600 Osgood Street All Hone improvement Contractors and Subcontractors engaged in I a. improvement contacting,unless North Andover, Ma. 01845 spedlicaly exempt from registr lim by Provisions of Chapter 142A of the general tffm,mist be registered with the Con nomwalth of Massactrusetis.inquiries aixxn registration and Stabis should be made to the Director,Home Improvement Contact Registration,One Ashburton Place, Frorm Kevin Murphy Room 1301,Boctor,MA 02108.(611)-72785N CC: Date: 11/17/2009 Job: Replace window,door, slider, repair rot 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 1111/09. Barring Delay caused by circumstanoes beyond Contactors control,the work will be completed by 12/20/09.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 111-Scope of Work ' \S Revattm Munphy Page 2 of 4 SuUdtng Contractor 169 Boxford west North Ate,MA 01845 PH:9786885335 FAX 9780000( General Building permit will be provided by contractor. Demolition Existing four wide window, exterior door unit, six foot slider, and surrounding siding, trim, and rotted sheathing will be removed and disposed of. Building New Therma-Tru steel exterior door unit,with transom above, four section Anderson doublehung window,with transoms above, and six foot Anderson slider will be supplied and installed. All rotted plywood and framing materials will be removed / replaced / repaired as required. Exterior wall will be wrapped with Tyvek or equivalent Pre-primed cedar clapboards will be supplied and installed to match existing. Interior Trim/Doors Pre-primed interior trim will be supplied and installed to match existing. Painting Interior and exterior painting will be provided.Colors to match existing. Flooring Existing hardwood floor will be patched J replaced as required. No allowance has been made to refinish existing floors. Waste Removal j All demolition/construction debris will be disposed of by contractor. Revi an Murphy Page 4 of 4 SaUdmg Contractor 165 Bo)Qord Street North Amer,MA 01845 PH:9784666-a93Ci FAX 9780000( Section IV-Price Schedule We hereby propose to furnish material and labor—complete in Accordance with above specifications for the sum of... ... ... ...... ......... ...... .......$ 13,500 Payment to be made as follows: Percentage/Item Description Amount 1 Windows / doors installed $8000 2 Job complete $5500 Total 2 $13500:00 "Notice:No aWeemeM for Home improvement contracting work shall require a dam payrneM(advance deposit)of more that one-third of the total contrail price of the total amount of all deposits or payments which the mar must make,in advarme,to order arWor otherwise obtain delivery of special order materials and equipment,wh�is Weater Contractor: Kevin Murphy 169 Boxford Street No.Andover, MA 01845 Registration No: 101874 Section V—Acceptance Acceptance of Proposal—I have read this document and accept the prices, specifications,and conditions stated. I understand that upon signing,this proposal becomes a binding contract.You are authorized to do the work as specified. Payment will be made as outlined above. You the buyer may cancel this transaction at any time prior to midnight on the third business day after the date of this transaction cancellation must be done in writing DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES Signature7k Date �j U01 02 Signature Date RTIFICAATE OF LIABILITY INSURANCE °�'��►°�°�� T1ilS C6t71paATE 13 MURD AS A MATTHR OF lI MATION H.P. 7lEaibsrEa SOieuaGrAllae» Aoy ONLY AND CONPL" NO RlOtti'8 UPON THE CERTIFICATE 1060 04900d Stwest HNJ�ER. TRW CERTWICATE DOIII9 NOT AMEND ANO OR llaoortti AndCraer, >dA QiB48 T!R Tktz COYERAtt6: APFO BY TH POL- OUIR MOW INSURERS_AR OIC a COVERAGE NAMN imvrs ldMUSY P LSNf3 iNBUAE=aA _ %so How s¢1 ml OWNER& 1QOR',t AN�tB&. MA 01848 �wavAsa Q 1neuAan a C QFCt�Og,WWHAVEB1iDT01M9NNYp�DABW@FaR TERM OR OO�DttgN OF ANY ODNrA4CT OR OTHER DOOJI4MIti WITH IiBB POU4Y Ppb INDlCATLD.N011WI BTAMD0N3 MAY THE!�SRM 8Y TH9 POLIO SS Og les N@ N M BUSlE3n TO ALL TME T CERIVIC 4TE ANY BE ISSUlO Ott Pflt ICIBE 4'!E L�tIB 9FgWN MAY FI1VE 6BI9M BYPAIDCLAWS. E>�l.tlV10N8AND OOAlt1t1IONB OF$ { aalar Nu .. . t1AAL1TY Ueda A t aF uNlanr _ CL4#AWe 1Z occult amo60968 04 11/22/08 11/22/09 emote+ 0 r s S0 o� AOVIMpy 10 GOA a�M.A®BIaSaATeLMTAPP�8I4a' � A18 � .. 0 Q ° LOC °AODwra-a ea►aaP AGO e 'A00,000 A1fa7 Ita1UADUTY AWAi11O 500.000 ALLOW1MDAUMB H Mm 7AM0277013608 1/23/09 1/23/10 (ip:6vIly �- N�aa� NO�FOWMIC AUTAa �a�a�w n�q� d P °°01�"m eA11Moff a 500,000 9ARAeaualam► /W'IAUTO ONLLY EARN RIGA CIDENT Q RTMAN 9AACC 3.,_....... EU1a�h ��urt�vo orrt,Y, OOCLR mm AGIAEQATE : DOUMULI MI 'eAm11 mI Te�E r >�A • I C `'�° 1je1a. 2M C006931 7/1/09 y/�,/T,0 000 aoo 0QQ anlrtR 50 o eaoRl�flowa�OP�p1 �wano�M1Av11ila1��fot�U6 Apt aYe1 0�tpfrl mwwwow wt: 878-688-7207 MC&LArgi 9NDUL0AW0PTHQAW&C P0LM=WCA bATB T11ER110a,7118 4aS�1M0111;}URmt ��dmww'ft�67�pTµT10M OB' AIfLi4VE�t ""a 707M � (�AMBD��,.911T'P M To MAX "—OAYp MtRTf@f x 600 asooco T muJF4 To 00 so S LL mvu aAMOVM, Mh 01045 aeP Ioel9e Nd R +Ts A OR � �R17 fI901lMEI) �1sdll.�p08 ACOR[! The AC(M iq#m and logo ara • AI! fid. f 8*ePntd nwft of AG'QRD The Commonwealth of Massachusetts . Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 UT www mass.gov/dia Workers' Compensation insurance Affidavit: Builders/Contractors/El sae Pnl mbers P bl Applicant Information Natnc (Bush=&10rPnizationd0&viduaij: Address- City/State/Zip: Phone#: Are you an employer? Check the-appropriate box: Type of project(required): ❑ I am a employer with 4. 0 1 am a general contractor and 1 6. ❑New construction employees(full and/or part-time).* have hired the sub-contractarrs 7. ❑ Remodeling !.❑ i am a sole proprietor or partner- listed on the attached sbeet ship and have no errlployees These sub-contractors have 8. ❑ Demolition working for me in any capacity. workers' comp.,insurance. 9. ❑ Building addition (No workers'comp.insurance 5 ❑ We area corporation and its - 10.❑ Electrical repairs or additions officers have exercised their requue'l right of exemption per MGL 11.0 Plumbing repairs or additions 3.❑ I am a borneowner doing all work myself. [No workers' comp• c. 152,§1(4),and we have no 12.[:] Roof repairs insurance required.] t employes. [No workers' 13.0 Other comp.insurance required.) Any applicant that checks box#I must also fill out the section below showing their workers'compensation policy infomlation: Homeowners who submit this affidavit indicating they are doing all work and then hire outside connectors must aubrnat a new affidavit indicating such. Contractors that check this box nisi attached an additional sleet dwwrag the tarns of the sub-contractors and their workers'coup.policy info'rzrretion. am an employer that is providing workers'compensation,insurance for my employees. Below lis the.polley find job site nformation. nsuuanee Company Name: 'olicy#or Self-ins. Lic. #: Expiration Date: fob Site Address: city/5ta knack a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). aikure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a Eine 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 3f up to$250-00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of [nvegtigatious of the DIA for insurance coverage verification. I do hereby certify under the pains and penalties of pedury that the information provided above is true and correct Si tui Date- [ ate ho #: orwial use only. Do not write in this area,to be completed by city or town official. C1ty or Town: Pertmit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector S.Plumbing Inspector 6.Other Contact Person: Phone#: