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Home My WebLink AboutBuilding Permit #556 - 639 WAVERLY ROAD 2/8/2011 BUILDING PERMIT Of "ORT" TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION ~ x r Permit NO: Date Received Date Issued: 9SSgcHuS�� IMPORTANT: Applicant must complete all items on this page L'OCATIOIV Print PROPERTY OWNER Print MAP 210 PARCEL°( ZONd1NG DISTRICT F istot:-' tric# yes Machine-Shop Vrllae jes o TYPE OF IMPROVEMENT PROPOSED USE Resid.,eattal— Non- Residential NomQuilding One famil qAdllera�tio'in ditwoor more family Industrial No. of units: Commercial Repair, replacement Assessory Bldg Others: Demolition Other .`septic ' Well 1=lond0lain1/e#laritls 1Naterslaed District ewes - DESCRIPTION OF WORK TO BE PREFORMED: --Identification Please Type or Print Clearly) OWNER: Name: I Phone: cA-i� Address: E,slk �•;.., ` (Z,e,a. CONTRACTOR °Name �. � �s.,V .., Phone' `'i'1 531 Address AI Supervisor's Constron ticense ucti730`i exp :Doyne Irn.provement Licensef i`,ts1 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: $_ 3�, o J(� FEE: $ -�'2.,t7 , U J Check No.: 0 Receipt No.: NOTE: Persons contr�a((c ng AjunPe2ristel-I d contractors do not have access to the guaranty fund Signature of Agent/OwnLr ` J01 Signature of contracto- . _. i I Plans Submitted Plans Waived Certified Plot Plan Stamped Plans i 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 FOL SOWING SECTIONS FOR OFFICE USE ONLY INTERDE ARTMENTAL SIGN OFF - U FORM DATE REJECTED DATE APPROVED PLANNING & DEVELOPMENT COMMENTS CONSERVATION Reviewed on Signature COMMENTS 1 HEALTH r Reviewed on Signature COMMENTS } Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments E Conservation Decision: Comments Water & Sewer Connection/Signature & Date Driveway Permit DPW Town Engineer: Signature: l Located 384 0s000d,Street AFIRE>DEPART.M-ENT -Ternp`Dumpster.on site yes' :ono Located at l 24^Main.'Street Ree-Ze0 rtrneint signature/date ; w COMMENTS i Dimension Number of Stories: 2--- Total square feet of floor area, based on Exterior dimensions. �t�— 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) ❑ Notified for pickup - Date Doc.Building Permit Revised 2010 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 o 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) o Building Permit Application ❑ Certified Proposed Plot Plan ❑ 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 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 i Doc:Building Permit Revised 2008 Location No. Date NORTH TOWN OF NORTH ANDOVER o o c F s I_ a Certificate of Occupancy $ Building/Frame/Frame Permit Fee $ scMusE 9 Foundation Permit Fee $ r Other Permit Fee $ TOTAL $ Check # 23812 Building Inspector ACORN UED CERTIFICATE CF LIABILITY INSURANCE 11/29/2010 DATE(MM1DDrYYYY) THIS CERTIFICATE IS 138AS 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 BELOW, THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING iNSURDER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT- M the cerilfw4de holder Is an ADDITIONAL INSURED,the polky(ks)must be endorsed. M SUBROGATION IS WAIVED, sutgect 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 certMlcate holder in lieu of such endorsemengs). DRODUCER NAME: M P ROBERTS INS AGCY INC PHO Ent: 978 683-8073 Arc No 1978)683-31Q7 1060 Osgood Street AODREss:mike@DDYProbertsinsurance.com North Andover, MA 01645 NSURiR(s) AFFORDING CCVltRMGE NAxa INSURER A: PROVIDENCE TCT NSURED KEVIN MURPHY BUILDING & REMODELING INSURER s:MERCHANTS INSURANCE 169 BOXFORD STREET INSURER C:GUARD INSURANCE 169 BOXFORD STREET INSURER 0: NORTH ANDOVER, MA 01845 INSURER E: INSURER F: :OVERAGES 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 DOCL OIENT WITH RESPECT TO WHICH THIS CERTIFICATS•-MAY-GE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE.-TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. TIt TYPE OF INSURANCE �Qtt yryG POLICY NUMBER M/D LIMITS GENERAL LIABILITY EACH OCCURRENCE $ Q X CCSMMERGAL GENERAL IY CLAIMS MADE 1_x I OCCPREMISES Ea occurrence $ = OCCUR MED EXP(Any one person) $ FF A CPP0060868 11/22/1011/22/11 PERSONAL 8.ADV INJURY S ] 000,000 GENERAL AGGREGATE 5 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOP AGG $ 2,000,000 POLICY J CTRO- LOC AUTOMOBILE LIABILITY Ea accident $ 1,000,000 ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED MCA7013608 01/23/10 01/23/11 B AUTOS AUTOS BODILY INJURY(Per accident) 5 HIRED AUTOS NON-OWNED AUTOS Per accident $ $ UMBRELLA LIAR OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS MADE AGGREGATE $ DED RETENTION S WORKERS COMPENSATION $ AND EMPLOYERS'LIABILITY YIN RY IT X ANY PROPRIETORIPARTNERM)(CCUTNE r OFFICERNSMER EXCLUDED? f I MIA E.L.EACHACCIDENT 5 500,000 (M rQ+IaYr'NNI ll�� KEWC109881 07/01/10 07/01/11 E.L.DISEASE•EA EMPLOY $ 500,000 tf yes describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT 3 5500,000 SCRIP77ON OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space is required) RTIFICATE HOLDER CANCELLATION TOWN OF NORTH ANDOVER NORTH 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 Y 44 ®1988-2010 ACORD CORPORATION. All rights reserved. ;ORR25(2010105; The ACORD name and Iogo are registered marks of ACORD ` NORTH '9 ® o 6Andover No. X IF_ I '0 .77 .LAs 0. clover, Mass.,71 c�• o �. A_ COCHICHEWICK V 0RATED p'PG,`�C� BOARD OF HEALTH Food/Kitchen PERM, IT T D Septic System BUILDING INSPECTOR THIS CERTIFIES THAT - ` .............................................................................. . ........................ Foundation p .................... buildings on .... ..... ........ ..... ... .................... Rough � has permission to erect. .................: to be occupied as....... .�Z..!lcl.f k......�., 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. 4 PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final 40 _ PERMIT EXPIRES IN 6 MONTHS UNLESS CONSTRUC ST TS ELECTRICAL INSPECTOR 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 Office of Investigations 600 Washington Street Boston,AA 02111 www.massgov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Org&niEzationMdividual): c,-�• -.,t `�,�.�\ li�.�. -� Address: City/State/Zip: ti.,Lr.`� b.� -� _ U��`tSPhone#: ` )!�! 6V - T173 Are you an employer? Check the-appropriate box: Type of project(required): am a employer with 4. 012m a general contractor and 1 6. ❑New construction employees(fun and/or part-time).* have hired the sub-contractors �. 7. Remodeling ❑ I am a sole proprietor or partner- listed on the attached sheet. I ship and have no employees 'These sub-contractors have 8. ❑ Demolition i workers' comp. insurance. 9. Building working for me in any capacity. —� g addition (No workers' comp. insurance S. ❑ We area corporation and its 10.❑ Electrical repairs or additions required.] officers have exercised their 3.❑ I am a homeowner doing all work right of exemption per MGL 11.❑ Plumbing repairs or additions myself.(No workers' cone. a . §1(4),and or kers'have no 12.F1Roof repairs insurance required.] t emplolo yees. [No workers' 13.❑ Other comp. insurance required.] Any applicant drat ebecbGs box s 1 mast also fill out the section below showing their workers'compensation policy infomtation: HonMwnera wbo subunit this affidavit ink they are doing all work and then hire outside comractors must subunit a now affidavit indicating such, onvaciors&at check flus box most attached an additional sheet showing the acme of the sub-contmcWmwkd tbseir workers'comp.policy inforrrmtion. am an employet•that is providing workers'compensation.insurance for my employees. Below is thepolicy and job site reformation. nsurance Company Name: fJ64..a 'olicy#or Self-ins.Lic.#: <<L t,✓Cr 1001 Y% /l Expiration Date:�� l 1 ob Site Address:-^ City/State/Ziw ll�i r . bo v d L kftach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). 'ailure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a ine 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 )f up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of nvestigations of the DIA for insurance coverage verification. 'do here y ce fy under the pairs and penalties of perjury that the information provided above&true and correct 3imature Date: ?hone#: S'Z F60ther use only. Do not write in this area,to be completed by city or town offeiai Town: Permit/License# Authority(circle one): d of Health 2.Building Department 3.Cky/Town Clerk 4.Electrical Inspector S.Plumbing Inspector t Person: Phone#: 169 Boxford Street r 'Q . North Andover,MA 01845 [3I C:1' CZ�c?t . PH:978-688335 Building Contractor FAX:978-688-7207 Proposal To: Joe&Sue Amaral 639 Waverly Road All Home improvement Contractors and Suboontractors engaged in tram improvement ung,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 02108.(617)-727 8598 CC: Date: 12/19/2010 Job: Interior finish of addition Date of plans: 4/10 Atrrcheteell: Rebecca Berry 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 2/1/11. Barring Delay caused by circumstances beyond Contactors control,the work will be completed by 4/30/11.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 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 I, a rrr=.. .. ir ......n..' Page 2 of 4 169 Boxford Street North Mda",MA 01845 PH:978-688b335 FAX 978-68WOOM General Proposal is to provide installation of mechanical systems and finishes in second floor addition, and existing first floor family room. Required permits will be provided. Building Any materials required to cut opening to new addition will be provided. Plumbing Plumbing required to add four fixture master bath will be provided.An allowance of$1150 has been included for plumbing fixtures. ($500 for tub, $150 fot tub valve, $200 for toilet,$150 for each faucet) Electrical Electrical work required to wire addition to meet code will be provided. Bath fan / light unit will be supplied and installed. Eight recessed lights have been included. Additional lights can be added at a cost of$75 per light. Phone / cable / computer lines will be roughed in by electrician, to be connected by their service provider at owner's expense. Surface mounted fixtures to be supplied by owner ( bath vanity light, ceiling fan ) General layout to be approved by owner prior to rough. Heating/Air Conditioning Existingheat in first floor room to remain.Added second floor area will have heat provided off of existing second P 9 floor zone. No allowance has been made to add a separate zone of heat or replace/upgrade existing furnace. Insulation All added/renovated areas will be insulated to meet code. Plaster All added / renovated areas will be blueboarded and skimcoat plastered. Garage will be textured, ceilings to match existing,walls will be smooth. Interior Trim/Doors Pre-primed interior trim and doors will be supplied and installed to match existing. Painting Interior painting will be provided.One coat of primer and two coats of finish will be applied to all surfaces. Flooring Tile floor will be provided in master bath.An allowance of$5 per square foot has been included for the materials. Pre-finished hardwood flooringwill be supplied and installed in first floor family room and second floor master pP Y bedroom.An allowance of$4 per square foot has been included for materials. No allowance has been made to replace any floors in existing house. Page 3 of 4 169 80)ftd Street North Andover,MA 01845 PH:978-88-5335 FAX 978688-)O= Waste Removal All construction debris will be disposed of by contractor. Items Not Included There has been no allowance made to supply bath vanity/countertop. These items to be supplied by owner, installed by contractor. s ' ldtawnae� F.YJa��ews+'13�+� .. Page 4 of 4 169 Boxford sheet Nath Andover,MA 01845 PH:97BZ88-5335 FAX 978-688-)000( Section IV—Price Schedule We hereby propose to furnish material and labor—complete in Accordance with above specifications for the sum of... ... ... ...... ... ...... ...... ... ....$ 35,000 Payment to be made as follows: Percenta elitem Description Amount 1 Rough plumbing / electric complete $8000 2 Plastering complete $10,000 3 Interior trim / painting complete $7000 4 Flooring complete $7000 5 Job complete $3000 Total 5 $35,000.00 "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 olhervr se obtain delivery of special oder materials and equipmnent,m iichever 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 TyER ARE ANY BLANK SPACES Signature Date l y Signature Date 1 a a9 solo