HomeMy WebLinkAboutBuilding Permit #632 - 64 FOXHILL ROAD 3/29/2013BUILDING PERMIT
TOWN OF NORTH ANDOVER
APPLICATION FOR PLAN EXAMINATION
•
Permit NO• Z Date ReceivedArep
4 1
Date Issued: �1
5;1�_ 1— �9S'r CHUB
IMPORTANT: Applicant must complete all items on this page i
LOCATION �''� 07C � 1 I 9 n
Print
PROPERTY OWNER-�r�,nlt& A nye,
Print
MAP NO: PARCEL: ZONING DISTRICT: Historic District yes
Machine.Shop Villaae ves .Ino)
TYPE OF IMPROVEMENT
PROPOSED USE
Residential
Non- Residential
❑ New Building
AOne family
❑ Addition
❑ Two or more family
❑ Industrial
Alteration
No. of units:
❑ Commercial
)Si Repair, replacement
❑ Assessory Bldg
❑ Others:
Demolition
❑ Other
❑ Septic ❑, Well
❑ Floodplain ❑ Wetlands
p Watershed District
Water/Sewer
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Identification Please Type or Print Clearly)
OWNER: Name:
1>9--4gy-193'/ )
Address:
CONTRACTOR Name: J / L-, Phone: F
3 -36x'7
Address:
061 !ro pc'1' S5 U C62 + /�1d9 I ap
Supervisor's. Construction. License: Exp. Date:,
Home Improvement License: Exp. Date::
ARCHITECT/ENGINEER Phone:
Address: Reg. No.
FEE SCHEDULE: BULDIN,,G��PERMIT. $12.00 PER $1000.00 OF THE TOTAL ESTIMATED COST BASED ON $125.00 PER S.F.
Total Project Cost: $ S,o", o 5-0-00 -7° FEE: $ 4�1&
Check No.:� 0 Receipt No.: �
NOTE: Persons contractingpith unre tered contractors do not have access to the guaranty fund
e
ioignawre or Hgenvuwner Signature of contractorI ey
Location (4�3 Pe
No.
7 -
Check
26239
4�9 b4 7
-Date
TOWN OF NORTH ANDOVER
Certificate of Occupancy $_
Building/Frame Permit Fee $4&9
9;?—
Foundation Permit Fee
Other Permit Fee $
TOTAL
Miicl'ing Inspector
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 Dempster 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
Planning Board Decision:
Conservation Decision:
Comments
Comments
Water & Sewer Connection/Signature & Date Driveway Permit
DPW Bbwi� Engineer: Signature:
F:
Located 384 Osgood Street
FIRE DEPARTMENT = Temp Dumpster on site yes no
Locate���at124 Mairl'.Street .,.. . _ -
FireDepaailr`rierit signatureldate
COMMENTS
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
El Notified for pickup - Date
Doc.Building Permit Revised 2010
Building Department
The folowing,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
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
❑ 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)
o 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 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 submAted with the building application
Doc: Doc.Buil ing Permit Revised 2012
Enter construction cost for fee cal -
North Andover Fee Calculation
Construction Cost
$ 51,050.00
m
$ -
$
612.60
Plumbing Fee
$
76.58
Gas Fee 100 comm.
$
100.00
Electrical Fee
$
76.58
Total fees collected
$
865.75
64 Fox Hill Road
632-13 on 4/1/2013
Remodel Kitchen
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Contract Agreement
1.
Customer information
Gunther & Pamela Hoffmann
64 Fox Hill Road
N. Andover, MA 01845
978-828-7747
Contractor information
Paul Viliott
85 Prospect Street
Woburn, MA 01801
617-828-3647
Fed.1.D. 04-3362979
2.
Work to be performed
Contractor agrees to do the following work for customer:
*See attachment for work description
The following schedule will be adhered to unless circumstances beyond the contractors control arise:
Start date: Late March, early April Expected date of completion: Approx. 6 weeks from start date
3. Total contract price and payment schedule
The contractor agrees to perform the work and furnish materials and labor as specified in attached
proposal for the lump sum of: $33,050. J-5-// O co
Payments will be made according to the following payment schedule:
500.00 Non-refundable retainer to schedule work.
$10,500.00 one week before start of project.
11000.00 upon closing in of walls.
$5,500. upon installation of cabinetry.
$5,550. upon significant completion of all work.
All changes to the work -specified greater than $500.00 shall be in writing and signed.by the customer
and contractor.
4.
Do no4i nri act if there are any blank spaces
C sto ersigna re,-, date 0
Z,
/3
Contractor signature date
You may cancel this agreement if it has been signed by the parties thereto at a place other than an
address of the seller, provided you notify the seller in writing at place of business by ordinary mail
posted or sent by delivery, not later than the third business day following the signing of the agreement.
See notice of cancellation for an explanation of this right (attachment c).
5.
Express warranty
An express warranty is being provided by the contractor. The terms of the warranty are as follows:
The contractor will complete all work in a workmanship —like manner and in compliance with all current
building codes and applicable laws. The contractor agrees to repair or replace defective methods of
installation and/or materials supplied by the contractor that are discovered up to 1 year following the
date of completion of the work at no cost to the customer.
6.
Liens
This contract agreement shall not imply that any lien or other security interest has been placed on the
customer's place of business.
The contractor shall furnish the customer with a release/ waiver of lien upon receipt of final payment.
Paul. Viliott
> ROM@G1Rp p
COMMERCIAL 617-828-3647 RESIDENTIAL
85 Prospect Street Woburn, MA 01801
CSL#060816 HIC#112212
Proposal
To: Gunther & Pamela Hoffmann Job site: SAME
64 Fox Hill Road
N. Andover, MA 01845
978-828-7747 Date:02/02/13
Re: Kitchen renovation and related work.
Demolition
1. Remove existing cabinetry, countertops and appliances.
2. Demo ceilings in kitchen and den to strapping.
3. Remove partition wall between kitchen and den.
4. Demo backsplash tile.
5. Demo tile and carpet flooring to subfloor in kitchen, den, abutting halls, (1) closet and
bathroom.
6. Cut open pantry closet to accommodate new cabinetry layout.
7. Remove and dispose of all debris.
Demolition total: $3,000.00
Framing
1. Alter framing at pantry for new cabinetry as needed.
2. Repair/replace strapping as needed.
3. Construct approximate 3" x 22" soffit above cabinetry at kitchen/den transition.
4. Provide studding and nailers as needed at removed partition location.
Framing total: $750.00
Board & plaster
1. Furnish and install %Z" blueboard to kitchen and den ceiling area.
2. Patch affected wall areas as needed.
3. Apply smooth veneer skimcoat plaster to all patched wall areas.
4. Apply sand finish skimcoat plaster to new ceiling area.
5. Apply joint compound to smooth finish at affected backsplash area.
Note: Additional upcharge of $200.00 for smooth finish ceiling if required.
Board & plaster total: $1,800.00
Flooring
1. Furnish and install''/:" cement board underlayment to all affected floor area.
2. Provide labor and installation materials to install tile and grout.
3. Provide allowance for tile and grout ($3,800.00).
4. Apply Surfaceguard sealer to all grout joints.
Note: No patterns are included in pricing — diagonal if required shall be included.
Flooring total: $8,150.00
Cabinetry
1. Provide labor and installation materials to install new cabinetry as per drawing.
2. Install toekick and moldings as needed.
3. Scribe fillers at end of cabinet runs as needed.
4. Provide labor and installation materials to install (1) layer crown molding.
5. Provide labor to install handles or pulls as needed.
Note: Island location to be verified with homeowner before installation.
Cabinetry total: $3,200.00
Backsplash
1. Provide labor and installation materials to install tile backsplash and grout.
2. Provide allowance for tile and grout ($150.00).
Backsplash total: $650.00
Finish carpentry
1. Install new sill and casing at sink window to closely match existing.
2. Furnish and install new baseboard to affected areas to closely match existing (kitchen, den, halls
closet and bathroom)
3. Trim bottom of doors if required.
Finish carpentry total: $1,400.00
Plumbins
1. Demo existing plumbing as needed.
2. Install new shut off valves for sink supply lines.
3. Provide new icemaker line.
4. Replace existing toekick heater with new fhw twin flow unit.
5. Provide labor and installation materials to connect sink disposal, dishwasher and icemaker.
Plumbing total: $3,200.00
Electrical
1. Demo existing wiring as needed.
2. Update circuits for appliances and receptacles as required by current electrical code.
3. Furnish and install (6) recess lighting fixtures with white trim rings and 3 -way switching in
kitchen ceiling.
4. Furnish and install (4) recess lighting fixtures with white trim rings and single —pole switching in
den ceiling.
S. Provide single -pole switching and ceiling boxes for (2) pendant lights above peninsula.
6. Provide single -pole switching and ceiling box for (1) pendant light above sink.
7. Provide single -pole switching and ceiling boxes for (2) pendant lights above island.
8. Re -locate rear light switches to accommodate new cabinet run.
9. Provide labor to install fixture above kitchen table.
10. Furnish and install (3)18" GE halogen low profile undercabinet light fixtures.
11. Provide (3) GFI protected receptacles at backsplash.
12. Install (1) receptacle at panel end of peninsula.
13. Install (2) receptacles at panel ends of island.
14. Provide labor and installation materials to install toekick heater, microwave, garbage disposal,
dishwasher, cooktop and wall oven.
15. Replace existing devices in den to match new.
Note: All devices shall be decora white or ivory. All lighting shall be dimmer switched.
Electrical total: $4,600.00
Mechanical
1. Provide labor and installation materials to alter existing floor vent for new cooktop unit.
Mechanical total: $250.00
Paint
1. Apply one coat latex primer to all kitchen and den walls and ceilings.
2. Apply two coats white latex ceiling paint to kitchen and den ceilings.
3. Apply two coats eggshell latex paint to all kitchen and den walls.
4. Stain woodwork to closely match existing trim.
S. Apply three coats polyurethane to all new woodwork.
Paint total: $2,750.00
Sash replacement
1. Furnish and install new Andersen terratone casement sashes at sink window.
2. Furnish and install new Andersen terratone operating and stationary panels for (1) 6'-0"
slider and (1) 8'-0" slider.
3. Remove top parting bead at 6'-0" slider, clean and re -install.
Sash replacement total: $2,850.00
Permit fees
1. Provide permits for building, electrical and plumbing.
2. Provide rough and final inspections for building, electrical and plumbing.
Permit fees total: $450.00
Note: Items not included in this proposal are: Cabinetry, countertops, hardware, appliances, pendant
lights and table ceiling fixture.
Job total: $33,050.00
Home Improvement Contractor Statement
Paul Viliott HIC#112212
Construction Supervisors Lic. # 060816
Massachusetts Home Improvement Contractor Law Requirements
Arbitration
The homeowner and the contractor hereby mutually agree in advance that in the event the contractor has a
dispute concerning this contract, the contractor may submit such dispute to a private arbitration service which
has been approved by the secretary of the executive office of consumer affairs and business regulations, and the
consumer shall submit to such arbitration as provided in M.G.I. c.142.A
Customer signet a Contractor signature
Date
Date
Notice: The signatures of the parties above apply only to the agreement of the parties to alternative dispute
settlement initiated by the contractor. The owner may initiate alternative dispute settlement even where this
section is not separately signed by the parties.
Notice of cancellation
You (the customer) may cancel this transaction, without penalty or obligation, within three business
days from the signed contract date.
If you cancel, any property traded in, any payments made by you under the contract or sale, and any
negotiable instruments executed by you will be returned within ten business days following receipt by
the contractor of your notice of cancellation, and any security interest arising out of the transaction will
be cancelled.
If you cancel, you must make available to the contractor at your place of business, in substantially as
good condition as when received, any goods delivered to you under this contract, or you may, if you
wish, comply with the instructions of the contractor regarding the return shipment of the goods at the
contractor's expense and risk. ,
If you do make the goods available to the contractor and said does not pick them up within twenty one
days of the date of cancellation, you may retain or dispose of the goods without any further obligation.
If you fail to make the goods available to the contractor, or if you agree to return the goods to the
contractor and fail to do so, then you remain liable for performance of all obligations under the
contract.
To cancel this transaction, mail or deliver a signed copy of this Notice of Cancellation or any other
written notice to P.V. Builders 85 Prospect Street Woburn, MA 01801. Not later than midnight of the
third business day.
I hereby cancel this transaction
Date: Customer signature:
Unconditional Waiver and Release of Lien
The undersigned has been paid in full for all labor and materials furnished to Gunther & Pamela
Hoffmann pertaining to job contract dated 02/02/13, located at 64 Fox Hill Road N. Andover, MA 01845,
and does hereby waive and release any right to a mechanic's lien, stop notice or any right against a labor
or material bond on the job.
Date:
On behalf of Paul Viliott:
Paul Viliott
Owner
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/SaIes ❑
Private (septic tank, etc. ❑
Permanent Dumpster on Site ❑
THE FOLLOWING SECTIONS FOR OFFICE USE ONLY
INTERDEPARTMENTAL SIGN OFF - U FORM
PLANNING & DEVELOPMENT
COMENTS
CONSERVATION
COMMENTS
HEALTH
COMMENTS
0
DATE REJECTED DATE APPROVED
❑ ❑
DATE REJECTED DATE APPROVED
❑ ❑
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
Located at 384 Osgood Street
FIRE DEPARTMENT - Temp Dumpster on site yes no
Located at 124 Main Street
Fire Department signatureldate
COMMENTS
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-$1000 fine
NU I t5 ant! UA I A — (For
Doc.Buiiding Permit Revised 2012
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_ CERTIFICATE OF LIABILITY INSURANCE r1AiE(tdr,�oeIYYYY►
01/21/2013
�`Tt418 C;EWIVICATF. 18 ISSUED AS A MATTER Or. iWORMATM ONLY AND COWEN no 6218HTs tIPCiSd THE CEFF1I1�itCAI'E, HOLDER. THIS
GWI'IMATE t)Cn:.S NW AFFIRMA-fIVELY OR NEGATiIifELY AMEND.MITEND OR ALTER THE COVERtA09 AFFORDED BY THE POLICE$
BI LCIW. THIS €fflTIFIr;ATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETiNEEN TnE IsSUIN(o INSURER(S), AUTHORlZ+C .
t EPRESENTKAW OR PRODUCER, AND THE CERTIPICATE MOLDER.
IMPORTANT- ifr Sha eerisiFcaav holder Is an AtiDtT101VAI. tN814REi�, idle policy(les) rrtu� ha owlicirsed. it SitDR®LtATbN tS AAi%ECsu ct tc2 tc ,
the semis seed eondtUons oft Thi pots canal" paticles rreay mgldre an ettciciromeal. A eftftnsnt on this certi#iruu) dales not cC nfor dgills to the
4 rcoiliticale holdot "sii Iietf of suout e►idorre<rgrrrpnd s).
NAM
J.f-%. Comon Ins. Agency pHONL+ (781) 24"077 P ,Also (7 11) 2 0 i i:2-811
300 Lowell Street �6i judy(c�coreanlnsurancs.cosn --
Wakefield. AAAW680 —,-.-_
irisumo
MAUI. VILIOTT
KV. BUILDERS
86 PRaspt:C C 51"
WOi3URN, MA 01001
CER'n ICA MAY
ISSUED ANY REiaUiREML�iT, YERM U12 "DITION OF ANY CONTRACT OR OTHEROCUMENT WITH RESPECT TO WHICH NAM 0 13 Tk His
CEFtTIFiCA7'E ArAY LYC rSStrEti Olt MAY PFRIAIN, THi INSURANCE NFaRt)ED BY THE I'OI.ICIES DESCRIBED HEREIN IS SUBJECT TO ALL ImE Trim
ExC! iS`3raSdu ANi3 GOi 01'rloNs Or SUCH POLICIE:i. LiMITS SHOWN MAY HAVE BEEN REDUCED 13Y PAID CLAIMS.
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QESCWTWI DF e>'HRAYF "I LOCATIDWB i t/EFHGl Eli {Attach ACORU 961, Additional FlOraatfta Schadura, U mare apace is taquiredi
P V BUILDERS
5
.5
nw&Y INJURY (pet pmoa) 5
BUDII.Y INJURY lPet aoddeMi S .____.
s
5.000
5_00,000
S[:0,000
500,000
StIOULn ANY Or `s IN AElOVE bEsoMseb poUCW3 BE E:AMCEI i.P.9 bEFOFtE
YHE EXPIRATION DAYV, 'iliFNEOF, Ho"HCE WILL tjF f7EI .0 Er] IN
AWORDANCIFWfffl Tltr LICYPROIngform.
JUDI T19 A CORSON
"the ACORD star o altd IoW are roglaWmd morl(s
reseivad.
The Commonwealth of Massachusetts Print Form
Department of Industrial Accidents
Office of Investigations
g I Congress Street, Suite 100
Boston, MA 02114-2017
www.mass.gov/dia
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Applicant Information Please Print Legibly
Name (Business/Organization/Individual): //n , . % 161/ gkk ORA /. f/ d ul.1cl oot
Address: 53 �r osAPc� 'S I�
O/ao/ Phone #:
Are you an employer? Check the appropriate box:
1. ® I am a employer with / 4. M I am a general contractor and I
employees (full and/or part-time).* have hired the sub -contractors
2. ❑ Iam a sole proprietor or partner- listed on the attached sheet.
ship and have no employees
working for me in any capacity.
[No workers' comp. insurance
required.]
3. ❑ 1 am a homeowner doing all work
myself. [No workers' comp.
insurance required.] t
These sub -contractors have
employees and have workers'
comp. insurance.:
5. ❑ We are a corporation and its
officers have exercised their
right of exemption per MGL
c. 152, § 1(4), and we have no
employees. [No workers'
coma. insurance reciuired.l
Type of project (required):
6. ❑ New construction
7. Remodeling
8. ,Demolition
9. E] Building addition
10.❑ Electrical repairs or additions
1 l.❑ Plumbing repairs or additions
12.0 Roof repairs
13.❑ Other
*Any applicant that checks box #1 must also fill 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 state whether or not those entities have
employees. If the sub -contractors have employees, they must provide their workers' comp. policy number.
I am an employer that is providing workers' compensation insurance for my employees Below is the policy and job site
information.
Insurance Company Name: CIA
Policy # or Self -ins. Lic. #: �J / / _� / O/Z) Expiration Date:__
Job Site Address:. 6�� max C4 City/State/Zip:,(/ • o,
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 certi1Y1i4der the pains and penalties of perjury that the information provided above is true and correct
Phone #:
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 M
✓fLC f(L112.71[t�/il!/I.'.(IC�f7 IIl rIP�.LJ9(!(IT LLJG'tt��N
n� Office of Consumer Affairs & Business Regu!atidn
IMPROVEMENT CONTRACTOR
registration: 112212 Type:
xpiration: 31412013: DBA
.P.V. BUILDERS
i
PAUL VILIOTT �
851 ONC`NOOD RD.
READING, MA 01867 Undersecre:�
ry"
Massachusetts - Department of Publ.c S?fety
Board of Building Regulations and
Standards
Construction Supenisor
License: CS -060816
PAUL A VILIOTV=
85 LONGWOOD RD
READING MA 0g867�_, ;
Expiration
Commissioner
12/25/2014