The URL can be used to link to this page

Home My WebLink AboutBuilding Permit #993-2016 - 74 WILLOW RIDGE ROAD 3/23/2016pa� Permit NO: '�95 -2-o Datelssued: - .1, - '"16, , BUILDING PERMIT Aoerziz- TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Date Received TANT: AnDlicant must cornDlete all items on this LOCATION 74 Willow Ridge Road Print PROPERTYOWNER Michael & Lisa Reichlen Print MAPNO: 107D PARCEL: 86 ZONING DISTRICT: Res. 21-listoricDistrict yes no Machine Shop Villaqe 0 ves, rn TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential El New Building X1 One family El Addition El Two or more family El Industrial X11 Alteration No. of units: El Commercial El Repair, replacement El Assessory Bldg NA El Others: Ll Demolition El Other E Septic El Well E Floodplain E! Wetlands El Watershed District [�-� Water/Sewer I I Renovate existing master bathroom. Replace existing carry wall with LVL beam posted to basement. Replace one existing & add one additional window. Identification Please Type or Print Clearly) OWNER: Name: Michael & Lisa Reichlen Phone:603-361- 12 12 A Jultibb. 11f W111UW Alu6t� nuau CONTRACTOR Name: Phone: 508-509- 1687 Ford Properties Inc. Address: 10 Locust Road, Ipswich, MA 01938 Supervisor's Construction License: CS -043681 Home Improvement License: 139323 Exp. Date: 12/2 1/ 17 Exp. Date: 6/27/ 17 ARCHITECT/ENGI NEER Same as above Phone: Address: Reg. No. FEE SCHEDULE. BULDING PERMIT: $1Z00 PER $1000.00 OF THE TOTAL ESTIMATED COST BASED ON $125.00 PER S.F. Total Project Cost: $_ 2 2, 0 0 0. FEE: $ -. QC /-/, 0 P Check No.: 36(0e:> Receipt No.: -3 6 / Y7 NOTE: Persons contracting with unregistered contractors do not have access to the guarantyfund 'Signature of Agent/Owner ��O- 1/)1f24—/(�Signature of contract BUILDING PERMIT TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit No#: Date Issued: IMPORTANT: LOCATION Date Received must complete all items on this Print PROPERTY OWNER Print 100 Year Structure yes no MAP -PARCEL: -.ZONING DISTRICT: -Historic District yes: no Machine Shop Village yes. no TYPE OF IMPROVEME1;4T PROPOSED USE Residential Non- Residential 0 New Building El One family [I Two or more family 11 Industrial 0 Addition No. of units: 0 commercial D Alteration Ei Others: El Repair, replacement [I Assessory Bldg El Demolition 0 Oth er 'Al 7777:7777777 d lot ,MMVetlah, 571 dt&shecli'Di 4 141-11, V5 M-511 K 71 aleos4w!d — — — — r%�Clt-0113TInKl fir Wr)Pt< Tn RIF PERFORMED: OWNER: Name: Identification - Please Type or Print Clearly Phone: Address: Contractor Name: Phone: Email: Address: Supervisor's Construction License: Exp. Date: Home Improvement License: ARCH ITECT/ENGI NEER Date: 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: $ FEE: $ Check No.: Receipt No.: NOTE: Persons contracting with unregistered contractors do not have access to the guarantyfund -1 1 � I 19 __j Plans Submitted. 0 Plans Waived Certified Plot Plan Stamped Plans F1 TYPE OF SEWERAGE DISPOSAL Public Sewer Tanning(Massage/Body Art r] well Tobacco Sales 11 Private (septic tank, etc. E] Permanent Dumpster on Site F1 Swimming Pools El Food Packaging/Sales El THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM PLANNING & DEVELOPMENT COMMENTS CONSERVATION COMMENTS HEALTH COMMENTS Reviewed On -- I Signature'. Reviewed on Signature Reviewed on* Signature Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes .41 .Pranning Board Decision: t Conservation Decision: Water & Sewer Connection/S DPW Town Engineer: Signature: Comments Comments Located 384 0s.400d Street I — 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.$100-$l 000 fine Doc.Building Pennit Revised 2014 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 4, Floor Plan Or Proposed Interior Work .& Engineering Affidavits for Engineered products OTE: 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/Cross Section/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 IOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit New Construction (Single and Two Family) 4 Building Permit Application 4, 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 2012 IECC Energy code Engineering Affidavits for Engineered products IOTE: 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 Doe: Building Permit Revised 2014 1/4, Location A 2ANo. --2) — .2 6 Date Check #' (-n TOWN OF NORTH ANDOVER Certificate of Occupancy Building/Frame Permit Fee Foundation Permit Fee $ Other Permit Fee $ TOTAL $ I /� Building Inspector I Enter construction cost for fee cal - North Andover Fee Cakulation Construction Cost 2219,00.00', m $ $ 264.00 Plumbing Fee $ 33.00 Gas Fee 100 comm. $� 100.00 Electrical Fee $ 33.00 Total fees collected $ 430.00 74 Willow Ridge Road 993-2016 on 3/23/2016 Master Bath Reno U) 0 CD 0 Iz f-lpk CD 0 CL 2) = CL > to 0 00 C < D CL cr CD 0 CD 0 0 CO CD U) -0 CD 0 W -OL 0 7 Lw� U) 0 0 0 0 r_ U) 0 =r U) CD U) 0 z 0 0 in - ;Z: 4 a z r, m Cl) cn 0 0 ;z Cl) C= 0 0 z cn z 0 Z m 0 00"a =r --I 0 = " 0) = MM% 0 cr (0) r- Cn = <. CD cn > CD CL C) CD 0 CD m a z -0 U) 0 -- CO. h CD 0 0 0 CL MR E; % =R = su cin CD CD (n r -OL 0 CD '0- CD CD 0 CL CD U) CL (0 U) 0 0 =r CD CD CD -0 0 to co Ui- mf� =7 X 0 "VIVO CD 0 a Z 00 �CD U 0 cr m ;:L c 0 =r =r >< > CD 0 lco CL 0 (1) 0 0 CL :4 CD o m cn CD U) CD Cl) CD CL U) Z -0 M CD '< CD FL - CD 0 U) ;; v : 0 0 : iF: 0 b to 0 zr 0 A 30 CD CWD 'fM Ca CD 13 CD =r > CD CD rm ju 0 = = CL 0 9 OWN N3 -n X -n Ln x -n x -n n �o -n LA -n S . 0 !� 0 S. 0 5, =r o 0 M 0 0 CD :3 aL c 5 a E r- r- '0 0 rD CrQ 2L OQ =3 o- fD r) CD Ln 0 m =3 (D m (D 0 m 2 m rl z "a > > 0 :0 z z "n m z V m m 0 m m m > z M 0 0 0 0 9 OWN N3 CONSTRUCTION CONTRACT (three pages total) This contract dated March 9, 2016 is by and between the following OWNERS and BUILDER: OWNER: Michael & Lisa Reichlen 74 Willow Ridge Rd. North Andover, MA 0 1845 BUELDER: Ford Properties Inc. 10 Locust Road Ipswich, MA 01938 BUIELDER'S REP.: Mark L. Hovey Hm Phone Cell Phone 603.361.1212 Wk Phone Office Phone (978) 356-9333 Cell MLH (508) 509-1687 Cell TF (508) 509-1686 1. DEFHqMON/SCOPE OF WORK: The work located at 74 Willow Ridge Road, North Andover, MA generally consisting of the following: Renovate Master Bathroom as shown on plan titled "Master Bath Renovation, Michael & Lisa Reichlen". Specifics for design/details will be decided by Lisa Reichlen as the project progresses. 2. PRICE: The estimated total price for the work is twenty-two thousand doflars ($22,000.00). The final project costs will be determined on a cost plus 18% basis. 3. STARTING AND COMPLETION PROVISIONS: The work shall start on or before March 15, 2016 and shall be completed absent any unusual circumstances on June 15, 2016. Any delay in the start date that is not a direct result of our actions shall be added to. the completion date. The BUILDER shall notify the OWNER of any change to the completion date that is a result of change in the scope of work. The BUILDER will work expeditiously to complete the project within the specified time frame. However, tile BUILDER reserves the right to extend this agreement for a period of 30 days if necessary to complete the project. 4. PERAUTS AND APPLICABLE CODES: All work to be done under this contract will be in accordance with building codes and other applicable laws presently in force in the Town of North Andover. The BUILDER shall obtain and pay for all necessary permits from the contract sum provided that it is not necessary to retain outside consultants (i.e. wetlands specialists, land surveyors, civil engineers). The BUILDER reserves the right to charge the OWNER for any direct costs related to retaining outside consultants if necessary. 5. SPECHFIC REQUHtEMENTS FOR MATERIALS AND WORKMANSHIP: This work described in this contract will be completed by the BUILDER in a good and workman like manner using good quality materials and more specifically in accordance with the attached plans and specifications. The BUILDER reserves the right to make minor deviations from the plans and specifications to ensure the structural integrity of the design with prior notice to the OWNER. 6. PAYMENT: Timely payment by the OWNER of all sums due under this contract is the essence of this contract. The parties agree to the schedule of payment as specified below. The BUILDER shall receive payment within 10 days of invoicing provided that the work for which payment is sought has been completed in accordance with the Plans and Specifications. The BUILDER may cease operations if any progress payment is not so made by the OWNER as required herein, and proceed to collect any balance due in accordance with the arbitration provisions of this Agreement. Alternatively, the BUILDER may continue operations, as set forth in the attached General Conditions. PAYMENT SCHEDULE Semimonthly invoicing for work Performed during the invoicing period. 7. ALLOWANCES: Allowances are included in the specifications and are incorporated into this contract Allowances represent retail value of products and services including delivery and sales tax. Generally, allowances are used on items that require specific selection by you. The allowance figures used in this contract are based upon our prior experience in building similar homes. If the OWNER chooses options that total more than the allowance figure listed, the OWNER shall pay the retail cost for products and services plus BUILDER's markup for overhead and profit @ 18%. If the actual costs of allowance items are less than the allowance price listed, the client is entitled to 100% of the difference between the allowance price listed and the actual cost of the item. Page 3 of 3 invoicing will be handled as a change order. Should the OWNER elect to use vendors not commonly used by the BUILDER it shall be the responsibility of the OWNER to arrange payment and delivery to the site. The BUELDER will credit the owner at the next billing cycle for any balance left in the allowance accounts. ALLOWANCE SCHEDULE To be determined. 8. SIGNATURES: Attached hereto are General Conditions govermng the rights and obligations of the parties to this contract. The parties are ftu-ther subject to the laws of The Commonwealth of Massachusetts governing contracts and mechanicsliens. IN WITNESS WHEREOF, we have hereunto set our hands and seals this 9th day of March 2016. OWNERS Michael Reichlen Lisa Reichlen Ford Properties, Inc. Vvk'- Timothy Ford? President 'P4��OT-1 C) vv� 110"I co ook ul CC 61 A ;ool CA .00e lo Poo) GO �Al C V� r VIM -4 o Ir r 4, -4 M 10.11) GO �Al The Commonwealth ofMassachusetts Q Department of IndustrIalAccidents I Congress Street, Suite 100 Boston, AL4 02114-2017 www.massgov1dia Workers' Compensation Insurance Affidavit: Buflders/Contractors/Electricians/Plumbers. TO BE FELED WITH TME PERNUTTING AUTHORITY. Amficant Information Please Print Leeibly Name (Businessiorgm&-ation/individuai).- FORD PROPERTIES INC. Address: 10 LOCUST ST. City/State/Zip: IPSWICH, MA 01938 Are you an employer? Check the appropriate box: Phone #: 978-468-6653 1. E] I am a employer with _�_employees (full and/or part-time). - 2.rl 1 am a sole proprietor or partnership and have no employees working for me in any capacity. [No workers' comp. insurance required.] 3.[31 arn a homeowner doing all work myself. [No worke E rs' comp. instuance required.] t 4.[3 1 am a homeowner and will be hiring contractors to conduct all work on my property. I will ensure that all contractors either hav6 workers'-cbmpensation insurance or are sole proprietors with no employees. 50 1 am a general contractor and I have hired the sub -contractors listed on the attached shed. These sub-contiactors have employees and have workers' comp, iiisurahce,: 6. E] We are . corporation and its officas have exercised their right of exemption per MGL c. 152, §1(4), and we have no employees. [No workers' cGmp. insurance required.] Type of project (required): 7. New construction 8. Remodeling 9. 0 Demolition 10 [] Building addition 11.[] Electrical repairs or additions 12 -El Plumbing repairs or additions 13.[]Roof repairs 14.F]Other ;Any applicant that checks box# 1 must also till 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. TContractors that check this box must attached an additional sheet showing the name ofthe sub -contractors and state whether or not those entities have employees- Ifthe sub-contiactors have employees, they must provide their workers' comp. policy number. Iam an employer that isproutifingworkers'conrensadon insurancefor my eMloyeeL Belowisthepoliqyandjobsite infibrinadon. Insurance Company Name: TRAVELERS INSURANCE CO. Policy # or Self -ins. Lic. #: 3294T262 Expiration Date., 9/11/16 Job Site Address: IPSWICH, MA City/State(Zit): 01938 Attach a copy of the workers' compensation policy declaration page (showing the policy number and expiration date). Failure to secure coverage as required under MGL c. 152, §25A is a criminal violation punishable by 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. A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby cerfify under thepains an4penaliies ofpedury that the information provided akwis true and correct, Phone #: (978) 356-9333 C I Offidat use only. Do not write in this area, to be conWlefed by city or town offidal. City or Town: Permit/License # Usuing 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 #: Office of Consumer Affairs & Business Regulation IMPROVEMENT CONTRACTOR egistration: "b9323 Type: Expiration:00fty Private Corporation FORD PROPERTIE!-�,*fffC--�-i��--;��- MARK HOVEY 10 LOCUST ROAD IPSWICH, MA 01938 Undersecretary Massachusefts Department of Public SafetY Board of Building Regulations and Standards License: CS -043681 Construction.Supervisor .MARK L 14OVEY 129 TOPSFIELD RD WENHAM MA 01984 E)�piration: Commissioner 12/2112017