HomeMy WebLinkAboutBuilding Permit #912-2016 - 75 GRANVILLE LANE 2/24/20161t�
Permit N
Date Issued
BUILDING PERMIT
TOWN OF NORTH ANDOVER
APPLICATION FOR PLAN EXAMINATION
Date Received
ANT: ADDlicant must complete all items on this
I OC:ATION —7,5- &r-C&rvV" 1ia-t- LCC, A -e
Print
PROPERTY OWNER D� Ci'� M 1.!:1>y )c- e
Print 100 Year Structure yes no
MAP / PARCEL: SS ZONING DISTRICT: Historic District yes o
Machine Shop Village yes (o
TYPE OF IMPROVEMENT
PROPOSED USE
Residential
Non- Residential
❑ New Building
AOne family
❑ Addition
❑ Two or more family
❑ Industrial
},Alteration
No. of units:
❑ Commercial
&Repair, replacement
❑ Assessory Bldg
❑ Others:
❑ Demolition
❑ Other
DSeptie. 1Nell,,
❑ F _'l A- n`� ®'Wetlands
El.Watershed�u® stnv
DESCRIPTION OF WORK TO BE PERFORMED:
�2rv.aJNew w,,,./J10� I. `x5;
Rer•.a�c a A.\\ QGriYOdr) % n/� Ir-C2rf Vnc-s
Identification - Please Type or Print Clearly
OWNER: Name: 'S'Do c-r4w M -c4^ > e Phone: '1"716' a 73
Address: `7 S� & 1e- I--Qne
Contractor Name:—Sv-t� � s4-^ 'Phone:
Email: 2 ('P c s4 , r4Q4-
Address: 5 '5+
r
Supervisor's Construction License: C5 0S `p-7 16 Exp. Date: 6zt//6
Home Improvement License:
Date: /'J) '91)1-7
ARCHITECT/ENGINEER Phone:
Address: Reg. No.
FEE SCHEDULE: BULDING PERMIT: $92.00 PER $9000.00 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 guaranty fund
Location 75
No. Date r4.
Check #
TOWN OF NORTH ANDOVER
Certificate of Occupancy
Building/Frame Permit Fee 4--Qual
Foundation Permit Fee $-
Other Permit Fee
TOTAL
Building 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 Dmnpster on Site ❑
THE FOLLOWING SECTIONS FOR OFFICE USE ONLY
INTERDEPARTMENTAL SIGN OFF - U FORINT
PLANNING & DEVELOPMENT Reviewed On Signature
COMMENTS
CONSERVATION Reviewed on Signature
COMMENTS
WEALTH
COMMENTS
Reviewed on Signature
Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes
Planning Board Decision: Comments
Conservation Decision: Comments
''.Vater & Sewer Connection/Signature ®aie Driveway Permit
DPW Town Engineer: Signature:
•C'OMMENI
Locatea �jd4 usgooa Street
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-
it��ignature/„date�,.>�..�s��,��
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-sa ..�,, ♦.., a _ .�.�...a,.Y4�{r�-�`J4..�i�'.�4Jcr.l�r�. �..-i:�F:.wL........:Y� 1 ,S
Dimension
Number of Stories: Total square feet of floor area, based on Exterior dimensions.
Total land area, sq. ft.:
ELECTRICAL: Movement of Dieter 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
Doc.Building Penuit 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
4e Building Permit Application
Workers Comp Affidavit
4. Photo Copy Of H.I.C. And/Or C.S.L. Licenses
4, Copy of Contract
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
OTE: 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
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
Doc: Building Permit Revised 2014
Enter construction cost for fee cal -
North Andover Fee Cakulation
Construction Cost
$ 559593.00
m
$ -
$
667.12
Plumbing Fee
$
83.39
Gas Fee 100 comm.
$
100.00
Electrical Fee
$
83.39
Total fees collected
$
933.90
75 Granville Lane
912-2016 on 2/24/16
Kitchen Remodel
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Building and Remodeling
5 APPLETON STREET
NORTH ANDOVER, MA 01845
(978) 682 2023
Pro
Proposal Submitted To:
Darin and Elaine Manke
75 Granville Lane
North Andover, MA 01845
Job: Remodel kitchen
Start date March 7 t 2016
Finish date April 29th 2016
HIC Lic. 120296 Expires 11/19/15
CSL Lic. CS 54718 Expires 6/8/16
ebruary 22, 2016
Phone: (978) 273-1923
Obtain building permit
Complete removal of all demolition and construction materials
Generated by Testa Building and Remodeling and its subcontractors.
DEMOLITION:
Remove all cabinets, counter tops, appliances, tile floor and underlayment, walls, ceiling
And remove all insulation.
CONSTRUCTION:
Box out the new window in the same window opening. Patch the cedar clap board and trim
outside. Install a new Anderson 400 series Casement. Install new beams according to Joe Fix's
drawings.
PLUMBING:
Kitchen sinks to stay in same general location. Hook up the rest of the kitchen plumbing
fixtures. Hook up the gas cook top. Vent the hood over the cook top.
Note: There is no allowances for plumbing fixtures
ELECTRICAL:
Add new circuits in the kitchen area where needed. Rewire kitchen to code. Supply and install
10 recessed lights. Wire all new appliances. Install under cabinet lights.
Note: There is no allowances for light fixture other than the Recessed.
INSULATION
Insulate the walls and the ceiling to code.
PLASTER:
Hang 'h blue board and plaster all walls and ceiling.
CARPENTRY:
Install all the kitchen cabinets and molding as per the designers drawings. Install new trim in the
kitchen around the windows and doors to match the existing trim in the house. Installation of all
kitchen appliances.
Note: There is no allowance for cabinets and or countertops.
FLOOR:
Installation of 2t/4 inch oak flooring to match the flooring in the rest of the house. Sand, stain
and apply three coats of finish.
TILE:
Install tile along the back splash. Labor and adhesive supplied by contractor.
Note: There is no allowance for file or grout.
ITEMS YOU NEED TO SUPPLY.-
Kitchen
UPPLY:
Kitchen Cabinet , Granite , Appliances
Lighting such as: Pendants for island , under cabinet lights
Plumbing fixtures such as: Sink , Faucet , Disposal
Tile for backsplash and Grout
A finance charge of V/2% per month (18% per year) will apply to all accounts over 30 days past due. In the event collection activity is required the
customer shall be responsible for all costs associated with collection, including reasonable attorney's fees.
I propose hereby to furnish material and labor complete in accordance with above specifications,
for the sum of:
$35,593 Thirty Five Thousand Five Hundred Ninety Three Dollars
One- third to start, one-third after rough inspection, one- third upon completion.
Authorized signature ( �� ::�
I reserve the right to cancel this contract if not accepted in_30_ days
Signature
Signature
DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES
This form satisfies all basic requirements of the state's Home Improvement Contractor Law (MGL chapter 142A), but does not
include standard language to protect homeowners. Seek legal advice if necessary. Any person planning home
improvements should first obtain a copy of "A Massachusetts Consumer Guide to Home Improvement" before agreeing to any work on
your residence. You may obtain a free copy by calling the Office of ConsumerAfiairs and Business Regulation's Consumer Information
Hotline at 617-973-8787 or 1-888-283-3757 or on our website.
(Owners who secure their own permits will be
excluded from the Guaranty Fund provisions of ate when contractor will begin contracted work-
MGL
orkMGL chapter 142A.)
Express Warranty - Is an express warranty being provided by the contractor?
9
No
11
Yes (all terms of the warranty must be attached to the contract)
Subcontractors - The contractor agrees to be solely responsible for completion of the work described regardless of the actions of any
third party/subcontractor utilized by the contractor. The contractor further agrees to be solely responsible for all payments to all
subcontractors for materials and labor under this agreement.
Contract Acceptance - Upon signing, this document becomes a binding contract under law. Unless otherwise noted within this
document, the contract shall not imply that any lien or other security interest has been placed on the residence. Review the following
cautions and notices carefully before signing this contract.
• Don't be pressured into signing the contract. Take time to read and fully understand it. Ask questions if something is unclear.
• Make sure the contractor has a valid Home Improvement Contractor Registration. The law requires most home improvement contractors
and subcontractors to be registered with the Director of Home Improvement Contractor Registration. You may inquire about contractor
registration by writing to the Director at 10 Park Plaza, Room 5170, Boston, MA 02116 or by calling 617-973-8787 or 888-283-3757.
• Does the contractor have insurance? Ask the Contractor for his insurance company information so that you can confirm coverage, or ask
to see a copy of a "proof of insurance" document
• Know your rights and responsibilities. Read the Important Information on the reverse side of this form and get a copy of the Consumer
Guide to the Home Improvement Contractor Law
You may cancel this agreement if it has been signed at a place other than the contractor's normal place of business, provided you notify
the contractor in writing at his/her main office or branch office by ordinary mail posted, by telegram sent or by delivery, not later than
midnight of the third business day following the signing of this agreement See the attached notice of cancellation form for an explanation
of this right
DO NOT $IGN THIS CONTRACT IF THERE ARE ANY BLANK SPACESIII
*o—.&--nt—ic>bKA.f the V tract must be completed and signed. One copy should go to thSbgtneowner. The other copy should be kept by the contractor
HomBtner'�Slgna� j eContractor's Signature t/, � � � �� / 6
Date Date
Contractor Arbitration
The Home Improvement Contractor Law provides homeowners with the 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 has with a
homeowner in court unless both parties agree to the optional clause provided below. This clause would give the
contractor the same right to arbitration as is afforded to the homeowner by the Home Improvement Contractor
Law. 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
been approved by the Secretary of the Executive Office of Consumer Affairs and Business Regulation and the
cons srs l be rte' ed to submit to such arbitrationded In Massachusetts General Laws, chapter
142Ah� 1 n 797i
Homeowner's Sig-i"Viitr'ae6es Signature
NOTICE: The signatures of the parties above apply only to the agreement of the parties to alterative dispute
resolution initiated by the contractor. The homeowner may initiate alternative dispute resolution even where this
section is not separately signed by the parties.
Homeowner's Rights
A homeowner's rights under the Home Improvement Contractor Law (MGL chapter 142A) and other consumer
protection laws (i.e. 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 by law. Homeowners who secure their own building permits are automatically excluded from all
Guaranty Fund provisions of the Home Improvement Contractor Law. The contractor is responsible for
completing the work as described, in a timely and workmanlike 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 guarantees or warranties provided by the contractor, all goods sold in Massachusetts carry an
implied warranty of merchantability and fitness for a particular purpose. An enumeration of other matters on
which the homeowner and contractor lawfully agree may be added to the terms of the contract as long as they do
not restrict a homeowner's basic consumer rights. If you have questions about your consumer/homeowner rights,
contact the Consumer Information Hotline (listed below).
Execution of Contract
The contract must be executed in duplicate 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 until all blank sections have
been filled in or marked as void, deleted, or not applicable. One original signed copy of the contract with
attachments is to be given to the owner and the other kept by the contractor. Any modification to the original
contract must be in writing and agreed to by both parties. Contracted work may not begin until both parties
have received a fully executed copy of 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 payment schedule in cases
where the homeowner deems him/herself to be financially insecure. However, in instances where a contractor
deems him/herself to be financially insecure, the contractor may require that the balance of funds not yet due be
placed in a joint escrow account as a prerequisite to continuing the contracted work. Withdrawal of funds from
said account would require the signatures of both parties.
Additional Information
If you have general questions or need additional information about the Home Improvement Contractor Law or
other consumer rights, or if you wish to obtain a free copy of "A Massachusetts Consumer Guide to Home
Improvement"
contact:
Consumer Information Hotline
Office of Consumer Affairs and Business Regulation
10 Park Plaza, Room 5170, Boston, MA 02116
617-973-8787, 888-283-3757 or visit the OCABR website at http://www.mass.gov/ocabr/
If you want to verify the registration of a contractor or if you have questions or need additional information
specifically about the contractor registration component of the Home Improvement Contractor Law, contact:
Director of Home Improvement Contractor Registration
Office of Consumer Affairs and Business Regulation
10 Park Plaza, Room 5170, Boston, MA 02116
617-973-8787, 888-283-3757 or visit the HIC website at http://www.mass.gov/ocabr/
Go online to view the status of a Home Improvement Contractor's Registration:
http://db.state.ma.us/homeimprovement/licenseelist.as
For assistance with informal mediation of disputes or to register formal complaints against a business, call:
Consumer Complaint Section
Office of the Attorney General
617-727-8400
AND/OR
Better Business Bureau
508-652-4800, 508-755-2548 or 413-734-3114
Version 2.1-11/22/201
NOTICE OF CANCELLATION
YOU MAY CANCEL THIS TRANSACTION, WITHOUT PENALTY OR
OBLIGATION, WITHIN THREE BUSINESS DAYS FROM THE ABOVE 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 SELLER OF YOU
CANCELLATION NOTICE, AND ANY SECURITY INTEREST ARISING OUT OF
THE TRANSACTION WILL BE CANCELED.
IF YOU CANCEL, YOU MUST MAKE AVAILABLE TO THE SELLER AT
YOUR RESIDENCE, IN SUBSTANTIALLY AS GOOD CONDITION AS WHEN
RECEIVED, ANY GOODS DELIVERED TO YOU UNDER THIS CONTRACT OR
SALE; OR YOU MAY, IF YOU WISH, COMPLY WITH THE INSTRUCTIONS OF
THE SELLER REGARDING THE RETURN SHIPMENT OF THE GOODS AT THE
SELLER'S EXPENSE AND RISK.
IF YOU DO MAKE THE GOODS AVAILABLE TO THE SELLER AND THE
SELLER DOES NOT PICK THEM UP WITHIN TWENTY DAYS OF THE DATE OF
CANCELLATION, YOU MAY RETAIN OR DESPISE OF THE GOODS WITHOUT
ANY FURTHER OBLIGATION. IF YOU FAIL TO MAKE THE GOODS AVAILABLE
TO THE SELLER, OR IF YOU AGREE TO RETURN THE GOODS TO THE SELLER
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 AND
DATED COPY OF THIS CANCELLATION NOTICE OR ANY OTHER WRITTEN
NOTICE, OR SEND A TELEGRAM TO [Name of Seller], AT [Address of Seller's Place
of Business] NOT LATER THAN MIDNIGHT OF � (date).
I HEREBY CANCEL THIS TRANSACTION.
Date: :)L- 1, Buyer's Signature:
FIX ENGINEERING
2 Silver Ledge Road
Newbury, MA 01952
978-462-4331
Email: jilx@eomeast.net
SHEET N0. / Of
CALCULATED BY F DATE
CHECKED BY
DATE
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JOB A�1011464�
FIX ENGINEERING
2 Silver Ledge Road SHEET NO. sa`�� of
Newbury, MA 01951 CALCULATED BY DATE
979-462-4331
Email: ifix@aomcast.net CHECKED BY DATE
The Commonwealth ofMassachaseiis
Departmeno rndustrial.�l ccidents
1 Congress Street, Suite 100
Boston, MA. 021.14 2017
~ fpww.mass:gov/dia
Workers, CompensailoulmuraAce
B �'XC,ED � HfiTHE �EdM'�xTS!`iG.A.UTJ�ORX'�Y.frciciansll'Xumbexs.
Please Print I,e 'bl
Applicant Inforxmation.
NaMe(Bllsinessloxganizailon/]'ndividlid): S
Address: 0) e4o,-,j �
iVo
A � c.�.1q 1, M t4 06� Phone #: 9 7 Y
City/State/Zip: — 3
Areyou an employer? Cl;c' the
box:
1.[] I am a employerwith , •..: employees (full. aud(orpart tune).4'
2.o am a sole proprietor or parfirershp and have no employees working for me in
any capacity. Vo workers' comp. insurance required.]
,Q I am a homeowner doing all wozk myself pTo workers' comp. insurance required.] t
4. ❑I am a homeowner and will be hiring contractors to conduct all work on my property. Iwill
ensure that all contractors either have workers' compensation insurance or are sole
5.� the sub -contractors listed on the attached sheet.
I am a general contractor and I have hired
These siib-contractors have employees and have workers' comp. insurance.
6.❑ We area corporation and ifs ofr9ers have exercised their right of exemption per MGL e.
152 § 1(4) and we hava no, employees. [No workers' comp. insurance required.]
Type of project (gillired):
7. [] New construction
8. *Remodeling
9. ❑ Demolition
10 ❑ B•uilding addition
11.0 Electrical repairs or additions
13. C] Roof repairs
14. ❑ Other
Mation xAny applicant that checks box#1 must also fill ouPens
ts e are d doing andthen hiz a On aonfraa ors musts submit a new affidavit indicating such.
Homeowners who subriiit phis affidavitindieating y g
xConftactors that check this boxmusi attached an additional sheet showing the name of the sub contractors and state whether or not those etttities have .
employees. lithe sub conlrac ors fiave employees, � ey must provide their workers' comp. policy number.
X am an erriployer float is pr6vidir�g workers' compensation insurance foN rrcy employees ' Below is tree policy and fob site
information.
Insuxance Company
Policy #- or Self -ins, Lic.
ExpirationDate:
City/State/Zip:
fob Site Address:
Attach a copy of the vyoxkers' compensation policy declaration page (showing the policy number and expiration date)-
Failure to secure coverage as required under MGI/ G. 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 S IOP 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 OfTce of Investigations of the DIA. for insurance
coverage verification.
it do roe: eby certify ander tr�epains and of per jar+, treat the information provided alcove is true and correct.
Phone #: I I
Official use only. Do not write in tries area, to he completed by city or toren official .
City or Town:
p'eymit/Dacense
Issuing Authority (circle one): i
1. Board of kfealth. 2. EuudxugDepaxtmeut 3. City/Town Clerk 4. ]Electrical Inspector S. Plumb ingTnspeetor
6. Other
Contact JPersoW.
Phone 0:,
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