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Home My WebLink AboutBuilding Permit #372-16 - 80 MORNINGSIDE LANE 9/22/2015 c BUILDING PERMIT of NORTH q TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION y� (2Permit No#: �- % Date Received �'qs R„rE° Sgc►+us � Date Issued: IM ORTANT: Applicant must complete all items on this page LOCATION S Mn�M� cr\ �N �P_ Ln —r, W-Print PROPERTY OWNER Z� '� �� - O'n �>e_za V- Print 100 Year Structure yesto MAP _PARCEL:�Q_ZONING DISTRICT: Historic District yes Machine Shop Village yes TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building ❑ One family 11 Addition El Two or more family ❑ Industrial )DAIteration No. of units: ❑ Commercial ❑ Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other _ ❑ Septic ❑Well ❑ Floodplain ❑Wetlands ❑ Watershed District ❑Water/Sewer - - - f DESCRIPTION OF WORK TO BE PERFORMED: C-R^2_,, %6 �Identification- Please Type or Print Clearly OWNER: Name. � � Phone:97g 6 TJ Address: _676 n ' Contractor Name: S e Phone: f Email: 5 ee✓o ✓UG �r�-1 c`o r.� Address: i C `2 S v Y n D e_ 5+ ill L_4 h cj6/eo— Supervisor's Construction License: C_ oro 91 Exp. Date: <E I I(0 117 � Home Improvement License: ( (>� -3 Exp. Date: f ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE:BULDING PERMIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COS BASED ON$125.00 PER S.F. Total Project Cost: $ 3 � 90(o -- FEE: $ V 4 Check No.: l s� Receipt No.: afi Y1.1K, NOTE: Persons contracting with unregistered contractors do not have access to ar ty fund 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 e U FORM PLANNING & DEVELOPMENT Reviewed On Signature_ COMMENTS CONSERVATION Reviewed on Signature COMMENTS HEALTH Reviewed on Signature COMMENTS 0 ;Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments Conservation Decision: Comments Wafter& Sewer Connection/Signature Date Driveway Permit DPW Town Engineer: Signature: FIRE DEPARaTMENJT - Tem �� _ Located 384 Osgood Street p. ®umpster onsite: eyes Locate:diat'124tMainr:St�eet• _ - -� - - ---� __ --- F.ire�Department,sgnatu,re/date COMMENTS- T- Dimension Number of Stories: Total square feet of floor area based on Exterior dimension s. Total land area, sq. ft.: ELECTRICAL: Movement of Meter location, mast or service drop requires approval of Electrical Inspector Yes No DANCER ZONE LITERATURE: Yes No MGL Chapter 166 Section 21A—F and G min.$100-$1000 fine NOTES and DATA— (For department use) i ❑ Notified for pickup Call Email Date Time Contact Name Doc.Building Permit 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 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 En g . g g 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 ..4. 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 OTE: 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 2014 i Location /v, Na � Date Y ,01 . • TOWN OF NORTH ANDOVER Certificate of Occupancy $ � .... Building/Frame Permit Fee Foundation Permit Fee Other Permit Fee $ TOTAL $ Check# Building Inspector Enter construction cost for fee cal- North Andover Fee Calculation Construction Cost $ 36,906.00 m $ - $ 442.87 Plumbing Fee $ 55.36 Gas Fee 100 comm. $ 100.00 Electrical Fee $ 55.36 Total fees collected $ 653.59 80 Morningside Lane 372-2016 on 9/22/2015 remodel kitchen and family room OORTy Town of E .f, ndover 0 No. _ * _ _ - h ,� oh ver, Mass, too COCNICHl WIC A0 RAYED S U BOARD OF HEALTH Food/Kitchen PERMIT T LD Septic System THIS CERTIFIES THAT BUILDING INSPECTOR .y� .. ., has permission to erect .......................... buildings on &,b.... .... ��r!! ......e�.....1�0.mo Foundation. Rough to be occupied as ... j.` !�...T.... 'ri�...!f.... .....�..I�.O�....... ..........................�............. Chimney provided that the person accepting this permit shall every respect conform to the terms of the application Final on file in 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 NT S ELECTRICAL INSPECTOR 3 • UNLESS CONSTRUCTI T Rough Service ................ .......... ...................................... Final BUILDING INSPECTOR GAS INSPECTOR Occupancy Permit Required to Occupy Building 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. Smoke Det. 57 KEEN CONSTRUCTION CO. PROPOSAL�0�o�+� ° 1175 TURNPIKE STREET J NORTH ANDOVER,MA 01845 All home improvement contractors and subcontractors Tel: (978)691-5201 engaged in home improvement contracting, unless Fax:(978)682-3231 specifically exempt from registration by Provisions of Chapter 142A of the general laws, must be registered Submitted (/ r ^ with the Commonwealth of Massachusetts. Inquiries To:1Z f(v1 ��1 /�(t I 1 about registration and status should be made to the C , ! Director,Home Improvement Contract Registration,10 v �\ {- (C' LL iii Park Plaza, Room 5170, Boston, MA 02116 617-973- �C 1� 8787 Owners who secure their own construction related permits or deal with unregistered contractors will be excluded from the Guaranty Fund Provision of MGL c.142A. E9ATE REGISTRATION NO. EIN NO. MA. H.LC. 108383 16—3783401 > C/S=Customer Supplied S+I=Supply+Install V See Attached Appendix A We hereby submit specifications and estimates for work to be performed and materials to be used: > Construction related permits: H ._..........__._..._._._.___EDULE._..._._ .... ._....__ ..__......__....... __ .................___..............,....._..._.._..................................................................._............ WORKSC __.._..............._.........._.....................................__. Contra t w I Pot y the work or order the materials before the third day following the signing of this Agreement,unless specified here,in ruing.rCoRlractor will begin the work on or about / S (date). Barring delay caused by circumstances beyond Contractor's control,the work will be completed by t I (date).The Owner hereby acknowledges an agrees that the scheduling dates are approximate and that such delays that are not avoidable by the Contractor shall not a considered as violations of this Agreement. WARRANTY The Contractor warrants that the work furnished hereunder shall be free from defects in materials and workmanship for a period of 'I-' 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 ContraclbI,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. We Pro OSe�ereb to fylrnish material nq labor-c plete in�accord�nce with above specifications,for the sum of �. \)I X llars($ Payment to be m de as follows: % ($ ) upon signing C ntract; ROBERT A. KEEN Name of Contractor/Designated Registrant % ($ ) upon corrypllti f of 1175 TURNPIKE ST. Street Address N. ANDOVER PI MA 01845 .I .. - -City/State-. .. s,all be made forthwith upon (978)691-5201 (978)682-3231 ( ) completion of work under this contract. Ph q Fax .r Notice: No agreement for home improvement contracting work shall require a 20. I I IC >down payment(advance deposit)of more than one-third of the total contract price Name of sales or the total amount of all deposits or payments which the contractor must make,in advance,to order and/or otherwise obtain delivery of special order materials and Authoq d Srg-wr equipment,whichever amount IS greater. Note'This proposal may be withdrawn by us it not accepted within days. Acceptance Of Proposal-I have read both sides of this document and all attached documents 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 of the third business day after the date of this transaction.Cancellation must be done in writing. i `I DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES. fiSignature 's �'/f't, Date '' / Signature Dale IMPORTANT INFORMATION ON BACK► T Canstrc�c6on Co, RFMOUI°LING: tiPEC:fAI_IS"1'ti 978-697-5207 KeenConstructionCo.com QUOTE Pearlson, Gillian &Jon 80 Morningside Ln. N.Andover, MA 01845 Contract#5753; Appendix A September 17, 2015 Remodel Kitchen: • Remove and dispose of existing kitchen cabinets,counters,wallboard, insulation and flooring. • Re-frame wall between kitchen and living room,eliminating bookcase, and creating more space for the cabinetry. • Update electrical as needed ($2000 electrical allowance) • Supply& install 20 position electrical sub-panel • Update plumbing as needed ($1000 plumbing allowance) • Remove two sections of baseboard heat in dining area and install one toekick heater with similar BTU output • Insulate exterior walls to code • Install approx. 140' of hardwood flooring to match existing • Sand and seal approx. 265'of flooring(kitchen and dining room) • Install %" blue board and skim coat plaster to smooth finish • Frame rear wall to accept larger window • Supply& install Andersen 400 series (CN335, 61"x 40 13/16")triple casement window with white interior and simulated divided light grilles • Install customer supplied cabinetry and related trim as shown in drawings by Jackson Kitchen dated 6/1/2015 • Paint walls, ceiling and trim (two coat finish, neutral colors) Remodel Family Room: • Remove existing faux beams on ceiling • Remove wallboard on ceiling • Frame wall in front of existing chimney • Remove walls of existing closet in mudroom • Remove ceiling joists and frame to create a vaulted ceiling • Supply& install six recessed light fixtures • Upgrade insulation to code 1175 Turnpike St. Page 1 of 2 P:978-691-5201 N.Andover, MA 01845 F: 978-682-3231 GSL#076691 Sales@KeenGonstructionGo.com HIG #108383 Canst�rach' Co. HEMC30ELIPIC: SPECIALISTS 975-697-520-1 KeenConstructionCo.com • Supply&install%" blueboard on walls and ceiling as needed and skimcoat plaster to smooth finish • Remove hardwood floor and tile in mudroom • Supply& install tile floor in mudroom ($4/sq.ft.tile allowance) • Supply&install necessary trim to match existing • Paint walls, ceiling and trim (two coat finish, neutral colors) • Sand &seal hardwood floor(oil based urethane,three coat finish) Total Price: $36,906.00(thirty six thousand nine hundred six dollars) Price does not include cost of cabinets, counters, appliances or repairs to any unusual, unsafe or non- code compliant existing conditions not addressed in this quote. Payment Schedule: $2000 due upon signing contract $5000 due the first day of work(plus permit fee) $5000 due when demo is complete $5000 due when plaster is complete $5000 due when hardwood floor is installed and sanded $5000 due when cabinets are installed $5000 due when painting is complete $4906 due at completion of contracted work ,/Customer— Robert A. Keen i Date V Date 1175 Turnpike 5t. Page 2 of 2 P:978-691-5201 N. Andover, MA 01845 F: 978-682-3231 G5L#076691 5ales@KeenGonstructionGo.com HIG #108383 The Commonwealth of Massachusetts - Department of Indifstdgl AccWd is Office of Invesfigations 600 Washington Street Boston,MA.0. 111 -www.mass gov/dia Workers' Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legi ( b ly Name(BusinessiorganizationUdividual): � � �(NI J COA ems-, :2 Ad&ess: City/State/Zip: : Vl car, IV A ()1 9 J, Phone#: Are you an employer?Check the appropriate box: Type of project(required): 1. I am a employer with 4. ❑ I am a general contractor and I 6. ❑New construction employees(full and/or part-time).* have hired the sub-contractors 2.❑ T am a sole proprietor or partner- listed on the attached sheet.I �• Remodeling ship and'have no employees 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 required.] officers have exercised their 3.❑ 1 am a homeowner doing all work right of exemption per MGL 11.❑Plumbing repairs or additions myself. [No workers' comp. c. 152,§1(4),and we have no 12.❑Roofrepairs insurance required.]t employees.[No workers' 13.❑Other comp.insurance required] !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 anew affidavit indicating such. tContractors that cheek this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information. fain an employer thatis roviding workers'com enation insuranceformy employees. Below is the policy andjob site information. Insurance Company Name:. V� ' _S U( t;�0�1 C Policy#or Self-ins.Lic.#: L 92 9 -2.-expiration Date: 1 rob Site Address:TD &rfi-i h 5 6 cle Z City/State/Zip: GL 0(4�1 Attach a copy of the workers'compensation-policy declaration page(showing the policy number and expiration date). Failure to secure coverage as requireclunder Section 25A of MGL o.152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one7-year imprisonment,as well as civil-penalties in the form of a STOP WORK ORDER and a rine of up to$250.00 a day against the violator. Be advised that a copy of this statement maybe forwarded to the Office-of Investigations of the DTA for insurance coverage verification. I do hereby certify u r th ain nil penalties ofperjury tliat the information providedab vee rs715 a nand correct. signafore: Date: ✓ Phone#• 97"R - 2�0 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.EIectrical Inspector 5.Plumbing Inspector 6.Other - - Contact Person: Phone#: 1 RightFax C3-1 3/24/2015 9:51 : 03 AM PAGE 2/002 Fax Server CERTIFICATE OF LIABILITY INSURANCE cam"': DATE(MM/DD/Y09124121711.5 YYY) T. lIFICATE IS ISSUED AS 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 INSURER(S),AUTHORIZED REPRESENTATIVE RODUCER.AND THE CERTIFICATE HOLDER. IMPORTANT:If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require and endorsement A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: GILBERT INS AGCY INC PHONE FAX 137 MAIN STREET (A/C,No,Ext): (AJC,No): E-MAIL READING,MA 01867 ADDRESS: 246WY INSURER(S)AFFORDING COVERAGE NAIC# INSURED INSURER A: TRAVELERS INDEMNITY COMPANY OF AMERICA KEEN CONSTRUCTION CO INSURER B: INSURER C: INSURER D: 1175 TURNPIKE STREET INSURER E: NORTH ANDOVER,MA 01845 INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS TIFY 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 DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE 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. INSR ADD SUB POLICY EFF DATE POLICY EXP DATE LTR TYPE OF INSURANCE L R POLICY NUMBER (MM\DD\YYYY) (MMMD\YYYY) LIMITS GENERAL LIABILITY ZEACH OCCURRENCE $ H�COMMERCIAL GENERAL LIABILITY AMAGE TO RENTED $ CLAIMS MADE F-1 OCCUR. IREMISES(Ea occurrence) ED EXP(Any one person) $ ERSONAL 8 ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: ENERAL AGGREGATE $ POLICY PROJECT LOC RODUCTS-COMP/OP AGG $ AUTOMOBILE UABILiTY COMBINED SINGLE $ ANY AUTO LIMIT(Ea accident) ALL OWNED AUTOS BODILY INJURY $ SCHEDULE AUTOS (Per person) HIRED AUTOS BODILY INJURY $ NON-OWNED AUTOS (Per accident) PROPERTY DAMAGE $ (Per accident) UMBRELLA LIAR OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS MADE AGGREGATE $ DEDUCTIBLE $ RETENTION $ $ A WORKER'S COMPENSATION AND X WC STATUTORY OTHER EMPLOYER'S LIABILITY YM UB-9991M582-14 10/08/2014 10/08/2015 LIMITS ANY PROPERITOR/PARTNER EXECUTIVE OFFICER/MEMBER EXCLUDED? WA E.L.EACH ACCIDENT $ 100,000 (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ 100,000 It yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 AJLDESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/RESTRICTIONS/SPECIAL ITEMS THIS REPLACES ANY PRIOR CERTIFICATE ISSUED TO THE CERTIFICATE HOLDER AFFECTING WORKERS COMP COVERAGE. CERTIFICATE HOLDER CANCELLATION TOWN OF NORTH ANDOVER SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED 1600 OSGOOD STREET BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENT .VE NORTH ANDOVER,MA 01845 ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD 1988-2010 ACORD CORPORATION. All rights reserved. Massachusetts -Department of Public Safety Board of Building Regulations and Standards I.I/II\11 IJlL11/11 JI111G1 VI\111 License: CS-076691 ROBERT A KEETt; 12 E WATER ST North Andover Na 0 'I'IiA Expiration Commissioner 08/16/2017 V fie�pa7�mo�eusP,aLl�o�C�aar�,��et/a Office of Consumer Affairs&Business Regulation ME IMPROVEMENT CONTRACTOR egistration: rj8383 Type: xp,ration 8/ 8 2016 DBA KEEN CONSTRU&IO�lfi9 Kenneth Keen 1175 TURNPIKE ST NO.ANDOVER, MA 01845` - Undersecretary