Loading...
HomeMy WebLinkAboutBuilding Permit #912-15 - 82 LISA LANE 8/11/2015BUILDING PERMIT TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit No#: ' V�11/ Date Received —,I 4 R TFt '6\ 9 1' Date Issued: DI 1119 IMPORTANT: Applicant must complete all items on this page LOCATION \ Print PROPERTY OWNER VP P a, 1 Print 100 Year Structure yes no MAPPARCEL: ZONING DISTRICT: Historic District yes no Machine Shop Village yes no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building ❑ One family ❑ Addition [I Two or more family El Industrial ❑ Alteration No. of units: ❑ Commercial ❑ Repair, replacement ❑ Assessory Bldg ❑ Others: ❑ Demolition ❑ Other Septic El Well 0 Floodplain: 0 Wetlands El 'Watershed. District p WaterlSewet DESCRIPTION OF VVL)MM i U t5t rtKrUKivicv: Identification - Please Type or Print Clearly OWNER: Name: nJA Phone: /•1UU I CJJ. Contract r Name: R� NL �50=,.Phone �l7 -mss 3 Email: Q6br- Address' a3 N N, R-� c3ly-4CN�- Supervisor's Construction License' C --J Exp. Date: Home Improvement License: �� `I S -75- Exp. Date: ARCHITECT/ENGINEER (U A- Phon 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: $ �S ©�9� FEE: Check No.: Receipt No.: NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund 4 t# 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 4, 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 TOTE: 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 TOTE: 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 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 m U FORM PLANNING & DEVELOPMENT COMMENTS CONSERVATION COMMENTS HEALTH 4 T COMMENTS. r Reviewed On Signature Reviewed on Signature Reviewed on Signature Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments Conservation Decision: Comments Y ��,.Water & Sewer Connection/Signature &Date Driveway Permit DPW Town Engineer: Signature: ^ --�--4� ,. , Located 384 Osgood Street # E DEPAR�TMENTrnp Dum ster+onsteyes ,�`d�n #; Lo ate�d at" 12„4 Main StreetP° E p� t r . F r�e .D�e�.p 1M11 Ami 1{n�1 }` C /Oyu w _ t f �' rtm- I�jtj !,�+hatb C, 3..:.�:...f.�.�.ao.r r+:t•rt I S ':'C... # qy i Sri+tk`�ty C - 1+ ti,P Yri, 4 Jay. . 4' T+� C®MMEN�T S.L-.`.�-...•-....�«.r.,ir.. _ !.'. t �a......°".-fir �..-.+��t :....a1�;�.� 4 •�-�Ea::s�-..-�...,.-,-�- ,�± t` �l �-tt r, ... Dimension Number of Stories: Total square feet of floor area, based on Exterior dimensions. Total land area, sq. ft.: ELECTRICAL: Movement of Meter location, avast or service drop requires approval of Electrical Inspector Yes No DANGER ZONE LITERATURE: Yes MGL Chapter 166 Section 21A—F and G min.$100-$1000 fine NOTES and DATA — (For department use) ❑ Notified for pickup Call Email Date Time Contact Name Doe.Building Pennit Revised 2014 M Location No. Date Check# /-(Y 29196 TOWN OF NORTH ANDOVER' Certificate of Occupancy Building/Frame Permit Fee $ Foundation Permit Fee Other Permit Fee $ TOTAL $ h Budding Inspector - - —4c -� `----_ � NORTN q� BUILDING PERMIT - y o�t,�o ti TOWN OF NORTH. ANDOVER oa'�.'`- APPLICATION FOR PLAN EXAMINATION ''R. Permit No#: Date Received R A�RAreo'pa``�u � gSSacHus�� Date Issued: 1 IMPORTANT: Applicant must complete all items on this page LOCATION \ Print PROPERTY OWNER_ �, Print 100'Year Structure yesno MAP �PARCEL: _c�e��1 ZONING DISTRICT: Historic District yes no ,Machine Shop Village yes no TYPE OF IMPROVEMENT' PROPOSED USE Residential Non- Residential ❑ New Building ❑ One family ❑ Addition ❑ Two or more family ❑ Industrial ❑ Alteration No. of units: ❑ Commercial ❑ Repair, replacement ❑ Assessory Bldg ❑ Others: ❑ Demolition ❑ Other ❑ S"eptic ❑ We l'4 11 Flogdplaih, ❑ 1Neti-an-T, ❑ Watershed iC7isfnct = D tlNatarovok DESCRIPTION OF WORK TO BE PERFORMED: Identification - Please Type or Print Clearly OWNER: Name: _ _ Phone: Address: i Contract,gr Name:_ .�� �a �.,nti�� Phone: 1% G-�S 9,— S73 3 Email:�- Address: Qin\ cv, c3ty)CN ��ais h �- nn,� Supervisor's Construction License: Exp. Date:. -c;�— Home Improvement License: ii S % Exp. Date: L 1 G — j ARCHITECT/ENGINEER Phone: Address: Reg. No FEE SCHEDULE: BULDING PERMIT: $12.00 PER $9000.00 OF THE TOTAL ESTIMATED COST BASED ON $125.00 PER S.F. Total Project Cost: $ �S •O ��'''� `� FEE: $ Check No.: 1 Receipt No NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund v C CDo-0 CL r - S. CS.y O < v .CD CD O CL C CD 41D O cD 00 00 � �CD Q Oo CD tQ C � v y O Z CD 00 O CD 3 CD o��o 2 c CD0. • CD n � c7 0 Q- 0 � m —` C O O' = -a N _I CD 0 O_ O .-. Q m WCDy c CD CLsu R CDD CD CD �' = C n -I CQ Q. 0 03 O C7 CCOD CD O•� : �D o cn z cn O o a `D (n SO< CD �. CL 0 0 CL CD (A. O O fl1 - CL CD r) nCD N rt o cm 0 3 0 c =r '" C CD� i 0 � .0 hh . aC CD - 0 a� o CL ..: C3 W r m 'n En m;o -n lot Cl) r�r 0m k (D Z �o '7'7 n x T (n T cn Z O O z � :T O O z fD --� D � C N < O 61 C cu C >_ "6 O rr fD z S OU z cn m .-' O 3 S o��o 2 c CD0. • CD n � c7 0 Q- 0 � m —` C O O' = -a N _I CD 0 O_ O .-. Q m WCDy c CD CLsu R CDD CD CD �' = C n -I CQ Q. 0 03 O C7 CCOD CD O•� : �D o cn z cn O o a `D (n SO< CD �. CL 0 0 CL CD (A. O O fl1 - CL CD r) nCD N rt o cm 0 3 0 c =r '" C CD� i 0 � .0 hh . aC CD - 0 a� o CL ..: C3 W 'n En -n r�r (D �o '7'7 n x T (n T O O :T O O fD O rD 3 N < O 61 C cu C >_ "6 O rr fD S OU Oil .-' N 3 S 7 S Ll 0 \ wrD L `rD rt O r 0 'O 3O T O m C C 3 W W D p N v m n z z M vz+ M O M m T NN N � M M M m m O m m m 0 0 0 = Back River Development 231 North End Boulevard Salisbury, MA 01952 (978) 852-3733 CONTRACT To: Vibha Shahi Date: July 17, 2015 Re: Restorations of Residence 82 Lisa Ln. N. Andover Scope of services Back River Development will be responsible for the following: Framing o Frame new wall along perimeter of basement, bathroom partition and repair previously framed walls in basement Electrical o Supply and install all new switches and outlets where necessary o Install any new electric appliances and ammenities o Removing and repairing existing wiring is not included in this estimate Plumbing 0 1 Double bowl vanity, toilet, tub/ shower unit and brush nickel faucets will be 'supplied and installed along with all rough materials to re -fit bathroom. 0 1 single bowl vanity with brush nickel faucet and toilet will be supplied to re -fit half bath o The basement bathroom will have the wallboard hung and plastered fixtures and plumbing are not included in this estimate Kitchen o Supply and install predesigned kitchen (countertops by others) - Blue board and plaster o %" Blue board and skim coat plaster will be applied to bathrooms, laundry room and basement - Insulation o Insulation and draft stop will be installed to building code regulations o Walls that have been completed already may have to be re -insulated upon removal of improperly installed wallboard Finish carpentry o smooth hollow core interior entry doors will be supplied (for basement rooms and as needed for main living floor o interior trim will be 2 %x" colonial casing on windows and doors, 4 '/4" .colonial speed baseboard Flooring o Bathroom floors will be tiled o Stairway resurfacing is not included yet o Carpet will be installed in the basement o Existing main floor will be covered and protected during construction Painting o Only affected rooms (walls, ceilings and trim) will be painted o Semi gloss will be applied to all trim work o Ceilings will be ceiling white o Two colors will be chosen throughout house Each additional color will be an additional $300.00 - Homeowner purchased items o The following items will be purchased directly by the homeowner o Labor to install allowance items is part of BRD scope with the exception of the countertops and the carpet ■ Kitchen cabinets TOTAL COST ■ Appliances ■ Vanities ■ Countertops (kitchen and vanities) ■ Faucets • Sinks ■ toilets ■ Light fixtures ■ Carpet ■ Tile •. Towel rods, shower rods and similar bathroom amenities PROJECTED TIME SCHEDULE $ 45,000.00 The following is an estimated time schedule for informational purposes only. This schedule may be adjusted as needed to address unforeseen circumstances, including but not limited to hidden obstacles, bad weather, sub -contractor scheduling conflicts, etc. It is our goal to complete the work in a timely fashion. Week i framing and rough electrical Week 2 Rough electrical, plumbing and inspections Week 3 Insulation and hang wall board Week 4 Blue board, plaster, finish carpentry Week 5 Install kitchen cabinets, bathroom tile floors Week 6 Painting, install fixtures, project completion Terms and Conditions 1. Contractor agrees to furnish all necessary labor, materials, tools and equipment to complete the work outlined in the scope of services. 2. Contractor shall provide copies of a valid builder's license and proof of liability and workers' compensation insurance prior to commencement of any work. 3. Contractor agrees to complete the Scope of Services in a timely, professional manner in accordance with the specifications set forth by the architect and engineers, and in compliance with state and local building regulations. 4. Contractor agrees to clean all debris from construction only and to keep job site in a clean and workable condition at all times 5. Homeowner shall be responsible for any costs occurring from engineering or architectural plans and site work and any costs incurred from permitting, zoning board of appeals, planning or DEP. 6. Any costs incurred from hazardous materials found during construction are the responsibility of the homeowner 7. Homeowner is responsible for contacting utility companies for disconnect and new hook ups, cable, telephone, gas and electric and any costs that results from these services. 8. Manufacturers' warranties will be turned over to the homeowner and become the homeowner's responsibility to file and pursue any defects or problems that may occur. 9. Any materials, products, or labor not specifically mentioned in scope of services is not covered under contract and will be paid for out of allowance fund or billed to homeowner 10. Homeowner is responsible for any price increase in materials prior to signing of contract 11. Homeowner (not lender or Insurance company) is ultimately responsible for payment upon completion of services and receipt of invoices PAYMENT SCHEDULE . The payment for the contract will be as follows 22% upon commencement of project 109000.00 28% upon rough inspections and plastering 129500.00 .28% upon installation of kitchen cabinets , 12,500,.00 22% upon completion of project 109000.00 lie, S - L 1"1 4— Vibha ahi, umeowner William -J. Perris, Back River Development Massachusetts - Department of Public Safety F Board of Building Regulations. and Standards : �avxici,`saper f ur License: CS -065005 BRIAN A LYNCH -` ' 31 SEVEN STAR.RD GROVELAND NOL 01834 9,.� — %J " Expiration Commissioner 11/15/2015 �\ �P%�lraiarrc�r%teh'f _ Office of Consumer Affairs & Business Regulation HOME IMPROVEMENT CONTRACTOR Registration 173255 - Type: Expiration_;°_WO/2016 Individual BRIAN A LYNCH BRIAN LYNCH 31 SEVEN STAR RD GROVELAND, MA 0163 '.- Undersecretary ® A� o CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDD(YYYY) 8/3/15 THIS CERTIFICATE 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 OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(es) must be endorsed. If SUBROGATION IS WAIVED, subject 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 certificate holder in lieu of such endorsement(s). PRODUCER M.P. Roberts Insurance Agency 1060 Osgood Street North Andover, MA 01845 CONTACT NAME: PHONE (978) 683-8073 FAX N (976) 683-3147 E-MAIL ADDRESS: INSURERS) AFFORDING COVERAGE NAIC# INSURER A: Merchants Mutual Insurance Co INSURED BACKRIVER DEVELOPMENT LLC 231 NORTH END BLVD. SALISBURY, MA 01952 INSURER B: Associated Employers Insurance INSU RERC: INSURER D: INSURER E: INSURER F: rnvCoAr=Q /^I=DTICIl ATF 1d"MRFR• KtV15lUN NUMCtK: 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 DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY TI -E 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 LTR TYPE OF INSURANCE AD- L SUBR POLICY NUMBER POUCY EFF (MM/DD1YYYYlMMIDDIYYW POLICY EXP UMTS A GENERAL LIABILITY X COMMERCIALGENERALLIABILITY NORTH ANDOVER, MA 01845 BOPI080037 6/20/15 6/20/16 EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED $ 500 000 PREMISES(Ea NED EXP (Arty one person) $ 15,000 CLAIMS -MADE OCCUR PERSONAL& ADV INJURY $ GENERAL AGGREGATE $ 2,000,000 GENT AGGREGATE LIMIT APPLIES PER PRODUCTS - COMP/OPAGG $ 2, 00,000 $ OMB idem) NGLELIMIT $ PRO-- LOC X POLICY JEC AUTOMOBILE LIABILITY BODILY INJURY (Per person) $ ANY A UTO ALLOWNED SCHEDULED AUTOS AUTOS NON -OWNED HIRED AUTOS _AUTOS BODILY INJURY (Peraccident) $ PROPERTY DAMAGE $ e,..dent UMBRELLA LIAB OOCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS UAB CLAIMS -MALE $ NO'YCSTATu- OTH- FR B N / A WCC -500-5014220-201 1/12/15 1/12/16 DED RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNERIEXECUTNE Y� OFFICE RIMEMBER EXCLIDED? (Mandatory in NN) B es, describe under DESCRIPTION OF OPERATIONS below E.L. EACH ACCIDENT $ 500,000 E.L. DISEASE -EA EMPLOYEE $ 500 , 000 E.L. DISEASE -POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS I LOCATIONS /VEHICLES (Attach ACORD 101, Additional Renerks Schedule, if more space is required) tiCK I lrl%,Ik1 C r1VLUC1[ - - ---- - SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED M VIBHA SHAHI ACCORDANCE WITH THE POLICY PROVISIONS. 82 LISA LANE AUTHORIZED REPRE SENrATNE PA NORTH ANDOVER, MA 01845 MICHAEL P. ROBERTS i.r.nn nnnnnow Tlf%Ll All ...6M ---A V 1.'lVV YV IV f1VVI�v vv.�• v.v-...-... .... ..' ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD Phone: Fax: E -Mail: To: North Andover Building Inspector's Office Subject: -82. Lisa Lane; North Andover, MA 01845 I am writing to request that the Contractor of Record, George L. Love, be removed from She permit for construction for 82 Lisa Lane, North Andover, MA. I would tike Backriver'Development, LLC to resume repair and construction. Please note that. Backriver Development, LLC, is receiving the project inpoor and unsatisfactory" condition, and should not be held responsible for any of the work previously inspected and/or completed1by George L. Lowe. :Thank you, Vibha Shahi 82 Lisa Lane North Andover, MA 01845