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Home My WebLink AboutBuilding Permit #43 - 83 ACADEMY ROAD 7/18/2007 BUILDING PERMIT 0 NORTH q SSLlO 16*�� TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION qq Permit NO: Date Received �' y 9SSACHus�t Date Issued: 'a IMPORTANT:Applicant must complete all items on this page 5 '% rs;"s, I TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building ❑ One family ❑ Addition ❑ Two or more family ❑ Industrial ❑ Alteration No. of units: ❑ Commercial V Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other k .- F . DESCRIPTION OF WORK TO BE PREFORMED: Identification Please Type or Print Clearly) OWNER: Name: K4-rgy C 5-tr=-VttJS Phone:r�E--6 83—SS-4- Address: AN 3 Rv SMA -� e `„ dip mere S " � •�d l�«�*` � �.'' 'by ;p�, �; �, fi ARCHITECT/ENGINEER 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: $ 72 600. FEE: $ Check No.: f �� Receipt No.: c d NOTE: Persons contracting with unregistered contractors do not have access to the guar t fund Signature of Agent/Owner Signature of contractor Location �^-"-� �/ 7- �- No. Date ° HQRTk TOWN OF NORTH ANDOVER 00 Certificate of Occupancy $ cMust`� Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # 204 i iJ Building Inspector Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ i THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF- U FORM DATE REJECTED DATE APPROVED PLANNING & DEVELOPMENT ❑ ❑ COMMENTS DATE REJECTED DATE APPROVED CONSERVATION ❑ ❑ COMMENTS DATE REJECTED DATE APPROVED HEALTH ❑ ❑ COMMENTS 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 ❑ Zoning Board of Appeals:Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments Conservation Decision: Comments Water & Sewer Connection/Signature Date Drivewav Permit Located at 384 Osgood Street a^ x/"►� �"!I � .p} S- `� r'?��-"?� � z� y��'s"'& �L �tel„� 1 i ,1to,. ..... s aA r a� 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 No Electrical Inspector Yes pp DANGER ZONE LITERATURE: Yes No MGL Chapter 166 Section 11A—F and G min.$100-$1000 fine NOTES and DATA— For department use) rte► Kd �An �. C, ❑ Notified for pickup - Date I 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 o Copy of Contract ❑ Floor Plan Or Proposed Interior Work ❑ Engineering Affidavits for Engineered products 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) ❑ Mass check Energy Compliance Report (If Applicable) ❑ Engineering Affidavits for Engineered products 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 o Engineering Affidavits for Engineered products 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:INSPECTIONAL SERVICES DEPARTMENT:BPFORM07 Revised 2.2007 V / e J II Board of Building Regula ions and Standards One Ashburton Place - Room 1301 Boston. Massachusetts 02108 Home Improvement Contractor Registration Registration: 143109 Type: Private Corporation Expiration: 6/18/2008 DESMOND CONST. INC. MATTHEW DESMOND 19 UPLAND ST N. ANDOVER, MA 01845 Update Address and return card.Mark reason for change. DPS-CA1 0 50M-05/06-PC8490 [:] Address E] Renewal F� Employment ❑ Lost Card TZ.�arrhrcoauvea a�./f/�aaeactirraeka Board of Building Regulations and Standards _ — License or registration valid for individul use only HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Registration: 143109 Board of Building Regulations and Standards Expiration: 6/18/2008 One Ashburton Place Rm 1301 Type: Private Corporation Boston,Ma.02108 DESMOND CONST.INC. MATTHEW DESMOND 19 UPLAND ST N.ANDOVER,MA 01845 Deputy Administrator Not v id without signature ✓Jie rm�oreraetzl�i a�i�/f�zreucfauad BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR Number:.CS 072487 Birthdate: 03/22/1960 Expires:03/22/2008 Tr.no: 19915 Restricted: 00 MATTHEW F DESMOND 19 UPLAND ST N ANDOVER, MA 01845 Commissioner NORTH Town of ILL : q3 , off' ° . �` dower, Mass., I-r LAK E COCMIC ME WICK y1. °Rgrev PP�,`'C� BOARD OF HEALTH Food/Kitchen PERMIT T Septic System BUILDING INSPECTOR THIS CERTIFIES THAT.....X01A... ........................ .... ... .....................................................................9** ,*,*,*** ...... Foundation .. 0............ Rou h has permission to ere ....................................... buildings on .... ..�......�'ir.l� ..... ................ g Chimney to be occupied as......V&4-6-6.40%......... �Ai.... .... .r...........................................�......................... �' provided that the person accepting this permit shall in every respect conform to the terms of the application on file in Final 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 3 PES EXPIRES IN 6 MONTHS FinalELECTRICAL INSPECTOR. UNLESS CONSTRUTS Rough ............. ..... ......................... .............. Service ........... ........... ....... LDING R Final Occupancy Permit Required to Occupy Building GAS INSPECTOR 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. SEE REVERSE SIDE Smoke Det. ACOR�M CERTIFICATE OF LIABILITY INSURANCE of/18/200 PRODUCER (978)372-2790 FAX (978)373-2281 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Sullivan Insurance Agency, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 487 Groveland Street HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Haverhill , MA 01830 INSURERS AFFORDING COVERAGE NAIC# INSURED Desmond Construction, Inc. INSURERA: Commerce Insurance 34754 19 Upland Street INSURERS: AIM Mutual Insurance Company 33758 North Andover, MA 01845 INSURER C: INSURER D: INSURER E: COVERAGES 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.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. rA DD' TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS INSREGENERAL LIABILITY ZS1282 07/07/2007 07/07/2008 EACH OCCURRENCE $ 500,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $ 50,000 PRE CLAIMS MADE a OCCUR MED EXP(Any one person) $ 51000 PERSONAL&ADV INJURY $ 500,000 GENERAL AGGREGATE $ 500,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 500,000 X POLICY PROJECT LOC AUTOMOBILE LIABILITY T90224 09/12/2006 09/12/2007 COMBINED SINGLE LIMIT ANY AUTO (Ea accident) $ ALL OWNED AUTOS BODILY INJURY $ X SCHEDULED AUTOS (Per person) 100,000 A HIRED AUTOS BODILY INJURY $ NON-OWNED AUTOS (Per accident) 300,000 PROPERTY DAMAGE $ (Per accident) 100,000 GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO EA ACC $ OTHER THAN AUTO ONLY: AGG $ EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE $ $ DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION AND AWC7019598 08/23/2006 08/23/2007 sTATU- X OTH- IR EMPLOYERS'LIABILITY B E.L.EACH ACCIDENT $ 100,000 ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? E.L.DISEASE-EA EMPLOYE $ 100,000 If yes,describe under SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT $ 500 000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS Carpentry Operations Mathew Desmond, President excluded for WC CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 20 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT; Town of North Andover BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY 1600 Osgood Street OF ANY KIND UPON THE INS RER,ITS AGENTS OR REPRESENTATIVES. North Andover, MA 01845 AUTHORIZED REPRESENTATIVE; Kat Crawford $ ACORD 25(2001/08) ©ACORD CORPORATION 1988 The Commonwealth of Massachusetts Department of Indush'ial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 r Workers' Compensation Insurance Affidavit: Builders/Contractors/El A licant Informationectricians/Plumbers Please Print Le ibl Name(Business/Organization/individual):�� ya, `O Address: City/State/Zip: A10. A,1nn 1Z1., yt/l �.�•�rp — l Phone#:_ Are�ou an employer?Check the appropriate box: _ 1• I am a employer with. 4. ❑ I am a general contractor and I Type of project(required): 2.❑ employees(full and/or part-time).* have hired the sub-contractors 6. ❑New construction I am a sole proprietor or partner- listed on the attached sheet.1 7• ❑Remodeling ship and have no employees These sub-contractors have working for me in any capacity. workers'comp.insurance. 8. ❑Demolition [No workers'comp,insurance 5. ❑ We are a corporation and its 9. ❑Building addition required.] officers have exercised their 10-[]Electrical repairs or additions 3.❑ I am a homeowner doing all work right of exemption per MGL 11.❑Plumbing repairs or additions myself.[No workers'comp, c. 152 10),and we have no insurance required]t employees. 12.❑Roof repairs [No workers comp.insurance required.] 13.0 Other *Any applicant that checks box#1 must also fill out the section below showing their workers'co 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-con�tracttorrs and their workers'ion pomy e licy information. ffo as employer that is providing workers'compensa[ton insurance for my employees'employees' Below is thepolcy and job site rnrntatmn. Insurance Company Name: 1 ti IM V's V"4,t N C: Policy#or Self-ins. Lie. #:_ iQur C 701 9 Q Expiration Date: -316-7 Job Site Address G- JobSiteAddresse__ City/State/Zip ,d,2Orl,_� � Attach a copy of the workers'compensation policy declaration a e showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL . 152canlead to the imposition of criminal penalties fine up to$1,500.00 and/or one-year imprisonment,as well as civil P fres of a Of up to$250.00 a day against the violator. Be advised that a co penalties in the form of a STOP WORT{ORDER and a fine Investigations of the DIA for insurance coverage verification. PY°f this statement may be forwarded to the Office of �"�"""y Leer jy under t" ins and penalties o f perJury that the rnformadon provided above is true and correct Si n Date• 7 � Phon #: e Fffe use only. Do not write in this area,to be completed by city or town o fi►ciaL n: Permit/License# ority(circle one): Health 2. Building Department 3.City/Town Clerk 4.Electrical Inspec::::::)r on: Phone#: PROPOSAL Desmond Construction, Inc. P. O. Box 41 North Andover,MA.01846 (978)682-2279 Date: 7/5/07 Page 1 of 3 TO: Job Site: Kathy Stevens same 83 Academy Road North Andover, MA 01845 978-683-5522 DESCRIPTION TOTAL Bathroom Renovation Item 1 Permit Apply for and acquire permit. Item 2 Demolition Remove all existing fixtures. Remove ceiling and wall board and plaster.All construction debris to be removed from site.All electric and plumbing lines to be capped. Item 3 Frame Re-frame ceiling and walls as necessary. Frame new shower area per design. Frame seat area in shower. Item 4 Electric Wire outlets and switches per building code. Install 2 sconce lights over mirror area. Install 1 Fan light combo. Install 1 recessed light near shower area.Additional circuit panel work to be additional. Item 5 Plumbing Install new shower area with copper'pan. Rough in all new copper piping lines for shower/sink/toilet.Any existing non-use piping in walls to be deleted. Item 6 Insulation Insulate walls with R-13 insulation. Ceiling with R-30. Item 7 Board and Plaster Install 1/2"blueboard on walls and ceiling. Skim coat with 1/8"plaster for smooth finish. Item 8 Finish Carpentry Trim existing window and doors with new casing. Install new baseboard trim. Existing window and door to remain. ,Item 9 Tile Install home owners tile in shower area,floor and walls. PROPOSAL Desmond Construction, Inc. Date: 7/5/07 Page 2 of 3 TO: Job Site: Kathy Stevens same a DESCRIPTION TOTAL Item 10 Flooring Existing hardwood floor to remain. Sand and re-finish under existing tub unit. Item 11 Paint Apply 1 coat primer, 2 coats finish on ceiling and walls.Apply coats fnish on re- rimed wood work. Item 12 Shelving Install shelves for towels and toiletries. NOTES: Home Owner to provide: Vanity and sink combination. Shower unit tile. Shower and sink fixtures. Shower door if needed. If tile is marble or granite that requires polishing,per cut to be extra. $32,600.00 i w PROPOSAL Desmond Construction, Inc. Date: 7/5/07 Page 3 of 3 TO: Job Site: Kathy Stevens same All material is guaranteed to be as specified,and the above work to be performed in accordance with the drawings and specifications submitted for above work and completed in a substantial workmanlike manner for the sum of $32,600.00 with payments to be made as follows: 10%upon signing $3,260.00 25%upon start of project $8,150.00 Remaining upon request per project progress $21,190.00 An interest charge of 1.5% per month will be applied to any balance due 30 days after completion of this project. Any alteration or deviation from above specifications involving extra costs will be executed only upon written orders, and will become an extra charge over an above the estimate.All agreements contingent upon strikes, accidents or delays beyond our control. Owner to cavy fire,tornado and other necessary insurance upon above work. Workmen's Compensation and Public Liability Insurance on the above work to be taken out by DCI. Respectfully submitted P Desmond Construction, Inc. NOTE:This proposal may be withdrawn by us if not accepted with days. ACCEPTANCE OF PROPOSAL The above prices, specifications and conditions are satisfactory and are hereby accepted.You are authorized to do the work as sp 'fi Payment will me made as outlined above. 'A Signature: Date: IV Signature: Date: