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HomeMy WebLinkAboutBuilding Permit #197-15 - 88 LINDEN AVENUE 8/25/2014 pORT11 BUILDING PERMIT °Ft< Eo 16 TOWN OF NORTH ANDOVER .6 ° APPLICATION FOR PLAN EXAMINATION R 1 Permit No#: Date Received R Date Issued: 4 I • SSACNUS� IMPORTANT: Applicant must complete all items on this page LOCATION (J L( rI-Jejj Print PROPERTY OWNER_V�ka Print 100 Year Structure yesno MAPDZ-7— _PARCEL = ZONING DISTRICT: Historic District yes no ;Machine Shop Village yes no. n_. TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building I&One family 0 Addition ❑Two or more family ❑ Industrial tWAlteration No. of units: ❑ Commercial ❑ Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other ❑ Septic ❑Well ❑ Floodplain 'D Wetlands 0 Watershed District ❑Water/Sewer DESCRIPTION OF WORK TO BE PERFORMED: k,�J, V, +,,A,\ Identification- Please Type or Print Clearly OWNER: Name:_ S�,4„1,,,,c IN a Phone: -ckSl - � Address: Contractor'Name -Phone Q79- _4XI--tete J'7- Address: `tAddress; -zO 9. _ pLQ 21 Supervisor's Construction License: ec ,b 332 a -Exp. Date: 31e Home Improvement License: Lb'19tca- �._ :_ Exp. Da�te: _RL-lo.1 I,_ ARCHITECT/ENGINEER Phone: a 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.: i 6 Z-3® Receipt NO.- NOTE: Persons contracting with unregistered contractors do not have access to the g aranty fund SS nature of Agent/Owner Signature of contractor 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 o Building Permit Application ❑ Workers Comp Affidavit o Photo Copy Of H.I.C. And/Or C.S.L. Licenses ❑ Copy of Contract o Floor Plan Or Proposed Interior Work o Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit Addition Or Decks ❑ Building Permit Application o Certified Surveyed Plot Plan o Workers Comp Affidavit ❑ Photo Copy of H.I.C. And C.S.L. Licenses ❑ Copy Of Contract o Floor/Cross Section/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (If Applicable) o Mass check Energy Compliance Report (If Applicable) a Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit New Construction (Single and Two Family) o Building Permit Application o Certified Proposed Plot Plan o Photo of H.I.C. And C.S.L. Licenses o Workers Comp Affidavit o Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (If Applicable) o Copy of Contract ❑ Mass check Energy Compliance Report o Engineering Affidavits for Engineered products NOTE: 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 - U FORM PLANNING & DEVELOPMENT Reviewed On Signature_ COMMENTS CONSERVATION Reviewed on Signature COMMENTS HEALTH Reviewed on Signature �I COMMENTS Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments Conservation Decision: Comments Water & Sewer Connection/Signature& Date Driveway Permit DPW Town Engineer: Signature: Located 384 Osgood Street FIRE DEPARTMENT - Temp{Dumpster on site yes no . Located at 124 Main Street Fire Department signature/date COMMENTS 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-$1000 fine NOTES and DATA — (For department use) ❑ Notified for pickup Call Email I Date Time Contact Name -- -..------_._.__ _......... _..-------.--- --._..._..._ Doc.Building Permit Revised 2014 i Location No. Date . • TOWN OF NORTH ANDOVER J Certificate of Occupancy $ Building/Frame Permit Fee $ �� Foundation Permit Fee $ Other Permit Fee $ TOTAL $ � Check# U � 2 7 ,, d 1 Building Inspector 6' Enter construction cost for fee cal - North Andover Fee Calculation Construction Cost $ 37,000.00 m $ - $ 444.00 Plumbing Fee $ 55.50 Gas Fee 100 comm. $ 100.00 Electrical Fee $ - 55.50 Total fees collected $ 655.00 Foundation 100 88 Linden Avenue 197-15 on 8/25/14 Kitchen Remodel NORT#1 Town of t : ndover 0 No. *yy _ A - ,� ooh ver, Mass, - S 25 26 A q COCHICHEWKN y1' S V BOARD OF HEALTH Food/Kitchen Septic System PERMI_ AjTHIS CERTIFIES THAT ..... ............................ ... BUILDING INSPECTOR .„1.`. ......... J.. ........................... .... ..... .... has permission to erect .......................... buildings on .. �1.. Foundation Rough to be occupied as ..........ti+.4�� '�fe."A #A......................................................... Chimney provided that the person accepting this permit shall in 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 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTION STARTS 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. 311 311 IN.2 736 J, SSW36 00 V.HOOD C14 N 00 C14 IN.3DB15 RB SHOWPLACE CABINETRY STYLE: PENDELTON BEADED INSET THIS A COLOR: WHITE 11 HINGES: STANDARD p bf DRAWERS: SOFT CLOSE DRAWERS your acceptance and undemtandloo qf this I MOLDING: CROWN LMC96 WITH SMB96 LIGHT VALANCE: LSCM SFM 96 All dimensions-size designations This is an original design and must Designed: 6/20/2014 given are subject to verification on not be released or copied unless Printed: 7/10/2014 job site and adjustment to fit job applicable fee has been paid orjob conditions. order placed. Legend ~~,.~~_~_---_`~._'-=_,`-_, Off,-ce of Consumer Affairs&Business Regulation ME IMPROVEMENT CONTRACTOR Type: O)cQ, egistration: 107916 private Corporatio I 8F10�I2 tfF pirat�on _ _�CT4ON FRANCIS HEBB CON-TRS E I. Francis Hebb ` o 70 Lake Shore Rd _ Undersecretary 1 i' Boxford,MA 01921 ;I l Massachusetts 7epar*,ment or ru0u-:-Sarety Board of Building 4egu!avons and Standards Construction Super icor ;cense CS-033217 FRANCIS A HEBI ` 70 Lake Shore Rodd Boxford MA 01921 ' �---xoIratIDr), 03/2612016 commissioner 1' FRANCIS A. HEBB CONSTRUCTION CO., INC. DESIGN/BUILD CONTRACTOR CONSTRUCTION MANAGEMENT AND CONSULTING Residential,Commercial Building&Renovations Construction Supervisory License#033217 Home Improvement License#107916 CONTRACT TO BUILD 70 Lake Shore Road, Boxford, MA 01921-1115 Shop(978)352-6123 Fax(978)352-5068 Cell (978)423-6637 t RESIDENTIAL CONTRACTING AGREEMENT Designated Registrant's Name: FRANCIS A.HEBB CONSTRUCTION CO.,INC. Registration Number: 107916 This agreement is made on _August 25, 2014 (date) between FRANCIS A. HEBB CONSTRUCTION CO., INC. of 70 LAKE SHORE ROAD, BOXFORD, MA 01921 (978) 352-6123 hereinafter called "Contractor" and Mike and Stephanie Nolan (Owner) of 88 Linden Avenue,North Andover, MA 01845 hereinafter called "Owner". I. DETAILED DESCRIPTION OF WORK TO BE PERFORMED Contractor agrees to perform in a good and workmanlike manner all work detailed below for kitchen renovation project. Such work consists of the following: Remove cabinets,tile floor,backwall plaster and kitchen door. Install new backwall plaster,new cabinets and new exterior door. Install new hardwood floor in kitchen. Sand new floor and sand existing floor in dining room and hall area to doorways. Hook up new sink and dishwasher. Electrical: new wiring for range,refrigerator,microwave and dishwasher w/arc fault breakers. Install 2 counter circuits w/GFI breakers. Relocate 2 wall switches. Replace existing electrical panel w/new 30-circuit, 100 amp panel. Install 6—5"recessed lights and tile back splash. Painting- $1,500.00(approx. cost,may change when painter views work to be done) Attic lights and relocate ceiling light Allowance $475.00 II. PRICE Contractor agrees to do all work described in Section I for the total price $18,525.00. III. PAYMENT Payment will be made as follows: $4,000.00 payment due upon completion of demolition, $4,000.00 payment due upon completion of rough plumbing and electrical work;and finish plaster $4,500.00 payment due upon completion of cabinets installed,outside door installed and painting; $4,500.00 payment due upon completion of tile backsplash installation,finish electrical and oak floor installed and finished; and$1,525.00 upon completion of finish plumbing and verification of the work by Owner and Contractor as having been satisfactorily completed, which verification shall take place promptly after completion. Costs do not reflect any permits required or labor required to obtain permits and related inspections. Final payment will be adjusted to reflect these costs. i i Notice: No agreement for home improvement contracting work shall require a down payment (advance deposits) of more than one-third of the total contract price or the total amount of all deposit or payments which the contractor must make,in advance,to order and/or otherwise obtain delivery of special order materials and equipment,whichever amount iserg_ater. IV. COMMENCEMENT AND COMPLETION OF WORK Contractor will not begin the work or order the materials before the third day following the signing of this Agreement, unless specified here in writing. Contractor will begin the work on or about August 25, 2014 (date). Barring the delay caused by circumstances beyond Contractor's control, the work will be completed by October 6, 2014 (date). The Owner hereby acknowledges and agrees that the scheduling dates are approximate and that such delays that are not avoidable by the Contractor shall not be considered as violations of this Agreement. V.NO ACCELERATION OF PAYMENTS BUT ESCROWING ALLOWED The Contractor may not require payments to be made in advance of the times specified in Section III (Payment) above for the reason that he deems himself or the payments to be insecure. If, however,he deems himself to be insecure,he may require,as a prerequisite to continuing the work described herein,that the balance of the payments under this contract that are in the control of the Owner, shall be placed in a joint escrow account that requires the signature of both the Contractor and the Owner for withdrawal. VI. INSURANCE Contractor will be responsible r sp e t o Owner e o any third party for any property Ydama e or bodily injury caused by himself,his employees or his subcontracts in the performance of,or as a result of, the work under this Agreement. Contractor agrees to carry insurance to cover such damage or injury. VII. SUBCONTRACTING Contractor agrees that, notwithstanding any agreement for materials and/or labor between Contractor and a third party, Contractor is responsible to Owner for completion of all work described in a timely and workmanlike manner. VIII. CONSTRUCTION RELATED PERMITS The following construction related permits will be necessary in order to complete the scope of work included in this Agreement: Building,Plumbing and Electrical Permit(Price not included). The Contractor under provisions of Chapter 142A of the General Laws is required to apply for and • obtain all construction related permits. The Contractor shall not be deemed responsible for delays in the work described in this Agreement caused by regulatory, permit granting or inspectional agencies, authorities or individuals. Notice: If the homeowner obtains his own construction related permits for the work described under this agreement, the homeowner is hereby advised that in the event of a dispute,judgment and nonpayment of the contractor,the homeowner will not be entitled to make a claim to or collect from the guaranty fund established by Chapter 142A,M.G.L. IX. MODIFICATION This Agreement, including the provisions related to price (Section II) and payment schedule (Section III) cannot be changed except by a written statement signed by both Contractor and Owner. X. CONSTRUCTION CHANGE ORDER Construction change orders will consist of any change to the original scope of work, such as hidden conditions and changes requested by Owner. These conditions may require adjustment in the overall price and time frame to complete the necessary work related to this Agreement. In such case the Contractor shall inform the Owner of such conditions forthwith and when necessary a written amendment to this Agreement will be negotiated and executed by the Contractor and Owner. XI.WARRANTIES The Contractor warrants that the work furnished hereunder shall be free from defects in materials and workmanship for a period of one year 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 Contractor, 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 replace such damage or such defect in materials or workmanship. The foregoing warranties shall survive any inspection performed in connection with the agreed upon work. All warranties for equipment supplied by the Contractor under this Agreement shall be those given by the manufacturers of such equipment,which shall be and are hereby passed through directly to the Owner. Under such manufacturers'warranties,the Owner maybe required to register or mail in a warranty card or other evidence of workmanship and use of such equipment in order to activate such warranties. The Owner's failure to mail in or register such documentation, which failure voids the manufacturer's warranty, shall not create any responsibility for the Contractor to warranty such equipment. This warranty gives the Owner specific legal rights, and Owner may also have other rights which vary from state to state. XII. COMPLETENESS OF AGREEMENT FOR EXECUTION The Owner is hereby advised that he should not sign this Agreement unless and until all blank sections have been filled in or marked as void, deleted or not applicable, and until all exhibits and related or referenced documents that are incorporated herein are attached hereto. XIII. COPY OF AGREEMENT TO BE GIVEN TO OWNER It must be executed in duplicate,and an original signed copy hereof given to the Owner at the time of execution. No work under this Agreement shall begin prior to the.signing of the Agreement and transmittal to the Owner of a copy thereof. HOMEOWNER: DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES. 7 A5 (Owner's Signature) Date Signed C. 8/1-j (Owner's Signatur Date Signed ,n4aj (Contractor's Signature) Date Signed t 1 zsl 1 4 � 'he Commxtonvealth of.1V1'a,ssaeh.asel%s Department ofIndusftigl Accidats • . Office o,f ffivesfigallons 600 Washington Street -Hasfon,MA 02111 •wwmassgov/cira ' Wgrkex$;(Cojnnpemation Ynsuxance Affidadh Baaer a/Co)Litx°actorsfElectr cxa•)slPl* ori A�pU7xcan� orrbaatzon PXcage. 'rcxn e b r Name(BusinosJorgadza&nlJn&idad): FA&,o...X.A5 (� �'�e, _P� Tk. Address:• -t© V%eAJ CiV/gtat01Zt i 1 Pham : CL'z �k.23 A lice 1`� Are yorx-an employer?Check the appropriateYoox: Type of project(reguired): 1,El I am a employer with __ ___ `�• X am a general contractor and I S. Now cOnsfMct[on F ( zli and(oxpax�time}.T have liked the sub-contractors employees 2.[] I am a sole proprietor or partner listed on the attached sheet. 7. [�Remodeling BMP and`haveno•employees These sulr contractors have S. �Demolition working forme in any capacity. workers'comp.insurance. g. �(Suff&g addition [No workers'camp.jnsurauce 5. ❑We are a corporation and its 101]Electricalrepairs or adplons xegaked.] officers have exercised.their 3.El X am a homeowner doing altwork right of exemption perMGL IQ]Plumbing repairs or additions mygelf Lloworkers'comp. c.152,§1(4),andwehaveno 12.[] oofxata1r5 insuranceregrrired.]? employees.[No workers' 1311 Otlier comp.insurance required.] checks fillputthesectionbeldwshowingtheirworkers'compenswonpolicyinto unafion. eAnyapplicantthat 7 Homeowners that checks his affidavit indicatingthey ;doing allwork andthen tura outside contractors must submit anew affidavit iudicating such. xContractors twat checkthis ho must attached an additional saeetshovi gthomme ofthe sut-contractors andthGk-workers'comp.policyinforrnation. ain are emproy��tha�i�p�ovidir�g Npo�ker,��cornpensafjon insurance,formy eW oyees Bc iv. is zhe v lie ar2r�Joh,site inyolmation. insurance CompanyName; As-), policy#or Sel:�insXG-#' 1�wC 4oa `Zc0(a a1 —ZQ` 414 _ ExpiratzonDate: –flu tS'� sob Site Address-, kistatelzip N\. I�,,s�s M6 1/11`, r Attaelr a cope ofeworlterg'compensation-policy declaration page(shvwiug•the policy nmMn.or er and expiration. Failure to secure coverage as requi eduuder Section 25.1.ofMGL o.152 can lead to the imposition of eximinalpmalties of a e up to$1,500.00 aud/ox oneI-year imprisonment,as well as civil penalties in the foza ofa STOP-WORK ORDh and a fm e fin ofup to$250.00 a day against the violatox Be advised that a copy ofthis statement maybe forwarded to the Office of• fnvestigations of the DSA.for iirsurav ce,coverage vexif eatzon. X do hereyoisf Yt�f Ulider oe�1LZw and,penaftleg of petPu tkat Ale 14formationFovided above fs fi le and eorreet. Si afizre: .� Date: 2� - �•• - Ojf1cial use o.nly. .Do not write in flits area,lobe completed ry city or torula official City or Town: Permit/License# Issuing Anthority(circle one): 1.Baaxd of ealtlz?.BulldiugJOepartmend .City/Town Clerk 4.mectrical Inspector S.Numbinglaspector f.Other information ajjd instructions Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for them employees. Parsuautto this statate,an employee is defined as`1.•every person kthe service of another under any contract of hire,- express or:implied,oral or written." An.eMTloye is defined as"an individual,partnership,association,corporation ar other legal entity,ox anytwo oxmoxe, of the,Foregoingengagedinajointenterprise,andiacludingthe,legalxepxesentativesofa:deceasedemploe,.oxthe receiveror taistee of an individual,partnership,assooiation or other legal entity,employing employees. gbwaver the owner of a dwelling househavingnotmore thmtbree apartments audwha resides therein,or the,occupant oMe, dwel]ing blouse of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds orbuilding appurtenantthereto shall not because of such employmeutb0 deemedto be an employer" MGL chapter 152,§25C(6)also states that"every state or local ji jZcensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not pro duced•acceptable evide=of compliance with the insurance coverage required" Additionally,MGL chapter 152,§25C(7)states Voithorthe commonwealthnox any ofits political subdivLions shall enter into any contract for tha performance,ce,ofpublic work until acceptable evidence of compliance with the insurance raquirements ofthis chaptexhave beenpxesented to the contracting authorlty," .Applicants . Pleas,a fill out the workers'compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,-supply gab_contractor(s)name(s),addresses)andphonenumber(s)alongwiththeir cettificate(s)of :insurance. Limited Liability Companies(LLC)or Limited Liability partnerships(LLP)withno employees othexthan the Members oxpartners,aranotrequiredto carryworkers'compensationinsurance. Tian V C R am I Ges t OM ployees,apolicyisxequired. Be advisedthatthisafidavitmaybesubmittedtotheDepartmentof 7ndustria7 Accidents fox confirmation of insurance coverage, Also be suxe to sign and date the affidavit. the affidavit should bexefamedtothecityortownthattheapplicationfoxtheperraitorlicenseisbokgregaoz teel,nottheDerarhnentox Industrial Accidents. Shouldyou have any questions regarding the law oxif you are xegaired to obtain,a workers' compensation policy,please call the Department atthq number listed below. Selfinsuxedcompatuesshouldentert7�eir self insurance license number on the appropriate line. City or Town Mcials Please be sure thattheaf..tdavitiscomplete andpxintedlegibly. The Department has provided a space atthebottom ofthe allidavitforyou to fill out inthe event the Office of Investigations has to contactyouregardingthe applicant: Please be-sure to-fill inthe permit/license number whichwill be used as a reference number, Tn addition,m applicant tliatmust submitmultiple pezmit/Rcense applications is any givenyear,need only submit one afildavit indicating current policy inforn?.ation(if necessary)and under"Yob Site Address"the applicant shouldwrite"all locations in (city or tow&.)".A:copy oft oaffidavitthathasbeenOffxciallystainpedormarkedbyt7tecityoxtowzamaybeprovidedtothe applicantaspxaofthatavalidafPzdavitisvnfilefoxfuturepermitsor7icenseg, Anew azfxdavitmustbefilled,but each year.Where a home owner or citizzen is obtaining a license ox p ennit not related to any business or commercial venture (i.e•a dog license orpermit to burn leaves etc,)said person.is NOT required to complete this affidavit, The Office ofInvestigations would like to thank you in advance for youx cooperation and should you have any questions, please do not hesitate to give us a call. . The.Depatt-tment's address,telephone and fax number: Tho CQM-.M.Onwtafth ofMomac"b"wPft., - I)eT8VMO,at QfT Id WaI Acoldents Offloe QVIRVOstigattow 600 Wa4k&n xe Qd(m,MA 02111 T019 617,42'&4900 Q %Qx 1-87-7-M1 - Revised 5-26-OS Fay 617"727"774