HomeMy WebLinkAboutBuilding Permit #456 - 9 INGALLS STREET 1/11/2008 BUILDING PERMIT - o� NORrh A
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TOWN OF NORTH ANDOVER o? o°
APPLICATION FOR PLAN EXAMINATION
Permit N0. Date Received °4
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Date Issued: 9
IMPORTANT:Applicant must complete all items on this page
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TYPE OF IMPROVEMENT PROPOSED USE
Fie Non- Residential
New Building - One famil
Add ' Two or more family Industrial
Alteratio No. of units: Commercial
Repair, replacement Assessory Bldg "t-.1 TJ Others:
Demolition Other
MO
fi Weil x j f�lood�lain Wetlands' t k Wa#ersfed 7istrrct
�._ DESCRIPTION OF WORKO,�E PREFORMED: - J
Identification Please Type or Print Clearly)
OWNER: Name: Dowed. (2J u- ,.P S. Phone:
Address:
,dt'su' -t a
ct� ".$
-CO�NTRA �� OR Marne p '
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,:
t d _-F - S 3 4) $ J ?Fe-`h
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SUervasorgsonstrt�ctior� cense ' ��" Epp Date
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ARCHITECT/ENGINEER 't�i'iry-2 Phone:
Address: Reg. No.
FEE SCHEDULE:BOLDING PERMIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F.
Total Project Cost: $ FEE: $_ V) Sd Z_d
Check No.: ���7 Receipt No.:
NOTE: Persons contracting with unregistered contractors do not have a cess t the guaranty fu `'
Signafiure of Agent/{3wner : r rL � nature of cor�tracto
Plans Submitted Plans Waived Ce ' 'e t Plan - Stamped Plans
TYPE OF SEWERAGE DISPOSAL
•.1
Public Sewer Tanning/Massage/Body Art Swimming Pools .
We — 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
DATE REJECTED DATE APPROVED
PLANNING & DEVELOPMENT
COMMENTS
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DATE REJECTED DATE APPROVED -
CONSERVATION
COMMENTS j
i
DATE REJECTED DATE APPROVED
HEALTH
COMMENTS
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Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes
Planning Board Decision: omments
Conservation Decision: JDate
Comments
Water $ Sewer Connection/Siatnure Driveway Permit
Located at 384 Osgood Street
FIRE DEPARTMENT Temp%' din step on site fires no
Located at 124°Main Street
f
FireuDepartment signature�date LL
r r
Dimension
Number of Stories: Total square feet of floor area, based on Exterior dimensions.
Total land area, sq. ft.: l p
ELECTRICAL: Movement of Meter location, mast or service drorequires approval of
Electrical Inspector Yes No
DANGER ZONE LITERATURE: Yes No
MGL Chapter 166 Section 2 1 A—F and G min.$10041000 fine
NOTES and DATA— For department use
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❑ Notified for pickup - Date
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Doc.Building Permit Revised 2007
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
m 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
NOTE: 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/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
NOTE: 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
❑ Mass check Energy Compliance Report
❑ 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:INSPECTIONAL SERVICES DEPARTMENT:BPFORM07
Revised 2.2007
Location
No. �� Date W �a
- NORTIy .. I
TOWN OF NORTH ANDOVER
_ s
s
a
Certificate of Occupancy $
J�cMus Building/Frame Permit Fee $ �� o
Foundation Permit Fee $
Other Permit Fee $ _
' TOTAL $
Check # /
20892
-�uilding Inspector
NORTH
o, o
An
Tdover
�. o. dover, Mass., • es•
Q LAKE
�� COC KICKE WICK V
ORATED BOARD OF HEALTH
vv Food/Kitchen
PERMIT T Septic System
BUILDING .INSPECTOR
THIS CERTIFIES THAT............ 1101/04 .04......... ..
�... 4an............................................................................. Foundation
has permission to erect......................:................. buildings on.......I.........�-..... ►..1. ..t.......... ................ Rough
k..,... C.�JA.
t0 be occupied as....... .•,t... ..,ir . Chimney
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
Final
PERMIT EXPIRES IN 6 MONTHS
ELECTRICAL INSPECTOR
UNLESS CONSTR TS Rough
...... . ....
........................... ........................................ ...... Service
BUILDING INSPEC OR Final
Occupancy Permit Required t0 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.
s
c • 169 Boxford Street
',� � • North Andover,MA 01845
• PH:978-688-5335
Building Contractor FAX:978-688-7207
Proposal
• O
To: Dave&Donna Delaney
9 Ingalls Street All Horne improvement Contractors and Subcontractors
iess
North Andover, Ma. 01845 S�lro P� ofCWter
142A of the general laws,must be registered with the
Commonweatth of Massachusetts.Inquiries about
registration and Status should be made to the Director,Hoare
Improvement Contract Registration,One Ashburton Place,
From: Kevin Murphy Room 1301,Boston,MA 02108.(617)-727 85%
M.
Date: 6/26/2007
Job: Bath/bedroom remodel
Date of plans: None
Archittecb None
Location: Same
Section 1-Work Schedule
Contractor will 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 work on or about 8/1/07.
Barring Delay caused by circumstances beyond Contactors control,the work will be completed by 9/30/07.The owner hereby acknowledges
and agrees that the scheduling dates are approximate and that such delays that are not avoidable by the Contractor shall no be considered as
violations of this agreement
Section If-Warranty
The Contractor warrants that the work furnished hereunder shall be free from defects in materials and workmanship for a Fferiod of 1 year
following completion and shall comply with the requirements of this Agreement. In the event any defect in workmans ' or materials,or
damage caused by the Contractor, his subcontractors, a ployees or agents, is discovered within one year after w pletion of any job,
including cleanup,the Contractor shall,at his own expen ,forthwith remedy,repair correct,replace,or cause to be medied,repaired,or
replaced, such damage or such defect in materials or wt rkmanship. The foregoing warranties shall survive any spection performed in
connection with the agreed-upon work.
Section 111-Scope of Work
Kevflas Munphy Page 2 of 4
DuUcUag Contractor
169 Bo4ord street
Nath Andover,MA 01845
PH:9786865335
FAX 978688-X700(
General
Proposal is to upgrade/expand existing master bath, add/expand closets in existing master bedroom. existing
master bath will be completely gutted. Building permit will be provided by contractor.
Building
Framing materials will be provided to expand / reconfigure existing master bath, widen interior opening to
existing dormer, and expand master closets.
Plumbing
Plumbing required to relocate existing shower will be provided. Copper pan for new shower will be provided.
Existing sink and toilet locations to remain the same. New sink, faucet, shower valve, and toilet will be supplied
by owner,to be installed by contractor.
Electrical
Electrical work required to renovate bath will be provided. New electric baseboard heat will be supplied and
installed. New fan /heat/ light unit will be supplied and installed outside new shower. One additional double
duplex outlet will be added in expanded sink area. Surface mounted fixtures ( vanity light ) to be supplied by
owner.
Insulation
Renovated areas will be insulated to meet code. Vapor barrier will be installed . New interior bath walls will be
insulated.
Plaster
I
All renovated areas will be blueboarded and skimcoat plastered.
i
Interior Trim/Doors
Interior trim and doors will be supplied and installed to match existing. Two new bifold doors will be provided for
closets.Wooden shelf and pole will be supplied and installed in new closets.
Flooring
Existing carpet to remain in master bedroom. New tile floor and shower will be provided in master bath. An
allowance of$1000 has been included for the materials (approximately$4 per square foot) . Two new marble
thresholds will be supplied and installed.One at entry door to bath,one at curb of new shower.
Waste Removal
All construction/demolition debris will be diposed of by contractor.
Uavan MWVP ng Page 3 of 4
Building Contractor
169 Boxford street
NoM Andover,MA 01845
PH:9786885335
FAX 9788684)00(
Other Allowances
An allowance of$600 has been included to supply and install shower door.
An allowance of$1500 has been included to supply/install new custom bath vanity and countertop.
Items Not Included
There have been no allowances made for renovations to other baths, painting, staining,or varnishing.
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Revue Mumby Page 4 of 4
` Building Contractor
169 Boxdofd street
North Andover,MA 01845
PH:978-688-5335
FAX 978688-)O=
Section IV-Price Schedule
We hereby propose to furnish material and labor—complete
in Accordance with above specifications for the sum of............ ...... ......... ... .......$ 14,600
Payment to be made as follows:
Percentage/ltem Description Amount
1 Permit obtained / demo complete $3000
2 Plasteiing complete $8000
3 Job 100% complete $3600
Total 3 $14,600.00
"Notice:No agreemert for Horne improvement contractiN%ak&Idl rectum a dmNn payr wd(advance deposit)of more that one-third of the total contract price of the total arrrnmt of all deposb or
Par ,the=*actor must make,m advanm.to ader and/or otherwise obtain delivery of special order materials and ewprnerM,wftchew is greater
Contractor: Kevin Murphy
169 Boxford Street
No.Andover, MA 01845
Registration No: 101874
Section V-Acceptance
I
Acceptance of Proposal—I have read this document 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 on the third business day after the date of this
transaction cancellation must be done in writing
DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES
I
Signature Date !2 07
T
Signature Date 2— ,7,/-7
NORTH ANDOVER BUILDING DEPARTMENT
Tel: 978-688-9545
DEBRIS DISPOSAL FORM
In accordance with the provision of MGL c 40 S 54, a condition of Building Permit
at: 9 34-1 s ,`�is that the debris resulting from this work shall be
disposed of in a properly licensed solid waste disposal facility as defined by MGL
11, S 150 A.
Also note Permits are required under Fire Prevention laws s
Chapter 148 Section
10A.
The debris will be disposed of in:
Location of Facility)
Signaloo Permit Applicant
Fire Department Sign off P.J I
Dumpster Permit
Date
06/27/2007 09:58 FAX 19786833147 M,P.ROBnTS INSURANCE x}001/002
ACOM. CERTIFICATE OF LIABILITY INSURANCE
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e!rtrpiloyt'ea(IitN and/or part-time).* have hind the sub-contractor; ew Cex'strltCric)q
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(No waken'camp.insurance We we a cmporatkm and it4 0' aBuriding additaln �
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